510(k) Report

510(k) · Cleared

Cleared

Uni Knee Resurfacing System

K221292510(k) TraditionalCleared Mar 10, 2023310-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

Overture Resurfacing, Inc. · HSX Prosthesis, Knee, Femorotibial, Non-Constrained, Cemented, Metal/Polymer

Cleared on Mar 10, 2023 as substantially equivalent to K050373 (Arthrosurface, Inc., 2005) after a 310-day review. Its family tree reaches back 3 generations to 1993. 1 later device descends from it.

Decided
Mar 10, 2023
Review
310 days
Class
Class II
Product code
HSX
Recalls
None
Predicates
1

Its longest line of descent runs back 3 generations to K923011 (1993). 9 ancestors in all, the oldest K880155 (1988). 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2003: 1 other ancestor1996: 2 other ancestors1988: 1 other ancestor1999: 1 other ancestor1998: 1 other ancestor2024: 1 descendant clearedK923011 · Osteonics Unix Unicompartmental · Osteonics Corp. · 1993K033769 · Eius Unicompartmental Knee System · Howmedica Osteonics Corp. · 2004K050373 · Unicap Unicompartmental Knee Resurfacing Prosthesis · Arthrosurface, Inc. · 20051990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 3 other ancestors3 generations back: 3 other ancestors 1 generation forward: 1 descendant K050373 · Unicap Unicompartmental Knee Resurfacing Prosthesis · Arthrosurface, Inc. · 2005K033769 · Eius Unicompartmental Knee System · Howmedica Osteonics Corp. · 2004K923011 · Osteonics Unix Unicompartmental · Osteonics Corp. · 19930
  1. Root · 3 generations backK923011 Osteonics Unix UnicompartmentalOsteonics Corp. · 1993
  2. 2 generations backK033769 Eius Unicompartmental Knee SystemHowmedica Osteonics Corp. · 2004
  3. 1 generation backK050373 Unicap Unicompartmental Knee Resurfacing ProsthesisArthrosurface, Inc. · 2005
  4. This deviceK221292 Uni Knee Resurfacing SystemOverture Resurfacing, Inc. · 2023
  5. Descendant · cites it directly · 0 of its ownK242746 OvertureTi Knee Resurfacing SystemTMOverture Orthopaedics · 2024

Most influential descendants

Showing 1 of 1 · See all
  • K242746OvertureTi Knee Resurfacing SystemTMOverture Orthopaedics · 2024 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K923011Osteonics Unix UnicompartmentalOsteonics Corp.1993—
−2K033769Eius Unicompartmental Knee SystemHowmedica Osteonics Corp.2004—
−1K050373Unicap Unicompartmental Knee Resurfacing ProsthesisArthrosurface, Inc.2005—
0 (this device)K221292Uni Knee Resurfacing SystemOverture Resurfacing, Inc.2023—
+1K242746OvertureTi Knee Resurfacing SystemTMOverture Orthopaedics2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198810
199620
199810
199910
200310

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202410
FIG. 1 — Lineage of K221292, 1993–2024Source: 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
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What was it cleared against? (1)

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
*K050373Unicap Unicompartmental Knee Resurfacing Prosthesis
Summary page 4
…all facets including function, design, performance, material, and intended use. Primary Predicate Device: Unicompartmental Knee Resurfacing Prosthesis (UniCAP™) (K050373) There are no additional predicate devices or reference devices cited in this submission. DEVICE DESCRIPTION: The Uni Knee Resu…
Arthrosurface, Inc.2005—

What descends from it? (1)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K242746OvertureTi Knee Resurfacing SystemTMOverture Orthopaedics20240

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 30 years and passes through 4 companies; a new generation was cleared every 10.2 years on median.
  • 5 of the 9 ancestors have a recall of any class.
  • Of its descendants, K242746 (Overture Orthopaedics, 2024) has gone furthest, with 0 descendants of its own.

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. 2023, 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?

The Overture Resurfacing Uni Knee Resurfacing System is intended to be used in the partial replacement of the articulating surfaces of the knee in instances where, due to compartmental degenerative disease, post-traumatic degenerative disease, previous tibial condyle or plateau fractures, deformity, or previous arthroplasty, only the one side of the joint is affected. This device is intended to be used with bone cement.

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. “K221292: Uni Knee Resurfacing System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K221292

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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