510(k) Report

510(k) · Cleared

Cleared

R3 Anteverted Liners

K182535510(k) SpecialCleared Nov 19, 201866-day reviewClass II21 CFR 888.3358

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

Smith & Nephew, Inc. · MBL Prosthesis, Hip, Semi-Constrained, Uncemented, Metal/Polymer, Porous

Cleared on Nov 19, 2018 as substantially equivalent to K113848 (Smith & Nephew, Inc., 2012) and 3 other predicates after a 66-day review. Its family tree reaches back 6 generations to 1986. 4 later devices descend from it.

Decided
Nov 19, 2018
Review
66 days
Class
Class II
Product code
MBL
Recalls
None
Predicates
4

Its longest line of descent runs back 6 generations to K861766 (1986). 48 ancestors in all. 4 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2012: 1 other ancestor2010: 1 other ancestor1992: 1 other ancestor2007: 1 other ancestor2006: 4 other ancestors2002: 4 other ancestors2000: 5 other ancestors1994: 4 other ancestors1990: 2 other ancestors2005: 2 other ancestors2004: 1 other ancestor2001: 2 other ancestors1999: 3 other ancestors2003: 1 other ancestor1998: 2 other ancestors1995: 3 other ancestors1991: 1 other ancestor1988: 1 other ancestor1996: 2 other ancestors1993: 1 other ancestor2022: 1 descendant cleared2024: 2 descendants cleared2023: 1 descendant clearedK861766 · Howmedica Hoffmann Fixation Pin System · Howmedica Corp. · 1986K964094 · Minifix · Ferguson Medical · 1996K061253 · Reflection 3 Acetabular System · Smith & Nephew, Inc. · 2006K070756 · Smith and Nephew Reflection 3 Acetabular System · Smith & Nephew, Inc. · 2007 · recalledK092386 · R3 Multi-Hole Shells and 36MM Xlpe Acetabular Liners · Smith & Nephew, Inc. · 2009K102370 · R3 Xlpe Anteverted Liners · Smith & Nephew, Inc. · 20111990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 3 other ancestors2 generations back: 9 other ancestors3 generations back: 13 other ancestors4 generations back: 11 other ancestors5 generations back: 6 other ancestors 1 generation forward: 1 descendant2 generations forward: 3 descendants K102370 · R3 Xlpe Anteverted Liners · Smith & Nephew, Inc. · 2011K092386 · R3 Multi-Hole Shells and 36MM Xlpe Acetabular Liners · Smith & Nephew, Inc. · 2009K070756 · Smith and Nephew Reflection 3 Acetabular System · Smith & Nephew, Inc. · 2007 · recalledK061253 · Reflection 3 Acetabular System · Smith & Nephew, Inc. · 2006K964094 · Minifix · Ferguson Medical · 1996K861766 · Howmedica Hoffmann Fixation Pin System · Howmedica Corp. · 1986−50
  1. Root · 6 generations backK861766 Howmedica Hoffmann Fixation Pin SystemHowmedica Corp. · 1986
  2. 5 generations backK964094 MinifixFerguson Medical · 1996
  3. 4 generations backK061253 Reflection 3 Acetabular SystemSmith & Nephew, Inc. · 2006
  4. 3 generations backK070756 Smith and Nephew Reflection 3 Acetabular SystemSmith & Nephew, Inc. · 2007 · Recalled
  5. 2 generations backK092386 R3 Multi-Hole Shells and 36MM Xlpe Acetabular LinersSmith & Nephew, Inc. · 2009
  6. 1 generation backK102370 R3 Xlpe Anteverted LinersSmith & Nephew, Inc. · 2011
  7. This deviceK182535 R3 Anteverted LinersSmith & Nephew, Inc. · 2018
  8. Descendant · cites it directly · 3 of its ownK211176 Smith & Nephew Hip SystemsSmith & Nephew, Inc. · 2022 · Recalled
  9. Descendant · 2 generations on · 0 of its ownK240783 Anthology Hip Stems; CPCS Hip Stems; Femoral Heads; R3 Acetabular…Smith & Nephew, Inc. · 2024
  10. Descendant · 2 generations on · 0 of its ownK242375 OR3O Dual Mobility SystemSmith & Nephew, Inc. · 2024
  11. Descendant · 2 generations on · 0 of its ownK231448 TANDEM Hip SystemSmith & Nephew, Inc. · 2023 · Recalled

Most influential descendants

Showing 4 of 4 · See all
  • K211176Smith & Nephew Hip SystemsSmith & Nephew, Inc. · 2022 · cites it directly3descendants
  • K240783Anthology Hip Stems; CPCS Hip Stems; Femoral Heads; R3 Acetabular Liners; Spectron Hip…Smith & Nephew, Inc. · 2024 · 2 generations on0descendants
  • K242375OR3O Dual Mobility SystemSmith & Nephew, Inc. · 2024 · 2 generations on0descendants
  • K231448TANDEM Hip SystemSmith & Nephew, Inc. · 2023 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K861766Howmedica Hoffmann Fixation Pin SystemHowmedica Corp.1986—
−5K964094MinifixFerguson Medical1996—
−4K061253Reflection 3 Acetabular SystemSmith & Nephew, Inc.2006—
−3K070756Smith and Nephew Reflection 3 Acetabular SystemSmith & Nephew, Inc.20076
−2K092386R3 Multi-Hole Shells and 36MM Xlpe Acetabular LinersSmith & Nephew, Inc.2009—
−1K102370R3 Xlpe Anteverted LinersSmith & Nephew, Inc.2011—
0 (this device)K182535R3 Anteverted LinersSmith & Nephew, Inc.2018—
+1K211176Smith & Nephew Hip SystemsSmith & Nephew, Inc.20221
+2K240783Anthology Hip Stems; CPCS Hip Stems; Femoral Heads; R3 Acetabular Liners…Smith & Nephew, Inc.2024—
+2K242375OR3O Dual Mobility SystemSmith & Nephew, Inc.2024—
+2K231448TANDEM Hip SystemSmith & Nephew, Inc.20231

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198810
199020
199110
199210
199310
199440
199530
199620
199820
199930
200050
200120
200240
200310
200410
200520
200640
200710
201010
201210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202210
202310
202420
FIG. 1 — Lineage of K182535, 1986–2024Source: 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 MBL? 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 MBL device

  1. #1 K201157 Prime BIOFOAM® Multi-Hole Shellsscore 3.7 · 7 generations · no Class I recall
  2. #2 Held for the reportin the report
Get a 510(k) Report

What was it cleared against? (4)

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
*K113848R3 Xlpe Liners
Summary page 4
…Class II Panel Code: Orthopaedics/87 Product Code: MBL Predicate Device: Primary Predicate-R3 XLPE Liners-K113848 Predicate 2-R3 XLPE Liners-K093363 Predicate 3-REFLECTION Ace…
Smith & Nephew, Inc.20122
*K093363Cocr and Oxinium Femoral Heads and R3 Xlpe Liners
Summary page 4
…Product Code: MBL Predicate Device: Primary Predicate-R3 XLPE Liners-K113848 Predicate 2-R3 XLPE Liners-K093363 Predicate 3-REFLECTION Acetabular System- K920430…
Smith & Nephew, Inc.2010—
*K920430Modular Acetabular Cup System
Summary page 4
…Predicate 2-R3 XLPE Liners-K093363 Predicate 3-REFLECTION Acetabular System- K920430 Reference Predicate-R3 XLPE Anteverted Liners- K102370…
Smith & Nephew Richards, Inc.1992—
*K102370R3 Xlpe Anteverted Liners
Summary page 4
…ular System- K920430 Reference Predicate-R3 XLPE Anteverted Liners- K102370 The predicate devices have not been subject to a design rela…
Smith & Nephew, Inc.2011—

Also cleared against K113848: 4 other devices →

What descends from it? (4)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K211176Smith & Nephew Hip SystemsSmith & Nephew, Inc.20223

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 32 years and passes through 3 companies; a new generation was cleared every 7.8 years on median.
  • 13 of the 48 ancestors have a recall of any class.
  • Of its descendants, K211176 (Smith & Nephew, Inc., 2022) has gone furthest, with 3 descendants of its own.
  • 4 other devices also cite its predicate K113848.

How does its category compare?

All MBL devices

MBL Prosthesis, Hip, Semi-Constrained, Uncemented, Metal/Polymer, Porous: FDA decisions, review times, recalls and adverse event reports over 20 years. 2018, this device’s year, is highlighted.

FDA decisions per year · MBL

1in 2021

2007: 12009: 12010: 12011: 12012: 22016: 12018: 12020: 12021: 1
2007high 2 (2012) · low 0 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MBL

Too few MBL 510(k)s in any year since 2007 to give a median.

Recalls per year · MBL

1in 2014

2011: 22014: 1
2007high 2 (2011) · low 0 (2007)2026

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

Adverse event reports per year · MBL

41in 2025

2010: 12011: 62012: 32013: 52014: 152015: 552016: 542017: 612018: 1122019: 1722020: 1152021: 1162022: 902023: 782024: 542025: 41
2007high 172 (2019) · low 0 (2007)2025

MAUDE reports naming product code MBL, 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
20071—00
20080—00
20091—00
20101—01
20111—26
20122—03
20130—05
20140—115
20150—055
20161—054
20170—061
20181—0112
20190—0172
20201—0115
20211—0116
20220—090
20230—078
20240—054
20250—041
20260—0—

What is it indicated for?

Hip components are indicated for individuals undergoing primary and revision surgery where other treatments or devices have failed in rehabilitating hips damaged as a result of trauma or noninflammatory degenerative joint disease (NIDJD) or any of its composite diagnoses of osteoarthritis, avascular necrosis, traumatic arthritis, slipped capital epiphysis, fused hip, fracture of the pelvis, and diastrophic variant. Hip components are also indicated for…

Read the full statement (133 words)

Hip components are indicated for individuals undergoing primary and revision surgery where other treatments or devices have failed in rehabilitating hips damaged as a result of trauma or noninflammatory degenerative joint disease (NIDJD) or any of its composite diagnoses of osteoarthritis, avascular necrosis, traumatic arthritis, slipped capital epiphysis, fused hip, fracture of the pelvis, and diastrophic variant.

Hip components are also indicated for inflammatory degenerative joint disease including rheumatoid arthritis, arthritis secondary to a variety of diseases and anomalies, and congenital dysplasia; treatments of nonunion, femoral neck fracture, and trochanteric fractures of the proximal femur with head involvement that are unmanageable using other techniques; endoprosthesis, femoral osteotomy, or Girdlestone resection; fracture-dislocation of the hip; and correction of deformity.

The R3 Acetabular System is for single use only and is intended for 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. “K182535: R3 Anteverted Liners.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K182535

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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