K Number
K970346
Device Name
PATIENT SPECIFIC IMPLANT HIP FEMORAL COMPONENT
Date Cleared
1997-02-19

(20 days)

Product Code
Regulation Number
888.3353
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The PSI Hip Femoral Component with HA Coating is indicated for uncemented use as the femoral component in total hip arthroplasty (THA) for replacing the hip joint of patients whose hip joint has been damaged by degenerative joint disease, fracture or the failure of previous arthroplasty. Each PSI stem is specifically designed for clinical cases where the patient would see added benefit from a femoral component designed to match the natural bone geometry of the femur.
Device Description
The Kairos™ Orthopaedics Patient Specific Implant (PSI) Hip Femoral Component with HA Coating is designed using the patient's natural bone geometry to construct an implant to better fit and fill the patient's femoral canal relative to other commercially available standard hip stems. Since each stem is matched to a particular patient, a precise device description cannot be provided, as the device design will vary from patient to patient depending upon their unique, naturally occurring bone geometry. Kairos™ Orthopaedics specifies eight design parameters that define an "envelope" of dimensional limits within which all PSI stems are defined.
More Information

Not Found

No
The description focuses on patient-specific design based on bone geometry, which is a form of customization, not necessarily AI/ML. There are no mentions of AI, ML, or related terms, nor is there a description of training or test sets typically associated with AI/ML models.

Yes
The device is a hip femoral component designed to replace a damaged hip joint, which is a therapeutic intervention.

No

The device is a Patient Specific Implant (PSI) Hip Femoral Component, which is a prosthetic implant designed for total hip arthroplasty. Its purpose is to replace a damaged hip joint, not to diagnose a condition.

No

The device description clearly states it is a "Hip Femoral Component with HA Coating," which is a physical implant, not software. The 510(k) summary describes the design process for this physical implant based on patient anatomy.

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 Function: The description clearly states that this device is a femoral component used in total hip arthroplasty (THA). This is a surgical implant designed to replace a damaged hip joint.
  • Intended Use: The intended use is to replace the hip joint, not to perform diagnostic tests on biological samples.
  • Device Description: The description focuses on the physical design and manufacturing of a surgical implant based on patient anatomy.
  • Input: The input is imaging data (CT or X-Ray) used for designing the implant, not biological samples for testing.

This device is a surgical implant, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Kairos™ Orthopaedics Patient Specific Implant (PSI) Hip Femoral Component with HA Coating is indicated for uncemented use as the femoral component in total hip arthroplasty (THA) for replacing the hip joint of patients whose hip joint has been damaged by degenerative joint disease, fracture or the failure of previous arthroplasty. Each PSI stem is specifically designed for clinical cases where the patient would see added benefit from a femoral component designed to match the natural bone geometry of the femur.

Product codes

LZO

Device Description

The Kairos™ Orthopaedics Patient Specific Implant (PSI) Hip Femoral Component with HA Coating is designed using the patient's natural bone geometry to construct an implant to better fit and fill the patient's femoral canal relative to other commercially available standard hip stems. Since each stem is matched to a particular patient, a precise device description cannot be provided, as the device design will vary from patient to patient depending upon their unique, naturally occurring bone geometry. Kairos™ Orthopaedics specifies eight design parameters that define an "envelope" of dimensional limits within which all PSI stems are defined.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

CT or X-Ray

Anatomical Site

Hip joint, femoral canal

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)

Additionally, an engineering stress analysis was performed on the envelope of design parameters to ensure fatigue performance of the PSI Hip Femoral Component with HA Coating comparable to a clinically proven standard hip stem. Mechanical testing performed by Kairos™ Orthopaedics on a representative PSI stem verified these stress analysis calculations,

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

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 888.3353 Hip joint metal/ceramic/polymer semi-constrained cemented or nonporous uncemented prosthesis.

(a)
Identification. A hip joint metal/ceramic/polymer semi-constrained cemented or nonporous uncemented prosthesis is a device intended to be implanted to replace a hip joint. This device limits translation and rotation in one or more planes via the geometry of its articulating surfaces. It has no linkage across-the-joint. The two-part femoral component consists of a femoral stem made of alloys to be fixed in the intramedullary canal of the femur by impaction with or without use of bone cement. The proximal end of the femoral stem is tapered with a surface that ensures positive locking with the spherical ceramic (aluminium oxide, A12 03 ) head of the femoral component. The acetabular component is made of ultra-high molecular weight polyethylene or ultra-high molecular weight polyethylene reinforced with nonporous metal alloys, and used with or without bone cement.(b)
Classification. Class II.

0

K970346

Premarket Notification

FEB 1 9 1997

510(k) Summary

In accordance with the Food and Drug Administration Interim Rule to implement provisions of the Safe Medical Devices Act (SMDA) of 1990 and in conformance with 21 CFR 807, this is to serve as a 510(k) Summary for the Kairos™ Orthopaedics Patient Specific Implant (PSI) Hip Femoral Component with HA Coating.

| Submitter: | Kairos™ Orthopaedics
819 Striker Avenue, Suite 10
Sacramento, California 95834 |
|-------------------------|-------------------------------------------------------------------------------------------------------------------|
| | Telephone: (916) 646-5403
Fax: (916) 646-5432 |
| Date: | January 28, 1997 |
| Contact Person: | Brian Cleary
Director, Regulatory Affairs |
| Classification Name: | Hip joint metal/ceramic/polymer semi-constrained
cemented or nonporous uncemented prosthesis (21 CFR 888.3353) |
| Common Name: | Patient Matched Hip Stem |
| Trade/Proprietary Name: | Patient Specific Implant (PSI) Hip Femoral Component
with HA Coating |
| Product Code: | 87 LZO |

Device Description:

The Kairos™ Orthopaedics Patient Specific Implant (PSI) Hip Femoral Component with HA Coating is designed using the patient's natural bone geometry to construct an implant to better fit and fill the patient's femoral canal relative to other commercially available standard hip stems. Since each stem is matched to a particular patient, a precise device description cannot be provided, as the device design will vary from patient to patient depending upon their unique, naturally occurring bone geometry. Kairos™ Orthopaedics specifies eight design parameters that define an "envelope" of dimensional limits within which all PSI stems are defined.

The PSI Hip Femoral Component with HA Coating is indicated for uncemented use as the femoral component in total hip arthroplasty (THA) for replacing the hip joint of patients whose hip joint has been damaged by degenerative joint disease, fracture or the failure of previous arthroplasty. Each PSI stem is specifically designed for clinical cases where the patient would see added benefit from a femoral component designed to match the natural bone geometry of the femur.

1

Substantial Equivalonce:

Several commercially available standard line hip products are substantially equivalent to the Kairos™ Orthopaedics' PSI Hip Femoral Component with HA Coating with respect to overall design, materials, intended use, and sterlization methods. Additionally, the manufacturing methods and applied surface treatments are substantially the same as those used in the production of a wide range of currently marketed standard line hip products.

It is our understanding that other analomically based hip stems have received 510(k) clearance in the past. including the following:

    1. Patient Matched Implant (PMI) Hip Femoral Component Biomet. Inc. (Warsaw, Indiana)
    1. Techmedica Continuum Hip System Techmedica, Inc. (Camarillo, California)
    1. Biopro DRG Option Hip Replacement System Femoral Stem Biopro, Inc. (Port Huron, Michigan)

Of these, Biomet's Patient Matched Implant (PMI) is the most similar and is still presently marketed. Biomet's PMI hip stem is also a patient matched hip stem which uses patient data to design and manufacture a hip stem to match a particular patient's naturally occurring bone geometry. Due to the similarities in the general device design concept, Kairos™ Orthopaedics believes that the Biomet PMI stern is ideal for comparison to demonstrate the substantial equivalence of Kairos™ Orthopaedics' PSI Hip Femoral Component with HA Coating. The table on the following page summarizes these feature comparisons.

Additionally, an engineering stress analysis was performed on the envelope of design parameters to ensure fatigue performance of the PSI Hip Femoral Component with HA Coating comparable to a clinically proven standard hip stem. Mechanical testing performed by Kairos™ Orthopaedics on a representative PSI stem verified these stress analysis calculations,

2

Feature comparisons between the Kairos™ Orthopaedics PSI Hip Femoral Component r catalo Continues on bother, Inc. PMI hip femoral component. Differences are indicated in bold print.

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| Characteristics | Subject Device
Kairos™ Orthopaedics
Patient Specific Implant (PSI)
with HA Coating | Predicate Device
Biomet, Inc.
Patient Matched Implant (PMI) |
|-------------------------------------|---------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------|
| Manufacturer | Kairos™ Orthopaedics | Biomet, Inc. |
| 510(k) Approved | - | Yes |
| Materials | Wrought or Forged Titanium
(Ti-6Al-4V) | Wrought Cobalt Chromium
(Co-Cr-Mo) or Wrought
Titanium (Ti-6Al-4V) |
| Intended Use | Uncemented | Cemented/Uncemented |
| Patient Matched | Yes | Yes |
| Collar | Yes | Yes |
| Distal Flutes | Yes | Yes |
| Surface Treatments | • Hydroxylapetite (HA)
Coating | • Smooth
• Grit Blasted
• Plasma Sprayed Coating
• Ion Nitride (NTS) |
| Stem Length from
Resection Level | 90mm - 300mm | unknown |
| Distal Diameter | 8mm - 20mm | unknown |
| Patient Information | CT or X-Ray | CT or X-Ray |
| Sterilization Status | Sterile & Non-sterile | Sterile |