510(k) Report

510(k) · Cleared

Cleared

Balanced Knee System Uni

K211471510(k) TraditionalCleared Dec 16, 2021219-day reviewClass II21 CFR 888.3520

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

Ortho Development Corporation · HSX Prosthesis, Knee, Femorotibial, Non-Constrained, Cemented, Metal/Polymer

Cleared on Dec 16, 2021 as substantially equivalent to K033363 (Zimmer, Inc., 2004) and 1 other predicate after a 219-day review. Its family tree reaches back 3 generations to 1988.

Decided
Dec 16, 2021
Review
219 days
Class
Class II
Product code
HSX
Recalls
None
Predicates
2

Its longest line of descent runs back 3 generations to K880155 (1988). 4 ancestors in all. No later device cites it as a predicate yet.

  1. Root · 3 generations backK880155 Miller/Galante Precoat Unicompartmental KneeZimmer, Inc. · 1988 · Recalled
  2. 2 generations backK033363 Zimmer Unicompartmental Knee SystemZimmer, Inc. · 2004 · Recalled
  3. 1 generation backK191325 EMPOWR Partial KneeEncore Medical L.P. · 2019 · Recalled
  4. This deviceK211471 Balanced Knee System UniOrtho Development Corporation · 2021
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K880155Miller/Galante Precoat Unicompartmental KneeZimmer, Inc.19881
−2K033363Zimmer Unicompartmental Knee SystemZimmer, Inc.20043
−1K191325EMPOWR Partial KneeEncore Medical L.P.20192
0 (this device)K211471Balanced Knee System UniOrtho Development Corporation2021—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200110
FIG. 1 — Lineage of K211471, 1988–2021Source: 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 HSX? 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 HSX device

  1. #1 K261609 Freedom Partial Knee Systemscore 15.1 · 12 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? (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
*K033363Zimmer Unicompartmental Knee System
Summary page 4
….3520 Device Class: Class II Device Product Code: HSX Primary Predicate Device: Zimmer Unicompartmental Knee System (K033363) Secondary Predicate Device: EMPOWR Partial Knee System (K191325) Page 5…
Zimmer, Inc.20043
*K191325EMPOWR Partial Knee
Summary page 4
…HSX Primary Predicate Device: Zimmer Unicompartmental Knee System (K033363) Secondary Predicate Device: EMPOWR Partial Knee System (K191325) Page 57 of 681 K211471 pa…
Encore Medical L.P.20192

Also cleared against K033363: 21 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 33 years and passes through 3 companies; a new generation was cleared every 15.5 years on median.
  • 3 of the 4 ancestors have a recall of any class.
  • 21 other devices also cite its predicate K033363.

How does its category compare?

All HSX devices

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

FDA decisions per year · HSX

4in 2025

2007: 62008: 42009: 22010: 32011: 12012: 52013: 22015: 12016: 32017: 52018: 22019: 72020: 42021: 72022: 22023: 12024: 42025: 42026 (partial year): 2
2007high 7 (2019) · low 0 (2014)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HSX

59in 2025

2007: 33 days median2008: 102 days median2010: 74 days median2012: 88 days median2016: 147 days median2017: 160 days median2019: 90 days median2020: 40 days median2021: 81 days median2024: 133 days median2025: 59 days median
2007high 160 (2017) · low 33 (2007)2026

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

Recalls per year · HSX

2in 2020

2009: 492013: 12016: 12017: 42020: 2
2007high 49 (2009) · low 0 (2007)2026

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

Adverse event reports per year · HSX

175in 2025

2007: 62008: 42009: 212010: 582011: 1142012: 832013: 792014: 662015: 572016: 1072017: 1132018: 1592019: 1772020: 2732021: 2402022: 2572023: 2312024: 1722025: 175
2007high 273 (2020) · low 4 (2008)2025

MAUDE reports naming product code HSX, 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
200763306
2008410204
20092—4921
2010374058
20111—0114
2012588083
20132—179
20140—066
20151—057
201631471107
201751604113
20182—0159
20197900177
20204402273
20217810240
20222—0257
20231—0231
202441330172
20254590175
20262—0—

What is it indicated for?

1. Non-inflammatory degenerative joint diseases (NIDJD), e.g., osteoarthritis, avascular necrosis

2. Traumatic arthritis

3. Previous tibial condyle or plateau fracture with loss of anatomy or function

4. Varus deformities

5. Revision of the tibial bearing insert of a previously implanted unicompartmental knee system provided that the tibial tray mechanism is not compromised, and femoral and tibial tray components remain well fixed and undamaged.

The BKS Uni is intended for unicompartmental knee arthroplasty procedures. The system is single-use and intended for implantation with bone cement.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K211471: Balanced Knee System Uni.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K211471

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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