K Number
K053588
Device Name
PROFEMUR LX HIP STEM
Date Cleared
2006-01-13

(21 days)

Product Code
Regulation Number
888.3330
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The PROFEMUR® LX Hip Stem is indicated for use in total hip arthroplasty for reduction or relief of pain and/or improved hip function in skeletally mature patients with the following conditions: - non-inflammatory degenerative joint disease such as osteoarthritis, avascular necrosis, ankylosis, protrusio acetabuli, and painful hip dysplasia; - inflammatory degenerative joint disease such as rheumatoid arthritis; - correction of functional deformity; and, - revision procedures where other treatments or devices have failed
Device Description
The design features of the PROFEMUR® LX Hip Stem are summarized below: - Manufactured from titanium alloy (Ti6A14V) . - Offered in one medial flare option . - Tri-planar proximal geometry with plasma sprayed surface . - Cylindrical, splined, and slotted distal stem with glassbead surface . - Threaded hole with slot impaction mechanism . - Polished distal tip and collar .
More Information

Not Found

Not Found

No
The device description focuses solely on the material and mechanical design features of the hip stem, with no mention of software, algorithms, or data processing that would indicate AI/ML. The "Mentions AI, DNN, or ML" and "Mentions image processing" fields are explicitly marked as "Not Found".

Yes
The device is indicated for use in total hip arthroplasty to reduce or relieve pain and improve hip function, which are therapeutic benefits.

No
The PROFEMUR® LX Hip Stem is an implantable medical device used in total hip arthroplasty to treat conditions like degenerative joint disease and improve hip function; it is not described as being used for diagnosis.

No

The device description clearly states it is a hip stem manufactured from titanium alloy, which is a physical implant, not software.

No, 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: The PROFEMUR® LX Hip Stem is a physical implant designed to be surgically placed within the human body to replace a damaged hip joint. It is a medical device used in vivo (within the living body), not in vitro (in glass/outside the body).
  • Intended Use: The intended use clearly describes its function in total hip arthroplasty for treating conditions affecting the hip joint, which is a surgical procedure.

Therefore, based on the provided information, the PROFEMUR® LX Hip Stem is a surgical implant, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The PROFEMUR® LX Hip Stem is indicated for use in total hip arthroplasty for reduction or relief of pain and/or improved hip function in skeletally mature patients with the following conditions: non-inflammatory degenerative joint disease such as osteoarthritis, avascular necrosis, 1. ankylosis, protrusio acetabuli, and painful hip dysplasia; inflammatory degenerative joint disease such as rheumatoid arthritis; 2. correction of functional deformity; and, 3. revision procedures where other treatments or devices have failed 4.

Product codes

LZO, JDL, KWA

Device Description

The design features of the PROFEMUR® LX Hip Stem are summarized below: Manufactured from titanium alloy (Ti6A14V) . Offered in one medial flare option . Tri-planar proximal geometry with plasma sprayed surface . Cylindrical, splined, and slotted distal stem with glassbead surface . Threaded hole with slot impaction mechanism . Polished distal tip and collar .

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Hip

Indicated Patient Age Range

skeletally mature patients

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

Not Found

Key Metrics

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 888.3330 Hip joint metal/metal semi-constrained, with an uncemented acetabular component, prosthesis.

(a)
Identification. A hip joint metal/metal semi-constrained, with an uncemented acetabular component, prosthesis is a two-part device intended to be implanted to replace a hip 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 consist of a femoral and an acetabular component, both made of alloys, such as cobalt-chromium-molybdenum. The femoral component is intended to be fixed with bone cement. The acetabular component is intended for use without bone cement (§ 888.3027).(b)
Classification. Class III.(c)
Date PMA or notice of completion of PDP is required. A PMA or a notice of completion of a PDP is required to be filed with the Food and Drug Administration on or before May 18, 2016, for any hip joint metal/metal semi-constrained prosthesis with an uncemented acetabular component that was in commercial distribution before May 28, 1976, or that has, on or before May 18, 2016, been found to be substantially equivalent to a hip joint metal/metal semi-constrained prosthesis with an uncemented acetabular component that was in commercial distribution before May 28, 1976. Any other hip joint metal/metal semi-constrained prosthesis with an uncemented acetabular component shall have an approved PMA or a declared completed PDP in effect before being placed in commercial distribution.

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JAN 1 3 2006 1 of 2 Ko53588 ( Ca

510(K) SUMMARY OF SAFETY AND EFFECTIVENESS

In accordance with the Food and Drug Administration Rule to implement provisions of the Safe m accordance with the 1990 and in conformance with 21 CRF 807, this information serves as a Summary of Safety and Effectiveness for the use of the PROFEMUR® LX Hip Stem.

Submitted By:Wright Medical Technology, Inc.
Date:January 11, 2006
Contact Person:Theresa Leister
Regulatory Affairs Specialist II
Proprietary Name:PROFEMUR® LX Hip Stem
Common Name:Hip Stem
Classification Name and Reference:21 CFR 888.3320 Hip joint metal/ metal semi-constrained, with a cemented acetabular component prosthesis - Class III
21 CFR 888.3330 Hip joint metal/ metal semi-constrained, with an uncemented acetabular component prosthesis - Class III
21 CFR 888.3353 Prosthesis, hip, semi-constrained, metal/ceramic/polymer, cemented or non-porous, uncemented- Class II
Device Product Code and Panel Code:Orthopedics/87/ LZO, JDL, KWA

DEVICE INFORMATION

A. INTENDED USE

The PROFEMUR® LX Hip Stem is indicated for use in total hip arthroplasty for reduction or relief of pain and/or improved hip function in skeletally mature patients with the following conditions:

  • non-inflammatory degenerative joint disease such as osteoarthritis, avascular necrosis, 1. ankylosis, protrusio acetabuli, and painful hip dysplasia;
  • inflammatory degenerative joint disease such as rheumatoid arthritis; 2.
  • correction of functional deformity; and, 3.
  • revision procedures where other treatments or devices have failed 4.

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K053588 (pg 2 of 2)

B. DEVICE DESCRIPTION

The design features of the PROFEMUR® LX Hip Stem are summarized below:

  • Manufactured from titanium alloy (Ti6A14V) .
  • Offered in one medial flare option .
  • Tri-planar proximal geometry with plasma sprayed surface .
  • Cylindrical, splined, and slotted distal stem with glassbead surface .
  • Threaded hole with slot impaction mechanism .
  • Polished distal tip and collar .

C. SUBSTANTIAL EQUIVALENCE INFORMATION

The indications for use of the PROFEMUR® LX Hip Stem are identical to the predicate devices. The design features of the PROFEMUR® LX Hip Stem are substantially equivalent to those of the predicate devices. The fundamental scientific technology of the modified device has not changed relative to the predicate devices. The safety and effectiveness of the PROFEMUR® LX Hip Stem are adequately supported by the substantial equivalence information, materials information, and analysis data provided within this Premarket Notification.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image is a black and white logo for the Department of Health and Human Services, USA. The logo consists of a circular border with the text "DEPARTMENT OF HEALTH AND HUMAN SERVICES, USA" written around it. Inside the circle is a symbol that resembles a stylized caduceus, which is a traditional symbol of medicine.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JAN 1 3 2006

Theresa Leister Regulatory Affairs Specialist II Wright Medical Technology, Inc. 5677 Airline Road Arlington, Tennessee 38002

Re: K053588 Trade/Device Name: PROFEMUR® LX Hip Stem Regulation Number: 21 CFR 888.3330 Regulation Name: Hip joint metal/metal semi-constrained, with an uncemented acetabular component prosthesis Regulatory Class: III Product Code: KWA, LZO, JDL Dated: December 22, 2005 Received: December 23, 2005

Dear Ms. Leister:

We have reviewed your Section 510(k) premarket notification of intent to market the devices referenced above and have determined the devices are 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 cither class II (Special Controls) or class III (PMA), they 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 devices comply with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must

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Page 2 - Ms. Leister

comply with all the Act's requirements, including, but not limited to: registration and listing (21 Comply will an the Not 800 (2008) Part 801); good manufacturing practice requirements as set CFR Part 807); mooning (Dr CFR Part 820); and if applicable, the electronic forth in the quality byotens (Sections 531-542 of the Act); 21 CFR 1000-1050.

This letter will allow you to begin marketing your device as described in your Section 510(k) This letter will anow you're ough finding of substantial equivalence of your device to a legally premits to the are 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 If you desire specific ac arroliance at (240) 276-0120. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small other general information on 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.

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Sincerely yours,

2

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

Enclosure

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cc: HFZ-401 DMC HFZ-404 510(k) Staff HFZ-410 Division D.O. f/t:ELF:rrr: 1/12/06

. -- . . .

:

. . .

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KOS3588

Indications for Use

510(k) Number (if known):

Device Name: PROFEMUR® LX Hip Stem

Indications For Use:

indications For Ose.
The PROFEMUR® LX Hip Stem is indicated for use in total hip arthroplasty for THE TROFEMOR® DA REP START Proved hip function in skeletally mature patients with the following conditions:

  • I non-inflammatory degenerative joint disease such as osteoarthritis, avascular necrosis, ankylosis, protrusio acetabuli, and painful hip dysplasia;
  • inflammatory degenerative joint disease such as rheumatoid arthritis; 2.
  • correction of functional deformity; and, 3.
    1. revision procedures where other treatments or devices have failed

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

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

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Signature

(Division Sign-Off) Division of General. Restorative, and Neurological Devices

Page 1 of 1


510(k) Number K053588

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