510(k) Report

510(k) · Cleared

Cleared

BLUEPRINT Patient Specific Instrumentation

K161789510(k) TraditionalCleared Dec 27, 2016181-day reviewClass II21 CFR 888.3660

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

Tornier S.A.S. · KWS Prosthesis, Shoulder, Semi-Constrained, Metal/Polymer Cemented

Cleared on Dec 27, 2016 as substantially equivalent to K143374 (Tornier S.A.S., 2015) and 1 other predicate after a 181-day review. Its family tree reaches back 11 generations to 1991.

Decided
Dec 27, 2016
Review
181 days
Class
Class II
Product code
KWS
Recalls
None
Predicates
2

Its longest line of descent runs back 11 generations to K905070 (1991). 99 ancestors in all, the oldest K800494 (1980). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2013: 3 other ancestors2012: 2 other ancestors2011: 5 other ancestors2010: 3 other ancestors2009: 2 other ancestors2008: 3 other ancestors2007: 2 other ancestors2006: 6 other ancestors2005: 5 other ancestors2000: 5 other ancestors1995: 3 other ancestors2004: 8 other ancestors2003: 5 other ancestors1999: 6 other ancestors1998: 2 other ancestors1991: 3 other ancestors2002: 2 other ancestors2001: 4 other ancestors1997: 3 other ancestors1996: 5 other ancestors1993: 3 other ancestors1987: 1 other ancestor1992: 1 other ancestor1994: 3 other ancestors1986: 1 other ancestor1980: 2 other ancestorsReference device: K150583 · Aequalis PerFORM+ Shoulder System · Tornier, Inc. · 2015Reference device: K160975 · Aequalis PerFORM+ Shoulder System · Tornier, Inc. · 2016K905070 · Vistar · Philips Medical Systems (Cleveland), Inc. · 1991K961168 · Viewpoint · Philips Medical Systems (Cleveland), Inc. · 1996×2: 2 generations cleared close together, K963221 (1997), K970604 (1997) K984298 · Z Kat Flurotactic Guidance System Mki · Z-Kat, Inc. · 1999K013025 · Modification to Flourolab Plus · Z-Kat, Inc. · 2001K031454 · Acumen Surgical Navigation System · Biomet, Inc. · 2004K111863 · Signature Planner,Signature Guides · Materialise NV · 2012K130126 · Signature Personalized Patient Care System - Glenoid Guide System · Biomet, Inc. · 2013K143374 · BLUEPRINT Patient Specific Instrumentation · Tornier S.A.S. · 2015K160555 · BLUEPRINT Patient Specific Instrumentation · Tornier S.A.S. · 20161980199020002010
  1. Root · 11 generations backK905070 VistarPhilips Medical Systems (Cleveland), Inc. · 1991
  2. 7 generations between
  3. 3 generations backK130126 Signature Personalized Patient Care System - Glenoid Guide SystemBiomet, Inc. · 2013
  4. 2 generations backK143374 BLUEPRINT Patient Specific InstrumentationTornier S.A.S. · 2015
  5. 1 generation backK160555 BLUEPRINT Patient Specific InstrumentationTornier S.A.S. · 2016
  6. This deviceK161789 BLUEPRINT Patient Specific InstrumentationTornier S.A.S. · 2016
Show all 11 generations
  1. Root · 11 generations backK905070 VistarPhilips Medical Systems (Cleveland), Inc. · 1991
  2. 10 generations backK961168 ViewpointPhilips Medical Systems (Cleveland), Inc. · 1996
  3. 9 generations backK963221 Optical Digitizer Option for View PointPhilips Medical Systems (Cleveland), Inc. · 1997
  4. 8 generations backK970604 Viewpoint - 3.0 SoftwarePhilips Medical Systems (Cleveland), Inc. · 1997
  5. 7 generations backK984298 Z Kat Flurotactic Guidance System MkiZ-Kat, Inc. · 1999
  6. 6 generations backK013025 Modification to Flourolab PlusZ-Kat, Inc. · 2001
  7. 5 generations backK031454 Acumen Surgical Navigation SystemBiomet, Inc. · 2004
  8. 4 generations backK111863 Signature Planner,Signature GuidesMaterialise NV · 2012
  9. 3 generations backK130126 Signature Personalized Patient Care System - Glenoid Guide SystemBiomet, Inc. · 2013
  10. 2 generations backK143374 BLUEPRINT Patient Specific InstrumentationTornier S.A.S. · 2015
  11. 1 generation backK160555 BLUEPRINT Patient Specific InstrumentationTornier S.A.S. · 2016
  12. This deviceK161789 BLUEPRINT Patient Specific InstrumentationTornier S.A.S. · 2016
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−11K905070VistarPhilips Medical Systems (Cleveland), Inc.1991—
−10K961168ViewpointPhilips Medical Systems (Cleveland), Inc.1996—
−9K963221Optical Digitizer Option for View PointPhilips Medical Systems (Cleveland), Inc.1997—
−8K970604Viewpoint - 3.0 SoftwarePhilips Medical Systems (Cleveland), Inc.1997—
−7K984298Z Kat Flurotactic Guidance System MkiZ-Kat, Inc.1999—
−6K013025Modification to Flourolab PlusZ-Kat, Inc.2001—
−5K031454Acumen Surgical Navigation SystemBiomet, Inc.2004—
−4K111863Signature Planner,Signature GuidesMaterialise NV2012—
−3K130126Signature Personalized Patient Care System - Glenoid Guide SystemBiomet, Inc.2013—
−2K143374BLUEPRINT Patient Specific InstrumentationTornier S.A.S.2015—
−1K160555BLUEPRINT Patient Specific InstrumentationTornier S.A.S.2016—
0 (this device)K161789BLUEPRINT Patient Specific InstrumentationTornier S.A.S.2016—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198020
198610
198710
199130
199210
199330
199430
199530
199650
199730
199820
199960
200050
200140
200220
200350
200480
200550
200660
200720
200830
200920
201030
201150
201220
201330
FIG. 1 — Lineage of K161789, 1991–2016Source: 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 KWS? 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 KWS device

  1. #1 K220847 AETOS Shoulder Systemscore 21.1 · 16 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? (2)

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
*K143374BLUEPRINT Patient Specific Instrumentation
Summary page 5
…ass II Classification panel: Orthopedic Product code: KWS 5) Equivalent / Predicate device : Primary: BLUEPRINT™ Patient Specific Instrumentation, Tornier SAS (K143374) Primary: BLUEPRINT™ Patient Specific Instrumentation, Tornier SAS (K160555) Reference: Aequalis PerFORM+ Shoulder System (K15058…
Tornier S.A.S.2015—
*K160555BLUEPRINT Patient Specific Instrumentation
Summary page 5
…lent / Predicate device : Primary: BLUEPRINT™ Patient Specific Instrumentation, Tornier SAS (K143374) Primary: BLUEPRINT™ Patient Specific Instrumentation, Tornier SAS (K160555) Reference: Aequalis PerFORM+ Shoulder System (K150583) Reference: Aequalis PerFORM+ Shoulder System (K160975) TORNIE…
Tornier S.A.S.2016—
†K150583Aequalis PerFORM+ Shoulder SystemTornier, Inc.2015—
†K160975Aequalis PerFORM+ Shoulder SystemTornier, Inc.2016—

Also cleared against K143374: 2 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 25 years and passes through 5 companies; a new generation was cleared every 1.7 years on median.
  • 19 of the 99 ancestors have a recall of any class.
  • 2 other devices also cite its predicate K143374.

How does its category compare?

All KWS devices

KWS Prosthesis, Shoulder, Semi-Constrained, Metal/Polymer Cemented: FDA decisions, review times, recalls and adverse event reports over 20 years. 2016, this device’s year, is highlighted.

FDA decisions per year · KWS

3in 2025

2007: 22008: 42009: 42010: 72011: 112012: 72013: 122014: 72015: 82016: 102017: 72018: 42019: 92020: 32021: 52022: 52023: 42024: 22025: 32026 (partial year): 2
2007high 12 (2013) · low 2 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KWS

97in 2025

2008: 37 days median2009: 108 days median2010: 33 days median2011: 90 days median2012: 86 days median2013: 120 days median2014: 89 days median2015: 129 days median2016: 114 days median2017: 120 days median2018: 152 days median2019: 106 days median2020: 98 days median2021: 151 days median2022: 158 days median2023: 250 days median2025: 97 days median
2007high 250 (2023) · low 33 (2010)2026

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

Recalls per year · KWS

2in 2023

2007: 212008: 292010: 102011: 112012: 102014: 12016: 12017: 42018: 12019: 22020: 52023: 22026 (partial year): 1
2007high 29 (2008) · low 0 (2009)2026

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

Adverse event reports per year · KWS

2,281in 2025

2007: 1582008: 2382009: 2942010: 3932011: 4862012: 5422013: 8182014: 1,0662015: 1,1702016: 9702017: 1,6812018: 1,5452019: 1,7282020: 1,5672021: 1,3582022: 1,2682023: 1,7502024: 2,1222025: 2,281
2007high 2,281 (2025) · low 158 (2007)2025

MAUDE reports naming product code KWS, 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
20072—21158
200843729238
200941080294
201073310393
2011119011486
201278610542
2013121200818
201478911,066
2015812901,170
2016101141970
2017712041,681
2018415211,545
2019910621,728
202039851,567
2021515101,358
2022515801,268
2023425021,750
20242—02,122
202539702,281
20262—1—

What is it indicated for?

The hardware The Aequalis Glenoid Guides are patient-specific drill guides. They have been specially designed to assist in the intraoperative positioning of glenoid components used with total anatomic shoulder arthroplasty procedures using anatomic landmarks that are identifiable on patient-specific preoperative CT-scans. Aequalis PerFORM Anatomic Glenoid Guide is used by surgeons to facilitate the placement of the Aequalis PerFORM glenoids and the…

Read the full statement (242 words)

The hardware

The Aequalis Glenoid Guides are patient-specific drill guides. They have been specially designed to assist in the intraoperative positioning of glenoid components used with total anatomic shoulder arthroplasty procedures using anatomic landmarks that are identifiable on patient-specific preoperative CT-scans.

Aequalis PerFORM Anatomic Glenoid Guide is used by surgeons to facilitate the placement of the Aequalis PerFORM glenoids and the Aequalis PerFORM + glenoids.

The software

The BLUEPRINT 3D planning software is a medical device for surgeon composed of one software component. It is intended to be used as a pre-surgical planner for shoulder orthopedic surgery.

BLUEPRINT 3D planning software runs on standard personal and business computers running Microsoft Windows or Mac OS operating systems.

The software supports DICOM standard to import the CT-Scan (Computed Tomography) images of the patient. Only CT-Scan modality can be loaded with BLUEPRINT3D planning software.

BLUEPRINT 3D planning software allows surgeon to visualize, measure, reconstruct, and annotate anatomic data. It allows surgeon to design patient specific guides based on the presurgical plan.

This device is intended for use provided anatomic reference points necessary for positioning of the guide are present on the CT scan.

The software leads to the generation of a surgery report along with a 3D file of the patient-specific guide.

BLUEPRINT 3D planning software does not include any system to manufacture the guide.

BLUEPRINT 3D planning software is to be used for adult patients only and should not be used for Diagnostic purpose.

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. “K161789: BLUEPRINT Patient Specific Instrumentation.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K161789

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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