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510(k) Data Aggregation

    K Number
    K151603
    Manufacturer
    Date Cleared
    2015-10-06

    (116 days)

    Product Code
    Regulation Number
    888.3358
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Arcos One-piece Femoral Revision System

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use
    1. Noninflammatory degenerative joint disease including osteoarthritis and avascular necrosis.
    2. Rheumatoid arthritis.
    3. Correction of functional deformity.
    4. Treatment of non-union, femoral neck fracture and trochanteric fractures of the proximal femur with head involvement, unmanageable using other techniques.
    5. Revision procedures where other treatment or devices have failed.

    The Arcos One-piece Femoral Revision System hip components are single-use implants, intended for uncemented use only.

    Device Description

    The Arcos One-piece Femoral Revision System is to be used as a femoral stem component in hip replacement surgery. The system is designed for both primary and revision total hip and hemi hip arthroplasty. All implants included in this system are intended for single use only. The system also includes implant specific instrumentation for all stem variants.

    AI/ML Overview

    This document is a 510(k) premarket notification for the Arcos One-piece Femoral Revision System, a hip prosthesis. It does not describe an AI/ML powered medical device. Therefore, it does not contain the specific information requested in the prompt, such as acceptance criteria for AI performance, details of a study proving AI performance, sample sizes for test sets, data provenance, ground truth establishment, MRMC studies, or training set details.

    The document focuses on demonstrating substantial equivalence of the new device to existing legally marketed predicate devices based on design, materials, and principle of operation, along with non-clinical performance data.

    Below is a summary of what is available in the document related to performance and equivalence, which stands in for the requested "acceptance criteria and reported device performance" as much as possible given the nature of the device:

    1. A table of acceptance criteria and the reported device performance

    The document does not provide a table of quantitative acceptance criteria typical for AI/ML devices (e.g., sensitivity, specificity, AUC). Instead, it relies on demonstrating that the new device shares similar technological characteristics and performance (where applicable) to its predicate devices, or that any differences do not raise new questions of safety and effectiveness.

    Performance Aspect (as described for a mechanical device)Reported Device Performance (as described in the document)
    Technological CharacteristicsThe Arcos One-piece Femoral Revision System has the same design, material, and principle of operation as the predicate devices (K090757 Moduar Femoral Revision System (Arcos) and K000760 Reach Femoral Component), with "slight modifications."
    Monolithic variantIt is a monolithic variant of the Modular Femoral Revision System (Arcos) (K090757), designed as a porous-coated femoral stem available in multiple lengths and proximal bodies for primary and revision procedures.
    Material EquivalenceThe reference devices (K150503, K070274) were used to demonstrate equivalence in implant materials/instrument materials/Type I taper Trunnion and implant stem diameters.
    Non-clinical TestsFemoral Stem Fatigue: Performed (details not provided).
    Range of Motion: Performed (details not provided).
    Clinical TestsNone provided as a basis for substantial equivalence.
    Safety and Effectiveness ConclusionDifferences from predicates "do not raise new questions of safety and effectiveness" and "the proposed device is at least as safe and effective as the marketed predicate device."

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    Not applicable. This is not an AI/ML device that uses a test set of data for performance evaluation in the way an algorithm would. The "tests" mentioned are non-clinical (e.g., fatigue), and no specific sample sizes for these tests are provided in the summary.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

    Not applicable. Ground truth, in the context of expert consensus, is not relevant for this type of mechanical device submission.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

    Not applicable.

    5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

    Not applicable. This is not an AI-assisted device.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

    Not applicable. This is a medical implant, not an algorithm.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

    Not applicable. The "ground truth" for a mechanical device like this is typically established through engineering standards, material science testing, and clinical experience with predicate devices, rather than expert consensus on diagnostic images or pathology.

    8. The sample size for the training set

    Not applicable. This device does not involve a training set for an AI model.

    9. How the ground truth for the training set was established

    Not applicable.

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