K Number
K131633
Device Name
ARTHREX UNIVERS APEX
Manufacturer
Date Cleared
2013-09-27

(115 days)

Product Code
Regulation Number
888.3660
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Arthrex Univers Apex is indicated in replacements(s) when conditions include severe pain or significant disability resulting from degenerative, rheumatoid, traumatic disease, or injury of the glenohumeral joint; non-union humeral head fractures of long duration; irreducible 2- 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 glenoid components are designed for cemented fixation in the joint and must only be used with an appropriate bone cement.
Device Description
The Univers Apex is the humeral stem component of a shoulder prosthesis system. It consists of a stem, a trunion, an inclination block and pins and screws. All of the components are comprised of titanium. The Short Stem is identical to the existing Univers II Stem, except for the overall length.
More Information

Not Found

No
The summary describes a mechanical implant (shoulder prosthesis) and does not mention any software, algorithms, or data processing that would indicate the use of AI/ML. The "Mentions AI, DNN, or ML" and "Mentions image processing" sections are explicitly marked as "Not Found".

Yes
The device is indicated for conditions such as severe pain, significant disability, degenerative, rheumatoid, or traumatic disease, and injury of the glenohumeral joint, which are problems directly affecting the health and function of the human body. As a shoulder prosthesis, it is a replacement for these conditions, thereby offering therapeutic benefit.

No
The device is described as a humeral stem component of a shoulder prosthesis system, indicated for replacement in conditions like severe pain or disability from degenerative, rheumatoid, traumatic disease, or injury of the glenohumeral joint. It is an implant used for treatment, not for diagnosing a condition.

No

The device description clearly states that the Univers Apex is a humeral stem component of a shoulder prosthesis system, consisting of physical components made of titanium. This indicates it is a hardware medical device, not software-only.

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 Arthrex Univers Apex is a humeral stem component of a shoulder prosthesis system. It is an implantable device used in surgical procedures to replace parts of the shoulder joint.
  • Intended Use: The intended use describes the conditions for which the device is indicated, all of which relate to the physical replacement of a damaged or diseased shoulder joint.

The information provided clearly indicates that this device is a surgical implant, not a diagnostic test performed on biological samples.

N/A

Intended Use / Indications for Use

The Arthrex Univers Apex is indicated in replacements(s) when conditions include severe pain or significant disability resulting from degenerative, rheumatoid, traumatic disease, or injury of the glenohumeral joint; non-union humeral head fractures of long duration; irreducible 2- 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 glenoid components are designed for cemented fixation in the joint and must only be used with an appropriate bone cement.

Product codes (comma separated list FDA assigned to the subject device)

KWS, HSD

Device Description

The Univers Apex is the humeral stem component of a shoulder prosthesis system. It consists of a stem, a trunion, an inclination block and pins and screws. All of the components are comprised of titanium. The Short Stem is identical to the existing Univers II Stem, except for the overall length.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Shoulder, glenohumeral joint, humeral head

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Prescription Use

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 submitted mechanical testing data demonstrates that the fatigue strength of the proposed devices are comparable to that of the predicate device for the desired indications.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K071032 / K103466: Arthrex Univers II Shoulder Prosthesis, K060692 : Comprehensive Primary Shoulder Stems

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

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.”

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K131633 (1/2)

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510(K) SUMMARY OF SAFETY AND EFFECTIVENESS 2 1 ።

Date Summary PreparedAugust 17, 2013
Manufacturer/Distributor/SponsorArthrex, Inc.
1370 Creekside Boulevard
Naples, FL 34108-1945 USA
510(k) ContactCourtney Smith
Regulatory Affairs Manager
Arthrex, Inc.
1370 Creekside Boulevard
Naples, FL 34108-1945 USA
Telephone: 239/643.5553, ext. 1720
Fax: 239/598.5508
Email: csmith@arthrex.com
Trade NameArthrex Univers Apex
Common NameShoulder Prosthesis
Product Code -Classification NameKWS
CFR888.3660: Prosthesis, Shoulder, Semi-Constrained
Metal/Polymer, Cemented
HSD
888.3690: Prosthesis, Shoulder, Hemi-Humeral, Metal,
Uncemented
Predicate DeviceK071032 / K103466: Arthrex Univers II Shoulder
Prosthesis
K060692 : Comprehensive Primary Shoulder Stems
Purpose of SubmissionThis Traditional 510(k) premarket notification is
submitted to obtain clearance for the Arthrex Univers
Apex.
Device DescriptionThe Univers Apex is the humeral stem component of a
shoulder prosthesis system. It consists of a stem, a
trunion, an inclination block and pins and screws. All of
the components are comprised of titanium. The Short
Stem is identical to the existing Univers II Stem, except
for the overall length.
Intended UseThe Univers Apex is Indicated in replacements(s) when
conditions include severe pain or significant disability
resulting from degenerative, rheumatoid, traumatic
disease, or injury of the glenohumeral joint; non-union
humeral head fractures of long duration; irreducible 2-
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 glenoid components are designed for cemented
fixation in the joint and must only be used with an
appropriate bone cement. |
| Substantial Equivalence Summary | The Arthrex Univers Apex is substantially equivalent to
the predicate devices, in which the basic design features
and intended uses are the same. Any differences
between the Arthrex Univers Apex and the predicates are
considered minor and do not raise questions concerning
safety and effectiveness. |
| | The proposed devices are comprised of titanium. This
material is substantially equivalent to the materials found
in the predicate devices. |
| | The submitted mechanical testing data demonstrates
that the fatigue strength of the proposed devices are
comparable to that of the predicate device for the
desired indications. |
| | Based on the indication for use, technological
characteristics, and the summary of data submitted,
Arthrex, Inc. has determined that the Univers Apex is
substantially equivalent to currently marketed predicate
devices. |

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K131633 (2/2)

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Image /page/2/Picture/0 description: The image shows the logo for the Department of Health & Human Services USA. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" around the perimeter. Inside the circle is a stylized symbol that resembles a caduceus, a traditional symbol of medicine, with three wavy lines representing the branches of the department.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

September 27, 2013

Arthrex, Incorporated Ms. Courtney Smith Manager, Regulatory Affairs 1370 Creekside Boulevard Naples, Florida 34108

Re: K131633

Trade/Device Name: Arthrex Univers Apex Regulation Number: 21 CFR 888.3660 Regulation Name: Shoulder joint metal/polymer semi-constrained cemented prosthesis Regulatory Class: Class II Product Code: KWS, HSD Dated: August 6, 2013 Received: August 7, 2013

Dear Ms. Smith:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you; however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to 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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set

3

Page 2 - Ms. Couriney Smith

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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Small Manufacturers, International and Consumer Assistance at its tollfree number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled. "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/dcfault.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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 (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours.

Mark N Melkerson -S

Mark N. Melkerson Director Division of Orthopedic Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

Indications for Use

510(k) Number (if known):

Arthrex Univers Apex Device Name:

Indications For Use: K131633

The Arthrex Univers Apex is indicated in replacements(s) when conditions include severe pain or significant disability resulting from degenerative, rheumatoid, traumatic disease, or injury of the glenohumeral joint; non-union humeral head fractures of long duration; irreducible 2- 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 glenoid components are designed for cemented fixation in the joint and must only be used with an appropriate bone cement.

Prescription Use _ V _ AND/OR Over-The-Counter Use __

(Per 21 CFR 801 Subpart D)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

PAGE 1 of 1

Casey L. Hanley, Ph.D.


Division of Orthopedic Devices