510(k) Report

510(k) · Cleared

Cleared

DM Converter - TiN coated

K211891510(k) TraditionalCleared Jul 22, 2022396-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 Jul 22, 2022 as substantially equivalent to K131458 (Medacta International, 2013) after a 396-day review. Its family tree reaches back 12 generations to 1994.

Decided
Jul 22, 2022
Review
396 days
Class
Class II
Product code
LZO
Recalls
None
Predicates
1

Its longest line of descent runs back 12 generations to K941847 (1994). 145 ancestors in all, the oldest K840643 (1984). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2011: 1 other ancestor2010: 3 other ancestors2009: 2 other ancestors2008: 3 other ancestors2007: 9 other ancestors2006: 4 other ancestors2004: 5 other ancestors2003: 6 other ancestors2002: 9 other ancestors2001: 8 other ancestors2000: 13 other ancestors1999: 6 other ancestors1997: 9 other ancestors1996: 12 other ancestors1995: 9 other ancestors1994: 10 other ancestors1992: 3 other ancestors2005: 2 other ancestors1991: 2 other ancestors1988: 1 other ancestor1986: 1 other ancestor1998: 6 other ancestors1993: 2 other ancestors1990: 2 other ancestors1987: 2 other ancestors1984: 1 other ancestor1985: 1 other ancestorReference device: K143453 · Mpact Double Mobility System · Medacta International · 2015Reference device: K083116 · Versafit Cup Double Mobility System · Medacta International S.A. · 2009 · recalledReference device: K092265 · Vesafitcup Double Mobility- Highcross Hxuhmwpe Liners · Medacta International S.A. · 2010Reference device: K191765 · OMNI TiN Coated Apex Knee™ System · Omni Life Science, Inc. · 2019Reference device: K193122 · Biocore9 Humeral Resurfacing System · Biocore9, LLC · 2020K941847 · 5/8 Porocoat Aml Hip Porocoat Porous Coating · Depuy, Inc. · 1994K964650 · TCP-Coated Porocoat Aml Femoral Hip Prosthesis · Depuy, Inc. · 1997K980711 · Harris/Galante Porous (HGP) Hip Prosthesis with Calcicoat Ceramic Coating · Zimmer, Inc. · 1998 · recalledK001277 · Triflange Acetabular Cup System · DePuy Orthopaedics, Inc. · 2000K031495 · Pinnacle Duofix HA Acetabular Cup Prosthesis · DePuy Orthopaedics, Inc. · 2003K042344 · Excia Total Hip System · Aesculap, Inc. · 2005 · recalledK070981 · Search Evolution (LC) Total Knee System (Plasmapore) · Aesculap Implant Systems, Inc. · 2007K081023 · Evolis Total Knee System · Medacta International S.A. · 2008 · recalledK091069 · Medacta Bone Screws - Evolis and Versafit · Medacta International S.A. · 2009K103721 · Mpact Acetabular System · Medacta International · 2011K122641 · Mpact Extension · Medacta International · 2012K131458 · Mpact DM Liner Converter · Medacta International · 201319801990200020102020
  1. Root · 12 generations backK941847 5/8 Porocoat Aml Hip Porocoat Porous CoatingDepuy, Inc. · 1994
  2. 8 generations between
  3. 3 generations backK103721 Mpact Acetabular SystemMedacta International · 2011
  4. 2 generations backK122641 Mpact ExtensionMedacta International · 2012
  5. 1 generation backK131458 Mpact DM Liner ConverterMedacta International · 2013
  6. This deviceK211891 DM Converter - TiN coatedMedacta International S.A. · 2022
Show all 12 generations
  1. Root · 12 generations backK941847 5/8 Porocoat Aml Hip Porocoat Porous CoatingDepuy, Inc. · 1994
  2. 11 generations backK964650 TCP-Coated Porocoat Aml Femoral Hip ProsthesisDepuy, Inc. · 1997
  3. 10 generations backK980711 Harris/Galante Porous (HGP) Hip Prosthesis with Calcicoat Ceramic…Zimmer, Inc. · 1998 · Recalled
  4. 9 generations backK001277 Triflange Acetabular Cup SystemDePuy Orthopaedics, Inc. · 2000
  5. 8 generations backK031495 Pinnacle Duofix HA Acetabular Cup ProsthesisDePuy Orthopaedics, Inc. · 2003
  6. 7 generations backK042344 Excia Total Hip SystemAesculap, Inc. · 2005 · Recalled
  7. 6 generations backK070981 Search Evolution (LC) Total Knee System (Plasmapore)Aesculap Implant Systems, Inc. · 2007
  8. 5 generations backK081023 Evolis Total Knee SystemMedacta International S.A. · 2008 · Recalled
  9. 4 generations backK091069 Medacta Bone Screws - Evolis and VersafitMedacta International S.A. · 2009
  10. 3 generations backK103721 Mpact Acetabular SystemMedacta International · 2011
  11. 2 generations backK122641 Mpact ExtensionMedacta International · 2012
  12. 1 generation backK131458 Mpact DM Liner ConverterMedacta International · 2013
  13. This deviceK211891 DM Converter - TiN coatedMedacta International S.A. · 2022
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−12K9418475/8 Porocoat Aml Hip Porocoat Porous CoatingDepuy, Inc.1994—
−11K964650TCP-Coated Porocoat Aml Femoral Hip ProsthesisDepuy, Inc.1997—
−10K980711Harris/Galante Porous (HGP) Hip Prosthesis with Calcicoat Ceramic CoatingZimmer, Inc.19981
−9K001277Triflange Acetabular Cup SystemDePuy Orthopaedics, Inc.2000—
−8K031495Pinnacle Duofix HA Acetabular Cup ProsthesisDePuy Orthopaedics, Inc.2003—
−7K042344Excia Total Hip SystemAesculap, Inc.200510
−6K070981Search Evolution (LC) Total Knee System (Plasmapore)Aesculap Implant Systems, Inc.2007—
−5K081023Evolis Total Knee SystemMedacta International S.A.20081
−4K091069Medacta Bone Screws - Evolis and VersafitMedacta International S.A.2009—
−3K103721Mpact Acetabular SystemMedacta International2011—
−2K122641Mpact ExtensionMedacta International2012—
−1K131458Mpact DM Liner ConverterMedacta International2013—
0 (this device)K211891DM Converter - TiN coatedMedacta International S.A.2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198410
198510
198610
198720
198810
199020
199120
199230
199320
1994100
199590
1996120
199790
199860
199960
2000130
200180
200290
200360
200450
200520
200640
200790
200830
200920
201030
201110
FIG. 1 — Lineage of K211891, 1994–2022Source: 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? (1)

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
*K131458Mpact DM Liner Converter
Summary page 4
…21 CFR 888.3353 Device Classification II III. Predicate Device Substantial equivalence is claimed to the following device:  Mpact DM Converter, K131458, Medacta International SA In addition, the following reference devices are cited within the submission:  Mpact Double Mobil…
Medacta International2013—
†K143453Mpact Double Mobility SystemMedacta International2015—
†K083116Versafit Cup Double Mobility SystemMedacta International S.A.20092
†K092265Vesafitcup Double Mobility- Highcross Hxuhmwpe LinersMedacta International S.A.2010—
†K191765OMNI TiN Coated Apex Knee™ SystemOmni Life Science, Inc.2019—
†K193122Biocore9 Humeral Resurfacing SystemBiocore9, LLC2020—

Also cleared against K131458: 2 other devices →

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 28 years and passes through 7 companies; a new generation was cleared every 1.8 years on median.
  • 43 of the 144 ancestors have a recall of any class.
  • 2 other devices also cite its predicate K131458.

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. 2022, 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 Medacta DM Converter is designed to be used in combination with the Mpact and Versafitcup CC Trio family cementless cups in total hip arthroplasty in primary or revision surgery.

Total hip Arthroplasty 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 read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K211891: DM Converter - TiN coated.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 3, 2026. https://510kreport.com/device/K211891

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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