K Number
K052906
Device Name
ZIMMER TRABECULAR METAL REVERSE SHOULDER SYSTEM
Manufacturer
Date Cleared
2005-12-19

(66 days)

Product Code
Regulation Number
888.3660
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Zimmer Trabecular Metal Reverse Shoulder System is indicated for the following: Reverse application: - the treatment of severe pain or significant disability in degenerative, rheumatoid, or traumatic disease of the glenohumeral joint; - ununited humeral head fractures of long duration; - irreducible 3-and 4-part proximal humeral fractures; - avascular necrosis of the humeral head, or other difficult clinical management problems (such as a failed total shoulder arthroplasty or grossly rotator cuff deficient joint) where arthrodesis or resectional arthroplasty is not acceptable. Hemiarthroplasty/Total application: - the treatment of severe pain or significant disability in degenerative, rheumatoid, or traumatic disease of the glenohumeral joint; - ununited humeral head fractures of long duration; - irreducible 3-and 4-part proximal humeral fractures; - avascular necrosis of the humeral head, or other difficult clinical management problems where arthrodesis or resectional arthroplasty is not acceptable. The assembled humeral component may be used alone for hemiarthroplasty or combined with the glenoid component or reverse components for total shoulder arthroplasty (conventional or reverse applications). The Trabecular Metal humeral and reverse base plate components are intended for either cemented or uncemented use. The reverse base plate requires two screws for initial fixation.
Device Description
The Zimmer Trabecular Metal™ Reverse Shoulder System is a modular total shoulder prosthesis that was designed specifically to include patients with non-functional rotator cuffs. It was developed to either encompass a traditional shoulder prostheses, a reverse design or be transformed into a hemi-prosthesis depending on clinical cases encountered during the surgical procedure.
More Information

Not Found

No
The summary describes a modular shoulder prosthesis and its intended uses, with no mention of AI or ML technology in the device description, intended use, or performance studies.

Yes
The device is a prosthesis designed to treat severe pain, disability, and various degenerative or traumatic conditions of the glenohumeral joint, aiming to restore function and alleviate symptoms.

No

The provided text describes a shoulder prosthesis intended for treatment of various shoulder conditions, not for diagnosis. Its purpose is to replace or reconstruct the joint, not to identify a disease.

No

The device description clearly states it is a "modular total shoulder prosthesis," which is a physical implant, not software.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Description and Intended Use: The description clearly states that the Zimmer Trabecular Metal Reverse Shoulder System is a modular total shoulder prosthesis. Its intended use is for surgical implantation to treat various conditions of the glenohumeral joint.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples, detecting biomarkers, or providing diagnostic information based on laboratory tests. The device is a physical implant used to replace or augment a joint.

Therefore, the Zimmer Trabecular Metal Reverse Shoulder System is a surgical implant, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Zimmer Trabecular Metal Reverse Shoulder System is indicated for the following: Reverse application: - the treatment of severe pain or significant disability in degenerative, rheumatoid, or traumatic disease of the glenohumeral joint, - ununited humeral head fractures of long duration, - irreducible 3-and 4-part proximal humeral fractures, - avascular necrosis of the humeral head, - rotator cuff arthropathy, or - other difficult clinical management problems (such as a failed total shoulder arthroplasty or grossly rotator cuff deficient joint) where arthrodesis or resectional arthroplasty is not acceptable. Hemiarthroplasty/Total application: - the treatment of severe pain or significant disability in degenerative, rheumatoid, or traumatic disease of the glenohumeral joint, - ununited humeral head fractures of long duration, - irreducible 3-and 4-part proximal humeral fractures, - avascular necrosis of the humeral head The assembled humeral component may be used alone for hemiarthroplasty or combined with the glenoid component or reverse components for total shoulder arthroplasty (conventional or reverse applications). The Trabecular Metal humeral and reverse base plate components are intended for either cemented or uncemented use. The reverse base plate requires two screws for initial fixation.

Product codes

KWT, KWS, HSD

Device Description

The Zimmer Trabecular Metal™ Reverse Shoulder System is a modular total shoulder prosthesis that was designed specifically to include patients with non-functional rotator cuffs. It was developed to either encompass a traditional shoulder prostheses, a reverse design or be transformed into a hemi-prosthesis depending on clinical cases encountered during the surgical procedure.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Glenohumeral joint, humeral head, shoulder

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)

Non-Clinical Performance and Conclusions: Non-clinical testing demonstrated that the Zimmer Trabecular Metal Reverse Shoulder System is as safe and effective as the predicate devices.

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

Not Found

Predicate Device(s)

K041873, K021478, K041066, K041549

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 888.3660 Shoulder joint metal/polymer semi-constrained cemented prosthesis.

(a)
Identification. A shoulder joint metal/polymer semi-constrained cemented prosthesis is a device intended to be implanted to replace a shoulder 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 includes prostheses that have a humeral resurfacing component made of alloys, such as cobalt-chromium-molybdenum, and a glenoid resurfacing component made of ultra-high molecular weight polyethylene, and is limited to those prostheses intended for use with bone cement (§ 888.3027).(b)
Classification. Class II. The special controls for this device are:(1) FDA's:
(i) “Use of International Standard ISO 10993 ‘Biological Evaluation of Medical Devices—Part I: Evaluation and Testing,’ ”
(ii) “510(k) Sterility Review Guidance of 2/12/90 (K90-1),”
(iii) “Guidance Document for Testing Orthopedic Implants with Modified Metallic Surfaces Apposing Bone or Bone Cement,”
(iv) “Guidance Document for the Preparation of Premarket Notification (510(k)) Application for Orthopedic Devices,” and
(v) “Guidance Document for Testing Non-articulating, ‘Mechanically Locked’ Modular Implant Components,”
(2) International Organization for Standardization's (ISO):
(i) ISO 5832-3:1996 “Implants for Surgery—Metallic Materials—Part 3: Wrought Titanium 6-aluminum 4-vandium Alloy,”
(ii) ISO 5832-4:1996 “Implants for Surgery—Metallic Materials—Part 4: Cobalt-chromium-molybdenum casting alloy,”
(iii) ISO 5832-12:1996 “Implants for Surgery—Metallic Materials—Part 12: Wrought Cobalt-chromium-molybdenum alloy,”
(iv) ISO 5833:1992 “Implants for Surgery—Acrylic Resin Cements,”
(v) ISO 5834-2:1998 “Implants for Surgery—Ultra-high Molecular Weight Polyethylene—Part 2: Moulded Forms,”
(vi) ISO 6018:1987 “Orthopaedic Implants—General Requirements for Marking, Packaging, and Labeling,” and
(vii) ISO 9001:1994 “Quality Systems—Model for Quality Assurance in Design/Development, Production, Installation, and Servicing,” and
(3) American Society for Testing and Materials':
(i) F 75-92 “Specification for Cast Cobalt-28 Chromium-6 Molybdenum Alloy for Surgical Implant Material,”
(ii) F 648-98 “Specification for Ultra-High-Molecular-Weight Polyethylene Powder and Fabricated Form for Surgical Implants,”
(iii) F 799-96 “Specification for Cobalt-28 Chromium-6 Molybdenum Alloy Forgings for Surgical Implants,”
(iv) F 1044-95 “Test Method for Shear Testing of Porous Metal Coatings,”
(v) F 1108-97 “Specification for Titanium-6 Aluminum-4 Vanadium Alloy Castings for Surgical Implants,”
(vi) F 1147-95 “Test Method for Tension Testing of Porous Metal,”
(vii) F 1378-97 “Standard Specification for Shoulder Prosthesis,” and
(viii) F 1537-94 “Specification for Wrought Cobalt-28 Chromium-6 Molybdenum Alloy for Surgical Implants.”

0

Kos2906

DEC 1 9 2005

Summary of Safety and Effectiveness

| Submitter: | Zimmer, Inc.
P.O. Box 708
Warsaw, IN 46581-0708 |
|----------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact Person: | Dalene T. Binkley
Senior Associate, Regulatory Affairs
Telephone: (574) 372-4907
Fax: (574) 372-4605 |
| Date: | December 16, 2005 |
| Trade Name: | Zimmer Trabecular Metal™ Reverse Shoulder
System |
| Common Name: | Total-Shoulder System and Hemi-Shoulder System |
| Classification Name
and Reference: | 1. Prosthesis, Shoulder, Semi-constrained,
metal/polymer cemented (KWS)
2. Shoulder joint humeral (hemi-shoulder) metallic
uncemented prosthesis (HSD)
3. Shoulder joint metal/polymer non-constrained
cemented prosthesis (KWT)
21 CFR § 888.3660, 888.3690 and 888.3650 |
| Predicate Devices: | Aequalis Reversed Shoulder Prosthesis,
manufactured by Tornier, K041873, cleared August
25, 2004.

Delta Shoulder, manufactured by DePuy, K021478,
cleared November 18, 2003.

Encore Reverse Shoulder Prosthesis, manufactured
by Encore Medical, L.P., K041066, cleared March
24, 2005.

Zimmer Trabecular Metal™ Humeral Stem,
manufactured by Zimmer, Inc., K041549, cleared
September 1, 2004. |
| Device Description: | The Zimmer Trabecular Metal™ Reverse Shoulder
System is a modular total shoulder prosthesis that
was designed specifically to include patients with
non-functional rotator cuffs. It was developed to
either encompass a traditional shoulder prostheses, a
reverse design or be transformed into a hemi-
prosthesis depending on clinical cases encountered
during the surgical procedure. |
| Intended Use: | The Zimmer Trabecular Metal Reverse Shoulder
System is indicated for the following: |
| | Reverse application: |
| | - the treatment of severe pain or significant
disability in degenerative, rheumatoid, or
traumatic disease of the glenohumeral joint,

  • ununited humeral head fractures of long
    duration,
  • irreducible 3-and 4-part proximal humeral
    fractures,
  • avascular necrosis of the humeral head,
  • rotator cuff arthropathy, or
  • other difficult clinical management problems
    (such as a failed total shoulder arthroplasty or
    grossly rotator cuff deficient joint) where
    arthrodesis or resectional arthroplasty is not
    acceptable. |
    | | Hemiarthroplasty/Total application: |
    | | - the treatment of severe pain or significant
    disability in degenerative, rheumatoid, or
    traumatic disease of the glenohumeral joint,
  • ununited humeral head fractures of long
    duration,
  • irreducible 3-and 4-part proximal humeral
    fractures,
  • avascular necrosis of the humeral head |
    | | The assembled humeral component may be
    used alone for hemiarthroplasty or combined
    with the glenoid component or reverse
    components for total shoulder arthroplasty
    (conventional or reverse applications). |
    | | The Trabecular Metal humeral and reverse base
    plate components are intended for either
    cemented or uncemented use. The reverse base
    plate requires two screws for initial fixation. |
    | Comparison to Predicate Device: | The Zimmer Trabecular Metal Reverse Shoulder
    System is packaged, manufactured, and sterilized
    using the same or similar materials and processes as
    the predicate devices. The subject device also has
    similar intended use and fixation methods as the
    predicate devices. |
    | Performance Data (Nonclinical
    and/or Clinical): | Non-Clinical Performance and Conclusions:
    Non-clinical testing demonstrated that the Zimmer
    Trabecular Metal Reverse Shoulder System is as
    safe and effective as the predicate devices. |

1

  • rotator cuff arthropathy, or -
  • other difficult clinical management problems
    where arthrodesis or resectional arthroplasty is not acceptable.

2

.

3

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features a stylized caduceus, a symbol often associated with medicine and healthcare. The words "DEPARTMENT OF HEALTH AND HUMAN SERVICES - USA" are arranged in a circular pattern around the caduceus. The logo is simple and recognizable, representing the department's role in protecting the health of all Americans.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

DEC 1 9 2005

Dalene T. Binkley Senior Associate, Regulatory Affairs Zimmer, Inc P.O. Box 708 Warsaw, Indiana 46581

Re: K052906

Trade/Device Name: Zimmer Trabecular™ Metal Reverse Shoulder System Regulation Number: 21 CFR 888.3650 Regulation Name: Shoulder joint metal/polymer non-constrained cemented prosthesis Regulatory Class: II Product Code: KWT, KWS, HSD Dated: October 12, 2005 Received: October 14, 2005

Dear Ms. Binkley:

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.

4

Page 2-Dalene T. Binkley

This letter will allow you to begin marketing your device as described in your Section 51 (ks) I mis letter will anow you to begin mained of substantial equivalence of your device to a legally premail.com on ... The PDF mission 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 acritor 101 Job (240) 276-0120. Also, please note the regulation cutitled, Contact the Office of Conner et notification" (21CFR Part 807.97). You may obtain Misoranding of reference to premiers on your responsibilities under the Act from the Division of Small other general information of your corpumer 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,

signature

Mark N. Melkerson Acting Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

Indications for Use

510(k) Number (if known):

Device Name:

Zimmer Trabecular Metal™ Reverse Shoulder System

Indications for Use:

The Zimmer Trabecular Metal Reverse Shoulder System is indicated for the following:

Reverse application:

  • the treatment of severe pain or significant disability in degenerative, rheumatoid, or traumatic , disease of the glenohumeral joint;
  • ununited humeral head fractures of long duration; ।
  • irreducible 3-and 4-part proximal humeral fractures; i
  • ifreductive 3-and ++part proximal hameral heaters,
    avascular necrosis of the humeral head, or other difficult clinical management problems (such as a । avascular necrosis of the namedial nead, or grossly rotator cuff deficient joint) where arthrodesis or resectional arthroplasty is not acceptable.

Hemiarthroplasty/Total application:

  • the treatment of severe pain or significant disability in degenerative, rheumatoid, or traumatic disease of the glenohumeral joint;
  • ununited humeral head fractures of long duration; -
  • irreducible 3-and 4-part proximal humeral fractures; -
  • irreductore >-and 4-part proximal numeral head, or other difficult clinical management problems where arthrodesis or resectional arthroplasty is not acceptable.

The assembled humeral component may be used alone for hemiarthroplasty or compinsel with the I he assembled intineral components for total shoulder arthroplasty (conventional or reverse applications).

The Trabecular Metal humeral and reverse base plate components are intended for either cemented or I he Travecalar Metal numeral ane note requires two screws for initial fixation.

Prescription Use X

AND/OR Over-The-Counter Use

(21 CFR 807 Subpart C)

(Part 21 CFR 801 Subpart D)

other page if needed) (Please do not write be ow this line - Continue

e Evanuation (ODE) Con Programs Por

Division of General, Restorative, and Neurological Devices

Page 1 of 1

510(k) Number K052906