K Number
K071059
Device Name
DEPUY SPA POROUS COATED PROXIMAL SLEEVE
Date Cleared
2007-11-09

(207 days)

Product Code
Regulation Number
888.3310
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The SPA Porcus Coated Proximal Sleeve components of the S-ROM Total Hip System are indicated for use in total hip replacement procedures for patients suffering severe pain and disability due to structural damage in the hip joint from theumatoid arthritis, osteoarthritis, post-traumatic arthritis, collagen disorders, avascular necrosis, and nonumion of femoral fractures. Use of the prosthesis is also indicated for revision of previous hip arthroplasty and for patients with congenital hip dysplasia, protrusio acetabuli, slipped capital femoral epiphysis, and disability due to previous fusion. The SPA Porous Coated Proximal Sleeves are intended for cementless use.
Device Description
The SPA Poeous Coated Peoximal Sleeve is a composent of the S-ROM Total Hip Replacement System. It is a porous coated Titanium femoral component with an elliptical shape that matches the contour of the bone and a stepped exterior to maximize compressive stresses. Fixation of the proximal sleeve to the femur is achieved by biologic fixation via tissue in-growth into the porous onsung.
More Information

No
The document describes a mechanical implant for hip replacement and does not mention any software, algorithms, or data processing that would indicate the use of AI or ML.

Yes
The device is indicated for use in surgical procedures to treat severe pain and disability due to structural damage in the hip joint, which aligns with the definition of a therapeutic device.

No

Explanation: This device is a component of a total hip replacement system, indicated for surgical implantation to replace a damaged hip joint. Its function is to provide structural support and facilitate biologic fixation, not to diagnose a condition.

No

The device description clearly describes a physical, porous coated Titanium femoral component, which is a hardware implant.

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. They are used to provide information for diagnosis, monitoring, or screening.
  • Device Description: The provided text describes a surgical implant (a component of a total hip replacement system) that is physically placed within the patient's body to replace a damaged hip joint.
  • Intended Use: The intended use is to treat severe pain and disability due to structural damage in the hip joint by replacing the joint with the prosthesis. This is a therapeutic intervention, not a diagnostic test performed on a sample.

The device is a medical device, specifically a prosthetic implant, but it does not fit the definition of an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

The SPA Porcus Coated Proximal Sleeve components of the S-ROM Total Hip System are indicated for use in total hip replacement procedures for patients suffering severe pain and disability due to structural damage in the hip joint from theumatoid arthritis, osteoarthritis, post-traumatic arthritis, collagen disorders, avascular necrosis, and nonumion of femoral fractures. Use of the prosthesis is also indicated for revision of previous hip arthroplasty and for patients with congenital hip dysplasia, protrusio acetabuli, slipped capital femoral epiphysis, and disability due to previous fusion.

The SPA Porous Coated Proximal Sleeves are intended for cementless use.

Product codes

KWA, LZO, MEH, LPH, KWZ.

Device Description

The SPA Poeous Coated Peoximal Sleeve is a composent of the S-ROM Total Hip Replacement System. It is a porous coated Titanium femoral component with an elliptical shape that matches the contour of the bone and a stepped exterior to maximize compressive stresses. Fixation of the proximal sleeve to the femur is achieved by biologic fixation via tissue in-growth into the porous onsung.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Hip joint, femoral

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)

Not Found

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

Not Found

Predicate Device(s)

K860207, K934412

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 888.3310 Hip joint metal/polymer constrained cemented or uncemented prosthesis.

(a)
Identification. A hip joint metal/polymer constrained cemented or uncemented prosthesis is a device intended to be implanted to replace a hip joint. The device prevents dislocation in more than one anatomic plane and has components that are linked together. This generic type of device includes prostheses that have a femoral component made of alloys, such as cobalt-chromium-molybdenum, and an acetabular component made of ultra-high-molecular-weight polyethylene with or without a metal shell, made of alloys, such as cobalt-chromium-molybdenum and titanium alloys. This generic type of device is intended for use with or without bone cement (§ 888.3027).(b)
Classification. Class II (special controls). The special control for this device is the FDA guidance document entitled “Class II Special Controls Guidance: Hip Joint Metal/Polymer Constrained Cemented or Uncemented Prosthesis.”

0

K071059

510(k) SUMMARY

| NAME OF FIRM: | DePuy Orthopaedics Inc.
700 Orthopaedic Drive
Warsaw, Indiana 46581-0988
Establishment Registration Number: 1818910 |
|-----------------------|--------------------------------------------------------------------------------------------------------------------------------|
| 510(K) CONTACT: | Kathy Harris
Director, Regulatory Affairs
Tel: (574) 372-7082
Fax: (574) 371-4987 |
| DATE PREPARED: | October 20, 2007 |
| TRADE NAME: | DePuy SPA™ Porous Coated Proximal Sleeves |
| COMMON NAME: | Femoral Proximal Sleeve |
| CLASSIFICATIONS: | 21 CFR 888.3330: Hip joint metal/metal semi-constrained,
with an uncemented acetabular component, prosthesis, Class III |
| | 21 CFR 888.3353: Hip joint metal/ceramic/polymer semi-
constrained cemented or nonporous uncemented prosthesis,
Class II |
| | 21 CFR 888.3358: Hip joint metal/polymer semi-constrained
porous coated uncemented prosthesis, Class II |
| | 21 CFR 888.3310: Hip joint metal/polymer constrained
cemented or uncemented prosthesis, Class II |
| DEVICE PRODUCT CODES: | KWA, LZO, MEH, LPH, KWZ. |
| SUBSTANTIALLY | |

EQUIVALENT DEVICES: S-ROM™ 135 Porous Coated Femotal Stem Collar, K860207 cleared August 6, 1986

Coated ZT=14 Prosimal Sleeve, K934412 cleared June 3, 1994

DEVICE DESCRIPTION:

a marka mana mana mana mana mana mana mana mana mana mara mara mar

The SPA Poeous Coated Peoximal Sleeve is a composent of the S-ROM Total Hip Replacement System. It is a porous coated Titanium femoral component with an elliptical shape that matches the contour of the bone and a stepped exterior to maximize compressive stresses. Fixation of the proximal sleeve to the femur is achieved by biologic fixation via tissue in-growth into the porous onsung.

1

INDICATIONS AND INTENDED USE:

The SPA Porcus Coated Proximal Sleeve components of the S-ROM Total Hp System are indicated for use in total hip replacement procedures for patients suffering severe pain and disability due to structural damage in the hip joint from rheatuatoid arthritis, ostecarthritis, post-traumatic arthritis, collages disorders, avascular necessis, and nominion of femoral fractures. Use of the prosthesis is also indicated for revision of premous hip arthroplasty and for patients with congenital hip dysplasia. protrusio acetabuli, slipped capital femoral epiphysis, and disability due to previous fusion.

The SPA Porous Coated Proximal Sleeves are intended for cementless use.

and the contract and consistence of the country and the country and the con-

and and the commend of the

SUBSTANTIAL EQUIVALENCE:

The SPA Porous Coated Proximal Sleeve is identical in design, materials and manufacturing method to the S-ROM 135 Porcous Coated Femoral Stem Collar, cleared in K860207 for cemented use only. The porous coating of the SPA Porcous Coated Sleeve is identical to the porcus coating used on the Coated ZT Proximal Sleeve, cleared in K934412 for cemendess use. Based on these samilatines, DePuy believes that the SPA Porous Coated Proximal Sleeve is substantially equivalent to the referenced predicate devices.

0000026

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three overlapping wing segments, oriented to the right. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" is arranged in a circular fashion around the eagle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

NOV 0 9 2007

DuPuy Orthopaedics, Inc. % Ms. Kathy Harris Director, Regulatory Affairs 700 Orthopaedic Drive Warsaw, IN 46581-0988

Re: K071059

Trade/Device Name: DePuy SPA™ Porous Coated Proximal Sleeves Regulation Number: 21 CFR 888.3330 Regulation Name: Single/multiple component metallic bone Fixation appliances and accessories Regulatory Class: Class III Product Code: LPH, MEH, LZO, and KWZ Dated: October 23, 2007 Received: October 24, 2007

Dear Ms. Harris:

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. Iisting 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. Kathy Harris

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 Center for Devices and Radiological Health's (CDRH's) Office of Compliance at (240) 276-0120. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at (240) 276-3474. For questions regarding of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at (240) 276-3464. You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at toll-free number (800) 638-2041 or (240) 276-3150 or the Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Barbara Buehlm

Mark N. Melk 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): K071059

Device Name: DePuy SPA Porous Coated Proximal Sleeves

Indications for Use:

The SPA Porcus Coated Proximal Sleeve components of the S-ROM Total Hip System are indicated for use in total hip replacement procedures for patients suffering severe pain and disability due to structural damage in the hip joint from theumatoid arthritis, osteoarthritis, post-traumatic arthritis, collagen disorders, avascular necrosis, and nonumion of femoral fractures. Use of the prosthesis is also indicated for revision of previous hip arthroplasty and for patients with congenital hip dysplasia, protrusio acetabuli, slipped capital femoral epiphysis, and disability due to previous fusion.

The SPA Porous Coated Proximal Sleeves are intended for cementless use.

Prescription Use ানুষ (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 801 Subpart Of

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Barbara Buell

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

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510(k) Number K071059
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