HSX · Class II · 21 CFR 888.3520

FDA Product Code HSX: Prosthesis, Knee, Femorotibial, Non-constrained, Cemented, Metal/polymer

Under FDA product code HSX, non-constrained cemented femorotibial knee prostheses are cleared for unicompartmental or total knee arthroplasty.

Non-constrained designs rely on the patient's own ligaments — particularly the PCL and collateral ligaments — for joint stability, rather than on mechanical constraint from the implant. They offer more natural kinematics than constrained designs and are used in patients with intact ligamentous support.

HSX devices are Class II medical devices, regulated under 21 CFR 888.3520 and reviewed by the FDA Orthopedic panel.

Leading manufacturers include Smith & Nephew, Inc., Zimmer, Inc. and Bodycad Laboratories, Inc..

114
Total
114
Cleared
111d
Avg days
1977
Since
Growing category - 8 submissions in the last 2 years vs 2 in the prior period
Review times improving: avg 84d recently vs 113d historically

FDA 510(k) Cleared Prosthesis, Knee, Femorotibial, Non-constrained, Cemented, Metal/polymer Devices (Product Code HSX)

114 devices
1–24 of 114
Cleared Apr 02, 2026
Tahoe Unicondylar Knee System with TiNbN Overcoat
K260796
Shalby Advanced Technologies, Inc. Dba Consensus Orthopedics
Orthopedic · 22d
Cleared Dec 16, 2025
Cambridge Partial Knee
K251771
Signature Orthopaedics Pty, Ltd.
Orthopedic · 189d
Cleared Aug 15, 2025
Persona Partial Knee
K251834
Zimmer Biomet
Orthopedic · 60d
Cleared Jul 24, 2025
MOTO Partial Knee System Extension
K251618
Medacta International S.A.
Orthopedic · 58d
Cleared Jul 01, 2025
Arthrex iBalance Partial Knee System
K251453
Arthrex, Inc.
Orthopedic · 50d
Cleared Dec 06, 2024
ACTIFY™ Unicondylar Knee System
K241260
Globus Medical, Inc.
Orthopedic · 214d
Cleared Oct 30, 2024
JOURNEY II Unicompartmental Knee System (JOURNEY II UK)
K242711
Smith & Nephew, Inc.
Orthopedic · 51d
Cleared Oct 07, 2024
OvertureTi Knee Resurfacing SystemTM
K242746
Overture Orthopaedics
Orthopedic · 26d
Cleared Apr 04, 2024
TRIBRID® Unicompartmental Knee System
K232114
Kyocera Medical Technologies, Inc.
Orthopedic · 265d
Cleared Mar 10, 2023
Uni Knee Resurfacing System
K221292
Overture Resurfacing, Inc.
Orthopedic · 310d
Cleared Jun 16, 2022
TLC Unicompartmental Knee System
K212870
Signature Orthopaedics Pty, Ltd.
Orthopedic · 280d
Cleared Jun 02, 2022
Restoris Multi-Compartmental Knee System
K220930
Mako Surgical Corp.
Orthopedic · 63d
Cleared Dec 16, 2021
Balanced Knee System Uni
K211471
Ortho Development Corporation
Orthopedic · 219d
Cleared Nov 16, 2021
MOTOTM Partial Knee & MOTO PFJ Systems Extension
K213071
Medacta International S.A.
Orthopedic · 54d
Cleared Oct 12, 2021
BC Reflex Uni Knee System
K212307
Bodycad Laboratories, Inc.
Orthopedic · 81d
Cleared Sep 16, 2021
VISIONAIRE UK Patient Matched Cutting Guides
K211512
Smith & Nephew, Inc.
Orthopedic · 125d
Cleared Aug 20, 2021
BC Reflex Uni Knee System
K211895
Bodycad Laboratories, Inc.
Orthopedic · 60d
Cleared Mar 12, 2021
BC Reflex Uni Knee System
K203697
Bodycad Laboratories, Inc.
Orthopedic · 84d
Cleared Jan 08, 2021
ACS LD Uni FB Knee System
K203341
Implantcast GmbH
Orthopedic · 57d
Cleared Oct 27, 2020
Triathlon PKR System
K203099
Howmedica Osteonics Corp. A.K.A. Stryker Orthopaedics
Orthopedic · 13d
Cleared Oct 02, 2020
Materialise PKA Guide System
K202207
Materialise NV
Orthopedic · 57d
Cleared Mar 17, 2020
Persona Partial Knee Tibial Cut Guide 5 Deg Left Medial Right Lateral, Persona Partial Knee Tibial Cut Guide 5 Deg Right Medial Left Lateral, Persona Partial Knee 2MM Tibial Recutter Left Medial Right Lateral, Persona Partial Knee 2MM Tibial Recutter Right Medial Left Lateral, Persona Partial Knee Tibial Drill
K200151
Zimmer, Inc.
Orthopedic · 55d
Cleared Mar 17, 2020
iBalance UKA Tibial Tray Implant
K200433
Arthrex, Inc.
Orthopedic · 25d
Cleared Dec 05, 2019
BC Reflex Uni Knee System
K191996
Bodycad Laboratories, Inc.
Orthopedic · 132d

About Product Code HSX - Regulatory Context

510(k) Submission Activity

114 total 510(k) submissions under product code HSX since 1977, with 114 receiving FDA clearance (average review time: 111 days).

Submission volume has increased in recent years - 8 submissions in the last 24 months compared to 2 in the prior period - suggesting growing market activity in this device classification.

FDA 510(k) Review Time - HSX Product Code

Recent submissions under HSX have taken an average of 84 days to reach a decision - down from 113 days historically, suggesting improved FDA processing for this classification.

HSX devices are reviewed by the Orthopedic panel. Browse all Orthopedic devices →