510(k) Report

510(k) · Cleared

Cleared

TiN Coated Humeral Head

K191698510(k) TraditionalCleared Jul 16, 2020387-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

Fx Shoulder USA, Inc. · KWT Prosthesis, Shoulder, Non-Constrained, Metal/Polymer Cemented

Cleared on Jul 16, 2020 as substantially equivalent to K123814 (Fx Solutions, 2013) and 1 other predicate after a 387-day review. Its family tree reaches back 15 generations to 1991. 1 of the 121 devices in its family, counting itself, has a Class I recall.

Decided
Jul 16, 2020
Review
387 days
Class
Class II
Product code
KWT
Recalls
None
Predicates
2

Its longest line of descent runs back 15 generations to K911686 (1991). 120 ancestors in all, the oldest K790987 (1979). No later device cites it as a predicate yet. 1 of the 121 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year cleared 2013: 2 other ancestors2015: 1 other ancestor2011: 3 other ancestors2006: 10 other ancestors2014: 1 other ancestor2012: 3 other ancestors2003: 6 other ancestors2000: 8 other ancestors1999: 6 other ancestors2005: 7 other ancestors2001: 7 other ancestors1998: 3 other ancestors1997: 2 other ancestors1996: 7 other ancestors2010: 1 other ancestor2008: 4 other ancestors2007: 5 other ancestors1995: 4 other ancestors1992: 2 other ancestors1988: 1 other ancestor1987: 5 other ancestors2009: 1 other ancestor2004: 5 other ancestors2002: 1 other ancestor1991: 2 other ancestors1980: 2 other ancestors1994: 2 other ancestors1979: 1 other ancestor1993: 1 other ancestor1989: 1 other ancestor1986: 1 other ancestorReference device: K152431 · LINK Endo-Model Knee System with PorEx (TiNbN) coating, Link Sled Knee System with PorEx (TiNbN) coating · Waldemar Link GmbH & Co. KG · 2016 · recalledK911686 · Global Total Shoulder, Uncement Humeral Hemi-Shoul · Depuy, Inc. · 1991K984541 · Global FX Humeral Stem, Global Advantage Humeral Head · DePuy Orthopaedics, Inc. · 1999K992065 · Global Advantage Shoulder, Global Advantage Humeral Stem, Global Advantage Eccentric Head · DePuy Orthopaedics, Inc. · 1999K021478 · Delta Shoulder · Depuy, Inc. · 2003×2: 2 generations cleared close together, 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 · recalledK163669 · Humeris Shoulder · Fx Solutions · 201719801990200020102020
Other ancestors, by generation 1 generation back: 1 other ancestor2 generations back: 3 other ancestors3 generations back: 7 other ancestors4 generations back: 9 other ancestors5 generations back: 25 other ancestors6 generations back: 25 other ancestors7 generations back: 23 other ancestors8 generations back: 5 other ancestors9 generations back: 6 other ancestors10 generations back: 1 other ancestor K163669 · Humeris Shoulder · Fx Solutions · 2017K122698 · 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 backK163669 Humeris ShoulderFx Solutions · 2017
  6. This deviceK191698 TiN Coated Humeral HeadFx Shoulder USA, Inc. · 2020
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 backK163669 Humeris ShoulderFx Solutions · 2017
  16. This deviceK191698 TiN Coated Humeral HeadFx Shoulder USA, Inc. · 2020

Class I recalls in this family

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
−1K163669Humeris ShoulderFx Solutions2017—
0 (this device)K191698TiN Coated Humeral HeadFx Shoulder USA, Inc.2020—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198020
198610
198750
198810
198910
199120
199220
199310
199420
199540
199670
199720
199830
199960
200080
200170
200210
200360
200450
200570
2006100
200750
200840
200910
201010
201130
201230
201320
201410
201510
FIG. 1 — Lineage of K191698, 1991–2020Source: 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.

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 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
*K123814Humelock II Cemented Shoulder System
Summary page 5
…thesis – Class II Substantially Equivalent Devices: Primary Predicate: Humelock II Cemented Shoulder System (K123814) Predicate: Humeris™ Shoulder System (K163669)…
Fx Solutions2013—
*K163669Humeris Shoulder
Summary page 5
…Humelock II Cemented Shoulder System (K123814) Predicate: Humeris™ Shoulder System (K163669) Reference Device: LINK® Endo-Model® Knee System with PorEx®;…
Fx Solutions2017—
†K152431LINK Endo-Model Knee System with PorEx (TiNbN) coating, Link Sled Knee System with PorEx…Waldemar Link GmbH & Co. KG201616

Also cleared against K123814: 3 other devices →

What descends from it?

No later submission names this one as a predicate yet.

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

No FDA recall names this device.

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 29 years and passes through 10 companies; a new generation was cleared every 1.0 years on median.
  • 33 of the 120 ancestors have a recall of any class; 1 has a Class I recall.
  • 3 other devices also cite its predicate K123814.

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. 2020, 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?

When used in the Humelock II Cemented Shoulder System: The Humelock II Cemented Shoulder System is indicated for use in total and hemi-shoulder replacement to treat: 1. Proximal humeral fractures 2. A severely painful and/or disabled joint resulting from osteoarthritis, traumatic arthritis or rheumatoid arthritis; 3. Other difficult clinical problems where shoulder arthrodesis or resection arthroplasty are not acceptable (e.g. revision of a previously…

Read the full statement (301 words)

When used in the Humelock II Cemented Shoulder System:

The Humelock II Cemented Shoulder System is indicated for use in total and hemi-shoulder replacement to treat:

1. Proximal humeral fractures

2. A severely painful and/or disabled joint resulting from osteoarthritis, traumatic arthritis or rheumatoid arthritis;

3. Other difficult clinical problems where shoulder arthrodesis or resection arthroplasty are not acceptable (e.g. revision of a previously implanted primary component, a humeral plate or a humeral nail).

The humeral stem and glenoid components of the Humelock II Cemented Shoulder System are intended for cemented use only.

TiN coated Heads are not intended for hemi- shoulder arthroplasty.

When used in the Humeris Shoulder System:

In an anatomic shoulder configuration, the Humeris Shoulder System is indicated for use in total and hemi-shoulder replacement to treat:

- A severely painful and/or disabled joint resulting from osteoarthritis or rheumatoid arthritis;

- Other difficult clinical problems where shoulder arthrodesis or resection arthroplasty are not acceptable (e.g. revision of a previously implanted primary component, a humeral plate or a humeral nail).

TiN coated Heads are not intended for hemi- shoulder arthroplasty.

In a reverse shoulder configuration, the Humeris Shoulder is indicated for primary or revision total shoulder arthroplasty for the relief of pain and to improve function in patients with a massive and non-repairable rotator cuff tear.

The patient’s joint must be anatomically and structurally suited to receive the selected implants and a functional deltoid muscle is necessary to use the device.

The humeral stem of the Humeris Cementless Shoulder is intended for cementless use only. The humeral stem of the Humeris Cemented Shoulder is intended for cemented use only. The glenoid components of the Humeris Shoulder System are intended for cemented use only. The glenoid baseplate component is intended for cementless use with the addition of screws for fixation.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K191698: TiN Coated Humeral Head.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K191698

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