510(k) Report

510(k) · Cleared

Cleared

MSS - Humeral reverse liners extension

K250338510(k) TraditionalCleared Oct 31, 2025267-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

Medacta International S.A. · PHX Shoulder Prosthesis, Reverse Configuration

Cleared on Oct 31, 2025 as substantially equivalent to K170452 (Medacta International S.A., 2017) and 2 other predicates after a 267-day review. Its family tree reaches back 16 generations to 1991. 1 of the 85 devices in its family, counting itself, has a Class I recall. 1 later device descends from it.

Decided
Oct 31, 2025
Review
267 days
Class
Class II
Product code
PHX
Recalls
None
Predicates
3

Its longest line of descent runs back 16 generations to K911686 (1991). 83 ancestors in all, the oldest K790987 (1979). 1 later device descends from it, 1 citing it directly. 1 of the 85 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2017: 1 other ancestor2007: 4 other ancestors2022: 1 other ancestor2016: 1 other ancestor2012: 2 other ancestors2009: 3 other ancestors2006: 4 other ancestors2000: 5 other ancestors2010: 1 other ancestor2008: 4 other ancestors, 1 with a Class I recall12005: 6 other ancestors2004: 3 other ancestors2003: 3 other ancestors2001: 4 other ancestors1999: 4 other ancestors1998: 3 other ancestors1995: 2 other ancestors1996: 4 other ancestors1994: 1 other ancestor1992: 2 other ancestors1987: 3 other ancestors1980: 2 other ancestors1993: 1 other ancestor1989: 1 other ancestor1986: 1 other ancestor1979: 1 other ancestor2026: 1 descendant clearedReference device: K202022 · GMK-SPHERE Tibial inserts FLEX Tibial Insert CR and Resurfacing Patella made of E-CROSS (Vitamin E Highly Crosslinked UHMWPE) · Medacta International S.A. · 2020K911686 · 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) K050316 · Aequalis Reversed Shoulder Prosthesis · Tornier · 2005K061439 · Aequalis Reversed Prosthesis · Tornier · 2006K071948 · Aequalis Reversed Adapter · Tornier · 2007K082120 · Aequalis Reversed Fracture Shoulder Prothesis · Tornier · 2008K100142 · Aequalis Reversed Shoulder Prosthesis · Tornier · 2010K130129 · Univers Revers Shoulder Prosthesis System · Arthrex, Inc. · 2013K142863 · Univers Rivers Shoulder Prosthesis System · Arthrex, Inc. · 2014K173900 · Arthrex Univers Revers Modular Glenoid System · Arthrex, Inc. · 2018K193372 · Univers Revers Modular Glenoid System (Augemented baseplates) · Arthrex, Inc. · 2020K231911 · Glenoid Reconstruction System – Full Wedge Baseplate · Medacta International S.A. · 202319801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 8 other ancestors3 generations back: 20 other ancestors4 generations back: 17 other ancestors, 1 with a Class I recall15 generations back: 5 other ancestors6 generations back: 13 other ancestors7 generations back: 1 other ancestor8 generations back: 1 other ancestor 1 generation forward: 1 descendant K231911 · Glenoid Reconstruction System – Full Wedge Baseplate · Medacta International S.A. · 2023K193372 · Univers Revers Modular Glenoid System (Augemented baseplates) · Arthrex, Inc. · 2020K173900 · Arthrex Univers Revers Modular Glenoid System · Arthrex, Inc. · 2018K142863 · Univers Rivers Shoulder Prosthesis System · Arthrex, Inc. · 2014K130129 · Univers Revers Shoulder Prosthesis System · Arthrex, Inc. · 2013K100142 · Aequalis Reversed Shoulder Prosthesis · Tornier · 2010K082120 · Aequalis Reversed Fracture Shoulder Prothesis · Tornier · 2008K071948 · Aequalis Reversed Adapter · Tornier · 2007K061439 · Aequalis Reversed Prosthesis · Tornier · 2006K050316 · Aequalis Reversed Shoulder Prosthesis · Tornier · 2005K041873 · 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 backK173900 Arthrex Univers Revers Modular Glenoid SystemArthrex, Inc. · 2018
  4. 2 generations backK193372 Univers Revers Modular Glenoid System (Augemented baseplates)Arthrex, Inc. · 2020
  5. 1 generation backK231911 Glenoid Reconstruction System – Full Wedge BaseplateMedacta International S.A. · 2023
  6. This deviceK250338 MSS - Humeral reverse liners extensionMedacta International S.A. · 2025
  7. Descendant · cites it directly · 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 backK050316 Aequalis Reversed Shoulder ProsthesisTornier · 2005
  8. 9 generations backK061439 Aequalis Reversed ProsthesisTornier · 2006
  9. 8 generations backK071948 Aequalis Reversed AdapterTornier · 2007
  10. 7 generations backK082120 Aequalis Reversed Fracture Shoulder ProthesisTornier · 2008
  11. 6 generations backK100142 Aequalis Reversed Shoulder ProsthesisTornier · 2010
  12. 5 generations backK130129 Univers Revers Shoulder Prosthesis SystemArthrex, Inc. · 2013
  13. 4 generations backK142863 Univers Rivers Shoulder Prosthesis SystemArthrex, Inc. · 2014
  14. 3 generations backK173900 Arthrex Univers Revers Modular Glenoid SystemArthrex, Inc. · 2018
  15. 2 generations backK193372 Univers Revers Modular Glenoid System (Augemented baseplates)Arthrex, Inc. · 2020
  16. 1 generation backK231911 Glenoid Reconstruction System – Full Wedge BaseplateMedacta International S.A. · 2023
  17. This deviceK250338 MSS - Humeral reverse liners extensionMedacta International S.A. · 2025

Class I recalls in this family

Most influential descendants

Showing 1 of 1 · See all
  • K261016MSS - Humeral reverse liners extensionMedacta International, SA · 2026 · cites it directly0descendants
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—
−10K050316Aequalis Reversed Shoulder ProsthesisTornier2005—
−9K061439Aequalis Reversed ProsthesisTornier2006—
−8K071948Aequalis Reversed AdapterTornier2007—
−7K082120Aequalis Reversed Fracture Shoulder ProthesisTornier2008—
−6K100142Aequalis Reversed Shoulder ProsthesisTornier2010—
−5K130129Univers Revers Shoulder Prosthesis SystemArthrex, Inc.2013—
−4K142863Univers Rivers Shoulder Prosthesis SystemArthrex, Inc.2014—
−3K173900Arthrex Univers Revers Modular Glenoid SystemArthrex, Inc.2018—
−2K193372Univers Revers Modular Glenoid System (Augemented baseplates)Arthrex, Inc.2020—
−1K231911Glenoid Reconstruction System – Full Wedge BaseplateMedacta International S.A.2023—
0 (this device)K250338MSS - Humeral reverse liners extensionMedacta International S.A.2025—
+1K261016MSS - Humeral reverse liners extensionMedacta International, SA2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198020
198610
198730
198910
199220
199310
199410
199520
199640
199830
199940
200050
200140
200330
200430
200560
200640
200740
200841
200930
201010
201220
201610
201710
202210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202610
FIG. 1 — Lineage of K250338, 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? (3)

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
*K170452Medacta Shoulder System
Summary page 5
…II III. Predicate Device Substantial equivalence is claimed to the following predicate devices. Primary Predicate device:  Medacta Shoulder System, K170452, Medacta International SA Additional Predicate devices  Glenoid Reconstruction System – Full Wedge Baseplate,…
Medacta International S.A.2017—
*K231911Glenoid Reconstruction System – Full Wedge Baseplate
Summary page 5
… Medacta Shoulder System, K170452, Medacta International SA Additional Predicate devices  Glenoid Reconstruction System – Full Wedge Baseplate, K231911, Medacta International SA  DELTA XTEND Reverse Shoulder System, K062250, DePuy Orthopaedics, Inc.…
Medacta International S.A.2023—
*K062250Delta Xtend Reverse Shoulder System
Summary page 5
…evices  Glenoid Reconstruction System – Full Wedge Baseplate, K231911, Medacta International SA  DELTA XTEND Reverse Shoulder System, K062250, DePuy Orthopaedics, Inc. Reference device:  GMK-SPHERE Tibial inserts FLEX Tibial Insert CR and Resurfacing P…
DePuy Orthopaedics, Inc.20078
†K202022GMK-SPHERE Tibial inserts FLEX Tibial Insert CR and Resurfacing Patella made of E-CROSS…Medacta International S.A.2020—

Also cleared against K170452: 7 other devices →

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K261016MSS - Humeral reverse liners extensionMedacta International, SA20260

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 · 4 generations back · ◆ in the 2008 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 34 years and passes through 5 companies; a new generation was cleared every 1.5 years on median.
  • 22 of the 83 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K261016 (Medacta International, SA, 2026) has gone furthest, with 0 descendants of its own.
  • 7 other devices also cite its predicate K170452.

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. 2025, 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?

The Reverse Shoulder Prosthesis is indicated for treatment of humeral fractures and for primary or revision total shoulder replacement in patients with a grossly deficient rotator cuff shoulder joint with severe arthropathy or a previously failed joint replacement with a grossly deficient rotator cuff shoulder joint. The patient’s joint must be anatomically and structurally suited to receive the selected implant(s), and a functional deltoid muscle is…

Read the full statement (236 words)

The Reverse Shoulder Prosthesis is indicated for treatment of humeral fractures and for primary or

revision total shoulder replacement in patients with a grossly deficient rotator cuff shoulder joint with

severe arthropathy or a previously failed joint replacement with a grossly deficient rotator cuff

shoulder joint.

The patient’s joint must be anatomically and structurally suited to receive the selected implant(s),

and a functional deltoid muscle is necessary to use the device.

The glenoid baseplate is intended for cementless application with the addition of screws for fixation.

The humeral stems are intended for cemented or cementless use.

The Glenoid Reconstruction System baseplate is intended for cementless application with the

addition of polyaxial screws for primary stability. A Glenoid Reconstruction System central screw can

be used to provide additional fixation.

The Reverse Shoulder Prosthesis - Short Humeral Diaphysis is indicated for primary total shoulder

replacement in patients with grossly deficient rotator cuff shoulder joint with severe arthropathy. The

patient’s joint must be anatomically and structurally suited to receive the selected implant(s), and a

functional deltoid muscle is necessary to use the device. The glenoid baseplate is intended for

cementless application with the addition of screws for fixation. The humeral short stem is intended

for cementless use. The Glenoid Reconstruction System baseplate is intended for cementless

application with the addition of polyaxial screws for primary stability. A Glenoid Reconstruction

System central screw can be used to provide additional fixation.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K250338: MSS - Humeral reverse liners extension.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K250338

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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