510(k) Report

510(k) · Cleared

Cleared

COPAL® exchange G hip spacer; COPAL® G+V

K234028510(k) TraditionalCleared Feb 15, 202457-day reviewClass II21 CFR 888.3360

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

Heraeus Medical GmbH · KWL Prosthesis, Hip, Hemi-, Femoral, Metal

Cleared on Feb 15, 2024 as substantially equivalent to K172906 (Osteoremedies, LLC, 2018) after a 57-day review. Its family tree reaches back 6 generations to 2001.

Decided
Feb 15, 2024
Review
57 days
Class
Class II
Product code
KWL
Recalls
None
Predicates
1

Its longest line of descent runs back 6 generations to K000943 (2001). No later device cites it as a predicate yet.

  1. Root · 6 generations backK000943 Cemex System Gun Application VersionExactech, Inc. · 2001
  2. 5 generations backK033596 Cemex Genta Bone Cement; Cemex Genta System Bone CementExactech, Inc. · 2004
  3. 4 generations backK043403 Cemex System Genta Fast Bone CementExactech, Inc. · 2004
  4. 3 generations backK092773 Cemex Genta, Genta System and Genta System FastTecres S.P.A. · 2009
  5. 2 generations backK143100 NP Cement HV Genta;NP Cement LV Genta;NP Cement HV System Genta;NP…Cossington, Ltd. · 2015
  6. 1 generation backK172906 REMEDY PLUS Hip Spacer, UNITE PLUS Bone CementOsteoremedies, LLC · 2018
  7. This deviceK234028 COPAL® exchange G hip spacer; COPAL® G+VHeraeus Medical GmbH · 2024
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K000943Cemex System Gun Application VersionExactech, Inc.2001—
−5K033596Cemex Genta Bone Cement; Cemex Genta System Bone CementExactech, Inc.2004—
−4K043403Cemex System Genta Fast Bone CementExactech, Inc.2004—
−3K092773Cemex Genta, Genta System and Genta System FastTecres S.P.A.2009—
−2K143100NP Cement HV Genta;NP Cement LV Genta;NP Cement HV System Genta;NP Cement LV…Cossington, Ltd.2015—
−1K172906REMEDY PLUS Hip Spacer, UNITE PLUS Bone CementOsteoremedies, LLC2018—
0 (this device)K234028COPAL® exchange G hip spacer; COPAL® G+VHeraeus Medical GmbH2024—
FIG. 1 — Lineage of K234028, 2001–2024Source: 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 KWL? 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 KWL device

  1. #1 K253675 OsteoRemedies Hip Spacer Systemscore 16.0 · 9 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
*K172906REMEDY PLUS Hip Spacer, UNITE PLUS Bone Cement
Summary page 5
…KWL Associated Product Code(s): KWY, MBB III. PREDICATE DEVICES Primary Predicate: REMEDY PLUS Hip Spacer, UNITE PLUS Bone Cement (K172906) Reference Device: COPAL® exchange G hip spacer (K220492) IV. DEVICE DESCRIPTION A Traditional 510(k) s…
Osteoremedies, LLC2018—
†K220492COPAL exchange G hip spacerHeraeus Medical GmbH2022—

Also cleared against K172906: 5 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 23 years and passes through 5 companies; a new generation was cleared every 4.9 years on median.
  • None of the 6 ancestors has a recall.
  • 5 other devices also cite its predicate K172906.

How does its category compare?

All KWL devices

KWL Prosthesis, Hip, Hemi-, Femoral, Metal: FDA decisions, review times, recalls and adverse event reports over 20 years. 2024, this device’s year, is highlighted.

FDA decisions per year · KWL

3in 2025

2007: 22008: 12011: 22012: 12015: 12018: 22019: 12020: 12022: 12024: 12025: 32026 (partial year): 2
2007high 3 (2025) · low 0 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KWL

32in 2025

2025: 32 days median
2007high 32 (2025)2026

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

Recalls per year · KWL

2in 2017

2007: 362009: 22015: 12017: 22026 (partial year): 1
2007high 36 (2007) · low 0 (2008)2026

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

Adverse event reports per year · KWL

29in 2025

2007: 112008: 132009: 212010: 552011: 512012: 622013: 892014: 1072015: 2232016: 2102017: 3472018: 2942019: 4152020: 2702021: 1072022: 992023: 482024: 1432025: 29
2007high 415 (2019) · low 11 (2007)2025

MAUDE reports naming product code KWL, 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
20072—3611
20081—013
20090—221
20100—055
20112—051
20121—062
20130—089
20140—0107
20151—1223
20160—0210
20170—2347
20182—0294
20191—0415
20201—0270
20210—0107
20221—099
20230—048
20241—0143
2025332029
20262—1—

What is it indicated for?

COPAL® exchange G hip spacer (polymethylmethacrylate / gentamicin) is indicated for temporary use (maximum of 180 days) as a total hip replacement (THR) in skeletally mature patients undergoing a two-stage procedure due to a septic process. The device is inserted into the femoral medullary canal and acetabular cavity following removal of the existing implant and radical debridement. The device is assigned to be used in conjunction with systemic…

Read the full statement (163 words)

COPAL® exchange G hip spacer (polymethylmethacrylate / gentamicin) is indicated for temporary use (maximum of 180 days) as a total hip replacement (THR) in skeletally mature patients undergoing a two-stage procedure due to a septic process. The device is inserted into the femoral medullary canal and acetabular cavity following removal of the existing implant and radical debridement. The device is assigned to be used in conjunction with systemic antimicrobial antibiotic therapy (standard treatment approach to an infection). COPAL® exchange G hip spacer is not intended for use for more than 180 days, at which time it must be explanted, and a permanent device implanted, or another appropriate treatment performed (e.g., resection arthroplasty, fusion etc.). COPAL® exchange G hip spacer is only indicated for patients who will consistently use traditional mobility assist devices (e.g. crutches, walkers, canes) throughout the implantation period.

COPAL® G+V (gentamicin and vancomycin) is a PMMA bone cement intended for fixation of COPAL® exchange G hip spacer to the host bone.

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. “K234028: COPAL® exchange G hip spacer; COPAL® G+V.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K234028

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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