K Number
K171181
Device Name
PROCOTYL® PRIME E-CLASS™ XLPE Liner
Date Cleared
2017-08-28

(126 days)

Product Code
Regulation Number
888.3353
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
PROCOTYL® PRIME hip system is intended for use in total hip arthroplasty for reduction or relief of pain and/or improved hip function in skeletally mature patients. Indications for Use 1) non-inflammatory degenerative joint disease such as osteoarthritis, avascular necrosis, ankyloses, protrusion acetabuli. and painful hip dysplasia: 2) inflammatory degenerative joint disease such as rheumatoid arthritis; 3) correction of functional deformity; and, 4) revision procedures where other treatments or devices have failed. Shells with BIOFOAM® metal foam coating are intended only for uncemented arthroplasty.
Device Description
The PROCOTYL® PRIME E-CLASS™ XLPE Liner is an additional liner option for MicroPort Orthopedics' PROCOTYL® PRIME Acetabular Cup System (K170444). The design features are summarized below: - Manufactured from E-CLASS™ vitamin E blended highly crosslinked ultra high . molecular weight polyethylene (VEXLPE) conforming to ASTM F2695-12 - Available in Standard, Lipped, or Face-Changing Lateralized Configurations . - Inner Diameter sizes 22mm to 44mm o
More Information

No
The document describes a hip implant system and its components, focusing on materials, design features, and mechanical testing. There is no mention of AI or ML in the intended use, device description, or performance studies.

Yes
The device is described as "PROCOTYL® PRIME hip system" and is intended for use in "total hip arthroplasty for reduction or relief of pain and/or improved hip function," which are explicit therapeutic purposes.

No

This device is a hip implant system used for total hip arthroplasty, which is a treatment for painful hip conditions, not a diagnostic tool.

No

The device description clearly states it is a physical implant (liner) made of polyethylene, intended for surgical implantation in the hip. It is a hardware device, not software.

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

Here's why:

  • Intended Use: The intended use clearly states it's for total hip arthroplasty to reduce pain and improve hip function in skeletally mature patients. This is a surgical implant, not a test performed on samples from the body.
  • Device Description: The description details a physical implant component (an acetabular liner) made of specific materials and available in different sizes. This is consistent with a medical device for implantation.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting specific analytes, or providing diagnostic information based on in vitro testing.

In summary, the PROCOTYL® PRIME hip system and its components are medical devices intended for surgical implantation, not for in vitro diagnostic testing.

N/A

Intended Use / Indications for Use

PROCOTYL® PRIME hip system is intended for use in total hip arthroplasty for reduction or relief of pain and/or improved hip function in skeletally mature patients.
Indications for Use

  1. non-inflammatory degenerative joint disease such as osteoarthritis, avascular necrosis, ankyloses, protrusion acetabuli. and painful hip dysplasia:
  2. inflammatory degenerative joint disease such as rheumatoid arthritis;
  3. correction of functional deformity; and,
  4. revision procedures where other treatments or devices have failed.
    Shells with BIOFOAM® metal foam coating are intended only for uncemented arthroplasty.

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

LZO, OQI, LPH, OQG

Device Description

The PROCOTYL® PRIME E-CLASS™ XLPE Liner is an additional liner option for MicroPort Orthopedics' PROCOTYL® PRIME Acetabular Cup System (K170444). The design features are summarized below:

  • Manufactured from E-CLASS™ vitamin E blended highly crosslinked ultra high . molecular weight polyethylene (VEXLPE) conforming to ASTM F2695-12
  • Available in Standard, Lipped, or Face-Changing Lateralized Configurations .
  • Inner Diameter sizes 22mm to 44mm o

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

Prescription Use (Part 21 CFR 801 Subpart D)

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)

Nonclinical Testing:
The following nonclinical testing was performed to evaluate the E-CLASS™ material and design of the finished product.
The subject Acetabular Liner underwent material properties testing to compare its properties to those of currently marketed UHMWPE.
The subject Acetabular Liner was evaluated for bacterial endotoxins and found to be less than the USP endotoxin limit of 20 EU/device.
The subject Acetabular Liner underwent pre- and post-fatigue push-out, lever-out, and torque-out testing to evaluate its lock detail.
The subject Acetabular Liner underwent frictional torque testing to evaluate properties under pinch-loading conditions.
The subject Acetabular Liner complete long term axial cyclic loading to evaluate the subject Acetabular Liner's mechanical integrity and fatigue resistance properties.
The subject Acetabular Liner underwent impingement testing to evaluate its mechanical integrity during lip impingement in a fatigue loading profile.
The subject Acetabular Liner underwent wear testing to determine the wear rate. A wear particle analysis was performed on the wear debris.
Additionally, a range of motion study was performed for the PROCOTYL® PRIME Acetabular Cup System, originally submitted as part of K170444.

Biocompatibility:
Both bench and animal studies were performed to evaluate the biocompatibility of the E-CLASS™ material.
The E-CLASS™ material underwent an extractables study to determine it's the irritant potential of the material and to compare this potential to currently marketed Vitamin E UHMWPE.
The E-CLASS™ material underwent cytotoxicity testing, performed using cell monolayers, to determine the irritant potential of the material.
The E-CLASS™ material underwent irritation and sensitization studies, performed on animal specimens, to determine the irritant and allergenic potential of the material.
No biocompatibility testing was performed for the associated instrumentation, as all associated instruments have been previously cleared.

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.

K170444, K002149, K052026, K082924, K061547, K070785

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.

K094035

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

§ 888.3353 Hip joint metal/ceramic/polymer semi-constrained cemented or nonporous uncemented prosthesis.

(a)
Identification. A hip joint metal/ceramic/polymer semi-constrained cemented or nonporous uncemented prosthesis is a device intended to be implanted to replace a hip joint. This device limits translation and rotation in one or more planes via the geometry of its articulating surfaces. It has no linkage across-the-joint. The two-part femoral component consists of a femoral stem made of alloys to be fixed in the intramedullary canal of the femur by impaction with or without use of bone cement. The proximal end of the femoral stem is tapered with a surface that ensures positive locking with the spherical ceramic (aluminium oxide, A12 03 ) head of the femoral component. The acetabular component is made of ultra-high molecular weight polyethylene or ultra-high molecular weight polyethylene reinforced with nonporous metal alloys, and used with or without bone cement.(b)
Classification. Class II.

0

Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

MicroPort Orthopedics, Inc. Ms. Sarah Stroupe Regulatory Affairs Specialist II 5677 Airline Road Arlington, Tennessee 38002

August 13, 2019

Re: K171181

Trade/Device Name: PROCOTYL® PRIME E-CLASS™ XLPE Liner Regulation Number: 21 CFR 888.3353 Regulation Name: Hip joint metal/ceramic/polymer semi-constrained cemented or nonporous uncemented prosthesis Regulatory Class: Class II Product Code: LZO, OQI, LPH, OQG Dated: July 28, 2017 Received: August 1, 2017

Dear Ms. Stroupe:

This letter corrects our substantially equivalent letter of August 28, 2017.

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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.

1

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 of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely.

Vesa Vuniqi Date: 2019.08.13 -S - - -15:02:35 -04'00'

Vesa Vuniqi Assistant Director DHT6A: Division of Joint Arthroplasty Devices OHT6: Office of Orthopedic Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known)

K171181

Device Name PROCOTYL® PRIME E-CLASS™ XLPE Liner

Indications for Use (Describe)

PROCOTYL® PRIME hip system is intended for use in total hip arthroplasty for reduction or relief of pain and/or improved hip function in skeletally mature patients.

Indications for Use

  1. non-inflammatory degenerative joint disease such as osteoarthritis, avascular necrosis, ankyloses, protrusion acetabuli. and painful hip dysplasia:

  2. inflammatory degenerative joint disease such as rheumatoid arthritis;

  3. correction of functional deformity; and,

  4. revision procedures where other treatments or devices have failed.

Shells with BIOFOAM® metal foam coating are intended only for uncemented arthroplasty.

Type of Use (Select one or both, as applicable)
---------------------------------------------------

X Prescription Use (Part 21 CFR 801 Subpart D)

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

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

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"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

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Image /page/3/Picture/1 description: The image contains the logo for MicroPort Orthopedics. The logo consists of a blue square with rounded corners, inside of which is a white circle containing a red diamond shape. To the right of the square is the word "MicroPort" in blue, with the word "Orthopedics" in red underneath. Below that is the phrase "Full Function, Faster" in blue.

510(k) Summary

In accordance with the Food and Drug Administration Rule to implement provisions of the Safe Medical Devices Act of 1990 and in conformance with 21 CFR 807, this information serves as a Summary of Substantial Equivalence for the PROCOTYL® PRIME E-CLASS™ XLPE Liner.

| Submitted by: | MicroPort Orthopedics Inc.
5677 Airline Rd, Arlington TN, 38002
Phone: 866-872-0211
Fax: 855-446-2247 |
|--------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------|
| Date: | August 25, 2017 |
| Contact Person: | Sarah Evonne Stroupe
Regulatory Affairs Specialist II |
| Proprietary Name: | PROCOTYL® PRIME E-CLASS™ XLPE Liner |
| Common Name: | Acetabular Liner |
| Classification Name and Reference: | 21 CFR 888.3353 LZO/OQI
Hip joint metal/ceramic/polymer semi constrained
cemented or nonporous, uncemented prosthesis
Class II |
| Classification Name and Reference: | 21 CFR 888.3358 LPH/OQG
Hip joint metal/polymer/metal semi-constrained
porous-coated uncemented prosthesis
Class II |
| Subject Product Code and Panel Code: | Orthopedics/87/LZO/LPH/OQG/OQI |
| Primary Predicate Device: | PROCOTYL® PRIME Acetabular
Cup
System (K170444) |
| Additional Predicate Devices: | LINEAGE® Acetabular System (K002149 and
K052026) |
| Additional Predicate Devices: | DYNASTY® Acetabular System (K082924,
K061547, and K070785) |
| Reference Device: | StelKast's EXp Acetabular Liner (K094035, Models
SC3342 Non-Hooded 28mm, SC3343 Hooded
28mm) |

4

Image /page/4/Picture/1 description: The image shows the logo for MicroPort Orthopedics. The logo features a blue square with rounded corners, inside of which is a white circle containing a red four-pointed star. To the right of the square is the text "MicroPort" in blue, with "Orthopedics" in red below it. Below that is the text "Full Function, Faster" in blue.

DEVICE INFORMATION

A. Intended Use

The PROCOTYL® PRIME E-CLASS™ XLPE Liner is intended for use in total hip arthroplasty for reduction or relief of pain and/or improved hip function in skeletally mature patients. This device is indicated for the following conditions:

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

Shells with BIOFOAM® metal foam coating are intended only for uncemented arthroplasty.

B. Device Description

The PROCOTYL® PRIME E-CLASS™ XLPE Liner is an additional liner option for MicroPort Orthopedics' PROCOTYL® PRIME Acetabular Cup System (K170444). The design features are summarized below:

  • Manufactured from E-CLASS™ vitamin E blended highly crosslinked ultra high . molecular weight polyethylene (VEXLPE) conforming to ASTM F2695-12
  • Available in Standard, Lipped, or Face-Changing Lateralized Configurations .
  • Inner Diameter sizes 22mm to 44mm o

C. Substantial Equivalence Information

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

D. Nonclinical Testing

The following nonclinical testing was performed to evaluate the E-CLASS™ material and design of the finished product.

5

Image /page/5/Picture/1 description: The image contains the logo for MicroPort Orthopedics. The logo features a blue square with rounded corners, inside of which is a white circle containing a red diamond shape. To the right of the square is the text "MicroPort" in blue, with "Orthopedics" in red below it. Underneath the company name is the tagline "Full Function, Faster" in a smaller, blue font.

The subject Acetabular Liner underwent material properties testing to compare its properties to those of currently marketed UHMWPE.

The subject Acetabular Liner was evaluated for bacterial endotoxins and found to be less than the USP endotoxin limit of 20 EU/device.

The subject Acetabular Liner underwent pre- and post-fatigue push-out, lever-out, and torque-out testing to evaluate its lock detail.

The subject Acetabular Liner underwent frictional torque testing to evaluate properties under pinch-loading conditions.

The subject Acetabular Liner complete long term axial cyclic loading to evaluate the subject Acetabular Liner's mechanical integrity and fatigue resistance properties.

The subject Acetabular Liner underwent impingement testing to evaluate its mechanical integrity during lip impingement in a fatigue loading profile.

The subject Acetabular Liner underwent wear testing to determine the wear rate. A wear particle analysis was performed on the wear debris.

Additionally, a range of motion study was performed for the PROCOTYL® PRIME Acetabular Cup System, originally submitted as part of K170444.

E. Clinical Testing

Clinical data was not provided for the subject devices.

F. Biocompatibility

Both bench and animal studies were performed to evaluate the biocompatibility of the E-CLASS™ material.

The E-CLASS™ material underwent an extractables study to determine it's the irritant potential of the material and to compare this potential to currently marketed Vitamin E UHMWPE.

The E-CLASS™ material underwent cytotoxicity testing, performed using cell monolayers, to determine the irritant potential of the material.

6

Image /page/6/Picture/1 description: The image contains the logo for MicroPort Orthopedics. The logo consists of a blue square with rounded corners, inside of which is a white circle containing a red diamond shape. To the right of the square is the word "MicroPort" in a large, bold, blue font. Below that is the word "Orthopedics" in a smaller, red font, and below that is the phrase "Full Function, Faster" in a smaller, blue font.

The E-CLASS™ material underwent irritation and sensitization studies, performed on animal specimens, to determine the irritant and allergenic potential of the material.

No biocompatibility testing was performed for the associated instrumentation, as all associated instruments have been previously cleared.

G. Component and Accessory Compatibility

The PROCOTYL® PRIME E-CLASS™ XLPE Liner may be used with PROCOTYL® PRIME Acetabular Cup System Acetabular Shells and Instrumentation (K170444).

The PROCOTYL® PRIME E-CLASS™ XLPE Liners may be used with previously cleared MicroPort Femoral Heads.

Table 1 shows the compatibility of the subject Acetabular Liner with previously cleared MicroPort Orthopedics products.

510(k)Intended Combinations
with Femoral Heads (up to 44mm)
K893685Ceramic-Polyethylene with ID 28-36mm**
K920593Ceramic-Polyethylene, OD 28mm
K925512Ceramic-Polyethylene, OD 28mm
K932222Metal-Polyethylene, OD 28mm XXL
K002149Metal-Polyethylene with ID 22-32mm
K021349*Metal-Polyethylene with ID 38-56mm
K004043*Metal-Polyethylene with ID 28-36mm
K051348*Metal-Polyethylene with ID 38-56mm
K072656Ceramic-Polyethylene with ID 38-46mm with neck sleeves
K130376Ceramic-Polyethylene with ID 32-40mm
K140043Ceramic-Polyethylene with ID 28mm
with Acetabular Shells
K170444Quad and Solid Acetabular Shells
with Instrumentation
K170444Acetabular Liner Trials

Table 1: Subject Acetabular Liners Compatibility

*Metal femoral heads in K021349, K004043 and K051348 were originally cleared for use with metal-metal bearings, and later cleared for compatibility with DYNASTY® A-CLASS® polyethylene liners in K070785.

**36mm Forte Ceramic heads were originally cleared for use in PMA P030027, and later cleared for compatibility with PROCOTYL® L / O Acetabular System in K142119.

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Image /page/7/Picture/0 description: The image shows the logo for MicroPort Orthopedics. The logo consists of a blue square with rounded corners, inside of which is a white circle containing a red star-like shape. To the right of the square is the word "MicroPort" in blue, with the word "Orthopedics" in red underneath. Below that is the phrase "Full Function. Faster."

H. Conclusion

The indications for use and fundamental scientific technology of the PROCOTYL® PRIME E-CLASS™ XLPE Liner are similar to the predicate and reference devices. The materials of the subject device are considered to be substantially equivalent to the predicate and reference devices. The design features, materials information, predicate and subject testing, and analysis provided in the Master File support the substantial equivalence of the PROCOTYL® PRIME E-CLASS™ XLPE Liner.

MicroPort Orthopedics BV Hoogoorddreef 5, 1101 BA Amsterdam, The Netherlands +31 20 545 01 00