K Number
K191816
Device Name
M-Vizion Femoral Revision System Extension
Date Cleared
2020-04-29

(299 days)

Product Code
Regulation Number
888.3353
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The hip prosthesis M-Vizion is designed for cementless use in total or partial hip arthroplasty in primary or revision surgery. Hip Replacement is indicated in the following cases: · Severely painful and/or disabled joint as a result of arthritis, traumatoid polyarthritis, or congenital hip dysplasia. - · Avascular necrosis of the femoral head. · Acute traumatic fracture of the femoral head or neck. · Failure of previous hip surgery: joint reconstruction, arthrodesis, hemiarthroplasty, surface replacement arthroplasty, or total hip replacement.
Device Description
The M-Vizion Femoral Revision System is modular cementless stem intended to be used for hip arthroplasty, primary or revision. The system is composed of proximal body, distal stem and locking screw. The proximal body and the distal stem are intended to be assembled together on a conical coupling and tightened by the locking screw. The proximal body is made of titanium alloy (Ti6Al7Nb) according to ISO 5832-11 Second Edition 2014-09-15: Implants for Surgery - Metallic Materials - Part 11: Wrought Titanium 6-Aluminium 7-Niobium Alloy and coated with a titanium coating, TiGrowth®-C (Medacta commercial name: Mectagrip). The distal stem is a straight stem made of titanium alloy and the principal feature consists of shard fins that potentially increase the rotation stability. The locking screw is made of titanium alloy and coated with TiNbN.
More Information

Not Found

No
The summary describes a mechanical hip prosthesis and its materials, with performance testing focused on mechanical properties and fatigue. There is no mention of AI, ML, image processing, or data analysis that would indicate the use of such technologies.

Yes
The device, a hip prosthesis, is used to replace a damaged hip joint, which aligns with the definition of a therapeutic device as it treats or alleviates a medical condition.

No

This device is a hip prosthesis, which is an implant used for replacement surgery, not a tool for diagnosing medical conditions. The "Intended Use" section clearly states it's for "total or partial hip arthroplasty."

No

The device description clearly states it is a modular cementless stem for hip arthroplasty, composed of physical components made of titanium alloy. This is a hardware medical 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 that the device is a hip prosthesis designed for surgical implantation in total or partial hip arthroplasty. This is a surgical procedure performed directly on the patient's body.
  • Device Description: The device description details the physical components of a hip implant (proximal body, distal stem, locking screw) and the materials used. These are all components of a surgically implanted device.
  • Lack of IVD Characteristics: An IVD is a medical device used to perform tests on samples taken from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening. The provided information does not mention any testing of samples or diagnostic purposes.
  • Performance Studies: The performance studies described are related to the mechanical properties and durability of the implant itself (fatigue testing, pull-off force testing, coating characterization), not the analysis of biological samples.

Therefore, the M-Vizion Femoral Revision System is a surgically implanted medical device, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The hip prosthesis M-Vizion is designed for cementless use in total or partial hip arthroplasty in primary or revision surgery.

Hip Replacement is indicated in the following cases:

· Severely painful and/or disabled joint as a result of arthritis, traumatoid polyarthritis, or congenital hip dysplasia.

  • · Avascular necrosis of the femoral head.
    · Acute traumatic fracture of the femoral head or neck.

· Failure of previous hip surgery: joint reconstruction, arthrodesis, hemiarthroplasty, surface replacement arthroplasty, or total hip replacement.

Product codes

LZO, KWY

Device Description

The M-Vizion Femoral Revision System is modular cementless stem intended to be used for hip arthroplasty, primary or revision. The system is composed of proximal body, distal stem and locking screw. The proximal body and the distal stem are intended to be assembled together on a conical coupling and tightened by the locking screw.

The proximal body is made of titanium alloy (Ti6Al7Nb) according to ISO 5832-11 Second Edition 2014-09-15: Implants for Surgery - Metallic Materials - Part 11: Wrought Titanium 6-Aluminium 7-Niobium Alloy and coated with a titanium coating, TiGrowth®-C (Medacta commercial name: Mectagrip). The distal stem is a straight stem made of titanium alloy and the principal feature consists of shard fins that potentially increase the rotation stability. The locking screw is made of titanium alloy and coated with TiNbN.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

hip

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

Non-Clinical Studies:

  • Engineering Rationale: A comparative analysis was performed to determine if new sizes introduced new worst-case conditions. It was determined that the subject stems are substantially equivalent to previously cleared stems in terms of mechanical strength as new Proximal Body sizes keep the same geometry of the neck and head conical connection of the current ø20 mm (Primary predicate K170690) and differ only for the cylindrical body external diameter and length. The new Distal Stem sizes only differ from the predicate devices in regards to diameters and/or length. No additional mechanical testing or design validation was undertaken as the additional sizes do not represent a worst case scenario for any of the mechanical characteristics tested for the already cleared predicate devices.
  • Performance Tests (for predicate M-Vizion Femoral Revision System devices, K170690, using worst-case device):
    • Range of motion (ROM): EN ISO 21535:2009 Non-Active Surgical Implants -Joint Replacement Implants - Specific Requirements For Hip-Joint Replacement Implants;
    • Shaft fatigue testing: ISO 7206-4 Third Edition 2010-06-15 Implants for surgery -Partial and total hip joint prostheses - Part 4: Determination of endurance properties and performance of stemmed femoral components [Including AMENDMENT 1 (2016)];
    • modular conical connection fatigue test;
    • post fatigue fretting corrosion analysis;
    • Neck fatigue testing: ISO 7206-6 Second edition 2013-11-15 Implants For Surgery Partial And Total Hip Joint Prostheses - Part 6: Determination Of Endurance Properties Of Head And Neck Region Of Stemmed Femoral Components;
    • Pull off force testing: ASTM F2009-00 (Reapproved 2011) Standard Test Method for Determining the Axial Disassembly Force of Taper Connections of Modular Prostheses; and
    • coating characterization tests: characterization report of titanium coating on Ti6A17Nb substrates for orthopedic; and characterization report of TiNbN coating on cobalt chrome, titanium alloy, and stainless steel substrates for orthopedic.
      Clinical Studies:
  • No clinical studies were conducted.

Key Results: The data and information provided in K170690 supports the conclusion that the M-Vizion Femoral Revision System Extension devices are safe and effective and conform to applicable standards and FDA guidance. The subject devices do not represent a new worst case when compared to the previously cleared devices (K170690).

Key Metrics

Not Found

Predicate Device(s)

M-Vizion Femoral Revision System, K170690, Revision Femoral Stem, K151739

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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 shows 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.

April 29, 2020

Medacta International SA % Chris Lussier Director, Quality and Regulatory Medacta USA 3973 Delp Street Memphis, Tennessee 38118

Re: K191816

Trade/Device Name: M-Vizion Femoral Revision System Extension 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, KWY Dated: April 27, 2020 Received: April 28, 2020

Dear Chris Lussier:

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.

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

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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 (OS) 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, MS Acting 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

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Indications for Use

510(k) Number (if known)

K191816

Device Name M-Vizion Femoral Revision System Extension

Indications for Use (Describe)

The hip prosthesis M-Vizion is designed for cementless use in total or partial hip arthroplasty in primary or revision surgery.

Hip Replacement is indicated in the following cases:

· Severely painful and/or disabled joint as a result of arthritis, traumatoid polyarthritis, or congenital hip dysplasia.

  • · Avascular necrosis of the femoral head.
    · Acute traumatic fracture of the femoral head or neck.

· Failure of previous hip surgery: joint reconstruction, arthrodesis, hemiarthroplasty, surface replacement arthroplasty, or total hip replacement.

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)

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K191816

510(k) Summary

I. Submitter

Medacta International SA Strada Regina 6874 Castel San Pietro (CH) Switzerland Phone (+41) 91 696 60 60 Fax (+41) 91 696 60 66

Contact Person: Stefano Baj, Regulatory Affairs Manager, Medacta International SA Date Prepared: Jul 3, 2019

II. Device

Device Proprietary Name:M-Vizion Femoral Revision System Extension
Common or Usual Name:Hip Prosthesis
Classification Name:Prosthesis, Hip, Semi-Constrained, Metal/Ceramic/Polymer,
Cemented or Non-Porous, Uncemented
Primary Product Code:LZO
Secondary Product Code:KWY
Regulation Number:21 CFR 888.3353, 21CFR 888.3390
Device ClassificationII

III. Predicate Device

Substantial equivalence is claimed to the following devices:

Primary Predicate:

  • M-Vizion Femoral Revision System, K170690, Medacta International SA ●
    Secondary Predicate:

  • Revision Femoral Stem, K151739, Limacoporate S.p.A. ●

IV. Device Description

The M-Vizion Femoral Revision System is modular cementless stem intended to be used for hip arthroplasty, primary or revision. The system is composed of proximal body, distal stem and locking screw. The proximal body and the distal stem are intended to be assembled together on a conical coupling and tightened by the locking screw.

4

The proximal body is made of titanium alloy (Ti6Al7Nb) according to ISO 5832-11 Second Edition 2014-09-15: Implants for Surgery - Metallic Materials - Part 11: Wrought Titanium 6-Aluminium 7-Niobium Alloy and coated with a titanium coating, TiGrowth®-C (Medacta commercial name: Mectagrip). The distal stem is a straight stem made of titanium

alloy and the principal feature consists of shard fins that potentially increase the rotation stability. The locking screw is made of titanium alloy and coated with TiNbN.

The M-Vizion Femoral Revision System Extension devices are substantially equivalent to Medacta primary predicate M-Vizion Femoral Revision System (K170690) and to the secondary competitor predicate device Limacoporate S.p.A. Revision Femoral Stem (K151739).

V. Indications for Use

The hip prosthesis M-Vizion is designed for cementless use in total or partial hip arthroplasty in primary or revision surgery.

Hip Replacement is indicated in the following cases:

  • Severely painful and/or disabled joint as a result of arthritis, traumatic arthritis, rheumatoid polyarthritis, or congenital hip dysplasia.
  • Avascular necrosis of the femoral head. ●
  • Acute traumatic fracture of the femoral head or neck. ●
  • . Failure of previous hip surgery: joint reconstruction, internal fixation, arthrodesis, hemiarthroplasty, surface replacement arthroplasty, or total hip replacement.

VI. Comparison of Technological Characteristics

The M-Vizion Femoral Revision System Extension and the predicate devices share the following characteristics:

  • Indications for Use ●
  • Materials ●
  • Design ●
  • Sterility ●
  • Coating ●
  • Device Usage ●

The M-Vizion Femoral Revision System Extension is technologically different from the predicate devices as follows:

  • . Sizes
  • Lengths ●
  • Diameters ●

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Discussion

As seen above, the M-Vizion Femoral Revision System Extension implants are substantially equivalent to the predicate devices in terms of design; materials; coating; device usage; sterility; and indication for use.

The only difference between the subject and predicate devices are the new Proximal Body diameters and Distal Stem diameters and lengths (bigger and longer). These differences don't introduce any worst case condition from a clinical point of view or regarding the biomechanical performance of the implants. The new feature has been designed in order to increase the product range. This technological difference does not raise new questions of safety or effectiveness and a comparison evaluation shows there are no new risks associated with the subject device design.

Biocompatibility evaluation provided for Medacta's predicate device M-Vizion Femoral Revision System, (K170690) for the same materials, support the biological safety of the M-Vizion Femoral Revision System Extension devices.

VII. Performance Data

  • . Engineering Rationale
    A comparative analysis of the subject devices to the identified predicate devices was performed to determine if the new sizes introduced created any new worst-case product size. It was determined that the subject stems are substantially equivalent to the previously cleared stems in terms of mechanical strength as new Proximal Body sizes keep the same geometry of the neck and head conical connection of the current ø20 mm (Primary predicate K170690) and differ only for the cylindrical body external diameter and length. Considering the new Distal Stem sizes, they only differ from the predicate devices in regards to the diameters and/or length. As the additional sizes do not represent a worst case scenario the any of the mechanical characteristic tested for the already cleared predicate devices, no additional mechanical testing or design validation was undertaken.

The predicate M-Vizion Femoral Revision System devices (cleared under K170690) were tested using the worst-case device for each of the following tests:

Non-Clinical Studies

  • . Performance Tests
    • o Range of motion (ROM): EN ISO 21535:2009 Non-Active Surgical Implants -Joint Replacement Implants - Specific Requirements For Hip-Joint Replacement Implants;
    • 0 Shaft fatigue testing: ISO 7206-4 Third Edition 2010-06-15 Implants for surgery -Partial and total hip joint prostheses - Part 4: Determination of endurance properties and performance of stemmed femoral components [Including AMENDMENT 1 (2016)];

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  • modular conical connection fatigue test, and
  • post fatigue fretting corrosion analysis.
  • o Neck fatigue testing: ISO 7206-6 Second edition 2013-11-15 Implants For Surgery Partial And Total Hip Joint Prostheses - Part 6: Determination Of Endurance Properties Of Head And Neck Region Of Stemmed Femoral Components;
  • o Pull off force testing: ASTM F2009-00 (Reapproved 2011) Standard Test Method for Determining the Axial Disassembly Force of Taper Connections of Modular Prostheses: and
  • coating characterization tests:
    • characterization report of titanium coating on Ti6A17Nb substrates for . orthopedic; and
    • characterization report of TiNbN coating on cobalt chrome, titanium alloy, . and stainless steel substrates for orthopedic.

Non-Clinical Studies

  • . No clinical studies were conducted.
    The subject devices do not represent a new worst case when compared to the previously cleared devices (K170690) [see section 17.0 Performance Testing - Bench].

The data and information provided in K170690 supports the conclusion that the M-Vizion Femoral Revision System Extension devices are safe and effective and conform to applicable standards and FDA guidance.

VIII. Conclusion

The information provided above supports that the M-Vizion Femoral Revision System Extension is as safe and effective as the predicate devices. Therefore, it is concluded that the M-Vizion Femoral Revision System Extension is substantially equivalent to the predicate devices.