510(k) Report

510(k) · Cleared

Cleared

Tornier Humeral Reconstruction System (Tornier HRS); Tornier Perform Humeral System - Stem (Tornier PHS-Stem)

K241878510(k) TraditionalCleared Dec 6, 2024161-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

Stryker Corporation (Tornier, Inc.) · KWS Prosthesis, Shoulder, Semi-Constrained, Metal/Polymer Cemented

Cleared on Dec 6, 2024 as substantially equivalent to K191318 (Tornier, Inc., 2019) and 1 other predicate after a 161-day review. Its family tree reaches back 18 generations to 1991. 1 of the 144 devices in its family, counting itself, has a Class I recall. 1 later device descends from it.

Decided
Dec 6, 2024
Review
161 days
Class
Class II
Product code
KWS
Recalls
None
Predicates
2

Its longest line of descent runs back 18 generations to K911686 (1991). 142 ancestors in all, the oldest K790987 (1979). 1 later device descends from it, 1 citing it directly. 1 of the 144 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2019: 1 other ancestor2018: 1 other ancestor2014: 3 other ancestors2012: 5 other ancestors2011: 4 other ancestors2010: 3 other ancestors2009: 2 other ancestors2008: 7 other ancestors2006: 11 other ancestors2005: 7 other ancestors1995: 2 other ancestors2013: 2 other ancestors2007: 5 other ancestors2004: 3 other ancestors2001: 7 other ancestors1999: 5 other ancestors2003: 6 other ancestors2000: 9 other ancestors1998: 6 other ancestors1996: 7 other ancestors1980: 2 other ancestors2002: 3 other ancestors1997: 2 other ancestors1994: 6 other ancestors1992: 2 other ancestors1987: 5 other ancestors1993: 1 other ancestor1991: 3 other ancestors1988: 1 other ancestor1979: 1 other ancestor1989: 1 other ancestor1986: 1 other ancestor2025: 1 descendant clearedK911686 · 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 · recalledK132285 · Aequalis Reversed Shoulder Prosthesis · Tornier S.A.S. · 2013K151293 · Aequalis Ascend Flex Shoulder System, Aequalis Reversed Shoulder Prosthesis · Tornier S.A.S. · 2015K190521 · Aequalis Ascend Flex Shoulder System · Tornier S.A.S. · 2019K201315 · PERFORM Humeral System – Stem · Tornier, Inc. · 2020 · recalled19801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 1 other ancestor3 generations back: 1 other ancestor4 generations back: 12 other ancestors5 generations back: 14 other ancestors6 generations back: 25 other ancestors7 generations back: 24 other ancestors8 generations back: 23 other ancestors9 generations back: 14 other ancestors10 generations back: 8 other ancestors11 generations back: 1 other ancestor 1 generation forward: 1 descendant K201315 · PERFORM Humeral System – Stem · Tornier, Inc. · 2020 · recalledK190521 · Aequalis Ascend Flex Shoulder System · Tornier S.A.S. · 2019K151293 · Aequalis Ascend Flex Shoulder System, Aequalis Reversed Shoulder Prosthesis · Tornier S.A.S. · 2015K132285 · Aequalis Reversed Shoulder Prosthesis · Tornier S.A.S. · 2013K122698 · 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 · 18 generations backK911686 Global Total Shoulder, Uncement Humeral Hemi-ShoulDepuy, Inc. · 1991
  2. 14 generations between
  3. 3 generations backK151293 Aequalis Ascend Flex Shoulder System, Aequalis Reversed Shoulder…Tornier S.A.S. · 2015
  4. 2 generations backK190521 Aequalis Ascend Flex Shoulder SystemTornier S.A.S. · 2019
  5. 1 generation backK201315 PERFORM Humeral System – StemTornier, Inc. · 2020 · Recalled
  6. This deviceK241878 Tornier Humeral Reconstruction System (Tornier HRS); Tornier Perform…Stryker Corporation (Tornier, Inc.) · 2024
  7. Descendant · cites it directly · 0 of its ownK251686 Tornier Humeral Reconstruction System Max (Tornier HRS Max)Tornier, Inc. · 2025 · Recalled
Show all 18 generations
  1. Root · 18 generations backK911686 Global Total Shoulder, Uncement Humeral Hemi-ShoulDepuy, Inc. · 1991
  2. 17 generations backK984541 Global FX Humeral Stem, Global Advantage Humeral HeadDePuy Orthopaedics, Inc. · 1999
  3. 16 generations backK992065 Global Advantage Shoulder, Global Advantage Humeral Stem, Global…DePuy Orthopaedics, Inc. · 1999
  4. 15 generations backK021478 Delta ShoulderDepuy, Inc. · 2003
  5. 14 generations backK030941 Aequalis Reversed Shoulder ProsthesisTornier · 2004
  6. 13 generations backK041873 Aequalis Reversed Shoulder ProsthesisTornier · 2004
  7. 12 generations backK052906 Zimmer Trabecular Metal Reverse Shoulder SystemZimmer, Inc. · 2005 · Recalled
  8. 11 generations backK060704 Zimmer Trabecular Metal Reverse Shoulder System, Sizes 8MM and 10MMZimmer, Inc. · 2006 · Recalled
  9. 10 generations backK063569 Equinoxe Reverse Shoulder SystemExactech, Inc. · 2007 · Recalled
  10. 9 generations backK073688 Equinoxe Reverse Shoulder System Fracture Humeral Adapter Tray and…Exactech, Inc. · 2008 · Recalled
  11. 8 generations backK080642 Comprehensive Reverse ShoulderBiomet, Inc. · 2008 · Recalled (Class I)
  12. 7 generations backK110599 Aequalis Ascend Modular Reverse Shoulder SystemTornier, Inc. · 2011
  13. 6 generations backK112615 Aequalis Ascend Modular Reverse Shoulder SystemTornier, Inc. · 2011
  14. 5 generations backK122698 Aequalis Ascend Flex Shoulder SystemTornier S.A.S. · 2013 · Recalled
  15. 4 generations backK132285 Aequalis Reversed Shoulder ProsthesisTornier S.A.S. · 2013
  16. 3 generations backK151293 Aequalis Ascend Flex Shoulder System, Aequalis Reversed Shoulder…Tornier S.A.S. · 2015
  17. 2 generations backK190521 Aequalis Ascend Flex Shoulder SystemTornier S.A.S. · 2019
  18. 1 generation backK201315 PERFORM Humeral System – StemTornier, Inc. · 2020 · Recalled
  19. This deviceK241878 Tornier Humeral Reconstruction System (Tornier HRS); Tornier Perform…Stryker Corporation (Tornier, Inc.) · 2024

Class I recalls in this family

Most influential descendants

Showing 1 of 1 · See all
  • K251686Tornier Humeral Reconstruction System Max (Tornier HRS Max)Tornier, Inc. · 2025 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−18K911686Global Total Shoulder, Uncement Humeral Hemi-ShoulDepuy, Inc.1991—
−17K984541Global FX Humeral Stem, Global Advantage Humeral HeadDePuy Orthopaedics, Inc.1999—
−16K992065Global Advantage Shoulder, Global Advantage Humeral Stem, Global Advantage…DePuy Orthopaedics, Inc.1999—
−15K021478Delta ShoulderDepuy, Inc.2003—
−14K030941Aequalis Reversed Shoulder ProsthesisTornier2004—
−13K041873Aequalis Reversed Shoulder ProsthesisTornier2004—
−12K052906Zimmer Trabecular Metal Reverse Shoulder SystemZimmer, Inc.200512
−11K060704Zimmer Trabecular Metal Reverse Shoulder System, Sizes 8MM and 10MMZimmer, Inc.200610
−10K063569Equinoxe Reverse Shoulder SystemExactech, Inc.200713
−9K073688Equinoxe Reverse Shoulder System Fracture Humeral Adapter Tray and Locking ScrewExactech, Inc.20081
−8K080642Comprehensive Reverse ShoulderBiomet, Inc.2008Class I
−7K110599Aequalis Ascend Modular Reverse Shoulder SystemTornier, Inc.2011—
−6K112615Aequalis Ascend Modular Reverse Shoulder SystemTornier, Inc.2011—
−5K122698Aequalis Ascend Flex Shoulder SystemTornier S.A.S.20132
−4K132285Aequalis Reversed Shoulder ProsthesisTornier S.A.S.2013—
−3K151293Aequalis Ascend Flex Shoulder System, Aequalis Reversed Shoulder ProsthesisTornier S.A.S.2015—
−2K190521Aequalis Ascend Flex Shoulder SystemTornier S.A.S.2019—
−1K201315PERFORM Humeral System – StemTornier, Inc.20201
0 (this device)K241878Tornier Humeral Reconstruction System (Tornier HRS); Tornier Perform Humeral…Stryker Corporation (Tornier, Inc.)2024—
+1K251686Tornier Humeral Reconstruction System Max (Tornier HRS Max)Tornier, Inc.20251

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198020
198610
198750
198810
198910
199130
199220
199310
199460
199520
199670
199720
199860
199950
200090
200170
200230
200360
200430
200570
2006110
200750
200870
200920
201030
201140
201250
201320
201430
201810
201910

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202510
FIG. 1 — Lineage of K241878, 1991–2025Source: 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 KWS device

  1. #1 K220847 AETOS Shoulder Systemscore 21.1 · 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
*K191318AEQUALIS FLEX REVIVE Shoulder System
Summary page 7
…Product Code(s) KWS, PHX, HSD I Legally Marketed Predicate Devices 21 CFR 807.92(a)(3) Predicate # Predicate Trade Name (Primary Predicate is listed first) Product Code K191318 Aequalis Flex Revive Shoulder System KWS K201315 Perform Humeral System - Stem (PHS-Stem) KWS Device Description Summary 21 CFR 8…
Tornier, Inc.20192
*K201315PERFORM Humeral System – Stem
Summary page 7
…Predicate Devices 21 CFR 807.92(a)(3) Predicate # Predicate Trade Name (Primary Predicate is listed first) Product Code K191318 Aequalis Flex Revive Shoulder System KWS K201315 Perform Humeral System - Stem (PHS-Stem) KWS Device Description Summary 21 CFR 807.92(a)(4) Tornier HRS (formerly branded Aequal…
Tornier, Inc.20201

Also cleared against K191318: 1 other device →

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K251686Tornier Humeral Reconstruction System Max (Tornier HRS Max)Tornier, Inc.20250

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 33 years and passes through 9 companies; a new generation was cleared every 1.2 years on median.
  • 35 of the 142 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K251686 (Tornier, Inc., 2025) has gone furthest, with 0 descendants of its own.
  • 1 other device also cites its predicate K191318.

How does its category compare?

All KWS devices

KWS Prosthesis, Shoulder, 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 · KWS

3in 2025

2007: 22008: 42009: 42010: 72011: 112012: 72013: 122014: 72015: 82016: 102017: 72018: 42019: 92020: 32021: 52022: 52023: 42024: 22025: 32026 (partial year): 2
2007high 12 (2013) · low 2 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KWS

97in 2025

2008: 37 days median2009: 108 days median2010: 33 days median2011: 90 days median2012: 86 days median2013: 120 days median2014: 89 days median2015: 129 days median2016: 114 days median2017: 120 days median2018: 152 days median2019: 106 days median2020: 98 days median2021: 151 days median2022: 158 days median2023: 250 days median2025: 97 days median
2007high 250 (2023) · low 33 (2010)2026

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

Recalls per year · KWS

2in 2023

2007: 212008: 292010: 102011: 112012: 102014: 12016: 12017: 42018: 12019: 22020: 52023: 22026 (partial year): 1
2007high 29 (2008) · low 0 (2009)2026

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

Adverse event reports per year · KWS

2,281in 2025

2007: 1582008: 2382009: 2942010: 3932011: 4862012: 5422013: 8182014: 1,0662015: 1,1702016: 9702017: 1,6812018: 1,5452019: 1,7282020: 1,5672021: 1,3582022: 1,2682023: 1,7502024: 2,1222025: 2,281
2007high 2,281 (2025) · low 158 (2007)2025

MAUDE reports naming product code KWS, 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—21158
200843729238
200941080294
201073310393
2011119011486
201278610542
2013121200818
201478911,066
2015812901,170
2016101141970
2017712041,681
2018415211,545
2019910621,728
202039851,567
2021515101,358
2022515801,268
2023425021,750
20242—02,122
202539702,281
20262—1—

What is it indicated for?

Tornier Humeral Reconstruction System (Tornier HRS) IN ANATOMIC: The Tornier HRS is to be used only in patients with an intact or reconstructable rotator cuff, where it is intended to provide increased mobility and stability and to relieve pain. The Tornier HRS is indicated for use as a replacement of shoulder joints disabled by: * Rheumatoid arthritis with pain * Non-inflammatory degenerative joint disease (i.e. osteoarthritis and avascular necrosis) *…

Read the full statement (668 words)

Tornier Humeral Reconstruction System (Tornier HRS)

IN ANATOMIC:

The Tornier HRS is to be used only in patients with an intact or reconstructable rotator cuff, where it is intended to provide increased mobility and stability and to relieve pain. The Tornier HRS is indicated for use as a replacement of shoulder joints disabled by:

* Rheumatoid arthritis with pain

* Non-inflammatory degenerative joint disease (i.e. osteoarthritis and avascular necrosis)

* Correction of functional deformity

* Fractures of the humeral head

* Traumatic arthritis

* Revision of other devices if sufficient bone stock remains

IN REVERSE:

The Tornier HRS is indicated for use as a replacement of shoulder joints for patients with a functional deltoid muscle with pain disabled by:

* Rheumatoid arthritis

* Non-inflammatory degenerative joint disease (i.e. osteoarthritis and avascular necrosis)

* Correction of functional deformity

* Fractures of the humeral head

» Traumatic arthritis

* Massive and non-repairable rotator cuff tear

* Revision of other devices if sufficient bone stock remains

The reversed tray and polyethylene insert are indicated for use in the conversion from an anatomic to reversed shoulder arthroplasty without the removal of the humeral assembly during revision surgery for patients with a functional deltoid muscle.

Notes:

* All components are single use.

» The coated humeral stem is intended for cemented or cementless use.

* The all-poly glenoid components are intended for cemented use only

» The glenoid sphere implant is anchored to the bone with screws and is for non-cemented fixation.

« Titanium humeral heads are intended for patients with suspected cobalt alloy material sensitivity. The wear properties of Titanium and Titanium alloys are inferior to that of cobalt alloy. A Titanium humeral head is not recommended for patients who lack a suspected material sensitivity to cobalt alloy.

Tornier Perform Humeral System - Stem (Tornier PHS-Stem)

In Anatomic:

The humeral stem, humeral head coupler and humeral head may be used by themselves, as a hemiarthroplasty, if the natural glenoid provides a sufficient bearing surface, or in conjunction with a glenoid implant, as a total replacement.

The PERFORM™ Humeral System — Stem is to be used only in patients with an intact or reconstructable rotator cuff, where it is intended to provide increased mobility, stability, and to relieve pain. The PERFORM Humeral System — Stem is indicated for use as a replacement of shoulder joints disabled by:

* Non-inflammatory degenerative joint disease (i.e. osteoarthritis) and avascular necrosis

* Proximal humeral malunions

* Post-traumatic arthritis

* Revisions or fractures of the humeral head where adequate fixation can be achieved and adequate bone stock remains

Titanium humeral heads are intended for patients with suspected cobalt alloy material sensitivity. The wear properties of titanium and titanium alloys are inferior to that of cobalt alloy. A titanium humeral head is recommended for patients with a suspected material sensitivity to cobalt alloy.

All components are single use. The humeral stems are intended for cemented or cementless use.

The PERFORM Humeral System — Stem is intended to be used with cemented polyethylene glenoid components, in a total shoulder arthroplasty.

In Reverse:

The PERFORM™ Humeral System — Stem is indicated for use as a replacement of a shoulder joint for patients with a functional deltoid muscle, grossly deficient rotator cuff, and pain disabled by one or more of the following:

* Non-inflammatory degenerative joint disease (i.e. osteoarthritis) and avascular necrosis

* Pseudoparalysis or anterior superior escape

* Rotator cuff tear arthropathy

* Proximal humeral malunions

* Post-traumatic arthritis

* Revisions or fractures of the humeral head where adequate fixation can be achieved and adequate bone stock remains

The reversed insert is indicated for use for the conversion from an anatomic to reverse shoulder prosthesis without the removal of a well fixed humeral stem for patients with a functional deltoid muscle.

All components are single use. The humeral stems are intended for cemented or cementless use. The PERFORM Humeral System — Stem is intended to be used with glenoid implants that are anchored to the bone with screws for non-cemented 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. “K241878: Tornier Humeral Reconstruction System (Tornier HRS); Tornier Perform Humeral System - Stem (Tornier PHS-Stem).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K241878

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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