510(k) Report

510(k) · Cleared

Cleared

Xerxes Hip Stem

K231109510(k) TraditionalCleared Jun 15, 202357-day reviewClass II21 CFR 888.3353

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

Xerxes Arthopedix, LLC · LZO Prosthesis, Hip, Semi-Constrained, Metal/Ceramic/Polymer, Cemented Or Non-Porous, Uncemented

Cleared on Jun 15, 2023 as substantially equivalent to K170845 (Medacta International S.A., 2017) and 5 other predicates after a 57-day review. Its family tree reaches back 9 generations to 1993.

Decided
Jun 15, 2023
Review
57 days
Class
Class II
Product code
LZO
Recalls
None
Predicates
6

Its longest line of descent runs back 9 generations to K930712 (1993). 128 ancestors in all, the oldest K830313 (1983). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2021: 1 other ancestor2020: 1 other ancestor2019: 1 other ancestor2017: 1 other ancestor2015: 1 other ancestor2013: 1 other ancestor2008: 1 other ancestor2007: 1 other ancestor2005: 4 other ancestors2003: 5 other ancestors2002: 5 other ancestors2000: 8 other ancestors1997: 9 other ancestors1996: 14 other ancestors1995: 11 other ancestors2012: 1 other ancestor2011: 2 other ancestors2006: 1 other ancestor2004: 3 other ancestors2001: 3 other ancestors1999: 5 other ancestors1998: 7 other ancestors1994: 17 other ancestors1983: 1 other ancestor2009: 1 other ancestor1990: 1 other ancestor1986: 2 other ancestors1985: 2 other ancestors1993: 3 other ancestors1988: 1 other ancestor1984: 1 other ancestor1992: 2 other ancestors1991: 1 other ancestorK930712 · P.F.C. Total Hip System Porous Coated Modular · Johnson & Johnson Orthopaedics, Inc. · 1993K983014 · Summit Acetabular System · Johnson & Johnson Professionals, Inc. · 1998×2: 2 generations cleared close together, K000306 (2000), K001534 (2000) K071784 · Depuy Pinnacle with Gripton Acetabular Cups · DePuy Orthopaedics, Inc. · 2007K090998 · Depuy Pinnacle 100 with Gription Acetabular Cups · DePuy Orthopaedics, Inc. · 2009K093646 · Depuy Pinnacle with Gription Acetabular Cups · DePuy Orthopaedics, Inc. · 2009K121297 · Origin Hip Stem, Femoral Head, Logical PX-Series Acetabular Shell, Locigal G-Series Acetabular Shell, Logical Acetabular · Signature Orthopaedics Pty, Ltd. · 2012 · recalledK153131 · Logical C-Series Acetabular Shell, Logical Constrained Liner, Logical Constrained Liner Collar, Logical 20° Hooded Acetabular Liner · Signature Orthopaedics Pty, Ltd. · 201619801990200020102020
  1. Root · 9 generations backK930712 P.F.C. Total Hip System Porous Coated ModularJohnson & Johnson Orthopaedics, Inc. · 1993
  2. 5 generations between
  3. 3 generations backK093646 Depuy Pinnacle with Gription Acetabular CupsDePuy Orthopaedics, Inc. · 2009
  4. 2 generations backK121297 Origin Hip Stem, Femoral Head, Logical PX-Series Acetabular Shell…Signature Orthopaedics Pty, Ltd. · 2012 · Recalled
  5. 1 generation backK153131 Logical C-Series Acetabular Shell, Logical Constrained Liner…Signature Orthopaedics Pty, Ltd. · 2016
  6. This deviceK231109 Xerxes Hip StemXerxes Arthopedix, LLC · 2023
Show all 9 generations
  1. Root · 9 generations backK930712 P.F.C. Total Hip System Porous Coated ModularJohnson & Johnson Orthopaedics, Inc. · 1993
  2. 8 generations backK983014 Summit Acetabular SystemJohnson & Johnson Professionals, Inc. · 1998
  3. 7 generations backK000306 Pinnacle Acetabular SystemDePuy Orthopaedics, Inc. · 2000 · Recalled
  4. 6 generations backK001534 Pinnacle Acetabular SystemDePuy Orthopaedics, Inc. · 2000
  5. 5 generations backK071784 Depuy Pinnacle with Gripton Acetabular CupsDePuy Orthopaedics, Inc. · 2007
  6. 4 generations backK090998 Depuy Pinnacle 100 with Gription Acetabular CupsDePuy Orthopaedics, Inc. · 2009
  7. 3 generations backK093646 Depuy Pinnacle with Gription Acetabular CupsDePuy Orthopaedics, Inc. · 2009
  8. 2 generations backK121297 Origin Hip Stem, Femoral Head, Logical PX-Series Acetabular Shell…Signature Orthopaedics Pty, Ltd. · 2012 · Recalled
  9. 1 generation backK153131 Logical C-Series Acetabular Shell, Logical Constrained Liner…Signature Orthopaedics Pty, Ltd. · 2016
  10. This deviceK231109 Xerxes Hip StemXerxes Arthopedix, LLC · 2023
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−9K930712P.F.C. Total Hip System Porous Coated ModularJohnson & Johnson Orthopaedics, Inc.1993—
−8K983014Summit Acetabular SystemJohnson & Johnson Professionals, Inc.1998—
−7K000306Pinnacle Acetabular SystemDePuy Orthopaedics, Inc.20001
−6K001534Pinnacle Acetabular SystemDePuy Orthopaedics, Inc.2000—
−5K071784Depuy Pinnacle with Gripton Acetabular CupsDePuy Orthopaedics, Inc.2007—
−4K090998Depuy Pinnacle 100 with Gription Acetabular CupsDePuy Orthopaedics, Inc.2009—
−3K093646Depuy Pinnacle with Gription Acetabular CupsDePuy Orthopaedics, Inc.2009—
−2K121297Origin Hip Stem, Femoral Head, Logical PX-Series Acetabular Shell, Locigal…Signature Orthopaedics Pty, Ltd.20122
−1K153131Logical C-Series Acetabular Shell, Logical Constrained Liner, Logical…Signature Orthopaedics Pty, Ltd.2016—
0 (this device)K231109Xerxes Hip StemXerxes Arthopedix, LLC2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198310
198410
198520
198620
198810
199010
199110
199220
199330
1994170
1995110
1996140
199790
199870
199950
200080
200130
200250
200350
200430
200540
200610
200710
200810
200910
201120
201210
201310
201510
201710
201910
202010
202110
FIG. 1 — Lineage of K231109, 1993–2023Source: 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 LZO? 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 LZO device

  1. #1 K192827 Quadra-Pscore 19.3 · 10 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? (6)

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
*K170845MiniMAX
Summary page 4
…prosthesis Product Codes: LZO, MEH, KWZ Predicate Devices: Primary Predicate • Medacta International’s MiniMAX Stem (K170845 & K192352) Additional Predicate Device(s):…
Medacta International S.A.20171
*K192352MiniMAX
Summary page 4
…MEH, KWZ Predicate Devices: Primary Predicate • Medacta International’s MiniMAX Stem (K170845 & K192352) Additional Predicate Device(s): • Signature Orthopaedics’ Spartan Hip S…
Medacta International S.A.2019—
*K192883Spartan Hip Stem
Summary page 4
…K192352) Additional Predicate Device(s): • Signature Orthopaedics’ Spartan Hip Stem (K192883) • Signature Orthopaedics’ Everglade Hip Stem (K211505) • Signature O…
Signature Orthopaedics Pty, Ltd.2020—
*K211505Encore Hip Stem
Summary page 4
…Device(s): • Signature Orthopaedics’ Spartan Hip Stem (K192883) • Signature Orthopaedics’ Everglade Hip Stem (K211505) • Signature Orthopaedics’ OriginTM Total Hip System (K121297)…
Signature Orthopaedics Pty, Ltd.2021—
*K121297Origin Hip Stem, Femoral Head, Logical PX-Series Acetabular Shell, Locigal G-Series…
Summary page 4
…Signature Orthopaedics’ Everglade Hip Stem (K211505) • Signature Orthopaedics’ OriginTM Total Hip System (K121297) • Signature Orthopaedics’ Logical C-Series Acetabular Shell, Log…
Signature Orthopaedics Pty, Ltd.20122
*K153131Logical C-Series Acetabular Shell, Logical Constrained Liner, Logical Constrained Liner…
Summary page 4
…ll, Logical Constrained Liner, Logical Constrained Liner Collar, Logical 20º Hooded Acetabular Liner (K153131) Device Description: XerxesTM Hip Stem is manufactured from forged titanium alloy (Ti6Al4V) as per ISO 5832-3 and ASTM F13…
Signature Orthopaedics Pty, Ltd.2016—

Also cleared against K170845: 3 other devices →

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 30 years and passes through 5 companies; a new generation was cleared every 3.0 years on median.
  • 28 of the 127 ancestors have a recall of any class.
  • 3 other devices also cite its predicate K170845.

How does its category compare?

All LZO devices

LZO Prosthesis, Hip, Semi-Constrained, Metal/Ceramic/Polymer, Cemented Or Non-Porous, Uncemented: FDA decisions, review times, recalls and adverse event reports over 20 years. 2023, this device’s year, is highlighted.

FDA decisions per year · LZO

14in 2025

2007: 92008: 112009: 72010: 152011: 132012: 142013: 262014: 132015: 122016: 102017: 162018: 182019: 282020: 182021: 122022: 112023: 102024: 112025: 142026 (partial year): 9
2007high 28 (2019) · low 7 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · LZO

119in 2025

2007: 87 days median2008: 63 days median2009: 83 days median2010: 78 days median2011: 87 days median2012: 98 days median2013: 100 days median2014: 85 days median2015: 115 days median2016: 177 days median2017: 257 days median2018: 163 days median2019: 109 days median2020: 112 days median2021: 170 days median2022: 279 days median2023: 122 days median2024: 111 days median2025: 119 days median2026 (partial year): 102 days median
2007high 279 (2022) · low 63 (2008)2026

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

Recalls per year · LZO

1in 2025

2007: 22008: 132009: 422011: 102012: 142014: 12015: 12016: 92017: 52018: 22019: 42020: 32022: 42023: 22024: 12025: 1
2007high 42 (2009) · low 0 (2010)2026

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

Adverse event reports per year · LZO

3,244in 2025

2007: 1382008: 1252009: 1892010: 3942011: 5442012: 9632013: 1,3702014: 1,4772015: 1,3482016: 1,7282017: 2,1652018: 3,1332019: 3,0662020: 1,9632021: 2,1992022: 1,9852023: 2,0662024: 2,5862025: 3,244
2007high 3,244 (2025) · low 125 (2008)2025

MAUDE reports naming product code LZO, 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
20079872138
2008116313125
200978342189
201015780394
2011138710544
2012149814963
20132610001,370
2014138511,477
20151211511,348
20161017791,728
20171625752,165
20181816323,133
20192810943,066
20201811231,963
20211217002,199
20221127941,985
20231012222,066
20241111112,586
20251411913,244
202691020—

What is it indicated for?

Xerxes Hip Stems, when used with cleared and compatible Signature Orthopaedics hip replacement components, are intended to replace a hip joint where bone stock is sufficient to support the implant. When a surgeon has selected prosthetic replacement as the preferred treatment, the devices are indicated for: - Non-inflammatory degenerative joint disease including osteoarthritis or avascular necrosis - Inflammatory joint disease including rheumatoid…

Read the full statement (171 words)

Xerxes Hip Stems, when used with cleared and compatible Signature Orthopaedics hip replacement components, are intended to replace a hip joint where bone stock is sufficient to support the implant. When a surgeon has selected prosthetic replacement as the preferred treatment, the devices are indicated for:

- Non-inflammatory degenerative joint disease including osteoarthritis or avascular necrosis

- Inflammatory joint disease including rheumatoid arthritis

- Correction of functional deformity including congenital hip dysplasia

- Traumatic injury involving the hip joint including traumatic arthritis or femoral head or neck fracture

- Failed previous hip surgery including internal fixation or joint fusion, reconstruction, hemiarthroplasty, surface replacement, or total replacement.

Xerxes Hip femoral stems are intended for cementless fixation only. The Xerxes Hip System is intended for use with Logical, World Acetabular System and Signature Orthopaedics' Femoral Heads.

Xerxes Hip when used with constrained liner components is indicated particularly for patients at high risk of hip dislocation due to history of prior dislocation, bone loss, joint or soft tissue laxity, neuromuscular disease, or intraoperative instability.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K231109: Xerxes Hip Stem.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K231109

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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