510(k) Report

510(k) · Cleared

Cleared

Cannulated Hemi Implant

K190543510(k) TraditionalCleared May 31, 201988-day reviewClass II21 CFR 888.3730

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

Vilex IN Tennessee, Inc. · KWD Prosthesis, Toe, Hemi-, Phalangeal

Cleared on May 31, 2019 as substantially equivalent to K023684 (Vilex, Inc., 2004) and 5 other predicates after an 88-day review. Its family tree reaches back 9 generations to 1987. 5 later devices descend from it.

Decided
May 31, 2019
Review
88 days
Class
Class II
Product code
KWD
Recalls
None
Predicates
6

Its longest line of descent runs back 9 generations to K864492 (1987). 25 ancestors in all, the oldest K781870 (1979). 5 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2014: 1 other ancestor2007: 1 other ancestor2004: 2 other ancestors2010: 1 other ancestor2009: 1 other ancestor2008: 1 other ancestor2002: 2 other ancestors1991: 1 other ancestor1979: 1 other ancestor2012: 1 other ancestor1994: 1 other ancestor1993: 2 other ancestors2006: 1 other ancestor2022: 1 descendant cleared2021: 1 descendant cleared2020: 1 descendant cleared2024: 2 descendants clearedK864492 · Swanson Titanium Great Toe Implant · Dow Corning Wright · 1987 · recalledK971047 · Futura Biomedical Metal Hemi Toe Implant · Nexa Orthopedics, Inc. · 1997K031859 · Cap Great Toe Resurfacing Hemi-Arthroplasty Implant · Arthrosurface, Inc. · 2004K063370 · Cap 7.0MM MTP Resurfacing Hemi-Arthroplasty · Arthrosurface, Inc. · 2007×2: 2 generations cleared close together, K073065 (2008), K081876 (2008) K102401 · Hemi Implant; Mini Hemi Implant · Vilex, Inc. · 2011K131377 · Hemicap MTP Resurfacing Hemi-Arthroplasty Implant · Arthrosurface, Inc. · 2013K152454 · HemiCAP MTP Resurfacing Hemi-Arthroplasty System · Arthrosurface, Inc. · 201619801990200020102020
  1. Root · 9 generations backK864492 Swanson Titanium Great Toe ImplantDow Corning Wright · 1987 · Recalled
  2. 5 generations between
  3. 3 generations backK102401 Hemi Implant; Mini Hemi ImplantVilex, Inc. · 2011
  4. 2 generations backK131377 Hemicap MTP Resurfacing Hemi-Arthroplasty ImplantArthrosurface, Inc. · 2013
  5. 1 generation backK152454 HemiCAP MTP Resurfacing Hemi-Arthroplasty SystemArthrosurface, Inc. · 2016
  6. This deviceK190543 Cannulated Hemi ImplantVilex IN Tennessee, Inc. · 2019
  7. Descendant · cites it directly · 2 of its ownK203634 BioPoly Great Toe Hemiarthroplasty ImplantBioPoly, LLC · 2021
  8. Descendant · cites it directly · 1 of its ownK222964 BioPoly Lesser Toe Hemiarthroplasty ImplantBioPoly, LLC · 2022
  9. Descendant · cites it directly · 1 of its ownK200951 Accu-Joint Hemi ImplantAccufix Surgical, Inc. · 2020
  10. Descendant · 2 generations on · 0 of its ownK233592 BioPoly Radial Head ImplantBioPoly, LLC · 2024
  11. Descendant · 2 generations on · 0 of its ownK240268 Accu-Joint Hemi ImplantAccufix Surgical, Inc. · 2024
Show all 9 generations
  1. Root · 9 generations backK864492 Swanson Titanium Great Toe ImplantDow Corning Wright · 1987 · Recalled
  2. 8 generations backK971047 Futura Biomedical Metal Hemi Toe ImplantNexa Orthopedics, Inc. · 1997
  3. 7 generations backK031859 Cap Great Toe Resurfacing Hemi-Arthroplasty ImplantArthrosurface, Inc. · 2004
  4. 6 generations backK063370 Cap 7.0MM MTP Resurfacing Hemi-ArthroplastyArthrosurface, Inc. · 2007
  5. 5 generations backK073065 Osteomed Metatarsal Resurfacing Implant SystemOsteomed LP · 2008
  6. 4 generations backK081876 Osteomed Resurfacing Metatarsal Implant with Hydroxylapatite CoatingOsteomed LP · 2008
  7. 3 generations backK102401 Hemi Implant; Mini Hemi ImplantVilex, Inc. · 2011
  8. 2 generations backK131377 Hemicap MTP Resurfacing Hemi-Arthroplasty ImplantArthrosurface, Inc. · 2013
  9. 1 generation backK152454 HemiCAP MTP Resurfacing Hemi-Arthroplasty SystemArthrosurface, Inc. · 2016
  10. This deviceK190543 Cannulated Hemi ImplantVilex IN Tennessee, Inc. · 2019

Most influential descendants

Showing 5 of 5 · See all
  • K203634BioPoly Great Toe Hemiarthroplasty ImplantBioPoly, LLC · 2021 · cites it directly2descendants
  • K222964BioPoly Lesser Toe Hemiarthroplasty ImplantBioPoly, LLC · 2022 · cites it directly1descendant
  • K200951Accu-Joint Hemi ImplantAccufix Surgical, Inc. · 2020 · cites it directly1descendant
  • K233592BioPoly Radial Head ImplantBioPoly, LLC · 2024 · 2 generations on0descendants
  • K240268Accu-Joint Hemi ImplantAccufix Surgical, Inc. · 2024 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−9K864492Swanson Titanium Great Toe ImplantDow Corning Wright19871
−8K971047Futura Biomedical Metal Hemi Toe ImplantNexa Orthopedics, Inc.1997—
−7K031859Cap Great Toe Resurfacing Hemi-Arthroplasty ImplantArthrosurface, Inc.2004—
−6K063370Cap 7.0MM MTP Resurfacing Hemi-ArthroplastyArthrosurface, Inc.2007—
−5K073065Osteomed Metatarsal Resurfacing Implant SystemOsteomed LP2008—
−4K081876Osteomed Resurfacing Metatarsal Implant with Hydroxylapatite CoatingOsteomed LP2008—
−3K102401Hemi Implant; Mini Hemi ImplantVilex, Inc.2011—
−2K131377Hemicap MTP Resurfacing Hemi-Arthroplasty ImplantArthrosurface, Inc.2013—
−1K152454HemiCAP MTP Resurfacing Hemi-Arthroplasty SystemArthrosurface, Inc.2016—
0 (this device)K190543Cannulated Hemi ImplantVilex IN Tennessee, Inc.2019—
+1K203634BioPoly Great Toe Hemiarthroplasty ImplantBioPoly, LLC2021—
+1K222964BioPoly Lesser Toe Hemiarthroplasty ImplantBioPoly, LLC2022—
+1K200951Accu-Joint Hemi ImplantAccufix Surgical, Inc.2020—
+2K233592BioPoly Radial Head ImplantBioPoly, LLC2024—
+2K240268Accu-Joint Hemi ImplantAccufix Surgical, Inc.2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
199110
199320
199410
200220
200420
200610
200710
200810
200910
201010
201210
201410

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202010
202110
202210
202420
FIG. 1 — Lineage of K190543, 1987–2024Source: 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 KWD? 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 KWD device

  1. #1 K250074 HYALEX® MTP Hemiarthroplasty Implantscore 13.2 · 8 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
Get a 510(k) Report

What was it cleared against? (6)

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
*K023684Cannulated Metallic Hemi Toe Implant, Models MPJ241975, MPJ221775, MPJ211675, MPJ191565…
Summary page 4
…510(k) Clearance No. Date Cannulated Metallic Hemi Toe Implant Vilex, Inc. K023684 03/01/2004 Met-Head K070052 03/28/2007 Cannulated Metallic Hemi Impla…
Vilex, Inc.2004—
*K070052Met-Head Model# MHDD-XX:CC Diameter, CC Cannulation
Summary page 4
…No. Date Cannulated Metallic Hemi Toe Implant Vilex, Inc. K023684 03/01/2004 Met-Head K070052 03/28/2007 Cannulated Metallic Hemi Implant K102401 07/20/2011 HemiCAP MTP Resurfacing Hemi-…
Vilex, Inc.2007—
*K102401Hemi Implant; Mini Hemi Implant
Summary page 4
…K023684 03/01/2004 Met-Head K070052 03/28/2007 Cannulated Metallic Hemi Implant K102401 07/20/2011 HemiCAP MTP Resurfacing Hemi- Arthrosurface, Inc. K152454 04/11/2016 Arthroplasty System CAP Great…
Vilex, Inc.2011—
*K152454HemiCAP MTP Resurfacing Hemi-Arthroplasty System
Summary page 4
…K070052 03/28/2007 Cannulated Metallic Hemi Implant K102401 07/20/2011 HemiCAP MTP Resurfacing Hemi- Arthrosurface, Inc. K152454 04/11/2016 Arthroplasty System CAP Great Toe Resurfacing Hemi- Arthrosurface, Inc. K031859 02/18/2004 Arthroplasty…
Arthrosurface, Inc.2016—
*K031859Cap Great Toe Resurfacing Hemi-Arthroplasty Implant
Summary page 4
…11 HemiCAP MTP Resurfacing Hemi- Arthrosurface, Inc. K152454 04/11/2016 Arthroplasty System CAP Great Toe Resurfacing Hemi- Arthrosurface, Inc. K031859 02/18/2004 Arthroplasty Implant Arthrosurface Toemotion Arthrosurface, Inc. K132496 02/26/2014 IV. Device De…
Arthrosurface, Inc.2004—
*K132496Arthrosurface Toemotion
Summary page 4
…stem CAP Great Toe Resurfacing Hemi- Arthrosurface, Inc. K031859 02/18/2004 Arthroplasty Implant Arthrosurface Toemotion Arthrosurface, Inc. K132496 02/26/2014 IV. Device Description The Vilex CHI System includes one-piece cannulated hemi-arthroplasty implants intended to res…
Arthrosurface, Inc.20141

Also cleared against K023684: 5 other devices →

What descends from it? (5)

3 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K203634BioPoly Great Toe Hemiarthroplasty ImplantBioPoly, LLC20212
K222964BioPoly Lesser Toe Hemiarthroplasty ImplantBioPoly, LLC20221
K200951Accu-Joint Hemi ImplantAccufix Surgical, Inc.20201

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 32 years and passes through 6 companies; a new generation was cleared every 2.9 years on median.
  • 3 of the 25 ancestors have a recall of any class.
  • Of its descendants, K203634 (BioPoly, LLC, 2021) has gone furthest, with 2 descendants of its own.
  • 5 other devices also cite its predicate K023684.

How does its category compare?

All KWD devices

KWD Prosthesis, Toe, Hemi-, Phalangeal: FDA decisions, review times, recalls and adverse event reports over 20 years. 2019, this device’s year, is highlighted.

FDA decisions per year · KWD

1in 2024

2007: 52008: 32009: 22010: 12011: 12012: 32013: 22016: 12017: 12019: 22020: 12021: 12022: 22023: 12024: 12026 (partial year): 1
2007high 5 (2007) · low 0 (2014)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KWD

47in 2012

2007: 65 days median2008: 84 days median2012: 47 days median
2007high 84 (2008) · low 47 (2012)2026

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

Recalls per year · KWD

10in 2022

2008: 12014: 12016: 12022: 102026 (partial year): 1
2007high 10 (2022) · low 0 (2007)2026

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

Adverse event reports per year · KWD

8in 2025

2008: 22010: 32011: 32012: 12013: 42014: 32015: 102016: 72017: 102018: 82019: 192020: 42021: 22022: 102023: 272024: 1332025: 8
2007high 133 (2024) · low 0 (2007)2025

MAUDE reports naming product code KWD, 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
200756500
200838412
20092—00
20101—03
20111—03
201234701
20132—04
20140—13
20150—010
20161—17
20171—010
20180—08
20192—019
20201—04
20211—02
20222—1010
20231—027
20241—0133
20250—08
20261—1—

What is it indicated for?

The Vilex CHI (cannulated hemi implant), a hemi-arthroplasty implant for the metatarsophalangeal (MTP) joint, is indicated for use in the treatment of patients with degenerative and post-traumatic arthritis in the MTP joint in the presence of good bone stock and integrity of the phalangeal base, along with the following clinical conditions: Hallux Limitus, Hallux Valgus, Hallux Rigidus, and an unstable or painful MTP joint. The Vilex cannulated metallic hemi implant is intended to be used with bone cement. The Vilex cannulated metallic hemi implant is intended for single-use only.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K190543: Cannulated Hemi Implant.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K190543

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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