510(k) Report

510(k) · Cleared

Cleared

ACTIFY™ 3D Total Knee System, ACTIFY™ Total Knee System

K240669510(k) TraditionalCleared Jun 20, 2024101-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

Globus Medical, Inc. · JWH Prosthesis, Knee, Patellofemorotibial, Semi-Constrained, Cemented, Polymer/Metal/Polymer

Cleared on Jun 20, 2024 as substantially equivalent to K173849 (Stryker Orthopaedics, 2018) and 4 other predicates after a 101-day review. Its family tree reaches back 11 generations to 1994. 1 later device descends from it.

Decided
Jun 20, 2024
Review
101 days
Class
Class II
Product code
JWH
Recalls
None
Predicates
5

Its longest line of descent runs back 11 generations to K943462 (1994). 134 ancestors in all, the oldest K810258 (1981). 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2018: 1 other ancestor2016: 1 other ancestor2013: 4 other ancestors1998: 6 other ancestors2017: 1 other ancestor2014: 1 other ancestor2012: 1 other ancestor2011: 1 other ancestor2007: 8 other ancestors2005: 10 other ancestors2004: 12 other ancestors2003: 12 other ancestors2015: 1 other ancestor2008: 4 other ancestors2006: 8 other ancestors2002: 6 other ancestors1997: 5 other ancestors1995: 9 other ancestors1994: 3 other ancestors2010: 1 other ancestor2000: 2 other ancestors1999: 2 other ancestors1996: 5 other ancestors1993: 3 other ancestors1992: 3 other ancestors1991: 3 other ancestors1990: 1 other ancestor1984: 1 other ancestor1989: 1 other ancestor1986: 1 other ancestor1981: 1 other ancestor2001: 4 other ancestors1988: 1 other ancestor2026: 1 descendant clearedReference device: K222270 · HEDRON Cervical Spacers, HEDRON Lumbar Spacers, SABLE Expandable Spacer, ExcelsiusGPS Instruments · Globus Medical, Inc. · 2022Reference device: K094035 · Exp Acetabular Liner, Models SC3342 Non-Hooded 28MM, SC3343 Hooded 28MM · Stelkast Company · 2011K943462 · Darwin Knee System · Johnson & Johnson Professionals, Inc. · 1994 · recalled×2: 2 generations cleared close together, K033272 (2004), K040166 (2004) K061648 · Depuy Graduated Compartmental Knee (GCK) · DePuy Orthopaedics, Inc. · 2006 · recalledK070849 · Depuy GCK Femoral and Tibial Components · DePuy Orthopaedics, Inc. · 2007K082172 · Mako Modular Knee Compartmental Implant System · Mako Surgical Corporation · 2008 · recalledK090763 · Restoris Multicompartmental Knee (MCK) System · Mako Surgical Corporation · 2009 · recalledK133039 · Restoris Multicompartmental Knee System · Mako Surgical Corporation · 2013K150307 · RESTORIS Multicompartmental Knee System · Mako Surgical Corp. · 2015×2: 2 generations cleared close together, K172326 (2017), K173849 (2018) 19801990200020102020
  1. Root · 11 generations backK943462 Darwin Knee SystemJohnson & Johnson Professionals, Inc. · 1994 · Recalled
  2. 7 generations between
  3. 3 generations backK150307 RESTORIS Multicompartmental Knee SystemMako Surgical Corp. · 2015
  4. 2 generations backK172326 Triathlon Total Knee System, Triathlon PKR System, Restoris MCK Knee…Stryker Orthopaedics · 2017 · Recalled
  5. 1 generation backK173849 Triathlon Total Knee SystemStryker Orthopaedics · 2018 · Recalled
  6. This deviceK240669 ACTIFY™ 3D Total Knee System, ACTIFY™ Total Knee SystemGlobus Medical, Inc. · 2024
  7. Descendant · cites it directly · 0 of its ownK262251 ACTIFY™ Total Knee System, ACTIFY™ 3D Total Knee System (ACTIFY MC…Globus Medical, Inc. · 2026
Show all 11 generations
  1. Root · 11 generations backK943462 Darwin Knee SystemJohnson & Johnson Professionals, Inc. · 1994 · Recalled
  2. 10 generations backK033272 Depuy Sigma Tibial InsertsDePuy Orthopaedics, Inc. · 2004 · Recalled
  3. 9 generations backK040166 Depuy Sigma XLK Tibial InsertsDePuy Orthopaedics, Inc. · 2004
  4. 8 generations backK061648 Depuy Graduated Compartmental Knee (GCK)DePuy Orthopaedics, Inc. · 2006 · Recalled
  5. 7 generations backK070849 Depuy GCK Femoral and Tibial ComponentsDePuy Orthopaedics, Inc. · 2007
  6. 6 generations backK082172 Mako Modular Knee Compartmental Implant SystemMako Surgical Corporation · 2008 · Recalled
  7. 5 generations backK090763 Restoris Multicompartmental Knee (MCK) SystemMako Surgical Corporation · 2009 · Recalled
  8. 4 generations backK133039 Restoris Multicompartmental Knee SystemMako Surgical Corporation · 2013
  9. 3 generations backK150307 RESTORIS Multicompartmental Knee SystemMako Surgical Corp. · 2015
  10. 2 generations backK172326 Triathlon Total Knee System, Triathlon PKR System, Restoris MCK Knee…Stryker Orthopaedics · 2017 · Recalled
  11. 1 generation backK173849 Triathlon Total Knee SystemStryker Orthopaedics · 2018 · Recalled
  12. This deviceK240669 ACTIFY™ 3D Total Knee System, ACTIFY™ Total Knee SystemGlobus Medical, Inc. · 2024

Most influential descendants

Showing 1 of 1 · See all
  • K262251ACTIFY™ Total Knee System, ACTIFY™ 3D Total Knee System (ACTIFY MC Tibial Insert)Globus Medical, Inc. · 2026 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−11K943462Darwin Knee SystemJohnson & Johnson Professionals, Inc.19948
−10K033272Depuy Sigma Tibial InsertsDePuy Orthopaedics, Inc.200451
−9K040166Depuy Sigma XLK Tibial InsertsDePuy Orthopaedics, Inc.2004—
−8K061648Depuy Graduated Compartmental Knee (GCK)DePuy Orthopaedics, Inc.20061
−7K070849Depuy GCK Femoral and Tibial ComponentsDePuy Orthopaedics, Inc.2007—
−6K082172Mako Modular Knee Compartmental Implant SystemMako Surgical Corporation20082
−5K090763Restoris Multicompartmental Knee (MCK) SystemMako Surgical Corporation20095
−4K133039Restoris Multicompartmental Knee SystemMako Surgical Corporation2013—
−3K150307RESTORIS Multicompartmental Knee SystemMako Surgical Corp.2015—
−2K172326Triathlon Total Knee System, Triathlon PKR System, Restoris MCK Knee SystemStryker Orthopaedics20171
−1K173849Triathlon Total Knee SystemStryker Orthopaedics20183
0 (this device)K240669ACTIFY™ 3D Total Knee System, ACTIFY™ Total Knee SystemGlobus Medical, Inc.2024—
+1K262251ACTIFY™ Total Knee System, ACTIFY™ 3D Total Knee System (ACTIFY MC Tibial…Globus Medical, Inc.2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198110
198410
198610
198810
198910
199010
199130
199230
199330
199430
199590
199650
199750
199860
199920
200020
200140
200260
2003120
2004120
2005100
200680
200780
200840
201010
201110
201210
201340
201410
201510
201610
201710
201810

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202610
FIG. 1 — Lineage of K240669, 1994–2026Source: 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? (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
*K173849Triathlon Total Knee System
Summary page 5
…osthesis Product Codes: JWH, MBH, OIY Regulatory Class: II, Panel Code: 87 Primary Predicate: Stryker Triathlon Total Knee System (K173849) Secondary Predicates: GENflex2® Total Knee System (K162222) GENflex2® Total Knee System - Ultra-Congr…
Stryker Orthopaedics20183
*K162222GENflex2 Total Knee System
Summary page 5
…Regulatory Class: II, Panel Code: 87 Primary Predicate: Stryker Triathlon Total Knee System (K173849) Secondary Predicates: GENflex2® Total Knee System (K162222) GENflex2® Total Knee System - Ultra-Congruent CR Tibial Insert (K173875)…
Stelkast, Inc.2016—
*K173875GENFlex2 Total Knee System - Ultra-Congruent CR Tibial Insert
Summary page 5
…Secondary Predicates: GENflex2® Total Knee System (K162222) GENflex2® Total Knee System - Ultra-Congruent CR Tibial Insert (K173875) Proven Cemented Semi-Constrained Total Knee System (K122883, K980276) Reference Devices:…
Stelkast, Inc.2018—
*K122883Exp Tibial Inserts and Patellar Components for the Proven Gen-Flex Total Knee System
Summary page 5
…tal Knee System - Ultra-Congruent CR Tibial Insert (K173875) Proven Cemented Semi-Constrained Total Knee System (K122883, K980276) Reference Devices: HEDRON® Cervical & Lumbar Spacers, SABLE® Expandable Spacer (K222270)…
Stelkast Company20131
*K980276Stelkast Proven Cemented, Semi-Constrained Total Knee System
Summary page 5
…System - Ultra-Congruent CR Tibial Insert (K173875) Proven Cemented Semi-Constrained Total Knee System (K122883, K980276) Reference Devices: HEDRON® Cervical & Lumbar Spacers, SABLE® Expandable Spacer (K222270)…
Stelkast Company19981
†K222270HEDRON Cervical Spacers, HEDRON Lumbar Spacers, SABLE Expandable Spacer, ExcelsiusGPS…Globus Medical, Inc.2022—
†K094035Exp Acetabular Liner, Models SC3342 Non-Hooded 28MM, SC3343 Hooded 28MMStelkast Company2011—

Also cleared against K173849: 3 other devices →

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K262251ACTIFY™ Total Knee System, ACTIFY™ 3D Total Knee System (ACTIFY MC Tibial Insert)Globus Medical, Inc.20260

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 6 companies; a new generation was cleared every 1.4 years on median.
  • 63 of the 134 ancestors have a recall of any class.
  • Of its descendants, K262251 (Globus Medical, Inc., 2026) has gone furthest, with 0 descendants of its own.
  • 3 other devices also cite its predicate K173849.

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. 2024, 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?

ACTIFY™ Total Knee System and ACTIFY™ 3D Total Knee System are indicated for single use only in skeletally mature individuals undergoing reconstruction of severely disabled and/or very painful joints. ACTIFY™ Total Knee System and ACTIFY™ 3D Total Knee System are indicated for total knee replacement due to osteoarthritis, osteonecrosis, rheumatoid arthritis, and/or post-traumatic degenerative problems, and revision of failed previous reconstructions…

Read the full statement (108 words)

ACTIFY™ Total Knee System and ACTIFY™ 3D Total Knee System are indicated for single use only in skeletally mature individuals undergoing reconstruction of severely disabled and/or very painful joints.

ACTIFY™ Total Knee System and ACTIFY™ 3D Total Knee System are indicated for total knee replacement due to osteoarthritis, osteonecrosis, rheumatoid arthritis, and/or post-traumatic degenerative problems, and revision of failed previous reconstructions where sufficient bone stock and soft tissue integrity are present.

ACTIFY™ Total Knee System is indicated for cemented use only, except for the porous femoral component which is indicated for both cemented and uncemented use.

ACTIFY™ 3D Total Knee System is indicated for cemented and uncemented use.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K240669: ACTIFY™ 3D Total Knee System, ACTIFY™ Total 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/K240669

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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