510(k) Report

510(k) · Cleared

Cleared

Stryker Orthopaedics Hip Systems Labeling Update

K240418510(k) TraditionalCleared Apr 12, 202459-day reviewClass II21 CFR 888.3350

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

Howmedica Osteonics Corp., Dba Stryker Orthopaedics · JDI Prosthesis, Hip, Semi-Constrained, Metal/Polymer, Cemented

Cleared on Apr 12, 2024 as substantially equivalent to K213701 (Howmedica Osteonics Corp., Dba Stryker Orthopaedics, 2022) and 4 other predicates after a 59-day review. Its family tree reaches back 21 generations to 1994.

Decided
Apr 12, 2024
Review
59 days
Class
Class II
Product code
JDI
Recalls
None
Predicates
5

Its longest line of descent runs back 21 generations to K941847 (1994). 319 ancestors in all, the oldest K800207 (1980). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2022: 5 other ancestors2020: 2 other ancestors2012: 3 other ancestors2021: 2 other ancestors2019: 3 other ancestors2018: 1 other ancestor2016: 3 other ancestors2011: 10 other ancestors2007: 6 other ancestors2005: 13 other ancestors2001: 14 other ancestors1997: 14 other ancestors1996: 20 other ancestors1995: 19 other ancestors1994: 27 other ancestors1990: 5 other ancestors2017: 1 other ancestor2015: 2 other ancestors2014: 2 other ancestors2013: 3 other ancestors2009: 4 other ancestors2008: 4 other ancestors2006: 8 other ancestors2004: 10 other ancestors2003: 13 other ancestors2002: 22 other ancestors2000: 24 other ancestors1999: 8 other ancestors1998: 15 other ancestors1993: 5 other ancestors1992: 7 other ancestors1991: 7 other ancestors1989: 2 other ancestors1988: 1 other ancestor1985: 3 other ancestors1980: 1 other ancestor1987: 3 other ancestors2010: 3 other ancestors1984: 1 other ancestor1981: 1 other ancestorK941847 · 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 · recalledK170339 · Summit Hip System · DePuy Orthopaedics, Inc. · 2018K193398 · Summit DuoFix HA Coating · DePuy Orthopaedics, Inc. · 2020K202472 · ACTIS Duofix Hip Prosthesis · DePuy Orthopaedics, Inc. · 2020K211703 · Insignia Hip Stem · Stryker Orthopaedics · 2021K220731 · Insignia Hip Stem, Restoration Modular 115mm Conical Distal Stem · Stryker · 2022K233498 · Stryker Orthopaedics Hip Systems Labeling Update · Howmedica Osteonics Corp., Dba Stryker Orthopaedics · 202319801990200020102020
Other ancestors, by generation 1 generation back: 4 other ancestors2 generations back: 21 other ancestors3 generations back: 78 other ancestors4 generations back: 40 other ancestors5 generations back: 18 other ancestors6 generations back: 12 other ancestors7 generations back: 17 other ancestors8 generations back: 18 other ancestors9 generations back: 17 other ancestors10 generations back: 22 other ancestors11 generations back: 21 other ancestors12 generations back: 12 other ancestors13 generations back: 7 other ancestors14 generations back: 7 other ancestors15 generations back: 3 other ancestors K233498 · Stryker Orthopaedics Hip Systems Labeling Update · Howmedica Osteonics Corp., Dba Stryker Orthopaedics · 2023K220731 · Insignia Hip Stem, Restoration Modular 115mm Conical Distal Stem · Stryker · 2022K211703 · Insignia Hip Stem · Stryker Orthopaedics · 2021K202472 · ACTIS Duofix Hip Prosthesis · DePuy Orthopaedics, Inc. · 2020K193398 · Summit DuoFix HA Coating · DePuy Orthopaedics, Inc. · 2020K170339 · Summit Hip System · DePuy Orthopaedics, Inc. · 2018K150862 · 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. · 1994−20−15−10−50
  1. Root · 21 generations backK941847 5/8 Porocoat Aml Hip Porocoat Porous CoatingDepuy, Inc. · 1994
  2. 17 generations between
  3. 3 generations backK211703 Insignia Hip StemStryker Orthopaedics · 2021
  4. 2 generations backK220731 Insignia Hip Stem, Restoration Modular 115mm Conical Distal StemStryker · 2022
  5. 1 generation backK233498 Stryker Orthopaedics Hip Systems Labeling UpdateHowmedica Osteonics Corp., Dba Stryker Orthopaedics · 2023
  6. This deviceK240418 Stryker Orthopaedics Hip Systems Labeling UpdateHowmedica Osteonics Corp., Dba Stryker Orthopaedics · 2024
Show all 21 generations
  1. Root · 21 generations backK941847 5/8 Porocoat Aml Hip Porocoat Porous CoatingDepuy, Inc. · 1994
  2. 20 generations backK964650 TCP-Coated Porocoat Aml Femoral Hip ProsthesisDepuy, Inc. · 1997
  3. 19 generations backK980711 Harris/Galante Porous (HGP) Hip Prosthesis with Calcicoat Ceramic…Zimmer, Inc. · 1998 · Recalled
  4. 18 generations backK001277 Triflange Acetabular Cup SystemDePuy Orthopaedics, Inc. · 2000
  5. 17 generations backK031495 Pinnacle Duofix HA Acetabular Cup ProsthesisDePuy Orthopaedics, Inc. · 2003
  6. 16 generations backK042344 Excia Total Hip SystemAesculap, Inc. · 2005 · Recalled
  7. 15 generations backK060918 Excia Total Hip System 12/14 Trunnion with Ceramic HeadAesculap, Inc. · 2006
  8. 14 generations backK062684 Excia Total Hip System 36MM Ceramic HeadAesculap, Inc. · 2006
  9. 13 generations backK082991 Biolox Delta Ceramic Femoral HeadAesculap Implant Systems, Inc. · 2008
  10. 12 generations backK083495 Modification to: Metha Hip SystemAesculap Implant Systems, Inc. · 2009
  11. 11 generations backK090845 Apex Arc Hip StemOmni Life Science, Inc. · 2010 · Recalled
  12. 10 generations backK111193 Apex Arc Hip StemOmni Life Science, Inc. · 2011
  13. 9 generations backK113242 Apex Arc Hip StemOmni Life Science, Inc. · 2012
  14. 8 generations backK123991 Depuy Corail Amt Hip ProsthesisDepuy France S.A.S. · 2013 · Recalled
  15. 7 generations backK150862 DePuy Actis Duofox Hip ProsthesisDePuy Orthopaedics, Inc. · 2015 · Recalled
  16. 6 generations backK170339 Summit Hip SystemDePuy Orthopaedics, Inc. · 2018
  17. 5 generations backK193398 Summit DuoFix HA CoatingDePuy Orthopaedics, Inc. · 2020
  18. 4 generations backK202472 ACTIS Duofix Hip ProsthesisDePuy Orthopaedics, Inc. · 2020
  19. 3 generations backK211703 Insignia Hip StemStryker Orthopaedics · 2021
  20. 2 generations backK220731 Insignia Hip Stem, Restoration Modular 115mm Conical Distal StemStryker · 2022
  21. 1 generation backK233498 Stryker Orthopaedics Hip Systems Labeling UpdateHowmedica Osteonics Corp., Dba Stryker Orthopaedics · 2023
  22. This deviceK240418 Stryker Orthopaedics Hip Systems Labeling UpdateHowmedica Osteonics Corp., Dba Stryker Orthopaedics · 2024
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−21K9418475/8 Porocoat Aml Hip Porocoat Porous CoatingDepuy, Inc.1994—
−20K964650TCP-Coated Porocoat Aml Femoral Hip ProsthesisDepuy, Inc.1997—
−19K980711Harris/Galante Porous (HGP) Hip Prosthesis with Calcicoat Ceramic CoatingZimmer, Inc.19981
−18K001277Triflange Acetabular Cup SystemDePuy Orthopaedics, Inc.2000—
−17K031495Pinnacle Duofix HA Acetabular Cup ProsthesisDePuy Orthopaedics, Inc.2003—
−16K042344Excia Total Hip SystemAesculap, Inc.200510
−15K060918Excia Total Hip System 12/14 Trunnion with Ceramic HeadAesculap, Inc.2006—
−14K062684Excia Total Hip System 36MM Ceramic HeadAesculap, Inc.2006—
−13K082991Biolox Delta Ceramic Femoral HeadAesculap Implant Systems, Inc.2008—
−12K083495Modification to: Metha Hip SystemAesculap Implant Systems, Inc.2009—
−11K090845Apex Arc Hip StemOmni Life Science, Inc.20102
−10K111193Apex Arc Hip StemOmni Life Science, Inc.2011—
−9K113242Apex Arc Hip StemOmni Life Science, Inc.2012—
−8K123991Depuy Corail Amt Hip ProsthesisDepuy France S.A.S.20131
−7K150862DePuy Actis Duofox Hip ProsthesisDePuy Orthopaedics, Inc.20151
−6K170339Summit Hip SystemDePuy Orthopaedics, Inc.2018—
−5K193398Summit DuoFix HA CoatingDePuy Orthopaedics, Inc.2020—
−4K202472ACTIS Duofix Hip ProsthesisDePuy Orthopaedics, Inc.2020—
−3K211703Insignia Hip StemStryker Orthopaedics2021—
−2K220731Insignia Hip Stem, Restoration Modular 115mm Conical Distal StemStryker2022—
−1K233498Stryker Orthopaedics Hip Systems Labeling UpdateHowmedica Osteonics Corp., Dba Stryker Orthopaedics2023—
0 (this device)K240418Stryker Orthopaedics Hip Systems Labeling UpdateHowmedica Osteonics Corp., Dba Stryker Orthopaedics2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198010
198110
198410
198530
198730
198810
198920
199050
199170
199270
199350
1994270
1995190
1996200
1997140
1998150
199980
2000240
2001140
2002220
2003130
2004100
2005130
200680
200760
200840
200940
201030
2011100
201230
201330
201420
201520
201630
201710
201810
201930
202020
202120
202250
FIG. 1 — Lineage of K240418, 1994–2024Source: 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 JDI? 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 JDI device

  1. #1 K253515 Zimmer Biomet OSS™ Orthopedic Salvage System…score 15.2 · 12 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? (5)

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
*K213701Exeter® X3® RimFit® Cup
Summary page 7
…nonporous uncemented prosthesis. Product Codes: JDI, JDQ, HRS, LRN, LYT, LPH, JDG, KWY, LZO Primary Predicate Device to Which Substantial Equivalence is Claimed: K213701: Exeter® X3® RimFit® Cup…
Howmedica Osteonics Corp., Dba Stryker Orthopaedics2022—
*K233498Stryker Orthopaedics Hip Systems Labeling Update
Summary page 8
…2 4 Additional Predicate Device Used to Support Substantial Equivalence: K233498: Stryker Orthopaedics Hip Systems Labeling Update K202016: Dall-Miles® Cable System K121308: HIP SYSTEMS K19…
Howmedica Osteonics Corp., Dba Stryker Orthopaedics2023—
*K202016Dall-Miles® Cable System
Summary page 8
…2 4 Additional Predicate Device Used to Support Substantial Equivalence: K233498: Stryker Orthopaedics Hip Systems Labeling Update K202016: Dall-Miles® Cable System K121308: HIP SYSTEMS K193429: Exeter V40 Femoral Stem, Exeter X3 RimFit Cup Reason for…
Howmedica Osteonics Corp., Dba Stryker Orthopaedics2020—
*K121308Hip Systems
Summary page 8
…redicate Device Used to Support Substantial Equivalence: K233498: Stryker Orthopaedics Hip Systems Labeling Update K202016: Dall-Miles® Cable System K121308: HIP SYSTEMS K193429: Exeter V40 Femoral Stem, Exeter X3 RimFit Cup Reason for 510(k) Submission: the labeling of the…
Howmedica Osteonics Corp.20127
*K193429Exeter V40 Femoral Stem, Exeter X3 RimFit Cup
Summary page 8
…ort Substantial Equivalence: K233498: Stryker Orthopaedics Hip Systems Labeling Update K202016: Dall-Miles® Cable System K121308: HIP SYSTEMS K193429: Exeter V40 Femoral Stem, Exeter X3 RimFit Cup Reason for 510(k) Submission: the labeling of the subject Stryker Orthopaedics…
Howmedica Osteonics Corp.20201

Also cleared against K213701: 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 30 years and passes through 10 companies; a new generation was cleared every 1.4 years on median.
  • 85 of the 318 ancestors have a recall of any class.
  • 1 other device also cites its predicate K213701.

How does its category compare?

All JDI devices

JDI Prosthesis, Hip, Semi-Constrained, Metal/Polymer, Cemented: FDA decisions, review times, recalls and adverse event reports over 20 years. 2024, this device’s year, is highlighted.

FDA decisions per year · JDI

1in 2025

2007: 32008: 52009: 32011: 22012: 42013: 32014: 32015: 32016: 42017: 12018: 12019: 22020: 72021: 32022: 32023: 22024: 32025: 12026 (partial year): 2
2007high 7 (2020) · low 0 (2010)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · JDI

59in 2024

2007: 81 days median2008: 96 days median2009: 65 days median2012: 167 days median2013: 176 days median2014: 98 days median2015: 190 days median2016: 166 days median2020: 247 days median2021: 162 days median2022: 69 days median2024: 59 days median
2007high 247 (2020) · low 59 (2024)2026

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

Recalls per year · JDI

1in 2025

2007: 262008: 62009: 32010: 32011: 52012: 42013: 112014: 32015: 12016: 52017: 52018: 12019: 12020: 772025: 1
2007high 77 (2020) · low 0 (2021)2026

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

Adverse event reports per year · JDI

1,644in 2025

2007: 6962008: 8102009: 9642010: 2,0402011: 3,1602012: 5,1222013: 5,2062014: 4,9682015: 4,9062016: 3,9952017: 6,1352018: 6,7282019: 7,4072020: 4,0152021: 3,1702022: 1,9782023: 1,6352024: 1,8212025: 1,644
2007high 7,407 (2019) · low 696 (2007)2025

MAUDE reports naming product code JDI, 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
200738126696
20085966810
20093653964
20100—32,040
20112—53,160
2012416745,122
20133176115,206
201439834,968
2015319014,906
2016416653,995
20171—56,135
20181—16,728
20192—17,407
20207247774,015
2021316203,170
202236901,978
20232—01,635
202435901,821
20251—11,644
20262—0—

What is it indicated for?

DALL-MILES Cable System The DALL-Miles System is indicated for reattachment of the trochanter in any hip procedure using the trochanteric osteotomy (total or partial) approach. The DALL-MILES Mini Cleat is indicated for vertical reattachment or reinforcement of the trochanter in any situation where the surgeon feels that the trochanter is at risk for detachment. The Mini Cleat is intended for use with the DALL-MILES System for trochanteric reattachment…

Read the full statement (631 words)

DALL-MILES Cable System

The DALL-Miles System is indicated for reattachment of the trochanter in any hip procedure using the trochanteric osteotomy (total or partial) approach.

The DALL-MILES Mini Cleat is indicated for vertical reattachment or reinforcement of the trochanter in any situation where the surgeon feels that the trochanter is at risk for detachment.

The Mini Cleat is intended for use with the DALL-MILES System for trochanteric reattachment only.

The DALL-MILES Cables and Cable Sleeves are indicated for trochanteric reattachment and trauma surgery of the hip; to stabilize bone graft material; and for supplementary cerclage fixation with plates and screws for fracture fixation.

The DALL-MILES Trochanteric Grips and Grip Plates are indicated for use in the fixation of the greater trochanter due to trochanteric fracture or osteotomy with intramedullary fixation as the primary device.

The DALL-MILES Trochanteric Grip Plate is additionally indicated for use in the fixation of the greater trochanter due to extended trochanteric osteotomies.

Femoral Heads

The indications for use for total hip and hemi hip arthroplasty include:

1. Noninflammatory degenerative joint disease including osteoarthritis and avascular necrosis;

2. Rheumatoid arthritis;

3. Correction of functional deformity;

4. Revision procedures where other treatments or devices have failed; and,

5. Treatment of nonunion, femoral neck and trochanteric fractures of the proximal femur with head involvement that are unmanageable using other techniques.

Femoral Mesh

The indications for use for total hip and hemi hip arthroplasty include:

1. Noninflammatory degenerative joint disease including osteoarthritis and avascular necrosis;

2. Rheumatoid arthritis;

3. Correction of functional deformity;

4. Revision procedures where other treatments or devices have failed; and,

5. Treatment of nonunion, femoral neck and trochanteric fractures of the proximal femur with head involvement that are unmanageable using other techniques.

Surgical Mesh. Surgical Mesh is intended to be used to reinforce bone or tissue in any situation where additional strengthening and support is required due to poor bone/tissue quality.

Intramedullary Plug, Centralizer

The indications for use of total hip replacement prostheses include:

* noninflammatory degenerative joint disease including osteoarthritis and avascular necrosis;

* rheumatoid arthritis;

» correction of functional deformity;

* revision procedures where other treatments or devices have failed; and,

* treatment of nonunion, femoral neck and trochanteric fractures of the proximal femur with head involvement that are unmanageable using other techniques.

The EXETER Centralizer is intended to be used to centralize the femoral stem within the intramedullary canal and is intended to be used with bone cement.

The EXETER 2.5mm Intramedullary Bone Plug is intended to be used to restrict the migration of bone cement down the femoral canal and permit cement pressurization during total hip arthroplasty and is intended to be used with bone cement.

Exeter X3 RimFit Cups

The indications for use for total hip arthroplasty include:

1. Painful, disabling joint disease of the hip resulting from: degenerative arthritis, rheumatoid arthritis, post-traumatic arthritis or late stage avascular necrosis.

2. Revision of previous unsuccessful femoral head replacement, cup arthroplasty or other procedure.

3. Clinical management problems where arthrodesis or alternative reconstructive techniques are less likely to achieve satisfactory results.

4. Where bone stock is of poor quality or inadequate for other reconstructive techniques, such as cementless fixation, as indicated by deficiencies of the acetabulum.

The Exeter X3 RimFit Cup is intended for cemented use only.

Femoral Stems

The indications for use for total hip and hemi hip arthroplasty include:

1. noninflammatory degenerative joint disease including osteoarthritis and avascular necrosis;

2. rheumatoid arthritis;

3. correction of functional deformity;

4. revision procedures where other treatments or devices have failed; and,

5. treatment of nonunion, femoral neck and trochanteric fractures of the proximal femur with head involvement that are unmanageable using other techniques.

The Exeter V40 Femoral Stem is intended for use in total or hemi hip replacement. It is intended for cemented use only.

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. “K240418: Stryker Orthopaedics Hip Systems Labeling Update.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K240418

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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