510(k) Report

510(k) · Cleared

Cleared

INHANCETM Shoulder System – Humeral Stems and Stemless

K223211510(k) TraditionalCleared Dec 2, 202246-day reviewClass II21 CFR 888.3660

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

Depuy Ireland UC · PHX Shoulder Prosthesis, Reverse Configuration

Cleared on Dec 2, 2022 as substantially equivalent to K212737 (Depuy Ireland UC, 2022) and 2 other predicates after a 46-day review. Its family tree reaches back 16 generations to 1991. 1 of the 204 devices in its family, counting itself, has a Class I recall.

Decided
Dec 2, 2022
Review
46 days
Class
Class II
Product code
PHX
Recalls
None
Predicates
3

Its longest line of descent runs back 16 generations to K911686 (1991). 203 ancestors in all, the oldest K790987 (1979). No later device cites it as a predicate yet. 1 of the 204 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year cleared 2022: 1 other ancestor2020: 2 other ancestors2019: 2 other ancestors2018: 1 other ancestor2017: 1 other ancestor2016: 2 other ancestors2015: 1 other ancestor2012: 7 other ancestors2011: 7 other ancestors2009: 4 other ancestors2006: 13 other ancestors2005: 10 other ancestors1991: 3 other ancestors2014: 2 other ancestors2013: 4 other ancestors2010: 5 other ancestors2008: 9 other ancestors2007: 8 other ancestors2004: 10 other ancestors2003: 9 other ancestors2002: 6 other ancestors2000: 12 other ancestors1999: 6 other ancestors1998: 7 other ancestors1997: 4 other ancestors2001: 9 other ancestors1996: 8 other ancestors1995: 7 other ancestors1994: 7 other ancestors1993: 3 other ancestors1992: 5 other ancestors1989: 1 other ancestor1988: 1 other ancestor1987: 5 other ancestors1986: 1 other ancestor1979: 1 other ancestor1980: 2 other ancestors1981: 1 other ancestorK911686 · Global Total Shoulder, Uncement Humeral Hemi-Shoul · Depuy, Inc. · 1991×2: 2 generations cleared close together, K984541 (1999), K992065 (1999) ×3: 3 generations cleared close together, K021478 (2003), K030941 (2004), K041873 (2004) ×2: 2 generations cleared close together, K052906 (2005), K060704 (2006) K063569 · Equinoxe Reverse Shoulder System · Exactech, Inc. · 2007 · recalled×2: 2 generations cleared close together, K073688 (2008), K080642 (2008) ×2: 2 generations cleared close together, K110599 (2011), K112615 (2011) K122698 · Aequalis Ascend Flex Shoulder System · Tornier S.A.S. · 2013 · recalled×2: 2 generations cleared close together, K202716 (2021), K203108 (2021) 19801990200020102020
Other ancestors, by generation 1 generation back: 1 other ancestor2 generations back: 17 other ancestors3 generations back: 30 other ancestors4 generations back: 55 other ancestors5 generations back: 30 other ancestors6 generations back: 26 other ancestors7 generations back: 15 other ancestors8 generations back: 3 other ancestors9 generations back: 7 other ancestors10 generations back: 3 other ancestors K203108 · Ignite Stemless Anatomic Shoulder System · Ignite Orthopedics, LLC · 2021K202716 · Ignite Anatomic Shoulder System · Ignite Orthopedics, LLC · 2021K122698 · Aequalis Ascend Flex Shoulder System · Tornier S.A.S. · 2013 · recalledK112615 · Aequalis Ascend Modular Reverse Shoulder System · Tornier, Inc. · 2011K110599 · Aequalis Ascend Modular Reverse Shoulder System · Tornier, Inc. · 2011K080642 · Comprehensive Reverse Shoulder · Biomet, Inc. · 2008 · Class I recallK073688 · Equinoxe Reverse Shoulder System Fracture Humeral Adapter Tray and Locking Screw · Exactech, Inc. · 2008 · recalledK063569 · Equinoxe Reverse Shoulder System · Exactech, Inc. · 2007 · recalledK060704 · Zimmer Trabecular Metal Reverse Shoulder System, Sizes 8MM and 10MM · Zimmer, Inc. · 2006 · recalledK052906 · Zimmer Trabecular Metal Reverse Shoulder System · Zimmer, Inc. · 2005 · recalledK041873 · Aequalis Reversed Shoulder Prosthesis · Tornier · 2004K030941 · Aequalis Reversed Shoulder Prosthesis · Tornier · 2004K021478 · Delta Shoulder · Depuy, Inc. · 2003K992065 · Global Advantage Shoulder, Global Advantage Humeral Stem, Global Advantage Eccentric Head · DePuy Orthopaedics, Inc. · 1999K984541 · Global FX Humeral Stem, Global Advantage Humeral Head · DePuy Orthopaedics, Inc. · 1999K911686 · Global Total Shoulder, Uncement Humeral Hemi-Shoul · Depuy, Inc. · 1991−15−10−50
  1. Root · 16 generations backK911686 Global Total Shoulder, Uncement Humeral Hemi-ShoulDepuy, Inc. · 1991
  2. 12 generations between
  3. 3 generations backK122698 Aequalis Ascend Flex Shoulder SystemTornier S.A.S. · 2013 · Recalled
  4. 2 generations backK202716 Ignite Anatomic Shoulder SystemIgnite Orthopedics, LLC · 2021
  5. 1 generation backK203108 Ignite Stemless Anatomic Shoulder SystemIgnite Orthopedics, LLC · 2021
  6. This deviceK223211 INHANCETM Shoulder System – Humeral Stems and StemlessDepuy Ireland UC · 2022
Show all 16 generations
  1. Root · 16 generations backK911686 Global Total Shoulder, Uncement Humeral Hemi-ShoulDepuy, Inc. · 1991
  2. 15 generations backK984541 Global FX Humeral Stem, Global Advantage Humeral HeadDePuy Orthopaedics, Inc. · 1999
  3. 14 generations backK992065 Global Advantage Shoulder, Global Advantage Humeral Stem, Global…DePuy Orthopaedics, Inc. · 1999
  4. 13 generations backK021478 Delta ShoulderDepuy, Inc. · 2003
  5. 12 generations backK030941 Aequalis Reversed Shoulder ProsthesisTornier · 2004
  6. 11 generations backK041873 Aequalis Reversed Shoulder ProsthesisTornier · 2004
  7. 10 generations backK052906 Zimmer Trabecular Metal Reverse Shoulder SystemZimmer, Inc. · 2005 · Recalled
  8. 9 generations backK060704 Zimmer Trabecular Metal Reverse Shoulder System, Sizes 8MM and 10MMZimmer, Inc. · 2006 · Recalled
  9. 8 generations backK063569 Equinoxe Reverse Shoulder SystemExactech, Inc. · 2007 · Recalled
  10. 7 generations backK073688 Equinoxe Reverse Shoulder System Fracture Humeral Adapter Tray and…Exactech, Inc. · 2008 · Recalled
  11. 6 generations backK080642 Comprehensive Reverse ShoulderBiomet, Inc. · 2008 · Recalled (Class I)
  12. 5 generations backK110599 Aequalis Ascend Modular Reverse Shoulder SystemTornier, Inc. · 2011
  13. 4 generations backK112615 Aequalis Ascend Modular Reverse Shoulder SystemTornier, Inc. · 2011
  14. 3 generations backK122698 Aequalis Ascend Flex Shoulder SystemTornier S.A.S. · 2013 · Recalled
  15. 2 generations backK202716 Ignite Anatomic Shoulder SystemIgnite Orthopedics, LLC · 2021
  16. 1 generation backK203108 Ignite Stemless Anatomic Shoulder SystemIgnite Orthopedics, LLC · 2021
  17. This deviceK223211 INHANCETM Shoulder System – Humeral Stems and StemlessDepuy Ireland UC · 2022

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−16K911686Global Total Shoulder, Uncement Humeral Hemi-ShoulDepuy, Inc.1991—
−15K984541Global FX Humeral Stem, Global Advantage Humeral HeadDePuy Orthopaedics, Inc.1999—
−14K992065Global Advantage Shoulder, Global Advantage Humeral Stem, Global Advantage…DePuy Orthopaedics, Inc.1999—
−13K021478Delta ShoulderDepuy, Inc.2003—
−12K030941Aequalis Reversed Shoulder ProsthesisTornier2004—
−11K041873Aequalis Reversed Shoulder ProsthesisTornier2004—
−10K052906Zimmer Trabecular Metal Reverse Shoulder SystemZimmer, Inc.200512
−9K060704Zimmer Trabecular Metal Reverse Shoulder System, Sizes 8MM and 10MMZimmer, Inc.200610
−8K063569Equinoxe Reverse Shoulder SystemExactech, Inc.200713
−7K073688Equinoxe Reverse Shoulder System Fracture Humeral Adapter Tray and Locking ScrewExactech, Inc.20081
−6K080642Comprehensive Reverse ShoulderBiomet, Inc.2008Class I
−5K110599Aequalis Ascend Modular Reverse Shoulder SystemTornier, Inc.2011—
−4K112615Aequalis Ascend Modular Reverse Shoulder SystemTornier, Inc.2011—
−3K122698Aequalis Ascend Flex Shoulder SystemTornier S.A.S.20132
−2K202716Ignite Anatomic Shoulder SystemIgnite Orthopedics, LLC2021—
−1K203108Ignite Stemless Anatomic Shoulder SystemIgnite Orthopedics, LLC2021—
0 (this device)K223211INHANCETM Shoulder System – Humeral Stems and StemlessDepuy Ireland UC2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198020
198110
198610
198750
198810
198910
199130
199250
199330
199470
199570
199680
199740
199870
199960
2000120
200190
200260
200390
2004100
2005100
2006130
200780
200890
200940
201050
201170
201270
201340
201420
201510
201620
201710
201810
201920
202020
202210
FIG. 1 — Lineage of K223211, 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.

1 device in this family has a Class I recall. 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 PHX device

  1. #1 K212737 INHANCE™ Reverse Shoulder Systemscore 28.4 · 15 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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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
*K212737INHANCE™ Reverse Shoulder System
Summary page 6
…lic uncemented prosthesis (21 CFR §888.3690); Class II Product Codes: PHX, MBF, KWT, KWS, PKC, PAO, HSD Predicate Device: K212737 – (Primary) INHANCE Reverse Shoulder System, DePuy Ireland UC K202716 – INHAN…
Depuy Ireland UC2022—
*K202716Ignite Anatomic Shoulder System
Summary page 6
…KWS, PKC, PAO, HSD Predicate Device: K212737 – (Primary) INHANCE Reverse Shoulder System, DePuy Ireland UC K202716 – INHANCE Anatomic Shoulder System; DePuy Ireland UC (formerly Ignite Anatomic Shoulder System; Ignite…
Ignite Orthopedics, LLC2021—
*K203108Ignite Stemless Anatomic Shoulder System
Summary page 6
…INHANCE Anatomic Shoulder System; DePuy Ireland UC (formerly Ignite Anatomic Shoulder System; Ignite Orthopedics LLC) K203108 – INHANCE Stemless Anatomic Shoulder System; DePuy Ireland UC (formerly Ignite Stemless Anatomic Should…
Ignite Orthopedics, LLC2021—

Also cleared against K212737: 6 other devices →

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (1 Class I)

No FDA recall names this device.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K080642Comprehensive Reverse ShoulderBiomet, Inc. · 2008 · 3 generations back · ◆ on the line of descent in FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 31 years and passes through 10 companies; a new generation was cleared every 1.0 years on median.
  • 56 of the 203 ancestors have a recall of any class; 1 has a Class I recall.
  • 6 other devices also cite its predicate K212737.

How does its category compare?

All PHX devices

PHX Shoulder Prosthesis, Reverse Configuration: FDA decisions, review times, recalls and adverse event reports over 20 years. 2022, this device’s year, is highlighted.

FDA decisions per year · PHX

9in 2025

2007: 52008: 62009: 12010: 82011: 122012: 122013: 82014: 122015: 42016: 42017: 112018: 142019: 92020: 132021: 212022: 92023: 92024: 92025: 92026 (partial year): 18
2007high 21 (2021) · low 1 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · PHX

72in 2025

2007: 97 days median2008: 79 days median2010: 124 days median2011: 94 days median2012: 114 days median2013: 143 days median2014: 110 days median2015: 206 days median2016: 132 days median2017: 141 days median2018: 127 days median2019: 144 days median2020: 143 days median2021: 143 days median2022: 198 days median2023: 154 days median2024: 139 days median2025: 72 days median2026 (partial year): 130 days median
2007high 206 (2015) · low 72 (2025)2026

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

Recalls per year · PHX

3in 2025

2015: 22018: 12019: 32020: 32021: 82023: 72024: 12025: 32026 (partial year): 7
2007high 8 (2021) · low 0 (2007)2026

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

Adverse event reports per year · PHX

2,848in 2025

2015: 142016: 52017: 252018: 3232019: 5042020: 9862021: 1,4042022: 1,3422023: 1,4012024: 2,1422025: 2,848
2007high 2,848 (2025) · low 0 (2007)2025

MAUDE reports naming product code PHX, 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
200759700
200867900
20091—00
2010812400
2011129400
20121211400
2013814300
20141211000
20154206214
2016413205
201711141025
2018141271323
201991443504
2020131433986
20212114381,404
2022919801,342
2023915471,401
2024913912,142
202597232,848
2026181307—

What is it indicated for?

Anatomic Total Shoulder or Hemi-Shoulder The INHANCE SHOULDER SYSTEM with the humeral stemless anchor is intended for use in anatomic total shoulder replacement procedures to address the following: » Osteoarthritis » Post-traumatic arthrosis » Focal avascular necrosis of the humeral head * Previous surgeries of the shoulder that do not compromise the fixation The INHANCE SHOULDER SYSTEM with a humeral stem is intended for use in anatomic total or…

Read the full statement (337 words)

Anatomic Total Shoulder or Hemi-Shoulder

The INHANCE SHOULDER SYSTEM with the humeral stemless anchor is intended for use in anatomic total shoulder replacement procedures to address the following:

» Osteoarthritis

» Post-traumatic arthrosis

» Focal avascular necrosis of the humeral head

* Previous surgeries of the shoulder that do not compromise the fixation

The INHANCE SHOULDER SYSTEM with a humeral stem is intended for use in anatomic total or hemi-shoulder replacement procedures to address the following:

» Non-inflammatory degenerative joint disease including osteoarthritis and avascular necrosis.

* Rheumatoid arthritis.

» Revision where other devices or treatments have failed.

* Correction of functional deformity.

* Fractures of the humeral head (with Short Humeral Stems)

* Fractures of the humeral head and proximal humerus, where other methods of treatment are deemed inadequate (with Standard or Long Stems)

* Difficult clinical management problems where other methods of treatment may not be suitable or may be inadequate.

Fixation Methods

The humeral stems are intended for cemented or cementless use. The humeral stemless anchor is intended for cementless use. The glenoid is intended for cemented use only.

Reverse Total Shoulder

The INHANCE SHOULDER SYSTEM Reverse Total Shoulder with a humeral stem is indicated for primary, fracture or revision total reverse shoulder replacement procedures to address the following. The system is indicated for use in patients whose shoulder joint has a gross rotator cuff deficiency. The patient must be anatomically and structurally suited to receive the implants and a functional deltoid muscle is necessary. The system is also indicated for conversion from an anatomic to reverse shoulder prosthesis without the removal of a well-fixed INHANCE humeral stem.

* A severely painful, disabling, arthritic joint

* Fractures of the humeral head (with Short Humeral Stems)

* Fractures of the humeral head and proximal humerus (with Standard or Long Stems)

* Revisions of previously failed shoulder joint replacements

Fixation Methods

The humeral stem is intended for cemented or cementless use. The glenoid baseplate components are intended for cementless application with the addition of screw fixation.

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. “K223211: INHANCETM Shoulder System – Humeral Stems and Stemless.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K223211

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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