510(k) Report

510(k) · Cleared

Cleared

GMK 3D Metal Tibial Tray Extension

K253328510(k) TraditionalCleared Feb 26, 2026149-day reviewClass II21 CFR 888.3565

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

Medacta International S.A. · MBH Prosthesis, Knee, Patello/Femorotibial, Semi-Constrained, Uncemented, Porous, Coated, Polymer/Metal/Polymer

Cleared on Feb 26, 2026 as substantially equivalent to K221850 (Medacta International S.A., 2022) after a 149-day review. Its family tree reaches back 18 generations to 1994.

Decided
Feb 26, 2026
Review
149 days
Class
Class II
Product code
MBH
Recalls
None
Predicates
1

Its longest line of descent runs back 18 generations to K941847 (1994). 255 ancestors in all, the oldest K810258 (1981). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2021: 1 other ancestor2013: 5 other ancestors2019: 1 other ancestor2018: 2 other ancestors2017: 2 other ancestors2007: 16 other ancestors2005: 16 other ancestors2002: 15 other ancestors1999: 6 other ancestors1998: 9 other ancestors1997: 11 other ancestors2015: 2 other ancestors2014: 2 other ancestors2012: 5 other ancestors2009: 3 other ancestors2008: 7 other ancestors2006: 11 other ancestors2004: 15 other ancestors2003: 17 other ancestors2001: 13 other ancestors2000: 10 other ancestors1996: 13 other ancestors1995: 13 other ancestors2010: 6 other ancestors1993: 5 other ancestors1991: 4 other ancestors1990: 2 other ancestors2011: 1 other ancestor1994: 11 other ancestors1992: 6 other ancestors1988: 1 other ancestor1987: 2 other ancestors1984: 1 other ancestor1985: 1 other ancestor1981: 1 other ancestorK941847 · 5/8 Porocoat Aml Hip Porocoat Porous Coating · Depuy, Inc. · 1994K964650 · TCP-Coated Porocoat Aml Femoral Hip Prosthesis · Depuy, Inc. · 1997K980711 · Harris/Galante Porous (HGP) Hip Prosthesis with Calcicoat Ceramic Coating · Zimmer, Inc. · 1998 · recalledK001277 · Triflange Acetabular Cup System · DePuy Orthopaedics, Inc. · 2000K031495 · Pinnacle Duofix HA Acetabular Cup Prosthesis · DePuy Orthopaedics, Inc. · 2003K042344 · Excia Total Hip System · Aesculap, Inc. · 2005 · recalledK070981 · Search Evolution (LC) Total Knee System (Plasmapore) · Aesculap Implant Systems, Inc. · 2007K081023 · Evolis Total Knee System · Medacta International S.A. · 2008 · recalledK090988 · GMK Total Knee System · Medacta International S.A. · 2009 · recalledK102437 · GMK Revision Knee System · Medacta International S.A. · 2010K103170 · GMK Revision Knee SC Liners · Medacta International S.A. · 2011×2: 2 generations cleared close together, K113571 (2012), K121416 (2012) K140826 · GMK Sphere Extension · Medacta International · 2014K162035 · GMK Sphere · Medacta International S.A. · 2017K173890 · GMK Sphere - Kinematic Alignment · Medacta International S.A. · 2018K201343 · Triathlon Total KneeSystem · Howmedica Osteonics Corp., Dba Stryker Orthopaedics · 2020K221850 · GMK 3D Metal Tibial Tray · Medacta International S.A. · 202219801990200020102020
Other ancestors, by generation 2 generations back: 2 other ancestors3 generations back: 12 other ancestors4 generations back: 43 other ancestors5 generations back: 30 other ancestors6 generations back: 47 other ancestors7 generations back: 52 other ancestors8 generations back: 30 other ancestors9 generations back: 17 other ancestors10 generations back: 3 other ancestors K221850 · GMK 3D Metal Tibial Tray · Medacta International S.A. · 2022K201343 · Triathlon Total KneeSystem · Howmedica Osteonics Corp., Dba Stryker Orthopaedics · 2020K173890 · GMK Sphere - Kinematic Alignment · Medacta International S.A. · 2018K162035 · GMK Sphere · Medacta International S.A. · 2017K140826 · GMK Sphere Extension · Medacta International · 2014K121416 · GMK Sphere · Medacta International · 2012K113571 · GMK Resufacing Patella Size 4 · Medacta International · 2012K103170 · GMK Revision Knee SC Liners · Medacta International S.A. · 2011K102437 · GMK Revision Knee System · Medacta International S.A. · 2010K090988 · GMK Total Knee System · Medacta International S.A. · 2009 · recalledK081023 · Evolis Total Knee System · Medacta International S.A. · 2008 · recalledK070981 · Search Evolution (LC) Total Knee System (Plasmapore) · Aesculap Implant Systems, Inc. · 2007K042344 · Excia Total Hip System · Aesculap, Inc. · 2005 · recalledK031495 · Pinnacle Duofix HA Acetabular Cup Prosthesis · DePuy Orthopaedics, Inc. · 2003K001277 · Triflange Acetabular Cup System · DePuy Orthopaedics, Inc. · 2000K980711 · Harris/Galante Porous (HGP) Hip Prosthesis with Calcicoat Ceramic Coating · Zimmer, Inc. · 1998 · recalledK964650 · TCP-Coated Porocoat Aml Femoral Hip Prosthesis · Depuy, Inc. · 1997K941847 · 5/8 Porocoat Aml Hip Porocoat Porous Coating · Depuy, Inc. · 1994−15−10−50
  1. Root · 18 generations backK941847 5/8 Porocoat Aml Hip Porocoat Porous CoatingDepuy, Inc. · 1994
  2. 14 generations between
  3. 3 generations backK173890 GMK Sphere - Kinematic AlignmentMedacta International S.A. · 2018
  4. 2 generations backK201343 Triathlon Total KneeSystemHowmedica Osteonics Corp., Dba Stryker Orthopaedics · 2020
  5. 1 generation backK221850 GMK 3D Metal Tibial TrayMedacta International S.A. · 2022
  6. This deviceK253328 GMK 3D Metal Tibial Tray ExtensionMedacta International S.A. · 2026
Show all 18 generations
  1. Root · 18 generations backK941847 5/8 Porocoat Aml Hip Porocoat Porous CoatingDepuy, Inc. · 1994
  2. 17 generations backK964650 TCP-Coated Porocoat Aml Femoral Hip ProsthesisDepuy, Inc. · 1997
  3. 16 generations backK980711 Harris/Galante Porous (HGP) Hip Prosthesis with Calcicoat Ceramic…Zimmer, Inc. · 1998 · Recalled
  4. 15 generations backK001277 Triflange Acetabular Cup SystemDePuy Orthopaedics, Inc. · 2000
  5. 14 generations backK031495 Pinnacle Duofix HA Acetabular Cup ProsthesisDePuy Orthopaedics, Inc. · 2003
  6. 13 generations backK042344 Excia Total Hip SystemAesculap, Inc. · 2005 · Recalled
  7. 12 generations backK070981 Search Evolution (LC) Total Knee System (Plasmapore)Aesculap Implant Systems, Inc. · 2007
  8. 11 generations backK081023 Evolis Total Knee SystemMedacta International S.A. · 2008 · Recalled
  9. 10 generations backK090988 GMK Total Knee SystemMedacta International S.A. · 2009 · Recalled
  10. 9 generations backK102437 GMK Revision Knee SystemMedacta International S.A. · 2010
  11. 8 generations backK103170 GMK Revision Knee SC LinersMedacta International S.A. · 2011
  12. 7 generations backK113571 GMK Resufacing Patella Size 4Medacta International · 2012
  13. 6 generations backK121416 GMK SphereMedacta International · 2012
  14. 5 generations backK140826 GMK Sphere ExtensionMedacta International · 2014
  15. 4 generations backK162035 GMK SphereMedacta International S.A. · 2017
  16. 3 generations backK173890 GMK Sphere - Kinematic AlignmentMedacta International S.A. · 2018
  17. 2 generations backK201343 Triathlon Total KneeSystemHowmedica Osteonics Corp., Dba Stryker Orthopaedics · 2020
  18. 1 generation backK221850 GMK 3D Metal Tibial TrayMedacta International S.A. · 2022
  19. This deviceK253328 GMK 3D Metal Tibial Tray ExtensionMedacta International S.A. · 2026
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−18K9418475/8 Porocoat Aml Hip Porocoat Porous CoatingDepuy, Inc.1994—
−17K964650TCP-Coated Porocoat Aml Femoral Hip ProsthesisDepuy, Inc.1997—
−16K980711Harris/Galante Porous (HGP) Hip Prosthesis with Calcicoat Ceramic CoatingZimmer, Inc.19981
−15K001277Triflange Acetabular Cup SystemDePuy Orthopaedics, Inc.2000—
−14K031495Pinnacle Duofix HA Acetabular Cup ProsthesisDePuy Orthopaedics, Inc.2003—
−13K042344Excia Total Hip SystemAesculap, Inc.200510
−12K070981Search Evolution (LC) Total Knee System (Plasmapore)Aesculap Implant Systems, Inc.2007—
−11K081023Evolis Total Knee SystemMedacta International S.A.20081
−10K090988GMK Total Knee SystemMedacta International S.A.20091
−9K102437GMK Revision Knee SystemMedacta International S.A.2010—
−8K103170GMK Revision Knee SC LinersMedacta International S.A.2011—
−7K113571GMK Resufacing Patella Size 4Medacta International2012—
−6K121416GMK SphereMedacta International2012—
−5K140826GMK Sphere ExtensionMedacta International2014—
−4K162035GMK SphereMedacta International S.A.2017—
−3K173890GMK Sphere - Kinematic AlignmentMedacta International S.A.2018—
−2K201343Triathlon Total KneeSystemHowmedica Osteonics Corp., Dba Stryker Orthopaedics2020—
−1K221850GMK 3D Metal Tibial TrayMedacta International S.A.2022—
0 (this device)K253328GMK 3D Metal Tibial Tray ExtensionMedacta International S.A.2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198110
198410
198510
198720
198810
199020
199140
199260
199350
1994110
1995130
1996130
1997110
199890
199960
2000100
2001130
2002150
2003170
2004150
2005160
2006110
2007160
200870
200930
201060
201110
201250
201350
201420
201520
201720
201820
201910
202110
FIG. 1 — Lineage of K253328, 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 MBH? 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 MBH device

  1. #1 K241597 Freedom® Total Knee System - Porous Tibial…score 20.0 · 8 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? (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
*K221850GMK 3D Metal Tibial Tray
Summary page 5
….3560 Device Classification II III. Predicate Device Substantial equivalence is claimed to the following predicate device: • GMK 3D Metal Tibial Tray, K221850, Medacta International SA IV. Device Description The subject devices are sterile, single use, individually packaged implants…
Medacta International S.A.2022—

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 32 years and passes through 8 companies; a new generation was cleared every 1.8 years on median.
  • 108 of the 254 ancestors have a recall of any class.

How does its category compare?

All MBH devices

MBH Prosthesis, Knee, Patello/Femorotibial, Semi-Constrained, Uncemented, Porous, Coated, Polymer/Metal/Polymer: FDA decisions, review times, recalls and adverse event reports over 20 years. 2026, this device’s year, is highlighted.

FDA decisions per year · MBH

8in 2025

2007: 102008: 32009: 32010: 42011: 52012: 52013: 62014: 92015: 82016: 42017: 42018: 62019: 12020: 72021: 62022: 72023: 62024: 102025: 82026 (partial year): 7
2007high 10 (2007) · low 1 (2019)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MBH

98in 2025

2007: 59 days median2008: 70 days median2009: 209 days median2010: 84 days median2011: 84 days median2012: 90 days median2013: 138 days median2014: 114 days median2015: 100 days median2016: 74 days median2017: 115 days median2018: 89 days median2020: 112 days median2021: 48 days median2022: 57 days median2023: 94 days median2024: 84 days median2025: 98 days median2026 (partial year): 153 days median
2007high 209 (2009) · low 48 (2021)2026

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

Recalls per year · MBH

1in 2024

2009: 22011: 152012: 1, 1 Class I2013: 4, 4 Class I2016: 12017: 92018: 12019: 12020: 22023: 22024: 12026 (partial year): 4
2007high 15 (2011) · low 0 (2007)2026

Class I (5 since 2007) Class II/III not classified

Adverse event reports per year · MBH

1,561in 2025

2007: 272008: 212009: 892010: 1212011: 2472012: 3702013: 3082014: 3852015: 9552016: 1,0342017: 1,0072018: 1,1912019: 1,3942020: 1,0892021: 1,5392022: 1,2612023: 1,2632024: 1,4972025: 1,561
2007high 1,561 (2025) · low 21 (2008)2025

MAUDE reports naming product code MBH, 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
20071059027
2008370021
20093209289
20104840121
201158415247
20125901 (1)370
201361384 (4)308
201491140385
201581000955
201647411,034
2017411591,007
201868911,191
20191—11,394
2020711221,089
202164801,539
202275701,261
202369421,263
2024108411,497
202589801,561
202671534—

What is it indicated for?

The GMK® knee prosthesis is designed for cemented application in total knee arthroplasty, if there is evidence of sufficient sound bone to seat and support the components. The GMK 3D Metal® Tibial Baseplate is indicated for cementless or cemented application if there is evidence of sufficient sound bone to seat and support the components. This knee replacement system is indicated in the following cases: • Severely painful and/or disabled joint as a…

Read the full statement (258 words)

The GMK® knee prosthesis is designed for cemented application in total knee arthroplasty, if there is evidence of sufficient sound bone to seat and support the components.

The GMK 3D Metal® Tibial Baseplate is indicated for cementless or cemented application if there is evidence of sufficient sound bone to seat and support the components.

This knee replacement system is indicated in the following cases:

• Severely painful and/or disabled joint as a result of arthritis, traumatic arthritis, rheumatoid arthritis or polyarthritis

• Collagen disorders, and avascular necrosis of the femoral condyle

• Post traumatic loss of joint configuration

• Primary implantation failure

Tibial wedges cemented are to be attached to the tibial baseplate with both the fixing cylinders and bone cement. The screwed tibial augments are for screwed fixation to the tibial baseplate. In case a semi-constrained liner is used, an extension stem must be implanted both on the tibial and on the femoral components. In case a GMK Revision or GMK Sphere Revision tibial tray is used, an extension stem must be implanted.

It is not possible to implant tibial wedges and extension stems with the GMK 3D Metal® Tibial Baseplate.

Limitations for use for GMK SPHERE/GMK SPHERIKA used with kinematic alignment

GMK® Sphere and GMK® SpheriKA can be implanted in kinematic alignment. In this case, this knee replacement system is indicated for:

• Severely painful and/or disabled joint as a result of arthritis, traumatic arthritis, rheumatoid arthritis or polyarthritis

• Collagen disorders, and/or avascular necrosis of the femoral condyle

• Moderate valgus, varus, or flexion deformities

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K253328: GMK 3D Metal Tibial Tray Extension.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K253328

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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