K Number
K992220
Date Cleared
2000-02-25

(239 days)

Product Code
Regulation Number
888.3170
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Radial Head Prosthesis is intended for replacement of the proximal end of the radius due to degenerative or post-traumatic disabilities presenting pain, crepitation and decreased motion at the radiohumeral and/or proximal radio-ulnar joint involving joint destruction or subluxation visible on xray, resistance to conservative treatment; primary replacement after fracture of the radial head; and symptomatic sequelae after radial head resection.

Device Description

The Radial Head Prosthesis, like the predicate devices, includes various sizes of implants to accommodate the requirements of patient anatomy.

AI/ML Overview

This looks like a 510(k) summary for a medical device (Radial Head Prosthesis) submitted to the FDA. The provided text does not include information about acceptance criteria or a study proving the device meets those criteria.

Instead, the document focuses on:

  • Device identification: Submitter, device name (K992220), classification, etc.
  • Predicate devices: List of similar, legally marketed devices (Avanta Orthopaedics, Swanson Titanium, Implex).
  • Device description: General information about the Radial Head Prosthesis.
  • Intended use: Specific medical conditions for which the device is designed.
  • Technological characteristics: Material (Cobalt-Chrome, ASTM F 90, ISO 5832-5).
  • FDA correspondence: The letter from the FDA stating that the device is substantially equivalent to predicate devices.
  • Indications for Use statement: A formal statement of the device's intended use.

Therefore, I cannot provide the requested information regarding acceptance criteria and studies, as this information is not present in the provided text.

To answer your questions, I would need a different document, typically a more detailed report or a specific section of the 510(k) submission that outlines performance testing and acceptance criteria. For devices like prostheses, this often involves:

  • Mechanical Testing: Fatigue testing, static strength testing, wear testing.
  • Biocompatibility Testing: Evaluating the material's interaction with the body.
  • Clinical Data (if applicable): While not always required for 510(k) new devices based on predicate devices, sometimes clinical data is used to support substantial equivalence.

Without that specific information, I cannot fill out the requested table or answer the detailed questions about sample sizes, ground truth, expert qualifications, or MRMC studies.

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510(k) Summary Radial Head Prosthesis

K 92220

Submitter's name:Smith & Nephew, Inc., Orthopaedic Division
Submitter's address:1450 Brooks Road, Memphis, TN 38116
Submitter's telephone number:901/399-5153
Contact person:Janet Johnson Green
Date summary prepared (amended):February 1, 2000
Trade or proprietary device name:Radial Head Prosthesis
Common or usual name:Radial Head Implant
Classification name:Title 21 CFR 888.3170Elbow joint radial (hemi-elbow) prosthesis
Device Class:Class II
Device Product Code and Panel Code:87KWI

Panel: Orthopaedics/87

Substantially Equivalent, Legally Marketed Predicate Devices:

Avanta Orthopaedics Radial Head ImplantAvanta Orthopaedics(K982288)
Swanson Titanium Radial Head ImplantWright Medical Technology(K944507)
Implex Radial Head Replacement SystemImplex Corporation(K984290)

Subject device description:

The Radial Head Prosthesis, like the predicate devices, includes various sizes of implants to accommodate the requirements of patient anatomy.

Subject device intended use:

The Radial Head Prosthesis is intended for replacement of the proximal end of the radius due to:

  • degenerative or post-traumatic disabilities presenting pain, crepitation and decreased ● motion at the radiohumeral and/or proximal radio-ulnar joint with:
    • joint destruction or subluxation visible on x-ray ●
    • . resistance to conservative treatment
  • . primary replacement after fracture of the radial head
  • symptomatic sequelae after radial head resection ●

The Radial Head Prosthesis is for single use only.

Technolocgical Characteristics:

The Radial Head Prosthesis is similar to legally marketed devices listed above in that all of these devices are indicated for radial head replacement and are similar in technological characteristics. The Radial Head Prosthesis is manufactured from Cobalt-Chrome, ASTM F 90, ISO 5832-5.

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Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the circle is an abstract symbol that resembles an eagle or bird in flight.

Public Health Service

FEB 2 5 2000

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Ms. Janet Johnson Green Manager, Clinical and Regulatory Affairs Smith & Nephew, Inc. 1450 Brooks Road Memphis, Tennessee 38116

Re: K992220 Trade Name: Radial Head Prosthesis Regulatory Class: II Product Code: KWI Dated: February 7, 2000 Received: February 10, 2000

Dear Ms. Green:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act). You may, therefore, market the device, subject to the general control provisions of the Act. The general control provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirement, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic (QS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

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Page 2 - Ms. Janet Johnson Green

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4659. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or at (301) 443-6597, or at its Internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,

Russell Sage

رمه James E. Dillard III Acting Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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510(k) Number (if known):

Device Name: Radial Head Prosthesis

Indications for Use:

The Radial Head Prosthesis is intended for replacement of the proximal end of the radius due to degenerative or post-traumatic disabilities presenting pain, crepitation and decreased motion at the radiohumeral and/or proximal radio-ulnar joint involving joint destruction or subluxation visible on xray, resistance to conservative treatment; primary replacement after fracture of the radial head; and symptomatic sequelae after radial head resection.

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE AS NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Xavier Jugan

(Division Sign-Off) Division of General Re 510(k) Number

Prescription Use X (Per 21 CFR 601.109) OR

Over-The-Counter Use

§ 888.3170 Elbow joint radial (hemi-elbow) polymer prosthesis.

(a)
Identification. An elbow joint radial (hemi-elbow) polymer prosthesis is a device intended to be implanted made of medical grade silicone elastomer used to replace the proximal end of the radius.(b)
Classification. Class II.