510(k) Report

510(k) · Cleared

Cleared

LinkSymphoKnee – Fixed Bearing Ultracongruent (FB UC) Articulating Surface

K230471510(k) SpecialCleared Mar 21, 202328-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

Waldemar Link GmbH & Co. KG · JWH Prosthesis, Knee, Patellofemorotibial, Semi-Constrained, Cemented, Polymer/Metal/Polymer

Cleared on Mar 21, 2023 as substantially equivalent to K202924 (Waldemar Link GmbH & Co. KG, 2021) and 1 other predicate after a 28-day review. Its family tree reaches back 12 generations to 1981.

Decided
Mar 21, 2023
Review
28 days
Class
Class II
Product code
JWH
Recalls
None
Predicates
2

Its longest line of descent runs back 12 generations to K810258 (1981). 124 ancestors in all. No later device cites it as a predicate yet.

Other ancestors, by year cleared 2021: 1 other ancestor2019: 1 other ancestor2016: 1 other ancestor2015: 1 other ancestor2012: 3 other ancestors2007: 8 other ancestors2006: 2 other ancestors2005: 7 other ancestors2004: 4 other ancestors1996: 10 other ancestors1995: 12 other ancestors2014: 1 other ancestor2013: 2 other ancestors2008: 3 other ancestors2002: 6 other ancestors1999: 2 other ancestors1994: 11 other ancestors1993: 2 other ancestors2010: 5 other ancestors2001: 5 other ancestors1997: 3 other ancestors2011: 1 other ancestor2009: 2 other ancestors2003: 7 other ancestors2000: 4 other ancestors1992: 4 other ancestors1991: 2 other ancestors1984: 1 other ancestor1981: 1 other ancestorK810258 · 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) K172524 · Zimmer Persona Personalized Knee System · Zimmer, Inc. · 2018K193223 · Persona Personalized Knee System · Zimmer, Inc. · 202019801990200020102020
  1. Root · 12 generations backK810258 Proximal Fermoral Hip ReplacementBiomet, Inc. · 1981
  2. 8 generations between
  3. 3 generations backK121771 Zimmer Persona the Personalized Knee SystemZimmer, Inc. · 2012 · Recalled
  4. 2 generations backK172524 Zimmer Persona Personalized Knee SystemZimmer, Inc. · 2018
  5. 1 generation backK193223 Persona Personalized Knee SystemZimmer, Inc. · 2020
  6. This deviceK230471 LinkSymphoKnee – Fixed Bearing Ultracongruent (FB UC) Articulating…Waldemar Link GmbH & Co. KG · 2023
Show all 12 generations
  1. Root · 12 generations backK810258 Proximal Fermoral Hip ReplacementBiomet, Inc. · 1981
  2. 11 generations backK974558 Salvage/Onocology Hip and Total Femur SystemBiomet, Inc. · 1998
  3. 10 generations backK032396 Ringloc 36MM Line and Modular Femoral HeadsBiomet, Inc. · 2003 · Recalled
  4. 9 generations backK042051 Arcomxl Polyethylene LinersBiomet, Inc. · 2005 · Recalled
  5. 8 generations backK051411 Arcomxl Polyethylene Liners and Biolox Delta HeadsBiomet, Inc. · 2005 · Recalled
  6. 7 generations backK061312 36MM Biolox Delta Ceramic HeadsBiomet, Inc. · 2006
  7. 6 generations backK073102 Biolox Delta Ceramic Heads with 100KGY E-Poly Acetabular LinersBiomet Manufacturing Corp · 2007
  8. 5 generations backK100048 E1 Antioxidant Infused TechnologyBiomet Manufacturing Corp · 2010
  9. 4 generations backK120370 Vivacit-E Vitamin E Highly Crosslinked Polyethylene LinersZimmer, Inc. · 2012
  10. 3 generations backK121771 Zimmer Persona the Personalized Knee SystemZimmer, Inc. · 2012 · Recalled
  11. 2 generations backK172524 Zimmer Persona Personalized Knee SystemZimmer, Inc. · 2018
  12. 1 generation backK193223 Persona Personalized Knee SystemZimmer, Inc. · 2020
  13. This deviceK230471 LinkSymphoKnee – Fixed Bearing Ultracongruent (FB UC) Articulating…Waldemar Link GmbH & Co. KG · 2023
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−12K810258Proximal Fermoral Hip ReplacementBiomet, Inc.1981—
−11K974558Salvage/Onocology Hip and Total Femur SystemBiomet, Inc.1998—
−10K032396Ringloc 36MM Line and Modular Femoral HeadsBiomet, Inc.20033
−9K042051Arcomxl Polyethylene LinersBiomet, Inc.20051
−8K051411Arcomxl Polyethylene Liners and Biolox Delta HeadsBiomet, Inc.20051
−7K06131236MM Biolox Delta Ceramic HeadsBiomet, Inc.2006—
−6K073102Biolox Delta Ceramic Heads with 100KGY E-Poly Acetabular LinersBiomet Manufacturing Corp2007—
−5K100048E1 Antioxidant Infused TechnologyBiomet Manufacturing Corp2010—
−4K120370Vivacit-E Vitamin E Highly Crosslinked Polyethylene LinersZimmer, Inc.2012—
−3K121771Zimmer Persona the Personalized Knee SystemZimmer, Inc.20122
−2K172524Zimmer Persona Personalized Knee SystemZimmer, Inc.2018—
−1K193223Persona Personalized Knee SystemZimmer, Inc.2020—
0 (this device)K230471LinkSymphoKnee – Fixed Bearing Ultracongruent (FB UC) Articulating SurfaceWaldemar Link GmbH & Co. KG2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198110
198410
199120
199240
199320
1994110
1995120
1996100
199730
199920
200040
200150
200260
200370
200440
200570
200620
200780
200830
200920
201050
201110
201230
201320
201410
201510
201610
201910
202110
FIG. 1 — Lineage of K230471, 1981–2023Source: 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
*K202924LinkSymphoKnee System
Summary page 4
…JWH Classification and Panel: Class II, Orthopedic / 87 Predicate Devices: Primary Predicate: Waldemar Link LinkSymphoKnee: K202924 Reference Device: Zimmer Biomet Persona UC Plateaus: K193223 Device De…
Waldemar Link GmbH & Co. KG202111
*K193223Persona Personalized Knee System
Summary page 4
…Waldemar Link LinkSymphoKnee: K202924 Reference Device: Zimmer Biomet Persona UC Plateaus: K193223 Device Description: The LinkSymphoKnee – Fixed Bearing Ultracongruent (FB UC) Articulating…
Zimmer, Inc.2020—

Also cleared against K202924: 1 other device →

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 42 years and passes through 4 companies; a new generation was cleared every 2.2 years on median.
  • 60 of the 124 ancestors have a recall of any class.
  • 1 other device also cites its predicate K202924.

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. 2023, 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?

General Indications:

The LinkSymphoKnee is intended for primary and revision total knee replacement in skeletally mature patients with the following conditions.

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

Indications:

- Primary degenerative arthritis / osteoarthritis

- Secondary arthritis resulting from rheumatoid arthritis

- Fracture

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K230471: LinkSymphoKnee – Fixed Bearing Ultracongruent (FB UC) Articulating Surface.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K230471

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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