K Number
K231526
Device Name
CORAIL Cemented Femoral Stem
Manufacturer
Date Cleared
2023-12-19

(207 days)

Product Code
Regulation Number
888.3390
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The use of CORAIL Cemented Femoral Stems is indicated in Total and Hemi hip replacements. Total hip replacement is indicated in the following conditions: 1. A severely painful and/or disabled joint from osteoarthritis, traumatic arthritis, rheumatoid arthritis, or congenital hip dysplasia. 2. Avascular necrosis of the femoral head. 3. Acute traumatic fracture of the femoral head or neck. 4. Failed previous hip surgery including joint reconstruction, internal fixation, arthrodesis, hemiarthroplasty, surface replacement arthroplasty, or total hip replacement. 5. Certain cases of ankylosis. Partial hip arthroplasty is indicated in the following conditions: 1. Acute fracture of the femoral head or neck that cannot be appropriately reduced and treated with internal fixation. 2. Avascular necrosis of the femoral head. 3. Non-union of femoral neck fractures. 4. Certain high subcapital and femoral neck fractures in the elderly. 5. Degenerative arthritis involving only the femoral head in which the acetabulum does not require replacement. 6. Pathology involving only the femoral head/neck and/or proximal femur that can be adequately treated by hip hemiarthroplasty. The DePuy CORAIL Cemented Femoral Stems are indicated only for use with bone cement.
Device Description
The CORAIL Cemented Femoral Stem is manufactured from wrought high nitrogen stainless steel, and is designed to be used as one component of a system of prostheses in hip arthroplasty. The stems are compatible with both unipolar and bipolar femoral heads intended for hemi-hip arthroplasty and with modular metal and ceramic femoral heads intended for total hip arthroplasty. The CORAIL Cemented Femoral Stem implants are uncoated with a polished finish, intended for use with bone cement. The stem consists of a wide range of stem neck designs and sizes allowing an accurate anatomical match for a wide range of patients. The CORAIL Cemented Femoral Stem is designed to provide a cemented version of the primary predicate DePuy CORAIL AMT Hip Prosthesis stem (cleared under 510(k) K123991).
More Information

Not Found

No
The document describes a mechanical implant (femoral stem) and its intended use and performance testing, with no mention of AI or ML technology.

Yes.
The device is a femoral stem used in hip replacements to treat various conditions like osteoarthritis, fractures, and avascular necrosis, all of which aim to alleviate symptoms and restore function.

No

This device is a femoral stem used in hip replacement surgery, which is a therapeutic intervention, not a diagnostic one.

No

The device description clearly states it is a physical implant manufactured from wrought high nitrogen stainless steel, intended for use in hip arthroplasty.

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 about a person's health.
  • Device Description and Intended Use: The description clearly states that the CORAIL Cemented Femoral Stem is a component of a system of prostheses used in hip arthroplasty (hip replacement surgery). It is an implantable device designed to replace part of the hip joint.
  • Lack of Specimen Analysis: There is no mention of this device being used to analyze any biological specimens. Its function is mechanical, providing structural support and articulation within the hip joint.

Therefore, based on the provided information, the CORAIL Cemented Femoral Stem is a surgical implant, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The use of CORAIL Cemented Femoral Stems is indicated in Total and Hemi hip replacements.

Total hip replacement is indicated in the following conditions:

  1. A severely painful and/or disabled joint from osteoarthritis, traumatic arthritis, rheumatoid arthritis, or congenital hip dysplasia.
  2. Avascular necrosis of the femoral head.
  3. Acute traumatic fracture of the femoral head or neck.
  4. Failed previous hip surgery including joint reconstruction, internal fixation, arthrodesis, hemiarthroplasty, surface replacement arthroplasty, or total hip replacement.
  5. Certain cases of ankylosis.

Partial hip arthroplasty is indicated in the following conditions:

  1. Acute fracture of the femoral head or neck that cannot be appropriately reduced and treated with internal fixation.
  2. Avascular necrosis of the femoral head.
  3. Non-union of femoral neck fractures.
  4. Certain high subcapital and femoral neck fractures in the elderly.
  5. Degenerative arthritis involving only the femoral head in which the acetabulum does not require replacement.
  6. Pathology involving only the femoral head/neck and/or proximal femur that can be adequately treated by hip hemiarthroplasty.

The DePuy CORAIL Cemented Femoral Stems are indicated only for use with bone cement.

Product codes

KWY, KWL, LZO

Device Description

The CORAIL Cemented Femoral Stem is manufactured from wrought high nitrogen stainless steel, and is designed to be used as one component of a system of prostheses in hip arthroplasty. The stems are compatible with both unipolar and bipolar femoral heads intended for hemi-hip arthroplasty and with modular metal and ceramic femoral heads intended for total hip arthroplasty. The CORAIL Cemented Femoral Stem implants are uncoated with a polished finish, intended for use with bone cement. The stem consists of a wide range of stem neck designs and sizes allowing an accurate anatomical match for a wide range of patients. The CORAIL Cemented Femoral Stem is designed to provide a cemented version of the primary predicate DePuy CORAIL AMT Hip Prosthesis stem (cleared under 510(k) K123991).

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)

The CORAIL Cemented Femoral Stem was tested to demonstrate its substantial equivalence of safety and effectivenes to the identified predicate devices. Testing and analyses included:

  • Distal fatigue and neck fatigue per ISO 7206-4:2010, ISO 7206:2013 and ASTM F2068-3
  • Range of motion per EN ISO 21535:2009+A1:2016
  • MRI Safety per ASTM F2503-23, ASTM F2182 -19e2, ASTM F2052-21, ASTM F2213-17 and ASTM F2119-07
  • Biocompatibility testing per EN ISO 10993-1-2018, ISO 10993-3:2014, ISO 1099-5:2009, ISO 1099-6:2016, ISO 1099-10:2010, ISO 10993-11:2017, ISO 10993-12:2012, ISO 10993-18:2020, BS EN ISO 22442-1:2015 and ISO 10993-17:2002
  • Bacterial endotoxins per ANSI/AAMI ST 72:2019

No clinical tests were conducted to demonstrate substantial equivalence.

Results of performance that the CORAL Cemented Femoral Stem performs as well as the predicate devices DePuy CORAIL AMT Hip Prosthesis and C-STEM AMT LE Prosthesis (K123991 and K220216).

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.

K123991, K220216

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.

0

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 a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

December 19, 2023

DePuy Ireland UC Nicola Keedy Regulatory Affairs Director Loughbeg, Ringaskiddy Co. Cork Ireland

Re: K231526

Trade/Device Name: CORAIL Cemented Femoral Stem Regulation Number: 21 CFR 888.3390 Regulation Name: Hip Joint Femoral (Hemi-Hip) Metal/Polymer Cemented Or Uncemented Prosthesis Regulatory Class: Class II Product Code: KWY, KWL, LZO Dated: May 26, 2023 Received: December 8, 2023

Dear Nicola Keedy:

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 (the 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 available 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.

Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device"

1

(https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30. Design controls; 21 CFR 820.90. Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review. the OS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

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 Part 803) for devices or postmarketing safety reporting (21 CFR Part 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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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).

2

Sincerely,

Limin Sun -S

Limin Sun, Ph.D. 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

3

Indications for Use

Submission Number (if known)

K231526

Device Name

CORAIL Cemented Femoral Stem

Indications for Use (Describe)

The use of CORAIL Cemented Femoral Stems is indicated in Total and Hemi hip replacements.

Total hip replacement is indicated in the following conditions:

  1. A severely painful and/or disabled joint from osteoarthritis, traumatic arthritis, rheumatoid arthritis, or congenital hip dysplasia.
    1. Avascular necrosis of the femoral head.
    1. Acute traumatic fracture of the femoral head or neck.
  1. Failed previous hip surgery including joint reconstruction, internal fixation, arthrodesis,

hemiarthroplasty, surface replacement arthroplasty, or total hip replacement.

  1. Certain cases of ankylosis.

Partial hip arthroplasty is indicated in the following conditions:

  1. Acute fracture of the femoral head or neck that cannot be appropriately reduced and treated with internal fixation.

  2. Avascular necrosis of the femoral head.

    1. Non-union of femoral neck fractures.
    1. Certain high subcapital and femoral neck fractures in the elderly.
  1. Degenerative arthritis involving only the femoral head in which the acetabulum does not require replacement.

  2. Pathology involving only the femoral head/neck and/or proximal femur that can be adequately treated by hip hemiarthroplasty.

The DePuy CORAIL Cemented Femoral Stems are indicated only for use with bone cement.

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

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."

K231526 Page 1 of 1

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510(k) Summary

Submitter Information
NameDePuy Ireland UC
AddressLoughbeg, Ringaskiddy
Co. Cork, IRELAND
Establishment Registration
Number3015516266
Name of contact personAmy Joyce
e-mail addressAJoyce1@its.jnj.com
DePuySynthesJointsRegulatoryAffairs@its.jnj.com
Alternative contact personNicola Keedy
e-mail addressNKeedy@its.jnj.com
Work mobile+44 7824320636 (UK time zone)
Date prepared26th May 2023
Name of device
Trade or proprietary nameCORAIL Cemented Femoral Stem
Common or usual nameHip Stem
Classification nameHip joint femoral (hemi-hip) metal/polymer cemented or uncemented
prosthesis.
Hip joint femoral (hemi-hip) metallic cemented or uncemented prosthesis.
Hip joint metal/ceramic/polymer semi-constrained cemented or nonporous
uncemented prosthesis.
ClassII
Classification panel87 Orthopedics
Regulation21 CFR 888.3390, 888.3360, 888.3353
Product Code(s)KWY, KWL, LZO
Legally marketed device(s) to
which equivalence is claimedPrimary predicate - DePuy CORAIL AMT Hip Prosthesis K123991, cleared
September 16, 2013
Secondary predicate – C-STEM AMT LE Prosthesis K220216, cleared July
22, 2022
Reason for 510(k) submissionThe purpose of this 510K submission is to obtain market clearance for the
CORAIL Cemented Femoral Stem
Device descriptionThe CORAIL Cemented Femoral Stem is manufactured from wrought high
nitrogen stainless steel, and is designed to be used as one component of a
system of prostheses in hip arthroplasty. The stems are compatible with both unipolar and bipolar femoral heads intended for hemi-hip arthroplasty and with modular metal and ceramic femoral heads intended for total hip arthroplasty. The CORAIL Cemented Femoral Stem implants are uncoated with a polished finish, intended for use with bone cement. The stem consists of a wide range of stem neck designs and sizes allowing an accurate anatomical match for a wide range of patients. The CORAIL Cemented Femoral Stem is designed to provide a cemented version of the primary predicate DePuy CORAIL AMT Hip Prosthesis stem (cleared under 510(k) K123991).
Intended use of the deviceTotal hip arthroplasty and hemi-hip arthroplasty
Indications for useThe use of CORAIL Cemented Femoral Stems is indicated in Total and Hemi hip replacements. Total hip replacement is indicated in the following conditions: 1. A severely painful and/or disabled joint from osteoarthritis, traumatic arthritis, rheumatoid arthritis, or congenital hip dysplasia. 2. Avascular necrosis of the femoral head. 3. Acute traumatic fracture of the femoral head or neck. 4. Failed previous hip surgery including joint reconstruction, internal fixation, arthrodesis, hemiarthroplasty, surface replacement arthroplasty, or total hip replacement. 5. Certain cases of ankylosis. Partial hip replacement or hip hemi-arthroplasty is indicated in the following conditions: 1. Acute fracture of the femoral head or neck that cannot be appropriately reduced and treated with internal fixation. 2. Avascular necrosis of the femoral head. 3. Non-union of femoral neck fractures. 4. Certain high subcapital and femoral neck fractures in the elderly. 5. Degenerative arthritis involving only the femoral head in which the acetabulum does not require replacement. 6. Pathology involving only the femoral head/neck and/or proximal femur that can be adequately treated by hip hemiarthroplasty. The CORAIL Cemented Femoral Stems are indicated only for use with bone cement.

5

6

SUMMARY OF THE TECHNOLOGICAL CHARACTERISTICS OF THE DEVICE COMPARED TO THE PREDICATE DEVICES
Characteri
sticsSubject Device:
CORAIL Cemented
Femoral StemPrimary Predicate Device:
DePuy CORAIL AMT Hip Prosthesis
K123991Secondary Predicate Device:
C-STEM AMT LE Prosthesis
K220216
Intended
Use and
Indications
for UseThe subject device has
the same intended use as
primary predicate
K123991.
The subject device is
indicated for total and
hemi hip arthroplasty,
same as primary
predicate K123991, and
indicated for cemented
use, same as secondary
predicate K220216.Intended for use in total hip arthroplasty and hemi-hip arthroplasty.
Total hip replacement or hip arthroplasty is indicated in the following conditions:
  1. A severely painful and/or disabled joint from osteoarthritis, traumatic arthritis,
    rheumatoid arthritis, or congenital hip dysplasia.
  2. Avascular necrosis of the femoral head.
  3. Acute traumatic fracture of the femoral head or neck.
  4. Failed previous hip surgery including joint reconstruction, internal fixation,
    arthrodesis, hemi-arthroplasty, surface replacement arthroplasty, or total hip
    replacement.
    5.Certain cases of ankylosis.
    Partial hip arthroplasty or hip hemi-arthroplasty is indicated in the following
    conditions:
  5. Acute fracture of the femoral head or neck that cannot be appropriately reduced
    and treated with internal fixation.
  6. Avascular necrosis of the femoral head.
  7. Non-union of femoral neck fractures.
  8. Certain high subcapital and femoral neck fractures in the elderly.
  9. Degenerative arthritis involving only the femoral head in which the acetabulum
    does not require replacement.
  10. Pathology involving only the femoral head/neck and/or proximal femur that
    can be adequately treated by hip hemi-arthroplasty.
    HA coated stems of the CORAIL Hip System are indicated for cementless use
    only. | Intended for use in total hip
    arthroplasty.
    Total hip replacement is indicated in
    the following conditions:
  11. A severely painful and/or disabled
    joint from osteoarthritis, traumatic
    arthritis, rheumatoid arthritis, or
    congenital hip dysplasia.
  12. Avascular necrosis of the femoral
    head.
  13. Acute traumatic fracture of the
    femoral head or neck.
  14. Failed previous hip surgery
    including joint reconstruction,
    internal fixation, arthrodesis,
    hemiarthroplasty, surface
    replacement arthroplasty, or total hip
    replacement.
  15. Certain cases of ankylosis.
    The C-STEM AMT Hip Prosthesis is
    indicated for cemented use only. |
    | SUMMARY OF THE TECHNOLOGICAL CHARACTERISTICS OF THE DEVICE COMPARED TO THE PREDICATE DEVICES | | | |
    | Characteri
    stics | Subject Device:
    CORAIL Cemented
    Femoral Stem | Primary Predicate Device:
    DePuy CORAIL AMT Hip Prosthesis
    K123991 | Secondary Predicate Device:
    C-STEM AMT LE Prosthesis
    K220216 |
    | Material | The subject device uses
    the same materials to
    secondary predicate
    devices K220216 | Forged titanium alloy Ti-6Al-4V, plasma-sprayed with a biocompatible
    hydroxyapatite (HA) coating for bone fixation | Wrought high nitrogen stainless
    steel, conforming to ISO 5832-9. |
    | Fixation | The subject device uses
    the same method of
    fixation as the secondary
    predicate devices
    K220216 | Press Fit; Cementless | Cemented |
    | Stem Size | The subject device has
    an identical size range to
    a sub-set of the size
    range of primary
    predicate K123991
    devices | Cementless Collared 8, 9, 10, 11, 12, 13, 14, 15, 16, 18, 20
    Cementless Collarless 6, 8, 9, 10, 11, 12, 13, 14, 15, 16, 18, 20
    Cementless LAT Collared 9, 10, 11, 12, 13, 14, 15, 16, 18, 20
    Cementless HO Collarless 9, 10, 11, 12, 13, 14, 15, 16, 18, 20 | CDH ("00"), 1A, 2A, 3A, 2 Long
    SO, 2 Long HO, 3 Long SO, 3 Long
    HO, 3XL205, 3 XL240 |
    | Stem
    Offset | The subject device has
    the same stem offset
    options as the primary
    predicate K123991 | Standard, High | Same as primary predicate |

7

8

SUMMARY OF THE TECHNOLOGICAL CHARACTERISTICS OF THE DEVICE COMPARED TO THE PREDICATE DEVICES
Characteri
sticsSubject Device:
CORAIL Cemented
Femoral StemPrimary Predicate Device:
DePuy CORAIL AMT Hip Prosthesis
K123991Secondary Predicate Device:
C-STEM AMT LE Prosthesis
K220216
CollarThe subject device is
collarless, same as
secondary predicate
devices K220216, and a
subset of the primary
predicate devices
K123991Collared & CollarlessCollarless
Sterile
MethodThe subject device has
the same sterile method
as both primary predicate
K123991, and secondary
predicate K220216.Gamma irradiationSame as primary predicate
SALThe subject device has
the same SAL as primary
predicate K123991, and
secondary predicate
K220216.10-6Same as primary predicate
PackagingThe subject has the same
packaging format as both
primary predicate
K123991, and secondary
predicate K220216.Double Sterile Barrier Pack
INNER: Nylon Pouch
OUTER: PETG Blister, Tyvek LidSame as primary predicate

9

SUMMARY OF THE TECHNOLOGICAL CHARACTERISTICS OF THE DEVICE COMPARED TO THE PREDICATE DEVICES
Characteri
sticsSubject Device:
CORAIL Cemented
Femoral StemPrimary Predicate Device:
DePuy CORAIL AMT Hip Prosthesis
K123991Secondary Predicate Device:
C-STEM AMT LE Prosthesis
K220216
Shelf LifeThe subject device has
the same shelf-life as
both primary predicate
K123991, and secondary
predicate K220216.5 years5 years

10

The subject device [CORAIL Cemented Femoral Stem] has the collarless subset of the primary predicate device [DePuy CORAIL AMT Hip Prosthesis (K123991) and in common with the secondary predicate (C-STEM AMT LE Prosther finish is uncoated and brighty polished, and the material of construction is wrought Stainless Steel.

The subject device has the same intended use as the method of sterlization. Sterlity Assurance Level (SAL) and claimed shelf-life are the same across the subject and both predicate devices. The same as for the same as for the secondary predicate device.

The subject device is indicated for total and heminary predicate, and is indicated for cemented use, same as the secondary predicate. The range of stem sizes and neck offsets available are identical for the subject device and a subset of the primary predicate.

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

The CORAIL Cemented Femoral Stem was tested to demonstrate its substantial equivalence of safety and effectivenes to the identified predicate devices. Testing and analyses included:

  • Distal fatigue and neck fatigue per ISO 7206-4:2010, ISO 7206:2013 and ASTM F2068-3 ●
  • Range of motion per EN ISO 21535:2009+A1:2016 ●
  • MRI Safety per ASTM F2503-23, ASTM F2182 -19e2, ASTM F2052-21, ASTM F2213-17 and ASTM F2119-07 .
  • Biocompatibility testing per EN ISO 10993-1-2018, ISO 10993-3:2014, ISO 1099-5:2009, ISO 1099-6:2016, ISO 1099-10:2010, ISO ● 10993-11:2017, ISO 10993-12:2012, ISO 10993-18:2020, BS EN ISO 22442-1:2015 and ISO 10993-17:2002
  • Bacterial endotoxins per ANSI/AAMI ST 72:2019 ●

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 CORALL Cemented Femoral Stem is substantialy equivalent to the identified predicates with respect to minded use, indications, materials, geometry, range of sizes, and method of fixation. Results of performance that the CORAL Cemented Femoral Stem performs as well as the predicate devices DePuy CORAIL AMT Hip Prosthesis and C-STEM AMT LE Prosthesis (K123991 and K220216).