510(k) Report

510(k) · Cleared

Cleared

Artisan Bone Plug, Universal Cement Restrictor

K220838510(k) TraditionalCleared May 20, 202259-day reviewClass II21 CFR 878.3300

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

Howmedica Osteonics, Dba Stryker Orthopaedics · LZN Cement Obturator

Cleared on May 20, 2022 as substantially equivalent to K951860 (Howmedica Corp., 1995) and 3 other predicates after a 59-day review. Its family tree reaches back 9 generations to 1994. 5 later devices descend from it.

Decided
May 20, 2022
Review
59 days
Class
Class II
Product code
LZN
Recalls
None
Predicates
4

Its longest line of descent runs back 9 generations to K921308 (1994). 120 ancestors in all, the oldest K894124 (1989). 5 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1995: 10 other ancestors1993: 1 other ancestor1991: 4 other ancestors2015: 1 other ancestor2014: 1 other ancestor2013: 1 other ancestor2012: 1 other ancestor2011: 4 other ancestors2009: 2 other ancestors2008: 1 other ancestor2007: 2 other ancestors2006: 4 other ancestors2005: 7 other ancestors2004: 3 other ancestors2003: 5 other ancestors2002: 11 other ancestors2001: 6 other ancestors2000: 11 other ancestors1999: 5 other ancestors1998: 7 other ancestors1997: 6 other ancestors1994: 7 other ancestors1992: 2 other ancestors1990: 2 other ancestors1989: 1 other ancestor1996: 6 other ancestors2023: 1 descendant cleared2026: 1 descendant cleared2025: 2 descendants cleared2024: 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 · recalledK122853 · Novel Fit and Fill Stem · Howmedica Osteonics Corp. · 2013K143085 · Stryker Orthopaedics Acetabular Shells, Femoral Stems and Total Hip Instruments for use with the Direct Superior Approach · Stryker Orthopaedics · 2015 · recalledK153345 · Stryker Orthopaedics Hip Systems Labeling Update · Stryker Orthopaedics · 2016 · recalled1990200020102020
  1. Root · 9 generations backK921308 HG Multilock Hip Prosthesis W/ TI-NidiumZimmer, Inc. · 1994 · Recalled
  2. 5 generations between
  3. 3 generations backK122853 Novel Fit and Fill StemHowmedica Osteonics Corp. · 2013
  4. 2 generations backK143085 Stryker Orthopaedics Acetabular Shells, Femoral Stems and Total Hip…Stryker Orthopaedics · 2015 · Recalled
  5. 1 generation backK153345 Stryker Orthopaedics Hip Systems Labeling UpdateStryker Orthopaedics · 2016 · Recalled
  6. This deviceK220838 Artisan Bone Plug, Universal Cement RestrictorHowmedica Osteonics, Dba Stryker Orthopaedics · 2022
  7. Descendant · cites it directly · 4 of its ownK233498 Stryker Orthopaedics Hip Systems Labeling UpdateHowmedica Osteonics Corp., Dba Stryker Orthopaedics · 2023
  8. Descendant · 2 generations on · 2 of its ownK243784 Stryker Orthopaedics Hip Devices Labeling UpdateHowmedica Osteonics Corp., Dba Stryker Orthopaedics · 2025
  9. Descendant · cites it directly · 0 of its ownK261624 Omnifit® 20° Series I Insert;Omnifit® Crossfire® 10° Series II…Howmedica Osteonics Corp., Dba Stryker Orthopaedics · 2026 · Recalled
  10. Descendant · 2 generations on · 0 of its ownK250989 Stryker and Serf hip devicesHowmedica Osteonics Corp (Dba Stryker Orthopaedics) · 2025
  11. Descendant · 2 generations on · 0 of its ownK240418 Stryker Orthopaedics Hip Systems Labeling UpdateHowmedica Osteonics Corp., Dba Stryker Orthopaedics · 2024
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 backK122853 Novel Fit and Fill StemHowmedica Osteonics Corp. · 2013
  8. 2 generations backK143085 Stryker Orthopaedics Acetabular Shells, Femoral Stems and Total Hip…Stryker Orthopaedics · 2015 · Recalled
  9. 1 generation backK153345 Stryker Orthopaedics Hip Systems Labeling UpdateStryker Orthopaedics · 2016 · Recalled
  10. This deviceK220838 Artisan Bone Plug, Universal Cement RestrictorHowmedica Osteonics, Dba Stryker Orthopaedics · 2022

Most influential descendants

Showing 5 of 5 · See all
  • K233498Stryker Orthopaedics Hip Systems Labeling UpdateHowmedica Osteonics Corp., Dba Stryker Orthopaedics · 2023 · cites it directly4descendants
  • K243784Stryker Orthopaedics Hip Devices Labeling UpdateHowmedica Osteonics Corp., Dba Stryker Orthopaedics · 2025 · 2 generations on2descendants
  • K261624Omnifit® 20° Series I Insert;Omnifit® Crossfire® 10° Series II Insert; Constrained…Howmedica Osteonics Corp., Dba Stryker Orthopaedics · 2026 · cites it directly0descendants
  • K250989Stryker and Serf hip devicesHowmedica Osteonics Corp (Dba Stryker Orthopaedics) · 2025 · 2 generations on0descendants
  • K240418Stryker Orthopaedics Hip Systems Labeling UpdateHowmedica Osteonics Corp., Dba Stryker Orthopaedics · 2024 · 2 generations on0descendants
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
−3K122853Novel Fit and Fill StemHowmedica Osteonics Corp.2013—
−2K143085Stryker Orthopaedics Acetabular Shells, Femoral Stems and Total Hip…Stryker Orthopaedics20152
−1K153345Stryker Orthopaedics Hip Systems Labeling UpdateStryker Orthopaedics20161
0 (this device)K220838Artisan Bone Plug, Universal Cement RestrictorHowmedica Osteonics, Dba Stryker Orthopaedics2022—
+1K233498Stryker Orthopaedics Hip Systems Labeling UpdateHowmedica Osteonics Corp., Dba Stryker Orthopaedics2023—
+2K243784Stryker Orthopaedics Hip Devices Labeling UpdateHowmedica Osteonics Corp., Dba Stryker Orthopaedics2025—
+1K261624Omnifit® 20° Series I Insert;Omnifit® Crossfire® 10° Series II Insert…Howmedica Osteonics Corp., Dba Stryker Orthopaedics20262
+2K250989Stryker and Serf hip devicesHowmedica Osteonics Corp (Dba Stryker Orthopaedics)2025—
+2K240418Stryker Orthopaedics Hip Systems Labeling UpdateHowmedica Osteonics Corp., Dba Stryker Orthopaedics2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198910
199020
199140
199220
199310
199470
1995100
199660
199760
199870
199950
2000110
200160
2002110
200350
200430
200570
200640
200720
200810
200920
201140
201210
201310
201410
201510

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202310
202410
202520
202610
FIG. 1 — Lineage of K220838, 1994–2026Source: 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 LZN? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

  • Candidate predicates for a device like this, rankedin the report
  • Recall history across each candidate’s familyin the report
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What was it cleared against? (4)

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
*K951860Howmedice Bone Plug
Summary page 5
…JDI – Prosthesis, hip, semi-constrained, metal/polymer, cemented Legally Marketed Device to Which Substantial Equivalence is Claimed: Artisan Bone Plug – K951860 Universal Cement Restrictor – K924323 Legally Marketed Additional Predicate Devices Used to Support Substantial Equivalence: Uni…
Howmedica Corp.1995—
*K924323The Universal Bone Cement Resistor
Summary page 5
…emi-constrained, metal/polymer, cemented Legally Marketed Device to Which Substantial Equivalence is Claimed: Artisan Bone Plug – K951860 Universal Cement Restrictor – K924323 Legally Marketed Additional Predicate Devices Used to Support Substantial Equivalence: Universal Distal Spacer – K914406, K15334…
Biodynamic Technologies, Inc.1993—
*K914406PT II Distal Cement Spacer
Summary page 5
…ne Plug – K951860 Universal Cement Restrictor – K924323 Legally Marketed Additional Predicate Devices Used to Support Substantial Equivalence: Universal Distal Spacer – K914406, K153345 Device Description: The Artisan Bone Plug and Universal Cement Restrictor are commercially available devices that have…
Osteonics Corp.1991—
*K153345Stryker Orthopaedics Hip Systems Labeling Update
Summary page 5
…K951860 Universal Cement Restrictor – K924323 Legally Marketed Additional Predicate Devices Used to Support Substantial Equivalence: Universal Distal Spacer – K914406, K153345 Device Description: The Artisan Bone Plug and Universal Cement Restrictor are commercially available devices that have been dete…
Stryker Orthopaedics20161

Also cleared against K951860: 1 other device →

What descends from it? (5)

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

NumberDeviceApplicantDecidedDescendants
K233498Stryker Orthopaedics Hip Systems Labeling UpdateHowmedica Osteonics Corp., Dba Stryker Orthopaedics20234
K261624Omnifit® 20° Series I Insert;Omnifit® Crossfire® 10° Series II Insert; Constrained…Howmedica Osteonics Corp., Dba Stryker Orthopaedics20260

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 2.0 years on median.
  • 43 of the 120 ancestors have a recall of any class.
  • Of its descendants, K233498 (Howmedica Osteonics Corp., Dba Stryker Orthopaedics, 2023) has gone furthest, with 4 descendants of its own.
  • 1 other device also cites its predicate K951860.

How does its category compare?

All LZN devices

LZN Cement Obturator: FDA decisions, review times, recalls and adverse event reports over 20 years. 2022, this device’s year, is highlighted.

FDA decisions per year · LZN

1in 2022

2022: 1
2007high 1 (2022) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · LZN

Too few LZN 510(k)s in any year since 2007 to give a median.

Recalls per year · LZN

1in 2022

2022: 1
2007high 1 (2022) · low 0 (2007)2026

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

Adverse event reports per year · LZN

6in 2025

2007: 12008: 22009: 32010: 72011: 32012: 132013: 42014: 302015: 412016: 62017: 62018: 82019: 112020: 112021: 122022: 62023: 132024: 72025: 6
2007high 41 (2015) · low 1 (2007)2025

MAUDE reports naming product code LZN, 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
20070—01
20080—02
20090—03
20100—07
20110—03
20120—013
20130—04
20140—030
20150—041
20160—06
20170—06
20180—08
20190—011
20200—011
20210—012
20221—16
20230—013
20240—07
20250—06
20260—0—

What is it indicated for?

These bone plugs are intended to be placed in the femoral canal prior to the introduction of bone cement in a cemented hip procedure. The plug is placed distally to the femoral stem to help allow cement pressurization and to help prevent cement migration further down the femoral canal.

For cement spacers, mid-shaft restrictors and Cement Plugs:

» In cemented hip arthroplasty, when the cement spacer, restrictor and/or plug is thought to be advantageous.

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. “K220838: Artisan Bone Plug, Universal Cement Restrictor.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K220838

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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