510(k) Report

510(k) · Cleared

Cleared

Instruments for LINK MEGASYSTEM-C Family

K190181510(k) TraditionalCleared Oct 25, 2019266-day reviewClass II21 CFR 888.3510

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

LinkBio Corp. · KRO Prosthesis, Knee, Femorotibial, Constrained, Cemented, Metal/Polymer

Cleared on Oct 25, 2019 as substantially equivalent to K151008 (Waldemar Link GmbH & Co. KG, 2015) and 2 other predicates after a 266-day review. Its family tree reaches back 3 generations to 1996.

Decided
Oct 25, 2019
Review
266 days
Class
Class II
Product code
KRO
Recalls
None
Predicates
3

Its longest line of descent runs back 3 generations to K945028 (1996). 7 ancestors in all, the oldest K955296 (1996). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2015: 1 other ancestor2014: 1 other ancestor2002: 1 other ancestor1996: 1 other ancestorK945028 · Finn Knee System · Biomet, Inc. · 1996K013385 · Nexgen Complete Knee Solution Rotatng Hinge Knee · Zimmer, Inc. · 2002 · recalledK143179 · The LINK® Endo-Model® Knee System · Waldemar Link GmbH & Co. KG · 2015 · recalled199520002005201020152020
  1. Root · 3 generations backK945028 Finn Knee SystemBiomet, Inc. · 1996
  2. 2 generations backK013385 Nexgen Complete Knee Solution Rotatng Hinge KneeZimmer, Inc. · 2002 · Recalled
  3. 1 generation backK143179 The LINK® Endo-Model® Knee SystemWaldemar Link GmbH & Co. KG · 2015 · Recalled
  4. This deviceK190181 Instruments for LINK MEGASYSTEM-C FamilyLinkBio Corp. · 2019
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K945028Finn Knee SystemBiomet, Inc.1996—
−2K013385Nexgen Complete Knee Solution Rotatng Hinge KneeZimmer, Inc.20022
−1K143179The LINK® Endo-Model® Knee SystemWaldemar Link GmbH & Co. KG20157
0 (this device)K190181Instruments for LINK MEGASYSTEM-C FamilyLinkBio Corp.2019—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199610
200210
201410
201510
FIG. 1 — Lineage of K190181, 1996–2019Source: 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 KRO? 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 KRO device

  1. #1 K251665 Triathlon® Hinge Knee Systemscore 19.0 · 12 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? (3)

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
*K151008Link® Megasystem-C®
Summary page 3
…-C® Family Indications for Use (Describe) The Instruments for LINK MEGASYSTEM-C Family are intended to aid in intra-operative implantation of the LINK® MEGASYSTEM-C® (K151008), which can be integrated with the components of the Endo-Model® SL® Rotating and Non- Rotating Hinge Knee or Endo-Model® Knee Sy…
Waldemar Link GmbH & Co. KG201516
*K143179The LINK® Endo-Model® Knee System
Summary page 3
…the LINK® MEGASYSTEM-C® (K151008), which can be integrated with the components of the Endo-Model® SL® Rotating and Non- Rotating Hinge Knee or Endo-Model® Knee System (#K143179) for knee replacement, and with the MP® Reconstruction Prosthesis (#K142187) for hip replacement. The LINK® MEGASYSTEM-C® (K15100…
Waldemar Link GmbH & Co. KG20157
*K142187Link MP Reconstruction Prosthesis
Summary page 3
…nts of the Endo-Model® SL® Rotating and Non- Rotating Hinge Knee or Endo-Model® Knee System (#K143179) for knee replacement, and with the MP® Reconstruction Prosthesis (#K142187) for hip replacement. The LINK® MEGASYSTEM-C® (K151008), has the following indications: The LINK® MEGASYSTEM-C® is intended to be…
Waldemar Link GmbH & Co. KG20142

Also cleared against K151008: 3 other devices →

What descends from it?

No later submission names this one as a predicate yet.

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

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 23 years and passes through 4 companies; a new generation was cleared every 5.9 years on median.
  • 6 of the 7 ancestors have a recall of any class.
  • 3 other devices also cite its predicate K151008.

How does its category compare?

All KRO devices

KRO Prosthesis, Knee, Femorotibial, Constrained, Cemented, Metal/Polymer: FDA decisions, review times, recalls and adverse event reports over 20 years. 2019, this device’s year, is highlighted.

FDA decisions per year · KRO

3in 2025

2007: 12008: 32009: 32010: 12011: 22012: 22013: 32014: 22015: 62016: 32017: 12019: 32020: 12021: 32022: 12023: 42024: 32025: 32026 (partial year): 1
2007high 6 (2015) · low 0 (2018)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KRO

56in 2025

2008: 126 days median2009: 86 days median2013: 189 days median2015: 113 days median2016: 148 days median2019: 244 days median2021: 57 days median2023: 148 days median2024: 87 days median2025: 56 days median
2007high 244 (2019) · low 56 (2025)2026

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

Recalls per year · KRO

14so far in 2026, the most since 2007

2007: 12008: 32009: 82011: 12012: 12013: 22015: 12016: 52017: 42018: 12021: 12025: 12026 (partial year): 14
2007high 14 (2026) · low 0 (2010)2026

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

Adverse event reports per year · KRO

915in 2025

2007: 372008: 442009: 662010: 1102011: 1192012: 1732013: 1942014: 4062015: 3332016: 3692017: 5432018: 6142019: 7592020: 7492021: 7702022: 8922023: 7462024: 8552025: 915
2007high 915 (2025) · low 37 (2007)2025

MAUDE reports naming product code KRO, 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
20071—137
20083126344
2009386866
20101—0110
20112—1119
20122—1173
201331892194
20142—0406
201561131333
201631485369
20171—4543
20180—1614
201932440759
20201—0749
20213571770
20221—0892
202341480746
20243870855
20253561915
20261—14—

What is it indicated for?

The Instruments for LINK MEGASYSTEM-C Family are intended to aid in intra-operative implantation of the LINK® MEGASYSTEM-C® (K151008), which can be integrated with the components of the Endo-Model® SL® Rotating and Non- Rotating Hinge Knee or Endo-Model® Knee System (#K143179) for knee replacement, and with the MP® Reconstruction Prosthesis (#K142187) for hip replacement. The LINK® MEGASYSTEM-C® (K151008), has the following indications: The LINK®…

Read the full statement (280 words)

The Instruments for LINK MEGASYSTEM-C Family are intended to aid in intra-operative implantation of the LINK® MEGASYSTEM-C® (K151008), which can be integrated with the components of the Endo-Model® SL® Rotating and Non- Rotating Hinge Knee or Endo-Model® Knee System (#K143179) for knee replacement, and with the MP® Reconstruction Prosthesis (#K142187) for hip replacement. The LINK® MEGASYSTEM-C® (K151008), has the following indications:

The LINK® MEGASYSTEM-C® is intended to be used with the components of the Endo-Model® SL® Rotating and Non- Rotating Hinge Knee or Endo-Model® Knee System (#K143179) which can be integrated for knee joint replacement and with the MP® Reconstruction Prosthesis (#K142187) for hip replacement.

The LINK MEGASYSTEM-C® is indicated for treatment of any of the following Limb salvage/Oncology procedures:

1) Revision for loosened femoral prosthesis components involving extensive bone loss;

2) Surgical intervention for severe trauma;

3) Oncology cases where extensive resection and replacement of bone is required from tibia to hip area;

The device is to be used with bone cement unless a proximal femur or a modular stem is indicated for use.

For the use of the LINK® Endo-Model® SL® Rotating and Non-Rotating Hinge Knee System additional indications should be noted:

1) Bone necroses.

2) Bicondylar arthrosis by partly damaged collateral ligaments.

3) Revision surgery after primary total knee replacement.

4) Revision surgery after rotating or non-rotating hinged knee replacement.

5) Revision surgery by insufficient / inadequate bone mass.

6) Arthrosis of patella flange.

7) ValgusNarus deformities <10°.

8) ValgusNarus deformities 10-15°.

9) ValgusNarus deformities 15-20°.

For the use of the LINK® Endo-Model® SL® Non-Rotating Hinge Knee System additional indications should be noted:

10) Bicondylar arthrosis by completely damaged ligaments and muscular instability.

11) ValgusNarus deformities 20-30°.

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. “K190181: Instruments for LINK MEGASYSTEM-C Family.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K190181

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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