510(k) Report

510(k) · Cleared

Recalled · Class II · 2023

Exactech® Equinoxe® Laser Cage Glenoid

K212356510(k) TraditionalCleared Mar 4, 2022218-day reviewClass II21 CFR 888.3660Recalls 1

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

Exactech, Inc. · KWS Prosthesis, Shoulder, Semi-Constrained, Metal/Polymer Cemented

Cleared on Mar 4, 2022 as substantially equivalent to K113309 (Exactech, Inc., 2011) and 2 other predicates after a 218-day review. Its family tree reaches back 10 generations to 1993. 2 later devices descend from it. It has been recalled once.

Decided
Mar 4, 2022
Review
218 days
Class
Class II
Product code
KWS
Recalls
1
Predicates
3

Its longest line of descent runs back 10 generations to K920362 (1993). 66 ancestors in all, the oldest K790987 (1979). 2 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2011: 1 other ancestor2006: 3 other ancestors2004: 6 other ancestors2007: 1 other ancestor2001: 7 other ancestors2000: 5 other ancestors1999: 8 other ancestors1998: 2 other ancestors1996: 4 other ancestors2005: 1 other ancestor2003: 2 other ancestors2002: 1 other ancestor1995: 2 other ancestors1994: 2 other ancestors1992: 2 other ancestors1991: 3 other ancestors1987: 2 other ancestors1979: 1 other ancestor1997: 1 other ancestor1980: 2 other ancestors2023: 1 descendant cleared2026: 1 descendant clearedReference device: K192097 · Exactech® Equinoxe® Stemless Humeral Components · Exactech, Inc. · 2020K920362 · 3M Modular Shoulder System · 3M Health Care, Ltd. · 1993K002683 · WMT Ultra-Fit Modular Shoulder System · Wrightmedicaltechnologyinc · 2000K032679 · Aequalis Shoulder Fracture System · Tornier · 2003K043077 · Modification to Aequalis Shoulder Fracture System; Aequalis Shoulder System · Tornier · 2004K060209 · Aequalis Shoulder Fracture System & Aequalis Shoulder System · Tornier · 2006K081707 · Aequalis Shoulder Fracture and Shoulder Systems · Tornier, Inc. · 2008×3: 3 generations cleared close together, K093430 (2010), K103419 (2010), K111379 (2011) K121220 · Equinoxe Glenoid, Uhmwpe 16 PS=Osterior Augment Pegged, Small, Left/Right · Exactech, Inc. · 2012 · recalled19801990200020102020
  1. Root · 10 generations backK920362 3M Modular Shoulder System3M Health Care, Ltd. · 1993
  2. 6 generations between
  3. 3 generations backK103419 Exactech Equinoxe R Uhmwpe Posterior Augment Pegged Glenoids TMExactech, Inc. · 2010 · Recalled
  4. 2 generations backK111379 Equinoxe Uhmwpe 12* Posterior Augment Pegged Glenoid, Small / Medium…Exactech, Inc. · 2011 · Recalled
  5. 1 generation backK121220 Equinoxe Glenoid, Uhmwpe 16 PS=Osterior Augment Pegged, Small…Exactech, Inc. · 2012 · Recalled
  6. This deviceK212356 Exactech® Equinoxe® Laser Cage GlenoidExactech, Inc. · 2022
  7. Descendant · cites it directly · 0 of its ownK254084 AETOS Shoulder System - CONCELOC GlenoidsSmith & Nephew, Inc. · 2026
  8. Descendant · cites it directly · 0 of its ownK231099 SMR Hybrid Glenoid SystemLima Corporate S.P.A. · 2023
Show all 10 generations
  1. Root · 10 generations backK920362 3M Modular Shoulder System3M Health Care, Ltd. · 1993
  2. 9 generations backK002683 WMT Ultra-Fit Modular Shoulder SystemWrightmedicaltechnologyinc · 2000
  3. 8 generations backK032679 Aequalis Shoulder Fracture SystemTornier · 2003
  4. 7 generations backK043077 Modification to Aequalis Shoulder Fracture System; Aequalis Shoulder…Tornier · 2004
  5. 6 generations backK060209 Aequalis Shoulder Fracture System & Aequalis Shoulder SystemTornier · 2006
  6. 5 generations backK081707 Aequalis Shoulder Fracture and Shoulder SystemsTornier, Inc. · 2008
  7. 4 generations backK093430 Exactech Equinoxe XL Keeled Glenoid, Pegged Glenoid, Exactech…Exactech, Inc. · 2010 · Recalled
  8. 3 generations backK103419 Exactech Equinoxe R Uhmwpe Posterior Augment Pegged Glenoids TMExactech, Inc. · 2010 · Recalled
  9. 2 generations backK111379 Equinoxe Uhmwpe 12* Posterior Augment Pegged Glenoid, Small / Medium…Exactech, Inc. · 2011 · Recalled
  10. 1 generation backK121220 Equinoxe Glenoid, Uhmwpe 16 PS=Osterior Augment Pegged, Small…Exactech, Inc. · 2012 · Recalled
  11. This deviceK212356 Exactech® Equinoxe® Laser Cage GlenoidExactech, Inc. · 2022

Most influential descendants

Showing 2 of 2 · See all
  • K254084AETOS Shoulder System - CONCELOC GlenoidsSmith & Nephew, Inc. · 2026 · cites it directly0descendants
  • K231099SMR Hybrid Glenoid SystemLima Corporate S.P.A. · 2023 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−10K9203623M Modular Shoulder System3M Health Care, Ltd.1993—
−9K002683WMT Ultra-Fit Modular Shoulder SystemWrightmedicaltechnologyinc2000—
−8K032679Aequalis Shoulder Fracture SystemTornier2003—
−7K043077Modification to Aequalis Shoulder Fracture System; Aequalis Shoulder SystemTornier2004—
−6K060209Aequalis Shoulder Fracture System & Aequalis Shoulder SystemTornier2006—
−5K081707Aequalis Shoulder Fracture and Shoulder SystemsTornier, Inc.2008—
−4K093430Exactech Equinoxe XL Keeled Glenoid, Pegged Glenoid, Exactech Equinoxe Cage…Exactech, Inc.20101
−3K103419Exactech Equinoxe R Uhmwpe Posterior Augment Pegged Glenoids TMExactech, Inc.20102
−2K111379Equinoxe Uhmwpe 12* Posterior Augment Pegged Glenoid, Small / Medium / Large /…Exactech, Inc.20112
−1K121220Equinoxe Glenoid, Uhmwpe 16 PS=Osterior Augment Pegged, Small, Left/RightExactech, Inc.20122
0 (this device)K212356Exactech® Equinoxe® Laser Cage GlenoidExactech, Inc.2022—
+1K254084AETOS Shoulder System - CONCELOC GlenoidsSmith & Nephew, Inc.2026—
+1K231099SMR Hybrid Glenoid SystemLima Corporate S.P.A.2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198020
198720
199130
199220
199420
199520
199640
199710
199820
199980
200050
200170
200210
200320
200460
200510
200630
200710
201110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202310
202610
FIG. 1 — Lineage of K212356, 1993–2026Source: 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 KWS? 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 KWS device

  1. #1 K220847 AETOS Shoulder Systemscore 21.1 · 16 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
*K113309Exactech Equinoxe Cage Glenoids
Summary page 7
…DEVICES TO WHICH SUBSTANTIAL EQUIVALENCE IS CLAIMED Primary Predicate: 510k Number Trade or Proprietary or Model Name Manufacturer K113309 Equinoxe® Cage Glenoid Exactech, Inc. Additional Predicates: 510k Number Trade or P…
Exactech, Inc.20118
*K121220Equinoxe Glenoid, Uhmwpe 16 PS=Osterior Augment Pegged, Small, Left/Right
Summary page 7
…uinoxe® Cage Glenoid Exactech, Inc. Additional Predicates: 510k Number Trade or Proprietary or Model Name Manufacturer K121220 Equinoxe 12° Posterior Augment Pegged Glenoid Exactech, Inc. K111379 Equinoxe 16° Posterior Augment Pegged…
Exactech, Inc.20122
*K111379Equinoxe Uhmwpe 12* Posterior Augment Pegged Glenoid, Small / Medium / Large /…
Summary page 7
…Number Trade or Proprietary or Model Name Manufacturer K121220 Equinoxe 12° Posterior Augment Pegged Glenoid Exactech, Inc. K111379 Equinoxe 16° Posterior Augment Pegged Glenoid Exactech, Inc. REFERENCE DEVICE 510k Number Trade or Propri…
Exactech, Inc.20112
†K192097Exactech® Equinoxe® Stemless Humeral ComponentsExactech, Inc.2020—

What descends from it? (2)

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

NumberDeviceApplicantDecidedDescendants
K254084AETOS Shoulder System - CONCELOC GlenoidsSmith & Nephew, Inc.20260
K231099SMR Hybrid Glenoid SystemLima Corporate S.P.A.20230

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Nov 21, 2023Class IIZ-0580-2024Packaging change controlExactech has received 3 complaints for 4 devices related to a loss of vacuum in the inner-most vacuum bag.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 29 years and passes through 5 companies; a new generation was cleared every 2.1 years on median.
  • 19 of the 66 ancestors have a recall of any class.
  • Of its descendants, K254084 (Smith & Nephew, Inc., 2026) has gone furthest, with 0 descendants of its own.

How does its category compare?

All KWS devices

KWS Prosthesis, Shoulder, Semi-Constrained, Metal/Polymer Cemented: FDA decisions, review times, recalls and adverse event reports over 20 years. 2022, this device’s year, is highlighted.

FDA decisions per year · KWS

3in 2025

2007: 22008: 42009: 42010: 72011: 112012: 72013: 122014: 72015: 82016: 102017: 72018: 42019: 92020: 32021: 52022: 52023: 42024: 22025: 32026 (partial year): 2
2007high 12 (2013) · low 2 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KWS

97in 2025

2008: 37 days median2009: 108 days median2010: 33 days median2011: 90 days median2012: 86 days median2013: 120 days median2014: 89 days median2015: 129 days median2016: 114 days median2017: 120 days median2018: 152 days median2019: 106 days median2020: 98 days median2021: 151 days median2022: 158 days median2023: 250 days median2025: 97 days median
2007high 250 (2023) · low 33 (2010)2026

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

Recalls per year · KWS

2in 2023

2007: 212008: 292010: 102011: 112012: 102014: 12016: 12017: 42018: 12019: 22020: 52023: 22026 (partial year): 1
2007high 29 (2008) · low 0 (2009)2026

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

Adverse event reports per year · KWS

2,281in 2025

2007: 1582008: 2382009: 2942010: 3932011: 4862012: 5422013: 8182014: 1,0662015: 1,1702016: 9702017: 1,6812018: 1,5452019: 1,7282020: 1,5672021: 1,3582022: 1,2682023: 1,7502024: 2,1222025: 2,281
2007high 2,281 (2025) · low 158 (2007)2025

MAUDE reports naming product code KWS, 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
20072—21158
200843729238
200941080294
201073310393
2011119011486
201278610542
2013121200818
201478911,066
2015812901,170
2016101141970
2017712041,681
2018415211,545
2019910621,728
202039851,567
2021515101,358
2022515801,268
2023425021,750
20242—02,122
202539702,281
20262—1—

What is it indicated for?

The Equinoxe Shoulder System is indicated for use in skeletally mature individuals with degenerative diseases or fractures of the glenohumeral joint where total or hemi-arthroplasty is determined by the surgeon to be the preferred method of treatment. • The cemented primary humeral stem, long/revision stem, fracture stems, and all Equinoxe glenoids are intended for cemented fixation. • The press-fit humeral stems are intended for press-fit applications…

Read the full statement (414 words)

The Equinoxe Shoulder System is indicated for use in skeletally mature individuals with degenerative diseases or fractures of the glenohumeral joint where total or hemi-arthroplasty is determined by the surgeon to be the preferred method of treatment.

• The cemented primary humeral stem, long/revision stem, fracture stems, and all Equinoxe glenoids are intended for cemented fixation.

• The press-fit humeral stems are intended for press-fit applications but may be used with bone cement at the discretion the surgeon.

• The reverse humeral components are intended to be used in cemented applications or in revision cases when the humeral component is well-fixed/stable, as deemed by the orthopaedic surgeon.

• Humeral Heads are intended for use in cemented and press-fit applications.

Clinical indications for the PRIMARY (P), LONG/REVISION (L), and FRACTURE (F) humeral components are as follows:

P L F Indications

√ √ Rheumatoid arthritis, osteoarthritis, osteonecrosis or post-traumatic degenerative problems

√ √ Congenital abnormalities in the skeletally mature

√ Primary and secondary necrosis of the humeral head.

√ √ Humeral head fracture with displacement of the tuberosities

√ √ Pathologies where arthrodesis or resectional arthroplasty of the humeral head are not acceptable

√ √ Revisions of humeral prostheses when other treatments or devices have failed (where adequate fixation can be achieved)

√ Displaced three-part and four-part upper humeral fractures

√ Spiral and other fractures of the mid-humerus (in combination with glenohumeral degenerative diseases)

√ Revision of failed previous reconstructions when distal anchorage is required

√ √ To restore mobility from previous procedures (e.g. previous fusion)

The Equinoxe Reverse Shoulder System is indicated for use in skeletally mature individuals with degenerative diseases of the glenohumeral joint and a grossly deficient, irreparable rotator cuff. The Equinoxe Reverse Shoulder is also indicated for a failed glenohumeral joint replacement with loss of rotator cuff function resulting in superior migration of the humeral head.

The Equinoxe Platform Fracture Stem is indicated for use in skeletally mature individuals with acute fracture of the proximal humerus and displacement of the tuberosities, displaced 3- and 4-part fractures of the proximal humerus (hemi-arthroplasty), or acute fracture of the proximal humerus with failure of the glenohumeral joint (primary total shoulder arthroplasty). The Equinoxe Platform Fracture Stem is also indicated for acute fracture of the proximal humerus in combination with degenerative diseases of the glenohumeral joint and a grossly deficient, irreparable rotator cuff resulting in superior migration of the humeral head (reverse total shoulder arthroplasty). The Equinoxe Platform Fracture Stem is indicated for cemented use only.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K212356: Exactech® Equinoxe® Laser Cage Glenoid.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K212356

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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