510(k) Report

510(k) · Cleared

Recalled · Class II · 2016

Alteon Neck Preserving Femoral Stem, Standard Offset, Size 6-7; Alteon Neck Preserving Femoral Stem, Extended Offset

K141821510(k) SpecialCleared Aug 28, 201452-day reviewClass II21 CFR 888.3353Recalls 1

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

Exactech, Inc. · LZO Prosthesis, Hip, Semi-Constrained, Metal/Ceramic/Polymer, Cemented Or Non-Porous, Uncemented

Cleared on Aug 28, 2014 as substantially equivalent to K121684 (Exactech, Inc., 2012) after a 52-day review. Its family tree reaches back 10 generations to 1996. 1 of the 92 devices in its family, counting itself, has a Class I recall. It has been recalled once.

Decided
Aug 28, 2014
Review
52 days
Class
Class II
Product code
LZO
Recalls
1
Predicates
1

Its longest line of descent runs back 10 generations to K955033 (1996). 92 ancestors in all, the oldest K840643 (1984). No later device cites it as a predicate yet. 1 of the 92 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year cleared 2009: 1 other ancestor, 1 with a Class I recall12008: 1 other ancestor2006: 2 other ancestors2005: 2 other ancestors2003: 6 other ancestors2002: 5 other ancestors2001: 4 other ancestors2000: 8 other ancestors1998: 5 other ancestors1997: 6 other ancestors2004: 1 other ancestor1999: 1 other ancestor1996: 7 other ancestors1995: 9 other ancestors1994: 12 other ancestors1992: 1 other ancestor1991: 3 other ancestors1990: 2 other ancestors1984: 1 other ancestor1987: 2 other ancestors1985: 1 other ancestor1993: 1 other ancestorK955033 · Rim Flare Acetabular Component · Intermedics Orthopedics · 1996K983509 · Inter-OP Acetabular System - Durasul Acetabular Insert · Sulzer Orthopedics, Inc. · 1999K993259 · Inter-OP Durasul Acetabular Inserts/Cocr Femoral Heads · Sulzer Orthopedics, Inc. · 2000 · recalledK022902 · Smith & Nephew Hip System · Smith & Nephew, Inc. · 2002×2: 2 generations cleared close together, K040191 (2004), K043079 (2004) K060437 · Excia Total Hip System with U-Cap · Aesculap, Inc. · 2006K080584 · Metha Short Stem Hip System · Aesculap Implant System, Inc. · 2008K112682 · Metha Hip System · Aesculap Implant Systems, LLC · 2012K121684 · Novation Lpi Prime Femoral Stem · Exactech, Inc. · 201219801985199019952000200520102015
  1. Root · 10 generations backK955033 Rim Flare Acetabular ComponentIntermedics Orthopedics · 1996
  2. 6 generations between
  3. 3 generations backK080584 Metha Short Stem Hip SystemAesculap Implant System, Inc. · 2008
  4. 2 generations backK112682 Metha Hip SystemAesculap Implant Systems, LLC · 2012
  5. 1 generation backK121684 Novation Lpi Prime Femoral StemExactech, Inc. · 2012
  6. This deviceK141821 Alteon Neck Preserving Femoral Stem, Standard Offset, Size 6-7…Exactech, Inc. · 2014
Show all 10 generations
  1. Root · 10 generations backK955033 Rim Flare Acetabular ComponentIntermedics Orthopedics · 1996
  2. 9 generations backK983509 Inter-OP Acetabular System - Durasul Acetabular InsertSulzer Orthopedics, Inc. · 1999
  3. 8 generations backK993259 Inter-OP Durasul Acetabular Inserts/Cocr Femoral HeadsSulzer Orthopedics, Inc. · 2000 · Recalled
  4. 7 generations backK022902 Smith & Nephew Hip SystemSmith & Nephew, Inc. · 2002
  5. 6 generations backK040191 Bicontact Hip Stem and Femoral HeadAesculap · 2004
  6. 5 generations backK043079 Bicontact Hip System with U-CapAesculap · 2004
  7. 4 generations backK060437 Excia Total Hip System with U-CapAesculap, Inc. · 2006
  8. 3 generations backK080584 Metha Short Stem Hip SystemAesculap Implant System, Inc. · 2008
  9. 2 generations backK112682 Metha Hip SystemAesculap Implant Systems, LLC · 2012
  10. 1 generation backK121684 Novation Lpi Prime Femoral StemExactech, Inc. · 2012
  11. This deviceK141821 Alteon Neck Preserving Femoral Stem, Standard Offset, Size 6-7…Exactech, Inc. · 2014

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−10K955033Rim Flare Acetabular ComponentIntermedics Orthopedics1996—
−9K983509Inter-OP Acetabular System - Durasul Acetabular InsertSulzer Orthopedics, Inc.1999—
−8K993259Inter-OP Durasul Acetabular Inserts/Cocr Femoral HeadsSulzer Orthopedics, Inc.20003
−7K022902Smith & Nephew Hip SystemSmith & Nephew, Inc.2002—
−6K040191Bicontact Hip Stem and Femoral HeadAesculap2004—
−5K043079Bicontact Hip System with U-CapAesculap2004—
−4K060437Excia Total Hip System with U-CapAesculap, Inc.2006—
−3K080584Metha Short Stem Hip SystemAesculap Implant System, Inc.2008—
−2K112682Metha Hip SystemAesculap Implant Systems, LLC2012—
−1K121684Novation Lpi Prime Femoral StemExactech, Inc.2012—
0 (this device)K141821Alteon Neck Preserving Femoral Stem, Standard Offset, Size 6-7; Alteon Neck…Exactech, Inc.2014—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198410
198510
198720
199020
199130
199210
199310
1994120
199590
199670
199760
199850
199910
200080
200140
200250
200360
200410
200520
200620
200810
200911
FIG. 1 — Lineage of K141821, 1996–2014Source: 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.

1 device in this family has a Class I recall. 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
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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
*K121684Novation Lpi Prime Femoral Stem
Summary page 4
…ubstantial Equivalence Is Claimed: Name Manufacturer 510(k) Number Exactech Novation LPI Prime Femoral Exactech, Inc K121684 Stem Indication for Use: All Exactech Hip Systems are indicated for use in skeletally mature individuals undergoing primary sur…
Exactech, Inc.2012—

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (1 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Nov 7, 2016Class IIZ-1032-2017Under Investigation by firmProducts were labeled with incorrect Global Trade Item Numbers. The GTIN on the label identifies the devices as another.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K091423Profemur Hip System Modular NecksWrightmedicaltechnologyinc · 2009 · 3 generations back · ◆ in the 2009 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 18 years and passes through 8 companies; a new generation was cleared every 1.9 years on median.
  • 25 of the 91 ancestors have a recall of any class; 1 has a Class I recall.

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. 2014, this device’s year, is highlighted.

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?

All Exactech Hip Systems are indicated for use in skeletally mature individuals undergoing primary surgery for hip replacement due to osteoarthritis, rheumatoid arthritis, osteonecrosis, post-traumatic degenerative problems of the hip, and for treatment of proximal femoral fractures where prosthetic replacement is determined by the surgeon as the preferred treatment. Components of Exactech Hip Systems are also potentially indicated for ankylosing…

Read the full statement (120 words)

All Exactech Hip Systems are indicated for use in skeletally mature individuals

undergoing primary surgery for hip replacement due to osteoarthritis, rheumatoid

arthritis, osteonecrosis, post-traumatic degenerative problems of the hip, and for

treatment of proximal femoral fractures where prosthetic replacement is determined by

the surgeon as the preferred treatment. Components of Exactech Hip Systems are also

potentially indicated for ankylosing spondylitis, congenital hip dysplasia, revision of

failed previous reconstructions where sufficient bone stock is present, and to restore

mobility resulting from previous fusion.

Cemented femoral stems and cemented acetabular cups are intended for cemented fixation only.

Press-fit femoral stems and acetabular cups are intended for press-fit fixation.

Femoral heads and endoprostheses are intended for use in cemented and press-fit applications.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K141821: Alteon Neck Preserving Femoral Stem, Standard Offset, Size 6-7; Alteon Neck Preserving Femoral Stem, Extended Offset.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K141821

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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