# K181635: GMK Sphere CR Tibial Inserts

- Pathway: 510(k) (Traditional)
- Applicant: Medacta International S.A.
- Decided: Aug 23, 2018 after 63 days
- Product code: JWH (Prosthesis, Knee, Patellofemorotibial, Semi-Constrained, Cemented, Polymer/Metal/Polymer)
- Device class: 2
- Regulation: 21 CFR 888.3560
- Recalls of this device: none
- Data: FDA decisions to Oct 25, 2026; recalls to Oct 12, 2026

## Lineage
Longest line of descent: 15 generations back to K941847 (1994). 96 ancestors in all.
2 later devices descend from it; 1 cites it directly.
0 of 98 devices in its family (counting itself) have a Class I recall.

## Predicates on the family tree (from the FDA summary)
- K121416: GMK Sphere, Medacta International (2012) Summary page 4.
- K140826: GMK Sphere Extension, Medacta International (2014) Summary page 4.
- K162035: GMK Sphere, Medacta International S.A. (2017) Summary page 4.

## Most influential descendants
- K202022: GMK-SPHERE Tibial inserts FLEX Tibial Insert CR and Resurfacing Patella made of E-CROSS (Vitamin E Highly Crosslinked UHMWPE) (2020), 1 descendant of its own
- K262057: GMK Extension (2026), 0 descendants of its own

## Indications for use
The GMK Knee prosthesis is designed for cemented use in total knee arthroplasty, if there is evidence of sufficient sound bone to seat and support the components. This knee replacement system is indicated in the following cases: Severely painful and/or disabled joint as a result of arthritis, traumatic arthritis, rheumatoid arthritis or polyarthritis Avascular necrosis of femoral condyle Post traumatic loss of joint configuration Primary implantation failure Tibial wedges cemented are to be attached to the tibial baseplate with both the fixing cylinders and bone cement. The screwed tibial augments are for screwed fixation to the tibial baseplate. In case a semi-constrained liner is used, an extension stem must be implanted both on the tibial and on the femoral components. In case a GMK Revision tibial tray is used, an extension stem must be implanted.

Source page: https://510kreport.com/device/K181635
Methodology: https://510kreport.com/methodology