510(k) Report

510(k) · Cleared

Cleared

Delta Multihole TT Pro Acetabular System

K200656510(k) TraditionalCleared Jul 8, 2020118-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

Lima Corporate S.P.A. · LPH Prosthesis, Hip, Semi-Constrained, Metal/Polymer, Porous Uncemented

Cleared on Jul 8, 2020 as substantially equivalent to K191622 (Lima Corporate S.P.A., 2019) and 2 other predicates after a 118-day review. Its family tree reaches back 13 generations to 1981.

Decided
Jul 8, 2020
Review
118 days
Class
Class II
Product code
LPH
Recalls
None
Predicates
3

Its longest line of descent runs back 13 generations to K810258 (1981). 117 ancestors in all. No later device cites it as a predicate yet.

Other ancestors, by year cleared 2014: 1 other ancestor2012: 2 other ancestors2010: 4 other ancestors2011: 1 other ancestor2009: 2 other ancestors2007: 5 other ancestors2005: 5 other ancestors2003: 5 other ancestors2002: 4 other ancestors2000: 9 other ancestors1998: 5 other ancestors1996: 8 other ancestors1995: 7 other ancestors1994: 15 other ancestors1991: 2 other ancestors1985: 3 other ancestors2001: 5 other ancestors1999: 6 other ancestors1997: 4 other ancestors1983: 1 other ancestor2004: 2 other ancestors1993: 4 other ancestors1992: 2 other ancestors1986: 2 other ancestorsK810258 · Proximal Fermoral Hip Replacement · Biomet, Inc. · 1981K974558 · Salvage/Onocology Hip and Total Femur System · Biomet, Inc. · 1998K032396 · Ringloc 36MM Line and Modular Femoral Heads · Biomet, Inc. · 2003 · recalled×2: 2 generations cleared close together, K042051 (2005), K051411 (2005) K061312 · 36MM Biolox Delta Ceramic Heads · Biomet, Inc. · 2006K073102 · Biolox Delta Ceramic Heads with 100KGY E-Poly Acetabular Liners · Biomet Manufacturing Corp · 2007K082996 · Biolox Delta Option Ceramic Heads · Biomet, Inc. · 2009 · recalledK093549 · 44MM E1 Acetabular Liner with 44MM Biolox Delta Option Ceramic Head or 44MM M a Magnum · Biomet Manufacturing Corp · 2009K121874 · G7 Acetabular System · Biomet Manufacturing Corp · 2012 · recalledK140669 · G7 Osseoti Acetublar Shells · Biomet, Inc. · 2014K182099 · Delta TT Pro · Lima Corporate S.P.A. · 2018K191622 · Delta Multihole TT Pro Acetabular System · Lima Corporate S.P.A. · 201919801990200020102020
  1. Root · 13 generations backK810258 Proximal Fermoral Hip ReplacementBiomet, Inc. · 1981
  2. 9 generations between
  3. 3 generations backK140669 G7 Osseoti Acetublar ShellsBiomet, Inc. · 2014
  4. 2 generations backK182099 Delta TT ProLima Corporate S.P.A. · 2018
  5. 1 generation backK191622 Delta Multihole TT Pro Acetabular SystemLima Corporate S.P.A. · 2019
  6. This deviceK200656 Delta Multihole TT Pro Acetabular SystemLima Corporate S.P.A. · 2020
Show all 13 generations
  1. Root · 13 generations backK810258 Proximal Fermoral Hip ReplacementBiomet, Inc. · 1981
  2. 12 generations backK974558 Salvage/Onocology Hip and Total Femur SystemBiomet, Inc. · 1998
  3. 11 generations backK032396 Ringloc 36MM Line and Modular Femoral HeadsBiomet, Inc. · 2003 · Recalled
  4. 10 generations backK042051 Arcomxl Polyethylene LinersBiomet, Inc. · 2005 · Recalled
  5. 9 generations backK051411 Arcomxl Polyethylene Liners and Biolox Delta HeadsBiomet, Inc. · 2005 · Recalled
  6. 8 generations backK061312 36MM Biolox Delta Ceramic HeadsBiomet, Inc. · 2006
  7. 7 generations backK073102 Biolox Delta Ceramic Heads with 100KGY E-Poly Acetabular LinersBiomet Manufacturing Corp · 2007
  8. 6 generations backK082996 Biolox Delta Option Ceramic HeadsBiomet, Inc. · 2009 · Recalled
  9. 5 generations backK093549 44MM E1 Acetabular Liner with 44MM Biolox Delta Option Ceramic Head…Biomet Manufacturing Corp · 2009
  10. 4 generations backK121874 G7 Acetabular SystemBiomet Manufacturing Corp · 2012 · Recalled
  11. 3 generations backK140669 G7 Osseoti Acetublar ShellsBiomet, Inc. · 2014
  12. 2 generations backK182099 Delta TT ProLima Corporate S.P.A. · 2018
  13. 1 generation backK191622 Delta Multihole TT Pro Acetabular SystemLima Corporate S.P.A. · 2019
  14. This deviceK200656 Delta Multihole TT Pro Acetabular SystemLima Corporate S.P.A. · 2020
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−13K810258Proximal Fermoral Hip ReplacementBiomet, Inc.1981—
−12K974558Salvage/Onocology Hip and Total Femur SystemBiomet, Inc.1998—
−11K032396Ringloc 36MM Line and Modular Femoral HeadsBiomet, Inc.20033
−10K042051Arcomxl Polyethylene LinersBiomet, Inc.20051
−9K051411Arcomxl Polyethylene Liners and Biolox Delta HeadsBiomet, Inc.20051
−8K06131236MM Biolox Delta Ceramic HeadsBiomet, Inc.2006—
−7K073102Biolox Delta Ceramic Heads with 100KGY E-Poly Acetabular LinersBiomet Manufacturing Corp2007—
−6K082996Biolox Delta Option Ceramic HeadsBiomet, Inc.20094
−5K09354944MM E1 Acetabular Liner with 44MM Biolox Delta Option Ceramic Head or 44MM M…Biomet Manufacturing Corp2009—
−4K121874G7 Acetabular SystemBiomet Manufacturing Corp20123
−3K140669G7 Osseoti Acetublar ShellsBiomet, Inc.2014—
−2K182099Delta TT ProLima Corporate S.P.A.2018—
−1K191622Delta Multihole TT Pro Acetabular SystemLima Corporate S.P.A.2019—
0 (this device)K200656Delta Multihole TT Pro Acetabular SystemLima Corporate S.P.A.2020—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198310
198530
198620
199120
199220
199340
1994150
199570
199680
199740
199850
199960
200090
200150
200240
200350
200420
200550
200750
200920
201040
201110
201220
201410
FIG. 1 — Lineage of K200656, 1981–2020Source: 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 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
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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
*K191622Delta Multihole TT Pro Acetabular System
Summary page 4
…e of Biolox Delta ceramic or Cobalt Chrome Molybdenum alloy. The design of shell is similar to the previously cleared sizes of Delta Multihole TT Pro Acetabular System (K191622) and the G7 Acetabular System (Biomet, Inc., K140669 ) devices. The acetabular liners, the Biolox Delta heads, the CoCrMo heads a…
Lima Corporate S.P.A.2019—
*K182099Delta TT Pro
Summary page 4
…Acetabular System (Biomet, Inc., K140669 ) devices. The acetabular liners, the Biolox Delta heads, the CoCrMo heads and the bone screws are the same as those cleared in K182099. The Multihole TT Pro cup has a hemispherical design and provides holes in cranial and caudal aspects of the cup to provide addit…
Lima Corporate S.P.A.2018—
*K140669G7 Osseoti Acetublar Shells
Summary page 4
…alloy. The design of shell is similar to the previously cleared sizes of Delta Multihole TT Pro Acetabular System (K191622) and the G7 Acetabular System (Biomet, Inc., K140669 ) devices. The acetabular liners, the Biolox Delta heads, the CoCrMo heads and the bone screws are the same as those cleared in K…
Biomet, Inc.2014—

Also cleared against K191622: 1 other device →

What descends from it?

No later submission names this one as a predicate yet.

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 39 years and passes through 3 companies; a new generation was cleared every 1.5 years on median.
  • 28 of the 117 ancestors have a recall of any class.
  • 1 other device also cites its predicate K191622.

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. 2020, 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?

The Delta Acetabular System is indicated for use in total hip arthroplasty for reduction or relief of pain and/or improved hip function in skeletally mature patients with the following conditions:

• Non-inflammatory degenerative joint disease such as osteoarthritis, avascular necrosis and hip dysplasia;

• Rheumatoid arthritis;

• Post-traumatic arthritis,

• Correction of functional deformity;

• Fractures, dislocation of the hip and unsuccessful cup arthroplasty;

• Revisions in cases of good remaining bone stock;

• Revision of previously failed total hip arthroplasty (Delta Multihole TT Pro only).

The Delta Acetabular System is intended for cementless use.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K200656: Delta Multihole TT Pro Acetabular System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 3, 2026. https://510kreport.com/device/K200656

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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