K Number
K210842
Device Name
VerSys Cemented Revision/Calcar
Manufacturer
Date Cleared
2021-12-10

(263 days)

Product Code
Regulation Number
888.3350
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
VerSys Cemented Revision/Calcar is indicated for total hip arthroplasty in patients: Whose bone stock is of poor quality or inadequate for other reconstruction techniques as indicated by deficiencies of the femoral head, neck, or portions of the proximal femur. Arthroplasty should be performed only when more conservative methods of treatment have failed to provide symptomatic relief and when there is progressive disability.
Device Description
The VerSys CRC Hip System includes femoral stems and build-up blocks that are permanent hip implants and provided sterile via gamma irradiation. The VerSys CRC Hip System include femoral stems in a variety of body sizes and lengths and build-up blocks in heights of 10mm, 20mm, and 30mm. The block is attached to the femoral stem by inserting two Tivanium® Ti-6Al-4V alloy screws into the holes provided. Only one build-up block can be attached to a femoral stem The modular connection of the femoral stem is a Morse-type 12/14 taper designed to mate with the corresponding bore of a femoral head.
More Information

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

Yes
The device is a hip implant intended for total hip arthroplasty in patients with poor bone stock, which directly addresses a medical condition (deficiencies of the femoral head, neck, or portions of the proximal femur) to provide symptomatic relief and address progressive disability. This aligns with the definition of a therapeutic device as it treats a disease, injury, or condition directly.

No

Explanation: The device is a permanent hip implant, indicated for total hip arthroplasty, and its description focuses on its physical components and structural integrity rather than diagnostic capabilities.

No

The device description clearly states that the VerSys CRC Hip System includes femoral stems and build-up blocks which are permanent hip implants made of physical materials and provided sterile. This indicates a hardware-based medical device, not a software-only one.

Based on the provided information, 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, tissue) to provide information about a person's health. This testing is done outside of the body.
  • Device Description and Intended Use: The VerSys Cemented Revision/Calcar is a permanent hip implant used in total hip arthroplasty. It is surgically implanted inside the patient's body to replace damaged parts of the femur.

The device's function and application are entirely focused on surgical implantation and providing structural support within the body, which is the opposite of an in vitro diagnostic test.

N/A

Intended Use / Indications for Use

VerSys Cemented Revision/Calcar is indicated for total hip arthroplasty in patients: Whose bone stock is of poor quality or inadequate for other reconstruction techniques as indicated by deficiencies of the femoral head, neck, or portions of the proximal femur. Arthroplasty should be performed only when more conservative methods of treatment have failed to provide symptomatic relief and when there is progressive disability.

Product codes

JDI

Device Description

Device Identification: VerSys Cemented Revision/Calcar (CRC) Hip System

Device Characteristics: The VerSys CRC Hip System includes femoral stems and build-up blocks that are permanent hip implants and provided sterile via gamma irradiation.

Description: The VerSys CRC Hip System include femoral stems in a variety of body sizes and lengths and build-up blocks in heights of 10mm, 20mm, and 30mm. The block is attached to the femoral stem by inserting two Tivanium® Ti-6Al-4V alloy screws into the holes provided. Only one build-up block can be attached to a femoral stem. The modular connection of the femoral stem is a Morse-type 12/14 taper designed to mate with the corresponding bore of a femoral head.

Materials: The femoral stems are manufactured from cobalt-chromium-molybdenum alloy conforming to ASTM F799. The build-up blocks and associated screws are manufactured from Tivanium® Ti-6Al-4V alloy conforming to ASTM F136. The materials for the stems and build-up blocks are categorized as "implant/device – tissue/bone" with a contact duration of "permanent > 30 days."

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

femoral head, neck, or portions of the 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)

Non-Clinical Tests:

  • Performance testing to determine equivalence to legally marketed devices
  • Proximal fatigue testing per internal requirements
  • Distal fatigue testing per internal requirements
  • Finite Element Analysis for worst-case proximal fatigue Strength per ISO 7206-6.
  • Finite Element Analysis for worst-case distal fatigue Strength per ISO 7206-4.
  • Fretting/Corrosion of the stem/build-up block junction using setup contained within ISO 7206-6

Clinical Tests:

  • Clinical test data is not provided for the subject device.

Substantial Equivalence Conclusion: Based on the information contained within this submission, it is concluded that the VerSys CRC Hip System is substantially equivalent to the identified predicate device.

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

Not Found

Predicate Device(s)

K913649

Reference Device(s)

K030265, K191735, K921224

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 888.3350 Hip joint metal/polymer semi-constrained cemented prosthesis.

(a)
Identification. A hip joint metal/polymer semi-constrained cemented 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 includes prostheses that have a femoral component made of alloys, such as cobalt-chromium-molybdenum, and an acetabular resurfacing component made of ultra-high molecular weight polyethylene and is limited to those prostheses intended for use with bone cement (§ 888.3027).(b)
Classification. Class II.

0

December 10, 2021

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 logo on the left and the FDA logo on the right. The FDA logo is in blue and includes the letters "FDA" in a square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION".

Zimmer, Inc. Katherine Choi Regulatory Affairs Specialist 1800 W. Center Street Warsaw, Indiana 46580

Re: K210842

Trade/Device Name: VerSys Cemented Revision/Calcar Regulation Number: 21 CFR 888.3350 Regulation Name: Hip joint metal/polymer semi-constrained cemented prosthesis Regulatory Class: Class II Product Code: JDI Dated: November 10, 2021 Received: November 12, 2021

Dear Katherine Choi:

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 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

1

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

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

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Indications for Use

510(k) Number (if known) K210842

Device Name VerSys Cemented Revision/Calcar

Indications for Use (Describe)

VerSys Cemented Revision/Calcar is indicated for total hip arthroplasty in patients:

Whose bone stock is of poor quality or inadequate for other reconstruction techniques as indicated by deficiencies of the femoral head, neck, or portions of the proximal femur. Arthroplasty should be performed only when more conservative methods of treatment have failed to provide symptomatic relief and when there is progressive disability.

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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510(k) Summary

| Sponsor | Zimmer, Inc.
P.O. Box 708
Warsaw, IN 46581-0708
Establishment Registration Number: 1822565 | | |
|--------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------|-----------------------|
| Contact Person | Name: Kat Choi
Title: Regulatory Affairs Specialist
Phone: 260-602-2359
Email: Katherine.Choi@zimmerbiomet.com | | |
| Date Prepared | 10-Nov-2021 | | |
| Subject Device | Trade Name: VerSys Cemented Revision/Calcar (CRC) Hip System
Common Name: Hip Prosthesis | | |
| | Classification Name:
• 21 CFR 888.3350 - Prosthesis, Hip, Semi-Constrained,
Metal/Polymer, Cemented
Product Code:
• JDI - Prosthesis, Hip, Semi-Constrained, Metal/Polymer,
Cemented (21 CFR 888.3350) | | |
| Predicate Device | 510(k) Number | Device Name | Manufacturer |
| | K913649 | Modular Calcar
Replacement Hip
System | Zimmer, Inc. |
| Reference Devices | 510(k) Number | Device Name | Manufacturer |
| | K030265, K191735 | CPT Hip System | Zimmer, Inc. |
| | K921224 | BiMetric Hip
System | Biomet
Orthopedics |
| Device Description | Device Identification: VerSys Cemented Revision/Calcar (CRC)
Hip System

Device Characteristics: The VerSys CRC Hip System includes
femoral stems and build-up blocks that are permanent hip implants
and provided sterile via gamma irradiation.

Description: The VerSys CRC Hip System include femoral stems in
a variety of body sizes and lengths and build-up blocks in heights of
10mm, 20mm, and 30mm. The block is attached to the femoral stem
by inserting two Tivanium® Ti-6Al-4V alloy screws into the holes
provided. Only one build-up block can be attached to a femoral stem
The modular connection of the femoral stem is a Morse-type 12/14 | | |

4

taper designed to mate with the corresponding bore of a femoral head.

Materials: The femoral stems are manufactured from cobaltchromium-molybdenum alloy conforming to ASTM F799. The build-up blocks and associated screws are manufactured from Tivanium® Ti-6Al-4V alloy conforming to ASTM F136. The materials for the stems and build-up blocks are categorized as "implant/device – tissue/bone" with a contact duration of "permanent > 30 days." Indications for Use The VerSys CRC Hip System is indicated for total hip arthroplasty in patients whose bone stock is of poor quality or inadequate for other reconstruction techniques as indicated by deficiencies of the femoral head, neck, or portions of the proximal femur. Arthroplasty should be performed only when more conservative methods of treatment have failed to provide symptomatic relief and when there is progressive disability. Summary of

The rationale for substantial equivalence is based on consideration of the following characteristics compared to the predicate device(s):

  • . Intended Use: Identical
  • Indications for Use: Identical
  • Materials: Identical ●
  • Design Features: Similar ●
  • Sterilization: Identical

Non-Clinical Tests:

  • Performance testing to determine equivalence to legally ● marketed devices
  • Proximal fatigue testing per internal requirements ●
  • . Distal fatigue testing per internal requirements
  • Finite Element Analysis for worst-case proximal fatigue . Strength per ISO 7206-6.
  • Finite Element Analysis for worst-case distal fatigue Strength . per ISO 7206-4.
  • . Fretting/Corrosion of the stem/build-up block junction using setup contained within ISO 7206-6

Clinical Tests:

  • Clinical test data is not provided for the subject device. ●
    Substantial Equivalence Based on the information contained within this submission, it is concluded that the VerSys CRC Hip System is substantially Conclusion equivalent to the identified predicate device.

Summary of Performance Data to Support Substantial Equivalence (Nonclinical and/or Clinical)

Technological

Characteristics