510(k) Report

510(k) · Cleared

Recalled · Class II · 2019

Integra Salto Total Ankle System

K182878510(k) SpecialCleared Dec 18, 201864-day reviewClass II21 CFR 888.3110Recalls 8

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Ascension Orthopedics · HSN Prosthesis, Ankle, Semi-Constrained, Cemented, Metal/Polymer

Cleared on Dec 18, 2018 as substantially equivalent to K153452 (Tornier S.A.S., 2016) after a 64-day review. Its family tree reaches back 7 generations to 1999. 1 later device descends from it. It has been recalled 8 times.

Decided
Dec 18, 2018
Review
64 days
Class
Class II
Product code
HSN
Recalls
8
Predicates
1

Its longest line of descent runs back 7 generations to K984290 (1999). 18 ancestors in all, the oldest K920802 (1992). 1 later device descends from it, 1 citing it directly.

  1. Root · 7 generations backK984290 Implex Radial Head Replacement SystemImplex Corp. · 1999
  2. 6 generations backK012551 Liverpool Radial Head Replacement DeviceBiomet, Inc. · 2002
  3. 5 generations backK040611 Modular Radial Head Replacement DeviceBiomet, Inc. · 2004 · Recalled
  4. 4 generations backK051385 Explor Modular Radial Head Replacement DeviceBiomet, Inc. · 2005 · Recalled
  5. 3 generations backK060438 RHSTornier · 2006
  6. 2 generations backK130533 Salto Talaris Total Ankle Prosthesis, RHSTornier S.A.S. · 2013 · Recalled
  7. 1 generation backK153452 Salto XT, Salto TalarisTornier S.A.S. · 2016 · Recalled
  8. This deviceK182878 Integra Salto Total Ankle SystemAscension Orthopedics · 2018
  9. Descendant · cites it directly · 0 of its ownK240591 restor3d Kinos Axiom Total Ankle SystemRestor3D, Inc. · 2024

Most influential descendants

Showing 1 of 1 · See all
  • K240591restor3d Kinos Axiom Total Ankle SystemRestor3D, Inc. · 2024 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−7K984290Implex Radial Head Replacement SystemImplex Corp.1999—
−6K012551Liverpool Radial Head Replacement DeviceBiomet, Inc.2002—
−5K040611Modular Radial Head Replacement DeviceBiomet, Inc.20041
−4K051385Explor Modular Radial Head Replacement DeviceBiomet, Inc.20052
−3K060438RHSTornier2006—
−2K130533Salto Talaris Total Ankle Prosthesis, RHSTornier S.A.S.201319
−1K153452Salto XT, Salto TalarisTornier S.A.S.20168
0 (this device)K182878Integra Salto Total Ankle SystemAscension Orthopedics2018—
+1K240591restor3d Kinos Axiom Total Ankle SystemRestor3D, Inc.2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199210
199510
199810
199910
200020
200220
200510
200610
200910

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202410
FIG. 1 — Lineage of K182878, 1999–2024Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in HSN? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new HSN device

  1. #1 K192994 Paragon 28 APEX 3D Total Ankle Replacement…score 16.7 · 8 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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What was it cleared against? (1)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K153452Salto XT, Salto Talaris
Summary page 4
…me Ankle Joint Metal/Polymer Semi-Constrained Cemented Prosthesis Regulation 21 CFR 888.3110 Product Code HSN Predicate Device K153452: Salto Talaris, Salto XT Reference Device K151459: Integra Cadence Total Ankle Replacement System Device Description…
Tornier S.A.S.20168
†K151459Integra Total Ankle Replacement SystemAscension Orthopedics20152

Also cleared against K153452: 3 other devices →

What descends from it? (1)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K240591restor3d Kinos Axiom Total Ankle SystemRestor3D, Inc.20240

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Mar 8, 2019Class IIZ-1172-2019OtherThe Salto Talaris and Integra XT Revision implant labelling was found to list an incorrect metallic coating material symbol on the metallic implant labels (box and inner pouch) and IFU
Mar 8, 2019Class IIZ-1174-2019OtherThe Salto Talaris and Integra XT Revision implant labelling was found to list an incorrect metallic coating material symbol on the metallic implant labels (box and inner pouch) and IFU
Mar 8, 2019Class IIZ-1175-2019OtherThe Salto Talaris and Integra XT Revision implant labelling was found to list an incorrect metallic coating material symbol on the metallic implant labels (box and inner pouch) and IFU
Mar 8, 2019Class IIZ-1173-2019OtherThe Salto Talaris and Integra XT Revision implant labelling was found to list an incorrect metallic coating material symbol on the metallic implant labels (box and inner pouch) and IFU
Mar 8, 2019Class IIZ-1170-2019OtherThe Salto Talaris and Integra XT Revision implant labelling was found to list an incorrect metallic coating material symbol on the metallic implant labels (box and inner pouch) and IFU
Mar 8, 2019Class IIZ-1169-2019OtherThe Salto Talaris and Integra XT Revision implant labelling was found to list an incorrect metallic coating material symbol on the metallic implant labels (box and inner pouch) and IFU
Mar 8, 2019Class IIZ-1168-2019OtherThe Salto Talaris and Integra XT Revision implant labelling was found to list an incorrect metallic coating material symbol on the metallic implant labels (box and inner pouch) and IFU
Mar 8, 2019Class IIZ-1171-2019OtherThe Salto Talaris and Integra XT Revision implant labelling was found to list an incorrect metallic coating material symbol on the metallic implant labels (box and inner pouch) and IFU

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 19 years and passes through 5 companies; a new generation was cleared every 2.4 years on median.
  • 11 of the 18 ancestors have a recall of any class.
  • Of its descendants, K240591 (Restor3D, Inc., 2024) has gone furthest, with 0 descendants of its own.
  • 3 other devices also cite its predicate K153452.

How does its category compare?

All HSN devices

HSN Prosthesis, Ankle, Semi-Constrained, Cemented, Metal/Polymer: FDA decisions, review times, recalls and adverse event reports over 20 years. 2018, this device’s year, is highlighted.

FDA decisions per year · HSN

3in 2025

2009: 12010: 22011: 12012: 22013: 42014: 22015: 32016: 32017: 42018: 42019: 22020: 62021: 42022: 12023: 62024: 72025: 32026 (partial year): 2
2007high 7 (2024) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HSN

58in 2025

2013: 89 days median2015: 233 days median2016: 216 days median2017: 148 days median2018: 89 days median2020: 234 days median2021: 109 days median2023: 112 days median2024: 115 days median2025: 58 days median
2007high 234 (2020) · low 58 (2025)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · HSN

1in 2023

2013: 32016: 12017: 22019: 12021: 32022: 22023: 1
2007high 3 (2013) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · HSN

1,645in 2025

2007: 502008: 662009: 662010: 1202011: 1392012: 1002013: 1062014: 652015: 732016: 1112017: 962018: 1872019: 2772020: 2812021: 2372022: 4532023: 7962024: 1,0952025: 1,645
2007high 1,645 (2025) · low 50 (2007)2025

MAUDE reports naming product code HSN, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
20070—050
20080—066
20091—066
20102—0120
20111—0139
20122—0100
20134893106
20142—065
20153233073
201632161111
20174148296
20184890187
20192—1277
202062340281
202141093237
20221—2453
202361121796
2024711501,095
202535801,645
20262—0—

What is it indicated for?

Salto Talaris Total Ankle Prosthesis : The Salto Talaris Total Ankle Prosthesis is indicated as a total ankle replacement in primary or revision surgery for patients with ankle joints damaged by severe rheumatoid, post-traumatic, or degenerative arthritis. Components are intended for cemented use only.

Integra XT Revision Ankle Replacement System: The Integra XT Revision Ankle Replacement System is indicated as a total ankle replacement in revision surgeries only for patients with ankle joints damaged by severe rheumatoid, post-traumatic, or degenerative arthritis. Components are intended for cemented use only.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K182878: Integra Salto Total Ankle System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K182878

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026