510(k) · Cleared
ClearedTrident X3 Acetabular Inserts, ADM and MDM X3 Acetabular Inserts, Accolade II Hip System
Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly
Howmedica Osteonics Corp. A.K.A. Stryker Orthopaedics · LPH Prosthesis, Hip, Semi-Constrained, Metal/Polymer, Porous Uncemented
Cleared on Mar 19, 2019 as substantially equivalent to K033716 (Howmedica Osteonics Corp., 2005) and 8 other predicates after a 190-day review. Its family tree reaches back 9 generations to 1994. 7 later devices descend from it.
- Decided
- Mar 19, 2019
- Review
- 190 days
- Class
- Class II
- Product code
- LPH
- Recalls
- None
- Predicates
- 9
Its longest line of descent runs back 9 generations to K921308 (1994). 119 ancestors in all, the oldest K894124 (1989). 7 later devices descend from it, 3 citing it directly.
- Root · 9 generations backK921308 HG Multilock Hip Prosthesis W/ TI-NidiumZimmer, Inc. · 1994 · Recalled
- 5 generations between
- 3 generations backK122853 Novel Fit and Fill StemHowmedica Osteonics Corp. · 2013
- 2 generations backK143085 Stryker Orthopaedics Acetabular Shells, Femoral Stems and Total Hip…Stryker Orthopaedics · 2015 · Recalled
- 1 generation backK153345 Stryker Orthopaedics Hip Systems Labeling UpdateStryker Orthopaedics · 2016 · Recalled
- This deviceK182468 Trident X3 Acetabular Inserts, ADM and MDM X3 Acetabular Inserts…Howmedica Osteonics Corp. A.K.A. Stryker Orthopaedics · 2019
- Descendant · cites it directly · 4 of its ownK233498 Stryker Orthopaedics Hip Systems Labeling UpdateHowmedica Osteonics Corp., Dba Stryker Orthopaedics · 2023
- Descendant · 2 generations on · 2 of its ownK243784 Stryker Orthopaedics Hip Devices Labeling UpdateHowmedica Osteonics Corp., Dba Stryker Orthopaedics · 2025
- Descendant · 2 generations on · 0 of its ownK261624 Omnifit® 20° Series I Insert;Omnifit® Crossfire® 10° Series II…Howmedica Osteonics Corp., Dba Stryker Orthopaedics · 2026 · Recalled
- Descendant · 2 generations on · 0 of its ownK250989 Stryker and Serf hip devicesHowmedica Osteonics Corp (Dba Stryker Orthopaedics) · 2025
- Descendant · cites it directly · 0 of its ownK243456 ONVOY™ Acetabular SystemGlobus Medical, Inc. · 2025
Show all 9 generations
- Root · 9 generations backK921308 HG Multilock Hip Prosthesis W/ TI-NidiumZimmer, Inc. · 1994 · Recalled
- 8 generations backK972893 Partnership Revision Femoral StemsHowmedica Corp. · 1997
- 7 generations backK983404 Type 3 Femoral ComponentsHowmedica Corp. · 1998 · Recalled
- 6 generations backK013106 2 Piece Modular Hip StemHowmedica Osteonics Corp. · 2002 · Recalled
- 5 generations backK103479 Novel Tapered Hip StemStryker Corp. · 2011
- 4 generations backK120578 Accolade II Hip StemHowmedica Osteonics · 2012 · Recalled
- 3 generations backK122853 Novel Fit and Fill StemHowmedica Osteonics Corp. · 2013
- 2 generations backK143085 Stryker Orthopaedics Acetabular Shells, Femoral Stems and Total Hip…Stryker Orthopaedics · 2015 · Recalled
- 1 generation backK153345 Stryker Orthopaedics Hip Systems Labeling UpdateStryker Orthopaedics · 2016 · Recalled
- This deviceK182468 Trident X3 Acetabular Inserts, ADM and MDM X3 Acetabular Inserts…Howmedica Osteonics Corp. A.K.A. Stryker Orthopaedics · 2019
Showing 5 of 7 descendants. See all descendants
Descendants cleared per year
Most influential descendants
Showing 5 of 7 · See all- K233498Stryker Orthopaedics Hip Systems Labeling UpdateHowmedica Osteonics Corp., Dba Stryker Orthopaedics · 2023 · cites it directly4descendants
- K243784Stryker Orthopaedics Hip Devices Labeling UpdateHowmedica Osteonics Corp., Dba Stryker Orthopaedics · 2025 · 2 generations on2descendants
- K261624Omnifit® 20° Series I Insert;Omnifit® Crossfire® 10° Series II Insert; Constrained…Howmedica Osteonics Corp., Dba Stryker Orthopaedics · 2026 · 2 generations on0descendants
- K250989Stryker and Serf hip devicesHowmedica Osteonics Corp (Dba Stryker Orthopaedics) · 2025 · 2 generations on0descendants
- K243456ONVOY™ Acetabular SystemGlobus Medical, Inc. · 2025 · cites it directly0descendants
View FIG. 1 as a table
Line of descent and top descendants
| Generation | Number | Device | Applicant | Decided | Recalls |
|---|---|---|---|---|---|
| −9 | K921308 | HG Multilock Hip Prosthesis W/ TI-Nidium | Zimmer, Inc. | 1994 | 1 |
| −8 | K972893 | Partnership Revision Femoral Stems | Howmedica Corp. | 1997 | — |
| −7 | K983404 | Type 3 Femoral Components | Howmedica Corp. | 1998 | 1 |
| −6 | K013106 | 2 Piece Modular Hip Stem | Howmedica Osteonics Corp. | 2002 | 37 |
| −5 | K103479 | Novel Tapered Hip Stem | Stryker Corp. | 2011 | — |
| −4 | K120578 | Accolade II Hip Stem | Howmedica Osteonics | 2012 | 1 |
| −3 | K122853 | Novel Fit and Fill Stem | Howmedica Osteonics Corp. | 2013 | — |
| −2 | K143085 | Stryker Orthopaedics Acetabular Shells, Femoral Stems and Total Hip… | Stryker Orthopaedics | 2015 | 2 |
| −1 | K153345 | Stryker Orthopaedics Hip Systems Labeling Update | Stryker Orthopaedics | 2016 | 1 |
| 0 (this device) | K182468 | Trident X3 Acetabular Inserts, ADM and MDM X3 Acetabular Inserts, Accolade II… | Howmedica Osteonics Corp. A.K.A. Stryker Orthopaedics | 2019 | — |
| +1 | K233498 | Stryker Orthopaedics Hip Systems Labeling Update | Howmedica Osteonics Corp., Dba Stryker Orthopaedics | 2023 | — |
| +2 | K243784 | Stryker Orthopaedics Hip Devices Labeling Update | Howmedica Osteonics Corp., Dba Stryker Orthopaedics | 2025 | — |
| +2 | K261624 | Omnifit® 20° Series I Insert;Omnifit® Crossfire® 10° Series II Insert… | Howmedica Osteonics Corp., Dba Stryker Orthopaedics | 2026 | 2 |
| +2 | K250989 | Stryker and Serf hip devices | Howmedica Osteonics Corp (Dba Stryker Orthopaedics) | 2025 | — |
| +1 | K243456 | ONVOY™ Acetabular System | Globus Medical, Inc. | 2025 | — |
Other ancestors by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 1989 | 1 | 0 |
| 1990 | 2 | 0 |
| 1991 | 4 | 0 |
| 1992 | 2 | 0 |
| 1994 | 7 | 0 |
| 1995 | 9 | 0 |
| 1996 | 6 | 0 |
| 1997 | 6 | 0 |
| 1998 | 7 | 0 |
| 1999 | 5 | 0 |
| 2000 | 11 | 0 |
| 2001 | 6 | 0 |
| 2002 | 11 | 0 |
| 2003 | 5 | 0 |
| 2004 | 3 | 0 |
| 2005 | 7 | 0 |
| 2006 | 4 | 0 |
| 2007 | 2 | 0 |
| 2008 | 1 | 0 |
| 2009 | 2 | 0 |
| 2011 | 5 | 0 |
| 2012 | 1 | 0 |
| 2013 | 1 | 0 |
| 2014 | 1 | 0 |
| 2015 | 1 | 0 |
Descendants by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 2023 | 1 | 0 |
| 2024 | 2 | 0 |
| 2025 | 3 | 0 |
| 2026 | 1 | 0 |
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 LPH? 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 LPH device
- #1 K233498 Stryker Orthopaedics Hip Systems Labeling Updatescore 24.2 · 20 generations · no Class I recall
- #2 Held for the reportin the report
- #3 Held for the reportin the report
What was it cleared against? (9)
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.
| Type | Number | Device | Decided |
|---|---|---|---|
| * | K033716 | Trident Acetabular SystemSummary page 6…roduct Codes: LPH, JDI, MEH, LZO, KWL, KWY, KWZ, LWJ Legally Marketed Devices to Which Substantial Equivalence is Claimed: • Trident® X3® Acetabular Inserts (K033716, K061434, K062419, K153345) • Restoration ADM® and MDM® X3® Acetabular Inserts (K093644, K103233, K112556, K153345)… | 2005 |
| * | K061434 | Trident Large Diameter Hip SystemSummary page 6…des: LPH, JDI, MEH, LZO, KWL, KWY, KWZ, LWJ Legally Marketed Devices to Which Substantial Equivalence is Claimed: • Trident® X3® Acetabular Inserts (K033716, K061434, K062419, K153345) • Restoration ADM® and MDM® X3® Acetabular Inserts (K093644, K103233, K112556, K153345) • Accolad… | 2006 |
| * | K062419 | Trident Large Diameter Acetabular InsertsSummary page 6…LPH, JDI, MEH, LZO, KWL, KWY, KWZ, LWJ Legally Marketed Devices to Which Substantial Equivalence is Claimed: • Trident® X3® Acetabular Inserts (K033716, K061434, K062419, K153345) • Restoration ADM® and MDM® X3® Acetabular Inserts (K093644, K103233, K112556, K153345) • Accolade® II Hip… | 2006 |
| * | K153345 | Stryker Orthopaedics Hip Systems Labeling UpdateSummary page 6…JDI, MEH, LZO, KWL, KWY, KWZ, LWJ Legally Marketed Devices to Which Substantial Equivalence is Claimed: • Trident® X3® Acetabular Inserts (K033716, K061434, K062419, K153345) • Restoration ADM® and MDM® X3® Acetabular Inserts (K093644, K103233, K112556, K153345) • Accolade® II Hip System (… | 2016 |
| * | K093644 | Restoration Adm System X3 AcetabularSummary page 6…hich Substantial Equivalence is Claimed: • Trident® X3® Acetabular Inserts (K033716, K061434, K062419, K153345) • Restoration ADM® and MDM® X3® Acetabular Inserts (K093644, K103233, K112556, K153345) • Accolade® II Hip System (K103479, K120578, K153345) Legally Marketed Reference Devices U… | 2009 |
| * | K103233 | Modular Dual Mobility Liner, X3 Acetabular InsertSummary page 6…tantial Equivalence is Claimed: • Trident® X3® Acetabular Inserts (K033716, K061434, K062419, K153345) • Restoration ADM® and MDM® X3® Acetabular Inserts (K093644, K103233, K112556, K153345) • Accolade® II Hip System (K103479, K120578, K153345) Legally Marketed Reference Devices Used to Su… | 2011 |
| * | K112556 | Adm and Adm/MDM Duration Inserts, Adm and Adm/MDM X3 InsertsSummary page 6…quivalence is Claimed: • Trident® X3® Acetabular Inserts (K033716, K061434, K062419, K153345) • Restoration ADM® and MDM® X3® Acetabular Inserts (K093644, K103233, K112556, K153345) • Accolade® II Hip System (K103479, K120578, K153345) Legally Marketed Reference Devices Used to Support Sub… | 2011 |
| * | K103479 | Novel Tapered Hip StemSummary page 6…erts (K033716, K061434, K062419, K153345) • Restoration ADM® and MDM® X3® Acetabular Inserts (K093644, K103233, K112556, K153345) • Accolade® II Hip System (K103479, K120578, K153345) Legally Marketed Reference Devices Used to Support Substantial Equivalence: • Triathlon® X3® UHMWPE Tibial… | 2011 |
| * | K120578 | Accolade II Hip StemSummary page 6…3716, K061434, K062419, K153345) • Restoration ADM® and MDM® X3® Acetabular Inserts (K093644, K103233, K112556, K153345) • Accolade® II Hip System (K103479, K120578, K153345) Legally Marketed Reference Devices Used to Support Substantial Equivalence: • Triathlon® X3® UHMWPE Tibial Inserts… | 2012 |
| † | K172634 | Triathlon® X3® UHMWPE Tibial Inserts and Patellar Components | 2017 |
| † | K983502 | Osteonics Secur-Fit AD Generation II Acetabular Component System | 1998 |
| † | K983382 | Osteonics HA Generation II Acetabular Component System | 1998 |
| † | K072020 | Restoration Adm System | 2007 |
What descends from it? (7)
3 later devices cite it directly; ranked here by how many devices descend from each in turn.
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 7 companies; a new generation was cleared every 2.0 years on median.
- 44 of the 119 ancestors have a recall of any class.
- Of its descendants, K233498 (Howmedica Osteonics Corp., Dba Stryker Orthopaedics, 2023) has gone furthest, with 4 descendants of its own.
- 4 other devices also cite its predicate K033716.
How does its category compare?
All LPH devicesLPH Prosthesis, Hip, Semi-Constrained, Metal/Polymer, Porous Uncemented: FDA decisions, review times, recalls and adverse event reports over 20 years. 2019, this device’s year, is highlighted.
FDA decisions per year · LPH
12in 2025
2026 to Oct 25, outlined.
Median 510(k) review, days · LPH
153in 2025
Receipt to decision; years with fewer than 3 clearances left blank.
Recalls per year · LPH
4in 2025
Class I (0 since 2007) Class II/III not classified
Adverse event reports per year · LPH
6,163in 2025
MAUDE reports naming product code LPH, not matched to any one device; reports are not rates.
View these four charts as a table
| Year | Decisions | Median 510(k) review, days | Recalls (Class I) | MAUDE reports |
|---|---|---|---|---|
| 2007 | 10 | 116 | 16 | 509 |
| 2008 | 10 | 86 | 1 | 706 |
| 2009 | 3 | 112 | 2 | 1,156 |
| 2010 | 15 | 100 | 22 | 2,007 |
| 2011 | 16 | 110 | 26 | 3,320 |
| 2012 | 25 | 76 | 30 | 3,785 |
| 2013 | 11 | 135 | 9 | 5,002 |
| 2014 | 20 | 129 | 3 | 5,163 |
| 2015 | 18 | 111 | 1 | 5,830 |
| 2016 | 10 | 150 | 8 | 4,900 |
| 2017 | 12 | 121 | 14 | 5,312 |
| 2018 | 9 | 145 | 2 | 5,954 |
| 2019 | 22 | 164 | 8 | 7,130 |
| 2020 | 7 | 164 | 6 | 5,429 |
| 2021 | 8 | 410 | 4 | 5,978 |
| 2022 | 14 | 247 | 2 | 5,223 |
| 2023 | 10 | 111 | 2 | 5,345 |
| 2024 | 6 | 92 | 1 | 5,626 |
| 2025 | 12 | 153 | 4 | 6,163 |
| 2026 | 8 | 256 | 2 | — |
What is it indicated for?
Trident Acetabular Component System Indications for Use: • Painful, disabling joint disease of the hip resulting from: degenerative arthritis, rheumatoid arthritis, posttraumatic arthritis or late stage avascular necrosis. • Revision of previous unsuccessful femoral head replacement, cup arthroplasty or other procedure. • Clinical management problems where arthrodesis or alternative reconstructive techniques are less likely to achieve satisfactory…
Read the full statement (311 words)
Trident Acetabular Component System
Indications for Use:
• Painful, disabling joint disease of the hip resulting from: degenerative arthritis, rheumatoid arthritis, posttraumatic arthritis or late stage avascular necrosis.
• Revision of previous unsuccessful femoral head replacement, cup arthroplasty or other procedure.
• Clinical management problems where arthrodesis or alternative reconstructive techniques are less likely to achieve satisfactory results.
• Where bone stock is of poor quality or is inadequate for other reconstructive techniques as indicated by deficiencies of the acetabulum.
Restoration ADM Acetabular Cup and MDM Liner Systems
The indications for use for total hip arthroplasty include:
1. Noninflammatory degenerative joint disease including osteoarthritis and avascular necrosis;
2. Rheumatoid arthritis;
3. Correction of functional deformity;
4. Revision procedures where other treatments or devices have failed; and,
5. Treatment of nonunion, femoral neck and trochanteric fractures of the proximal femur with head involvement that are unmanageable using other techniques.
6. Dislocation risks
RESTORATION ADM HA Cups and MDM Liners are intended for cementless use only.
Accolade II Hip System
The indications for use of the total hip replacement prostheses include:
1. Noninflammatory degenerative joint disease, including osteoarthritis and avascular necrosis;
2. Rheumatoid arthritis;
3. Correction of functional deformity;
4. Revision procedures where other treatments or devices have failed; and,
5. Nonunions, femoral neck fractures, and trochanteric fractures of the proximal femur with head involvement that are unmanageable using other techniques.
Additional indication specific to use of ACCOLADE II Femoral Stems with compatible Howmedica Osteonics Constrained Liners:
1. When the stem is to be used with compatible Howmedica Osteonics Constrained Liners, the device is intended for use in primary or revision patients at high risk of hip dislocation due to a history of prior dislocation, bone loss, soft tissue laxity, neuromuscular disease, or intra-operative instability.
ACCOLADE II Femoral Stems are intended for cementless use only and are intended for total and hemiarthroplasty procedures.
Indications for use as stated in the FDA summary.
https://510kreport.com/device/K182468 · printed Nov 6, 2026
Cite this page
510(k) Report. “K182468: Trident X3 Acetabular Inserts, ADM and MDM X3 Acetabular Inserts, Accolade II Hip System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K182468
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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