K Number
K962002
Device Name
AURA HIP SYSTEM CALCAR REPLACEMENT FEMORAL STEM
Manufacturer
Date Cleared
1996-08-08

(78 days)

Product Code
Regulation Number
888.3360
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Exactech AuRA Calcar Replacement Femoral Stem is indicated for use in skeletally mature patients in whom the calcar region is missing due to a failed previous total hip replacement as a result of osteoarthritis, osteonecrosis , rheumatoid arthritis or congenital hip dysplasia. It is also potentially indicated for use in post-traumatic degenerative problems. FOR CEMENTED USE ONLY
Device Description
The collar of the calcar replacement stem differentiates itself from all other cemented femoral components in that it provides a horizontal and vertical collar type platform for the best load transfer in a compromised femoral situation. A cemented primary or long stem device typically has a collar designed at some angle to the femoral centerline whereby a bone loading platform can be established at the optimum resection location. In many instances, this ideal position has been compromised and an implant surface that is horizontally perpendicular to and vertically parallel to the femoral centerline is preferred for optimal axial load transfer to the bone and appropriate trochanteric fixation can be achieved. The surface finish is dominated by an overall satin, glass bead blast everywhere except on the taper. A secondary grit blast is performed on portions of the proximal region of the implant. A complete instrumentation and trial system is available to assist in accurate implantation of the AuRATM Calcar Replacement Femoral Stem.
More Information

K/DEN Number Not Found

Not Found

No
The document describes a mechanical implant and its material properties, with no mention of software, algorithms, or data processing that would indicate AI/ML.

No.
The device is a calcar replacement femoral stem, which is a prosthesis used in hip replacement surgery to replace a missing part of the femur. It is designed to restore anatomical structure and function, rather than to treat or cure a disease or condition through non-surgical means. While it improves the patient's condition, it is a replacement device, not a therapeutic agent.

No
The device, Exactech AuRA Calcar Replacement Femoral Stem, is an implant for hip replacement, indicated for use in patients with missing calcar regions due to various orthopedic conditions. Its description focuses on its design for load transfer and material properties, not on diagnosing medical conditions.

No

The device description clearly describes a physical implant (femoral stem) made of cobalt chromium alloy, not software.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body (like blood, urine, tissue) to provide information about a person's health.
  • Device Description: The description clearly states that this is a femoral stem, which is an implantable device used in hip replacement surgery. It is a physical component inserted into the body.
  • Intended Use: The intended use is for surgical implantation in patients with specific hip conditions. This is a therapeutic intervention, not a diagnostic test performed on a sample.

The information provided describes a surgical implant, not a device used for testing biological samples.

N/A

Intended Use / Indications for Use

The Exactech AuRA Calcar Replacement Femoral Stem is indicated for use in skeletally mature patients in whom the calcar region is missing due to a failed previous total hip replacement as a result of osteoarthritis, osteonecrosis , rheumatoid arthritis or congenital hip dysplasia. It is also potentially indicated for use in post-traumatic degenerative problems.

FOR CEMENTED USE ONLY

Product codes

JDG

Device Description

The collar of the calcar replacement stem differentiates itself from all other cemented femoral components in that it provides a horizontal and vertical collar type platform for the best load transfer in a compromised femoral situation. A cemented primary or long stem device typically has a collar designed at some angle to the femoral centerline whereby a bone loading platform can be established at the optimum resection location. In many instances, this ideal position has been compromised and an implant surface that is horizontally perpendicular to and vertically parallel to the femoral centerline is preferred for optimal axial load transfer to the bone and appropriate trochanteric fixation can be achieved.

The surface finish is dominated by an overall satin, glass bead blast everywhere except on the taper. A secondary grit blast is performed on portions of the proximal region of the implant.

A complete instrumentation and trial system is available to assist in accurate implantation of the AuRATM Calcar Replacement Femoral Stem.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Hip

Indicated Patient Age Range

skeletally mature patients

Intended User / Care Setting

surgeon

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

Mechanical Testing: The forged cobalt chromium alloy exhibits mechanical properties in excess of 170,000 psi ultimate tensile strength, 120,000 psi vield strength, 12% elongation, and 12% reduction of area and a minimum of 35 hardness. Rc. In addition, fatigue testing results have been favorable for this type of device.

Key Metrics

Not Found

Predicate Device(s)

Howmedica hnr Head/Neck Replacement System

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 888.3360 Hip joint femoral (hemi-hip) metallic cemented or uncemented prosthesis.

(a)
Identification. A hip joint femoral (hemi-hip) metallic cemented or uncemented prosthesis is a device intended to be implanted to replace a portion of the hip joint. This generic type of device includes prostheses that have a femoral component made of alloys, such as cobalt-chromium-molybdenum. This generic type of device includes designs which are intended to be fixed to the bone with bone cement (§ 888.3027) as well as designs which have large window-like holes in the stem of the device and which are intended for use without bone cement. However, in these latter designs, fixation of the device is not achieved by means of bone ingrowth.(b)
Classification. Class II.

0

K962002

SUMMARY OF THE SAFETY AND EFFECTIVENESS INFORMATION FOR THE PREMARKET NOTIFICATION FOR THE AuRA TM Hip System CALCAR REPLACEMENT FEMORAL STEM

Exactech®, Inc.

Establishment Registration Number 1038671

The AuRATM Calcar Replacement Femoral Stems are made of similar materials and are of similar design to prostheses that were on the market before May 28, 1976. Additionally, the calcar stems are of similar design to other cemented femoral components on the market that have been determined to be equivalent to devices on the market prior to May 28, 1976. These predicates include, but are not limited to: Howmedica hnr Head/Neck Replacement System.

Exactech, Inc. has supplied advertisements, brochures and/or catalog information from the company to the FDA as evidence of equivalency. This literature is in the public domain. In addition, Exactech has provided the FDA design drawings, material specifications and dimensional images of the AuRATM stems.

This device is appropriately placed in FDA classification: Prosthesis, Hip, Femoral Component, Cemented, Metal. Number 87JDG, Class II device, under 21 CFR 888.3360.

1. Device Description/ Design Rationale

The collar of the calcar replacement stem differentiates itself from all other cemented femoral components in that it provides a horizontal and vertical collar type platform for the best load transfer in a compromised femoral situation. A cemented primary or long stem device typically has a collar designed at some angle to the femoral centerline whereby a bone loading platform can be established at the optimum resection location. In many instances, this ideal position has been compromised and an implant surface that is horizontally perpendicular to and vertically parallel to the femoral centerline is preferred for optimal axial load transfer to the bone and appropriate trochanteric fixation can be achieved.

The surface finish is dominated by an overall satin, glass bead blast everywhere except on the taper. A secondary grit blast is performed on portions of the proximal region of the implant.

A complete instrumentation and trial system is available to assist in accurate implantation of the AuRATM Calcar Replacement Femoral Stem.

1

Similarities/Dissimilarities to the Howmedica hnr Hip System:

The Exactech AuRA™ Calcar Replacement Femoral Stem is similar to the Howmedica hnr Femoral Stem in the type of finish used: both have a dual grit blast. Both prosthesis feature derotation keels and calcar slots. Both offer distal centralization. Both the Exactech AuRA™ and the Howmedica hnr use modular femoral heads.

The Exactech AuRA™ Calcar Replacement Femoral Stem is dissimilar to the Howmedica hnr in the material used: the Exactech Femoral Stem is manufactured from forged cobalt chrome as apposed to the cast cobalt chrome used in the Howmedica hnr Femoral Stem. The Exactech stem has a straight body: the Howmedica stém is available with both a straight and curved body. The Hip Systems differ in the sizes offered: the smallest calcar flange length offered by Exactech is a 44mm, while the Howmedica system has a 33mm. The shortest body length offered by the Exactech system is 146mm, while the Howmedica system has a body length of 135mm. The Exactech Calcar Replacement Femoral Stem design has no longitudinal distal flutes featured in the Howmedica prosthesis. The Exactech stem features both slots and holes for wire fixation: the Howmedica femoral stem has only slots

2. Material Specifications

The AuRATM Calcar Replacement Femoral Stem is made from forged cobalt chrome which meets ASTM specification F799-95 . Fr

3. Mechanical Testing

The forged cobalt chromium alloy exhibits mechanical properties in excess of 170,000 psi ultimate tensile strength, 120,000 psi vield strength, 12% elongation, and 12% reduction of area and a minimum of 35 hardness. Rc.

In addition, fatigue testing results have been favorable for this type of device.

Range of Motion and Constraint 4.

The AuRATM Calcar Replacement Femoral Stem is designed to mate with the appropriate femoral stem size dictated by the patient's anatomy. Likewise, the patient's range of motion and constraint is limited by the anatomy.

5. Biocompatibility

According to ASTM F799-95, the material in this specification has been evaluated for biocompatibility and corrosion resistance and has been found comparable to material conforming to specification F75. The results of these studies and the clinical history indicate a well-characterized level of local biological response.

2

Sterilization 6.

The AuRATM Calcar Replacement Femoral Stem will be supplied sterile. The components will be sterilized in the final, sealed packages by gamma irradiation at a contract sterilization facility. The sterilization protocol will be based on the Guidelines for Radiation Sterilization of Medical Devices, issued by the Association for Advancement of Medical Instrumentation Process Control. The devices are not claimed to be pyrogen free.

008

7. Utilization of Implantation

Selection of the component is made by the surgeon in relationship to the requirements of the patient. The surgeon should become thoroughly familiar with the technique of implantation of the prosthesis by: 1) appropriate reading of the literature and 2) training in the operative skills and techniques required for hip arthroplasty surgeries.

8. Indications

The Exactech AuRA Calcar Replacement Femoral Stem is indicated for use in skeletally mature patients in whom the calcar region is missing due to a failed previous total hip replacement as a result of osteoarthritis, osteonecrosis , rheumatoid arthritis or congenital hip dysplasia. It is also potentially indicated for use in post-traumatic degenerative problems.

ﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬﻬ

FOR CEMENTED USE ONLY

9. Contraindications

Use of the AuRA™ Calcar Replacement Femoral Stem is contraindicated in patients with active infection, patients without sufficient bone stock to allow appropriate insertion and fixation of the prosthesis, in patients with neuromuscular disorders that do not allow control of the hip joint, and in patients whose weight, age or activity level would cause the surgeon to expect early failure of the system.