510(k) Report

510(k) · Cleared

Cleared

ATTUNE Total Knee System; ATTUNE Cementless Knee System

K261458510(k) TraditionalCleared Jun 25, 202655-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

DePuy Ireland UC · JWH Prosthesis, Knee, Patellofemorotibial, Semi-Constrained, Cemented, Polymer/Metal/Polymer

Cleared on Jun 25, 2026 as substantially equivalent to K111433 (DePuy Orthopaedics, Inc., 2011) and 3 other predicates after a 55-day review. Its family tree reaches back 7 generations to 1995.

Decided
Jun 25, 2026
Review
55 days
Class
Class II
Product code
JWH
Recalls
None
Predicates
4

Its longest line of descent runs back 7 generations to K933785 (1995). 36 ancestors in all, the oldest K910500 (1991). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2017: 1 other ancestor2015: 1 other ancestor2011: 2 other ancestors2010: 1 other ancestor2008: 2 other ancestors2006: 2 other ancestors2004: 3 other ancestors2003: 4 other ancestors1996: 2 other ancestors2005: 4 other ancestors1997: 1 other ancestor1995: 1 other ancestor1994: 2 other ancestors1992: 1 other ancestor1991: 1 other ancestor1999: 1 other ancestorReference device: K233980 · ATTUNE Total Knee System, ATTUNE Cementless Knee System, LPS Limb Preservation System, Sigma High Performance (HP) Partial Knee System · Depuy Ireland UC · 2024Reference device: K232303 · ATTUNE® Porous Fixed Bearing Tibial Base, Medialized Dome Patella and Medialized Anatomic Patella with AFFIXIUM™ 3DP Technology · Depuy Ireland UC · 2023 · recalledK933785 · Next Generation Knee System · Zimmer, Inc. · 1995 · recalledK023211 · Nexgen Complete Knee Solution Cruciate Retaining (CR)-Flex Femoral Components · Zimmer, Inc. · 2002 · recalledK031061 · Nexgen Porous, Uncemented Femoral and Tibial Baseplate Components · Zimmer, Inc. · 2003 · recalledK072160 · Nexgen Trabecular Metal Tibial Tray · Zimmer, Inc. · 2007 · recalledK123486 · Triathlon Tritanium Tibial Baseplate · Stryker · 2013 · recalledK132624 · Triathlon Tritanium Metal-Backed Patella · Stryker Orthopaedics · 2013 · recalledK202194 · ATTUNE® Porous Fixed Bearing Tibial Base, Medialized Dome Patella, and Medialized Anatomic Patella with AFFIXIUM™ 3DP Technology · Depuy Ireland UC · 2020 · recalled1990200020102020
  1. Root · 7 generations backK933785 Next Generation Knee SystemZimmer, Inc. · 1995 · Recalled
  2. 6 generations backK023211 Nexgen Complete Knee Solution Cruciate Retaining (CR)-Flex Femoral…Zimmer, Inc. · 2002 · Recalled
  3. 5 generations backK031061 Nexgen Porous, Uncemented Femoral and Tibial Baseplate ComponentsZimmer, Inc. · 2003 · Recalled
  4. 4 generations backK072160 Nexgen Trabecular Metal Tibial TrayZimmer, Inc. · 2007 · Recalled
  5. 3 generations backK123486 Triathlon Tritanium Tibial BaseplateStryker · 2013 · Recalled
  6. 2 generations backK132624 Triathlon Tritanium Metal-Backed PatellaStryker Orthopaedics · 2013 · Recalled
  7. 1 generation backK202194 ATTUNE® Porous Fixed Bearing Tibial Base, Medialized Dome Patella…Depuy Ireland UC · 2020 · Recalled
  8. This deviceK261458 ATTUNE Total Knee System; ATTUNE Cementless Knee SystemDePuy Ireland UC · 2026
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−7K933785Next Generation Knee SystemZimmer, Inc.199583
−6K023211Nexgen Complete Knee Solution Cruciate Retaining (CR)-Flex Femoral ComponentsZimmer, Inc.20026
−5K031061Nexgen Porous, Uncemented Femoral and Tibial Baseplate ComponentsZimmer, Inc.200324
−4K072160Nexgen Trabecular Metal Tibial TrayZimmer, Inc.20071
−3K123486Triathlon Tritanium Tibial BaseplateStryker20137
−2K132624Triathlon Tritanium Metal-Backed PatellaStryker Orthopaedics20131
−1K202194ATTUNE® Porous Fixed Bearing Tibial Base, Medialized Dome Patella, and…Depuy Ireland UC20201
0 (this device)K261458ATTUNE Total Knee System; ATTUNE Cementless Knee SystemDePuy Ireland UC2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199110
199210
199420
199510
199620
199710
199910
200340
200430
200540
200620
200820
201010
201120
201510
201710
FIG. 1 — Lineage of K261458, 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? (4)

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
*K111433Depuy Sttune (TM) PS Knee System
Summary page 5
…e, Patellofemorotibial, Semi-Constrained, Cemented, Polymer + Additive/Metal/Polymer + Additive Legally marketed device(s) Primary Predicate: K111433 - DePuy Attune TM Knee System to which equivalence is Secondary Predicate: K170806 – ATTUNE Cemented T…
DePuy Orthopaedics, Inc.20111
*K170806ATTUNE Cemented Tibial Base, Fixed Bearing
Summary page 5
…er + Additive Legally marketed device(s) Primary Predicate: K111433 - DePuy Attune TM Knee System to which equivalence is Secondary Predicate: K170806 – ATTUNE Cemented Tibial Base, claimed Fixed Bearing…
Depuy (Ireland)20171
*K140881Depuy Attune Knee System - Cementless CR and PS Femoral Componenets
Summary page 8
…JWH: Prosthesis, Knee, Patellofemorotibial, Semi-Constrained, Cemented, Polymer/Metal/Polymer Legally marketed device(s) Primary Predicate: K140881 - ATTUNETM Knee System- Cementless to which equivalence is CR and PS Femoral Components claimed Sec…
Depuy (Ireland)201510
*K202194ATTUNE® Porous Fixed Bearing Tibial Base, Medialized Dome Patella, and Medialized…
Summary page 8
…ary Predicate: K140881 - ATTUNETM Knee System- Cementless to which equivalence is CR and PS Femoral Components claimed Secondary Predicate: K202194 – ATTUNETM Porous Fixed Bearing Tibial Base, Medialized Dome Patella, and Medialized Anatomic…
Depuy Ireland UC20201
†K233980ATTUNE Total Knee System, ATTUNE Cementless Knee System, LPS Limb Preservation System…Depuy Ireland UC2024—
†K232303ATTUNE® Porous Fixed Bearing Tibial Base, Medialized Dome Patella and Medialized…Depuy Ireland UC20231

Also cleared against K111433: 7 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 31 years and passes through 4 companies; a new generation was cleared every 5.6 years on median.
  • 25 of the 36 ancestors have a recall of any class.
  • 7 other devices also cite its predicate K111433.

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. 2026, 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?

Candidates for total knee replacement include patients with a severely painful and/or severely disabled joint resulting from osteoarthritis, post-traumatic arthritis, rheumatoid arthritis, or a failed previous implant. The ATTUNE™ Cementless CR and PS Femoral Components are intended for cementless use within the ATTUNE™ Total Knee Replacement System. Candidates for total knee replacement include patients with a severely painful and/or severely disabled…

Read the full statement (149 words)

Candidates for total knee replacement include patients with a severely painful and/or severely disabled joint resulting from osteoarthritis, post-traumatic arthritis, rheumatoid arthritis, or a failed previous implant.

The ATTUNE™ Cementless CR and PS Femoral Components are intended for cementless use within the ATTUNE™ Total Knee Replacement System.

Candidates for total knee replacement include patients with a severely painful and/or severely disabled joint resulting from osteoarthritis, post-traumatic arthritis, or a failed previous implant (provided that adequate bone is present).

The ATTUNE Porous Fixed Bearing Tibial Base, Medialized Dome Patella and Medialized Anatomic Patella with AFFIXIUM 3DP Technology are intended for cementless use within the ATTUNE® Total Knee Replacement System. Porous coated implants may be used with or without cement.

Candidates for total knee replacement include patients with a severely painful and/or impaired knee function resulting from osteoarthritis, post-traumatic arthritis, or a failed previous implant (provided that adequate bone is present).

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. “K261458: ATTUNE Total Knee System; ATTUNE Cementless 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/K261458

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Record history
  • FDA decision record loaded Oct 30, 2026
  • Summary read Oct 30, 2026 (extraction version 2d9447fa9ea4)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026