510(k) Report

510(k) · Cleared

Recalled · Class II · 2023

Sled Unicompartment Knee System

K954186510(k) TraditionalCleared Jan 26, 1996142-day reviewClass II21 CFR 888.3520Recalls 32

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

Link America, Inc. · HSX Prosthesis, Knee, Femorotibial, Non-Constrained, Cemented, Metal/Polymer

Cleared on Jan 26, 1996 after a 142-day review. FDA lists a 510(k) statement for it but has not posted the file, so its predicates are not known. 55 later devices descend from it. It has been recalled 32 times.

Decided
Jan 26, 1996
Review
142 days
Class
Class II
Product code
HSX
Recalls
32
Predicates
0

55 later devices descend from it, 6 citing it directly.

Descendants, by year cleared 2016: 1 descendant cleared2007: 2 descendants cleared2003: 1 descendant cleared2005: 2 descendants cleared2004: 1 descendant cleared2012: 3 descendants cleared2017: 2 descendants cleared2023: 7 descendants cleared2009: 1 descendant cleared2011: 1 descendant cleared2021: 15 descendants cleared2022: 3 descendants cleared2020: 4 descendants cleared2008: 1 descendant cleared2013: 1 descendant cleared2014: 2 descendants cleared2026: 2 descendants cleared2024: 1 descendant cleared2025: 2 descendants cleared2019: 3 descendants cleared1995200020052010201520202025
  1. This deviceK954186 Sled Unicompartment Knee SystemLink America, Inc. · 1996
  2. Descendant · cites it directly · 32 of its ownK063432 Conformis Metal Backed Tibial Component (MBT)Conformis, Inc. · 2007 · Recalled
  3. Descendant · 2 generations on · 31 of its ownK072368 Conformis Metal Backed Tibial ComponentConformis, Inc. · 2007 · Recalled
  4. Descendant · 2 generations on · 29 of its ownK092441 Modification to: Conformis Iuni Unicondylar Knee Repair SystemConformis, Inc. · 2009
  5. Descendant · 2 generations on · 28 of its ownK111916 Conformis Iuni Unicondylar Knee Replacement SystemConformis, Inc. · 2011
  6. Descendant · 2 generations on · 27 of its ownK121974 Conformis Iuni Unicondylar Knee Replacement SystemConformis, Inc. · 2012

Showing 5 of 55 descendants. See all descendants

Descendants cleared per year

2003: 12004: 12005: 22007: 22008: 12009: 12011: 12012: 32013: 12014: 22016: 12017: 22019: 32020: 42021: 152022: 32023: 72024: 12025: 22026: 2
2003high 15 (2021) · low 0 (2006)2026

Most influential descendants

Showing 5 of 55 · See all
  • K063432Conformis Metal Backed Tibial Component (MBT)Conformis, Inc. · 2007 · cites it directly32descendants
  • K072368Conformis Metal Backed Tibial ComponentConformis, Inc. · 2007 · 2 generations on31descendants
  • K092441Modification to: Conformis Iuni Unicondylar Knee Repair SystemConformis, Inc. · 2009 · 2 generations on29descendants
  • K111916Conformis Iuni Unicondylar Knee Replacement SystemConformis, Inc. · 2011 · 2 generations on28descendants
  • K121974Conformis Iuni Unicondylar Knee Replacement SystemConformis, Inc. · 2012 · 2 generations on27descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)K954186Sled Unicompartment Knee SystemLink America, Inc.1996—
+1K063432Conformis Metal Backed Tibial Component (MBT)Conformis, Inc.20073
+2K072368Conformis Metal Backed Tibial ComponentConformis, Inc.20073
+2K092441Modification to: Conformis Iuni Unicondylar Knee Repair SystemConformis, Inc.2009—
+2K111916Conformis Iuni Unicondylar Knee Replacement SystemConformis, Inc.2011—
+2K121974Conformis Iuni Unicondylar Knee Replacement SystemConformis, Inc.2012—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200310
200410
200520
200720
200810
200910
201110
201230
201310
201420
201610
201720
201930
202040
2021150
202230
202370
202410
202520
202620
FIG. 1 — Lineage of K954186, 1996–2026Source: 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), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in HSX? 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 HSX device

  1. #1 K261609 Freedom Partial Knee Systemscore 15.1 · 12 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?

FDA lists a 510(k) statement for it but has not posted the file, so its predicates are not known.

What descends from it? (55)

See all 55

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

NumberDeviceApplicantDecidedDescendants
K063432Conformis Metal Backed Tibial Component (MBT)Conformis, Inc.200732
K152431LINK Endo-Model Knee System with PorEx (TiNbN) coating, Link Sled Knee System with PorEx…Waldemar Link GmbH & Co. KG20169
K042093Vanguard M Series Unicondylar Tibial BearingsBiomet, Inc.20046
K050373Unicap Unicompartmental Knee Resurfacing ProsthesisArthrosurface, Inc.20052
K050764Uniglide Unicondylar Knee ProsthesisCorin USA20052
K022211HLS Uni Evolution ProsthesisTornier20031

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Mar 21, 2023Class IIZ-1517-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1529-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1531-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1522-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1512-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1534-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1508-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1536-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1538-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1524-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1510-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1530-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1525-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1513-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1520-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1509-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1507-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1526-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1515-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1528-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1527-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1511-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1537-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1514-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1532-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1516-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1521-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1519-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1523-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1533-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1518-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1535-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • Of its descendants, K063432 (Conformis, Inc., 2007) has gone furthest, with 32 descendants of its own.

How does its category compare?

All HSX devices

HSX Prosthesis, Knee, Femorotibial, Non-Constrained, Cemented, Metal/Polymer: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · HSX

4in 2025

2007: 62008: 42009: 22010: 32011: 12012: 52013: 22015: 12016: 32017: 52018: 22019: 72020: 42021: 72022: 22023: 12024: 42025: 42026 (partial year): 2
2007high 7 (2019) · low 0 (2014)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HSX

59in 2025

2007: 33 days median2008: 102 days median2010: 74 days median2012: 88 days median2016: 147 days median2017: 160 days median2019: 90 days median2020: 40 days median2021: 81 days median2024: 133 days median2025: 59 days median
2007high 160 (2017) · low 33 (2007)2026

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

Recalls per year · HSX

2in 2020

2009: 492013: 12016: 12017: 42020: 2
2007high 49 (2009) · low 0 (2007)2026

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

Adverse event reports per year · HSX

175in 2025

2007: 62008: 42009: 212010: 582011: 1142012: 832013: 792014: 662015: 572016: 1072017: 1132018: 1592019: 1772020: 2732021: 2402022: 2572023: 2312024: 1722025: 175
2007high 273 (2020) · low 4 (2008)2025

MAUDE reports naming product code HSX, 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
200763306
2008410204
20092—4921
2010374058
20111—0114
2012588083
20132—179
20140—066
20151—057
201631471107
201751604113
20182—0159
20197900177
20204402273
20217810240
20222—0257
20231—0231
202441330172
20254590175
20262—0—
Cite this page

510(k) Report. “K954186: Sled Unicompartment Knee System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K954186

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Record history
  • FDA decision record loaded May 2, 2026
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026