K Number
K192236
Device Name
Fitmore Hip Stem
Manufacturer
Date Cleared
2019-11-05

(78 days)

Product Code
Regulation Number
888.3390
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
This femoral stem is for total hip or hemi-hip arthroplasty and is indicated for the following conditions: • Noninflammatory degenerative joint disease (NIDJD), e. g., avascular necrosis, osteoarthritis and inflammatory joint disease (IJD), e. g., rheumatoid arthritis. • Failed previous hip surgery (not THA) where pain, deformity or dysfunction persists. • Optional use in revision: in some medical conditions (e. g., early revision when healthy and good bone stock exists) the surgeon may opt to use primary implants in a revision procedure. This stem is for uncemented use only.
Device Description
The Fitmore® Hip Stem is a modular femoral stem intended for total or hemi-hip arthroplasty. The component is an uncemented stem which is coated proximally with Titanium Vacuum Plasma Spray and rough-blasted distally for primary stability. The stem design is curved and features a trapezoidal cross-section. The 12/14 femoral stem is available in multiple sizes, consisting of three stem families. The different family designs were developed in order to meet various patients' anatomic needs. As the anatomic offset varies considerably between individuals, the Fitmore® Hip Stem offers a wide range of offset options. Each family is designed with a CCD angle of 140°, 137°, 129° and 127°.
More Information

Not Found

No
The summary describes a mechanical implant (femoral stem) and its physical characteristics, materials, and intended use. There is no mention of software, algorithms, or data processing that would indicate the use of AI/ML.

Yes
The device is a femoral stem used in hip arthroplasty to treat conditions like degenerative joint disease and failed hip surgeries, which directly addresses medical conditions and aims to restore function or alleviate symptoms, making it a therapeutic device.

No
The device is a femoral stem used in hip replacement surgery to treat conditions like degenerative joint disease, not to diagnose them.

No

The device description clearly describes a physical implant (femoral stem) made of materials like Titanium, intended for surgical implantation. It is not a software-only device.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states that this is a femoral stem for total hip or hemi-hip arthroplasty, used to replace a joint in the body.
  • Device Description: The description details a physical implantable device (a femoral stem) made of metal with specific coatings and design features.
  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body (like blood, urine, or tissue) to provide information about a person's health. This device does not perform any such tests.

This device is a surgical implant, not an IVD.

N/A

Intended Use / Indications for Use

This femoral stem is for total hip or hemi-hip arthroplasty and is indicated for the following conditions:
• Noninflammatory degenerative joint disease (NIDJD), e. g., avascular necrosis, osteoarthritis and inflammatory joint disease (IJD), e. g., rheumatoid arthritis.
• Failed previous hip surgery (not THA) where pain, deformity or dysfunction persists.
• Optional use in revision: in some medical conditions (e. g., early revision when healthy and good bone stock exists) the surgeon may opt to use primary implants in a revision procedure.
This stem is for uncemented use only.

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

JDI, KWL, KWY, KWZ, LWJ, LZO

Device Description

The Fitmore® Hip Stem is a modular femoral stem intended for total or hemi-hip arthroplasty. The component is an uncemented stem which is coated proximally with Titanium Vacuum Plasma Spray and rough-blasted distally for primary stability. The stem design is curved and features a trapezoidal cross-section.
The 12/14 femoral stem is available in multiple sizes, consisting of three stem families. The different family designs were developed in order to meet various patients' anatomic needs. As the anatomic offset varies considerably between individuals, the Fitmore® Hip Stem offers a wide range of offset options. Each family is designed with a CCD angle of 140°, 137°, 129° and 127°.

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

Non-Clinical Performance and Conclusions:
Packaging performance testing was to verify that packaging configuration maintains integrity of the sterile barrier system up to the point of use and provides adequate protection to the product through the hazards of sterilization, handling, distribution and storage according to ISO 11607-1:2009 and ISO 11607-2:2006. Performance testing further verified that labels and IFU remain intact and legible. Packaging Configuration testing was conducted by representative worst-case products.
Clinical Performance and Conclusions:
Clinical data and conclusions were not needed for this device.

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.

Fitmore® Hip Stem, manufactured by Zimmer GmbH, K071723

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

§ 888.3390 Hip joint femoral (hemi-hip) metal/polymer cemented or uncemented prosthesis.

(a)
Identification. A hip joint femoral (hemi-hip) metal/polymer cemented or uncemented prosthesis is a two-part device intended to be implanted to replace the head and neck of the femur. This generic type of device includes prostheses that have a femoral component made of alloys, such as cobalt-chromium-molybdenum, and a snap-fit acetabular component made of an alloy, such as cobalt-chromium-molybdenum, and ultra-high molecular weight polyethylene. This generic type of device may be fixed to the bone with bone cement (§ 888.3027) or implanted by impaction.(b)
Classification. Class II.

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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 consists of the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG" in blue, with the word "ADMINISTRATION" underneath.

December 11, 2019

Zimmer GmbH Tobias Moller Regulatory Affairs Specialist Sulzer Allee 8 WINTERTHUR CH 8404

Re: K192236

Trade/Device Name: Fitmore Hip Stem Regulation Number: 21 CFR 888.3350 Regulation Name: Hip joint metal/polymer semi-constrained cemented prosthesis Regulatory Class: Class II Product Code: JDI, KWL, KWY, KWZ, LWJ, LZO Dated: October 2, 2019 Received: October 7, 2019

Dear Tobias Moller:

This letter corrects our substantially equivalent letter of November 5, 2019.

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 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: 2019.12.11 -5

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

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Indications for Use

510(k) Number (if known) K192236

Device Name Fitmore® Hip Stem

Indications for Use (Describe)

This femoral stem is for total hip or hemi-hip arthroplasty and is indicated for the following conditions:

· Noninflammatory degenerative joint disease (NID), e. g., avascular necrosis, osteoarthritis and inflammatory joint disease (IJD), e. g., rheumatoid arthritis.

· Failed previous hip surgery (not THA) where pain, deformity or dysfunction persists.

· Optional use in revision: in some medical conditions (e. g., early revision when healthy and good bone stock exists) the surgeon may opt to use primary implants in a revision procedure.

This stem is for uncemented use only.

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

Prescription Use (Part 21 CFR 801 Subpart D)

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

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Image /page/3/Picture/0 description: The image shows the logo for Zimmer Biomet. The logo consists of a blue circle with a stylized "Z" inside, followed by the text "ZIMMER BIOMET" in a sans-serif font. Below the company name is the tagline "Your progress. Our promise." in a smaller font size.

Sponsor:Zimmer GmbH
Sulzerallee 8, P.O. Box
8404 Winterthur, Switzerland
Contact Person:Tobias Möller
Specialist, Regulatory Affairs
Telephone: +41 58 854 89 94
Fax: +41 52 244 86 58
Date:October 18, 2019
Trade Name:Fitmore® Hip Stem
Common or Usual Name:Hip Prosthesis
Classification Product Code:JDI, KWL, KWY, KWZ, LWJ, LZO
Device Classification Name:Prosthesis, Hip, Semi-Constrained (Metal Uncemented Acetabular
Component)
Regulation Number / Description:21 CFR § 888.3350 - Hip joint metal/polymer semi-constrained
cemented prosthesis
21 CFR § 888.3360 - Hip joint femoral (hemi-hip) metallic
cemented or uncemented prosthesis
21 CFR § 888.3390 – Hip joint femoral (hemi-hip) metal/polymer
cemented or uncemented prosthesis
21 CFR § 888.3310 - Hip joint metal/polymer constrained
cemented or uncemented prosthesis
21 CFR § 888.3360 – Hip joint femoral (hemi-hip) metallic
cemented or uncemented prosthesis
21 CFR § 888.3353 - Hip joint metal/ceramic/polymer semi-
constrained cemented or nonporous uncemented prosthesis
Predicate Device:Fitmore® Hip Stem, manufactured by Zimmer GmbH, K071723,
cleared March 7, 2008
Device Description:The Fitmore® Hip Stem is a modular femoral stem intended for
total or hemi-hip arthroplasty. The component is an uncemented
stem which is coated proximally with Titanium Vacuum Plasma
Spray and rough-blasted distally for primary stability. The stem
design is curved and features a trapezoidal cross-section.
The 12/14 femoral stem is available in multiple sizes, consisting of
three stem families. The different family designs were developed
in order to meet various patients' anatomic needs. As the
anatomic offset varies considerably between individuals, the
Fitmore® Hip Stem offers a wide range of offset options. Each
family is designed with a CCD angle of 140°, 137°, 129° and 127°.
Indications for Use:This femoral stem is for total hip or hemi-hip arthroplasty and is
indicated for the following conditions:
• Noninflammatory degenerative joint disease (NIDJD), e. g.,
avascular necrosis, osteoarthritis and inflammatory joint
disease (IJD), e. g., rheumatoid arthritis.
• Failed previous hip surgery (not THA) where pain, deformity or
dysfunction persists.
• Optional use in revision: in some medical conditions (e. g.,
early revision when healthy and good bone stock exists) the
surgeon may opt to use primary implants in a revision
procedure.
This stem is for uncemented use only.
Comparison to Predicate Device:The intended use of the proposed device is identical to those of
the previously cleared predicate device. The amount of indications
for use have been reduced and reworded for more clarity
compared to the previously cleared device. The proposed
changes do not alter the fundamental scientific technology shared
by both the proposed and predicate devices. Zimmer GmbH is
furthermore seeking clearance for minor modifications that have
been implemented since the last clearance.
Performance Data (Nonclinical
and/or Clinical):Non-Clinical Performance and Conclusions:
Packaging performance testing was to verify that packaging
configuration maintains integrity of the sterile barrier system up to
the point of use and provides adequate protection to the product
through the hazards of sterilization, handling, distribution and
storage according to ISO 11607-1:2009 and ISO 11607-2:2006.
Performance testing further verified that labels and IFU remain
intact and legible. Packaging Configuration testing was conducted
by representative worst-case products.
Clinical Performance and Conclusions:
Clinical data and conclusions were not needed for this device.
ConclusionThe subject device has the same intended use and similar
indications for use as the predicate device. The subject device
uses the same operating principle, incorporates the same basic
design and labeling and is manufactured and sterilized using the
same materials and processes as the predicate device. Except for
the modifications described in this submission the subject device
is identical to the predicate device and the performance data and
analyses demonstrate that:
• any differences do not raise new questions of safety and
effectiveness as established with performance testing; and
• the subject devices are at least as safe and effective as the
legally marketed predicate devices.

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Image /page/4/Picture/1 description: The image contains the logo for Zimmer Biomet. The logo consists of a blue circle with a white "Z" inside, followed by the text "ZIMMER BIOMET" in a sans-serif font. Below the company name is the tagline "Your progress. Our promise." in a smaller font size.