K Number
K192919
Device Name
Pinnacle Duofix HA Acetabular Cup Prosthesis
Date Cleared
2019-11-26

(42 days)

Product Code
Regulation Number
888.3358
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Pinnacle Duofix™ HA Acetabular Cup Prosthesis is indicated for use in total hip replacement procedures for patients suffering severe pain and disability due to structural damage in the hip joint from rheumatoid arthritis, osteoarthritis, post-traumatic arthritis, collagen disorders, avascular necrosis, and nonunion of femoral fractures. Use of the prosthesis is also indicated for revision of the previous hip arthroplasty and for patients with congenital hip dysplasia, protrusio acetabuli, slipped capital femoral epiphysis and disability due to previous fusion, where bone stock is inadequate for other reconstruction techniques. The Pinnacle Duofix HA Acetabular Cup Prosthesis is indicated for cementless application.
Device Description
The Pinnacle Duofix HA Acetabular Cup Prosthesis is a sintered, porous-coated (Porocoat®) hemispherical outer acetabular shell manufactured from titanium alloy (Ti-6Al-4V) with a thin layer of hydroxyapatite (HA) coating applied. The interior of the acetabular cup is designed with a groove and a taper for use with either an ultra-high molecular weight polyethylene (UHMWPE) or metal acetabular cup liner, which lock into the shell. Articulation occurs between the liner, and a femoral head with the appropriately sized diameter. The shells contain an apical threaded hole to allow the surgeon to attach the shell insertion instrument and grasp the shell during implantation. An optional titanium alloy (Ti-6Al-4V) apical hole plug is available to screw into the threaded apical hole of the shell. The plug is intended to occlude the apical hole in order to prevent particulate migration and provide polyethylene support. The Pinnacle Duofix HA Acetabular Cup Prosthesis is provided in shell diameter sizes 48mm through 66mm in both the "No Hole" (100 series) and the "Cluster Hole” (Sector series) configurations.
More Information

Not Found

No
The device description and performance studies focus on the material properties, design, and biological safety of a hip implant, with no mention of AI or ML technology.

Yes
The device is a prosthesis, specifically an acetabular cup prosthesis for total hip replacement, which is considered a therapeutic device as it treats a medical condition by replacing a damaged part of the body.

No

This device is a prosthesis intended for total hip replacement procedures, not a diagnostic tool.

No

The device description clearly details a physical implantable medical device made of titanium alloy and hydroxyapatite, not software.

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

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, or tissue) to provide information for diagnosis, monitoring, or screening.
  • Device Description and Intended Use: The description clearly states that the Pinnacle Duofix™ HA Acetabular Cup Prosthesis is an implantable device used in total hip replacement surgery. It is a physical component that is surgically placed within the body to replace a damaged hip joint.
  • Lack of Specimen Analysis: There is no mention of this device being used to analyze any biological specimens outside of the body.

Therefore, based on the provided information, the Pinnacle Duofix™ HA Acetabular Cup Prosthesis is a surgical implant, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Pinnacle Duofix™ HA Acetabular Cup Prosthesis is indicated for use in total hip replacement procedures for patients suffering severe pain and disability due to structural damage in the hip joint from rheumatoid arthritis, posttraumatic arthritis, collagen disorders, avascular necrosis, and nonunion of femoral fractures. Use of the prosthesis is also indicated for revision of the previous hip arthroplasty and for patients with congenital hip dysplasia, protrusio acetabuli, slipped capital femoral epiphysis and disability due to previous fusion, where bone stock is inadequate for other reconstruction techniques. The Pinnacle Duofix HA Acetabular Cup Prosthesis is indicated for cementless application.

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

LPH

Device Description

The Pinnacle Duofix HA Acetabular Cup Prosthesis is a sintered, porous-coated (Porocoat®) hemispherical outer acetabular shell manufactured from titanium alloy (Ti-6Al-4V) with a thin layer of hydroxyapatite (HA) coating applied. The interior of the acetabular cup is designed with a groove and a taper for use with either an ultra-high molecular weight polyethylene (UHMWPE) or metal acetabular cup liner, which lock into the shell. Articulation occurs between the liner, and a femoral head with the appropriately sized diameter. The shells contain an apical threaded hole to allow the surgeon to attach the shell insertion instrument and grasp the shell during implantation. An optional titanium alloy (Ti-6Al-4V) apical hole plug is available to screw into the threaded apical hole of the shell. The plug is intended to occlude the apical hole in order to prevent particulate migration and provide polyethylene support. The Pinnacle Duofix HA Acetabular Cup Prosthesis is provided in shell diameter sizes 48mm through 66mm in both the "No Hole" (100 series) and the "Cluster Hole” (Sector series) configurations.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Hip joint

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)

The following tests were performed on the Pinnacle Cup to demonstrate substantial equivalence of safety and efficacy with the predicate devices:

  • Biological safety per ISO 10993-1 "Biological Evaluation of Medical Devices Part 1: . Evaluation and Testing".
  • . Sterilization validation per AAMI ANSI ISO 11137-1: 2006/(R)2010 and AAMI ANSI ISO 11137-2: 2013
  • Characterization testing of Hydroxyapatite Coating as recommended per FDA Guidance: ● "510(k) Information Needed for Hydroxyapatite Coated Orthopedic Implant"
    No clinical tests were conducted to demonstrate substantial equivalence.

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.

K000306, K031495

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

§ 888.3358 Hip joint metal/polymer/metal semi-constrained porous-coated uncemented prosthesis.

(a)
Identification. A hip joint metal/polymer/metal semi-constrained porous-coated uncemented prosthesis is a device intended to be implanted to replace a hip joint. The device limits translation and rotation in one or more planes via the geometry of its articulating surfaces. It has no linkage across the joint. This generic type of device has a femoral component made of a cobalt-chromium-molybdenum (Co-Cr-Mo) alloy or a titanium-aluminum-vanadium (Ti-6Al-4V) alloy and an acetabular component composed of an ultra-high molecular weight polyethylene articulating bearing surface fixed in a metal shell made of Co-Cr-Mo or Ti-6Al-4V. The femoral stem and acetabular shell have a porous coating made of, in the case of Co-Cr-Mo substrates, beads of the same alloy, and in the case of Ti-6Al-4V substrates, fibers of commercially pure titanium or Ti-6Al-4V alloy. 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. The generic type of device has a design to achieve biological fixation to bone without the use of bone cement.(b)
Classification. Class II.

0

Image /page/0/Picture/0 description: The image contains the logos of the Department of Health & Human Services and the Food and Drug Administration (FDA). The Department of Health & Human Services logo is on the left, and the FDA logo is on the right. The FDA logo includes the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text.

November 26, 2019

DePuy Orthopaedics, Inc. % Margaret Shaughnessy Regulatory Affairs Project Leader DePuy (Ireland) Loughbeg, Ringakiddy CORK P43D82 IRELAND

Re: K192919

Trade/Device Name: Pinnacle Duofix HA Acetabular Cup Prosthesis Regulation Number: 21 CFR 888.3358 Regulation Name: Hip Joint Metal/Polymer/Metal Semi-Constrained Porous-Coated Uncemented Prosthesis Regulatory Class: Class II Product Code: LPH Dated: October 11, 2019 Received: October 15, 2019

Dear Margaret Shaughnessy:

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 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

Vesa Vuniqi 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)

K192919

Device Name DePuy Pinnacle Duofix™ HA Acetabular Cups

Indications for Use (Describe)

The Pinnacle Duofix™ HA Acetabular Cup Prosthesis is indicated for use in total hip replacement procedures for patients suffering severe pain and disability due to structural damage in the hip joint from rheumatoid arthritis, posttraumatic arthritis, collagen disorders, avascular necrosis, and nonunion of femoral fractures. Use of the prosthesis is also indicated for revision of the previous hip arthroplasty and for patients with congenital hip dysplasia, protrusio acetabuli, slipped capital femoral epiphysis and disability due to previous fusion, where bone stock is inadequate for other reconstruction techniques.

The Pinnacle Duofix HA Acetabular Cup Prosthesis is indicated for cementless application.

X Prescription Use (Part 21 CFR 801 Subpart D)

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

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510(K) SUMMARY

(As required by 21 CFR 807.92 and 21 CFR 807.93)

Submitter Information
NameDePuy Orthopaedics
Address700 Orthopedic Drive
Warsaw, IN 46582
Phone number574 372 7020
Fax number574- 371-4987
Establishment Registration Number1818910
Name of contact personKathy Harris
Date prepared
Name of device
Trade or proprietary namePinnacle Duofix™ HA Acetabular Cup Prosthesis
Common or usual nameAcetabular Cup Prosthesis
Classification nameHip joint metal/polymer/metal semi-constrained porous coated uncemented
prosthesis
ClassII
Classification panel87 Orthopedic and Rehabilitation Devices
Regulation888.3358
Product Code(s)LPH
Legally marketed device(s) to
which equivalence is claimedPinnacle Duofix™ HA Acetabular Cup Prosthesis – K000306, K031495
Reason for 510(k) submissionThe purpose of this submission is to support the manufacturing of the subject
Pinnacle Duofix™ HA Acetabular Cup Prosthesis System components at an
additional manufacturing facility for all process steps at DePuy Ireland. This
includes the HA coating process step within the DePuy Ireland manufacturing
site. There is also the addition of two alternative sterilization sites being added
for Business Continuity Purposes. There is a modification to the packaging
process too. We are converting from a double pouch packaging system to a
double blister packaging system as per the original submission K000306
There are no other modifications associated with this product in comparison
with the currently marketed Pinnacle Duofix™ HA Acetabular Cup Prosthesis
  • the predicate and proposed device share the same intended use, product
    design, principle of operation, and materials. |
    | Device description | The Pinnacle Duofix HA Acetabular Cup Prosthesis is a sintered, porous-
    coated (Porocoat®) hemispherical outer acetabular shell manufactured from
    titanium alloy (Ti-6Al-4V) with a thin layer of hydroxyapatite (HA) coating
    applied.
    The interior of the acetabular cup is designed with a groove and a taper for use
    with either an ultra-high molecular weight polyethylene (UHMWPE) or metal |
    | | acetabular cup liner, which lock into the shell. Articulation occurs between the liner, and a femoral head with the appropriately sized diameter. The shells contain an apical threaded hole to allow the surgeon to attach the shell insertion instrument and grasp the shell during implantation. An optional titanium alloy (Ti-6Al-4V) apical hole plug is available to screw into the threaded apical hole of the shell. The plug is intended to occlude the apical hole in order to prevent particulate migration and provide polyethylene support. The Pinnacle Duofix HA Acetabular Cup Prosthesis is provided in shell diameter sizes 48mm through 66mm in both the "No Hole" (100 series) and the "Cluster Hole” (Sector series) configurations. |
    | Intended use of the device | The Pinnacle Duofix HA Acetabular Cup Prosthesis is indicated for use in total hip replacement procedures for patients suffering severe pain and disability due to structural damage in the hip joint from rheumatoid arthritis, osteoarthritis, post-traumatic arthritis, collagen disorders, avascular necrosis, and nonunion of femoral fractures. Use of the prosthesis is also indicated for revision of the previous hip arthroplasty and for patients with congenital hip dysplasia, protrusio acetabuli, slipped capital femoral epiphysis and disability due to previous fusion, where bone stock is inadequate for other reconstruction techniques. The Pinnacle Duofix HA Acetabular Cup Prosthesis is indicated for cementless application. |
    | Indications for use | The Pinnacle Duofix™ HA Acetabular Cup Prosthesis is indicated for use in total hip replacement procedures for patients suffering severe pain and disability due to structural damage in the hip joint from rheumatoid arthritis, osteoarthritis, post-traumatic arthritis, collagen disorders, avascular necrosis, and nonunion of femoral fractures. Use of the prosthesis is also indicated for revision of the previous hip arthroplasty and for patients with congenital hip dysplasia, protrusio acetabuli, slipped capital femoral epiphysis and disability due to previous fusion, where bone stock is inadequate for other reconstruction techniques. The Pinnacle Duofix HA Acetabular Cup Prosthesis is indicated for cementless application |

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5

| Characteristics | Subject Device:
Pinnacle Duofix™ HA Acetabular
Cup Prosthesis | Predicate Device:
Pinnacle Duofix™
HA Acetabular Cup
Prosthesis – K031495 | Predicate Device:
Pinnacle Duofix™ HA
Acetabular Cup Prosthesis
K000306 |
|-----------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Intended Use | The Pinnacle Duofix™ HA
Acetabular Cup Prosthesis is
indicated for use in total hip
replacement procedures for
patients suffering severe pain and
disability due to structural damage
in the hip joint from rheumatoid
arthritis, osteoarthritis, post-
traumatic arthritis, collagen
disorders, avascular necrosis, and
nonunion of femoral fractures.
Use of the prosthesis is also
indicated for revision of the
previous hip arthroplasty and for
patients with congenital hip
dysplasia, protrusio acetabuli,
slipped capital femoral epiphysis
and disability due to previous
fusion, where bone stock is
inadequate for other reconstruction
techniques. | Same | Same |
| Material | Acetabular Shell: Forged
Titanium alloy (Ti-6Al-4V)
conforms to ASTM F-620
Porous Coating: Commercially
pure unalloyed (ASTM F67)
titanium sintered bead porous
coating (Porocoat®)
HA Coating: the HA powder
used in a plasma spray process,
conforms to ASTM F1185
Hydroxyapatite ( $Ca_5(PO_4)_3OH$ )
ceramic. | Same | Acetabular Shell:
Wrought titanium alloy (Ti-
6Al-4V) conforms to
ASTM F-136 or forged
titanium alloy (Ti-6Al-4V)
conforms to ASTM F-620
Porous Coating:
Commercially pure
unalloyed (ASTM F67)
titanium sintered bead
porous coating
(Porocoat®) |
| Fixation | Cementless | Same | Same |
| Cup Size | Pinnacle Cup 100 Series
48, 50, 52, 54, 56, 58, 60, 62, 64,
66
Pinnacle Cup Sector Series
48, 50, 52, 54, 56, 58, 60, 62, 64,
66 | Same | Same |
| Characteristics | Subject Device:
Pinnacle Duofix™ HA Acetabular
Cup Prosthesis | Predicate Device:
Pinnacle Duofix™ HA Acetabular Cup
Prosthesis - K031495 | Predicate Device:
Pinnacle Duofix™ HA
Acetabular Cup Prosthesis

  • K000306 |
    | Sterile Method | Sterilization method and dose:
    Cobalt-60-Gamma radiation (25-
    40kGy) | Same | Same |
    | Packaging | Double blister packaging
    consisting of inner and outer trays
    of Polyethylene Terephthalate
    Glycol copolymer (PETG) with
    lids of TYVEK®. | Double peel pouch
    packaging consisting
    of an inner and an
    outer vacuum sealed
    pouch of Nylon
    polymer | Same |
    | Shelf Life | 10 Year | Same | Same |

6

PERFORMANCE DATA

SUMMARY OF NON-CLINICAL TESTS CONDUCTED FOR DETERMINATION OF SUBSTANTIAL EQUIVALENCE

The following tests were performed on the Pinnacle Cup to demonstrate substantial equivalence of safety and efficacy with the predicate devices:

  • Biological safety per ISO 10993-1 "Biological Evaluation of Medical Devices Part 1: . Evaluation and Testing".
  • . Sterilization validation per AAMI ANSI ISO 11137-1: 2006/(R)2010 and AAMI ANSI ISO 11137-2: 2013
  • Characterization testing of Hydroxyapatite Coating as recommended per FDA Guidance: ● "510(k) Information Needed for Hydroxyapatite Coated Orthopedic Implant"

SUMMARY OF CLINICAL TESTS CONDUCTED FOR DETERMINATION OF SUBSTANTIAL EQUIVALENCE AND/OR OF CLINICAL INFORMATION

No clinical tests were conducted to demonstrate substantial equivalence.

CONCLUSIONS DRAWN FROM NON-CLINICAL AND CLINICAL DATA

The subject DePuy Pinnacle Cup products are substantially equivalent to the predicate Pinnacle Cup products (K00306, K031495)