510(k) Report

510(k) · Cleared

Cleared

ATTUNE Medial Stabilized (MS) Fixed Bearing (FB) Insert

K211609510(k) TraditionalCleared Aug 25, 202192-day reviewClass II21 CFR 888.3560

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

Depuy Ireland UC · JWH Prosthesis, Knee, Patellofemorotibial, Semi-Constrained, Cemented, Polymer/Metal/Polymer

Cleared on Aug 25, 2021 as substantially equivalent to K101433 (DePuy Orthopaedics, Inc., 2010) and 1 other predicate after a 92-day review. Its family tree reaches back 11 generations to 1981. 2 later devices descend from it.

Decided
Aug 25, 2021
Review
92 days
Class
Class II
Product code
JWH
Recalls
None
Predicates
2

Its longest line of descent runs back 11 generations to K810258 (1981). 77 ancestors in all. 2 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2010: 3 other ancestors2008: 3 other ancestors2004: 3 other ancestors2003: 4 other ancestors1996: 3 other ancestors1995: 8 other ancestors1994: 6 other ancestors1992: 4 other ancestors2012: 1 other ancestor2007: 5 other ancestors1997: 3 other ancestors2011: 1 other ancestor2009: 2 other ancestors2006: 1 other ancestor2002: 4 other ancestors1999: 2 other ancestors2005: 4 other ancestors2001: 4 other ancestors2000: 3 other ancestors1991: 1 other ancestor1993: 1 other ancestor2025: 1 descendant cleared2026: 1 descendant clearedReference device: K193057 · ATTUNE All-Polyethylene Tibia · Depuy Ireland UC · 2020Reference device: K191779 · Attune Revision LPS Inserts · Depuy (Ireland) · 2019 · recalledReference device: K201347 · DePuy ATTUNE™ Total Knee System · DePuy Orthopaedics, Inc. · 2020K810258 · Proximal Fermoral Hip Replacement · Biomet, Inc. · 1981K974558 · Salvage/Onocology Hip and Total Femur System · Biomet, Inc. · 1998K032396 · Ringloc 36MM Line and Modular Femoral Heads · Biomet, Inc. · 2003 · recalled×2: 2 generations cleared close together, K042051 (2005), K051411 (2005) K061312 · 36MM Biolox Delta Ceramic Heads · Biomet, Inc. · 2006K073102 · Biolox Delta Ceramic Heads with 100KGY E-Poly Acetabular Liners · Biomet Manufacturing Corp · 2007K100048 · E1 Antioxidant Infused Technology · Biomet Manufacturing Corp · 2010×2: 2 generations cleared close together, K120370 (2012), K121771 (2012) K150090 · Zimmer Persona Personalized Knee System · Zimmer, Inc. · 201519801990200020102020
  1. Root · 11 generations backK810258 Proximal Fermoral Hip ReplacementBiomet, Inc. · 1981
  2. 7 generations between
  3. 3 generations backK120370 Vivacit-E Vitamin E Highly Crosslinked Polyethylene LinersZimmer, Inc. · 2012
  4. 2 generations backK121771 Zimmer Persona the Personalized Knee SystemZimmer, Inc. · 2012 · Recalled
  5. 1 generation backK150090 Zimmer Persona Personalized Knee SystemZimmer, Inc. · 2015
  6. This deviceK211609 ATTUNE Medial Stabilized (MS) Fixed Bearing (FB) InsertDepuy Ireland UC · 2021
  7. Descendant · cites it directly · 0 of its ownK262251 ACTIFY™ Total Knee System, ACTIFY™ 3D Total Knee System (ACTIFY MC…Globus Medical, Inc. · 2026
  8. Descendant · cites it directly · 0 of its ownK253197 ATTUNE™ Total Knee System; ATTUNE™ Revision Sleeve LPS™ Femoral…Depuy Ireland UC · 2025
Show all 11 generations
  1. Root · 11 generations backK810258 Proximal Fermoral Hip ReplacementBiomet, Inc. · 1981
  2. 10 generations backK974558 Salvage/Onocology Hip and Total Femur SystemBiomet, Inc. · 1998
  3. 9 generations backK032396 Ringloc 36MM Line and Modular Femoral HeadsBiomet, Inc. · 2003 · Recalled
  4. 8 generations backK042051 Arcomxl Polyethylene LinersBiomet, Inc. · 2005 · Recalled
  5. 7 generations backK051411 Arcomxl Polyethylene Liners and Biolox Delta HeadsBiomet, Inc. · 2005 · Recalled
  6. 6 generations backK061312 36MM Biolox Delta Ceramic HeadsBiomet, Inc. · 2006
  7. 5 generations backK073102 Biolox Delta Ceramic Heads with 100KGY E-Poly Acetabular LinersBiomet Manufacturing Corp · 2007
  8. 4 generations backK100048 E1 Antioxidant Infused TechnologyBiomet Manufacturing Corp · 2010
  9. 3 generations backK120370 Vivacit-E Vitamin E Highly Crosslinked Polyethylene LinersZimmer, Inc. · 2012
  10. 2 generations backK121771 Zimmer Persona the Personalized Knee SystemZimmer, Inc. · 2012 · Recalled
  11. 1 generation backK150090 Zimmer Persona Personalized Knee SystemZimmer, Inc. · 2015
  12. This deviceK211609 ATTUNE Medial Stabilized (MS) Fixed Bearing (FB) InsertDepuy Ireland UC · 2021

Most influential descendants

Showing 2 of 2 · See all
  • K262251ACTIFY™ Total Knee System, ACTIFY™ 3D Total Knee System (ACTIFY MC Tibial Insert)Globus Medical, Inc. · 2026 · cites it directly0descendants
  • K253197ATTUNE™ Total Knee System; ATTUNE™ Revision Sleeve LPS™ Femoral AdaptorsDepuy Ireland UC · 2025 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−11K810258Proximal Fermoral Hip ReplacementBiomet, Inc.1981—
−10K974558Salvage/Onocology Hip and Total Femur SystemBiomet, Inc.1998—
−9K032396Ringloc 36MM Line and Modular Femoral HeadsBiomet, Inc.20033
−8K042051Arcomxl Polyethylene LinersBiomet, Inc.20051
−7K051411Arcomxl Polyethylene Liners and Biolox Delta HeadsBiomet, Inc.20051
−6K06131236MM Biolox Delta Ceramic HeadsBiomet, Inc.2006—
−5K073102Biolox Delta Ceramic Heads with 100KGY E-Poly Acetabular LinersBiomet Manufacturing Corp2007—
−4K100048E1 Antioxidant Infused TechnologyBiomet Manufacturing Corp2010—
−3K120370Vivacit-E Vitamin E Highly Crosslinked Polyethylene LinersZimmer, Inc.2012—
−2K121771Zimmer Persona the Personalized Knee SystemZimmer, Inc.20122
−1K150090Zimmer Persona Personalized Knee SystemZimmer, Inc.2015—
0 (this device)K211609ATTUNE Medial Stabilized (MS) Fixed Bearing (FB) InsertDepuy Ireland UC2021—
+1K262251ACTIFY™ Total Knee System, ACTIFY™ 3D Total Knee System (ACTIFY MC Tibial…Globus Medical, Inc.2026—
+1K253197ATTUNE™ Total Knee System; ATTUNE™ Revision Sleeve LPS™ Femoral AdaptorsDepuy Ireland UC2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199110
199240
199310
199460
199580
199630
199730
199920
200030
200140
200240
200340
200430
200540
200610
200750
200830
200920
201030
201110
201210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202510
202610
FIG. 1 — Lineage of K211609, 1981–2026Source: 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 JWH? 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 JWH device

  1. #1 K221479 Persona Personalized Knee Systemscore 22.4 · 11 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
*K101433Depuy Attune Knee System
Summary page 4
…OIY Legally marketed device(s) to which Primary Predicate: equivalence is claimed DePuy ATTUNE Knee System CR FB Insert (K101433) Secondary Predicate: Zimmer Biomet Persona…
DePuy Orthopaedics, Inc.2010—
*K150090Zimmer Persona Personalized Knee System
Summary page 4
…System CR FB Insert (K101433) Secondary Predicate: Zimmer Biomet Persona MC Insert (K150090) Reference Predicate: ATTUNE All-Polyethylen…
Zimmer, Inc.2015—
†K193057ATTUNE All-Polyethylene TibiaDepuy Ireland UC2020—
†K191779Attune Revision LPS InsertsDepuy (Ireland)20194
†K201347DePuy ATTUNE™ Total Knee SystemDePuy Orthopaedics, Inc.2020—

Also cleared against K101433: 14 other devices →

What descends from it? (2)

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

NumberDeviceApplicantDecidedDescendants
K262251ACTIFY™ Total Knee System, ACTIFY™ 3D Total Knee System (ACTIFY MC Tibial Insert)Globus Medical, Inc.20260
K253197ATTUNE™ Total Knee System; ATTUNE™ Revision Sleeve LPS™ Femoral AdaptorsDepuy Ireland UC20250

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 40 years and passes through 4 companies; a new generation was cleared every 2.2 years on median.
  • 35 of the 77 ancestors have a recall of any class.
  • Of its descendants, K262251 (Globus Medical, Inc., 2026) has gone furthest, with 0 descendants of its own.
  • 14 other devices also cite its predicate K101433.

How does its category compare?

All JWH devices

JWH Prosthesis, Knee, Patellofemorotibial, Semi-Constrained, Cemented, Polymer/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 · JWH

20in 2025

2007: 182008: 172009: 112010: 192011: 252012: 332013: 312014: 332015: 272016: 182017: 252018: 252019: 282020: 222021: 242022: 172023: 202024: 192025: 202026 (partial year): 12
2007high 33 (2012) · low 11 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · JWH

55in 2025

2007: 74 days median2008: 81 days median2009: 168 days median2010: 85 days median2011: 87 days median2012: 85 days median2013: 128 days median2014: 98 days median2015: 87 days median2016: 88 days median2017: 118 days median2018: 90 days median2019: 133 days median2020: 59 days median2021: 61 days median2022: 56 days median2023: 57 days median2024: 89 days median2025: 55 days median2026 (partial year): 63 days median
2007high 168 (2009) · low 55 (2025)2026

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

Recalls per year · JWH

2in 2025

2007: 142008: 102009: 1092010: 322011: 272012: 852013: 312014: 132015: 112016: 172017: 612018: 142019: 52020: 22021: 82022: 122023: 672024: 72025: 22026 (partial year): 4
2007high 109 (2009) · low 2 (2020)2026

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

Adverse event reports per year · JWH

9,306in 2025

2007: 1,3052008: 1,4832009: 1,8702010: 3,2862011: 5,1332012: 5,2032013: 6,1352014: 6,7222015: 6,8812016: 7,5862017: 12,2632018: 14,0712019: 14,9872020: 12,5922021: 9,4082022: 8,3642023: 8,9472024: 10,8282025: 9,306
2007high 14,987 (2019) · low 1,305 (2007)2025

MAUDE reports naming product code JWH, 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
20071874141,305
20081781101,483
2009111681091,870
20101985323,286
20112587275,133
20123385855,203
201331128316,135
20143398136,722
20152787116,881
20161888177,586
2017251186112,263
201825901414,071
201928133514,987
20202259212,592
2021246189,408
20221756128,364
20232057678,947
20241989710,828
2025205529,306
202612634—

What is it indicated for?

Candidates for total knee replacement include patients with a severely painful and/or severely disabled joint resulting from osteoarthritis, post-traumatic arthritis, rheumatoid arthritis, or a failed previous implant.

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. “K211609: ATTUNE Medial Stabilized (MS) Fixed Bearing (FB) Insert.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K211609

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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