K Number
K992656
Device Name
DEPUY TOTAL ELBOW SYSTEM
Date Cleared
1999-11-05

(88 days)

Product Code
Regulation Number
888.3150
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The DePuy Total Elbow System is indicated to reduce pain and improve the function and mobility of the affected joint in patients with a painful arthritic joint due to osteoarthritis, rheumatoid arthritis, or post traumatic arthritis and pathological fractures of the distal humerus in which adequate bone stock exists for the fixation of prosthetic components. Total Elbow replacement may be considered for younger patients, if, in the opinion of the surgeon, an unequivocal indication for elbow replacement outweighs the risks associated with the age of the patient , and if limited demands regarding activity and elbow joint loading can be assured. This included patients for whom an immediate gain of elbow mobility may lead to an expectation of significant improvement in the quality of their lives. The DePuy Total Elbow System is intended for cemented use only.
Device Description
The DePuy Total Elbow System is designed to be implanted as either an unlinked (semiconstrained) or linked (constrained) elbow. When the DePuy Total Elbow System is implanted as an unlinked elbow it relies on existing soft tissues, such as the medial collateral ligament and triceps tendon for support and stability. While the linked system is held together with the linked ulnar component and pin assembly, and is used when there is poor bone stock. The DePuy Total Elbow System humeral stems are available in 100, 150, and 200mm lengths. The ulnar stems available in two lengths 60 and 80mm lengths, right and left, to accommodate different patient anatomy. Both the humeral and ulnar stems are intended for use with bone cement.
More Information

Not Found

No
The summary describes a mechanical orthopedic implant and does not mention any software, algorithms, or data processing capabilities that would suggest the use of AI/ML.

Yes
The device is indicated to reduce pain and improve function and mobility, which are therapeutic benefits.

No
The DePuy Total Elbow System is an implantable prosthetic device designed to replace a damaged elbow joint, not to diagnose a condition. Its purpose is to reduce pain and improve function, which are therapeutic outcomes.

No

The device description clearly indicates it is a system of physical implants (humeral and ulnar stems) intended for surgical implantation, not a software-only product.

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 DePuy Total Elbow System is a prosthetic implant designed to replace a damaged elbow joint. It is surgically implanted into the patient's body.
  • Intended Use: The intended use is to reduce pain and improve function of the elbow joint in patients with arthritis or fractures. This is a therapeutic intervention, not a diagnostic test performed on a sample.

The device is a surgical implant used for treatment, not a diagnostic tool used to analyze biological samples.

N/A

Intended Use / Indications for Use

The DePuy Total Elbow System is indicated to reduce pain and improve the function and mobility of the affected joint in patients with a painful arthritic joint due to osteoarthritis, rheumatoid arthritis, or post traumatic arthritis and pathological fractures of the distal humerus in which adequate bone stock exists for the fixation of prosthetic components.

Total Elbow replacement may be considered for younger patients, if, in the opinion of the surgeon, an unequivocal indication for elbow replacement outweighs the risks associated with the age of the patient , and if limited demands regarding activity and elbow joint loading can be assured. This included patients for whom an immediate gain of elbow mobility may lead to an expectation of significant improvement in the quality of their lives.

The DePuy Total Elbow System is intended for cemented use only.

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

87 JDB, 87 JDC

Device Description

The DePuy Total Elbow System is designed to be implanted as either an unlinked (semiconstrained) or linked (constrained) elbow. When the DePuy Total Elbow System is implanted as an unlinked elbow it relies on existing soft tissues, such as the medial collateral ligament and triceps tendon for support and stability. While the linked system is held together with the linked ulnar component and pin assembly, and is used when there is poor bone stock.

The DePuy Total Elbow System humeral stems are available in 100, 150, and 200mm lengths. The ulnar stems available in two lengths 60 and 80mm lengths, right and left, to accommodate different patient anatomy. Both the humeral and ulnar stems are intended for use with bone cement.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Elbow joint / distal humerus

Indicated Patient Age Range

Not Found (mentions "younger 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 (study type, sample size, AUC, MRMC, standalone performance, key results)

Not Found

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.

K872084, K983141

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

§ 888.3150 Elbow joint metal/polymer constrained cemented prosthesis.

(a)
Identification. An elbow joint metal/polymer constrained cemented prosthesis is a device intended to be implanted to replace an elbow joint. It is made of alloys, such as cobalt-chromium-molybdenum, or of these alloys and of an ultra-high molecular weight polyethylene bushing. The device prevents dislocation in more than one anatomic plane and consists of two components that are linked together. This generic type of device is limited to those prostheses intended for use with bone cement (§ 888.3027).(b)
Classification. Class II. The special controls for this device are:(1) FDA's:
(i) “Use of International Standard ISO 10993 ‘Biological Evaluation of Medical Devices—Part I: Evaluation and Testing,’ ”
(ii) “510(k) Sterility Review Guidance of 2/12/90 (K90-1),”
(iii) “Guidance Document for Testing Orthopedic Implants with Modified Metallic Surfaces Apposing Bone or Bone Cement,”
(iv) “Guidance Document for the Preparation of Premarket Notification (510(k)) Application for Orthopedic Devices,”
(v) “Guidance Document for Testing Non-articulating, ‘Mechanically Locked’ Modular Implant Components,”
(2) International Organization for Standardization's (ISO):
(i) ISO 5832-3:1996 “Implants for Surgery—Metallic Materials—Part 3: Wrought Titanium 6-Aluminum 4-Vandium Alloy,”
(ii) ISO 5832-4:1996 “Implants for Surgery—Metallic Materials—Part 4: Cobalt-Chromium-Molybdenum Casting Alloy,”
(iii) ISO 5832-12:1996 “Implants for Surgery—Metallic Materials—Part 12: Wrought Cobalt-Chromium-Molybdenum Alloy,”
(iv) ISO 5833:1992 “Implants for Surgery—Acrylic Resin Cements,”
(v) ISO 5834-2:1998 “Implants for Surgery—Ultra High Molecular Weight Polyethylene—Part 2: Moulded Forms,”
(vi) ISO 6018:1987 “Orthopaedic Implants—General Requirements for Marking, Packaging, and Labeling,”
(vii) ISO 9001:1994 “Quality Systems—Model for Quality Assurance in Design/Development, Production, Installation, and Servicing,” and
(viii) ISO 14630:1997 “Non-active Surgical Implants—General Requirements,”
(3) American Society for Testing and Materials':
(i) F 75-92 “Specification for Cast Cobalt-28 Chromium-6 Molybdenum Alloy for Surgical Implant Material,”
(ii) F 648-98 “Specification for Ultra-High-Molecular-Weight Polyethylene Powder and Fabricated Form for Surgical Implants,”
(iii) F 799-96 “Specification for Cobalt-28 Chromium-6 Molybdenum Alloy Forgings for Surgical Implants,”
(iv) F 981-93 “Practice for Assessment of Compatibility of Biomaterials (Nonporous) for Surgical Implant with Respect to Effect of Material on Muscle and Bone,”
(v) F 1044-95 “Test Method for Shear Testing of Porous Metal Coatings,”
(vi) F 1108-97 “Specification for Titanium-6 Aluminum-4 Vanadium Alloy Castings for Surgical Implants,”
(vii) F 1147-95 “Test Method for Tension Testing of Porous Metal Coatings, ” and
(viii) F 1537-94 “Specification for Wrought Cobalt-28 Chromium-6 Molybdenum Alloy for Surgical Implants.”

0

K992656

NOV - 5 1999

510(k) Summary DePuy Total Elbow System

DePuy, Inc. 700 Orthopaedic Drive Warsaw, IN 46581

A. Contact Person:

Janet G. Johnson, RAC Senior Regulatory Associate (219) 371-4907

B. Device Information:

Proprietary Name:DePuy Total Elbow System
Common Name:Elbow Prosthesis
Classification:When used as a semi-constrained (unlinked elbow), it
is a Class II device per 21 CFR §888.3160
When used as a constrained (linked), it is a Class III
device per 21 CFR §888.3150
Product Code:87 JDB - Prosthesis, Elbow, Semi-Constrained,
Cemented (Class II)
87 JDC - Prosthesis, Elbow, Constrained, Cemented
(Class III)

C. Indications for Use:

The DePuy Total Elbow System is indicated to reduce pain and improve the function and mobility of the affected joint in patients with a painful arthritic joint due to osteoarthritis, rheumatoid arthritis, or post traumatic arthritis and pathological fractures of the distal humerus in which adequate bone stock exists for the fixation of prosthetic components.

Total Elbow replacement may be considered for younger patients, if, in the opinion of the surgeon, an unequivocal indication for elbow replacement outweighs the risks associated with the age of the patient , and if limited demands regarding activity and elbow joint loading can be assured. This included patients for whom an immediate gain of elbow mobility may lead to an expectation of significant improvement in the quality of their lives.

The DePuy Total Elbow System is intended for cemented use only.

1

D. Device Description:

. . . . .

The DePuy Total Elbow System is designed to be implanted as either an unlinked (semiconstrained) or linked (constrained) elbow. When the DePuy Total Elbow System is implanted as an unlinked elbow it relies on existing soft tissues, such as the medial collateral ligament and triceps tendon for support and stability. While the linked system is held together with the linked ulnar component and pin assembly, and is used when there is poor bone stock.

The DePuy Total Elbow System humeral stems are available in 100, 150, and 200mm lengths. The ulnar stems available in two lengths 60 and 80mm lengths, right and left, to accommodate different patient anatomy. Both the humeral and ulnar stems are intended for use with bone cement.

E. Substantial Equivalence:

The substantial equivalence of the DePuy Total Elbow System is substantiated by its similarity in indications for use, design, materials, sterilization and packaging to the current DePuy Mark II Elbow (K872084) and the Capitello-Condylar Total Elbow (K983141).

The determination of substantial equivalence for this device was based on a detailed device description, and conformance with voluntary performance standards.

2

Image /page/2/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized image of three human profiles facing right, with flowing lines suggesting hair or movement. The profiles are stacked on top of each other, creating a sense of depth. Encircling the image is the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in a circular arrangement.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

NOV - 5 1999

Janet G. Johnson, RAC Senior Regulatory Associate DePuy Orthopaedics, Inc. P.O. Box 988 700 Orthopaedic Drive Warsaw, Indiana 46581-0988

Re: K992656 Trade Name: DePuy Total Elbow System Regulatory Class: III Product Code: JDC and JDB Dated: August 6, 1999 Received: August 9, 1999

Dear Ms. Johnson:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). You may, therefore, market the device, subject to the general controls provisions of the Act. 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.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. ਸਿ substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirement, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic (QS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

3

Page 2 - Janet G. Johnson, RAC

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4659. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be… obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,

James E. Dillard III Acting Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

$

4

Indications for Use

The DePuy Total Elbow System is indicated to reduce pain and improve the function and mobility of the affected joint in patients with a painful arthritic joint due to osteoarthritis, rheumatoid arthritis, or post traumatic arthritis and pathological fractures of the distal humerus in which adequate bone stock exists for the fixation of prosthetic components.

Total Elbow replacement may be considered for younger patients, if, in the opinion of the surgeon, an unequivocal indication for elbow replacement outweighs the risks associated with the age of the patient , and if limited demands regarding activity and elbow joint loading can be assured. This included patients for whom an immediate gain of elbow mobility may lead to an expectation of significant improvement in the quality of their lives.

The DePuy Total Elbow System is intended for cemented use only.

(Please do not write below this line - Continue on another page if necessary) Concurrence of CDRH, Office of Device Evaluation (ODE)

Division Sign Off

(Division Division o eneral Roctor 510(k) Numbe

Prescription Use V (Per 21 CFR §801.109) OR

Over-the-Counter Use _________________________________________________________________________________________________________________________________________________________

(Optional Format 1-2-96)