K Number
K210614
Device Name
BENCOX Mirabo Z Cup Cortinium
Manufacturer
Date Cleared
2022-05-24

(449 days)

Product Code
Regulation Number
888.3358
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
BENCOX Mirabo Z Cup Cortinium of BENCOX Total Hip System is intended for cementless use in total hip arthroplasty in primary or revision surgery for the following conditions: a. Non-inflammatory degenerative joint disease, such as avascular necrosis, osteoarthritis, traumatic arthritis b. Inflammatory degenerative joint disease, such as rheumatoid arthritis c. Treatment of non-union, femoral neck fracture, and trochantric fractures of the proximal femur with head involvement, unmanageable using other techniques d. Patients with failed previous surgery where pain, deformity, or dysfunction persists e. Revision of previously failed total hip arthroplasty
Device Description
The BENCOX Mirabo Z Cup Cortinium is a porous coated non hemispherical outer shell made of Ti-6Al-4V alloy (ASTM F136) via machining processes and coated by pure titanium powder (ASTM F1580) through an additive manufacturing process. The device design allows for the cementless use of cross-linked polyethylene liners into the shell and incorporates screw holes for fixation.
More Information

No
The document describes a hip implant component and its mechanical testing, with no mention of AI or ML.

Yes

The device is an implantable component for total hip arthroplasty, treating various degenerative joint diseases and conditions like fractures or failed surgeries. Its intended use is to restore function and alleviate symptoms in patients with debilitating hip conditions, making it a therapeutic device.

No

The device description clearly states it is a component for total hip arthroplasty, and the intended use outlines conditions for which the hip replacement is indicated (e.g., degenerative joint disease, fractures, failed previous surgeries). These are treatment-oriented applications, not diagnostic ones.

No

The device description clearly states it is a physical implantable device made of Ti-6Al-4V alloy and pure titanium powder, with porous coating and screw holes. It is a hardware component for total hip arthroplasty.

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

Here's why:

  • Intended Use: The intended use clearly states that the BENCOX Mirabo Z Cup Cortinium is for cementless use in total hip arthroplasty in primary or revision surgery for various conditions affecting the hip joint. This is a surgical implant used in vivo (within the body).
  • Device Description: The description details a porous coated outer shell made of Ti-6Al-4V alloy, designed to be implanted in the hip. This is consistent with a surgical implant.
  • Lack of IVD Characteristics: An IVD device is used to examine specimens derived from the human body (like blood, urine, tissue) in vitro (outside the body) to provide information for diagnosis, monitoring, or screening. This device does not perform any such function.
  • Performance Studies: The performance studies described are bench testing related to the mechanical properties and biocompatibility of the implant, not studies evaluating the accuracy of a diagnostic test on biological samples.

In summary, the BENCOX Mirabo Z Cup Cortinium is a surgical implant for hip replacement, not a device used for testing biological samples outside the body.

N/A

Intended Use / Indications for Use

BENCOX Mirabo Z Cup Cortinium of BENCOX Total Hip System is intended for cementless use in total hip arthroplasty in primary or revision surgery for the following conditions:

a. Non-inflammatory degenerative joint disease, such as avascular necrosis, osteoarthritis, traumatic arthritis

b. Inflammatory degenerative joint disease, such as rheumatoid arthritis

c. Treatment of non-union, femoral neck fracture, and trochanteric fractures of the proximal femur with head involvement, unmanageable using other techniques

d. Patients with failed previous surgery where pain, deformity, or dysfunction persists

e. Revision of previously failed total hip arthroplasty

Product codes

LPH

Device Description

Subject BENCOX Mirabo Z Cup Cortinium shares key design features, materials, Indications for Use statements, geometry, and compatibility with other Corentec acetabular components marketed under the brand names BENCOX Mirabo Cup System.

The BENCOX Mirabo Z Cup Cortinium is a porous coated non hemispherical outer shell made of Ti-6Al-4V alloy (ASTM F136) via machining processes and coated by pure titanium powder (ASTM F1580) through an additive manufacturing process. The device design allows for the cementless use of cross-linked polyethylene liners into the shell and incorporates screw holes for fixation.

The subject devices operate using the same fundamental scientific technology, have the same intended use and design features, employ the same materials of constructions, are offered in the same product size scopes, and are implanted using a similar surgical technique and the same or similar instrumentation to legally marketed device cleared under K120924, K162127, K172806, and K18221. The only modifications subject by this submission are the titanium porous coating process of acetabular shell.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Hip joint, proximal femur

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)

Nonclinical bench testing was performed to evaluate and demonstrate the substantial equivalence of the subject BENCOX Mirabo Z Cup Cortinium to its legally marketed predicate devices.

  • Cup Fatigue Testing per ASTM F3090-20 .
  • Cup Deformation Testing per ISO 7206-12 •
  • Porous Structure Characterization (Composition, Trace element, Microstructure, Mean void . intercept length, Porosity, Shear mechanical properties, Tensile mechanical properties, Abrasion resistance, Roughness) per ASTM E112, ASTM F1854, DIN EN ISO 25178. ASTM F1147, ASTM F1044, ASTM F1160, ASTM F1978

Predicate nonclinical test results were leveraged to support the subject device via engineering analysis/ justification.

  • Axial Pushout, Offset Pullout, and Torque-out per ASTM F1820 •
  • . Impingement per ASTM F2582
  • ・ Range of Motion (ROM) per ISO21535
  • . Wear testing per ISO 14242-1

Pyrogen testing was conducted in accordance with USP, USP, and ANSI/AAMI ST72 to ensure the proposed BENCOX Mirabo Z Cup Cortinium meets recommended limits per FDA's Guidance Document submission and Review of Sterility Information in Premarket (510(k)) Submission for Devices Labeled as Sterile.

Bacterial endotoxin testing (BET) as specified in ANSVAAMI ST72:2011 was used for pyrogenicity testing to achieve an Endotoxin limit of

§ 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

May 24, 2022

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: a symbol on the left and the text "FDA U.S. FOOD & DRUG ADMINISTRATION" on the right. The symbol on the left is a stylized representation of a caduceus, a symbol often associated with medicine and healthcare. The text on the right is written in a clear, sans-serif font, with "FDA" in a larger, bolder font than the rest of the text.

Corentec Co.,Ltd. Yoorim Bae RA specialist 12, Yeongsanhong 1-gil, Ipjang-myeon, Seobuk-gu Cheonan-si, Chungcheongnam-do 31056 Republic of Korea

Re: K210614

Trade/Device Name: BENCOX Mirabo Z Cup Cortinium 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: May 18, 2022 Received: May 18, 2022

Dear Yoorim Bae:

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,

Limin Sun, Ph.D. 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: 06/30/2023 See PRA Statement below.

510(k) Number (if known) K210614

Device Name

BENCOX Mirabo Z Cup Cortinium

Indications for Use (Describe)

BENCOX Mirabo Z Cup Cortinium of BENCOX Total Hip System is intended for cementless use in total hip arthroplasty in primary or revision surgery for the following conditions:

a. Non-inflammatory degenerative joint disease, such as avascular necrosis, osteoarthritis, traumatic arthritis

b. Inflammatory degenerative joint disease, such as rheumatoid arthritis

c. Treatment of non-union, femoral neck fracture, and trochantric fractures of the proximal femur with head involvement, unmanageable using other techniques

d. Patients with failed previous surgery where pain, deformity, or dysfunction persists

e. Revision of previously failed total hip arthroplasty

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

3

510(k) SUMMARY Corentec Co., Ltd.

BENCOX Mirabo Z Cup Cortinium of BENCOX Total Hip System May 24, 2022

ADMINISTRATIVE INFORMATION

| Manufacturer: | Corentec Co., Ltd.
12, Yeongsanhong 1-gil, Ipjang-Myeon, Seobuk-Gu
Cheonan-si, Chungchongnam-do, Rep. of Korea -31056
Telephone: +82-41-585-7114; Fax: +82-41-585-7113 |
|-------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Official Contact: | Yoorim Bae
RA Specialist
12, Yeongsanhong 1-gil, Ipjang-Myeon, Seobuk-Gu
Cheonan-si, Chungchongnam-do, Rep. of Korea -31056
Ph: +82-41-410-7116(Direct); Fax: +82-41-585-7113
Email: yoorim.bae@corentec.com |

DEVICE NAME AND CLASSIFICATION

Trade/Proprietary Name:BENCOX Mirabo Z Cup Cortinium
Common Name:Acetabular Cup Prosthesis
Classification Regulations:21 CFR 888.3358
Hip joint metal/polymer/metal semi-constrained porous-coated
uncemented prosthesis.
Regulatory Class:Class II
Product Codes:LPH
Classification Panel:Orthopedic Products Panel

Legally Marketed Predicate Devices to Which Substantial Equivalence is Claimed: Primary predicate:

510(k) NumberTrade or Proprietary Model NameManufacturer
K120924BENCOX Mirabo Cup SystemCorentec Co.,Ltd.

Additional Predicates Supporting Substantial Equivalence:

510(k) NumberTrade or Proprietary Model NameManufacturer
K000306 &
K093646Pinnacle Acetabular System with ALTRX LinerDePuy Orthopaedics,
Inc.
K150790REDAPT Porous Acetabular Shell and Cemented
LinerSmith & Nephew Inc.
K061253, K070756REFLECTION 3 ACETABULAR SYSTEMSmith & Nephew Inc.
K182502Exactech® Alteon® Acetabular Cup SystemExactech, Inc.
K162127BENCOX Mirabo Cup Line extensionCorentec Co.,Ltd.
K172806BENCOX Mirabo Cup Line extensionCorentec Co.,Ltd.
K182221BENCOX Mirabo Cup Multi holeCorentec Co.,Ltd.

4

INDICATIONS FOR USE

BENCOX Mirabo Z Cup Cortinium of BENCOX Total Hip System is intended for cementless use in total hip arthroplasty in primary or revision surgery for the following conditions:

a. Non-inflammatory degenerative joint disease, such as avascular necrosis, osteoarthritis, traumatic arthritis

b. Inflammatory degenerative joint disease, such as rheumatoid arthritis

c. Treatment of non-union, femoral neck fracture, and trochanteric fractures of the proximal femur with head involvement, unmanageable using other techniques

  • d. Patients with failed previous surgery where pain, deformity, or dysfunction persists
  • e. Revision of previously failed total hip arthroplasty

DEVICE DESCRIPTION

Subject BENCOX Mirabo Z Cup Cortinium shares key design features, materials, Indications for Use statements, geometry, and compatibility with other Corentec acetabular components marketed under the brand names BENCOX Mirabo Cup System.

The BENCOX Mirabo Z Cup Cortinium is a porous coated non hemispherical outer shell made of Ti-6Al-4V alloy (ASTM F136) via machining processes and coated by pure titanium powder (ASTM F1580) through an additive manufacturing process. The device design allows for the cementless use of cross-linked polyethylene liners into the shell and incorporates screw holes for fixation.

The subject devices operate using the same fundamental scientific technology, have the same intended use and design features, employ the same materials of constructions, are offered in the same product size scopes, and are implanted using a similar surgical technique and the same or similar instrumentation to legally marketed device cleared under K120924, K162127, K172806, and K18221. The only modifications subject by this submission are the titanium porous coating process of acetabular shell.

SUMMARY of TECHNOLOGICAL CHARACTERISTICS

Device Comparisons and performance testing indicate that the BENCOX Mirabo Z Cup Cortinium is substantially equivalent to the predicates in terms of intended use, indications, design, materials, performance characteristics and operational principles.

NONCLINICAL TESTING DESCRIPTION

Nonclinical bench testing was performed to evaluate and demonstrate the substantial equivalence of the subject BENCOX Mirabo Z Cup Cortinium to its legally marketed predicate devices.

  • Cup Fatigue Testing per ASTM F3090-20 .
  • Cup Deformation Testing per ISO 7206-12 •
  • Porous Structure Characterization (Composition, Trace element, Microstructure, Mean void . intercept length, Porosity, Shear mechanical properties, Tensile mechanical properties, Abrasion resistance, Roughness) per ASTM E112, ASTM F1854, DIN EN ISO 25178. ASTM F1147, ASTM F1044, ASTM F1160, ASTM F1978

5

Predicate nonclinical test results were leveraged to support the subject device via engineering analysis/ justification.

  • Axial Pushout, Offset Pullout, and Torque-out per ASTM F1820 •
  • . Impingement per ASTM F2582
  • ・ Range of Motion (ROM) per ISO21535
  • . Wear testing per ISO 14242-1

Pyrogen testing was conducted in accordance with USP, USP, and ANSI/AAMI ST72 to ensure the proposed BENCOX Mirabo Z Cup Cortinium meets recommended limits per FDA's Guidance Document submission and Review of Sterility Information in Premarket (510(k)) Submission for Devices Labeled as Sterile.

Bacterial endotoxin testing (BET) as specified in ANSVAAMI ST72:2011 was used for pyrogenicity testing to achieve an Endotoxin limit of