K Number
K013106
Date Cleared
2002-04-03

(198 days)

Product Code
Regulation Number
888.3353
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The 2 Piece Modular Revision Stem Components are intended to be used for primary or revision total hip arthroplasty, as well as in the presence of severe proximal bone loss. The stems are intended to be used with Howmedica Osteonics femoral heads, unipolar and bipolar components, and acetabular components. These femoral stems are designed to be press fit into the proximal femur.

Device Description

The 2 Piece Modular Hip Stem is a modular system comprised of a proximal body, distal stem, and locking bolt. These three individual components utilizing a modular junction are assembled by the surgeon in the operating room or in situ to allow independent sizing of the proximal body and distal stem. This system is designed so that all proximal components will be able to mate with all distal components, thus affording optimal flexibility.

This system is intended to be used for primary or revision total hip arthroplasty, as well as in the presence of severe proximal bone loss. The stems are intended to be used with Howmedica Osteonics femoral heads, unipolar and bipolar components, and acetabular components. These femoral stems are designed to be press fit into the proximal femur.

The 2 Piece Modular Hip Stem components will be fabricated from Titanium (Ti6A1-4V) Alloy. The Cone, Broached, and Milled body components as well as the Porous Stems will be offered with plasma spray or plasma spray and hydroxylapatite coatings.

AI/ML Overview

The provided document is a 510(k) summary for a medical device, the "2 Piece Modular Hip Stem." It details the device's description, intended use, and substantial equivalence to predicate devices, but it does not describe an AI/ML powered device or a study involving human readers or expert consensus.

Therefore, many of the requested categories are not applicable to the information contained in this document.

Here's a breakdown of the relevant information from the document regarding acceptance criteria and the study:

Acceptance Criteria and Device Performance

Acceptance Criteria (from the document)Reported Device Performance (from the document)
Mechanical Strength/Fatigue StrengthProximal and Distal Regions of Bodies and Stems: Verified using finite element techniques.
Proximal Body StrengthTesting conducted consistent with applicable ISO standards for neck and stem strength.
Taper Region Stresses (effect of taper length)Investigated using finite element techniques.
Strength of the Junction in TorsionPhysical testing of the taper was undertaken to confirm.
Effect of PureFix® HA coating on fatigue strengthApplication of PureFix® HA coating has no effect on the fatigue strength of the shot peened and plasma sprayed coating on the Ti-6Al-4V ELI Alloy.
Substantial Equivalence (Intended Use, Materials, Design, Operational Principles)The device is deemed substantially equivalent to the following predicate devices: Type 3 Femoral Components (K983404), Partnership Revision Femoral Component (K972893), Meridian Titanium Femoral Stems (K972228), and the Citation TMZF HA Femoral Stem (K993768). This is the primary "acceptance criterion" for 510(k) clearance, and the body of the submission inherently argues that this has been met by comparing the new device to established predicates.

Study Details:

  1. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective):
    The document does not describe a "test set" in the context of clinical data or human evaluation. The testing described pertains to mechanical engineering analysis (finite element techniques and physical testing) of the device components. No information is provided regarding the provenance of this testing data (e.g., country of origin).

  2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience):
    Not applicable. The study is a mechanical engineering evaluation of the device's physical properties, not a study requiring expert clinical review or ground truth establishment in a medical imaging context.

  3. Adjudication method (e.g. 2+1, 3+1, none) for the test set:
    Not applicable. This is not a study involving human readers or clinical adjudication.

  4. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance:
    Not applicable. This document is for a physical medical implant (hip stem), not an AI-powered diagnostic device, and no MRMC study was conducted.

  5. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:
    Not applicable. This is a physical device, not an algorithm.

  6. The type of ground truth used (expert concensus, pathology, outcomes data, etc):
    For the mechanical testing, the "ground truth" would be established by engineering standards (e.g., ISO standards for neck and stem strength) and the results of various physical and computational tests (finite element analysis, physical torsion testing). There is no "expert consensus," "pathology," or "outcomes data" in the traditional sense for this type of evaluation.

  7. The sample size for the training set:
    Not applicable. This is not an AI/ML device that requires a training set. The mechanical analyses and tests were performed on the device itself or its design specifications.

  8. How the ground truth for the training set was established:
    Not applicable, as there is no training set for an AI/ML algorithm.

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510(k) Summary for the 2 Piece Modular Hip Stem

APR 0 3 2002

KO13106

Proprietary Name:2 Piece Modular Hip Stem
Common Name:Femoral Hip Prosthesis
Classification Name and Reference:21 CFR 888.3353Hip joint metal/ceramic/polymer semi-constrained cemented ornonporous uncemented prosthesis.
Proposed Regulatory Class:Class II
Device Product Code:OR(87) LZO
For Information contact:Jennifer A. Daudelin
Regulatory Affairs Specialist
Howmedica Osteonics Corp.
59 Route 17
Allendale, NJ 07401-1677
(201) 831-5379
Fax: (201) 760-8435
Date Summary Prepared:January 24, 2002

Date Summary Prepared:

The 2 Piece Modular Hip Stem is a modular system comprised of a proximal body, distal stem, and locking bolt. These three individual components utilizing a modular junction are assembled by the surgeon in the operating room or in situ to allow independent sizing This system is designed so that all proximal of the proximal body and distal stem. components will be able to mate with all distal components, thus affording optimal flexibility.

This system is intended to be used for primary or revision total hip arthroplasty, as well as in the presence of severe proximal bone loss. The stems are intended to be used with Howmedica Osteonics femoral heads, unipolar and bipolar components, and acetabular components. These femoral stems are designed to be press fit into the proximal femur.

The 2 Piece Modular Hip Stem components will be fabricated from Titanium (Ti6A1-4V) Alloy. The Cone, Broached, and Milled body components as well as the Porous Stems will be offered with plasma spray or plasma spray and hydroxylapatite coatings.

{1}------------------------------------------------

510(k) Summary for the 2 Piece Modular Hip Stem

The fatigue strength of the proximal and distal regions of the bodies and stems was verified using finite element techniques. For the proximal body strength analyses, testing consistent with the applicable ISO standards for neck and stem strength was conducted. The effect of taper length on the stresses in the taper region was investigated using finite element techniques. Further physical testing of the taper was undertaken to confirm strength of the junction in torsion. Additionally, the application of the PureFix® HA coating has no effect on the fatigue strength of the shot peened and plasma sprayed coating on the Ti-6Al-4V ELI Alloy.

The substantial equivalence of the 2 Piece Modular Stem is based upon equivalence in intended use, materials, design, and operational principles to the following Howmedica Osteonics devices: Type 3 Femoral Components (K983404); Partnership Revision Femoral Component (K972893); Meridian Titanium Femoral Stems (K972228); and the Citation TMZF HA Femoral Stem (K993768).

KO13106

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Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" around the perimeter. Inside the circle is an abstract symbol that resembles a stylized caduceus or a representation of human figures.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

APR 0 3 2002

Jennifer A. Daudelin Regulatory Affairs Howmedica Osteonics Corp. 59 Route 17 Allendale, New Jersey 07401-1677

Re: K013106

Trade/Device Name: 2-Piece Modular Hip Stem Regulation Number: 21 CFR §888.3353 Regulation Name: Hip joint metal/ceramic/polymer semi-constrained cemented or porous uncemented prosthesis

Regulatory Class: Class II Product Code: LZO Dated: January 24, 2002 Received: January 25, 2002

Dear Ms. Daudelin:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate 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) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls 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 (PMA), 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 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

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Page 2 - Ms. Jennifer A. Daudelin

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

This letter will allow you to begin marketing your device as described in your Section 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 21 CFR Part 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" (21CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

. Mark-A. Millman

Celia M. Witten, Ph.D., M.D. Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

KO13106 510(k) Number (if known):

Device Name: 2 Piece Modular Hip Stem

Indications for Use:

The 2 Piece Modular Revision Stem Components are intended to be used for primary or revision total hip arthroplasty, as well as in the presence of severe proximal bone loss. The stems are intended to be used with Howmedica Osteonics femoral heads, unipolar and bipolar components, and acetabular components. These femoral stems are designed to be press fit into the proximal femur.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use
(Per 21 CFR 801.109)

Over-The-Counter Use

(Optional Format 1-2-96)
for Mark A Millmann
(Division Sign-Off)

Division of General, Restorative and Neur nogical Devices

OR

  1. (a) Number K013106

§ 888.3353 Hip joint metal/ceramic/polymer semi-constrained cemented or nonporous uncemented prosthesis.

(a)
Identification. A hip joint metal/ceramic/polymer semi-constrained cemented or nonporous uncemented prosthesis is a device intended to be implanted to replace a hip joint. This device limits translation and rotation in one or more planes via the geometry of its articulating surfaces. It has no linkage across-the-joint. The two-part femoral component consists of a femoral stem made of alloys to be fixed in the intramedullary canal of the femur by impaction with or without use of bone cement. The proximal end of the femoral stem is tapered with a surface that ensures positive locking with the spherical ceramic (aluminium oxide, A12 03 ) head of the femoral component. The acetabular component is made of ultra-high molecular weight polyethylene or ultra-high molecular weight polyethylene reinforced with nonporous metal alloys, and used with or without bone cement.(b)
Classification. Class II.