510(k) Report

510(k) · Cleared

Cleared

FX V135(TM) Shoulder Prosthesis

K223801510(k) TraditionalCleared Jun 5, 2023168-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

Fx Shoulder USA, Inc. · PHX Shoulder Prosthesis, Reverse Configuration

Cleared on Jun 5, 2023 as substantially equivalent to K213117 (Fx Shoulder USA, Inc., 2022) after a 168-day review. Its family tree reaches back 16 generations to 1991. 1 of the 124 devices in its family, counting itself, has a Class I recall. 2 later devices descend from it.

Decided
Jun 5, 2023
Review
168 days
Class
Class II
Product code
PHX
Recalls
None
Predicates
1

Its longest line of descent runs back 16 generations to K911686 (1991). 121 ancestors in all, the oldest K790987 (1979). 2 later devices descend from it, 1 citing it directly. 1 of the 124 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2015: 1 other ancestor2013: 2 other ancestors2014: 1 other ancestor2012: 3 other ancestors2011: 3 other ancestors2006: 10 other ancestors2005: 7 other ancestors2003: 6 other ancestors2000: 8 other ancestors1999: 6 other ancestors2010: 1 other ancestor2008: 4 other ancestors2007: 5 other ancestors2001: 7 other ancestors1998: 3 other ancestors1997: 2 other ancestors1996: 7 other ancestors1995: 4 other ancestors2009: 1 other ancestor2004: 5 other ancestors2002: 1 other ancestor1992: 2 other ancestors1991: 2 other ancestors1988: 1 other ancestor1987: 5 other ancestors1980: 2 other ancestors1994: 2 other ancestors1979: 1 other ancestor1993: 1 other ancestor1989: 1 other ancestor1986: 1 other ancestor2026: 2 descendants clearedReference device: K162455 · Humelock Reversed Shoulder · Fx Solutions · 2017Reference device: K141990 · Encore Humeral Shoulder Stem · Encore Medical L.P. · 2014 · recalledK911686 · 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 · recalledK163669 · Humeris Shoulder · Fx Solutions · 2017K213117 · FX V135 Shoulder Prosthesis · Fx Shoulder USA, Inc. · 202219801990200020102020
Other ancestors, by generationDescendants, by generation 3 generations back: 2 other ancestors4 generations back: 6 other ancestors5 generations back: 7 other ancestors6 generations back: 25 other ancestors7 generations back: 30 other ancestors8 generations back: 23 other ancestors9 generations back: 5 other ancestors10 generations back: 6 other ancestors11 generations back: 1 other ancestor 1 generation forward: 1 descendant2 generations forward: 1 descendant K213117 · FX V135 Shoulder Prosthesis · Fx Shoulder USA, Inc. · 2022K163669 · Humeris Shoulder · Fx Solutions · 2017K122698 · 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 backK163669 Humeris ShoulderFx Solutions · 2017
  5. 1 generation backK213117 FX V135 Shoulder ProsthesisFx Shoulder USA, Inc. · 2022
  6. This deviceK223801 FX V135(TM) Shoulder ProsthesisFx Shoulder USA, Inc. · 2023
  7. Descendant · cites it directly · 1 of its ownK250644 MSS - Monobloc stemMedacta International S.A. · 2026 · Recalled
  8. Descendant · 2 generations on · 0 of its ownK261016 MSS - Humeral reverse liners extensionMedacta International, SA · 2026
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 backK163669 Humeris ShoulderFx Solutions · 2017
  16. 1 generation backK213117 FX V135 Shoulder ProsthesisFx Shoulder USA, Inc. · 2022
  17. This deviceK223801 FX V135(TM) Shoulder ProsthesisFx Shoulder USA, Inc. · 2023

Class I recalls in this family

Most influential descendants

Showing 2 of 2 · See all
  • K250644MSS - Monobloc stemMedacta International S.A. · 2026 · cites it directly1descendant
  • K261016MSS - Humeral reverse liners extensionMedacta International, SA · 2026 · 2 generations on0descendants
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
−2K163669Humeris ShoulderFx Solutions2017—
−1K213117FX V135 Shoulder ProsthesisFx Shoulder USA, Inc.2022—
0 (this device)K223801FX V135(TM) Shoulder ProsthesisFx Shoulder USA, Inc.2023—
+1K250644MSS - Monobloc stemMedacta International S.A.20261
+2K261016MSS - Humeral reverse liners extensionMedacta International, SA2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198020
198610
198750
198810
198910
199120
199220
199310
199420
199540
199670
199720
199830
199960
200080
200170
200210
200360
200450
200570
2006100
200750
200840
200910
201010
201130
201230
201320
201410
201510

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202620
FIG. 1 — Lineage of K223801, 1991–2026Source: 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.

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
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
*K213117FX V135 Shoulder Prosthesis
Summary page 4
…ed prosthesis – Class II Substantially Equivalent Devices: Primary Predicate: FX V135™ Shoulder Prosthesis (K213117) Reference Device: Humelock Reversed® Shoulder (K162455)…
Fx Shoulder USA, Inc.2022—
†K162455Humelock Reversed ShoulderFx Solutions2017—
†K141990Encore Humeral Shoulder StemEncore Medical L.P.20143

Also cleared against K213117: 2 other devices →

What descends from it? (2)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K250644MSS - Monobloc stemMedacta International S.A.20261

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 · 6 generations back · ◆ on the line of descent in FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 32 years and passes through 10 companies; a new generation was cleared every 1.0 years on median.
  • 33 of the 121 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K250644 (Medacta International S.A., 2026) has gone furthest, with 1 descendant of its own.
  • 2 other devices also cite its predicate K213117.

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. 2023, 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?

In an anatomic shoulder configuration, the FX V135™ Shoulder System is indicated for use in total and hemi-shoulder replacement to treat: - a severely painful and/or disabled joint resulting from osteoarthritis or rheumatoid arthritis; - other difficult clinical problems where shoulder arthrodesis or resection arthroplasty are not acceptable (e.g. revision of a previously implanted primary component, a humeral plate or a humeral nail). In a reverse…

Read the full statement (179 words)

In an anatomic shoulder configuration, the FX V135™ Shoulder System is indicated for use in total and hemi-shoulder replacement to treat:

- a severely painful and/or disabled joint resulting from osteoarthritis or rheumatoid arthritis;

- other difficult clinical problems where shoulder arthrodesis or resection arthroplasty are not acceptable (e.g. revision of a previously implanted primary component, a humeral plate or a humeral nail).

In a reverse shoulder configuration, the FX V135™ Shoulder is indicated for primary or revision total shoulder arthroplasty for the relief of pain and to improve function in patients with massive and non-repairable rotator cuff tear.

The patient’s joint must be anatomically and structurally suited to receive the selected implants and a functional deltoid muscle is necessary to use the device.

The humeral stem of the FX V135™ Cementless Shoulder is intended for cementless use only, with optional cortical bone screws for the longer stems. The glenoid components of the FX V135™ Shoulder System are intended for cemented use only. The glenoid baseplate component is intended for cementless use with the addition of screws for fixation.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K223801: FX V135(TM) Shoulder Prosthesis.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K223801

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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