510(k) Report

510(k) · Cleared

Cleared

Signature ONE System

K190595510(k) TraditionalCleared Jun 5, 201990-day reviewClass II21 CFR 888.3650

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

Orthosoft Inc (D/B/A Zimmer Cas) · KWT Prosthesis, Shoulder, Non-Constrained, Metal/Polymer Cemented

Cleared on Jun 5, 2019 as substantially equivalent to K150730 (Zimmer, 2015) and 1 other predicate after a 90-day review. Its family tree reaches back 9 generations to 1991. 10 later devices descend from it.

Decided
Jun 5, 2019
Review
90 days
Class
Class II
Product code
KWT
Recalls
None
Predicates
2

Its longest line of descent runs back 9 generations to K905070 (1991). 65 ancestors in all, the oldest K800494 (1980). 10 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2015: 1 other ancestor2013: 2 other ancestors2005: 2 other ancestors2012: 2 other ancestors2011: 3 other ancestors2008: 2 other ancestors2004: 4 other ancestors2010: 1 other ancestor2009: 1 other ancestor2007: 1 other ancestor2006: 2 other ancestors2002: 2 other ancestors2001: 3 other ancestors1998: 2 other ancestors2003: 2 other ancestors2000: 2 other ancestors1999: 6 other ancestors1997: 3 other ancestors1996: 3 other ancestors1993: 2 other ancestors1991: 2 other ancestors1986: 1 other ancestor1995: 2 other ancestors1994: 2 other ancestors1992: 1 other ancestor1980: 2 other ancestors2020: 1 descendant cleared2019: 1 descendant cleared2021: 1 descendant cleared2023: 3 descendants cleared2025: 1 descendant cleared2026: 2 descendants cleared2024: 1 descendant clearedReference device: K131409 · Cas Psi Knee System · Orthosoft, Inc. · 2013 · recalledK905070 · 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. · 201319801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 2 other ancestors3 generations back: 6 other ancestors4 generations back: 11 other ancestors5 generations back: 14 other ancestors6 generations back: 12 other ancestors7 generations back: 10 other ancestors 1 generation forward: 3 descendants2 generations forward: 2 descendants3 generations forward: 3 descendants4 generations forward: 2 descendants K130126 · Signature Personalized Patient Care System - Glenoid Guide System · Biomet, Inc. · 2013K111863 · Signature Planner,Signature Guides · Materialise NV · 2012K031454 · Acumen Surgical Navigation System · Biomet, Inc. · 2004K013025 · Modification to Flourolab Plus · Z-Kat, Inc. · 2001K984298 · Z Kat Flurotactic Guidance System Mki · Z-Kat, Inc. · 1999K970604 · Viewpoint - 3.0 Software · Philips Medical Systems (Cleveland), Inc. · 1997K963221 · Optical Digitizer Option for View Point · Philips Medical Systems (Cleveland), Inc. · 1997K961168 · Viewpoint · Philips Medical Systems (Cleveland), Inc. · 1996K905070 · Vistar · Philips Medical Systems (Cleveland), Inc. · 1991−50
  1. Root · 9 generations backK905070 VistarPhilips Medical Systems (Cleveland), Inc. · 1991
  2. 5 generations between
  3. 3 generations backK031454 Acumen Surgical Navigation SystemBiomet, Inc. · 2004
  4. 2 generations backK111863 Signature Planner,Signature GuidesMaterialise NV · 2012
  5. 1 generation backK130126 Signature Personalized Patient Care System - Glenoid Guide SystemBiomet, Inc. · 2013
  6. This deviceK190595 Signature ONE SystemOrthosoft Inc (D/B/A Zimmer Cas) · 2019
  7. Descendant · cites it directly · 9 of its ownK192074 Signature ONE SystemOrthosoft Inc (D/B/A Zimmer Cas) · 2019
  8. Descendant · cites it directly · 8 of its ownK200615 Signature ONE SystemOrthosoft Inc (D/B/A Zimmer Cas) · 2020
  9. Descendant · cites it directly · 7 of its ownK212560 Signature™ ONE SystemOrthosoft Inc (D/B/A Zimmer Cas) · 2021
  10. Descendant · 2 generations on · 3 of its ownK222007 Arthrex Virtual Implant Positioning (VIP) SystemArthrex, Inc. · 2023
  11. Descendant · 2 generations on · 2 of its ownK232425 Signature™ ONE SystemOrthosoft Inc. (D/B/A) Zimmer Cas) · 2023
Show all 9 generations
  1. Root · 9 generations backK905070 VistarPhilips Medical Systems (Cleveland), Inc. · 1991
  2. 8 generations backK961168 ViewpointPhilips Medical Systems (Cleveland), Inc. · 1996
  3. 7 generations backK963221 Optical Digitizer Option for View PointPhilips Medical Systems (Cleveland), Inc. · 1997
  4. 6 generations backK970604 Viewpoint - 3.0 SoftwarePhilips Medical Systems (Cleveland), Inc. · 1997
  5. 5 generations backK984298 Z Kat Flurotactic Guidance System MkiZ-Kat, Inc. · 1999
  6. 4 generations backK013025 Modification to Flourolab PlusZ-Kat, Inc. · 2001
  7. 3 generations backK031454 Acumen Surgical Navigation SystemBiomet, Inc. · 2004
  8. 2 generations backK111863 Signature Planner,Signature GuidesMaterialise NV · 2012
  9. 1 generation backK130126 Signature Personalized Patient Care System - Glenoid Guide SystemBiomet, Inc. · 2013
  10. This deviceK190595 Signature ONE SystemOrthosoft Inc (D/B/A Zimmer Cas) · 2019

Showing 5 of 10 descendants. See all descendants

Descendants cleared per year

2019: 12020: 12021: 12023: 32024: 12025: 12026: 2
2019high 3 (2023) · low 0 (2022)2026

Most influential descendants

Showing 5 of 10 · See all
  • K192074Signature ONE SystemOrthosoft Inc (D/B/A Zimmer Cas) · 2019 · cites it directly9descendants
  • K200615Signature ONE SystemOrthosoft Inc (D/B/A Zimmer Cas) · 2020 · cites it directly8descendants
  • K212560Signature™ ONE SystemOrthosoft Inc (D/B/A Zimmer Cas) · 2021 · cites it directly7descendants
  • K222007Arthrex Virtual Implant Positioning (VIP) SystemArthrex, Inc. · 2023 · 2 generations on3descendants
  • K232425Signature™ ONE SystemOrthosoft Inc. (D/B/A) Zimmer Cas) · 2023 · 2 generations on2descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−9K905070VistarPhilips Medical Systems (Cleveland), Inc.1991—
−8K961168ViewpointPhilips Medical Systems (Cleveland), Inc.1996—
−7K963221Optical Digitizer Option for View PointPhilips Medical Systems (Cleveland), Inc.1997—
−6K970604Viewpoint - 3.0 SoftwarePhilips Medical Systems (Cleveland), Inc.1997—
−5K984298Z Kat Flurotactic Guidance System MkiZ-Kat, Inc.1999—
−4K013025Modification to Flourolab PlusZ-Kat, Inc.2001—
−3K031454Acumen Surgical Navigation SystemBiomet, Inc.2004—
−2K111863Signature Planner,Signature GuidesMaterialise NV2012—
−1K130126Signature Personalized Patient Care System - Glenoid Guide SystemBiomet, Inc.2013—
0 (this device)K190595Signature ONE SystemOrthosoft Inc (D/B/A Zimmer Cas)2019—
+1K192074Signature ONE SystemOrthosoft Inc (D/B/A Zimmer Cas)2019—
+1K200615Signature ONE SystemOrthosoft Inc (D/B/A Zimmer Cas)2020—
+1K212560Signature™ ONE SystemOrthosoft Inc (D/B/A Zimmer Cas)2021—
+2K222007Arthrex Virtual Implant Positioning (VIP) SystemArthrex, Inc.2023—
+2K232425Signature™ ONE SystemOrthosoft Inc. (D/B/A) Zimmer Cas)2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198020
198610
199120
199210
199320
199420
199520
199630
199730
199820
199960
200020
200130
200220
200320
200440
200520
200620
200710
200820
200910
201010
201130
201220
201320
201510

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201910
202010
202110
202330
202410
202510
202620
FIG. 1 — Lineage of K190595, 1991–2026Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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 KWT? 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 KWT device

  1. #1 K231657 AGILON® XO Shoulder Replacement Systemscore 17.7 · 17 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
*K150730Zimmer PSI Shoulder System
Summary page 5
…K190595 Page 2/5 Predicate Device(s): Manufacturer Device Name 510(k) Number Zimmer CAS Zimmer PSI K150730 Shoulder *Primary Biomet Signature K130126 Personaliz…
Zimmer2015—
*K130126Signature Personalized Patient Care System - Glenoid Guide System
Summary page 5
…me 510(k) Number Zimmer CAS Zimmer PSI K150730 Shoulder *Primary Biomet Signature K130126 Personalized Patient Care System- Glenoid Guide…
Biomet, Inc.2013—
†K131409Cas Psi Knee SystemOrthosoft, Inc.20131

What descends from it? (10)

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

NumberDeviceApplicantDecidedDescendants
K192074Signature ONE SystemOrthosoft Inc (D/B/A Zimmer Cas)20199
K200615Signature ONE SystemOrthosoft Inc (D/B/A Zimmer Cas)20208
K212560Signature™ ONE SystemOrthosoft Inc (D/B/A Zimmer Cas)20217

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 28 years and passes through 5 companies; a new generation was cleared every 2.3 years on median.
  • 15 of the 65 ancestors have a recall of any class.
  • Of its descendants, K192074 (Orthosoft Inc (D/B/A Zimmer Cas), 2019) has gone furthest, with 9 descendants of its own.

How does its category compare?

All KWT devices

KWT Prosthesis, Shoulder, Non-Constrained, Metal/Polymer Cemented: FDA decisions, review times, recalls and adverse event reports over 20 years. 2019, this device’s year, is highlighted.

FDA decisions per year · KWT

4in 2025

2007: 12010: 12011: 52012: 12013: 12014: 12015: 22016: 22017: 12018: 22019: 42020: 12021: 12022: 12023: 12024: 12025: 42026 (partial year): 1
2007high 5 (2011) · low 0 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KWT

242in 2025

2011: 165 days median2019: 91 days median2025: 242 days median
2007high 242 (2025) · low 91 (2019)2026

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

Recalls per year · KWT

1in 2023

2008: 12010: 72012: 22013: 12016: 12017: 12018: 12019: 32023: 1
2007high 7 (2010) · low 0 (2007)2026

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

Adverse event reports per year · KWT

749in 2025

2007: 322008: 482009: 582010: 712011: 1122012: 832013: 1132014: 1682015: 1762016: 4452017: 5602018: 4802019: 4192020: 2152021: 2282022: 2732023: 3612024: 6012025: 749
2007high 749 (2025) · low 32 (2007)2025

MAUDE reports naming product code KWT, 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—032
20080—148
20090—058
20101—771
201151650112
20121—283
20131—1113
20141—0168
20152—0176
20162—1445
20171—1560
20182—1480
20194913419
20201—0215
20211—0228
20221—0273
20231—1361
20241—0601
202542420749
20261—0—

What is it indicated for?

The Signature™ ONE System is indicated, based on patient-specific radiological images with identifiable placement anatomical landmarks, to assist in pre-operative planning and/or intra-operative guiding of surgical instruments for shoulder replacement surgical procedures on patients not precluded from being radiologically scanned. The Signature™ ONE System is to be used with the glenoid components of the following shoulder implant systems in accordance…

Read the full statement (97 words)

The Signature™ ONE System is indicated, based on patient-specific radiological images with identifiable placement anatomical landmarks, to assist in pre-operative planning and/or intra-operative guiding of surgical instruments for shoulder replacement surgical procedures on patients not precluded from being radiologically scanned.

The Signature™ ONE System is to be used with the glenoid components of the following shoulder implant systems in accordance with their indications and contraindications: Zimmer® Trabecular Metal™ Reverse Plus Shoulder, Comprehensive® Total Shoulder System, Comprehensive® Reverse Shoulder System and Comprehensive® Reverse Augmented Baseplates.

The Signature™ ONE Guides and bone models are intended for single use only.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K190595: Signature ONE System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K190595

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

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