K Number
K061144
Device Name
DEPUY CMW 2 AND CMW 3 GENTAMICIN BONE CEMENT
Date Cleared
2006-06-08

(44 days)

Product Code
Regulation Number
888.3027
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Use in the second stage of a two-stage revision for total joint arthroplasty after the initial infection has been cleared.
Device Description
DePuy CMW 2 Gentamicin Bone Cement and DePuy CMW 3 Gentamicin Bone Cement are self-curing, polymethylmethacrylate (PMMA) bone cements containing the antibiotic gentamicin (at the rate of 1g active gentamicin in 40g of PMMA bone cement powder), for seating and securing of a metal or plastic prosthesis to living bone.
More Information

No
The device description and the absence of mentions of AI, ML, or related concepts indicate it is a traditional bone cement product.

Yes.
This device is a bone cement containing gentamicin, an antibiotic, used for seating and securing prostheses in total joint arthroplasty, specifically for revision surgeries after infection clearance. The inclusion of an antibiotic suggests a therapeutic purpose to prevent or treat infection.

No
The provided text describes a bone cement used for securing prostheses, not for diagnosing medical conditions. Its function is to fix a device, not to identify or monitor a disease state.

No

The device description clearly states it is a self-curing, polymethylmethacrylate (PMMA) bone cement, which is a physical material, not software.

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

Here's why:

  • Intended Use: The intended use is for "seating and securing of a metal or plastic prosthesis to living bone" during a surgical procedure (total joint arthroplasty revision). This is a direct application within the body.
  • Device Description: The device is a "self-curing, polymethylmethacrylate (PMMA) bone cement containing the antibiotic gentamicin." This is a material used for fixation within the body.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or screening.

IVDs are used outside the body to analyze samples and provide diagnostic information. This device is used inside the body for structural support and fixation.

N/A

Intended Use / Indications for Use

DePuy CMW 2 Gentamicin Bone Cement and DePuy CMW 3 Gentamicin Bone Cement are both indicated for use in the second stage of a two-stage revision for total joint arthroplasty after the initial infection has been cleared.

Product codes

MBB

Device Description

DePuy CMW 2 Gentamicin Bone Cement and DePuy CMW 3 Gentamicin Bone Cement are self-curing, polymethylmethacrylate (PMMA) bone cements containing the antibiotic gentamicin (at the rate of 1g active gentamicin in 40g of PMMA bone cement powder), for seating and securing of a metal or plastic prosthesis to living bone.

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

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)

The determination of substantial equivalence of DePuy CMW 2 Gentamicin Bone Cement and DePuy CMW 3 Gentamicin Bone Cement to these bone cements was based on a comparison of device technological characteristics and comparative product testing data.

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

Not Found

Predicate Device(s)

K053002, K041656, K033563, K053003, K053003

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 888.3027 Polymethylmethacrylate (PMMA) bone cement.

(a)
Identification. Polymethylmethacrylate (PMMA) bone cement is a device intended to be implanted that is made from methylmethacrylate, polymethylmethacrylate, esters of methacrylic acid, or copolymers containing polymethylmethacrylate and polystyrene. The device is intended for use in arthroplastic procedures of the hip, knee, and other joints for the fixation of polymer or metallic prosthetic implants to living bone.(b)
Classification. Class II (special controls). The special control for this device is the FDA guidance document entitled “Class II Special Controls Guidance Document: Polymethylmethacrylate (PMMA) Bone Cement.”

0

JUN - 8 2006

SECTION 5: SECTION 5:

| Trade Name: | DePuy CMW 2 Gentamicin Bone Cement
DePuy CMW 3 Gentamicin Bone Cement |
|-----------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Common Name: | Antibiotic bone cement |
| Classification Name: | Bone cement, antibiotic (21 CFR 888.3027, Product Code MBB) |
| Contact Person: | Natalie S. Heck
Manager, Regulatory Affairs
DePuy Orthopaedics Inc. |
| | Tel.: (574) 267-8143
Fax: (574) 371-4987 |
| Equivalent to: | DePuy CMW 1 Gentamicin Bone Cement (K053002) |
| | SmartSet GMV Endurance Gentamicin Bone Cement (K041656). |
| | SmartSet GHV Gentamicin Bone Cement (K033563). |
| | DePuy CMW 2 Bone Cement (K053003) |
| | DePuy CMW 3 Bone Cement (K053003) |
| Device Description: | DePuy CMW 2 Gentamicin Bone Cement and DePuy CMW 3 Gentamicin
Bone Cement are self-curing, polymethylmethacrylate (PMMA) bone
cements containing the antibiotic gentamicin (at the rate of 1g active
gentamicin in 40g of PMMA bone cement powder), for seating and securing
of a metal or plastic prosthesis to living bone. |
| Intended Use: | DePuy CMW 2 Gentamicin Bone Cement and DePuy CMW 3 Gentamicin
Bone Cement are both indicated for use in the second stage of a two-stage
revision for total joint arthroplasty after the initial infection has been
cleared. |
| Substantial
Equivalence: | DePuy CMW 2 Gentamicin Bone Cement and DePuy CMW 3 Gentamicin
Bone Cement have the same intended use as DePuy CMW 1 Gentamicin
Bone Cement, SmartSet GHV Gentamicin Bone Cement and SmartSet
GMV Endurance Gentamicin Bone Cement. |

6

1

DePuy CMW 2 Gentamicin Bone Cement and DePuy CMW 3 Gentamicin Bone Cement are composed of the same materials as DePuy CMW 1 Gentamicin Bone Cement, but the ratios of the individual components have been modified to produce cements with subtly different setting characteristics to meet user needs for differing surgical situations. DePuv CMW 2 Gentamicin Bone Cement and DePuy CMW 3 Gentamicin Bone Cement are similar in design and performance characteristics to DePuy Gentamicin Bone Cement, SmartSet GMV Endurance CMW 1 Gentamicin Bone Cement, SmartSet GHV Gentamicin Bone Cement, DePuy CMW 2 Bone Cement and DePuy CMW 3 Bone Cement; and similar in sterilization and packaging to DePuy CMW 1 Gentamicin Bone Cement, SmartSet GMV Endurance Gentamicin Bone Cement, DePuy CMW 2 Bone Cement and DePuy CMW 3 Bone Cement. The determination of substantial equivalence of DePuy CMW 2 Gentamicin Bone Cement and DePuy CMW 3 Gentamicin Bone Cement to these bone cements was based on a comparison of device technological characteristics and comparative product testing data.

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a circular seal with the words "DEPARTMENT OF HEALTH AND HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract image of a stylized eagle or bird-like figure.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUN - 8 2006

DePuy Orthopaedics, Inc. c/o Ms. Natalie Heck Manager, Regulatory Affairs 700 Orthopaedic Drive Warsaw, Indiana 46580

Re: K061144

Trade/Device Name: DePuy CMW 2 Gentamicin Bone Cement, DePuy CMW 3 Gentamicin Bone Cement Regulation Number: 21 CFR 888.3027 Regulation Name: Polymethylmethacrylate (PMMA) bone cement Regulatory Class: Class II Product Code: MBB Dated: April 24, 2006 Received: April 25, 2006

Dear Ms. Heck:

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

3

Page 2 -- Ms. Natalie Heck

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. 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) 276-0120. 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 (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Herbert Lehman mo

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

Enclosure

4

SECTION 4: INDICATIONS FOR USE STATEMENT

510(k) Number (if known):

Device Name:

DePuy CMW 2 Gentamicin Bone Cement and DePuy CMW 3 Gentamicin Bone Cement

Indications for Use:

Use in the second stage of a two-stage revision for total joint arthroplasty after the initial infection has been cleared.

Helent Penner wo

Division Sign-Off Division of General, Restoral ve and Neurological Devices

Co 61144 510(k) Number.

Prescription Use_ X (Per 21 CFR 801 Subpart D) AND/ OR

Over-The-Counter Use (Per 21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)