510(k) Report

510(k) · Cleared

Cleared

World Knee Vit-E All-poly Tibial Inserts (CR, PS and UC), World Knee Vit-E Meniscal Inserts (CR, PS and UC)

K220737510(k) SpecialCleared Apr 11, 202228-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

Signature Orthopaedics Pty, Ltd. · JWH Prosthesis, Knee, Patellofemorotibial, Semi-Constrained, Cemented, Polymer/Metal/Polymer

Cleared on Apr 11, 2022 as substantially equivalent to K190577 (Signature Orthopaedics Pty, Ltd., 2019) and 2 other predicates after a 28-day review. Its family tree reaches back 4 generations to 1998. 4 later devices descend from it.

Decided
Apr 11, 2022
Review
28 days
Class
Class II
Product code
JWH
Recalls
None
Predicates
3

Its longest line of descent runs back 4 generations to K971206 (1998). 14 ancestors in all, the oldest K951987 (1995). 4 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2018: 2 other ancestors2017: 1 other ancestor2016: 1 other ancestor2003: 1 other ancestor2002: 1 other ancestor2000: 1 other ancestor1996: 1 other ancestor1995: 1 other ancestor1997: 1 other ancestor2025: 1 descendant cleared2024: 1 descendant cleared2026: 2 descendants clearedK971206 · Meridian ST Femoral Stem and Vitalock Solid Back Shell W/ Peri-Apatite Coating · Howmedica Corp. · 1998 · recalledK023302 · Echelon Porous Plus HA Hip Stems · Smith & Nephew, Inc. · 2002K032683 · Genesis II Porous Plus HA Knee System · Smith & Nephew, Inc. · 2003K190577 · World Knee Total Knee Systems · Signature Orthopaedics Pty, Ltd. · 20191995200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 3 other ancestors3 generations back: 4 other ancestors4 generations back: 1 other ancestor 1 generation forward: 2 descendants2 generations forward: 2 descendants K190577 · World Knee Total Knee Systems · Signature Orthopaedics Pty, Ltd. · 2019K032683 · Genesis II Porous Plus HA Knee System · Smith & Nephew, Inc. · 2003K023302 · Echelon Porous Plus HA Hip Stems · Smith & Nephew, Inc. · 2002K971206 · Meridian ST Femoral Stem and Vitalock Solid Back Shell W/ Peri-Apatite Coating · Howmedica Corp. · 1998 · recalled0
  1. Root · 4 generations backK971206 Meridian ST Femoral Stem and Vitalock Solid Back Shell W/…Howmedica Corp. · 1998 · Recalled
  2. 3 generations backK023302 Echelon Porous Plus HA Hip StemsSmith & Nephew, Inc. · 2002
  3. 2 generations backK032683 Genesis II Porous Plus HA Knee SystemSmith & Nephew, Inc. · 2003
  4. 1 generation backK190577 World Knee Total Knee SystemsSignature Orthopaedics Pty, Ltd. · 2019
  5. This deviceK220737 World Knee Vit-E All-poly Tibial Inserts (CR, PS and UC), World Knee…Signature Orthopaedics Pty, Ltd. · 2022
  6. Descendant · cites it directly · 2 of its ownK240683 Rx Knee SystemSignature Orthopaedics Pty, Ltd. · 2024
  7. Descendant · 2 generations on · 0 of its ownK260063 GSPE SpacerThe General Hospital Corporation, d/b/a Massachusetts · 2026
  8. Descendant · 2 generations on · 0 of its ownK261734 Klassic Infection Spacer SystemTotal Joint Orthopedics, Inc. · 2026
  9. Descendant · cites it directly · 0 of its ownK253239 Active-V Total Knee System; World Total Knee SystemSignature Orthopaedics Pty, Ltd. · 2025

Most influential descendants

Showing 4 of 4 · See all
  • K240683Rx Knee SystemSignature Orthopaedics Pty, Ltd. · 2024 · cites it directly2descendants
  • K260063GSPE SpacerThe General Hospital Corporation, d/b/a Massachusetts · 2026 · 2 generations on0descendants
  • K261734Klassic Infection Spacer SystemTotal Joint Orthopedics, Inc. · 2026 · 2 generations on0descendants
  • K253239Active-V Total Knee System; World Total Knee SystemSignature Orthopaedics Pty, Ltd. · 2025 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K971206Meridian ST Femoral Stem and Vitalock Solid Back Shell W/ Peri-Apatite CoatingHowmedica Corp.19981
−3K023302Echelon Porous Plus HA Hip StemsSmith & Nephew, Inc.2002—
−2K032683Genesis II Porous Plus HA Knee SystemSmith & Nephew, Inc.2003—
−1K190577World Knee Total Knee SystemsSignature Orthopaedics Pty, Ltd.2019—
0 (this device)K220737World Knee Vit-E All-poly Tibial Inserts (CR, PS and UC), World Knee Vit-E…Signature Orthopaedics Pty, Ltd.2022—
+1K240683Rx Knee SystemSignature Orthopaedics Pty, Ltd.2024—
+2K260063GSPE SpacerThe General Hospital Corporation, d/b/a Massachusetts2026—
+2K261734Klassic Infection Spacer SystemTotal Joint Orthopedics, Inc.2026—
+1K253239Active-V Total Knee System; World Total Knee SystemSignature Orthopaedics Pty, Ltd.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199510
199610
199710
200010
200210
200310
201610
201710
201820

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202410
202510
202620
FIG. 1 — Lineage of K220737, 1998–2026Source: 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? (3)

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
*K190577World Knee Total Knee Systems
Summary page 4
…88.3560) Predicate Devices: Primary Predicate • Signature Orthopaedics World Knee Total Knee System (K190577), Modular Titanium Baseplate • Signature Orthopaedics World Knee Total Knee System…
Signature Orthopaedics Pty, Ltd.2019—
*K181530World Total Knee System
Summary page 4
…(K190577), Modular Titanium Baseplate • Signature Orthopaedics World Knee Total Knee System (K181530), All Poly Tibial Baseplate Additional Predicate • Signature Orthopaedics…
Signature Orthopaedics Pty, Ltd.2018—
*K180750World Knee System
Our reading of the summary gave K180570, FDA’s number for Silverlon Island Wound Dressing, Silverlon Wound Pad… (Argentum Medical, LLC). Corrected to the number with two digits swapped whose FDA name carries the summary’s words for the device, “Signature Orthopaedics World Knee Total Knee System”.
Signature Orthopaedics Pty, Ltd.2018—

What descends from it? (4)

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

NumberDeviceApplicantDecidedDescendants
K240683Rx Knee SystemSignature Orthopaedics Pty, Ltd.20242
K253239Active-V Total Knee System; World Total Knee SystemSignature Orthopaedics Pty, Ltd.20250

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 3 companies; a new generation was cleared every 4.7 years on median.
  • 4 of the 14 ancestors have a recall of any class.
  • Of its descendants, K240683 (Signature Orthopaedics Pty, Ltd., 2024) has gone furthest, with 2 descendants of its own.

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. 2022, 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?

The patient should be skeletally mature to receive a knee replacement. Patients should have adequate bone stock and size to support and accept the prosthesis. The patient's need for knee replacement should be due to one or more of the following conditions: * Non-inflammatory degenerative joint disease including osteoarthritis, traumatic arthritis, or avascular necrosis. * Inflammatory degenerative joint disease including rheumatoid arthritis. *…

Read the full statement (122 words)

The patient should be skeletally mature to receive a knee replacement. Patients should have adequate bone stock and size to support and accept the prosthesis.

The patient's need for knee replacement should be due to one or more of the following conditions:

* Non-inflammatory degenerative joint disease including osteoarthritis, traumatic arthritis, or avascular necrosis.

* Inflammatory degenerative joint disease including rheumatoid arthritis.

* Functional deformity such as varus, valgus or flexion deformities.

* Revision procedures where other treatments or devices have failed.

* Fractures that are unmanageable using other techniques.

Signature Orthopaedic's World Knee replacement components may be intended for cemented or cementless use. Please verify whether the particular component is intended for cemented or cementless use by checking the package label.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K220737: World Knee Vit-E All-poly Tibial Inserts (CR, PS and UC), World Knee Vit-E Meniscal Inserts (CR, PS and UC).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K220737

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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