510(k) Report

510(k) · Cleared

Recalled · Class II · 2023

AltiVate Reverse Humeral Stem, AltiVate Reverse Small Spacer, Altivate Reverse, Small Hemi-Adapter, AltiVate Reverse, Small Socket Insert

K172351510(k) TraditionalCleared Oct 30, 201788-day reviewClass II21 CFR 888.3660Recalls 3

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

Encore Medical L.P. · KWS Prosthesis, Shoulder, Semi-Constrained, Metal/Polymer Cemented

Cleared on Oct 30, 2017 as substantially equivalent to K141990 (Encore Medical L.P., 2014) and 5 other predicates after an 88-day review. Its family tree reaches back 15 generations to 1991. 1 of the 165 devices in its family, counting itself, has a Class I recall. 18 later devices descend from it. It has been recalled 3 times.

Decided
Oct 30, 2017
Review
88 days
Class
Class II
Product code
KWS
Recalls
3
Predicates
6

Its longest line of descent runs back 15 generations to K911686 (1991). 146 ancestors in all, the oldest K790987 (1979). 18 later devices descend from it, 7 citing it directly. 1 of the 165 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2014: 2 other ancestors2011: 5 other ancestors2010: 3 other ancestors2013: 2 other ancestors2009: 2 other ancestors2008: 7 other ancestors2005: 8 other ancestors2004: 4 other ancestors1995: 8 other ancestors2012: 4 other ancestors2007: 7 other ancestors2006: 9 other ancestors2003: 8 other ancestors2000: 7 other ancestors1999: 5 other ancestors1998: 7 other ancestors2002: 3 other ancestors2001: 7 other ancestors1997: 3 other ancestors1996: 5 other ancestors1993: 3 other ancestors1992: 5 other ancestors1989: 1 other ancestor1987: 5 other ancestors1986: 1 other ancestor1980: 2 other ancestors1979: 1 other ancestor1994: 3 other ancestors1991: 2 other ancestors1988: 1 other ancestor1981: 1 other ancestor2020: 1 descendant cleared2022: 4 descendants cleared2021: 4 descendants cleared2019: 1 descendant cleared2025: 3 descendants cleared2024: 2 descendants cleared2023: 2 descendants cleared2026: 1 descendant clearedK911686 · Global Total Shoulder, Uncement Humeral Hemi-Shoul · Depuy, Inc. · 1991×2: 2 generations cleared close together, K984541 (1999), K992065 (1999) ×3: 3 generations cleared close together, K021478 (2003), K030941 (2004), K041873 (2004) ×2: 2 generations cleared close together, K052906 (2005), K060704 (2006) K063569 · Equinoxe Reverse Shoulder System · Exactech, Inc. · 2007 · recalled×2: 2 generations cleared close together, K073688 (2008), K080642 (2008) ×2: 2 generations cleared close together, K110599 (2011), K112615 (2011) K122698 · Aequalis Ascend Flex Shoulder System · Tornier S.A.S. · 2013 · recalledK141990 · Encore Humeral Shoulder Stem · Encore Medical L.P. · 2014 · recalled19801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 4 other ancestors2 generations back: 13 other ancestors3 generations back: 19 other ancestors4 generations back: 29 other ancestors5 generations back: 13 other ancestors6 generations back: 17 other ancestors7 generations back: 20 other ancestors8 generations back: 10 other ancestors9 generations back: 5 other ancestors10 generations back: 1 other ancestor 1 generation forward: 7 descendants2 generations forward: 8 descendants3 generations forward: 3 descendants K141990 · Encore Humeral Shoulder Stem · Encore Medical L.P. · 2014 · recalledK122698 · Aequalis Ascend Flex Shoulder System · Tornier S.A.S. · 2013 · recalledK112615 · Aequalis Ascend Modular Reverse Shoulder System · Tornier, Inc. · 2011K110599 · Aequalis Ascend Modular Reverse Shoulder System · Tornier, Inc. · 2011K080642 · Comprehensive Reverse Shoulder · Biomet, Inc. · 2008 · Class I recallK073688 · Equinoxe Reverse Shoulder System Fracture Humeral Adapter Tray and Locking Screw · Exactech, Inc. · 2008 · recalledK063569 · Equinoxe Reverse Shoulder System · Exactech, Inc. · 2007 · recalledK060704 · Zimmer Trabecular Metal Reverse Shoulder System, Sizes 8MM and 10MM · Zimmer, Inc. · 2006 · recalledK052906 · Zimmer Trabecular Metal Reverse Shoulder System · Zimmer, Inc. · 2005 · recalledK041873 · Aequalis Reversed Shoulder Prosthesis · Tornier · 2004K030941 · Aequalis Reversed Shoulder Prosthesis · Tornier · 2004K021478 · Delta Shoulder · Depuy, Inc. · 2003K992065 · Global Advantage Shoulder, Global Advantage Humeral Stem, Global Advantage Eccentric Head · DePuy Orthopaedics, Inc. · 1999K984541 · Global FX Humeral Stem, Global Advantage Humeral Head · DePuy Orthopaedics, Inc. · 1999K911686 · Global Total Shoulder, Uncement Humeral Hemi-Shoul · Depuy, Inc. · 1991−15−10−50
  1. Root · 15 generations backK911686 Global Total Shoulder, Uncement Humeral Hemi-ShoulDepuy, Inc. · 1991
  2. 11 generations between
  3. 3 generations backK112615 Aequalis Ascend Modular Reverse Shoulder SystemTornier, Inc. · 2011
  4. 2 generations backK122698 Aequalis Ascend Flex Shoulder SystemTornier S.A.S. · 2013 · Recalled
  5. 1 generation backK141990 Encore Humeral Shoulder StemEncore Medical L.P. · 2014 · Recalled
  6. This deviceK172351 AltiVate Reverse Humeral Stem, AltiVate Reverse Small Spacer…Encore Medical L.P. · 2017
  7. Descendant · cites it directly · 15 of its ownK190290 AltiVate Reverse Humeral Stem, 48mmEncore Medical L.P. · 2019
  8. Descendant · cites it directly · 5 of its ownK202611 Catalyst OrthoScience R1 Reverse Shoulder SystemCatalyst Orthoscience, Inc. · 2021
  9. Descendant · 2 generations on · 3 of its ownK211991 Catalyst R1 Reverse Shoulder SystemCatalyst Orthoscience, Inc. · 2021
  10. Descendant · 2 generations on · 2 of its ownK213349 Catalyst R1 Reverse Shoulder SystemCatalyst Orthoscience, Inc. · 2022
  11. Descendant · cites it directly · 2 of its ownK212800 PRIMA Humeral System and SMR Glenosphere Ø42Lima Corporate S.P.A. · 2022 · Recalled
Show all 15 generations
  1. Root · 15 generations backK911686 Global Total Shoulder, Uncement Humeral Hemi-ShoulDepuy, Inc. · 1991
  2. 14 generations backK984541 Global FX Humeral Stem, Global Advantage Humeral HeadDePuy Orthopaedics, Inc. · 1999
  3. 13 generations backK992065 Global Advantage Shoulder, Global Advantage Humeral Stem, Global…DePuy Orthopaedics, Inc. · 1999
  4. 12 generations backK021478 Delta ShoulderDepuy, Inc. · 2003
  5. 11 generations backK030941 Aequalis Reversed Shoulder ProsthesisTornier · 2004
  6. 10 generations backK041873 Aequalis Reversed Shoulder ProsthesisTornier · 2004
  7. 9 generations backK052906 Zimmer Trabecular Metal Reverse Shoulder SystemZimmer, Inc. · 2005 · Recalled
  8. 8 generations backK060704 Zimmer Trabecular Metal Reverse Shoulder System, Sizes 8MM and 10MMZimmer, Inc. · 2006 · Recalled
  9. 7 generations backK063569 Equinoxe Reverse Shoulder SystemExactech, Inc. · 2007 · Recalled
  10. 6 generations backK073688 Equinoxe Reverse Shoulder System Fracture Humeral Adapter Tray and…Exactech, Inc. · 2008 · Recalled
  11. 5 generations backK080642 Comprehensive Reverse ShoulderBiomet, Inc. · 2008 · Recalled (Class I)
  12. 4 generations backK110599 Aequalis Ascend Modular Reverse Shoulder SystemTornier, Inc. · 2011
  13. 3 generations backK112615 Aequalis Ascend Modular Reverse Shoulder SystemTornier, Inc. · 2011
  14. 2 generations backK122698 Aequalis Ascend Flex Shoulder SystemTornier S.A.S. · 2013 · Recalled
  15. 1 generation backK141990 Encore Humeral Shoulder StemEncore Medical L.P. · 2014 · Recalled
  16. This deviceK172351 AltiVate Reverse Humeral Stem, AltiVate Reverse Small Spacer…Encore Medical L.P. · 2017

Showing 5 of 18 descendants. See all descendants

Descendants cleared per year

2019: 12020: 12021: 42022: 42023: 22024: 22025: 32026: 1
2019high 4 (2021) · low 1 (2019)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 18 · See all
  • K190290AltiVate Reverse Humeral Stem, 48mmEncore Medical L.P. · 2019 · cites it directly15descendants
  • K202611Catalyst OrthoScience R1 Reverse Shoulder SystemCatalyst Orthoscience, Inc. · 2021 · cites it directly5descendants
  • K211991Catalyst R1 Reverse Shoulder SystemCatalyst Orthoscience, Inc. · 2021 · 2 generations on3descendants
  • K213349Catalyst R1 Reverse Shoulder SystemCatalyst Orthoscience, Inc. · 2022 · 2 generations on2descendants
  • K212800PRIMA Humeral System and SMR Glenosphere Ø42Lima Corporate S.P.A. · 2022 · cites it directly2descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−15K911686Global Total Shoulder, Uncement Humeral Hemi-ShoulDepuy, Inc.1991—
−14K984541Global FX Humeral Stem, Global Advantage Humeral HeadDePuy Orthopaedics, Inc.1999—
−13K992065Global Advantage Shoulder, Global Advantage Humeral Stem, Global Advantage…DePuy Orthopaedics, Inc.1999—
−12K021478Delta ShoulderDepuy, Inc.2003—
−11K030941Aequalis Reversed Shoulder ProsthesisTornier2004—
−10K041873Aequalis Reversed Shoulder ProsthesisTornier2004—
−9K052906Zimmer Trabecular Metal Reverse Shoulder SystemZimmer, Inc.200512
−8K060704Zimmer Trabecular Metal Reverse Shoulder System, Sizes 8MM and 10MMZimmer, Inc.200610
−7K063569Equinoxe Reverse Shoulder SystemExactech, Inc.200713
−6K073688Equinoxe Reverse Shoulder System Fracture Humeral Adapter Tray and Locking ScrewExactech, Inc.20081
−5K080642Comprehensive Reverse ShoulderBiomet, Inc.2008Class I
−4K110599Aequalis Ascend Modular Reverse Shoulder SystemTornier, Inc.2011—
−3K112615Aequalis Ascend Modular Reverse Shoulder SystemTornier, Inc.2011—
−2K122698Aequalis Ascend Flex Shoulder SystemTornier S.A.S.20132
−1K141990Encore Humeral Shoulder StemEncore Medical L.P.20143
0 (this device)K172351AltiVate Reverse Humeral Stem, AltiVate Reverse Small Spacer, Altivate…Encore Medical L.P.2017—
+1K190290AltiVate Reverse Humeral Stem, 48mmEncore Medical L.P.2019—
+1K202611Catalyst OrthoScience R1 Reverse Shoulder SystemCatalyst Orthoscience, Inc.2021—
+2K211991Catalyst R1 Reverse Shoulder SystemCatalyst Orthoscience, Inc.2021—
+2K213349Catalyst R1 Reverse Shoulder SystemCatalyst Orthoscience, Inc.2022—
+1K212800PRIMA Humeral System and SMR Glenosphere Ø42Lima Corporate S.P.A.20222

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198020
198110
198610
198750
198810
198910
199120
199250
199330
199430
199580
199650
199730
199870
199950
200070
200170
200230
200380
200440
200580
200690
200770
200870
200920
201030
201150
201240
201320
201420

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201910
202010
202140
202240
202320
202420
202530
202610
FIG. 1 — Lineage of K172351, 1991–2026Source: 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.

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 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? (6)

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
*K141990Encore Humeral Shoulder Stem
Summary page 6
…nd hemi procedures All humeral stems are intended for cemented or cementless use. Predicate Devices: • Encore Humeral Shoulder Stem (now called AltiVate Reverse) - K141990 • Reverse® Shoulder Prosthesis Monoblock - K100741, K111061, K111735, K141006 • Zimmer Trabecular Metal Reverse – K052906…
Encore Medical L.P.20143
*K100741Reverse Shoulder Prosthesis Monoblock Stem, Reverse Shoulder Prosthesis Humeral Inserts…
Summary page 6
…cemented or cementless use. Predicate Devices: • Encore Humeral Shoulder Stem (now called AltiVate Reverse) - K141990 • Reverse® Shoulder Prosthesis Monoblock - K100741, K111061, K111735, K141006 • Zimmer Trabecular Metal Reverse – K052906 Comparable Features to Predicate Device(s): The AltiV…
Encore Medical L.P.20101
*K111061Reverse Shoulder Monoblock Prosthesis (RSP)
Summary page 6
…or cementless use. Predicate Devices: • Encore Humeral Shoulder Stem (now called AltiVate Reverse) - K141990 • Reverse® Shoulder Prosthesis Monoblock - K100741, K111061, K111735, K141006 • Zimmer Trabecular Metal Reverse – K052906 Comparable Features to Predicate Device(s): The AltiVate Rever…
Encore Medical L.P.2011—
*K111735Reverse Shoulder Prosthesis Monoblock Hemi Adapter
Summary page 6
…less use. Predicate Devices: • Encore Humeral Shoulder Stem (now called AltiVate Reverse) - K141990 • Reverse® Shoulder Prosthesis Monoblock - K100741, K111061, K111735, K141006 • Zimmer Trabecular Metal Reverse – K052906 Comparable Features to Predicate Device(s): The AltiVate Reverse Small…
Encore Medical L.P.2011—
*K141006RSP Humeral Socket Insert
Summary page 6
…Predicate Devices: • Encore Humeral Shoulder Stem (now called AltiVate Reverse) - K141990 • Reverse® Shoulder Prosthesis Monoblock - K100741, K111061, K111735, K141006 • Zimmer Trabecular Metal Reverse – K052906 Comparable Features to Predicate Device(s): The AltiVate Reverse Small Shell Sho…
Djo Global20142
*K052906Zimmer Trabecular Metal Reverse Shoulder System
Summary page 6
…er Stem (now called AltiVate Reverse) - K141990 • Reverse® Shoulder Prosthesis Monoblock - K100741, K111061, K111735, K141006 • Zimmer Trabecular Metal Reverse – K052906 Comparable Features to Predicate Device(s): The AltiVate Reverse Small Shell Shoulder line extension includes a diametrically re…
Zimmer, Inc.200512

Also cleared against K141990: 2 other devices →

What descends from it? (18)

See all 18

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

NumberDeviceApplicantDecidedDescendants
K190290AltiVate Reverse Humeral Stem, 48mmEncore Medical L.P.201915
K202611Catalyst OrthoScience R1 Reverse Shoulder SystemCatalyst Orthoscience, Inc.20215
K212800PRIMA Humeral System and SMR Glenosphere Ø42Lima Corporate S.P.A.20222
K233712PRIMA Humeral System; PRIMA TT GlenoidLima Corporate S.P.A.20241
K222317Catalyst EA Convertible Stemmed ShoulderCatalyst Orthoscience, Inc.20221
K202098GLOBAL UNITE™ Platform Shoulder SystemDepuy Ireland UC20201
K251184AltiVate Reverse Shoulder System; RSP Shoulder System; SMR Shoulder System; PRIMA…Encore Medical L.P.20250

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

Recalls of this device

DateClassRecallRoot causeReason
Sep 25, 2023Class IIZ-0281-2024Labeling Change ControlTwo different humeral socket Insert devices were swapped during packaging, which could result in surgeons not having the correct device for surgery, which could cause a delay in surgery.
Aug 4, 2023Class IIZ-2607-2023Nonconforming Material/ComponentOrthopedic device components were not subjected to final sterilization before shipment, which if implanted may lead to varying degrees of infection, which may require treatment, prolonged monitoring, and may lead to revision surgery
Aug 31, 2020Class IIZ-0117-2021Labeling False and MisleadingProduct mislabeled. Use may result in a delay in surgery, stopping of surgery, and revision surgery.

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.

  • K080642Comprehensive Reverse ShoulderBiomet, Inc. · 2008 · 5 generations back · ◆ on the line of descent in FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 26 years and passes through 9 companies; a new generation was cleared every 1.0 years on median.
  • 41 of the 146 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K190290 (Encore Medical L.P., 2019) has gone furthest, with 15 descendants of its own.
  • 2 other devices also cite its predicate K141990.

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. 2017, 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?

Indications for AltiVate™ Stem: Anatomic Total Shoulder Indications: The AltiVate™ Shoulder Prosthesis Stem is indicated as an Anatomic shoulder joint replacement for patients suffering from pain and dysfunction due to: * Noninflammatory degenerative joint disease including osteoarthritis; * Inflammatory arthritis of the glenohumeral join including rheumatoid arthritis; * Post-traumatic arthritis of the glenohumeral joint; * Avascular necrosis of the…

Read the full statement (324 words)

Indications for AltiVate™ Stem:

Anatomic Total Shoulder Indications:

The AltiVate™ Shoulder Prosthesis Stem is indicated as an Anatomic shoulder joint replacement for patients suffering from pain and dysfunction due to:

* Noninflammatory degenerative joint disease including osteoarthritis;

* Inflammatory arthritis of the glenohumeral join including rheumatoid arthritis;

* Post-traumatic arthritis of the glenohumeral joint;

* Avascular necrosis of the humeral head with and without involvement of the glenoid,;

* Correction of functional deformity

The all-poly glenoid is intended for cemented use

Hemi Shoulder Indications:

The AltiVate™ Shoulder Prosthesis Stem is indicated as a hemi shoulder joint replacement for patients suffering from pain and dysfunction due to:

* Noninflammatory degenerative joint disease including osteoarthritis;

* Inflammatory arthritis of the glenohumeral joint including rheumatoid arthritis;

* Post-traumatic arthritis of the glenohumeral joint;

* Avascular necrosis of the humeral head with and without involvement of the glenoid,;

* Correction of functional deformity;

* Rotator cuff tear arthropathy;

* Humeral fracture.

* Failed previous shoulder surgery

Reverse Total Shoulder Indications:

The AltiVate™ Shoulder Prosthesis Stem is as a reverse shoulder replacement for patients with a functional deltoid muscle and a grossly deficient rotator cuff joint suffering from pain and dysfunction due to:

* Severe arthropathy with a grossly deficient rotator cuff;

* Previously failed joint replacement with a grossly deficient rotator cuff;

* Fracture of glenohumeral joint from trauma or pathologic conditions of the shoulder including humeral head fracture, displaced 3- or 4-part fractures of proximal humerus, or reconstruction after tumor resection;

* Bone defect in proximal humerus;

* Non-inflammatory degenerative disease including osteoarthritis and avascular necrosis of the natural humeral head and/or glenoid;

* Inflammatory arthritis including rheumatoid arthritis;

* Correction of functional deformity.

The glenoid baseplate is intended for cementless application with addition of screws for fixation. This device may also be indicated in the salvage of previously failed surgical attempts for anatomic and hemi procedures

All humeral stems are intended for cemented or cementless use.

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. “K172351: AltiVate Reverse Humeral Stem, AltiVate Reverse Small Spacer, Altivate Reverse, Small Hemi-Adapter, AltiVate Reverse, Small Socket Insert.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K172351

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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