510(k) Report

510(k) · Cleared

Cleared

SMS Cementless Stem

K201673510(k) TraditionalCleared Sep 18, 202091-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

Medacta International S.A. · LZO Prosthesis, Hip, Semi-Constrained, Metal/Ceramic/Polymer, Cemented Or Non-Porous, Uncemented

Cleared on Sep 18, 2020 as substantially equivalent to K071723 (Zimmer GmbH, 2008) and 1 other predicate after a 91-day review. Its family tree reaches back 9 generations to 1994. 3 later devices descend from it.

Decided
Sep 18, 2020
Review
91 days
Class
Class II
Product code
LZO
Recalls
None
Predicates
2

Its longest line of descent runs back 9 generations to K921308 (1994). 69 ancestors in all, the oldest K845025 (1985). 3 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2008: 1 other ancestor2006: 1 other ancestor2003: 3 other ancestors2015: 1 other ancestor2004: 2 other ancestors2002: 4 other ancestors2000: 8 other ancestors1997: 3 other ancestors1996: 8 other ancestors1994: 6 other ancestors2011: 1 other ancestor2001: 2 other ancestors1999: 3 other ancestors1998: 2 other ancestors1990: 1 other ancestor1987: 2 other ancestors2009: 1 other ancestor1995: 6 other ancestors1988: 2 other ancestors1985: 2 other ancestors1991: 1 other ancestor2025: 1 descendant cleared2020: 1 descendant cleared2023: 1 descendant clearedK921308 · HG Multilock Hip Prosthesis W/ TI-Nidium · Zimmer, Inc. · 1994 · recalledK972893 · Partnership Revision Femoral Stems · Howmedica Corp. · 1997K983404 · Type 3 Femoral Components · Howmedica Corp. · 1998 · recalledK013106 · 2 Piece Modular Hip Stem · Howmedica Osteonics Corp. · 2002 · recalledK103479 · Novel Tapered Hip Stem · Stryker Corp. · 2011K120578 · Accolade II Hip Stem · Howmedica Osteonics · 2012 · recalledK123604 · Abg Iii Monolithic Hip Stem · Howmedica Osteonics Corp. · 2013 · recalledK170845 · MiniMAX · Medacta International S.A. · 2017 · recalledK181693 · SMS Femoral Stem · Medacta International S.A. · 20181990200020102020
  1. Root · 9 generations backK921308 HG Multilock Hip Prosthesis W/ TI-NidiumZimmer, Inc. · 1994 · Recalled
  2. 5 generations between
  3. 3 generations backK123604 Abg Iii Monolithic Hip StemHowmedica Osteonics Corp. · 2013 · Recalled
  4. 2 generations backK170845 MiniMAXMedacta International S.A. · 2017 · Recalled
  5. 1 generation backK181693 SMS Femoral StemMedacta International S.A. · 2018
  6. This deviceK201673 SMS Cementless StemMedacta International S.A. · 2020
  7. Descendant · cites it directly · 1 of its ownK203041 SMS Cementless StemMedacta International S.A. · 2020
  8. Descendant · cites it directly · 0 of its ownK250450 Coated hip implantsMedacta International S.A. · 2025
  9. Descendant · cites it directly · 0 of its ownK231925 MINIMA S SystemLima Corporate S.P.A. · 2023
Show all 9 generations
  1. Root · 9 generations backK921308 HG Multilock Hip Prosthesis W/ TI-NidiumZimmer, Inc. · 1994 · Recalled
  2. 8 generations backK972893 Partnership Revision Femoral StemsHowmedica Corp. · 1997
  3. 7 generations backK983404 Type 3 Femoral ComponentsHowmedica Corp. · 1998 · Recalled
  4. 6 generations backK013106 2 Piece Modular Hip StemHowmedica Osteonics Corp. · 2002 · Recalled
  5. 5 generations backK103479 Novel Tapered Hip StemStryker Corp. · 2011
  6. 4 generations backK120578 Accolade II Hip StemHowmedica Osteonics · 2012 · Recalled
  7. 3 generations backK123604 Abg Iii Monolithic Hip StemHowmedica Osteonics Corp. · 2013 · Recalled
  8. 2 generations backK170845 MiniMAXMedacta International S.A. · 2017 · Recalled
  9. 1 generation backK181693 SMS Femoral StemMedacta International S.A. · 2018
  10. This deviceK201673 SMS Cementless StemMedacta International S.A. · 2020

Most influential descendants

Showing 3 of 3 · See all
  • K203041SMS Cementless StemMedacta International S.A. · 2020 · cites it directly1descendant
  • K250450Coated hip implantsMedacta International S.A. · 2025 · cites it directly0descendants
  • K231925MINIMA S SystemLima Corporate S.P.A. · 2023 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−9K921308HG Multilock Hip Prosthesis W/ TI-NidiumZimmer, Inc.19941
−8K972893Partnership Revision Femoral StemsHowmedica Corp.1997—
−7K983404Type 3 Femoral ComponentsHowmedica Corp.19981
−6K0131062 Piece Modular Hip StemHowmedica Osteonics Corp.200237
−5K103479Novel Tapered Hip StemStryker Corp.2011—
−4K120578Accolade II Hip StemHowmedica Osteonics20121
−3K123604Abg Iii Monolithic Hip StemHowmedica Osteonics Corp.20131
−2K170845MiniMAXMedacta International S.A.20171
−1K181693SMS Femoral StemMedacta International S.A.2018—
0 (this device)K201673SMS Cementless StemMedacta International S.A.2020—
+1K203041SMS Cementless StemMedacta International S.A.2020—
+1K250450Coated hip implantsMedacta International S.A.2025—
+1K231925MINIMA S SystemLima Corporate S.P.A.2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198520
198720
198820
199010
199110
199460
199560
199680
199730
199820
199930
200080
200120
200240
200330
200420
200610
200810
200910
201110
201510

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202010
202310
202510
FIG. 1 — Lineage of K201673, 1994–2025Source: 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? (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
*K071723Zimmer Porolock Mis Stem
Summary page 4
…II III. Predicate Device Substantial equivalence is claimed to the following primary predicate device:  Primary Predicate: Zimmer Porolock MIS Stem, K071723, Zimmer GmbH; and  Additional Predicate: SMS, K181693, Medacta International SA. IV. Device Description The SM…
Zimmer GmbH20082
*K181693SMS Femoral Stem
Summary page 4
…aimed to the following primary predicate device:  Primary Predicate: Zimmer Porolock MIS Stem, K071723, Zimmer GmbH; and  Additional Predicate: SMS, K181693, Medacta International SA. IV. Device Description The SMS femoral stem is a cementless bone preserving short stem design…
Medacta International S.A.2018—

Also cleared against K071723: 7 other devices →

What descends from it? (3)

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

NumberDeviceApplicantDecidedDescendants
K203041SMS Cementless StemMedacta International S.A.20201
K250450Coated hip implantsMedacta International S.A.20250
K231925MINIMA S SystemLima Corporate S.P.A.20230

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 26 years and passes through 6 companies; a new generation was cleared every 1.8 years on median.
  • 26 of the 69 ancestors have a recall of any class.
  • Of its descendants, K203041 (Medacta International S.A., 2020) has gone furthest, with 1 descendant of its own.
  • 7 other devices also cite its predicate K071723.

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. 2020, 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?

The hip prosthesis SMS is designed for cementless use in total or partial hip arthroplasty, for primary or revision surgery.

Hip replacement is indicated in the following cases:

• Severely painful and/or disabled joint as a result of arthrosis, traumatic arthritis, rheumatoid polyarthritis or congenital hip dysplasia

• Avascular necrosis of the femoral head

• Acute traumatic fracture of the femoral head or neck

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

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K201673: SMS Cementless Stem.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 3, 2026. https://510kreport.com/device/K201673

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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