510(k) Report

510(k) · Cleared

Cleared

Apex Modular Alumina Femoral Head

K012918510(k) TraditionalCleared Nov 27, 200189-day reviewClass II21 CFR 888.3353

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

Apex Surgical, LLC · LZO Prosthesis, Hip, Semi-Constrained, Metal/Ceramic/Polymer, Cemented Or Non-Porous, Uncemented

Cleared on Nov 27, 2001 as substantially equivalent to K981847 (Smith & Nephew, Inc., 1998) and 2 other predicates after an 89-day review. Its family tree reaches back 5 generations to 1994. 7 later devices descend from it.

Decided
Nov 27, 2001
Review
89 days
Class
Class II
Product code
LZO
Recalls
None
Predicates
3

Its longest line of descent runs back 5 generations to K933275 (1994). 25 ancestors in all, the oldest K823727 (1983). 7 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2000: 1 other ancestor1998: 1 other ancestor1997: 2 other ancestors1995: 1 other ancestor1994: 2 other ancestors1992: 1 other ancestor1993: 2 other ancestors1991: 1 other ancestor1990: 1 other ancestor1988: 1 other ancestor1987: 2 other ancestors1986: 3 other ancestors1983: 2 other ancestors2004: 1 descendant cleared2017: 1 descendant cleared2010: 1 descendant cleared2005: 1 descendant cleared2021: 1 descendant cleared2024: 1 descendant cleared2026: 1 descendant clearedK933275 · P.F.C. Ceramic Hip Head · Johnson & Johnson Orthopaedics, Inc. · 1994K962248 · P.F.C. Ceramic Hip Head · Johnson & Johnson Professionals, Inc. · 1996×2: 2 generations cleared close together, K973307 (1997), K980081 (1998) K990261 · Plus Ceramic Head Prostheses (Alumina and Zirkonia) · Plus Orthopedics · 199919801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 2 other ancestors3 generations back: 4 other ancestors4 generations back: 12 other ancestors 1 generation forward: 3 descendants2 generations forward: 2 descendants3 generations forward: 1 descendant4 generations forward: 1 descendant K990261 · Plus Ceramic Head Prostheses (Alumina and Zirkonia) · Plus Orthopedics · 1999K980081 · S-Rom Zirconia Ceramic Femoral Hip Head · Johnson & Johnson Professionals, Inc. · 1998K973307 · S-Rom Zirconia Ceramic Femoral Hip Head · Johnson & Johnson Professionals, Inc. · 1997K962248 · P.F.C. Ceramic Hip Head · Johnson & Johnson Professionals, Inc. · 1996K933275 · P.F.C. Ceramic Hip Head · Johnson & Johnson Orthopaedics, Inc. · 1994−50
  1. Root · 5 generations backK933275 P.F.C. Ceramic Hip HeadJohnson & Johnson Orthopaedics, Inc. · 1994
  2. 4 generations backK962248 P.F.C. Ceramic Hip HeadJohnson & Johnson Professionals, Inc. · 1996
  3. 3 generations backK973307 S-Rom Zirconia Ceramic Femoral Hip HeadJohnson & Johnson Professionals, Inc. · 1997
  4. 2 generations backK980081 S-Rom Zirconia Ceramic Femoral Hip HeadJohnson & Johnson Professionals, Inc. · 1998
  5. 1 generation backK990261 Plus Ceramic Head Prostheses (Alumina and Zirkonia)Plus Orthopedics · 1999
  6. This deviceK012918 Apex Modular Alumina Femoral HeadApex Surgical, LLC · 2001
  7. Descendant · cites it directly · 4 of its ownK101451 Apex Module Hip System Biolox Delta Femoral HeadOmni Life Science, Inc. · 2010
  8. Descendant · 2 generations on · 2 of its ownK201657 Corin Ltd. Hip Products: Trinity™ Acetabular System, Trinity™ PLUS…Corin, Ltd. · 2021
  9. Descendant · 3 generations on · 1 of its ownK241472 Icona Hip StemCorin U.S.A. Limited · 2024
  10. Descendant · cites it directly · 1 of its ownK042035 Alumina HeadFournitures Hospitalieres Industrie · 2004
  11. Descendant · 4 generations on · 0 of its ownK261576 Icona Hip StemCorin, Ltd. · 2026

Showing 5 of 7 descendants. See all descendants

Descendants cleared per year

2004: 12005: 12010: 12017: 12021: 12024: 12026: 1
2004high 1 (2004) · low 0 (2006)2026

Most influential descendants

Showing 5 of 7 · See all
  • K101451Apex Module Hip System Biolox Delta Femoral HeadOmni Life Science, Inc. · 2010 · cites it directly4descendants
  • K201657Corin Ltd. Hip Products: Trinity™ Acetabular System, Trinity™ PLUS Acetabular Shell…Corin, Ltd. · 2021 · 2 generations on2descendants
  • K241472Icona Hip StemCorin U.S.A. Limited · 2024 · 3 generations on1descendant
  • K042035Alumina HeadFournitures Hospitalieres Industrie · 2004 · cites it directly1descendant
  • K261576Icona Hip StemCorin, Ltd. · 2026 · 4 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K933275P.F.C. Ceramic Hip HeadJohnson & Johnson Orthopaedics, Inc.1994—
−4K962248P.F.C. Ceramic Hip HeadJohnson & Johnson Professionals, Inc.1996—
−3K973307S-Rom Zirconia Ceramic Femoral Hip HeadJohnson & Johnson Professionals, Inc.1997—
−2K980081S-Rom Zirconia Ceramic Femoral Hip HeadJohnson & Johnson Professionals, Inc.1998—
−1K990261Plus Ceramic Head Prostheses (Alumina and Zirkonia)Plus Orthopedics1999—
0 (this device)K012918Apex Modular Alumina Femoral HeadApex Surgical, LLC2001—
+1K101451Apex Module Hip System Biolox Delta Femoral HeadOmni Life Science, Inc.2010—
+2K201657Corin Ltd. Hip Products: Trinity™ Acetabular System, Trinity™ PLUS Acetabular…Corin, Ltd.2021—
+3K241472Icona Hip StemCorin U.S.A. Limited2024—
+1K042035Alumina HeadFournitures Hospitalieres Industrie2004—
+4K261576Icona Hip StemCorin, Ltd.2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198320
198630
198720
198810
199010
199110
199210
199320
199420
199510
199720
199810
200010

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200410
200510
201010
201710
202110
202410
202610
FIG. 1 — Lineage of K012918, 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 LZO? 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 LZO device

  1. #1 K192827 Quadra-Pscore 19.3 · 10 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? (3)

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
*K981847Biolox Alumina Ceramic Femoral Head
Summary page 2
…Femoral Head to these predicate devices. Apex Modular" Smith & Plus Alumina Nephew Biolox Orthopedics Femoral Head Alumina Biolox® forte Ceramic Heads | Alumina Heads (K981847 and (K990261) K991162) INTENDED USE Primary and revision Yes Yes Yes total hip replacement DESIGN Taper design 12/14 12/14 12/14…
Smith & Nephew, Inc.1998—
*K991162Biolox Alumina Ceramic Femoral Head
Summary page 2
…predicate devices. Apex Modular" Smith & Plus Alumina Nephew Biolox Orthopedics Femoral Head Alumina Biolox® forte Ceramic Heads | Alumina Heads (K981847 and (K990261) K991162) INTENDED USE Primary and revision Yes Yes Yes total hip replacement DESIGN Taper design 12/14 12/14 12/14 Head diameters 28 and…
Smith & Nephew, Inc.2000—
*K990261Plus Ceramic Head Prostheses (Alumina and Zirkonia)
Summary page 2
…to these predicate devices. Apex Modular" Smith & Plus Alumina Nephew Biolox Orthopedics Femoral Head Alumina Biolox® forte Ceramic Heads | Alumina Heads (K981847 and (K990261) K991162) INTENDED USE Primary and revision Yes Yes Yes total hip replacement DESIGN Taper design 12/14 12/14 12/14 Head diameter…
Plus Orthopedics1999—

Also cleared against K981847: 4 other devices →

What descends from it? (7)

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

NumberDeviceApplicantDecidedDescendants
K101451Apex Module Hip System Biolox Delta Femoral HeadOmni Life Science, Inc.20104
K042035Alumina HeadFournitures Hospitalieres Industrie20041
K171156OMNI Anseris Hip StemOmnilife Science20170

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 7 years and passes through 4 companies; a new generation was cleared every 1.4 years on median.
  • None of the 25 ancestors has a recall.
  • Of its descendants, K101451 (Omni Life Science, Inc., 2010) has gone furthest, with 4 descendants of its own.
  • 4 other devices also cite its predicate K981847.

How does its category compare?

All LZO devices

LZO Prosthesis, Hip, Semi-Constrained, Metal/Ceramic/Polymer, Cemented Or Non-Porous, Uncemented: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · LZO

14in 2025

2007: 92008: 112009: 72010: 152011: 132012: 142013: 262014: 132015: 122016: 102017: 162018: 182019: 282020: 182021: 122022: 112023: 102024: 112025: 142026 (partial year): 9
2007high 28 (2019) · low 7 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · LZO

119in 2025

2007: 87 days median2008: 63 days median2009: 83 days median2010: 78 days median2011: 87 days median2012: 98 days median2013: 100 days median2014: 85 days median2015: 115 days median2016: 177 days median2017: 257 days median2018: 163 days median2019: 109 days median2020: 112 days median2021: 170 days median2022: 279 days median2023: 122 days median2024: 111 days median2025: 119 days median2026 (partial year): 102 days median
2007high 279 (2022) · low 63 (2008)2026

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

Recalls per year · LZO

1in 2025

2007: 22008: 132009: 422011: 102012: 142014: 12015: 12016: 92017: 52018: 22019: 42020: 32022: 42023: 22024: 12025: 1
2007high 42 (2009) · low 0 (2010)2026

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

Adverse event reports per year · LZO

3,244in 2025

2007: 1382008: 1252009: 1892010: 3942011: 5442012: 9632013: 1,3702014: 1,4772015: 1,3482016: 1,7282017: 2,1652018: 3,1332019: 3,0662020: 1,9632021: 2,1992022: 1,9852023: 2,0662024: 2,5862025: 3,244
2007high 3,244 (2025) · low 125 (2008)2025

MAUDE reports naming product code LZO, 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
20079872138
2008116313125
200978342189
201015780394
2011138710544
2012149814963
20132610001,370
2014138511,477
20151211511,348
20161017791,728
20171625752,165
20181816323,133
20192810943,066
20201811231,963
20211217002,199
20221127941,985
20231012222,066
20241111112,586
20251411913,244
202691020—

What is it indicated for?

The Apex Modular™ Alumina Femoral Head is intended for use in combination with the Apex Modular Hip Stem as the femoral component in total hip replacement procedures. This ceramic head is intended to articulate with a polyethylene or metal-backed polyethylene acetabular cup component. This prosthesis is intended for single use implantation, and may be used for the following conditions, as appropriate: Non-inflammatory degenerative joint disease…

Read the full statement (96 words)

The Apex Modular™ Alumina Femoral Head is intended for use in combination with the Apex Modular Hip Stem as the femoral component in total hip replacement procedures. This ceramic head is intended to articulate with a polyethylene or metal-backed polyethylene acetabular cup component. This prosthesis is intended for single use implantation, and may be used for the following conditions, as appropriate:

Non-inflammatory degenerative joint disease, including osteoarthritis and avascular necrosis;

Rheumatoid arthritis;

Correction of functional deformity;

Congenital dislocation;

Revision procedures where other treatments or devices have failed;

Femoral neck and trochanteric fractures of the proximal femur.

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. “K012918: Apex Modular Alumina Femoral Head.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K012918

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