K Number
K051737
Device Name
MODIFICATION TO V-40/C-TAPER ADAPTER SLEEVE
Date Cleared
2005-07-19

(21 days)

Product Code
Regulation Number
888.3353
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The V40 "/C-Taper Adapter Sleeve is intended to allow either a Howmedica Osteonics C-Taper Alumina Head or a Howmedica Osteonics C-Taper Biolox® Delta Ceramic Femoral Head to mate with a Howmedica Osteonics femoral stem with a V40" taper. The V40" /C-Taper Adapter Sleeve is a single-use device. Indications for Use: For Use as a Total Hip Replacement: - Painful disabling joint disease of the hip resulting from: degenerative arthritis, rheumatoid . arthritis, post-traumatic arthritis or late stage vascular necrosis. - Revision of previous cup arthroplasty or other procedures. . - Clinical management problems where arthrodesis or alternative reconstructive techniques are . less likely to achieve satisfactory results. For Use as a Bipolar Hip Replacement - Femoral head/neck fractures or non-unions. . - . Aseptic necrosis of the femoral head. - Osteo- rheumatoid, and post traumatic arthritis of the hip with minimal acetabular . involvement or distortion. Other Considerations: - Pathological considerations or age considerations which indicate a more conservative . acetabular procedure and an avoidance of the use of bone cement in the acetabulum. - Salvage of failed total hip arthroplasty. .
Device Description
The subject V-40" /C-Taper Adapter Sleeve is a tapered sleeve component with a female V-40" taper to provide locking with a Howmedica Osteonics femoral stem with a V-40 * taper. In addition, the sleeve has a tapered male exterior surface that provides locking with Howmedica Osteonics C-Taper Alumina Ceramic Heads.
More Information

Not Found

Not Found

No
The device description and intended use are purely mechanical components for hip replacement, with no mention of software, data processing, or AI/ML capabilities.

Yes
The device is described as an adapter sleeve for femoral heads used in total hip replacement, which is a therapeutic procedure to alleviate pain and restore joint function.

No

The device description and indications for use clearly define the V40"/C-Taper Adapter Sleeve as a component used in total hip replacement and bipolar hip replacement procedures. Its purpose is to physically connect different parts of a prosthetic hip joint, not to diagnose medical conditions or provide diagnostic information.

No

The device description clearly indicates it is a physical component (a tapered sleeve) intended to connect different parts of a hip replacement system. It is a hardware device, 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 connect different components of a hip replacement system (femoral heads to femoral stems). This is a therapeutic device used in vivo (within the body), not a diagnostic device used in vitro (outside the body) to examine specimens from the human body.
  • Device Description: The description details a mechanical component (a tapered sleeve) for surgical implantation.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples, detecting substances, or providing diagnostic information.

The device is a component of a total or bipolar hip replacement system, which is a type of medical device used for surgical treatment.

N/A

Intended Use / Indications for Use

The V40 "/C-Taper Adapter Sleeve is intended to allow either a Howmedica Osteonics C-Taper Alumina Head or a Howmedica Osteonics C-Taper Biolox® Delta Ceramic Femoral Head to mate with a Howmedica Osteonics femoral stem with a V40" taper. The V40" /C-Taper Adapter Sleeve is a single-use device.

For Use as a Total Hip Replacement:

  • Painful disabling joint disease of the hip resulting from: degenerative arthritis, rheumatoid . arthritis, post-traumatic arthritis or late stage vascular necrosis.
  • Revision of previous cup arthroplasty or other procedures. .
  • Clinical management problems where arthrodesis or alternative reconstructive techniques are . less likely to achieve satisfactory results.

For Use as a Bipolar Hip Replacement

  • Femoral head/neck fractures or non-unions. .
  • . Aseptic necrosis of the femoral head.
  • Osteo- rheumatoid, and post traumatic arthritis of the hip with minimal acetabular . involvement or distortion.

Other Considerations:

  • Pathological considerations or age considerations which indicate a more conservative . acetabular procedure and an avoidance of the use of bone cement in the acetabulum.
  • Salvage of failed total hip arthroplasty.

Product codes

87 LZO

Device Description

The subject V-40" /C-Taper Adapter Sleeve is a tapered sleeve component with a female V-40" taper to provide locking with a Howmedica Osteonics femoral stem with a V-40 * taper. In addition, the sleeve has a tapered male exterior surface that provides locking with Howmedica Osteonics C-Taper Alumina Ceramic Heads.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Hip

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

Mechanical testing demonstrates substantial equivalence of the new components to the predicate devices in regards to mechanical strength.

Key Metrics

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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.

0

Line Extension to the V40" /C-Taper Adaptor Sleeve

JUL 19 2005

K051737 p1/2

Special 510(k) Premarket Notification

510(k) Summary of Safety and Effectiveness Line Extension to the V-40™/C-Taper Adapter Sleeve

Proprietary Name:V-40™/C-Taper Adapter Sleeve
Common Name:V40™/C-Taper Adapter Sleeve
Proposed Regulatory Class:Class II
Classification:Hip joint metal/ceramic/polymer semi-constrained cemented or
nonporous uncemented prosthesis, 21 CFR §888.3353.
Device Product Code:87 LZO: Prosthesis, Hip, Semi-Constrained,
Metal/Ceramic/Polymer, Cemented or Non-Porous, Uncemented
For Information contact:Karen Ariemma, Senior Regulatory Affairs Specialist
Howmedica Osteonics Corp.
325 Corporate Drive
Mahwah, NJ 07430
Telephone: (201) 831-5718
Fax: (201) 831-6038
Email: karen.ariemma@stryker.com
Date Summary Prepared:June 27, 2005

Device Description

The subject V-40" /C-Taper Adapter Sleeve is a tapered sleeve component with a female V-40" taper to provide locking with a Howmedica Osteonics femoral stem with a V-40 * taper. In addition, the sleeve has a tapered male exterior surface that provides locking with Howmedica Osteonics C-Taper Alumina Ceramic Heads.

Device Modification

This submission adds the use of a C-Taper Biolox® Delta Ceramic Femoral Head with the V-40"/C-Taper Adapter Sleeve.

Intended Use

The V40 "/C-Taper Adapter Sleeve is intended to allow either a Howmedica Osteonics C-Taper

1

K051737 p²/₂

Special 510(k) Premarket Notification

Alumina Head or a Howmedica Osteonics C-Taper Biolox® Delta Ceramic Femoral Head to mate with a Howmedica Osteonics femoral stem with a V40" taper. The V40" /C-Taper Adapter Sleeve is a single-use device.

Indications for Use

For Use as a Total Hip Replacement:

  • Painful disabling joint disease of the hip resulting from: degenerative arthritis, rheumatoid . arthritis, post-traumatic arthritis or late stage vascular necrosis.
  • Revision of previous cup arthroplasty or other procedures. .
  • Clinical management problems where arthrodesis or alternative reconstructive techniques are . less likely to achieve satisfactory results.

For Use as a Bipolar Hip Replacement

  • Femoral head/neck fractures or non-unions. .
  • . Aseptic necrosis of the femoral head.
  • Osteo- rheumatoid, and post traumatic arthritis of the hip with minimal acetabular . involvement or distortion.

Other Considerations:

  • Pathological considerations or age considerations which indicate a more conservative . acetabular procedure and an avoidance of the use of bone cement in the acetabulum.
  • Salvage of failed total hip arthroplasty. .

Substantial Equivalence

The features of the new components are substantially equivalent to the predicate devices based on similarities in intended use, materials and design. Mechanical testing demonstrates substantial equivalence of the new components to the predicate devices in regards to mechanical strength. In addition, the intended use, manufacturing methods, packaging, and sterilization of the predicate and new components are identical. The material of the subject V40"/C-Taper Adapter Sleeve remains unchanged. The subject ceramic femoral heads are fabricated from Zirconia toughened Alumina.

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

DEPARTMENT OF HEALTH AND HUMAN SERVICES - USA

JUL 1 9 2005

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Ms. Karen Ariemma Senior Regulatory Affairs Specialist Howmedica Osteonics Corp. 325 Corporate Drive Mahwah, New Jersey 07432

$\frac{1}{2}$

Re: K051737 Trade/Device Name: V40™/C-Taper Sleeve Regulation Number: 21 CFR 888.3353 Regulation Name: Hip joint metal/ceramic/polymer semi-constrained cemented or nonporous uncemented prosthesis Regulatory Class: II Product Code: LZO Dated: June 27, 2005 Received: June 28, 2005

Dear Ms. Ariemma:

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. Karen Ariemma

This letter will allow you to begin marketing your device as described in your Section 510(k) I mis loter will and in yours of substantial equivalence of your device to a legally premaired predicated on "The station 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 arrant at (240) 276-0120. Also, please note the regulation entitled, Connact the Office of County of County of Cation" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small other general miormation on Jour Corsumer 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,

E. A. Th

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

4

Indications for Use

510(k) Number (if known): ____________________________________________________________________________________________________________________________________________________

Device Name: V40"/C-Taper Adapter Sleeve

Indications For Use:

The indications for use of the subject device, in keeping with those of other legally marketed Howmedica Osteonics' adapter sleeves is as follows:

・。

For Use as a Total Hip Replacement

  • Painful disabling joint disease of the hip resulting from: degenerative arthritis, rheumatoid . arthritis, post-traumatic arthritis or late stage vascular necrosis.

  • Revision of previous cup arthroplasty or other procedures. .

  • Clinical management problems where arthrodesis or alternative reconstructive techniques are . less likely to achieve satisfactory results.

For Use as a Bipolar Hip Replacement

  • Femoral head/neck fractures or non-unions. .
  • Aseptic necrosis of the femoral head. .
  • Osteo-, rheumatoid, and post traumatic arthritis of the hip with minimal acetabular . involvement or distortion.

Other Considerations:

  • Pathological considerations or age considerations which indicate a more conservative . acetabular procedure and an avoidance of the use of bone cement in the acetabulum.
  • Salvage of failed total hip arthroplasty. .

Prescription Use _____________________________________________________________________________________________________________________________________________________________

Over-The-Counter Use _________________________________________________________________________________________________________________________________________________________

(Part 21 CFR 801 Subpart D)

(21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

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Division Sign-Off
Division of General Restorative
K051737