510(k) Report

510(k) · Cleared

Recalled · Class II · 2023

ELEOS Limb Salvage System with BioGrip

K203815510(k) TraditionalCleared Jun 9, 2021162-day reviewClass II21 CFR 888.3350Recalls 3

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

Onkos Surgical · JDI Prosthesis, Hip, Semi-Constrained, Metal/Polymer, Cemented

Cleared on Jun 9, 2021 as substantially equivalent to K203090 (Onkos Surgical, 2020) and 1 other predicate after a 162-day review. Its family tree reaches back 3 generations to 1994. It has been recalled 3 times.

Decided
Jun 9, 2021
Review
162 days
Class
Class II
Product code
JDI
Recalls
3
Predicates
2

Its longest line of descent runs back 3 generations to K932222 (1994). 6 ancestors in all. No later device cites it as a predicate yet.

  1. Root · 3 generations backK932222 SLT Femoral HeadDow Corning Wright · 1994
  2. 2 generations backK161520 ELEOS Limb Salvage SystemOnkos Surgical, Inc. · 2016 · Recalled
  3. 1 generation backK203090 ELEOS Limb Salvage System featuring BIOGRIPOnkos Surgical · 2020
  4. This deviceK203815 ELEOS Limb Salvage System with BioGripOnkos Surgical · 2021
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K932222SLT Femoral HeadDow Corning Wright1994—
−2K161520ELEOS Limb Salvage SystemOnkos Surgical, Inc.201611
−1K203090ELEOS Limb Salvage System featuring BIOGRIPOnkos Surgical2020—
0 (this device)K203815ELEOS Limb Salvage System with BioGripOnkos Surgical2021—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199710
200010
200110
FIG. 1 — Lineage of K203815, 1994–2021Source: 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 JDI? 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 JDI device

  1. #1 K253515 Zimmer Biomet OSS™ Orthopedic Salvage System…score 15.2 · 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? (2)

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
*K203090ELEOS Limb Salvage System featuring BIOGRIP
Summary page 5
…II Product Code(s): JDI KRO JWH LPH LZO KWY 5.3. Predicate and Reference Devices ELEOS™ Limb Salvage System with BioGrip™, Onkos Surgical, Inc., K203090 (Predicate Device) ELEOS™ Limb Salvage System, Onkos Surgical, Inc., K161520 (Predicate Device) Modular Endoprosthetic Tumour Sys…
Onkos Surgical2020—
*K161520ELEOS Limb Salvage System
Summary page 5
…dicate and Reference Devices ELEOS™ Limb Salvage System with BioGrip™, Onkos Surgical, Inc., K203090 (Predicate Device) ELEOS™ Limb Salvage System, Onkos Surgical, Inc., K161520 (Predicate Device) Modular Endoprosthetic Tumour System (METS), Stanmore, K121029 (Reference Device) Modular Endoprosthetic Tumou…
Onkos Surgical, Inc.201611
†K121029Mets Modular Distal FemurStanmore Implants Worldwide, Ltd.2012—
†K121056Mets Modular Proximal FemurStanmore Implants Worldwide, Ltd.2012—

What descends from it?

No later submission names this one as a predicate yet.

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

Recalls of this device

DateClassRecallRoot causeReason
Dec 22, 2023Class IIZ-1817-2025Labeling Change ControlMislabeling of 13mm Modular Segmental Stem package (HC-13120-03M) which included an implant that was 15mm in diameter (HC-15120-03M) instead of being 13mm as stated on the package. The corresponding 15mm cemented stems were mislabeled as…
Dec 22, 2023Class IIZ-1818-2025Labeling Change ControlMislabeling of 13mm Modular Segmental Stem package (HC-13120-03M) which included an implant that was 15mm in diameter (HC-15120-03M) instead of being 13mm as stated on the package. The corresponding 15mm cemented stems were mislabeled as…
Sep 1, 2023Class IIZ-1883-2025Packaging change controlPotential for breach of Tyvek seals.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 27 years and passes through 3 companies; a new generation was cleared every 4.1 years on median.
  • 3 of the 6 ancestors have a recall of any class.

How does its category compare?

All JDI devices

JDI Prosthesis, Hip, Semi-Constrained, Metal/Polymer, Cemented: FDA decisions, review times, recalls and adverse event reports over 20 years. 2021, this device’s year, is highlighted.

FDA decisions per year · JDI

1in 2025

2007: 32008: 52009: 32011: 22012: 42013: 32014: 32015: 32016: 42017: 12018: 12019: 22020: 72021: 32022: 32023: 22024: 32025: 12026 (partial year): 2
2007high 7 (2020) · low 0 (2010)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · JDI

59in 2024

2007: 81 days median2008: 96 days median2009: 65 days median2012: 167 days median2013: 176 days median2014: 98 days median2015: 190 days median2016: 166 days median2020: 247 days median2021: 162 days median2022: 69 days median2024: 59 days median
2007high 247 (2020) · low 59 (2024)2026

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

Recalls per year · JDI

1in 2025

2007: 262008: 62009: 32010: 32011: 52012: 42013: 112014: 32015: 12016: 52017: 52018: 12019: 12020: 772025: 1
2007high 77 (2020) · low 0 (2021)2026

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

Adverse event reports per year · JDI

1,644in 2025

2007: 6962008: 8102009: 9642010: 2,0402011: 3,1602012: 5,1222013: 5,2062014: 4,9682015: 4,9062016: 3,9952017: 6,1352018: 6,7282019: 7,4072020: 4,0152021: 3,1702022: 1,9782023: 1,6352024: 1,8212025: 1,644
2007high 7,407 (2019) · low 696 (2007)2025

MAUDE reports naming product code JDI, 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
200738126696
20085966810
20093653964
20100—32,040
20112—53,160
2012416745,122
20133176115,206
201439834,968
2015319014,906
2016416653,995
20171—56,135
20181—16,728
20192—17,407
20207247774,015
2021316203,170
202236901,978
20232—01,635
202435901,821
20251—11,644
20262—0—

What is it indicated for?

ELEOS™ Limb Salvage System Hip Components: Indicated for use in total hip arthroplasty for reduction or relief of pain and/or improved hip function in skeletally mature patients with the following conditions: 1) Non-inflammatory degenerative joint disease such as osteoarthritis, avascular necrosis, ankylosis, protrusion acetabuli, and painful hip dysplasia; 2) Inflammatory degenerative joint disease such as rheumatoid arthritis; 3) Correction of…

Read the full statement (284 words)

ELEOS™ Limb Salvage System Hip Components:

Indicated for use in total hip arthroplasty for reduction or relief of pain and/or improved hip function in skeletally mature patients with the following conditions:

1) Non-inflammatory degenerative joint disease such as osteoarthritis, avascular necrosis, ankylosis, protrusion acetabuli, and painful hip dysplasia;

2) Inflammatory degenerative joint disease such as rheumatoid arthritis;

3) Correction of functional deformity

4) Revision procedures where other treatments or devices have failed; and,

5) Treatment of fractures that are unmanageable using other techniques.

Limb salvage system is also indicated for procedures where radical resection and replacement of the proximal, distal and/or total femur is required with the following conditions:

1) Patients suffering from severe arthropathy of the hip that does not respond to any conservative therapy or better alternative surgical treatment;

2) Surgical intervention for severe trauma, revision hip arthroplasties, and/or Oncology indications.

3) Metastatic diseases

ELEOS™ Limb Salvage System with Knee Components:

Indicated for cemented use in knee arthroplasty for reduction or relief of pain and/or improved knee function in skeletally mature patients with the following conditions:

1) Non-inflammatory degenerative joint disease including osteoarthritis, traumatic arthritis, or avascular necrosis;

2) Inflammatory degenerative joint disease including rheumatoid arthritis;

3) Correction of functional deformity;

4) Revision procedures where other treatments or devices have failed; and

5) Treatment of fractures that are unmanageable using other techniques.

Limb salvage system is also indicated for procedures where radical resection and replacement of the proximal tibia is required with the following conditions:

1) Patients suffering from severe arthropathy of the knee that does not respond to any conservative therapy or better alternative surgical treatment;

2) Surgical intervention for severe trauma, revision knee arthroplasties, and/or Oncology indications.

3) Metastatic diseases

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. “K203815: ELEOS Limb Salvage System with BioGrip.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K203815

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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