K Number
K040611
Device Name
MODULAR RADIAL HEAD REPLACEMENT DEVICE
Manufacturer
Date Cleared
2004-06-04

(88 days)

Product Code
Regulation Number
888.3170
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Modular Radial Head Replacement Device is intended for: 1) Replacement of the radial head for degenerative or post-traumatic disabilities presenting pain, creptation, and decreased motion at the radio-humeral and/or proximal radio-ulnar joint with: a) Joint destruction and/or subluxation visible on x-ray b) Resistance to conservative treatment 2) Primary replacement after fracture of the radial head 3) Symptomatic sequelae after radial head resection 4) Revision following failed radial head arthroplasty The device is intended for single use with bone cement.
Device Description
The Modular Radial Head Replacement Device is a two-piece prosthesis consisting of a stem (Ti-6Al-4V) and a head (Co-Cr-Mo). The tapered stem is cemented into the intramedullary canal of the radius. The head has a highly polished concave surface to articulate with the natural bone of the humerus and ulna. The proximal portion of the stems are roughened with a Bond Coat surface. The components connect via a dove-tail joint secured by a locking screw. The device is available in three diameters, 18mm, 20mm and 22mm with head heights that vary from 8 to 20mm. Stems are available in six diameters with varying lengths.
More Information

Not Found

No
The description details a mechanical implant for radial head replacement and does not mention any software, algorithms, or data processing that would indicate AI/ML.

Yes
The device is a prosthesis intended to replace the radial head to address pain, crepitation, and decreased motion due to degenerative or post-traumatic disabilities, fractures, or failed previous arthroplasties. These are therapeutic interventions.

No
The device is a radial head replacement intended for surgical implantation to treat joint issues, not to diagnose them.

No

The device description clearly states it is a two-piece prosthesis made of metal (Ti-6Al-4V and Co-Cr-Mo), which are hardware components.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, tissue) to provide information about a person's health. This testing is done outside of the body.
  • Device Description: The provided description clearly states that this is a prosthesis intended for surgical implantation to replace a damaged radial head. It is a physical device that is placed inside the body.

The information provided describes a surgical implant, not a device used for laboratory testing of biological samples.

N/A

Intended Use / Indications for Use

The Modular Radial Head Replacement Device is intended for:

    1. Replacement of the radial head for degenerative or post-traumatic disabilities presenting pain, creptation, and decreased motion at the radio-humeral and/or proximal radio-ulnar joint with:
    • a) Joint destruction and/or subluxation visible on x-ray
    • b) Resistance to conservative treatment
    1. Primary replacement after fracture of the radial head
    1. Symptomatic sequelae after radial head resection
    1. Revision following failed radial head arthroplasty

The device is intended for single use with bone cement.

Product codes

KWI

Device Description

The Modular Radial Head Replacement Device is a two-piece prosthesis consisting of a stem (Ti-6Al-4V) and a head (Co-Cr-Mo). The tapered stem is cemented into the intramedullary canal of the radius. The head has a highly polished concave surface to articulate with the natural bone of the humerus and ulna. The proximal portion of the stems are roughened with a Bond Coat surface. The components connect via a dove-tail joint secured by a locking screw. The device is available in three diameters, 18mm, 20mm and 22mm with head heights that vary from 8 to 20mm. Stems are available in six diameters with varying lengths.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

radial head, radio-humeral joint, proximal radio-ulnar joint, elbow

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

Non-Clinical Testing and Clinical Testing: none provided as a basis of substantial equivalence

Key Metrics

Not Found

Predicate Device(s)

Liverpool Radial Head Replacement Device (K012551), Radial Head Surface Replacement (Implex Corp. K984290), Radial Head Implant (Avanta Orthop., Inc., K002644), Modular Radial Head (Wright Medical Tech. Inc., K991915)

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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.

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K040611

JUN 0 4 2004

BIOMET

Summary of Safety and Effectiveness

Biomet Manufacturing Corp. Applicant/Sponsor: 56 Bell East Drive P.O. Box 587 Warsaw, Indiana 46581-0587

Contact Person: Patricia Sandborn Beres Telephone: (574) 267-6639

Proprietary Name: Modular Radial Head Replacement Device

Common Name: Elbow hemi-prosthesis

Classification Name: Elbow joint radial (hemi-elbow) polymer prosthesis (21 CFR 888.3170)

Legally Marketed Devices to Which Substantial Equivalence Is Claimed: Liverpool Radial Head Replacement Device (K012551), Radial Head Surface Replacement (Implex Corp. K984290), Radial Head Implant (Avanta Orthop., Inc., K002644) and Modular Radial Head (Wright Medical Tech. Inc., K991915)

Device Description: The Modular Radial Head Replacement Device is a two-piece prosthesis consisting of a stem (Ti-6Al-4V) and a head (Co-Cr-Mo). The tapered stem is cemented into the intramedullary canal of the radius. The head has a highly polished concave surface to articulate with the natural bone of the humerus and ulna. The proximal portion of the stems are roughened with a Bond Coat surface. The components connect via a dove-tail joint secured by a locking screw. The device is available in three diameters, 18mm, 20mm and 22mm with head heights that vary from 8 to 20mm. Stems are available in six diameters with varying lengths.

Intended Use: The Modular Radial Head Replacement Device is intended for:

    1. Replacement of the radial head for degenerative or post-traumatic disabilities presenting pain, creptation, and decreased motion at the radio-humeral and/or proximal radio-ulnar joint with:
    • a) Joint destruction and/or subluxation visible on x-ray
    • b) Resistance to conservative treatment
    1. Primary replacement after fracture of the radial head
    1. Symptomatic sequelae after radial head resection
    1. Revision following failed radial head arthroplasty

The device is intended for single use with bone cement.

Summary of Technologies: The technological characteristics (materials, design, sizing, and indications) of the Modular Radial Head Replacement Device are similar to or identical to the predicate devices.

Non-Clinical Testing and Clinical Testing: none provided as a basis of substantial equivalence

MAILING ADDRESS PO. Box 587 Warsaw, IN 46581-0587

E

SHIPPING ADDRESS 56 E. Bell Drive Warsaw, IN 46582

E

()FFICE 574.267.6639

FAX 574.267.8137 83

E MAII. biomet@biomet.com

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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 other bird-like figure.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUN 0 4 2004

Ms. Patricia Sandborn Beres Senior Regulatory Specialist Biomet, Inc. 56 East Bell Drive P.O. Box 587 Warsaw, Indiana 46581-0587

Re: K040611

Trade/Device Name: Modular Radial Head Replacement Device Regulation Number: 21 CFR 888.3170 Regulation Name: Elbow joint radial (hemi-elbow) polymer prosthesis Regulatory Class: II Product Codc: KWI Dated: March 5, 2004 Received: March 8, 2004

Dear Ms. Sandborn Beres:

We have reviewed your Section 510(k) premarket notification of intent to market the device we nave reviously of a became in ad the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate for use mated in to May 28, 1976, the enactment date of the Medical Device Amendments, or to conner of the reserved 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 r ou may, diererery mains 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 If your device to such additional controls. Existing major regulations affecting your device can may or subject to basil advanced 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 I fease of actived a determination that your device complies with other requirements of the Act that I Dr Has Intact and regulations administered by other Federal agencies. You must of any i edotar statutes and sequirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set orth 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.

2

Page 2 - Ms. Patricia Sandborn Beres

This letter will allow you to begin marketing your device as described in your Section 510(k) I mis icher wif anow you're ough finding of substantial equivalence of your device to a legally prematication. The PDF Amazingssification 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 If you desire specific acrioliance 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 other general informational 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. Melkerson

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

3

Indications for Use

510(k) Number (if known):

Modular Radial Head Replacement Device Device Name:

Indications For Use: The Modular Radial Head Replacement Device is intended for:

    1. Replacement of the radial head for degenerative or post-traumatic disabilities presenting pain, creptation, and decreased motion at the radio-humeral and/or proximal radio-ulnar joint with:
    • a) Joint destruction and/or subluxation visible on x-ray
    • Resistance to conservative treatment b)
    1. Primary replacement after fracture of the radial head
    1. Symptomatic sequelae after radial head resection
    1. Revision following failed radial head arthroplasty

The device is intended for single use with bone cement.

Prescription Use × (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Mark H. Millheim

Division of General, Restorative, and Neurological Devices

KO40611 510(k) Number.

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