510(k) Report

510(k) · Cleared

Cleared

LINK Endo-Model EVO Knee System

K220628510(k) TraditionalCleared May 3, 202260-day reviewClass II21 CFR 888.3510

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

Waldemar Link GmbH & Co. KG · KRO Prosthesis, Knee, Femorotibial, Constrained, Cemented, Metal/Polymer

Cleared on May 3, 2022 as substantially equivalent to K143179 (Waldemar Link GmbH & Co. KG, 2015) and 4 other predicates after a 60-day review. Its family tree reaches back 7 generations to 1994.

Decided
May 3, 2022
Review
60 days
Class
Class II
Product code
KRO
Recalls
None
Predicates
5

Its longest line of descent runs back 7 generations to K936079 (1994). 36 ancestors in all, the oldest K810520 (1981). No later device cites it as a predicate yet.

  1. Root · 7 generations backK936079 Ecactech Porous Coated Finned Tibial Tray CompnentExactech, Inc. · 1994
  2. 6 generations backK011976 Optetrak Total Knee System Size 0/1 Delta (Line Extension)Exactech, Inc. · 2001
  3. 5 generations backK030686 Optetrak Total Knee System - Molded Metal-Back Tibial ComponentExactech, Inc. · 2003
  4. 4 generations backK100900 Motivation Knee SystemEncore Medical L.P. · 2010 · Recalled
  5. 3 generations backK122239 Foundation Knee System with Tinbn Coating Foundation PS Knee System…Encore Medical L.P. · 2013
  6. 2 generations backK152431 LINK Endo-Model Knee System with PorEx (TiNbN) coating, Link Sled…Waldemar Link GmbH & Co. KG · 2016 · Recalled
  7. 1 generation backK202924 LinkSymphoKnee SystemWaldemar Link GmbH & Co. KG · 2021 · Recalled
  8. This deviceK220628 LINK Endo-Model EVO Knee SystemWaldemar Link GmbH & Co. KG · 2022
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−7K936079Ecactech Porous Coated Finned Tibial Tray CompnentExactech, Inc.1994—
−6K011976Optetrak Total Knee System Size 0/1 Delta (Line Extension)Exactech, Inc.2001—
−5K030686Optetrak Total Knee System - Molded Metal-Back Tibial ComponentExactech, Inc.2003—
−4K100900Motivation Knee SystemEncore Medical L.P.20104
−3K122239Foundation Knee System with Tinbn Coating Foundation PS Knee System with Tinbn…Encore Medical L.P.2013—
−2K152431LINK Endo-Model Knee System with PorEx (TiNbN) coating, Link Sled Knee System…Waldemar Link GmbH & Co. KG201616
−1K202924LinkSymphoKnee SystemWaldemar Link GmbH & Co. KG202111
0 (this device)K220628LINK Endo-Model EVO Knee SystemWaldemar Link GmbH & Co. KG2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198110
198410
199110
199310
199440
199540
199660
200010
200230
200410
200510
200710
201520
201910
202110
FIG. 1 — Lineage of K220628, 1994–2022Source: 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 KRO? 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 KRO device

  1. #1 K251665 Triathlon® Hinge Knee Systemscore 19.0 · 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? (5)

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
*K143179The LINK® Endo-Model® Knee System
Summary page 5
…assification and Panel: Class II, Orthopedic / 87 Predicate Devices: Primary Predicate Waldemar Link LINK Endo-Model Knee System: K143179 Additional Predicates Waldemar Link LINK Endo-Model Knee System with Por…
Waldemar Link GmbH & Co. KG20157
*K152431LINK Endo-Model Knee System with PorEx (TiNbN) coating, Link Sled Knee System with PorEx…
Summary page 5
…Additional Predicates Waldemar Link LINK Endo-Model Knee System with PorEx (TiNbN) coating: K152431, K212742 Waldemar Link LinkSymphoKnee: K202924 Waldemar Link LINK MEGASYS…
Waldemar Link GmbH & Co. KG201616
*K212742GEMINI SL Total Knee System, Endo-Model Knee System, and Sled Knee System with LINK…
Summary page 5
…Additional Predicates Waldemar Link LINK Endo-Model Knee System with PorEx (TiNbN) coating: K152431, K212742 Waldemar Link LinkSymphoKnee: K202924 Waldemar Link LINK MEGASYSTEM-C: K1…
Waldemar Link GmbH & Co. KG202122
*K202924LinkSymphoKnee System
Summary page 5
…demar Link LINK Endo-Model Knee System with PorEx (TiNbN) coating: K152431, K212742 Waldemar Link LinkSymphoKnee: K202924 Waldemar Link LINK MEGASYSTEM-C: K151008 Device Description: The LINK Endo-Model EVO Knee Sy…
Waldemar Link GmbH & Co. KG202111
*K151008Link® Megasystem-C®
Summary page 5
…coating: K152431, K212742 Waldemar Link LinkSymphoKnee: K202924 Waldemar Link LINK MEGASYSTEM-C: K151008 Device Description: The LINK Endo-Model EVO Knee System is available in multiple versions wi…
Waldemar Link GmbH & Co. KG201516
†K200113LINK TrabecuLink Tibial ConesWaldemar Link GmbH & Co. KG2020—
†K201364LINK TrabecuLink Femoral ConesWaldemar Link GmbH & Co. KG2020—

Also cleared against K143179: 4 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 28 years and passes through 3 companies; a new generation was cleared every 3.1 years on median.
  • 22 of the 36 ancestors have a recall of any class.
  • 4 other devices also cite its predicate K143179.

How does its category compare?

All KRO devices

KRO Prosthesis, Knee, Femorotibial, Constrained, Cemented, Metal/Polymer: FDA decisions, review times, recalls and adverse event reports over 20 years. 2022, this device’s year, is highlighted.

FDA decisions per year · KRO

3in 2025

2007: 12008: 32009: 32010: 12011: 22012: 22013: 32014: 22015: 62016: 32017: 12019: 32020: 12021: 32022: 12023: 42024: 32025: 32026 (partial year): 1
2007high 6 (2015) · low 0 (2018)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KRO

56in 2025

2008: 126 days median2009: 86 days median2013: 189 days median2015: 113 days median2016: 148 days median2019: 244 days median2021: 57 days median2023: 148 days median2024: 87 days median2025: 56 days median
2007high 244 (2019) · low 56 (2025)2026

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

Recalls per year · KRO

14so far in 2026, the most since 2007

2007: 12008: 32009: 82011: 12012: 12013: 22015: 12016: 52017: 42018: 12021: 12025: 12026 (partial year): 14
2007high 14 (2026) · low 0 (2010)2026

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

Adverse event reports per year · KRO

915in 2025

2007: 372008: 442009: 662010: 1102011: 1192012: 1732013: 1942014: 4062015: 3332016: 3692017: 5432018: 6142019: 7592020: 7492021: 7702022: 8922023: 7462024: 8552025: 915
2007high 915 (2025) · low 37 (2007)2025

MAUDE reports naming product code KRO, 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
20071—137
20083126344
2009386866
20101—0110
20112—1119
20122—1173
201331892194
20142—0406
201561131333
201631485369
20171—4543
20180—1614
201932440759
20201—0749
20213571770
20221—0892
202341480746
20243870855
20253561915
20261—14—

What is it indicated for?

General Indications LINK Endo-Model EVO Knee System: The LINK Endo-Model EVO Knee System is intended for mobility limiting diseases, fractures or defects of the knee joint, distal femur or proximal tibia which cannot be treated by conservative or osteosynthetic procedures. This device is intended for cemented use only unless a cementless modular stem is indicated for use. Indications: All LINK Endo-Model EVO components: * Primary and secondary…

Read the full statement (332 words)

General Indications LINK Endo-Model EVO Knee System:

The LINK Endo-Model EVO Knee System is intended for mobility limiting diseases, fractures or defects of the knee joint, distal femur or proximal tibia which cannot be treated by conservative or osteosynthetic procedures.

This device is intended for cemented use only unless a cementless modular stem is indicated for use.

Indications:

All LINK Endo-Model EVO components:

* Primary and secondary osteoarthritis.

* Rheumatoid arthritis.

* Revision after primary or revision total knee replacement.

* Bone necroses which won't compromise the successful implantation of a hinged total knee endoprosthesis.

* Varus and valgus deformity with contracture or laxity of the medial or lateral stabilizers.

The LINK Endo-Model EVO Pure Hinge is additionally indicated for:

* Extreme cases of varus/valgus deformities (20-300), rheumatoid arthritis, muscular deficiency and any kind of genu laxum.

* Oncological and revision surgery in lower limb (in conjunction with the Endo-Model EVO -W and the Megasystem-C)

The LINK Endo-Model EVO Rotating Hinge is additionally indicated for:

* Oncological and revision surgery in lower limb (in conjunction with the Endo-Model EVO -W and the Megasystem-C)

General Indications Link OptiStems:

The Link OptiStems are for use with the following LINK knee femoral components, both intracondylar and distal femoral replacement versions: LINK Endo-Model SL, LINK Endo-Model EVO-M, and LINK Endo-Model EVO-W and are indicated for mobility limiting diseases, fractures or defects of the knee joint, distal femur or proximal tibia which cannot be treated by conservative or osteosynthetic procedures.

The Link OptiStems cemented are intended for cemented use only. The Link OptiStems cementless are intended for cementless use only.

Indications:

* Revision arthroplasty due to juxta-articular bone defects.

* Revision of loosened femoral prosthesis components by peri-/subprosthetic fracture.

* Bone deficiencies, e.g. due to tumors, as well as in large post-revision and posttrauma segmental bone defects.

* Oncological and revision surgery in the area of the distal femur (in conjunction with Endo-Model SL Rotational and Hinge Knee Prostheses or LINK Endo-Model EVO - M - W).

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K220628: LINK Endo-Model EVO Knee System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K220628

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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