510(k) Report

510(k) · Cleared

Cleared

Wagner SL Revision Stem Lateral and Wagner Cone Prosthesis System

K191781510(k) SpecialCleared Aug 6, 201935-day reviewClass II21 CFR 888.3353

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

Zimmer GmbH · LZO Prosthesis, Hip, Semi-Constrained, Metal/Ceramic/Polymer, Cemented Or Non-Porous, Uncemented

Cleared on Aug 6, 2019 as substantially equivalent to K043356 (Zimmer Austin, Inc., 2005) and 2 other predicates after a 35-day review. Its family tree reaches back 8 generations to 1994. 1 later device descends from it.

Decided
Aug 6, 2019
Review
35 days
Class
Class II
Product code
LZO
Recalls
None
Predicates
3

Its longest line of descent runs back 8 generations to K921308 (1994). 23 ancestors in all. 1 later device descends from it, 1 citing it directly.

  1. Root · 8 generations backK921308 HG Multilock Hip Prosthesis W/ TI-NidiumZimmer, Inc. · 1994 · Recalled
  2. 7 generations backK972893 Partnership Revision Femoral StemsHowmedica Corp. · 1997
  3. 6 generations backK983404 Type 3 Femoral ComponentsHowmedica Corp. · 1998 · Recalled
  4. 5 generations backK013106 2 Piece Modular Hip StemHowmedica Osteonics Corp. · 2002 · Recalled
  5. 4 generations backK022549 Restoration Modular SystemHowmedica Osteonics Corp. · 2002 · Recalled
  6. 3 generations backK032380 Wagner Cone ProsthesisCenterpulse Orthopedics, Inc. · 2003
  7. 2 generations backK113556 Wagner Cone Prosthesis SystemZimmer GmbH · 2012 · Recalled
  8. 1 generation backK161192 Wagner SL Revision Stem Lateral, Wagner Cone Prosthesis® SystemZimmer GmbH · 2016
  9. This deviceK191781 Wagner SL Revision Stem Lateral and Wagner Cone Prosthesis SystemZimmer GmbH · 2019
  10. Descendant · cites it directly · 0 of its ownK200112 Zimmer Hip Joint ReplacementZimmer GmbH · 2020 · Recalled

Most influential descendants

Showing 1 of 1 · See all
  • K200112Zimmer Hip Joint ReplacementZimmer GmbH · 2020 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−8K921308HG Multilock Hip Prosthesis W/ TI-NidiumZimmer, Inc.19941
−7K972893Partnership Revision Femoral StemsHowmedica Corp.1997—
−6K983404Type 3 Femoral ComponentsHowmedica Corp.19981
−5K0131062 Piece Modular Hip StemHowmedica Osteonics Corp.200237
−4K022549Restoration Modular SystemHowmedica Osteonics Corp.20023
−3K032380Wagner Cone ProsthesisCenterpulse Orthopedics, Inc.2003—
−2K113556Wagner Cone Prosthesis SystemZimmer GmbH20121
−1K161192Wagner SL Revision Stem Lateral, Wagner Cone Prosthesis® SystemZimmer GmbH2016—
0 (this device)K191781Wagner SL Revision Stem Lateral and Wagner Cone Prosthesis SystemZimmer GmbH2019—
+1K200112Zimmer Hip Joint ReplacementZimmer GmbH20202

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199410
199550
199640
199720
200010
200410
200510

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202010
FIG. 1 — Lineage of K191781, 1994–2020Source: 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 LZO? 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 LZO device

  1. #1 K192827 Quadra-Pscore 19.3 · 10 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? (3)

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
*K043356Wagner SL Revision Stem Lateral
Summary page 5
…cemented prosthesis Predicate Device: Wagner SL Revision Stem Lateral, manufactured by Zimmer GmbH, K043356, cleared 04/18/2005 Wagner SL Revision Stem Lateral, manufactured by Zimmer…
Zimmer Austin, Inc.2005—
*K161192Wagner SL Revision Stem Lateral, Wagner Cone Prosthesis® System
Summary page 5
…GmbH, K043356, cleared 04/18/2005 Wagner SL Revision Stem Lateral, manufactured by Zimmer GmbH, K161192, cleared 07/08/2016 Wagner Cone Prosthesis System, manufactured by Zimmer…
Zimmer GmbH2016—
*K113556Wagner Cone Prosthesis System
Summary page 5
…GmbH, K161192, cleared 07/08/2016 Wagner Cone Prosthesis System, manufactured by Zimmer GmbH, K113556, cleared 02/17/2012 K191781 Effective date:…
Zimmer GmbH20121
†K182048Avenir Complete Hip SystemZimmer, Inc.2018—

Also cleared against K043356: 3 other devices →

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K200112Zimmer Hip Joint ReplacementZimmer GmbH20200

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 5 companies; a new generation was cleared every 3.3 years on median.
  • 12 of the 23 ancestors have a recall of any class.
  • Of its descendants, K200112 (Zimmer GmbH, 2020) has gone furthest, with 0 descendants of its own.
  • 3 other devices also cite its predicate K043356.

How does its category compare?

All LZO devices

LZO Prosthesis, Hip, Semi-Constrained, Metal/Ceramic/Polymer, Cemented Or Non-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 · LZO

14in 2025

2007: 92008: 112009: 72010: 152011: 132012: 142013: 262014: 132015: 122016: 102017: 162018: 182019: 282020: 182021: 122022: 112023: 102024: 112025: 142026 (partial year): 9
2007high 28 (2019) · low 7 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · LZO

119in 2025

2007: 87 days median2008: 63 days median2009: 83 days median2010: 78 days median2011: 87 days median2012: 98 days median2013: 100 days median2014: 85 days median2015: 115 days median2016: 177 days median2017: 257 days median2018: 163 days median2019: 109 days median2020: 112 days median2021: 170 days median2022: 279 days median2023: 122 days median2024: 111 days median2025: 119 days median2026 (partial year): 102 days median
2007high 279 (2022) · low 63 (2008)2026

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

Recalls per year · LZO

1in 2025

2007: 22008: 132009: 422011: 102012: 142014: 12015: 12016: 92017: 52018: 22019: 42020: 32022: 42023: 22024: 12025: 1
2007high 42 (2009) · low 0 (2010)2026

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

Adverse event reports per year · LZO

3,244in 2025

2007: 1382008: 1252009: 1892010: 3942011: 5442012: 9632013: 1,3702014: 1,4772015: 1,3482016: 1,7282017: 2,1652018: 3,1332019: 3,0662020: 1,9632021: 2,1992022: 1,9852023: 2,0662024: 2,5862025: 3,244
2007high 3,244 (2025) · low 125 (2008)2025

MAUDE reports naming product code LZO, 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
20079872138
2008116313125
200978342189
201015780394
2011138710544
2012149814963
20132610001,370
2014138511,477
20151211511,348
20161017791,728
20171625752,165
20181816323,133
20192810943,066
20201811231,963
20211217002,199
20221127941,985
20231012222,066
20241111112,586
20251411913,244
202691020—

What is it indicated for?

• Noninflammatory degenerative joint disease (NIDJD), e.g., avascular necrosis, osteoarthritis, and inflammatory joint disease (IJD), e.g., rheumatoid arthritis.

• Failed previous surgery where pain, deformity, or dysfunction persists.

• Optional use in revision: in some medical conditions (e.g., early revision when healthy and good bone stock exists), the surgeon may opt to use primary implants in a revision procedure.

• Revision of previously failed hip arthroplasty

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K191781: Wagner SL Revision Stem Lateral and Wagner Cone Prosthesis System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K191781

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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