K Number
K242084
Device Name
EMPHASYS Acetabular Shell with RapiTite HA
Manufacturer
Date Cleared
2024-10-07

(83 days)

Product Code
Regulation Number
888.3358
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Total hip arthroplasty 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 EMPHASYS Acetabular Shell with RapiTite HA is intended for single use only. INDICATIONS 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. EMPHASYS Acetabular Shells with RapiTite HA are indicated for cementless use only.
Device Description
The EMPHASYS Acetabular Shell with RapiTite HA is a modular cementless porous-coated acetabular shell, with a hydroxyapatite (HA) coating applied conformally throughout the porous coating, offered in three configurations (No-Hole, 3-Hole, and Multi-Hole).
More Information

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

Yes
The device, a total hip arthroplasty component, is intended to reduce pain and increase patient mobility by replacing a damaged hip joint, which are therapeutic outcomes.

No

Explanation: The device description and intended use clearly state that the EMPHASYS Acetabular Shell is a replacement component for total hip arthroplasty, a treatment. It is not used to diagnose a medical condition.

No

The device description clearly states it is a "modular cementless porous-coated acetabular shell," which is a physical implant, not software. The performance studies also focus on physical and mechanical properties, not software validation.

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 replacing a damaged hip joint articulation in patients to increase mobility and reduce pain. This is a surgical implant used in vivo (within the body).
  • Device Description: The description details a modular cementless porous-coated acetabular shell, which is a physical component implanted during surgery.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or treatment.

IVD devices are used in vitro (outside the body) to analyze biological samples. This device is a surgical implant used in vivo.

N/A

Intended Use / Indications for Use

Total hip arthroplasty 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 EMPHASYS Acetabular Shell with RapiTite HA is intended for single use only.

INDICATIONS
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.
    EMPHASYS Acetabular Shell with RapiTite HA is indicated for cementless use only.

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

LPH; LZO

Device Description

The EMPHASYS Acetabular Shell with RapiTite HA is a modular cementless porous-coated acetabular shell, with a hydroxyapatite (HA) coating applied conformally throughout the porous coating, offered in three configurations (No-Hole, 3-Hole, and Multi-Hole).

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 EMPHASYS Acetabular Shell with RapiTite HA was tested to demonstrate its substantial equivalence to the identified predicate devices. Testing and analyses included:
Chemical Analysis (per ASTM F1609-08(2014) & ISO 13779-3:2018)
Dissolution (per ASTM F1926-14)
Solubility (per ISO 13779-6:2015)
SEM Morphological Characterization
Abraded Particle Characterization
FTIR Analysis
XRD Analysis (per ISO 13779-3:2018)
Static interfacial shear strength (per ASTM F1044-05(2017)e1
Static interfacial tensile strength (per ASTM F1147-05(2017)e1)
Interfacial shear fatigue (per ASTM F1160-14 (2017)e1)
Stereological evaluation (per ASTM F1854-15)
Static friction testing (per ASTM D4518-91)
Fatigue testing (per ASTM F3090-20)
Biocompatibility (per ISO 10993-1:2018)
Bone Ingrowth Animal Study
Characterization of the Physical and Mechanical Properties of the HA coated porous surface per FDA guidance documents “Guidance Document for Testing Orthopedic Implants With Modified Metallic Surfaces Apposing Bone Or Bone Cement” (Apr. 1994) and “510(K) Information Needed for Hydroxyapatite Coated Orthopedic Implants (Feb 1997)”
MRI Safety Evaluation Testing of Total Hip Systems - ASTM E2503-23, ASTM E2182 -19e2, ASTM E2052-21, ASTM

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.

DePuy EMPHASYS Acetabular System (K221636/K231873), DePuy Pinnacle Duofix HA Acetabular Cup (K031495), DePuy Pinnacle with Gription Acetabular Cups (K090998/K093646)

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.

Stryker Tritanium Peri-Apatite Acetabular Shell System (K101072)

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.

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Image /page/0/Picture/0 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 FDA name on the right. The symbol on the left is a stylized image of a human figure, while the FDA name on the right is written in blue letters. The words "U.S. FOOD & DRUG ADMINISTRATION" are written in a clear, sans-serif font.

October 7, 2024

DePuy Ireland UC Elaine Pears Regulatory Affairs Manager Loughbeg, Ringaskiddy Cork, Ireland

Re: K242084

Trade/Device Name: EMPHASYS Acetabular Shell with RapiTite HA 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 Dated: July 16, 2024 Received: September 12, 2024

Dear Elaine Pears:

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.

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

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 QS 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).

Change to an Existing Device" (https://www.fda.gov/media/99785/download).

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.

All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rule"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-device-advicecomprehensive-regulatory-assistance/unique-device-identification-system-udi-system.

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-regulatory

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assistance/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,

Image /page/2/Picture/3 description: The image shows the text "Limin Sun -S" in a large, sans-serif font. The text is black and is set against a white background. The words are arranged horizontally, with a hyphen separating "Sun" and "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

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Indications for Use

Submission Number (if known)

K242084

Device Name

EMPHASYS Acetabular Shell with RapiTite HA

Indications for Use (Describe)

Total hip arthroplasty 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 EMPHASYS Acetabular Shell with RapiTite HA is intended for single use only.

INDICATIONS

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.
      EMPHASYS Acetabular Shell with RapiTite HA is indicated for cementless use only.

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

Prescription Use (Part 21 CFR 801 Subpart D)

The-Counter Use (21 CFR 801 Subpart C)

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510(K) SUMMARY – EMPHASYS ACETABULAR SHELL WITH RAPITITE HA

(As required by 21 CFR 807.87(h))

Submitter Information
NameDePuy Ireland UC
AddressLoughbeg, Ringaskiddy
Co. Cork, IRELAND
Establishment Registration Number3015516266
Submission Prepared byElaine Pears
e-mail addressepears@its.jnj.com
DePuySynthesJointsRegulatoryAffairs@its.jnj.com
Work mobile+44 (0)7876 217532
Alternative Contact PersonClare Hill
e-mail addresschill7@its.jnj.com
Work mobile+44 7795 389956
Date prepared16 July 2024
Name of device
Trade or proprietary nameEMPHASYS Acetabular Shell with RapiTite HA
Common or usual nameTotal Hip Arthroplasty Prosthesis
Classification nameProsthesis, Hip, Semi-Constrained, Metal/Polymer, Porous
Uncemented
Prosthesis, Hip, Semi-Constrained, Metal/Ceramic/Polymer,
Cemented Or Non-Porous, Uncemented
ClassII
Classification panel87 Orthopedics
Regulation21 CFR 888.3358; 21 CFR 888.3353
Product CodesLPH; LZO
Legally marketed devices
to which equivalence is
claimedPredicate DevicesReference Device
DePuy EMPHASYS Acetabular
System (K221636/K231873)
(primary predicate)
DePuy Pinnacle Duofix HA
Acetabular Cup (K031495)Stryker Tritanium® Peri-
Apatite™ Acetabular Shell
System (K101072)
DePuy Pinnacle with Gription
Acetabular Cups
(K090998/K093646)
Reason for 510(k)
submissionThe purpose of this 510(k) submission is to obtain market clearance
for the DePuy EMPHASYS Acetabular Shell with RapiTite HA.
Device descriptionThe EMPHASYS Acetabular Shell with RapiTite HA is a modular
cementless porous-coated acetabular shell, with a hydroxyapatite (HA)
coating applied conformally throughout the porous coating, offered in
three configurations (No-Hole, 3-Hole, and Multi-Hole).
Intended use of the deviceTotal hip arthroplasty 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 EMPHASYS Acetabular Shell with RapiTite HA is intended for
single use only.
Indications for useTotal 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.
    EMPHASYS Acetabular Shells with RapiTite HA are indicated for
    cementless use only. | |
    | Comparison of
    Technological
    Characteristics with
    predicate devices | The EMPHASYS Acetabular Shell with RapiTite HA is identical to the
    acetabular shells in the primary predicate EMPHASYS Acetabular
    System in terms of intended use, indications, design and materials of
    construction, with the only exception being that the subject devices have
    an additional layer of HA coating. The HA coating is equivalent in
    structure and composition to that used in the secondary predicate (DePuy
    Pinnacle Duofix HA Acetabular Cup), and is applied in a way similar
    to that used for the reference device (Stryker Tritanium® Peri-
    Apatite™ Acetabular Shell System). | |
    | Animal & Performance
    Testing | The EMPHASYS Acetabular Shell with RapiTite HA was tested to
    demonstrate its substantial equivalence to the identified predicate
    devices. Testing and analyses included: | |
    | | Chemical Analysis (per ASTM F1609-08(2014) & ISO 13779-
    3:2018) Dissolution (per ASTM F1926-14) Solubility (per ISO 13779-6:2015) SEM Morphological Characterization Abraded Particle Characterization FTIR Analysis XRD Analysis (per ISO 13779-3:2018) Static interfacial shear strength (per ASTM F1044-05(2017)e1 Static interfacial tensile strength (per ASTM F1147-
    05(2017)e1) Interfacial shear fatigue (per ASTM F1160-14 (2017)e1) Stereological evaluation (per ASTM F1854-15) Static friction testing (per ASTM D4518-91) Fatigue testing (per ASTM F3090-20) Biocompatibility (per ISO 10993-1:2018) Bone Ingrowth Animal Study Characterization of the Physical and Mechanical Properties of
    the HA coated porous surface per FDA guidance documents
    “Guidance Document for Testing Orthopedic Implants With
    Modified Metallic Surfaces Apposing Bone Or Bone Cement”
    (Apr. 1994) and “510(K) Information Needed for
    Hydroxyapatite Coated Orthopedic Implants (Feb 1997)” MRI Safety Evaluation Testing of Total Hip Systems - ASTM
    E2503-23, ASTM E2182 -19e2, ASTM E2052-21, ASTM | |
    | Substantial Equivalence | The EMPHASYS Acetabular Shell with RapiTite HA is substantially
    equivalent to the identified predicate devices with respect to intended
    use, indications, materials of construction, geometry, range of sizes,
    and method of fixation. Results of animal and performance testing
    and analyses demonstrate that the EMPHASYS Acetabular Shell with
    RapiTite HA performs as well as the predicate devices. | |

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