510(k) Report

510(k) · Cleared

Cleared

StageOne™ Shoulder Cement Spacer Molds

K221968510(k) TraditionalCleared Sep 15, 202272-day reviewClass II21 CFR 888.3027

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

Biomet, Inc. · MBB Bone Cement, Antibiotic

Cleared on Sep 15, 2022 as substantially equivalent to K160071 (Biomet, Inc., 2016) after a 72-day review. Its family tree reaches back 8 generations to 1991.

Decided
Sep 15, 2022
Review
72 days
Class
Class II
Product code
MBB
Recalls
None
Predicates
1

Its longest line of descent runs back 8 generations to K911686 (1991). 52 ancestors in all, the oldest K790987 (1979). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2006: 1 other ancestor2005: 1 other ancestor2004: 2 other ancestors2003: 2 other ancestors2002: 1 other ancestor1997: 1 other ancestor2001: 6 other ancestors2000: 6 other ancestors1999: 6 other ancestors1998: 3 other ancestors1996: 2 other ancestors1995: 2 other ancestors1994: 1 other ancestor1992: 2 other ancestors1988: 1 other ancestor1987: 3 other ancestors1979: 1 other ancestor1993: 1 other ancestor1980: 2 other ancestorsK911686 · Global Total Shoulder, Uncement Humeral Hemi-Shoul · Depuy, Inc. · 1991×2: 2 generations cleared close together, K984541 (1999), K992065 (1999) K042021 · Exactech Equinoxe Shoulder System · Exactech, Inc. · 2004 · recalledK060535 · Spacer-S Temporary Shoulder Spacer · Tecres S.P.A. · 2006K112983 · Spacer-S · Tecres S.P.A. · 2011K131135 · Biomet Stage One Disposable Cement Spacer Molds for Temporary Hemi-Shoulder Prosthesis · Biomet Manufacturing Corp · 2014 · recalledK160071 · StageOne Disposable Cement Spacer Molds for Temporary Hemi-Shoulder Prosthesis · Biomet, Inc. · 2016 · recalled19801990200020102020
  1. Root · 8 generations backK911686 Global Total Shoulder, Uncement Humeral Hemi-ShoulDepuy, Inc. · 1991
  2. 7 generations backK984541 Global FX Humeral Stem, Global Advantage Humeral HeadDePuy Orthopaedics, Inc. · 1999
  3. 6 generations backK992065 Global Advantage Shoulder, Global Advantage Humeral Stem, Global…DePuy Orthopaedics, Inc. · 1999
  4. 5 generations backK042021 Exactech Equinoxe Shoulder SystemExactech, Inc. · 2004 · Recalled
  5. 4 generations backK060535 Spacer-S Temporary Shoulder SpacerTecres S.P.A. · 2006
  6. 3 generations backK112983 Spacer-STecres S.P.A. · 2011
  7. 2 generations backK131135 Biomet Stage One Disposable Cement Spacer Molds for Temporary…Biomet Manufacturing Corp · 2014 · Recalled
  8. 1 generation backK160071 StageOne Disposable Cement Spacer Molds for Temporary Hemi-Shoulder…Biomet, Inc. · 2016 · Recalled
  9. This deviceK221968 StageOne™ Shoulder Cement Spacer MoldsBiomet, Inc. · 2022
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−8K911686Global Total Shoulder, Uncement Humeral Hemi-ShoulDepuy, Inc.1991—
−7K984541Global FX Humeral Stem, Global Advantage Humeral HeadDePuy Orthopaedics, Inc.1999—
−6K992065Global Advantage Shoulder, Global Advantage Humeral Stem, Global Advantage…DePuy Orthopaedics, Inc.1999—
−5K042021Exactech Equinoxe Shoulder SystemExactech, Inc.200410
−4K060535Spacer-S Temporary Shoulder SpacerTecres S.P.A.2006—
−3K112983Spacer-STecres S.P.A.2011—
−2K131135Biomet Stage One Disposable Cement Spacer Molds for Temporary Hemi-Shoulder…Biomet Manufacturing Corp20145
−1K160071StageOne Disposable Cement Spacer Molds for Temporary Hemi-Shoulder ProsthesisBiomet, Inc.20165
0 (this device)K221968StageOne™ Shoulder Cement Spacer MoldsBiomet, Inc.2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198020
198730
198810
199220
199310
199410
199520
199620
199710
199830
199960
200060
200160
200210
200320
200420
200510
200610
FIG. 1 — Lineage of K221968, 1991–2022Source: 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 MBB? 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 MBB device

  1. #1 K252443 SpaceFix Shoulder Spacerscore 12.4 · 9 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
*K160071StageOne Disposable Cement Spacer Molds for Temporary Hemi-Shoulder Prosthesis
Summary page 4
…prosthesis (21 CFR 888.3660) Predicate Device: StageOne™ Disposable Cement K160071 Spacer Molds for Temporary Hemi- Biomet, Inc. Shoulder Prosthesis…
Biomet, Inc.20165

Also cleared against K160071: 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 31 years and passes through 6 companies; a new generation was cleared every 5.3 years on median.
  • 11 of the 52 ancestors have a recall of any class.
  • 1 other device also cites its predicate K160071.

How does its category compare?

All MBB devices

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

FDA decisions per year · MBB

1in 2025

2007: 12008: 12014: 12015: 12016: 22017: 12019: 22020: 12021: 12022: 32024: 22025: 1
2007high 3 (2022) · low 0 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MBB

106in 2022

2022: 106 days median
2007high 106 (2022)2026

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

Recalls per year · MBB

1in 2022

2013: 22022: 12026 (partial year): 2
2007high 2 (2013) · low 0 (2007)2026

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

Adverse event reports per year · MBB

172in 2025

2007: 12008: 32009: 92010: 182011: 312012: 342013: 322014: 412015: 202016: 3272017: 2882018: 3322019: 4972020: 3752021: 6492022: 2752023: 2622024: 2122025: 172
2007high 649 (2021) · low 1 (2007)2025

MAUDE reports naming product code MBB, 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
20071—01
20081—03
20090—09
20100—018
20110—031
20120—034
20130—232
20141—041
20151—020
20162—0327
20171—0288
20180—0332
20192—0497
20201—0375
20211—0649
202231061275
20230—0262
20242—0212
20251—0172
20260—2—

What is it indicated for?

StageOne™ Shoulder Cement Spacer Molds are indicated for use to mold a temporary hemi-shoulder replacement for skeletally mature patients undergoing a two-stage revision procedure due to a septic process. The temporary prosthesis is molded using Refobacin® Bone Cement R and inserted into the humeral medullary canal and glenoidal cavity following removal of the existing total shoulder replacement implants and debridement. The device is intended for use in…

Read the full statement (153 words)

StageOne™ Shoulder Cement Spacer Molds are indicated for use to mold a temporary hemi-shoulder replacement for skeletally mature patients undergoing a two-stage revision procedure due to a septic process. The temporary prosthesis is molded using Refobacin® Bone Cement R and inserted into the humeral medullary canal and glenoidal cavity following removal of the existing total shoulder replacement implants and debridement. The device is intended for use in conjunction with systemic antimicrobial antibiotic therapy (standard treatment approach to an infection).

The hemi-shoulder prosthesis made from StageOne™ Shoulder Cement Spacer Molds is not intended for use more than 180 days, at which time it must be explanted and permanent devices implanted or another appropriate treatment performed (e.g. resection arthroplasty, fusion, etc.).

Due to the inherent mechanical limitations of the hemi-shoulder prosthesis material (Refobacin® Bone Cement R), the temporary hemi-shoulder prosthesis is only indicated for patients who will consistently follow activity limitations throughout the implant period.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K221968: StageOne™ Shoulder Cement Spacer Molds.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K221968

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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