510(k) Report

510(k) · Cleared

Cleared

OR3O Dual Mobility System

K191002510(k) TraditionalCleared Oct 31, 2019198-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. · LPH Prosthesis, Hip, Semi-Constrained, Metal/Polymer, Porous Uncemented

Cleared on Oct 31, 2019 as substantially equivalent to K110135 (Smith & Nephew, Inc., 2011) and 3 other predicates after a 198-day review. Its family tree reaches back 6 generations to 1996. 5 later devices descend from it.

Decided
Oct 31, 2019
Review
198 days
Class
Class II
Product code
LPH
Recalls
None
Predicates
4

Its longest line of descent runs back 6 generations to K955033 (1996). 54 ancestors in all, the oldest K861766 (1986). 5 later devices descend from it, 4 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2017: 1 other ancestor2011: 1 other ancestor2007: 4 other ancestors2010: 1 other ancestor2009: 1 other ancestor2002: 4 other ancestors2006: 5 other ancestors1999: 3 other ancestors1994: 4 other ancestors1990: 2 other ancestors2005: 2 other ancestors2004: 1 other ancestor2001: 2 other ancestors2000: 4 other ancestors1996: 2 other ancestors1992: 1 other ancestor2003: 1 other ancestor1998: 2 other ancestors1995: 3 other ancestors1991: 1 other ancestor1988: 1 other ancestor1986: 1 other ancestor1993: 1 other ancestor2025: 1 descendant cleared2023: 1 descendant cleared2022: 1 descendant cleared2024: 1 descendant cleared2026: 1 descendant clearedK955033 · Rim Flare Acetabular Component · Intermedics Orthopedics · 1996K983509 · Inter-OP Acetabular System - Durasul Acetabular Insert · Sulzer Orthopedics, Inc. · 1999K993259 · Inter-OP Durasul Acetabular Inserts/Cocr Femoral Heads · Sulzer Orthopedics, Inc. · 2000 · recalledK022958 · Total Hip Femoral Heads and Liners · Smith & Nephew, Inc. · 2002 · recalledK081566 · Smith & Nephew Oxinium DH Femoral Heads · Smith & Nephew, Inc. · 2008K161233 · OXINIUM DH Fermoral Heads · Smith & Nephew, Inc. · 20161990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 3 other ancestors2 generations back: 4 other ancestors3 generations back: 10 other ancestors4 generations back: 15 other ancestors5 generations back: 11 other ancestors6 generations back: 5 other ancestors 1 generation forward: 4 descendants2 generations forward: 1 descendant K161233 · OXINIUM DH Fermoral Heads · Smith & Nephew, Inc. · 2016K081566 · Smith & Nephew Oxinium DH Femoral Heads · Smith & Nephew, Inc. · 2008K022958 · Total Hip Femoral Heads and Liners · Smith & Nephew, Inc. · 2002 · recalledK993259 · Inter-OP Durasul Acetabular Inserts/Cocr Femoral Heads · Sulzer Orthopedics, Inc. · 2000 · recalledK983509 · Inter-OP Acetabular System - Durasul Acetabular Insert · Sulzer Orthopedics, Inc. · 1999K955033 · Rim Flare Acetabular Component · Intermedics Orthopedics · 1996−50
  1. Root · 6 generations backK955033 Rim Flare Acetabular ComponentIntermedics Orthopedics · 1996
  2. 5 generations backK983509 Inter-OP Acetabular System - Durasul Acetabular InsertSulzer Orthopedics, Inc. · 1999
  3. 4 generations backK993259 Inter-OP Durasul Acetabular Inserts/Cocr Femoral HeadsSulzer Orthopedics, Inc. · 2000 · Recalled
  4. 3 generations backK022958 Total Hip Femoral Heads and LinersSmith & Nephew, Inc. · 2002 · Recalled
  5. 2 generations backK081566 Smith & Nephew Oxinium DH Femoral HeadsSmith & Nephew, Inc. · 2008
  6. 1 generation backK161233 OXINIUM DH Fermoral HeadsSmith & Nephew, Inc. · 2016
  7. This deviceK191002 OR3O Dual Mobility SystemSmith & Nephew, Inc. · 2019
  8. Descendant · cites it directly · 3 of its ownK220959 OR3O Dual Mobility SystemSmith & Nephew, Inc. · 2022
  9. Descendant · cites it directly · 1 of its ownK232667 OR3O Dual Mobility LinersSmith & Nephew, Inc. · 2023
  10. Descendant · 2 generations on · 0 of its ownK253948 Momentum Acetabular Cup SystemUnited Orthopedic Corporation · 2026
  11. Descendant · cites it directly · 0 of its ownK243456 ONVOY™ Acetabular SystemGlobus Medical, Inc. · 2025
  12. Descendant · cites it directly · 0 of its ownK242375 OR3O Dual Mobility SystemSmith & Nephew, Inc. · 2024

Most influential descendants

Showing 5 of 5 · See all
  • K220959OR3O Dual Mobility SystemSmith & Nephew, Inc. · 2022 · cites it directly3descendants
  • K232667OR3O Dual Mobility LinersSmith & Nephew, Inc. · 2023 · cites it directly1descendant
  • K253948Momentum Acetabular Cup SystemUnited Orthopedic Corporation · 2026 · 2 generations on0descendants
  • K243456ONVOY™ Acetabular SystemGlobus Medical, Inc. · 2025 · cites it directly0descendants
  • K242375OR3O Dual Mobility SystemSmith & Nephew, Inc. · 2024 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K955033Rim Flare Acetabular ComponentIntermedics Orthopedics1996—
−5K983509Inter-OP Acetabular System - Durasul Acetabular InsertSulzer Orthopedics, Inc.1999—
−4K993259Inter-OP Durasul Acetabular Inserts/Cocr Femoral HeadsSulzer Orthopedics, Inc.20003
−3K022958Total Hip Femoral Heads and LinersSmith & Nephew, Inc.20021
−2K081566Smith & Nephew Oxinium DH Femoral HeadsSmith & Nephew, Inc.2008—
−1K161233OXINIUM DH Fermoral HeadsSmith & Nephew, Inc.2016—
0 (this device)K191002OR3O Dual Mobility SystemSmith & Nephew, Inc.2019—
+1K220959OR3O Dual Mobility SystemSmith & Nephew, Inc.2022—
+1K232667OR3O Dual Mobility LinersSmith & Nephew, Inc.2023—
+2K253948Momentum Acetabular Cup SystemUnited Orthopedic Corporation2026—
+1K243456ONVOY™ Acetabular SystemGlobus Medical, Inc.2025—
+1K242375OR3O Dual Mobility SystemSmith & Nephew, Inc.2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198610
198810
199020
199110
199210
199310
199440
199530
199620
199820
199930
200040
200120
200240
200310
200410
200520
200650
200740
200910
201010
201110
201710

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202210
202310
202410
202510
202610
FIG. 1 — Lineage of K191002, 1996–2026Source: 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.

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. #1 K233498 Stryker Orthopaedics Hip Systems Labeling Updatescore 24.3 · 20 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? (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
*K110135Polarcup Dual Mobility System
Summary page 4
…ed prosthesis, (21 CFR888.3358) III. PREDICATE DEVICE Primary Predicate: POLARCUP Dual Mobility System - K110135 (S.E. 10/14/2011) Predicate 2: REFLECTION Hip System – K071160 (S.E. 10/05/…
Smith & Nephew, Inc.2011—
*K071160Reflection, Tandem Unipolar
Summary page 4
…UP Dual Mobility System - K110135 (S.E. 10/14/2011) Predicate 2: REFLECTION Hip System – K071160 (S.E. 10/05/2007) Predicate 3: BH Dual Mobility System - K171934 (S.E. 11/3…
Smith & Nephew, Inc.2007—
*K171934Birmingham Hip (BH) Dual Mobility Insert
Summary page 4
…REFLECTION Hip System – K071160 (S.E. 10/05/2007) Predicate 3: BH Dual Mobility System - K171934 (S.E. 11/30/2017) Predicate 4: OXINIUM DH Femoral Heads - K161233 (S.E. 12/…
Smith & Nephew, Inc.2017—
*K161233OXINIUM DH Fermoral Heads
Summary page 4
…Dual Mobility System - K171934 (S.E. 11/30/2017) Predicate 4: OXINIUM DH Femoral Heads - K161233 (S.E. 12/14/2016) The predicate devices have not been subject to a design…
Smith & Nephew, Inc.2016—

Also cleared against K110135: 6 other devices →

What descends from it? (5)

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

NumberDeviceApplicantDecidedDescendants
K220959OR3O Dual Mobility SystemSmith & Nephew, Inc.20223
K232667OR3O Dual Mobility LinersSmith & Nephew, Inc.20231
K243456ONVOY™ Acetabular SystemGlobus Medical, Inc.20250
K242375OR3O Dual Mobility SystemSmith & Nephew, Inc.20240

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 23 years and passes through 3 companies; a new generation was cleared every 3.0 years on median.
  • 15 of the 54 ancestors have a recall of any class.
  • Of its descendants, K220959 (Smith & Nephew, Inc., 2022) has gone furthest, with 3 descendants of its own.
  • 6 other devices also cite its predicate K110135.

How does its category compare?

All LPH devices

LPH 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

2007: 102008: 102009: 32010: 152011: 162012: 252013: 112014: 202015: 182016: 102017: 122018: 92019: 222020: 72021: 82022: 142023: 102024: 62025: 122026 (partial year): 8
2007high 25 (2012) · low 3 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · LPH

153in 2025

2007: 116 days median2008: 86 days median2009: 112 days median2010: 100 days median2011: 110 days median2012: 76 days median2013: 135 days median2014: 129 days median2015: 111 days median2016: 150 days median2017: 121 days median2018: 145 days median2019: 164 days median2020: 164 days median2021: 410 days median2022: 247 days median2023: 111 days median2024: 92 days median2025: 153 days median2026 (partial year): 256 days median
2007high 410 (2021) · low 76 (2012)2026

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

Recalls per year · LPH

4in 2025

2007: 162008: 12009: 22010: 222011: 262012: 302013: 92014: 32015: 12016: 82017: 142018: 22019: 82020: 62021: 42022: 22023: 22024: 12025: 42026 (partial year): 2
2007high 30 (2012) · low 1 (2008)2026

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

Adverse event reports per year · LPH

6,163in 2025

2007: 5092008: 7062009: 1,1562010: 2,0072011: 3,3202012: 3,7852013: 5,0022014: 5,1632015: 5,8302016: 4,9002017: 5,3122018: 5,9542019: 7,1302020: 5,4292021: 5,9782022: 5,2232023: 5,3452024: 5,6262025: 6,163
2007high 7,130 (2019) · low 509 (2007)2025

MAUDE reports naming product code LPH, 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
20071011616509
200810861706
2009311221,156
201015100222,007
201116110263,320
20122576303,785
20131113595,002
20142012935,163
20151811115,830
20161015084,900
201712121145,312
2018914525,954
20192216487,130
2020716465,429
2021841045,978
20221424725,223
20231011125,345
202469215,626
20251215346,163
202682562—

What is it indicated for?

Intended Use The OR3O Dual Mobility System is intended for use in primary and revision total hip arthroplasty in skeletally mature patients. Indications • Advanced degeneration of the hip joint as a result of degenerative, post-traumatic, or rheumatoid arthritis. • Fracture or avascular necrosis of the femoral head. • Failure of previous hip surgery: joint reconstruction, internal fixation, arthrodesis, hemiarthroplasty, surface replacement arthroplasty…

Read the full statement (123 words)

Intended Use

The OR3O Dual Mobility System is intended for use in primary and revision total hip arthroplasty in skeletally mature patients.

Indications

• Advanced degeneration of the hip joint as a result of degenerative, post-traumatic, or rheumatoid arthritis.

• Fracture or avascular necrosis of the femoral head.

• Failure of previous hip surgery: joint reconstruction, internal fixation, arthrodesis, hemiarthroplasty, surface replacement arthroplasty, or total hip replacement.

• All forms of osteoarthritis.

• Patients with hips at risk of dislocation.

• Femoral neck fracture or proximal hip joint fracture.

The OR3O Dual Mobility System is intended for single use only. The modular OR3O Liners and Inserts are to be implanted without bone cement.

Mating components may be indicated for use without bone cement.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K191002: OR3O Dual Mobility System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K191002

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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