K Number
K200854
Device Name
DePuy PINNACLE Dual Mobility Liner
Manufacturer
Date Cleared
2020-09-11

(164 days)

Product Code
Regulation Number
888.3358
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Total hip replacement is indicated in the following conditions: - 1. A severely painful and/or disabled joint (typically due to non inflammatory degenerative joint disease). - 2. Failed previous hip surgery. - 3. Dislocation risks. PINNACLE Dual Mobility Metal Liners and Porous-coated PINNACLE Acetabular Cups are intended for cementless applications.
Device Description
The DePuy PINNACLE Dual Mobility Liner is manufactured from cobalt-chrome-molybdenum alloy. The Liner is assembled with a taper locking mechanism to PINNACLE Acetabular Shells. The inner surface of the Dual Mobility Metal Liner articulates with a BI-MENTUM polyethylene mobile bearing head. The Dual Mobility construct is compatible with DePuy metal or ceramic modular femoral heads, for use in total hip arthroplasty.
More Information

No
The document describes a mechanical implant for hip replacement and does not mention any AI/ML components or functions.

Yes
The device is described as a component of a total hip replacement system, which is used to treat a severely painful and/or disabled joint. This directly addresses and alleviates a medical condition, fitting the definition of a therapeutic device.

No

This device is a total hip replacement component (a dual mobility metal liner) used for surgical implantation, not for diagnosing medical conditions.

No

The device description clearly states it is a physical implant made of cobalt-chrome-molybdenum alloy, intended for surgical implantation in the hip joint. It undergoes mechanical and wear testing, which are characteristic of hardware devices, 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 for total hip replacement, addressing conditions like painful joints, failed previous surgery, and dislocation risks. This is a surgical implant, not a diagnostic test performed on samples from the body.
  • Device Description: The description details a metal liner and acetabular cups designed for articulation within the hip joint. This is a physical component for surgical implantation.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting specific analytes, or providing diagnostic information about a patient's condition based on in vitro testing.
  • Performance Studies: The performance studies focus on mechanical properties, wear testing, range of motion, and compatibility – all relevant to a surgical implant, not an IVD.

In summary, the device described is a surgical implant used in total hip replacement, which falls under the category of medical devices, but not specifically In Vitro Diagnostic devices.

N/A

Intended Use / Indications for Use

Total hip replacement is indicated in the following conditions:

    1. A severely painful and/or disabled joint (typically due to non inflammatory degenerative joint disease).
    1. Failed previous hip surgery.
    1. Dislocation risks.

PINNACLE Dual Mobility Metal Liners and Porous-coated PINNACLE Acetabular Cups are intended for cementless applications.

Product codes

LPH, LZO, MEH

Device Description

The DePuy PINNACLE Dual Mobility Liner is manufactured from cobalt-chrome-molybdenum alloy. The Liner is assembled with a taper locking mechanism to PINNACLE Acetabular Shells. The inner surface of the Dual Mobility Metal Liner articulates with a BI-MENTUM polyethylene mobile bearing head. The Dual Mobility construct is compatible with DePuy metal or ceramic modular femoral heads, for use in total hip arthroplasty.

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

Prescription Use (Part 21 CFR 801 Subpart D)

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

The following tests were performed on the PINNACLE Dual Mobility Metal Liner to demonstrate substantial equivalence of safety and efficacy with the predicate devices:

  • Range of motion in accordance with ISO 21535:2007 / AMD 2016 .
  • Verification of product compatibility ●
  • Standard walking wear testing .
  • Jump distance assessment .
  • Mechanical testing in partial compliance with ASTM F1820 ●
  • Taper performance testing ●
  • The proposed devices also meet the requirement of bacterial endotoxin testing as specified in ANSVAAMI ST72:2011 ●

No clinical tests were conducted to demonstrate substantial equivalence.

Key results: The subject PINNACLE Dual Mobility Metal Liners are substantially equivalent to the predicate Stryker Modular Dual Mobility Metal Liner.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

Stryker Modular Dual Mobility (MDM) Liner (K103233, cleared February 3, 2011)

Reference Device(s)

BI-MENTUM Dual Mobility System (K181744, cleared December 11, 2018)

Predetermined Change Control Plan (PCCP) - All Relevant Information

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.

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September 11, 2020

Image /page/0/Picture/1 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo features the letters 'FDA' in a blue square, followed by the words 'U.S. FOOD & DRUG ADMINISTRATION' in blue text.

DePuy Ireland UC % Melissa Cook Regulatory Affairs Specialist III DePuy Orthopaedics, Inc. 700 Orthopaedic Drive Warsaw. Indiana 46582

Re: K200854

Trade/Device Name: DePuy PINNACLE Dual Mobility Liner 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, LZO, MEH Dated: August 10, 2020 Received: August 12, 2020

Dear Melissa Cook:

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

1

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,

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) K200854

Device Name

DePuy PINNACLE Dual Mobility Liner

Indications for Use (Describe)

Total hip replacement is indicated in the following conditions:

    1. A severely painful and/or disabled joint (typically due to non inflammatory degenerative joint disease).
    1. Failed previous hip surgery.
    1. Dislocation risks.

PINNACLE Dual Mobility Metal Liners and Porous-coated PINNACLE Acetabular Cups are intended for cementless applications.

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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510(K) SUMMARY

(As required by 21 CFR 807.92)

Submitter Information
NameDePuy Ireland UC
AddressLoughbeg
Ringaskiddy
Co. Cork, Ireland
Phone number574-453-7014
Establishment Registration
Number3015516266
Name of contact personMelissa Cook
Date preparedMarch 27, 2020
Name of device
Trade or proprietary nameDePuy PINNACLE Dual Mobility Liner
Common or usual nameTotal hip joint replacement prosthesis
Classification nameHip joint metal/polymer/metal semi-constrained porous-coated uncemented
prosthesis
Hip joint metal/ceramic/polymer semi-constrained cemented or nonporous
uncemented prosthesis
ClassII
Classification panel87 Orthopedics
Regulation21 CFR 888.3358, 888.3353
Product Code(s)LPH, LZO, MEH
Legally marketed device(s) to
which equivalence is claimedStryker Modular Dual Mobility (MDM) Liner (K103233, cleared February 3,

Reference device: BI-MENTUM Dual Mobility System (K181744, cleared
December 11, 2018) |
| Reason for 510(k) submission | The subject devices are an addition to the DePuy PINNACLE Acetabular
implant portfolio, to provide a dual mobility construct for total hip
arthroplasty. |
| Device description | The DePuy PINNACLE Dual Mobility Liner is manufactured from cobalt-
chrome-molybdenum alloy. The Liner is assembled with a taper locking
mechanism to PINNACLE Acetabular Shells. The inner surface of the Dual
Mobility Metal Liner articulates with a BI-MENTUM polyethylene mobile |
| | bearing head. The Dual Mobility construct is compatible with DePuy metal
or ceramic modular femoral heads, for use in total hip arthroplasty. |
| Intended Use | The PINNACLE Dual Mobility Metal Liners are designed to provide
additional stability where there is an unstable joint and are for use in total hip
arthroplasty which is intended to provide increased patient mobility and
reduce pain by replacing the damaged hip joint articulation in patients where
there is evidence of sufficient sound bone to seat and support the
components.
The PINNACLE Dual Mobility Metal Liners are intended for single use only. |
| Indications for use | Total hip replacement or hip arthroplasty is indicated in the following
conditions: |
| | 1. A severely painful and/or disabled joint (typically due to non
inflammatory degenerative joint disease).
2. Failed previous hip surgery.
3. Dislocation risks. |
| | PINNACLE Dual Mobility Metal Liners and Porous-coated PINNACLE
Acetabular Cups are intended for cementless applications. |

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| SUMMARY OF THE TECHNOLOGICAL CHARACTERISTICS OF THE DEVICE COMPARED TO THE

PREDICATE DEVICE
CharacteristicsSubject Device:
DePuy PINNACLE Dual Mobility
InsertPredicate Device:
Stryker Modular Dual Mobility
Metal Liner
(K103233)Reference Device:
BI-MENTUM Dual Mobility
System
(K181744)
Intended UseThe PINNACLE Dual Mobility Metal
Liners are designed to provide additional
stability where there is an unstable joint
and are for use in total hip arthroplasty
which is intended to provide increased
patient mobility and reduce pain by
replacing the damaged hip joint
articulation in patients where there is
evidence of sufficient sound bone to seat
and support the components.
The PINNACLE Dual Mobility Metal
Liners are intended for single use only.Total hip arthroplastyTotal hip replacement
Liner MaterialCobalt-chrome-molybdenum alloy linerCobalt-chrome-molybdenum
alloy linerN/A – Device does not
incorporate a modular liner
DesignModular dual articulationModular dual articulationMonoblock dual articulation
Compatible
Acetabular
ShellsPorous Ti6Al4V Shells, sizes 48mm –
72mmPorous Ti6Al4V Shells, sizes
44mm – 80mmStainless steel Shells with
commercially pure titanium and
hydroxyapatite coating, sizes
41mm – 69mm
Compatible
Mobile
Bearing HeadsUHMWPE mobile bearing heads,
22.2mm and 28mm IDsUHMWPE mobile bearing heads,
22.2mm and 28mm IDsUHMWPE mobile bearing heads,
22.2mm and 28mm IDs
Sterile MethodGammaGammaGamma
PackagingDouble PETG blister with Tyvek peel lidDouble PETG blister with Tyvek
peel lidShells: Double PETG blister with
Tyvek peel lid
Mobile bearing heads: Vacuum-
packed in bags and sealed in
blister packaging
Shelf Life10 years5 years5 years

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The subject PINNACLE Dual Mobility Metal Liner has the same intended use, design, and material as the predicate Stryker Modular Dual Mobility Metal Liner (K10323). The subject device is intended for total hip arthroplasty; is a modular dual articulation construct; is made of cobalt-chromium-molybdenum alloy; and is available in the same as the predicate device. The subject PINNACLE Dual Mobility Metal Liner has the same intended use and is compatible with the same UHMWPE Mobile Bearing Heads as the reference device BI-MENTUM Dual Mobility System (K181744).

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PERFORMANCE DATA

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

The following tests were performed on the PINNACLE Dual Mobility Metal Liner to demonstrate substantial equivalence of safety and efficacy with the predicate devices:

  • Range of motion in accordance with ISO 21535:2007 / AMD 2016 .
  • Verification of product compatibility ●
  • Standard walking wear testing .
  • Jump distance assessment .
  • Mechanical testing in partial compliance with ASTM F1820 ●
  • Taper performance testing ●
  • The proposed devices also meet the requirement of bacterial endotoxin testing as specified in ANSVAAMI ST72:2011 ●

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 PINNACLE Dual Mobility Metal Liners are substantially equivalent to the predicate Stryker Modular Dual Mobility Metal Liner.