510(k) Report

510(k) · Cleared

Cleared

Rx Knee System

K240683510(k) TraditionalCleared Sep 11, 2024183-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 Sep 11, 2024 as substantially equivalent to K183017 (Osteoremedies, LLC, 2019) and 4 other predicates after a 183-day review. Its family tree reaches back 7 generations to 1995. 2 later devices descend from it.

Decided
Sep 11, 2024
Review
183 days
Class
Class II
Product code
JWH
Recalls
None
Predicates
5

Its longest line of descent runs back 7 generations to K936159 (1995). 47 ancestors in all, the oldest P810020 (1984). 2 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2022: 2 other ancestors2018: 2 other ancestors2016: 2 other ancestors2019: 1 other ancestor2011: 1 other ancestor1996: 4 other ancestors2017: 1 other ancestor2010: 1 other ancestor2008: 3 other ancestors2004: 3 other ancestors2003: 4 other ancestors2002: 2 other ancestors2000: 1 other ancestor1997: 2 other ancestors1995: 3 other ancestors1994: 1 other ancestor1992: 1 other ancestor2005: 2 other ancestors1998: 2 other ancestors2001: 1 other ancestor1984: 1 other ancestor2026: 2 descendants clearedK936159 · Natural-Knee II System · Intermedics Orthopedics · 1995 · recalledK032522 · Tecres Spacer-K Temporary Knee Prosthesis · Exactech, Inc. · 2004K050210 · Disposable Cement Spacer Molds for Temporary Knee Prostheses · Biomet, Inc. · 2005 · recalledK062274 · Spacer-K Temporary Knee Spacer with Gentamicin, Models SPK0021, SPK0121, SPK0221, SPK0321 · Tecres S.P.A. · 2008K101356 · Spacer-G and Spacer-K · Tecres S.P.A. · 2011K112470 · 2GC Hip/Knee Modular Spacer · Mandell Horwitz Consultants, LLC · 2012K183017 · Remedy Femoral Component 84mm, Remedy Stemmed Knee Spacer · Osteoremedies, LLC · 201919801990200020102020
  1. Root · 7 generations backK936159 Natural-Knee II SystemIntermedics Orthopedics · 1995 · Recalled
  2. 6 generations backK032522 Tecres Spacer-K Temporary Knee ProsthesisExactech, Inc. · 2004
  3. 5 generations backK050210 Disposable Cement Spacer Molds for Temporary Knee ProsthesesBiomet, Inc. · 2005 · Recalled
  4. 4 generations backK062274 Spacer-K Temporary Knee Spacer with Gentamicin, Models SPK0021…Tecres S.P.A. · 2008
  5. 3 generations backK101356 Spacer-G and Spacer-KTecres S.P.A. · 2011
  6. 2 generations backK112470 2GC Hip/Knee Modular SpacerMandell Horwitz Consultants, LLC · 2012
  7. 1 generation backK183017 Remedy Femoral Component 84mm, Remedy Stemmed Knee SpacerOsteoremedies, LLC · 2019
  8. This deviceK240683 Rx Knee SystemSignature Orthopaedics Pty, Ltd. · 2024
  9. Descendant · cites it directly · 0 of its ownK260063 GSPE SpacerThe General Hospital Corporation, d/b/a Massachusetts · 2026
  10. Descendant · cites it directly · 0 of its ownK261734 Klassic Infection Spacer SystemTotal Joint Orthopedics, Inc. · 2026

Most influential descendants

Showing 2 of 2 · See all
  • K260063GSPE SpacerThe General Hospital Corporation, d/b/a Massachusetts · 2026 · cites it directly0descendants
  • K261734Klassic Infection Spacer SystemTotal Joint Orthopedics, Inc. · 2026 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−7K936159Natural-Knee II SystemIntermedics Orthopedics19956
−6K032522Tecres Spacer-K Temporary Knee ProsthesisExactech, Inc.2004—
−5K050210Disposable Cement Spacer Molds for Temporary Knee ProsthesesBiomet, Inc.20058
−4K062274Spacer-K Temporary Knee Spacer with Gentamicin, Models SPK0021, SPK0121…Tecres S.P.A.2008—
−3K101356Spacer-G and Spacer-KTecres S.P.A.2011—
−2K1124702GC Hip/Knee Modular SpacerMandell Horwitz Consultants, LLC2012—
−1K183017Remedy Femoral Component 84mm, Remedy Stemmed Knee SpacerOsteoremedies, LLC2019—
0 (this device)K240683Rx Knee SystemSignature Orthopaedics Pty, Ltd.2024—
+1K260063GSPE SpacerThe General Hospital Corporation, d/b/a Massachusetts2026—
+1K261734Klassic Infection Spacer SystemTotal Joint Orthopedics, Inc.2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198410
199210
199410
199530
199640
199720
199820
200010
200110
200220
200340
200430
200520
200830
201010
201110
201620
201710
201820
201910
202220

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202620
FIG. 1 — Lineage of K240683, 1995–2026Source: 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
*K183017Remedy Femoral Component 84mm, Remedy Stemmed Knee Spacer
Summary page 5
…lmethacrylate (PMMA) bone cement (MBB, 21CFR 888.3027) Primary Devices: Primary Predicate • Remedy Stemmed Knee Spacer (K183017) Predicate/Reference Device • ATTUNE Revision Fixed Bearing (K160700)…
Osteoremedies, LLC2019—
*K160700ATTUNE Revision Knee System
Summary page 5
…e • Remedy Stemmed Knee Spacer (K183017) Predicate/Reference Device • ATTUNE Revision Fixed Bearing (K160700) • World Knee System (K181530, K220737, K223062) Device Description: The Rx Knee System i…
Depuy (Ireland)20165
*K181530World Total Knee System
Summary page 5
…(K183017) Predicate/Reference Device • ATTUNE Revision Fixed Bearing (K160700) • World Knee System (K181530, K220737, K223062) Device Description: The Rx Knee System is a temporary knee device consisting of femoral, all p…
Signature Orthopaedics Pty, Ltd.2018—
*K220737World Knee Vit-E All-poly Tibial Inserts (CR, PS and UC), World Knee Vit-E Meniscal…
Summary page 5
…) Predicate/Reference Device • ATTUNE Revision Fixed Bearing (K160700) • World Knee System (K181530, K220737, K223062) Device Description: The Rx Knee System is a temporary knee device consisting of femoral, all polyethyle…
Signature Orthopaedics Pty, Ltd.2022—
*K223062World Total Knee System
Summary page 5
…Predicate/Reference Device • ATTUNE Revision Fixed Bearing (K160700) • World Knee System (K181530, K220737, K223062) Device Description: The Rx Knee System is a temporary knee device consisting of femoral, all polyethylene tibial…
Signature Orthopaedics Pty, Ltd.2022—

Also cleared against K183017: 3 other devices →

What descends from it? (2)

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

NumberDeviceApplicantDecidedDescendants
K260063GSPE SpacerThe General Hospital Corporation, d/b/a Massachusetts20260
K261734Klassic Infection Spacer SystemTotal Joint Orthopedics, 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 29 years and passes through 7 companies; a new generation was cleared every 3.3 years on median.
  • 18 of the 47 ancestors have a recall of any class.
  • Of its descendants, K260063 (The General Hospital Corporation, d/b/a Massachusetts, 2026) has gone furthest, with 0 descendants of its own.
  • 3 other devices also cite its predicate K183017.

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?

The patient should be skeletally mature to receive a knee replacement. The Rx Knee System is indicated for temporary use (maximum 180 days) as an adjunct to total knee replacement (TKR) in patients undergoing a two-stage procedure due to a septic process and where gentamicin is the most appropriate antibiotic based on the susceptibility pattern of the infecting micro-organism(s). The device is intended for use in conjunction with systemic antimicrobial…

Read the full statement (152 words)

The patient should be skeletally mature to receive a knee replacement. The Rx Knee System is indicated for temporary use (maximum 180 days) as an adjunct to total knee replacement (TKR) in patients undergoing a two-stage procedure due to a septic process and where gentamicin is the most appropriate antibiotic based on the susceptibility pattern of the infecting micro-organism(s).

The device is intended for use in conjunction with systemic antimicrobial therapy (standard treatment approach to an infection).

The device is intended for use with the gentamicin-loaded cement, Palacos@ G.

The Rx Knee System 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.).

The device is only indicated for patients who will consistently use traditional mobility assist devices (e.g., crutches, walkers, canes) throughout the implantation period, allowing basic joint mobility.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K240683: Rx 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/K240683

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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