K Number
K050766
Device Name
EXPLANT OSTEONECROSIS INTERVENTION IMPLANT REMOVAL SYSTEM
Manufacturer
Date Cleared
2005-05-26

(62 days)

Product Code
Regulation Number
878.4820
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Explant® Osteonecrosis Intervention Implant Removal Kit is intended for removal of a Trabecular Metal™ Osteonecrosis Intervention Implant.
Device Description
The instruments are supplied sterile in a preassembled kit. Two size kits are available; a 10mm ID kit and a 14mm ID kit. The 10mm kit cannot be used alone and must be used in combination with the 14mm kit. The instrument come preassembled to Zimmer Hudson Fitting Adaptors, allowing the Tubes to be driven via a Zimmer T-Handle or a Zimmer Power Driver. The Hudson fittings can be removed to expose a through-hole at the end of the tube to allow for removal of a specimen that remains in the coring tube. All components of these kits are single use only.
More Information

Not Found

Not Found

No
The summary describes a kit of mechanical instruments for removing an implant and makes no mention of AI or ML.

No.
The device is described as an Explant® Osteonecrosis Intervention Implant Removal Kit, specifically designed for removing a previously implanted device, not to treat a disease or condition itself.

No
The provided text describes a medical device intended for the removal of an implant. It details the instruments, their sizes, and how they function for implant extraction, which is a therapeutic intervention, not a diagnostic process. There is no mention of the device being used to detect, identify, or assess a medical condition.

No

The device description explicitly states it is an "Implant Removal Kit" consisting of "instruments" and "components" supplied in a "kit," which are physical hardware items. There is no mention of software as the primary or sole component.

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

Here's why:

  • Intended Use: The intended use is the "removal of a Trabecular Metal™ Osteonecrosis Intervention Implant." This is a surgical procedure performed on a patient's body.
  • Device Description: The device is a kit of instruments used for a physical removal process.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens in vitro (outside the body) to provide information about a patient's health, diagnose a condition, or monitor treatment.

IVD devices are typically used for tests performed on samples like blood, urine, tissue, etc., to provide diagnostic or monitoring information. This device is a surgical tool for removing an implant.

N/A

Intended Use / Indications for Use

The Explant™ Osteonecrosis Intervention Implant Removal Kit is intended for removal of a Trabecular Metal™ Osteonecrosis Intervention Implant.

Product codes

HWE

Device Description

The instruments are supplied sterile in a preassembled kit. Two size kits are available; a 10mm ID kit and a 14mm ID kit. The 10mm kit cannot be used alone and must be used in combination with the 14mm kit. The instrument come preassembled to Zimmer Hudson Fitting Adaptors, allowing the Tubes to be driven via a Zimmer T-Handle or a Zimmer Power Driver. The Hudson fittings can be removed to expose a through-hole at the end of the tube to allow for removal of a specimen that remains in the coring tube. All components of these kits are single use only.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Prescription Use

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)

Not Found

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

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 878.4820 Surgical instrument motors and accessories/attachments.

(a)
Identification. Surgical instrument motors and accessories are AC-powered, battery-powered, or air-powered devices intended for use during surgical procedures to provide power to operate various accessories or attachments to cut hard tissue or bone and soft tissue. Accessories or attachments may include a bur, chisel (osteotome), dermabrasion brush, dermatome, drill bit, hammerhead, pin driver, and saw blade.(b)
Classification. Class I (general controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 878.9.

0

Zimmer TMT


The Explant™ Osteonecrosis Intervention Implant Removal Kit Addendum to 510(k) Premarket Notification - K050766

510(k) SUMMARY OF SAFETY AND EFFECTIVENESS

Explant™ Osteonecrosis Intervention Implant Removal Kit

Submitter NameZimmer Trabecular Metal Technology, Inc.
And Address:80 Commerce Drive
Allendale, New Jersey 07401-1600
Contact Person:Marci Halevi
Phone Number:(201) 818-1800
Fax Number:(973) 829-0825
Date Prepared:May 4, 2005
Device Trade Name:The Explant™ Osteonecrosis Intervention Implant Removal
Kit
Device Common Name:Explant Instruments
Classification Number
and Name:21CFR878.4820 General and Plastic Surgery Devices
Substantial
Equivalence:The term "substantial equivalence" as used in this 510(k)
notification is limited to the definition of substantial
equivalence found in the Federal Food, Drug and Cosmetic
Act, as amended and as applied under 21 CFR 807, Subpart
E under which a device can be marketed without premarket-
approval or reclassification. A determination of substantial
equivalency under this notification is not intended to have
any bearing whatsoever on the resolution of patent-
infringement suits or any other patent matters. No
statements related to, or in support of substantial
equivalence herein shall be construed as an admission
against interest under the US Patent Laws or their
application by the courts.
Device
Description:The instruments are supplied sterile in a preassembled
kit. Two size kits are available; a 10mm ID kit and a
14mm ID kit. The 10mm kit cannot be used alone and
must be used in combination with the 14mm kit. The
instrument come preassembled to Zimmer Hudson Fitting
Adaptors, allowing the Tubes to be driven via a Zimmer T-
Handle or a Zimmer Power Driver. The Hudson fittings
can be removed to expose a through-hole at the end of
the tube to allow for removal of a specimen that remains
in the coring tube. All components of these kits are
single use only.

1

| Zimmer TMT | The Explant™ Osteonecrosis Intervention Implant Removal Kit
Addendum to 510(k) Premarket Notification - K050766 |
|-----------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Indications for Use: | The Explant™ Osteonecrosis Intervention Implant
Removal Kit is intended for removal of a Trabecular
Metal™ Osteonecrosis Intervention Implant. |
| Device Technological
Characteristics and
Comparison to
Predicate Device: | A comparison of device technological characteristics and
properties demonstrates that the device is substantial
equivalent to the cited predicate devices. |
| Conclusion: | The Explant™ Osteonecrosis Intervention Implant Removal
Kit is substantially equivalent to the predicate devices
identified in this premarket notification. |

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2

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 or bird-like symbol with three curved lines representing its body and wings. The logo is encircled by the text "DEPARTMENT OF HEALTH AND HUMAN SERVICES, USA" in a circular arrangement.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAY 2 6 2005

Ms. Marci Halevi Manager of Regulatory Affairs Zimmer Trabecular Metal Technology Incorporated 80 Commerce Drive Allendale, New Jersey 07401

Re: K050766

Trade/Device Name: Explant® Osteonecrosis Intervention Implant Removal Regulation Number: 21 CFR 878.4820 Regulation Name: Surgical instrument motors and accessories/attachments Regulatory Class: I Product Code: HWE Dated: March 23, 2005 Received: March 25, 2005

Dear Ms. Halevi:

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.

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.

3

Page 2 - Ms. Marci Halevi

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 (240) 276-0115 . 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/industry/support/index.html.

Sincerely yours,

signature

Miriam C. 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): K050766

Explant® Osteonecrosis Intervention Implant Removal Device Name: Kit

The Explant® Osteonecrosis Intervention Implant Indications For Use: Removal Kit is intended for removal of a Trabecular Metal™ Osteonecrosis Intervention Implant.

Prescription Use

AND/OR

Over-The-Counter Use

(Part 21 CFR 801 Subpart D)

(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)

E. K. Tan

mon dign-Off) Cision of General, Restorative ....... Neurological Devices

050 766