K Number
K033034
Device Name
VERSYS BEADED FULLCOAT CALCAR HIP PROSTHESIS
Manufacturer
Date Cleared
2003-11-05

(37 days)

Product Code
Regulation Number
888.3358
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The VerSys Beaded FullCoat Calcar Hip Prosthesis is designed to achieve biologic fixation to bone and is indicated for: Total hip replacement for the following: severe hip pain and disability due to rheumatoid arthritis, osteoarthritis, traumatic arthritis, polyarthritis, collagen disorders, avascular necrosis of the femoral head, nonunion of previous fractures of the femur, congenital hip dysplasia, protrusio acetabuli, slipped capital femoral epiphysis, disability due to previous fusion, previously failed endoprostheses and/or total hip components in the affected extremity, and acute femoral neck fractures. Hemi-hip replacement for the following: fracture dislocation of the hip, elderly, debilitated patients when a total hip replacement is contraindicated, irreducible fractures in which adequate fixation cannot be obtained, certain high subcapital fractures and comminuted fractures, secondary avascular necrosis of the femoral head, pathological fractures of the femoral neck, and osteoarthritis in which the femoral head is primarily affected.
Device Description
Like its predicate, the VerSys Beaded FullCoat Calcar Hip Prosthesis is a modular femoral stem manufactured from Co-Cr-Mo alloy and has a sintered Co-Cr-Mo alloy bead porous surface coating. The modified device features a calcar region designed with 10 and 20mm build-up heights in both straight and bowed hip stems.
More Information

No
The summary describes a mechanical hip prosthesis and does not mention any software, algorithms, or AI/ML capabilities.

Yes
The device is a prosthesis designed to replace parts of the hip, specifically indicated for conditions causing severe hip pain and disability, and also for hip fractures, which aligns with the definition of therapeutic devices aiming to treat or alleviate a medical condition.

No.

The device is a hip prosthesis, which is an implant used for hip replacement surgery. Its intended use is to replace a damaged hip, not to diagnose a condition.

No

The device description clearly states it is a modular femoral stem manufactured from Co-Cr-Mo alloy with a porous surface coating, indicating it is a physical implant, not software.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly describes a surgical implant designed to replace parts of the hip joint. This is a therapeutic device, not a diagnostic one.
  • Device Description: The description details a physical implant made of metal alloys, not reagents, instruments, or systems used to examine specimens from the human body.
  • Lack of Diagnostic Elements: There is no mention of analyzing biological samples, detecting substances, or providing information for diagnosis.

IVD devices are used to perform tests on samples taken from the human body (like blood, urine, tissue) to diagnose diseases or conditions. This device is a prosthetic implant used in the body to treat existing conditions.

N/A

Intended Use / Indications for Use

The VerSys Beaded FullCoat Calcar Hip Prosthesis is designed to achieve biologic fixation to bone and is indicated for:

Total hip replacement for the following: severe hip pain and disability due to rheumatoid arthritis, osteoarthritis, traumatic arthritis, polyarthritis, collagen disorders, avascular necrosis of the femoral head, nonunion of previous fractures of the femur, congenital hip dysplasia, protrusio acetabuli, slipped capital femoral epiphysis, disability due to previous fusion, previously failed endoprostheses and/or total hip components in the affected extremity, and acute femoral neck fractures.

Hemi-hip replacement for the following: fracture dislocation of the hip, elderly, debilitated patients when a total hip replacement is contraindicated, irreducible fractures in which adequate fixation cannot be obtained, certain high subcapital fractures and comminuted fractures, secondary avascular necrosis of the femoral head, pathological fractures of the femoral neck, and osteoarthritis in which the femoral head is primarily affected.

Product codes

LPH

Device Description

Like its predicate, the VerSys Beaded FullCoat Calcar Hip Prosthesis is a modular femoral stem manufactured from Co-Cr-Mo alloy and has a sintered Co-Cr-Mo alloy bead porous surface coating. The modified device features a calcar region designed with 10 and 20mm build-up heights in both straight and bowed hip stems.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

femoral head, hip, femur

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Finite element analysis demonstrated that the device is equivalent to the predicate.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K030079

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 888.3358 Hip joint metal/polymer/metal semi-constrained porous-coated uncemented prosthesis.

(a)
Identification. A hip joint metal/polymer/metal semi-constrained porous-coated uncemented prosthesis is a device intended to be implanted to replace a hip joint. The device limits translation and rotation in one or more planes via the geometry of its articulating surfaces. It has no linkage across the joint. This generic type of device has a femoral component made of a cobalt-chromium-molybdenum (Co-Cr-Mo) alloy or a titanium-aluminum-vanadium (Ti-6Al-4V) alloy and an acetabular component composed of an ultra-high molecular weight polyethylene articulating bearing surface fixed in a metal shell made of Co-Cr-Mo or Ti-6Al-4V. The femoral stem and acetabular shell have a porous coating made of, in the case of Co-Cr-Mo substrates, beads of the same alloy, and in the case of Ti-6Al-4V substrates, fibers of commercially pure titanium or Ti-6Al-4V alloy. The porous coating has a volume porosity between 30 and 70 percent, an average pore size between 100 and 1,000 microns, interconnecting porosity, and a porous coating thickness between 500 and 1,500 microns. The generic type of device has a design to achieve biological fixation to bone without the use of bone cement.(b)
Classification. Class II.

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Image /page/0/Picture/1 description: The image contains the word "zimmer" in a bold, sans-serif font. To the left of the word is a circular logo with a stylized "Z" inside. The logo is black and white, with the "Z" being black and the circle being white. There is a horizontal line below the word "zimmer".

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NOV - 5 2003Summary of Safety and Effectiveness
Submitter:Zimmer, Inc.
P.O. Box 708
Warsaw, IN 46581-0708
Contact Person:Karen Cain
Manager, Regulatory Affairs
Telephone: (574) 372-4219
Fax: (574) 372-4605
Date:September 22, 2003
Trade Name:VerSys® Beaded FullCoat Calcar Hip Prosthesis
Common Name:Hip prosthesis
Classification Name
and Reference:Hip joint metal/polymer/metal semi-constrained
porous-coated uncemented prosthesis
21 CFR § 888.3358
Predicate Device:VerSys Beaded FullCoat Bowed Revision Hip
Prosthesis, manufactured by Zimmer, K030079,
cleared February 5, 2003
Device Description:Like its predicate, the VerSys Beaded FullCoat
Calcar Hip Prosthesis is a modular femoral stem
manufactured from Co-Cr-Mo alloy and has a
sintered Co-Cr-Mo alloy bead porous surface
coating. The modified device features a calcar
region designed with 10 and 20mm build-up heights
in both straight and bowed hip stems.
Intended Use:The VerSys Beaded FullCoat Calcar Hip Prosthesis
is designed to achieve biologic fixation to bone and
is indicated for:
Total hip replacement for the following: severe hip
pain and disability due to rheumatoid arthritis,
osteoarthritis, traumatic arthritis, polyarthritis,
collagen disorders, avascular necrosis of the
femoral head, nonunion of previous fractures of the

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Ammer
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femur, congenital hip dysplasia, protrusio acetabuli, slipped capital femoral epiphysis, disability due to previous fusion, previously failed endoprostheses and/or total hip components in the affected extremity, and acute femoral neck fractures.

Hemi-hip replacement for the following: fracture dislocation of the hip, elderly, debilitated patients when a total hip replacement is contraindicated, irreducible fractures in which adequate fixation cannot be obtained, certain high subcapital fractures and comminuted fractures, secondary avascular necrosis of the femoral head, pathological fractures of the femoral neck, and osteoarthritis in which the femoral head is primarily affected.

The modifications to the VerSys Beaded FullCoat Comparison to Predicate Device: Bowed Revision Hip Prosthesis do not change either the intended use or the fundamental scientific technology of the device. It is packaged and sterilized utilizing the same materials and processes. The modified device is designed to offer another revision style line extension to the existing system of implants.

Performance Data:

Finite element analysis demonstrated that the device is equivalent to the predicate.

Page 1 of 2

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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 resembling an eagle or bird with three wing-like shapes extending to the right.

Public Health Service

NOV = 5 2003

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Ms. Karen Cain Manager, Regulatory Affairs Zimmer. Inc. P.O. Box 708 Warsaw, Indiana 46581-0708

Re: K033034

Trade/Device Name: Versys ® Beaded FullCoat Calcar Hip Prosthesis Regulation Number: 21 CFR 888.3358 Regulation Name: Hip joint metal/polymer/metal semi-constrained porous-coated uncemented prosthesis. Regulatory Class: II Product Code: LPH Dated: September 26, 2003

Received: October 6, 2003

Dear Ms. Cain:

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. Iisting 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.

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.

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Page 2 - Ms. Karen Cain

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), please contact the Office of Compliance at (301) 594-4659. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act 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. Milkerson

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

K033034

Page 1 of 1

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510(k) Number (if known):

Device Name:

VerSys® Beaded FullCoat Calcar Hip Prosthesis

Indications for Use:

The VerSys Beaded FullCoat Calcar Hip Prosthesis is designed to achieve biologic fixation to bone and is indicated for:

Total hip replacement for the following: severe hip pain and disability due to rheumatoid arthritis, osteoarthritis, traumatic arthritis, polyarthritis, collagen disorders, avascular necrosis of the femoral head, nonunion of previous fractures of the femur, congenital hip dysplasia, protrusio acetabuli, slipped capital femoral epiphysis, disability due to previous fusion, previously failed endoprostheses and/or total hip components in the affected extremity, and acute femoral neck fractures.

Hemi-hip replacement for the following: fracture dislocation of the hip, elderly, debilitated patients when a total hip replacement is contraindicated, irreducible fractures in which adequate fixation cannot be obtained, certain high subcapital fractures and comminuted fractures, secondary avascular necrosis of the femoral head, pathological fractures of the femoral neck, and osteoarthritis in which the femoral head is primarily affected.

(Please do not write below this line - Continue on another page if needed)

Concurrence of CDRH, Office of Device Evaluation (ODE)
(Division Sign-Off)
Division of General, Restorative
and Neurological Devices

510(k) NumberK0 33034
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| Prescription Use
(Per 21 CFR 801.109) | OR | Over-The-Counter Use
(Optional Format 1-2-96) |

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