510(k) Report

510(k) · Cleared

Cleared

AETOS Shoulder System Stemless Humeral Prosthesis

K252129510(k) TraditionalCleared Oct 3, 202588-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

Smith & Nephew, Inc. · PKC Prosthesis, Total Anatomic Shoulder, Uncemented Metaphyseal Humeral Stem With No Diaphyseal Incursion, Semi-Constrained

Cleared on Oct 3, 2025 as substantially equivalent to K240716 (Smith & Nephew, Inc., 2024) after an 88-day review. Its family tree reaches back 18 generations to 1991. 1 of the 175 devices in its family, counting itself, has a Class I recall.

Decided
Oct 3, 2025
Review
88 days
Class
Class II
Product code
PKC
Recalls
None
Predicates
1

Its longest line of descent runs back 18 generations to K911686 (1991). 174 ancestors in all, the oldest K790987 (1979). No later device cites it as a predicate yet. 1 of the 175 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year cleared 2015: 2 other ancestors2016: 2 other ancestors2010: 6 other ancestors2008: 9 other ancestors2014: 3 other ancestors2012: 6 other ancestors2011: 6 other ancestors2009: 3 other ancestors2007: 7 other ancestors2006: 12 other ancestors2005: 8 other ancestors2013: 2 other ancestors2004: 8 other ancestors2003: 7 other ancestors2001: 10 other ancestors1999: 6 other ancestors1995: 3 other ancestors1991: 3 other ancestors2000: 11 other ancestors1998: 6 other ancestors1996: 9 other ancestors1980: 2 other ancestors2002: 4 other ancestors1997: 3 other ancestors1994: 6 other ancestors1992: 2 other ancestors1987: 5 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. · 2015K220847 · AETOS Shoulder System · Smith & Nephew, Inc. · 2023K240716 · AETOS Shoulder System Stemless Humeral Prosthesis · Smith & Nephew, Inc. · 202419801990200020102020
Other ancestors, by generation 2 generations back: 1 other ancestor3 generations back: 4 other ancestors4 generations back: 16 other ancestors5 generations back: 23 other ancestors6 generations back: 33 other ancestors7 generations back: 23 other ancestors8 generations back: 24 other ancestors9 generations back: 19 other ancestors10 generations back: 12 other ancestors11 generations back: 1 other ancestor K240716 · AETOS Shoulder System Stemless Humeral Prosthesis · Smith & Nephew, Inc. · 2024K220847 · AETOS Shoulder System · Smith & Nephew, Inc. · 2023K151293 · 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 backK220847 AETOS Shoulder SystemSmith & Nephew, Inc. · 2023
  5. 1 generation backK240716 AETOS Shoulder System Stemless Humeral ProsthesisSmith & Nephew, Inc. · 2024
  6. This deviceK252129 AETOS Shoulder System Stemless Humeral ProsthesisSmith & Nephew, Inc. · 2025
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 backK220847 AETOS Shoulder SystemSmith & Nephew, Inc. · 2023
  18. 1 generation backK240716 AETOS Shoulder System Stemless Humeral ProsthesisSmith & Nephew, Inc. · 2024
  19. This deviceK252129 AETOS Shoulder System Stemless Humeral ProsthesisSmith & Nephew, Inc. · 2025

Class I recalls in this family

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—
−2K220847AETOS Shoulder SystemSmith & Nephew, Inc.2023—
−1K240716AETOS Shoulder System Stemless Humeral ProsthesisSmith & Nephew, Inc.2024—
0 (this device)K252129AETOS Shoulder System Stemless Humeral ProsthesisSmith & Nephew, Inc.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198020
198610
198750
198810
198910
199130
199220
199310
199460
199530
199690
199730
199860
199960
2000110
2001100
200240
200370
200480
200580
2006120
200770
200890
200930
201060
201160
201260
201320
201430
201520
201620
FIG. 1 — Lineage of K252129, 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 PKC device

  1. #1 K240716 AETOS Shoulder System Stemless Humeral…score 22.2 · 17 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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What was it cleared against? (1)

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
*K240716AETOS Shoulder System Stemless Humeral Prosthesis
Summary page 6
…strained cemented prosthesis (21 CFR 888.3650) Classification Class II Predicate Device AETOS Shoulder System Stemless Humeral Prosthesis: K240716 Classification Orthopedic Panel Device The AETOS Stemless Humeral Prosthesis subject to this sub…
Smith & Nephew, Inc.2024—

Also cleared against K240716: 2 other devices →

What descends from it?

No later submission names this one as a predicate yet.

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 34 years and passes through 9 companies; a new generation was cleared every 1.0 years on median.
  • 47 of the 174 ancestors have a recall of any class; 1 has a Class I recall.
  • 2 other devices also cite its predicate K240716.

How does its category compare?

All PKC devices

PKC Prosthesis, Total Anatomic Shoulder, Uncemented Metaphyseal Humeral Stem With No Diaphyseal Incursion, Semi-Constrained: FDA decisions, review times, recalls and adverse event reports over 20 years. 2025, this device’s year, is highlighted.

FDA decisions per year · PKC

1in 2025

2015: 12017: 12018: 12019: 12020: 42021: 22022: 32023: 12024: 32025: 12026 (partial year): 2
2007high 4 (2020) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · PKC

167in 2024

2020: 116 days median2022: 148 days median2024: 167 days median
2007high 167 (2024) · low 116 (2020)2026

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

Recalls per year · PKC

1in 2019

2019: 1
2007high 1 (2019) · low 0 (2007)2026

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

Adverse event reports per year · PKC

86in 2025

2017: 12018: 52019: 82020: 52021: 142022: 312023: 462024: 542025: 86
2007high 86 (2025) · low 0 (2007)2025

MAUDE reports naming product code PKC, 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
20070—00
20080—00
20090—00
20100—00
20110—00
20120—00
20130—00
20140—00
20151—00
20160—00
20171—01
20181—05
20191—18
2020411605
20212—014
20223148031
20231—046
20243167054
20251—086
20262—0—

What is it indicated for?

In Anatomic: The AETOS Shoulder System (when used with the AETOS Humeral Meta Stems) 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 AETOS humeral stems (AETOS Humeral Meta Stems) and head may be used by themselves, as a hemiarthroplasty, if the natural glenoid provides a sufficient bearing surface, or in conjunction with the glenoid…

Read the full statement (405 words)

In Anatomic:

The AETOS Shoulder System (when used with the AETOS Humeral Meta Stems) 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 AETOS humeral stems (AETOS Humeral Meta Stems) and head may be used by themselves, as a hemiarthroplasty, if the natural glenoid provides a sufficient bearing surface, or in conjunction with the glenoid, as a total replacement.

When used with the AETOS Humeral Meta Stems, The AETOS Shoulder System is indicated for use as a replacement of shoulder joints disabled by:

•Rheumatoid arthritis

•Non-inflammatory degenerative joint disease

•Correction of functional deformity

•Fractures of the humeral head

•Traumatic arthritis

•Revision of other devices if sufficient bone stock remains

The AETOS Shoulder System (when used with AETOS Stemless Humeral Prosthesis) is to be used only in patients with an intact or reconstructable rotator cuff.

When used with AETOS Stemless Humeral Prosthesis, the AETOS Shoulder System is indicated for anatomic total shoulder replacement of shoulder joints disabled by:

•Non-inflammatory degenerative joint disease

•Traumatic arthritis

•Revision of other devices if sufficient bone stock remains

The coated humeral components are intended for uncemented use. The glenoid component is intended for cemented use only.

In Reverse: The AETOS Shoulder System, when used with AETOS Humeral Meta Stems, 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

•Correction of functional deformity

•Fractures of the humeral head

•Traumatic arthritis

•Revision of devices if sufficient bone stock remains

The humeral liner component is indicated for use in the AETOS Shoulder System as a primary reverse total shoulder replacement and for use when converting an anatomic AETOS Shoulder System into a reverse shoulder construct. This facilitates the conversion without the removal of the humeral stem during revision surgery for patients with a functional deltoid muscle. The component is permitted to be used in the conversion from anatomic to reverse if the humeral stem is well fixed, the patient has a functional deltoid muscle; the arthroplasty is associated with a massive and non-repairable rotator cuff tear.

The coated humeral stems are indicated for uncemented use. The coated glenoid base plate is intended for cementless application with the addition of screws for fixation.

Note: All implant components are single use.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K252129: AETOS Shoulder System Stemless Humeral Prosthesis.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 3, 2026. https://510kreport.com/device/K252129

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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