510(k) Report

510(k) · Cleared

Recalled · Class II · 2026

Tornier Humeral Reconstruction System Max (Tornier HRS Max)

K251686510(k) TraditionalCleared Oct 30, 2025150-day reviewClass II21 CFR 888.3650Recalls 1

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

Tornier, Inc. · KWT Prosthesis, Shoulder, Non-Constrained, Metal/Polymer Cemented

Cleared on Oct 30, 2025 as substantially equivalent to K223631 (Biomet Orthopedics, 2023) and 1 other predicate after a 150-day review. Its family tree reaches back 19 generations to 1991. 1 of the 172 devices in its family, counting itself, has a Class I recall. It has been recalled once.

Decided
Oct 30, 2025
Review
150 days
Class
Class II
Product code
KWT
Recalls
1
Predicates
2

Its longest line of descent runs back 19 generations to K911686 (1991). 171 ancestors in all, the oldest K790987 (1979). No later device cites it as a predicate yet. 1 of the 172 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year cleared 2023: 1 other ancestor2019: 1 other ancestor2018: 2 other ancestors2016: 1 other ancestor2015: 1 other ancestor2012: 6 other ancestors2011: 5 other ancestors2014: 3 other ancestors2010: 4 other ancestors2007: 7 other ancestors2005: 11 other ancestors2003: 9 other ancestors2002: 5 other ancestors1994: 7 other ancestors2009: 2 other ancestors2008: 7 other ancestors2006: 11 other ancestors2001: 9 other ancestors2000: 11 other ancestors1999: 5 other ancestors1998: 7 other ancestors1995: 2 other ancestors1992: 2 other ancestors1991: 4 other ancestors1987: 5 other ancestors2013: 2 other ancestors2004: 4 other ancestors1996: 9 other ancestors1980: 2 other ancestors1997: 2 other ancestors1993: 1 other ancestor1988: 1 other ancestor1979: 1 other ancestor1989: 1 other ancestor1986: 1 other ancestorK911686 · 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 · recalledK241878 · Tornier Humeral Reconstruction System (Tornier HRS); Tornier Perform Humeral System - Stem (Tornier PHS-Stem) · Stryker Corporation (Tornier, Inc.) · 202419801990200020102020
Other ancestors, by generation 1 generation back: 1 other ancestor2 generations back: 2 other ancestors3 generations back: 5 other ancestors4 generations back: 11 other ancestors5 generations back: 28 other ancestors6 generations back: 20 other ancestors7 generations back: 24 other ancestors8 generations back: 15 other ancestors9 generations back: 23 other ancestors10 generations back: 14 other ancestors11 generations back: 8 other ancestors12 generations back: 1 other ancestor K241878 · Tornier Humeral Reconstruction System (Tornier HRS); Tornier Perform Humeral System - Stem (Tornier PHS-Stem) · Stryker Corporation (Tornier, Inc.) · 2024K201315 · 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 · 19 generations backK911686 Global Total Shoulder, Uncement Humeral Hemi-ShoulDepuy, Inc. · 1991
  2. 15 generations between
  3. 3 generations backK190521 Aequalis Ascend Flex Shoulder SystemTornier S.A.S. · 2019
  4. 2 generations backK201315 PERFORM Humeral System – StemTornier, Inc. · 2020 · Recalled
  5. 1 generation backK241878 Tornier Humeral Reconstruction System (Tornier HRS); Tornier Perform…Stryker Corporation (Tornier, Inc.) · 2024
  6. This deviceK251686 Tornier Humeral Reconstruction System Max (Tornier HRS Max)Tornier, Inc. · 2025
Show all 19 generations
  1. Root · 19 generations backK911686 Global Total Shoulder, Uncement Humeral Hemi-ShoulDepuy, Inc. · 1991
  2. 18 generations backK984541 Global FX Humeral Stem, Global Advantage Humeral HeadDePuy Orthopaedics, Inc. · 1999
  3. 17 generations backK992065 Global Advantage Shoulder, Global Advantage Humeral Stem, Global…DePuy Orthopaedics, Inc. · 1999
  4. 16 generations backK021478 Delta ShoulderDepuy, Inc. · 2003
  5. 15 generations backK030941 Aequalis Reversed Shoulder ProsthesisTornier · 2004
  6. 14 generations backK041873 Aequalis Reversed Shoulder ProsthesisTornier · 2004
  7. 13 generations backK052906 Zimmer Trabecular Metal Reverse Shoulder SystemZimmer, Inc. · 2005 · Recalled
  8. 12 generations backK060704 Zimmer Trabecular Metal Reverse Shoulder System, Sizes 8MM and 10MMZimmer, Inc. · 2006 · Recalled
  9. 11 generations backK063569 Equinoxe Reverse Shoulder SystemExactech, Inc. · 2007 · Recalled
  10. 10 generations backK073688 Equinoxe Reverse Shoulder System Fracture Humeral Adapter Tray and…Exactech, Inc. · 2008 · Recalled
  11. 9 generations backK080642 Comprehensive Reverse ShoulderBiomet, Inc. · 2008 · Recalled (Class I)
  12. 8 generations backK110599 Aequalis Ascend Modular Reverse Shoulder SystemTornier, Inc. · 2011
  13. 7 generations backK112615 Aequalis Ascend Modular Reverse Shoulder SystemTornier, Inc. · 2011
  14. 6 generations backK122698 Aequalis Ascend Flex Shoulder SystemTornier S.A.S. · 2013 · Recalled
  15. 5 generations backK132285 Aequalis Reversed Shoulder ProsthesisTornier S.A.S. · 2013
  16. 4 generations backK151293 Aequalis Ascend Flex Shoulder System, Aequalis Reversed Shoulder…Tornier S.A.S. · 2015
  17. 3 generations backK190521 Aequalis Ascend Flex Shoulder SystemTornier S.A.S. · 2019
  18. 2 generations backK201315 PERFORM Humeral System – StemTornier, Inc. · 2020 · Recalled
  19. 1 generation backK241878 Tornier Humeral Reconstruction System (Tornier HRS); Tornier Perform…Stryker Corporation (Tornier, Inc.) · 2024
  20. This deviceK251686 Tornier Humeral Reconstruction System Max (Tornier HRS Max)Tornier, Inc. · 2025

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−19K911686Global Total Shoulder, Uncement Humeral Hemi-ShoulDepuy, Inc.1991—
−18K984541Global FX Humeral Stem, Global Advantage Humeral HeadDePuy Orthopaedics, Inc.1999—
−17K992065Global Advantage Shoulder, Global Advantage Humeral Stem, Global Advantage…DePuy Orthopaedics, Inc.1999—
−16K021478Delta ShoulderDepuy, Inc.2003—
−15K030941Aequalis Reversed Shoulder ProsthesisTornier2004—
−14K041873Aequalis Reversed Shoulder ProsthesisTornier2004—
−13K052906Zimmer Trabecular Metal Reverse Shoulder SystemZimmer, Inc.200512
−12K060704Zimmer Trabecular Metal Reverse Shoulder System, Sizes 8MM and 10MMZimmer, Inc.200610
−11K063569Equinoxe Reverse Shoulder SystemExactech, Inc.200713
−10K073688Equinoxe Reverse Shoulder System Fracture Humeral Adapter Tray and Locking ScrewExactech, Inc.20081
−9K080642Comprehensive Reverse ShoulderBiomet, Inc.2008Class I
−8K110599Aequalis Ascend Modular Reverse Shoulder SystemTornier, Inc.2011—
−7K112615Aequalis Ascend Modular Reverse Shoulder SystemTornier, Inc.2011—
−6K122698Aequalis Ascend Flex Shoulder SystemTornier S.A.S.20132
−5K132285Aequalis Reversed Shoulder ProsthesisTornier S.A.S.2013—
−4K151293Aequalis Ascend Flex Shoulder System, Aequalis Reversed Shoulder ProsthesisTornier S.A.S.2015—
−3K190521Aequalis Ascend Flex Shoulder SystemTornier S.A.S.2019—
−2K201315PERFORM Humeral System – StemTornier, Inc.20201
−1K241878Tornier Humeral Reconstruction System (Tornier HRS); Tornier Perform Humeral…Stryker Corporation (Tornier, Inc.)2024—
0 (this device)K251686Tornier Humeral Reconstruction System Max (Tornier HRS Max)Tornier, Inc.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198020
198610
198750
198810
198910
199140
199220
199310
199470
199520
199690
199720
199870
199950
2000110
200190
200250
200390
200440
2005110
2006110
200770
200870
200920
201040
201150
201260
201320
201430
201510
201610
201820
201910
202310
FIG. 1 — Lineage of K251686, 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 KWT device

  1. #1 K231657 AGILON® XO Shoulder Replacement Systemscore 17.7 · 17 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
*K223631Comprehensive Segmental Revision System (SRS)
Summary page 5
…ct Code(s) KWT, KWS, HSD, PHX | Legally Marketed Predicate Devices 21 CFR 807.92(a)(3) Predicate # Predicate Trade Name (Primary Predicate is listed first) Product Code K223631 Comprehensive Segmental Revision System (SRS) KWT K241878 Tornier Humeral Reconstruction System (Tornier HRS); Tornier KWS Perfo…
Biomet Orthopedics2023—
*K241878Tornier Humeral Reconstruction System (Tornier HRS); Tornier Perform Humeral System -…
Summary page 5
…e Devices 21 CFR 807.92(a)(3) Predicate # Predicate Trade Name (Primary Predicate is listed first) Product Code K223631 Comprehensive Segmental Revision System (SRS) KWT K241878 Tornier Humeral Reconstruction System (Tornier HRS); Tornier KWS Perform Humeral System -Stem (Tornier PHS - Stem) Device Descr…
Stryker Corporation (Tornier, Inc.)2024—

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (1 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Mar 5, 2026Class IIZ-1769-2026Labeling designAffected products were incorrectly labeled as Tornier HRS Max products. These parts are compatible with the Tornier HRS system only, and are incompatible with the Tornier HRS Max system.

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 · 7 generations back · ◆ on the line of descent in FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 34 years and passes through 9 companies; a new generation was cleared every 1.0 years on median.
  • 45 of the 171 ancestors have a recall of any class; 1 has a Class I recall.

How does its category compare?

All KWT devices

KWT Prosthesis, Shoulder, Non-Constrained, Metal/Polymer Cemented: FDA decisions, review times, recalls and adverse event reports over 20 years. 2025, this device’s year, is highlighted.

FDA decisions per year · KWT

4in 2025

2007: 12010: 12011: 52012: 12013: 12014: 12015: 22016: 22017: 12018: 22019: 42020: 12021: 12022: 12023: 12024: 12025: 42026 (partial year): 1
2007high 5 (2011) · low 0 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KWT

242in 2025

2011: 165 days median2019: 91 days median2025: 242 days median
2007high 242 (2025) · low 91 (2019)2026

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

Recalls per year · KWT

1in 2023

2008: 12010: 72012: 22013: 12016: 12017: 12018: 12019: 32023: 1
2007high 7 (2010) · low 0 (2007)2026

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

Adverse event reports per year · KWT

749in 2025

2007: 322008: 482009: 582010: 712011: 1122012: 832013: 1132014: 1682015: 1762016: 4452017: 5602018: 4802019: 4192020: 2152021: 2282022: 2732023: 3612024: 6012025: 749
2007high 749 (2025) · low 32 (2007)2025

MAUDE reports naming product code KWT, 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
20071—032
20080—148
20090—058
20101—771
201151650112
20121—283
20131—1113
20141—0168
20152—0176
20162—1445
20171—1560
20182—1480
20194913419
20201—0215
20211—0228
20221—0273
20231—1361
20241—0601
202542420749
20261—0—

What is it indicated for?

In Anatomic: Tornier HRS Max humeral assembly can be used for anatomic arthroplasty when used with a humeral head. It can be used as a hemiarthroplasty, if the natural glenoid provides a sufficient bearing surface, or in conjunction with a glenoid, as a total replacement. Tornier HRS Max is indicated for use as a replacement of shoulder joints for patients with a functional deltoid muscle and with an intact or reconstructable rotator cuff with pain…

Read the full statement (337 words)

In Anatomic:

Tornier HRS Max humeral assembly can be used for anatomic arthroplasty when used with a humeral head. It can be used as a hemiarthroplasty, if the natural glenoid provides a sufficient bearing surface, or in conjunction with a glenoid, as a total replacement.

Tornier HRS Max is indicated for use as a replacement of shoulder joints for patients with a functional deltoid muscle and with an intact or reconstructable rotator cuff with pain disabled by:

• Rheumatoid arthritis

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

• Fractures of the humeral head

• Post-Traumatic arthritis

• Oncology applications including bone loss due to tumor resection

• Significant humeral resection where adequate fixation can be achieved

In Reverse:

Tornier HRS Max is indicated for use as a replacement of shoulder joints for patients with a functional deltoid muscle and with massive and non-repairable rotator cuff-tear 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

• Post-Traumatic arthritis

• Massive and non-repairable rotator cuff tear

• Oncology applications including bone loss due to tumor resection.

• Significant humeral resection where adequate fixation can be achieved

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

Notice:

• 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.

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. “K251686: Tornier Humeral Reconstruction System Max (Tornier HRS Max).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K251686

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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