510(k) Report

510(k) · Cleared

Cleared

Signature™ ONE System

K261510510(k) SpecialCleared Jun 4, 202628-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

Orthosoft Inc. (d/b/a) Zimmer CAS · QHE Shoulder Arthroplasty Implantation System

Cleared on Jun 4, 2026 as substantially equivalent to K260104 (Orthosoft Inc. (d/b/a) Zimmer CAS, 2026) after a 28-day review. Its family tree reaches back 16 generations to 1991.

Decided
Jun 4, 2026
Review
28 days
Class
Class II
Product code
QHE
Recalls
None
Predicates
1

Its longest line of descent runs back 16 generations to K905070 (1991). 116 ancestors in all, the oldest K800494 (1980). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2021: 1 other ancestor2020: 1 other ancestor2019: 2 other ancestors2016: 1 other ancestor2015: 1 other ancestor2008: 4 other ancestors2013: 3 other ancestors2006: 7 other ancestors2005: 6 other ancestors2004: 10 other ancestors2001: 5 other ancestors1995: 3 other ancestors2012: 2 other ancestors2011: 5 other ancestors2003: 5 other ancestors2000: 5 other ancestors1999: 6 other ancestors1996: 5 other ancestors2010: 3 other ancestors2009: 2 other ancestors2007: 2 other ancestors2002: 2 other ancestors1998: 2 other ancestors1987: 1 other ancestor1980: 2 other ancestors1997: 3 other ancestors1993: 3 other ancestors1991: 3 other ancestors1992: 1 other ancestor1986: 1 other ancestor1994: 3 other ancestorsK905070 · Vistar · Philips Medical Systems (Cleveland), Inc. · 1991K961168 · Viewpoint · Philips Medical Systems (Cleveland), Inc. · 1996×2: 2 generations cleared close together, K963221 (1997), K970604 (1997) K984298 · Z Kat Flurotactic Guidance System Mki · Z-Kat, Inc. · 1999K013025 · Modification to Flourolab Plus · Z-Kat, Inc. · 2001K031454 · Acumen Surgical Navigation System · Biomet, Inc. · 2004K111863 · Signature Planner,Signature Guides · Materialise NV · 2012K130126 · Signature Personalized Patient Care System - Glenoid Guide System · Biomet, Inc. · 2013K143374 · BLUEPRINT Patient Specific Instrumentation · Tornier S.A.S. · 2015K160555 · BLUEPRINT Patient Specific Instrumentation · Tornier S.A.S. · 2016K162800 · BLUEPRINT Patient Specific Instrumentation · Tornier S.A.S. · 2017K203315 · BLUEPRINT™ Patient Specific Instrumentation · Tornier S.A.S. · 2021K211359 · Tornier Perform™ Patient-Matched Primary Reversed Glenoid and BLUEPRINT™ Patient Specific Instrumentation · Tornier, Inc. · 2021 · recalledK232425 · Signature™ ONE System · Orthosoft Inc. (D/B/A) Zimmer Cas) · 2023K260104 · Signature™ ONE System · Orthosoft Inc. (d/b/a) Zimmer CAS · 202619801990200020102020
Other ancestors, by generation 3 generations back: 1 other ancestor4 generations back: 3 other ancestors5 generations back: 3 other ancestors6 generations back: 10 other ancestors7 generations back: 13 other ancestors8 generations back: 20 other ancestors9 generations back: 24 other ancestors10 generations back: 11 other ancestors11 generations back: 8 other ancestors12 generations back: 1 other ancestor13 generations back: 2 other ancestors14 generations back: 2 other ancestors15 generations back: 2 other ancestors K260104 · Signature™ ONE System · Orthosoft Inc. (d/b/a) Zimmer CAS · 2026K232425 · Signature™ ONE System · Orthosoft Inc. (D/B/A) Zimmer Cas) · 2023K211359 · Tornier Perform™ Patient-Matched Primary Reversed Glenoid and BLUEPRINT™ Patient Specific Instrumentation · Tornier, Inc. · 2021 · recalledK203315 · BLUEPRINT™ Patient Specific Instrumentation · Tornier S.A.S. · 2021K162800 · BLUEPRINT Patient Specific Instrumentation · Tornier S.A.S. · 2017K160555 · BLUEPRINT Patient Specific Instrumentation · Tornier S.A.S. · 2016K143374 · BLUEPRINT Patient Specific Instrumentation · Tornier S.A.S. · 2015K130126 · Signature Personalized Patient Care System - Glenoid Guide System · Biomet, Inc. · 2013K111863 · Signature Planner,Signature Guides · Materialise NV · 2012K031454 · Acumen Surgical Navigation System · Biomet, Inc. · 2004K013025 · Modification to Flourolab Plus · Z-Kat, Inc. · 2001K984298 · Z Kat Flurotactic Guidance System Mki · Z-Kat, Inc. · 1999K970604 · Viewpoint - 3.0 Software · Philips Medical Systems (Cleveland), Inc. · 1997K963221 · Optical Digitizer Option for View Point · Philips Medical Systems (Cleveland), Inc. · 1997K961168 · Viewpoint · Philips Medical Systems (Cleveland), Inc. · 1996K905070 · Vistar · Philips Medical Systems (Cleveland), Inc. · 1991−15−10−50
  1. Root · 16 generations backK905070 VistarPhilips Medical Systems (Cleveland), Inc. · 1991
  2. 12 generations between
  3. 3 generations backK211359 Tornier Perform™ Patient-Matched Primary Reversed Glenoid and…Tornier, Inc. · 2021 · Recalled
  4. 2 generations backK232425 Signature™ ONE SystemOrthosoft Inc. (D/B/A) Zimmer Cas) · 2023
  5. 1 generation backK260104 Signature™ ONE SystemOrthosoft Inc. (d/b/a) Zimmer CAS · 2026
  6. This deviceK261510 Signature™ ONE SystemOrthosoft Inc. (d/b/a) Zimmer CAS · 2026
Show all 16 generations
  1. Root · 16 generations backK905070 VistarPhilips Medical Systems (Cleveland), Inc. · 1991
  2. 15 generations backK961168 ViewpointPhilips Medical Systems (Cleveland), Inc. · 1996
  3. 14 generations backK963221 Optical Digitizer Option for View PointPhilips Medical Systems (Cleveland), Inc. · 1997
  4. 13 generations backK970604 Viewpoint - 3.0 SoftwarePhilips Medical Systems (Cleveland), Inc. · 1997
  5. 12 generations backK984298 Z Kat Flurotactic Guidance System MkiZ-Kat, Inc. · 1999
  6. 11 generations backK013025 Modification to Flourolab PlusZ-Kat, Inc. · 2001
  7. 10 generations backK031454 Acumen Surgical Navigation SystemBiomet, Inc. · 2004
  8. 9 generations backK111863 Signature Planner,Signature GuidesMaterialise NV · 2012
  9. 8 generations backK130126 Signature Personalized Patient Care System - Glenoid Guide SystemBiomet, Inc. · 2013
  10. 7 generations backK143374 BLUEPRINT Patient Specific InstrumentationTornier S.A.S. · 2015
  11. 6 generations backK160555 BLUEPRINT Patient Specific InstrumentationTornier S.A.S. · 2016
  12. 5 generations backK162800 BLUEPRINT Patient Specific InstrumentationTornier S.A.S. · 2017
  13. 4 generations backK203315 BLUEPRINT™ Patient Specific InstrumentationTornier S.A.S. · 2021
  14. 3 generations backK211359 Tornier Perform™ Patient-Matched Primary Reversed Glenoid and…Tornier, Inc. · 2021 · Recalled
  15. 2 generations backK232425 Signature™ ONE SystemOrthosoft Inc. (D/B/A) Zimmer Cas) · 2023
  16. 1 generation backK260104 Signature™ ONE SystemOrthosoft Inc. (d/b/a) Zimmer CAS · 2026
  17. This deviceK261510 Signature™ ONE SystemOrthosoft Inc. (d/b/a) Zimmer CAS · 2026
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−16K905070VistarPhilips Medical Systems (Cleveland), Inc.1991—
−15K961168ViewpointPhilips Medical Systems (Cleveland), Inc.1996—
−14K963221Optical Digitizer Option for View PointPhilips Medical Systems (Cleveland), Inc.1997—
−13K970604Viewpoint - 3.0 SoftwarePhilips Medical Systems (Cleveland), Inc.1997—
−12K984298Z Kat Flurotactic Guidance System MkiZ-Kat, Inc.1999—
−11K013025Modification to Flourolab PlusZ-Kat, Inc.2001—
−10K031454Acumen Surgical Navigation SystemBiomet, Inc.2004—
−9K111863Signature Planner,Signature GuidesMaterialise NV2012—
−8K130126Signature Personalized Patient Care System - Glenoid Guide SystemBiomet, Inc.2013—
−7K143374BLUEPRINT Patient Specific InstrumentationTornier S.A.S.2015—
−6K160555BLUEPRINT Patient Specific InstrumentationTornier S.A.S.2016—
−5K162800BLUEPRINT Patient Specific InstrumentationTornier S.A.S.2017—
−4K203315BLUEPRINT™ Patient Specific InstrumentationTornier S.A.S.2021—
−3K211359Tornier Perform™ Patient-Matched Primary Reversed Glenoid and BLUEPRINT™…Tornier, Inc.20212
−2K232425Signature™ ONE SystemOrthosoft Inc. (D/B/A) Zimmer Cas)2023—
−1K260104Signature™ ONE SystemOrthosoft Inc. (d/b/a) Zimmer CAS2026—
0 (this device)K261510Signature™ ONE SystemOrthosoft Inc. (d/b/a) Zimmer CAS2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198020
198610
198710
199130
199210
199330
199430
199530
199650
199730
199820
199960
200050
200150
200220
200350
2004100
200560
200670
200720
200840
200920
201030
201150
201220
201330
201510
201610
201920
202010
202110
FIG. 1 — Lineage of K261510, 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.

Planning a device in QHE? 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 QHE device

  1. #1 K242813 Materialise Shoulder System™, Materialise…score 19.0 · 7 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
*K260104Signature™ ONE System
Summary page 5
…s) QHE, HSD, KWT, KWS, MBF, PHX Legally Marketed Predicate Devices Predicate # Predicate Trade Name Product Code K260104 Signature™ ONE System QHE Device Description Summary The Signature™ ONE System is deve…
Orthosoft Inc. (d/b/a) Zimmer CAS2026—

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 35 years and passes through 8 companies; a new generation was cleared every 2.1 years on median.
  • 21 of the 116 ancestors have a recall of any class.

How does its category compare?

All QHE devices

QHE Shoulder Arthroplasty Implantation System: FDA decisions, review times, recalls and adverse event reports over 20 years. 2026, this device’s year, is highlighted.

FDA decisions per year · QHE

3in 2025

2019: 12020: 32021: 22022: 32023: 62024: 42025: 32026 (partial year): 4
2007high 6 (2023) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · QHE

181in 2025

2020: 88 days median2022: 149 days median2023: 103 days median2024: 97 days median2025: 181 days median2026 (partial year): 59 days median
2007high 181 (2025) · low 88 (2020)2026

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

Recalls per year · QHE

No recall names QHE since 2007.

Adverse event reports per year · QHE

1in 2025

2024: 52025: 1
2007high 5 (2024) · low 0 (2007)2025

MAUDE reports naming product code QHE, 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
20150—00
20160—00
20170—00
20180—00
20191—00
202038800
20212—00
2022314900
2023610300
202449705
2025318101
20264590—

What is it indicated for?

The Signature™ ONE System is indicated, based on patient-specific radiological images with identifiable placement anatomical landmarks, to assist in pre-operative planning and/or intra-operative guiding of surgical instruments for shoulder replacement surgical procedures on patients not precluded from being radiologically scanned. The Signature™ ONE System is designed for use on a skeletally mature patient population. The targeted population has the same…

Read the full statement (180 words)

The Signature™ ONE System is indicated, based on patient-specific radiological images with identifiable placement anatomical landmarks, to assist in pre-operative planning and/or intra-operative guiding of surgical instruments for shoulder replacement surgical procedures on patients not precluded from being radiologically scanned.

The Signature™ ONE System is designed for use on a skeletally mature patient population. The targeted population has the same characteristics as the population that is suitable for the implants compatible with the Signature™ ONE System.

The Signature™ ONE System is to be used with the glenoid components of the following shoulder implant systems in accordance with their indications and contraindications: Zimmer® Trabecular Metal Reverse Plus® Shoulder, Comprehensive® Total Shoulder System, Comprehensive® Reverse Shoulder System, Comprehensive® Reverse Augmented Baseplates and Alliance® Glenoid System.

The Signature™ ONE System pre-operative planning is also compatible with the humeral components of the following shoulder implant systems in accordance with their indications and contraindications: Comprehensive® Total Shoulder System, Comprehensive® Reverse Shoulder System, and Identity™ Shoulder System, and OsseoFit® Stemless Shoulder System.

The Signature™ ONE System Guides and bone models are intended for single 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. “K261510: Signature™ ONE System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K261510

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Record history
  • FDA decision record loaded Oct 30, 2026
  • Summary read Oct 30, 2026 (extraction version 2d9447fa9ea4)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026