K Number
K043058
Manufacturer
Date Cleared
2005-03-14

(129 days)

Product Code
Regulation Number
888.3310
Reference & Predicate Devices
N/A
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Pinnacle® Constrained Polyethylene Liner is indicated for use as a component of a total hip prosthesis in primary or revision patients at high risk of hip dislocation due to a history of prior dislocation, bone loss, joint or soft tissue laxity, neuromuscular disease or intraoperative instability.

The Pinnacle™ Constrained Liner is indicated for use with the Pinnacle® Acetabular Cup in cementless application.

The subject Constrained Liner is intended to be used with the DePuy Pinnacle™ metal acetabular shells, and modular femoral heads to resurface the acetabular socket in cementless total hip arthroplasty.

Device Description

The Pinnacle® Constrained Acetabular Liner is part of a modular system designed to replace the natural articular surface of the hip joint in total hip replacement. The liner is manufactured from ultra high molecular weight polyethylene (UHMWPE), which locks into a porous coated, hemispherical outer shell component manufactured from titanium alloy (Ti-6Al-4V). The liner component articulates with a metal femoral head of an appropriate diameter.

The Pinnacle® Constrained Liner mechanically constrains the femoral head within the ID of the liner by providing greater than 180 degrees femoral head capture combined with a titanium constraining ring which fits over the opening diameter of the UHMWPE liner is held in the metal shell by means of a titanium locking ring.

The subject Pinnacle® Constrained Liners are UHMWPE acetabular cup liners that are available in a lateralized neutral or lateralized face-changing orientation. The liners have inner diameters (ID) intended for use with modular femoral heads within the 28mm-36mm size range. The outer mended for assemmer metrically the same as other Pinnacle Acetabular Liners, in a 48mm-60mm size range offering.

AI/ML Overview

The provided text describes a medical device submission (K043058) for the DePuy Pinnacle® Constrained Acetabular Liners. However, it does not contain information about acceptance criteria, device performance studies, sample sizes, ground truth establishment, or expert involvement for AI/algorithmic performance evaluation.

The document is a 510(k) summary, which focuses on demonstrating substantial equivalence to predicate devices based on similarities in design, intended use, materials, and manufacturing methods. It states: "The design, while not identical to the predicates, does not raise any new issues of safety or effectiveness." This implies that extensive new performance studies (especially in the context of AI/algorithmic output) were likely not required, as the device is built upon established technology and similar to already cleared devices.

Therefore, I cannot fulfill the request to provide a table of acceptance criteria and reported device performance, or details about the study, sample size, ground truth, experts, or adjudication methods because this information is not present in the provided text.

The document states:

  • Device Name: DePuy Pinnacle® Constrained Acetabular Liners
  • Indications for Use: As a component of a total hip prosthesis in primary or revision patients at high risk of hip dislocation due to a history of prior dislocation, bone loss, joint or soft tissue laxity, neuromuscular disease or intraoperative instability. Also indicated for use with the Pinnacle® Acetabular Cup in cementless application.
  • Basis of Substantial Equivalence: Similarities in design, intended use, material, and manufacturing methods to predicate devices (Biomet RingLoc II, Biomet Freedom, DePuy SROM™ Poly-Dial, DePuy Duraloc® Acetabular Cup System Constrained Liners).

Without information on a specific study related to AI/algorithmic performance, I cannot provide the requested details.

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K043058 page 142

MAR 1 4 2005

510(k) SUMMARY
NAME OF FIRM:DePuy Orthopaedics, Inc.700 Orthopaedic DriveWarsaw, IN 46580
510(K) CONTACT:Natalie S. HeckManager, Regulatory AffairsDePuy Orthopaedics, Inc.PO Box 988700 Orthopaedic DriveWarsaw, IN 46581-0988
TRADE NAME:DePuy Pinnacle ® Constrained Acetabular Liners
COMMON NAME:Acetabular Cup Liner
CLASSIFICATION:Class II, per 21 CFR, 888.3310Hip joint metal/polymer/ metal, constrained, cemented oruncemented prosthesis
DEVICE PRODUCT CODE:87 KWZ
SUBSTANTIALLYEQUIVALENT DEVICES:Biomet RingLoc II Constrained LinersBiomet Freedom Constrained LinersDePuy SROM ™ Poly-Dial Acetabular Cup SystemConstrained LinersDePuy Duraloc ® Acetabular Cup System ConstrainedLiners

DEVICE DESCRIPTION:

The Pinnacle® Constrained Acetabular Liner is part of a modular system designed to replace the natural articular surface of the hip joint in total hip replacement. The liner is manufactured from ultra high molecular weight polyethylene (UHMWPE), which locks into a porous coated, hemispherical outer shell component manufactured from titanium alloy (Ti-6Al-4V). The liner component articulates with a metal femoral head of an appropriate diameter.

The Pinnacle® Constrained Liner mechanically constrains the femoral head within the ID of the liner by providing greater than 180 degrees femoral head capture combined with a titanium constraining ring which fits over the opening diameter of the UHMWPE liner is held in the metal shell by means of a titanium locking ring.

The subject Pinnacle® Constrained Liners are UHMWPE acetabular cup liners that are available in a lateralized neutral or lateralized face-changing orientation. The liners have inner diameters (ID)

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intended for use with modular femoral heads within the 28mm-36mm size range. The outer mended for assemmer metrically the same as other Pinnacle Acetabular Liners, in a 48mm-60mm size range offering.

INDICATIONS AND INTENDED USE:

Indications:

The Pinnacle" Constrained Polyethylene Liner is indicated for use as a component of a total hip prosthesis in primary or revision patients at high risk of hip dislocation due to a history of prior dislocation, bone loss, joint or soft tissue laxity, neuromuscular disease or intraoperative instability.

The Pinnacle™ Constrained Liner is indicated for use with the Pinnacle® Acetabular Cup in cementless application.

Intended Use:

The subject Constrained Liner is intended to be used with the DePuy Pinnacle™ metal acetabular shells, and modular femoral heads to resurface the acetabular socket in cementless total hip arthroplasty.

Basis of Substantial Equivalence:

The DePuy Pinnacle" Constrained Polyethylene Liner (lateralized neutral and lateralized facechanging), described in this submission is substantially equivalent to the predicate devices based on similarities in design, intended use, material and manufacturing methods. The design, while not identical to the predicates, does not raise any new issues of safety or effectiveness.

DePuy believes that the DePuy Pinnacle® Constrained liner is substantially equivalent to the previously cleared and approved devices.

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Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features a stylized eagle with three horizontal lines representing its wings. The eagle is enclosed in a circle with the text "U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES" written around the perimeter of the circle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAR 1 4 2005

Ms. Natalie S. Heck Manager, Regulatory Affairs Depuy Orthopedics, Inc. P.O. Box 988 700 Orthopedic Drive Warsaw, Indiana 46581

Re: K043058

K043038
Trade/Device Name: Pinnacle® Constrained Acetabular Liners Regulation Number: 21 CFR 888.3310 Regulation Number: 21 CFN 866.531v
Regulation Name: Hip joint metal/polymer constrained cemented or uncemented prosthesis Regulatory Class: II Product Code: KWZ Dated: February 14, 2005 Received: February 16, 2005

Dear Ms. Heck:

We have reviewed your Section 510(k) premarket notification of intent to market the device in we nave reviewed your Section 910(x) premained is substantially equivalent (for the indications
referenced above and have determined the device is substantial in interests to felerenced above and nave decemblied by marketed predicate devices marketed in interstate for use stated in the encrosule for regary manated to of the Medical Device Amendments, or to commerce prior to May 20, 1976, the excordance with the provisions of the Federal Food. Drug.
devices that have been reclassified in accordance with the provision (DMA) devices that have been recalssined in acco.uanno will of a premarket approval application (PMA). and COSMECIC ACT (Act) that do not requent appt to the general controls provisions of the Act. The
You may, therefore, market the device, subject to the general controls pr I ou may, mercere, market the as ress, and include requirements for annual registration, listing of general controls provisions a castice, 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 is classified (500 above) this existing major regulations affecting your device can
may be subject to such additional controls. Existing major regulations and be found in the Code of Federal Reg. ations, Title 21, Parts 800 to 898. In addition, FDA may oc found in the Outs ocements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean Please oe advised that I 271 S resulties on a button with other requirements of the Act that IDA has made a determinations administered by other Federal agencies. You must of any I cochar stututes and regulations, but not limited to: registration and listing (21 Comply with an the Fee breakens, and 801); good manufacturing practice requirements as set CITY at 607), adomig (21 OF RT LEF 007), good if applicable, the electronic form in the quality bystems (Sections 531-542 of the Act); 21 CFR 1000-1050.

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Page 2 - Ms. Natalie S. Heck

This letter will allow you to begin marketing your device as described in your Section 510(k)
10 legally and the collection of the same interest of your device to a legally This letter will allow you to begin marketing your aver as a legally premarket notification. The PDA Inding of substantial equivation .
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
rs of the many of the support of the and and and personation requilation e If you desire specific advice ior your de need on on. Also, please note the regulation entitled.
contact the Office of Compliance if (240) 276-0120. Also, plcase note the re contact the Uffice of Compliance at (240) 2/10 of 20:1 Part 807.97) you may obtain.
"Misbranding by reference to premarket notification" (21CFR Ast may be oblained from the "Misbranding by reference to premarket nothlities under the Act may be obtained from the Other general information on your responsional and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address (600) 050-26da.gov/cdrh/industry/support/index.html

Sincerely yours,

R. Mark A. Milliken

Miriam Provost, Ph.D. Acting 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 510(k) Number (if known): _ K o 43 05 8 Device Name: Pinnacle® Constrained Acetabular Liner_______________________________________________________________________________________________________________________

Indications for Use:

The Pinnacle® Constrained Acetabular Liner is indicated for use as a component of a total hip The Pimacle" Constrance Asetabular Liner is mislocation due to a history of prior prosthesis in primary of revision patients at ingil fisk of the case or intraoperative instability.

The Pinnacle® Constrained Acetabular Liner is indicated for use with the Pinnacle® Acetabular Cup in cementless application.

Prescription UseX (Part 21 CFR 801 Subpart D)
AND/OR
Over-The-Counter UseNo (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off)

Division of General, Restorative, and Neurological Devices

510(k) NumberK043058
(Posted November 13, 2003)
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§ 888.3310 Hip joint metal/polymer constrained cemented or uncemented prosthesis.

(a)
Identification. A hip joint metal/polymer constrained cemented or uncemented prosthesis is a device intended to be implanted to replace a hip joint. The device prevents dislocation in more than one anatomic plane and has components that are linked together. This generic type of device includes prostheses that have a femoral component made of alloys, such as cobalt-chromium-molybdenum, and an acetabular component made of ultra-high-molecular-weight polyethylene with or without a metal shell, made of alloys, such as cobalt-chromium-molybdenum and titanium alloys. This generic type of device is intended for use with or without bone cement (§ 888.3027).(b)
Classification. Class II (special controls). The special control for this device is the FDA guidance document entitled “Class II Special Controls Guidance: Hip Joint Metal/Polymer Constrained Cemented or Uncemented Prosthesis.”