K Number
K191963
Device Name
SMR Finned Short Stems
Date Cleared
2019-10-10

(79 days)

Product Code
Regulation Number
888.3670
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The SMR Shoulder System is intended for partial or total, primary or revision shoulder joint replacement. The SMR Anatomic Shoulder System is indicated for partial or total, primary or revision shoulder joint replacement in patients suffering from disability due to: - non-inflammatory degenerative joint disease including osteoarthritis and avascular necrosis; - inflammatory degenerative joint disease such as rheumatoid arthritis; - treatment of acute fractures of the humeral head that cannot be treated with other fracture fixation methods; - revision of a failed primary implant; in case of SMR Short Stems only if sufficient bone stock remains; - cuff tear arthropathy (CTA Heads only); - glenoid arthrosis without excessive glenoid bone loss: A1, A2 and B1 according to Walch classification (SMR TT Hybrid Glenoid only). The SMR Reverse Shoulder System is indicated for primary, fracture or revision total shoulder replacement in a grossly rotator cuff deficient joint with severe arthropathy (disabled shoulder). The patient's joint must be anatomically and structurally suited to receive the selected implants and a functional deltoid muscle is necessary to use the device. The SMR TT Hybrid Glenoid Reverse Baseplate must not be used in cases of excessive glenoid bone loss and/or when bone graft is needed. The Modular SMR Shoulder System allows the assembly of components in various humeral and glenoid constructs. The constructs are intended for cemented use as specified in the following table. In the Anatomic shoulder the humeral construct consists of the humeral stem, the humeral body, the adaptor taper and the humeral head. In the Reverse shoulder the humeral construct consists of the humeral stem, the reverse humeral body and the reverse liner. On the humeral side the fixation of the humeral stem determines if the construct is cemented or uncemented. The Anatomic glenoid construct consists of an all polyethylene glenoid, a polyethylene glenoid with metal peg or a metal back assembled with a liner; the Reverse glenoid consists of a metal back/connector/glenosphere construct or of a peg/baseplate/glenosphere construct. On the glenoid side, the fixation of the all polyethylene glenoid, the polyethylene glenoid with metal peg or the metal back determines if the construct is cemented or uncemented.
Device Description
The 45mm length SMR Finned Short Stems are available in 13 diameters and are for coupling with previously cleared Reverse Humeral Bodies (K110598) or Humeral Bodies (K100858, K101263); they are manufactured from Ti6Al4V alloy (ASTM F1472 - ISO 5832-3) and are characterized by a male taper.
More Information

No
The document describes a mechanical shoulder implant system and its components, with no mention of software, algorithms, or data processing that would indicate the use of AI or ML.

Yes
The SMR Shoulder System is a joint replacement device intended to treat conditions like degenerative joint disease and fractures, which directly alleviate symptoms and restore function in patients, thus qualifying it as a therapeutic device.

No

The device is a shoulder joint replacement system, which is used for treatment (surgical implantation) rather than diagnosis.

No

The device description clearly states it is a physical implant (humeral stems) made from Ti6Al4V alloy, intended for surgical implantation. It is a hardware device, not software.

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

Here's why:

  • Intended Use: The intended use clearly describes a surgical implant for replacing a shoulder joint. This is a therapeutic device, not a diagnostic one.
  • Device Description: The description details the materials and components of a shoulder implant.
  • Lack of Diagnostic Elements: There is no mention of analyzing samples from the human body (like blood, urine, tissue) to provide diagnostic information.
  • Focus on Mechanical Performance: The performance studies focus on mechanical testing of the implant's strength and durability, which is typical for surgical devices.

IVD devices are used to examine specimens derived from the human body to provide information for the diagnosis, prevention, monitoring, treatment, or alleviation of disease. This device does not fit that description.

N/A

Intended Use / Indications for Use

The SMR Shoulder System is intended for partial or total, primary or revision shoulder joint replacement.

The SMR Anatomic Shoulder System is indicated for partial or total, primary or revision shoulder joint replacement in patients suffering from disability due to:

  • non-inflammatory degenerative joint disease including osteoarthritis and avascular necrosis;
  • inflammatory degenerative joint disease such as rheumatoid arthritis; ●
  • treatment of acute fractures of the humeral head that cannot be treated with other fracture fixation methods;
  • revision of a failed primary implant; in case of SMR Short Stems only if sufficient bone stock remains;
  • 0 cuff tear arthropathy (CTA Heads only);
  • glenoid arthrosis without excessive glenoid bone loss: A1, A2 and B1 according to Walch 0 classification (SMR TT Hybrid Glenoid only).

The SMR Reverse Shoulder System is indicated for primary, fracture or revision total shoulder replacement in a grossly rotator cuff deficient joint with severe arthropathy (disabled shoulder). The patient's joint must be anatomically and structurally suited to receive the selected implants and a functional deltoid muscle is necessary to use the device.

The SMR TT Hybrid Glenoid Reverse Baseplate must not be used in cases of excessive glenoid bone loss and/or when bone graft is needed.

The Modular SMR Shoulder System allows the assembly of components in various humeral and glenoid constructs. The constructs are intended for cemented use as specified in the following table.

In the Anatomic shoulder the humeral construct consists of the humeral stem, the humeral body, the adaptor taper and the humeral head. In the Reverse shoulder the humeral construct consists of the humeral stem, the reverse humeral body and the reverse liner. On the humeral side the fixation of the humeral stem determines if the construct is cemented or uncemented.

The Anatomic glenoid construct consists of an all polyethylene glenoid, a polyethylene glenoid with metal peg or a metal back assembled with a liner; the Reverse glenoid consists of a metal back/connector/glenosphere construct or of a peg/baseplate/glenosphere construct.

On the glenoid side, the fixation of the all polyethylene glenoid, the polyethylene glenoid with metal peg or the metal back determines if the construct is cemented or uncemented.

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

MBF, PHX, KWS, KWT, HSD

Device Description

The 45mm length SMR Finned Short Stems are available in 13 diameters and are for coupling with previously cleared Reverse Humeral Bodies (K110598) or Humeral Bodies (K100858, K101263); they are manufactured from Ti6Al4V alloy (ASTM F1472 - ISO 5832-3) and are characterized by a male taper.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Shoulder joint, humeral head, glenoid

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)

Mechanical tests demonstrated that device performance fulfilled the intended use and that the devices is substantially equivalent to the predicate devices.

Mechanical testing was performed on worst case components or constructs identified through FE analysis:

  • fatigue-fretting behaviour of the new SMR Finned Short Stems; ●
  • . evaluation of residual torque of the safety screw and push-out force of the coupling between stem and humeral body.

Clinical testing was not necessary to demonstrate substantial equivalence of the new SMR Finned Short Stems to the predicate devices.

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.

K101263, K060692, K122698

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.

K110598, K100858

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

§ 888.3670 Shoulder joint metal/polymer/metal nonconstrained or semi-constrained porous-coated uncemented prosthesis.

(a)
Identification. A shoulder joint metal/polymer/metal nonconstrained or semi-constrained porous-coated uncemented prosthesis is a device intended to be implanted to replace a shoulder joint. The device limits movement in one or more planes. It has no linkage across-the-joint. This generic type of device includes prostheses that have a humeral component made of alloys such as cobalt-chromium-molybdenum (Co-Cr-Mo) and titanium-aluminum-vanadium (Ti-6Al-4V) alloys, and a glenoid resurfacing component made of ultra-high molecular weight polyethylene, or a combination of an articulating ultra-high molecular weight bearing surface fixed in a metal shell made of alloys such as Co-Cr-Mo and Ti-6Al-4V. The humeral component and glenoid backing have a porous coating made of, in the case of Co-Cr-Mo components, beads of the same alloy or commercially pure titanium powder, and in the case of Ti-6Al-4V components, beads or fibers of commercially pure titanium or Ti-6Al-4V alloy, or commercially pure titanium powder. The porous coating has a volume porosity between 30 and 70 percent, an average pore size between 100 and 1,000 microns, interconnecting porosity, and a porous coating thickness between 500 and 1,500 microns. This generic type of device is designed to achieve biological fixation to bone without the use of bone cement.(b)
Classification. Class II (special controls). The special control for this device is FDA's “Class II Special Controls Guidance: Shoulder Joint Metal/Polymer/Metal Nonconstrained or Semi-Constrained Porous-Coated Uncemented Prosthesis.”

0

October 10, 2019

Image /page/0/Picture/1 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services seal on the left and the FDA acronym with the full name of the agency on the right. The seal features an eagle with outstretched wings, while the FDA part has the acronym in a blue square and the words "U.S. FOOD & DRUG ADMINISTRATION" in blue letters.

LimaCorporate S.p.A % Stephen Peoples President Peoples & Associates Consulting LLC 5010 Lodge Pole Lane Fort Wayne, Indiana 46814

Re: K191963

Trade/Device Name: SMR Finned Short Stems Regulation Number: 21 CFR 888.3670 Regulation Name: Shoulder Joint Metal/Polymer/Metal Nonconstrained Or Semi-Constrained Porous-Coated Uncemented Prosthesis Regulatory Class: Class II Product Code: MBF, PHX, KWS, KWT, HSD Dated: July 12, 2019 Received: July 23, 2019

Dear Stephen Peoples:

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

1

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 medical devices and radiation-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,

for Michael Owens 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

2

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: 06/30/2020 See PRA Statement below.

510(k) Number (if known) K191963

Device Name SMR Finned Short Stems

Indications for Use (Describe)

The SMR Shoulder System is intended for partial or total, primary or revision shoulder joint o replacement.

The SMR Anatomic Shoulder System is indicated for partial or total, primary or revision shoulder joint replacement in patients suffering from disability due to:

  • non-inflammatory degenerative joint disease including osteoarthritis and avascular necrosis; 0
  • inflammatory degenerative joint disease such as rheumatoid arthritis; ●
  • treatment of acute fractures of the humeral head that cannot be treated with other fracture fixation O methods;
  • revision of a failed primary implant; in case of SMR Short Stems only if sufficient bone stock O remains;
  • 0 cuff tear arthropathy (CTA Heads only);
  • glenoid arthrosis without excessive glenoid bone loss: A1, A2 and B1 according to Walch 0 classification (SMR TT Hybrid Glenoid only).

The SMR Reverse Shoulder System is indicated for primary, fracture or revision total shoulder replacement in a grossly rotator cuff deficient joint with severe arthropathy (disabled shoulder). The patient's joint must be anatomically and structurally suited to receive the selected implants and a functional deltoid muscle is necessary to use the device.

The SMR TT Hybrid Glenoid Reverse Baseplate must not be used in cases of excessive glenoid bone loss and/or when bone graft is needed.

The Modular SMR Shoulder System allows the assembly of components in various humeral and glenoid constructs. The constructs are intended for cemented use as specified in the following table.

In the Anatomic shoulder the humeral construct consists of the humeral stem, the humeral body, the adaptor taper and the humeral head. In the Reverse shoulder the humeral construct consists of the humeral stem, the reverse humeral body and the reverse liner. On the humeral side the fixation of the humeral stem determines if the construct is cemented or uncemented.

The Anatomic glenoid construct consists of an all polyethylene glenoid, a polyethylene glenoid with metal peg or a metal back assembled with a liner; the Reverse glenoid consists of a metal back/connector/glenosphere construct or of a peg/baseplate/glenosphere construct.

On the glenoid side, the fixation of the all polyethylene glenoid, the polyethylene glenoid with metal peg or the metal back determines if the construct is cemented or uncemented.

3

SystemUse
ARComponentsMaterialCemNot
Cem
SMR Stems (Cemented, Cemented
Revision)Ti6Al4VX
SMR Stems (Cementless Finned,
Cementless Revision)Ti6Al4VX
SMR Short Stems (Cementless Finned)Ti6Al4VX
SMR Humeral Bodies (Trauma, Finned)Ti6Al4VXX
SMR Reverse Humeral BodyTi6Al4VXX
Humeral ExtensionTi6Al4VXX
SMR Humeral Heads (Standard*, CTA)CoCrMoXX
SMR Adaptor Tapers (Neutral, Eccentric)Ti6Al4VXX
SMR CTA Head Adaptor for Reverse
Humeral BodyTi6Al4VXX
SMR GlenospheresCoCrMoX
SMR Connectors*Ti6Al4VX
Reverse LinersUHMWPEXX
SMR Cemented GlenoidsUHMWPEX
SMR 3 Pegs Cemented GlenoidsUHMWPEX
*SMR TT Hybrid GlenoidUHMWPE+Ti6Al4V+TaXX
SMR TT Hybrid Glenoid Reverse
Baseplate + ScrewTi6Al4VX
SMR Metal Back GlenoidsTi6Al4V+PoroTiX*X*
SMR TT BaseplateTi6Al4VX*X*
SMR TT Glenoid PegTi6Al4VXX
SMR Metal Back LinerUHMWPEX*X*
*SMR Bone screwsTi6Al4VX

5834-2 - ASTM F648) - PoroTi Titanium Coating (ASTM F1580) - Ta (ISO13782 - ASTM F560)

A= Anatomic / R=Reverse

*NOTES:

  • In the US, the SMR Metal Backed Glenoid/Liner construct, used as part of the SMR 0 Anatomic Shoulder Replacement, is intended for use with bone cement and should be used without bone screws.
  • The SMR Metal Backed Glenoid/Connector/Glenosphere construct, used as part of the 0 SMR Reverse Shoulder replacement, is intended for uncemented use with the addition of screws for fixation.
  • 0 SMR Lateralized Connectors are not indicated for use with glenoid bone grafting techniques.
  • In the US the SMR TT Metal Back Baseplate used as part of the O SMR Anatomic Shoulder Replacement, is intended for use with bone cement and should be used without bone screws; while when used as part of the SMR Reverse Shoulder replacement, is intended for uncemented use with the addition of screws for fixation.

4

  • If a SMR TT Hybrid Glenoid is in place and revision to a reverse prosthesis is required, ● the patient can be revised by removing the polyethylene baseplate, leaving the metal peg in place and by connecting it to the SMR TT Hybrid Glenoid Reverse Baseplate. The SMR TT Hybrid Glenoid Reverse Baseplate is intended for uncemented use with the addition of screws for fixation.
  • The Dia. 50, 52 and 54mm Humeral Heads with + 3mm increased height cannot be coupled to the Long Adaptor Tapers (both concentric and eccentric). The Dia. 52 and 54mm Humeral Heads with + 2mm increased height cannot be coupled to the Long Adaptor Tapers (both concentric and eccentric).
And Annual Comments of Children Comments of Children Comments of Children Comments of Children Comments of Children Comments of Children Comments of Children Comments of Chil
Type of Use (Select one or both, as applicable)

Prescription Use (Part 21 CFR 801 Subpart D)

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5

Summary of Safety and Effectiveness

Date: July 12, 2019

Manufacturer: Limacorporate S.p.A. Via Nazionale, 52 33038 - Villanova di San Daniele Udine - Italy

U.S. Contact Person: Dr. Stephen J. Peoples Principal Consultant SPeoplesVMD@gmail.com PEOPLES & ASSOCIATES CONSULTING, LLC 411 Auditorium Blvd. Winona Lake, IN 46590 Phone: 260-645-0327 FAX: +39 0432945512

ProductProduct CodeRegulation and Classification Name
MBFProsthesis, Shoulder, Semi-Constrained,
Metal/Polymer, Uncemented per 21 CFR
888.3670
HSDProsthesis, Shoulder, Hemi-, Humeral,
Metallic Uncemented per 21 CFR 888.3690
SMR Finned Short Stems
(included in SMR
Shoulder System)PHXShoulder Prosthesis, Reverse Configuration
per 21 CFR 888.3660
KWSProsthesis, Shoulder, Semi-Constrained,
Metal/Polymer Cemented per 21 CFR
888.3660
KWTProsthesis, Shoulder, Non-Constrained,
Metal/Polymer Cemented per 21 CFR
888.3650

Description:

The 45mm length SMR Finned Short Stems are available in 13 diameters and are for coupling with previously cleared Reverse Humeral Bodies (K110598) or Humeral Bodies (K100858, K101263); they are manufactured from Ti6Al4V alloy (ASTM F1472 - ISO 5832-3) and are characterized by a male taper.

Intended Use:

The SMR Shoulder System is intended for partial or total, primary or revision shoulder joint replacement.

The SMR Anatomic Shoulder System is indicated for partial or total, primary or revision shoulder joint replacement in patients suffering from disability due to:

  • . non-inflammatory degenerative joint disease including osteoarthritis and avascular necrosis:
  • inflammatory degenerative joint disease such as rheumatoid arthritis;
  • . treatment of acute fractures of the humeral head that cannot be treated with other fracture fixation methods:
  • revision of a failed primary implant; in case of SMR Short Stems only if sufficient bone

Traditional 510(k) - SMR Finned Short Stems September 23rd, 2019

6

stock remains;

  • cuff tear arthropathy (CTA Heads only); ●
  • . glenoid arthrosis without excessive glenoid bone loss: A1, A2 and B1 according to Walch classification (SMR TT Hybrid Glenoid only).

The SMR Reverse Shoulder System is indicated for primary, fracture or revision total shoulder replacement in a grossly rotator cuff deficient joint with severe arthropathy (disabled shoulder). The patient's joint must be anatomically and structurally suited to receive the selected implants and a functional deltoid muscle is necessary to use the device.

The SMR TT Hybrid Glenoid Reverse Baseplate must not be used in cases of excessive glenoid bone loss and/or when bone graft is needed.

The Modular SMR Shoulder System allows the assembly of components in various humeral and glenoid constructs. The constructs are intended for cemented and uncemented use as specified in the following table.

In the Anatomic shoulder the humeral construct consists of the humeral stem, the humeral body, the adaptor taper and the humeral head. In the Reverse shoulder the humeral construct consists of the humeral stem, the reverse humeral body and the reverse liner. On the humeral side the fixation of the humeral stem determines if the construct is cemented or uncemented.

The Anatomic glenoid construct consists of an all polyethylene glenoid, a polyethylene glenoid with metal peg or a metal back assembled with a liner; the Reverse glenoid consists of a metal back/connector/glenosphere construct or of a peg/baseplate/glenosphere construct. On the glenoid side, the fixation of the all polyethylene glenoid, the polyethylene glenoid with metal peg or the metal back determines if the construct is cemented or uncemented.

SystemComponentsMaterialUse
ARCemNot
Cem
SMR Stems (Cemented, Cemented
Revision)Ti6Al4VX
SMR Stems (Cementless Finned,
Cementless Revision)Ti6Al4VX
SMR Short Stems (Cementless
Finned)Ti6Al4VX
SMR Humeral Bodies (Trauma,
Finned)Ti6Al4VXX
SMR Reverse Humeral BodyTi6Al4VXX
Humeral ExtensionTi6Al4VXX
SMR Humeral Heads (Standard*,
CTA)CoCrMoXX
SMR Adaptor Tapers (Neutral,
Eccentric)Ti6Al4VXX
SMR CTA Head Adaptor for Reverse
Humeral BodyTi6Al4VXX
SMR GlenospheresCoCrMoX
SMR Connectors*Ti6Al4VX

7

Reverse LinersUHMWPEXX
SMR Cemented GlenoidsUHMWPEX
SMR 3 Pegs Cemented GlenoidsUHMWPEX
● *SMR TT Hybrid GlenoidUHMWPE+Ti6Al4V+TaXX
SMR TT Hybrid Glenoid Reverse
Baseplate + ScrewTi6Al4VX
SMR Metal Back GlenoidsTi6Al4V+PoroTiX*X*
SMR TT BaseplateTi6Al4VX*X*
SMR TT Glenoid PegTi6Al4VXX
SMR Metal Back LinerUHMWPEX*X*
*SMR Bone screwsTi6Al4VX
Material Standards

Material Standards

Ti6Al4V (ISO 5832-3 - ASTM F1472) - CoCrMo (ISO 5832-12 - ASTM F1537) -

UHMWPE (ISO 5834-2 - ASTM F648) - PoroTi Titanium Coating (ASTM F1580) - Ta (ISO13782 - ASTM F560)

A= Anatomic / R=Reverse

*NOTES:

  • In the US, the SMR Metal Backed Glenoid/Liner construct, used as part of the ● SMR Anatomic Shoulder Replacement, is intended for use with bone cement and should be used without bone screws.
  • The SMR Metal Backed Glenoid/Connector/Glenosphere construct, used as part ● of the SMR Reverse Shoulder replacement, is intended for uncemented use with the addition of screws for fixation.
  • . SMR Lateralized Connectors are not indicated for use with glenoid bone grafting techniques.
  • In the US the SMR TT Metal Back Baseplate used as part of the SMR Anatomic Shoulder Replacement, is intended for use with bone cement and should be used without bone screws; while when used as part of the SMR Reverse Shoulder replacement, is intended for uncemented use with the addition of screws for fixation.
  • If a SMR TT Hybrid Glenoid is in place and revision to a reverse prosthesis is required, the patient can be revised by removing the polyethylene baseplate, leaving the metal peg in place and by connecting it to the SMR TT Hybrid Glenoid Reverse Baseplate. The SMR TT Hybrid Glenoid Reverse Baseplate is intended for uncemented use with the addition of screws for fixation.
  • The Dia. 50, 52 and 54mm Humeral Heads with + 3mm increased height cannot ● be coupled to the Long Adaptor Tapers (both concentric and eccentric). The Dia. 52 and 54mm Humeral Heads with + 2mm increased height cannot be coupled to the Long Adaptor Tapers (both concentric and eccentric).

Predicate Devices:

CompanyDevice nameCleared via
LIMACORPORATESMR Finned stemsK101263

Traditional 510(k) - SMR Finned Short Stems September 23rd, 2019

8

| | (part of the Limacorporate SMR
Shoulder System) | |
|------------------|----------------------------------------------------|---------|
| BIOMET | Comprehensive Primary Shoulder
Humeral stems | K060692 |
| WRIGHT (TORNIER) | AEQUALIS ASCEND™ Flex Humeral
stems | K122698 |

Summary of technology comparison:

The intended use, design, and materials of the SMR Finned Short Stems are substantially equivalent to the ones of the predicate devices. Design Control Activities have been successfully completed.

Non-clinical testing

Mechanical tests demonstrated that device performance fulfilled the intended use and that the devices is substantially equivalent to the predicate devices.

Mechanical testing was performed on worst case components or constructs identified through FE analysis:

  • fatigue-fretting behaviour of the new SMR Finned Short Stems; ●
  • . evaluation of residual torque of the safety screw and push-out force of the coupling between stem and humeral body.

Clinical testing

Clinical testing was not necessary to demonstrate substantial equivalence of the new SMR Finned Short Stems to the predicate devices.