510(k) Report

510(k) · Cleared

Cleared

ACTERA™ hip system

K231178510(k) SpecialCleared May 23, 202327-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

Conformis, Inc. · MEH Prosthesis, Hip, Semi-Constrained, Uncemented, Metal / Polymer, Non-Porous, Calcium Phosphate

Cleared on May 23, 2023 as substantially equivalent to K221104 (Conformis, Inc., 2022) and 1 other predicate after a 27-day review. Its family tree reaches back 18 generations to 1994.

Decided
May 23, 2023
Review
27 days
Class
Class II
Product code
MEH
Recalls
None
Predicates
2

Its longest line of descent runs back 18 generations to K941847 (1994). 261 ancestors in all, the oldest K810258 (1981). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2019: 2 other ancestors2020: 1 other ancestor2017: 1 other ancestor2018: 1 other ancestor2012: 3 other ancestors2005: 8 other ancestors2011: 5 other ancestors2010: 5 other ancestors2008: 5 other ancestors2007: 4 other ancestors2006: 4 other ancestors2004: 11 other ancestors2003: 10 other ancestors2002: 13 other ancestors2001: 15 other ancestors2000: 23 other ancestors1996: 18 other ancestors1999: 12 other ancestors1998: 9 other ancestors1997: 12 other ancestors1995: 15 other ancestors1994: 30 other ancestors1993: 9 other ancestors1990: 3 other ancestors1986: 3 other ancestors1992: 5 other ancestors1985: 3 other ancestors1984: 1 other ancestor1991: 6 other ancestors1981: 1 other ancestor2009: 2 other ancestors1987: 2 other ancestorsReference device: K202484 · Cordera Hip System · Conformis, Inc. · 2020 · recalledK941847 · 5/8 Porocoat Aml Hip Porocoat Porous Coating · Depuy, Inc. · 1994K964650 · TCP-Coated Porocoat Aml Femoral Hip Prosthesis · Depuy, Inc. · 1997K980711 · Harris/Galante Porous (HGP) Hip Prosthesis with Calcicoat Ceramic Coating · Zimmer, Inc. · 1998 · recalledK001277 · Triflange Acetabular Cup System · DePuy Orthopaedics, Inc. · 2000K031495 · Pinnacle Duofix HA Acetabular Cup Prosthesis · DePuy Orthopaedics, Inc. · 2003K042344 · Excia Total Hip System · Aesculap, Inc. · 2005 · recalledK060918 · Excia Total Hip System 12/14 Trunnion with Ceramic Head · Aesculap, Inc. · 2006K062684 · Excia Total Hip System 36MM Ceramic Head · Aesculap, Inc. · 2006×2: 2 generations cleared close together, K082991 (2008), K083495 (2009) K090845 · Apex Arc Hip Stem · Omni Life Science, Inc. · 2010 · recalledK111193 · Apex Arc Hip Stem · Omni Life Science, Inc. · 2011K113242 · Apex Arc Hip Stem · Omni Life Science, Inc. · 2012K123991 · Depuy Corail Amt Hip Prosthesis · Depuy France S.A.S. · 2013 · recalledK150862 · DePuy Actis Duofox Hip Prosthesis · DePuy Orthopaedics, Inc. · 2015 · recalledK160907 · DePuy Actis DuoFix Hip Prosthesis · Depuy (Ireland) · 2016K210581 · Actis DuoFix Hip Prosthesis- Collarless · Depuy Ireland UC · 2021K221104 · Actera™ hip system · Conformis, Inc. · 2022 · recalled19801990200020102020
Other ancestors, by generation 1 generation back: 1 other ancestor2 generations back: 2 other ancestors3 generations back: 5 other ancestors4 generations back: 17 other ancestors5 generations back: 27 other ancestors6 generations back: 40 other ancestors7 generations back: 24 other ancestors8 generations back: 39 other ancestors9 generations back: 23 other ancestors10 generations back: 34 other ancestors11 generations back: 22 other ancestors12 generations back: 4 other ancestors13 generations back: 4 other ancestors K221104 · Actera™ hip system · Conformis, Inc. · 2022 · recalledK210581 · Actis DuoFix Hip Prosthesis- Collarless · Depuy Ireland UC · 2021K160907 · DePuy Actis DuoFix Hip Prosthesis · Depuy (Ireland) · 2016K150862 · DePuy Actis Duofox Hip Prosthesis · DePuy Orthopaedics, Inc. · 2015 · recalledK123991 · Depuy Corail Amt Hip Prosthesis · Depuy France S.A.S. · 2013 · recalledK113242 · Apex Arc Hip Stem · Omni Life Science, Inc. · 2012K111193 · Apex Arc Hip Stem · Omni Life Science, Inc. · 2011K090845 · Apex Arc Hip Stem · Omni Life Science, Inc. · 2010 · recalledK083495 · Modification to: Metha Hip System · Aesculap Implant Systems, Inc. · 2009K082991 · Biolox Delta Ceramic Femoral Head · Aesculap Implant Systems, Inc. · 2008K062684 · Excia Total Hip System 36MM Ceramic Head · Aesculap, Inc. · 2006K060918 · Excia Total Hip System 12/14 Trunnion with Ceramic Head · Aesculap, Inc. · 2006K042344 · Excia Total Hip System · Aesculap, Inc. · 2005 · recalledK031495 · Pinnacle Duofix HA Acetabular Cup Prosthesis · DePuy Orthopaedics, Inc. · 2003K001277 · Triflange Acetabular Cup System · DePuy Orthopaedics, Inc. · 2000K980711 · Harris/Galante Porous (HGP) Hip Prosthesis with Calcicoat Ceramic Coating · Zimmer, Inc. · 1998 · recalledK964650 · TCP-Coated Porocoat Aml Femoral Hip Prosthesis · Depuy, Inc. · 1997K941847 · 5/8 Porocoat Aml Hip Porocoat Porous Coating · Depuy, Inc. · 1994−15−10−50
  1. Root · 18 generations backK941847 5/8 Porocoat Aml Hip Porocoat Porous CoatingDepuy, Inc. · 1994
  2. 14 generations between
  3. 3 generations backK160907 DePuy Actis DuoFix Hip ProsthesisDepuy (Ireland) · 2016
  4. 2 generations backK210581 Actis DuoFix Hip Prosthesis- CollarlessDepuy Ireland UC · 2021
  5. 1 generation backK221104 Actera™ hip systemConformis, Inc. · 2022 · Recalled
  6. This deviceK231178 ACTERA™ hip systemConformis, Inc. · 2023
Show all 18 generations
  1. Root · 18 generations backK941847 5/8 Porocoat Aml Hip Porocoat Porous CoatingDepuy, Inc. · 1994
  2. 17 generations backK964650 TCP-Coated Porocoat Aml Femoral Hip ProsthesisDepuy, Inc. · 1997
  3. 16 generations backK980711 Harris/Galante Porous (HGP) Hip Prosthesis with Calcicoat Ceramic…Zimmer, Inc. · 1998 · Recalled
  4. 15 generations backK001277 Triflange Acetabular Cup SystemDePuy Orthopaedics, Inc. · 2000
  5. 14 generations backK031495 Pinnacle Duofix HA Acetabular Cup ProsthesisDePuy Orthopaedics, Inc. · 2003
  6. 13 generations backK042344 Excia Total Hip SystemAesculap, Inc. · 2005 · Recalled
  7. 12 generations backK060918 Excia Total Hip System 12/14 Trunnion with Ceramic HeadAesculap, Inc. · 2006
  8. 11 generations backK062684 Excia Total Hip System 36MM Ceramic HeadAesculap, Inc. · 2006
  9. 10 generations backK082991 Biolox Delta Ceramic Femoral HeadAesculap Implant Systems, Inc. · 2008
  10. 9 generations backK083495 Modification to: Metha Hip SystemAesculap Implant Systems, Inc. · 2009
  11. 8 generations backK090845 Apex Arc Hip StemOmni Life Science, Inc. · 2010 · Recalled
  12. 7 generations backK111193 Apex Arc Hip StemOmni Life Science, Inc. · 2011
  13. 6 generations backK113242 Apex Arc Hip StemOmni Life Science, Inc. · 2012
  14. 5 generations backK123991 Depuy Corail Amt Hip ProsthesisDepuy France S.A.S. · 2013 · Recalled
  15. 4 generations backK150862 DePuy Actis Duofox Hip ProsthesisDePuy Orthopaedics, Inc. · 2015 · Recalled
  16. 3 generations backK160907 DePuy Actis DuoFix Hip ProsthesisDepuy (Ireland) · 2016
  17. 2 generations backK210581 Actis DuoFix Hip Prosthesis- CollarlessDepuy Ireland UC · 2021
  18. 1 generation backK221104 Actera™ hip systemConformis, Inc. · 2022 · Recalled
  19. This deviceK231178 ACTERA™ hip systemConformis, Inc. · 2023
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−18K9418475/8 Porocoat Aml Hip Porocoat Porous CoatingDepuy, Inc.1994—
−17K964650TCP-Coated Porocoat Aml Femoral Hip ProsthesisDepuy, Inc.1997—
−16K980711Harris/Galante Porous (HGP) Hip Prosthesis with Calcicoat Ceramic CoatingZimmer, Inc.19981
−15K001277Triflange Acetabular Cup SystemDePuy Orthopaedics, Inc.2000—
−14K031495Pinnacle Duofix HA Acetabular Cup ProsthesisDePuy Orthopaedics, Inc.2003—
−13K042344Excia Total Hip SystemAesculap, Inc.200510
−12K060918Excia Total Hip System 12/14 Trunnion with Ceramic HeadAesculap, Inc.2006—
−11K062684Excia Total Hip System 36MM Ceramic HeadAesculap, Inc.2006—
−10K082991Biolox Delta Ceramic Femoral HeadAesculap Implant Systems, Inc.2008—
−9K083495Modification to: Metha Hip SystemAesculap Implant Systems, Inc.2009—
−8K090845Apex Arc Hip StemOmni Life Science, Inc.20102
−7K111193Apex Arc Hip StemOmni Life Science, Inc.2011—
−6K113242Apex Arc Hip StemOmni Life Science, Inc.2012—
−5K123991Depuy Corail Amt Hip ProsthesisDepuy France S.A.S.20131
−4K150862DePuy Actis Duofox Hip ProsthesisDePuy Orthopaedics, Inc.20151
−3K160907DePuy Actis DuoFix Hip ProsthesisDepuy (Ireland)2016—
−2K210581Actis DuoFix Hip Prosthesis- CollarlessDepuy Ireland UC2021—
−1K221104Actera™ hip systemConformis, Inc.20221
0 (this device)K231178ACTERA™ hip systemConformis, Inc.2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198110
198410
198530
198630
198720
199030
199160
199250
199390
1994300
1995150
1996180
1997120
199890
1999120
2000230
2001150
2002130
2003100
2004110
200580
200640
200740
200850
200920
201050
201150
201230
201710
201810
201920
202010
FIG. 1 — Lineage of K231178, 1994–2023Source: 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 MEH? 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 MEH device

  1. #1 K210581 Actis DuoFix Hip Prosthesis- Collarlessscore 23.9 · 16 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? (2)

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
*K221104Actera™ hip system
Summary page 4
…p Prosthesis, Semi-Constrained, Cemented, Metal/Polymer, + Additive, Porous, Uncemented (OQG) Primary Predicate Device: K221104 Actera Hip System Secondary Predicate Device: K192198 Conformis Hip System (Rebranded Cordera HipRx) Device Descrip…
Conformis, Inc.20221
*K192198Conformis Hip System
Summary page 4
…Additive, Porous, Uncemented (OQG) Primary Predicate Device: K221104 Actera Hip System Secondary Predicate Device: K192198 Conformis Hip System (Rebranded Cordera HipRx) Device Description: The ACTERA™ hip system is an uncemented, primary total hip…
Conformis, Inc.20191
†K202484Cordera Hip SystemConformis, Inc.20202

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 29 years and passes through 10 companies; a new generation was cleared every 1.4 years on median.
  • 60 of the 260 ancestors have a recall of any class.

How does its category compare?

All MEH devices

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

FDA decisions per year · MEH

5in 2025

2007: 22008: 62009: 62010: 52011: 52012: 62013: 12015: 22016: 62017: 32018: 22019: 12020: 32021: 32022: 32023: 22024: 62025: 52026 (partial year): 1
2007high 6 (2008) · low 0 (2014)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MEH

87in 2025

2008: 79 days median2009: 65 days median2010: 226 days median2011: 95 days median2012: 131 days median2016: 163 days median2017: 209 days median2020: 131 days median2021: 83 days median2022: 150 days median2024: 91 days median2025: 87 days median
2007high 226 (2010) · low 65 (2009)2026

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

Recalls per year · MEH

1in 2025

2007: 32008: 802009: 512010: 162011: 42012: 32014: 12015: 12016: 42017: 12018: 32020: 12025: 12026 (partial year): 1
2007high 80 (2008) · low 0 (2013)2026

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

Adverse event reports per year · MEH

470in 2025

2007: 252008: 2612009: 5392010: 4622011: 4192012: 1,6062013: 1,2952014: 1,1962015: 4902016: 3472017: 3832018: 3372019: 3352020: 3382021: 3722022: 3162023: 3342024: 3542025: 470
2007high 1,606 (2012) · low 25 (2007)2025

MAUDE reports naming product code MEH, 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
20072—325
200867980261
200966551539
2010522616462
20115954419
2012613131,606
20131—01,295
20140—11,196
20152—1490
201661634347
201732091383
20182—3337
20191—0335
202031311338
20213830372
202231500316
20232—0334
20246910354
20255871470
20261—1—

What is it indicated for?

The ACTERA™ hip system may be designed from a patient’s preoperative CT scan which must include certain necessary anatomic landmarks that are clearly identifiable. Total hip replacement using the ACTERA™ hip system is indicated for use in skeletally mature individuals undergoing total hip replacement due to: - A severely painful and/or disabled joint from osteoarthritis, traumatic arthritis, rheumatoid arthritis, avascular necrosis, or congenital hip…

Read the full statement (122 words)

The ACTERA™ hip system may be designed from a patient’s preoperative CT scan which must include certain necessary anatomic landmarks that are clearly identifiable. Total hip replacement using the ACTERA™ hip system is indicated for use in skeletally mature individuals undergoing total hip replacement due to:

- A severely painful and/or disabled joint from osteoarthritis, traumatic arthritis, rheumatoid arthritis, avascular necrosis, or congenital hip dysplasia.

- Treatment of non-displaced non-unions of the hip, femoral neck fractures, and trochanteric fractures of the proximal femur with head involvement, unmanageable by other techniques.

- Revision procedures for failed previous hip surgery (excluding situations where hardware is present).

The ACTERA™ hip system implants are intended for cementless fixation using an anterior, lateral or posterior surgical technique.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K231178: ACTERA™ hip system.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K231178

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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