510(k) Report

510(k) · Cleared

Cleared

COPAL exchange G Hip and Knee Spacers

K191016510(k) TraditionalCleared Nov 1, 2019198-day reviewClass II21 CFR 888.3390

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

Heraeus Medical GmbH · KWY Prosthesis, Hip, Hemi-, Femoral, Metal/Polymer, Cemented Or Uncemented

Cleared on Nov 1, 2019 as substantially equivalent to K101356 (Tecres S.P.A., 2011) after a 198-day review. Its family tree reaches back 5 generations to 1995. 1 later device descends from it.

Decided
Nov 1, 2019
Review
198 days
Class
Class II
Product code
KWY
Recalls
None
Predicates
1

Its longest line of descent runs back 5 generations to K936159 (1995). 13 ancestors in all, the oldest P810020 (1984). 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2008: 1 other ancestor2005: 2 other ancestors2004: 1 other ancestor2003: 1 other ancestor2001: 1 other ancestor1998: 1 other ancestor1984: 1 other ancestor2022: 1 descendant clearedK936159 · Natural-Knee II System · Intermedics Orthopedics · 1995 · recalledK032522 · Tecres Spacer-K Temporary Knee Prosthesis · Exactech, Inc. · 2004K050210 · Disposable Cement Spacer Molds for Temporary Knee Prostheses · Biomet, Inc. · 2005 · recalledK062274 · Spacer-K Temporary Knee Spacer with Gentamicin, Models SPK0021, SPK0121, SPK0221, SPK0321 · Tecres S.P.A. · 2008K101356 · Spacer-G and Spacer-K · Tecres S.P.A. · 201119801990200020102020
  1. Root · 5 generations backK936159 Natural-Knee II SystemIntermedics Orthopedics · 1995 · Recalled
  2. 4 generations backK032522 Tecres Spacer-K Temporary Knee ProsthesisExactech, Inc. · 2004
  3. 3 generations backK050210 Disposable Cement Spacer Molds for Temporary Knee ProsthesesBiomet, Inc. · 2005 · Recalled
  4. 2 generations backK062274 Spacer-K Temporary Knee Spacer with Gentamicin, Models SPK0021…Tecres S.P.A. · 2008
  5. 1 generation backK101356 Spacer-G and Spacer-KTecres S.P.A. · 2011
  6. This deviceK191016 COPAL exchange G Hip and Knee SpacersHeraeus Medical GmbH · 2019
  7. Descendant · cites it directly · 0 of its ownK220492 COPAL exchange G hip spacerHeraeus Medical GmbH · 2022

Most influential descendants

Showing 1 of 1 · See all
  • K220492COPAL exchange G hip spacerHeraeus Medical GmbH · 2022 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K936159Natural-Knee II SystemIntermedics Orthopedics19956
−4K032522Tecres Spacer-K Temporary Knee ProsthesisExactech, Inc.2004—
−3K050210Disposable Cement Spacer Molds for Temporary Knee ProsthesesBiomet, Inc.20058
−2K062274Spacer-K Temporary Knee Spacer with Gentamicin, Models SPK0021, SPK0121…Tecres S.P.A.2008—
−1K101356Spacer-G and Spacer-KTecres S.P.A.2011—
0 (this device)K191016COPAL exchange G Hip and Knee SpacersHeraeus Medical GmbH2019—
+1K220492COPAL exchange G hip spacerHeraeus Medical GmbH2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198410
199810
200110
200310
200410
200520
200810

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202210
FIG. 1 — Lineage of K191016, 1995–2022Source: 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 KWY? 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 KWY device

  1. #1 K253357 b-ONE® Bipolar Headscore 11.2 · 1 generation · 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
*K101356Spacer-G and Spacer-K
Summary page 4
…60 and 21 CFR 888.3390 Product codes: JWH, KWL and KWY 3. PREDICATE DEVICES • Tecres Hip and Knee Spacers subject of K101356 (including its former versions K062274, K062273 and K031841) K191016 COPAL® exchange G Hip and Knee Spacers === P…
Tecres S.P.A.2011—

Also cleared against K101356: 2 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
K220492COPAL exchange G hip spacerHeraeus Medical GmbH20220

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 24 years and passes through 5 companies; a new generation was cleared every 3.3 years on median.
  • 4 of the 13 ancestors have a recall of any class.
  • Of its descendants, K220492 (Heraeus Medical GmbH, 2022) has gone furthest, with 0 descendants of its own.
  • 2 other devices also cite its predicate K101356.

How does its category compare?

All KWY devices

KWY Prosthesis, Hip, Hemi-, Femoral, Metal/Polymer, Cemented Or Uncemented: FDA decisions, review times, recalls and adverse event reports over 20 years. 2019, this device’s year, is highlighted.

FDA decisions per year · KWY

1in 2025

2008: 32009: 12010: 42011: 12012: 12013: 22014: 12015: 12016: 12017: 12018: 32019: 52020: 12022: 22023: 22025: 12026 (partial year): 1
2007high 5 (2019) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KWY

126in 2019

2008: 123 days median2010: 187 days median2018: 219 days median2019: 126 days median
2007high 219 (2018) · low 123 (2008)2026

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

Recalls per year · KWY

2in 2025

2007: 252009: 242010: 12012: 12013: 22016: 32017: 22018: 12019: 12024: 12025: 2
2007high 25 (2007) · low 0 (2008)2026

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

Adverse event reports per year · KWY

180in 2025

2007: 3702008: 9002009: 9612010: 6882011: 7582012: 9782013: 1,1482014: 1,0552015: 1,2132016: 8772017: 8262018: 1,3802019: 1,5302020: 1,2592021: 2762022: 2082023: 1782024: 2092025: 180
2007high 1,530 (2019) · low 178 (2023)2025

MAUDE reports naming product code KWY, 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—25370
200831230900
20091—24961
201041871688
20111—0758
20121—1978
20132—21,148
20141—01,055
20151—01,213
20161—3877
20171—2826
2018321911,380
2019512611,530
20201—01,259
20210—0276
20222—0208
20232—0178
20240—1209
20251—2180
20261—0—

What is it indicated for?

COPAL® exchange G Knee Spacer: COPAL® exchange G knee (polymethylmethacrylate/gentamicin) is indicated for temporary use (maximum of 180 days) as a total knee replacement (TKR) in skeletally mature patients undergoing a two-stage procedure due to a septic process. COPAL® exchange G knee is applied on the femoral condyles and on the tibial plate following removal of the existing implant and radical debridement. The device is intended for use in…

Read the full statement (284 words)

COPAL® exchange G Knee Spacer:

COPAL® exchange G knee (polymethylmethacrylate/gentamicin) is indicated for temporary use (maximum of 180 days) as a total knee replacement (TKR) in skeletally mature patients undergoing a two-stage procedure due to a septic process. COPAL® exchange G knee is applied on the femoral condyles and on the tibial plate following removal of the existing implant and radical debridement. The device is intended for use in conjunction with systemic antimicrobial antibiotic therapy (standard treatment approach to an infection).

COPAL® exchange G knee is not intended for use for more than 180 days, at which time it must be explanted, and a permanent device implanted, or another appropriate treatment performed (e.g., resection arthroplasty, fusion, etc.). COPAL® exchange G knee is only indicated for patientswho will consistently use traditional mobility assist devices e.g. crutches, walkers, canes) throughout the implantation period.

COPAL® exchange G Hip Spacer:

COPAL® exchange G hip (polymethylmethacrylate / gentamicin) is indicated for temporary use (maximum of 180 days) as a total hip replacement (THR) in skeletally mature patients undergoing a two-stage procedure due to a septic process. The device is inserted into the femoral medullary canal and acetabular cavity following removal of the existing implant and radical debridement. The device is assigned to be used in conjunction with systemic antimicrobial antibiotic therapy (standard treatment approach to an infection). COPAL® exchange G hip is not intended for use for more than 180 days, at which time it must be explanted, and a permanent device implanted, or another appropriate treatment performed (e.g., resection arthroplasty, fusion, perm etc.). COPAL® exchange G hip is only indicated for patients who will consistently use traditional mobility assist devices (e.g. crutches, walkers, canes) throughout the implantation period.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K191016: COPAL exchange G Hip and Knee Spacers.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K191016

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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