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510(k) Data Aggregation

    K Number
    K012739
    Date Cleared
    2001-11-14

    (90 days)

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

    CONVERGE ACETABULAR SYSTEM

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Components of the Converge Acetabular System are intended for use in total hip arthroplasty for treatment of the following:

    1. Patient conditions of noninflammatory degenerative joint disease (NIDJD), e.g., avascular necrosis, osteoarthritis, and inflammatory joint disease (IJD), e.g., rheumatoid arthritis.
    2. Those patients with failed previous surgery where pain, deformity, or dysfunction persists.
    3. Revision of previously failed hip arthroplasty.
    Device Description

    The Converge Acetabular System consists of four modular shell options which mate with currently marketed insert components for replacement of the acetabulum during total hip arthroplasty. They are designed to provide congruency with the ability to effectively seal the acetabulum, and may be implanted with or without bone cement.

    Common Features:

    • Substrate Material: All of the Converge shells are manufactured from titanium alloy (Ti-6AI-4V ELI, ASTM F136).
    • Porous Coating: Cancellous Structured Titanium (CSTi) porous coating (commercially pure titanium, ASTM F1580) covers the entire outer surface of the Converge shells, with the exception of regions adjacent to the dome hole and screw holes, and a small band around the opening of the shell. The porous coating allows for biological fixation to occur.
    • Shell/Insert Locking Mechanism: Because all four shells of the Converge System share the same internal locking mechanism, they can be used with the currently marketed Sulzer Orthopedics Inter-Op Acetabular inserts (standard polyethylene, Durasul and Metasul).
    • Threaded Dome Hole Dome Hole Plug: A threaded dome hole is common to all four shells. During implantation, an impactor/alignment instrument is inserted into the dome hole. Once the shell is inserted and the tool removed, the dome hole provides visual access to the acetabulum. A threaded titanium dome hole plug (ASTM F67) can be screwed into place to prevent unwanted material migration.

    Shell Options:
    A. Converge Cluster-Hole Porous Shell with Sealed Screw Holes: Hemispherically shaped with screw holes sealed with plugs that can be removed for supplemental fixation. Features superior holes for increased fixation options. Sizes range from 39mm to 71mm in 2mm increments.
    B. Converge Rim Flare Porous Shell with Spikes and Sealed Screw Holes: Designed to facilitate load transfer, limit tilting/rotation, and give flexibility in press-fitting. Features an offset radius in the rim region and three dome spikes. Includes two sintered screw hole covers that can be removed for supplemental fixation. Outer diameters range from 39-71mm in 2mm increments.
    C. Converge Multi-Hole Porous Shell with Sealable Screw Holes: Hemispherical shell designed for scenarios with deficient acetabular bone stock (e.g., revision cases). Features five to nine screw holes (depending on size) for placement into the ilium, ischium, and pubis. Unused screw holes can be plugged with plugs manufactured from either Ti-6Al-4V (ASTM F136) or unalloyed titanium (ASTM F67). Available in outer diameters ranging from 43mm to 81mm, in 2mm increments.
    D. Converge Protrusio Porous Shell with Sealable Screw Holes: Designed to accommodate a deeper acetabular socket caused by protrusio defects. Features a gradual buildup of material from the rim to the dome. Like the Multi-Hole shell, it features five to nine screw holes (depending on size) and uses the same screw hole plugs. Available in external shell diameters ranging from 53mm to 81mm, in 2mm increments.

    AI/ML Overview

    This document (K012739) is a 510(k) summary for a medical device and therefore does not contain acceptance criteria or detailed study results. 510(k) summaries are intended to demonstrate substantial equivalence to a legally marketed predicate device, not to prove clinical effectiveness or meet specific performance criteria through detailed studies.

    Therefore, most of the information requested cannot be extracted from this document.

    Here's what can be stated based on the provided text:

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

      • Not Available: This document does not specify acceptance criteria for performance or report device performance data from a study. The 510(k) process primarily relies on demonstrating substantial equivalence to a 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/Not Available: This document does not describe a clinical performance study with a test set. This is a premarket notification for a new device based on substantial equivalence.
    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/Not Available: No test set or ground truth establishment by experts is described in this document, as it's not a performance study.
    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

      • Not Applicable/Not Available: No test set or adjudication method is described.
    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 device is a mechanical implant (acetabular system for hip replacement), not an AI-assisted diagnostic tool. Therefore, an MRMC study with human readers and AI assistance is not relevant or described.
    6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done

      • Not Applicable: This is a mechanical device, not an algorithm.
    7. The type of ground truth used (expert concensus, pathology, outcomes data, etc)

      • Not Applicable/Not Available: As no performance study with a test set is described, no ground truth is detailed.
    8. The sample size for the training set

      • Not Applicable/Not Available: This isn't a machine learning algorithm or a study that would involve a "training set" in that context.
    9. How the ground truth for the training set was established

      • Not Applicable/Not Available: As above, the concept of a training set and its ground truth is not relevant to this type of device submission.

    Summary of available information related to "proof" of meeting criteria:

    The document states that the Sulzer Orthopedics Converge Acetabular System is found to be substantially equivalent to legally marketed predicate devices. This is the "proof" required for a 510(k) clearance, indicating that the device is as safe and effective as a device already on the market.

    The basis for this substantial equivalence is described as similarities in:

    • Materials: All shells manufactured from titanium alloy (Ti-6AI-4V ELI, ASTM F136) with Porous Coating Cancellous Structured Titanium (CSTi) via commercially pure titanium (ASTM F1580). Dome hole plug material is titanium (ASTM F67) or Ti-6Al-4V (ASTM F136).
    • General design features: Modular shell options, internal locking mechanism, threaded dome hole, screw holes with optional plugs, and variations for different anatomical needs (Cluster-Hole, Rim Flare, Multi-Hole, Protrusio).
    • Intended uses/Indications for Use: Total hip arthroplasty for noninflammatory degenerative joint disease (NIDJD), inflammatory joint disease (IJD), failed previous surgery where pain/deformity/dysfunction persists, and revision of previously failed arthroplasty.

    Predicate Devices cited for substantial equivalence:

    • Sulzer Orthopedics Inter-Op Acetabular System
    • Zimmer Trilogy Acetabular System
    • Stryker/Osteonics/Howmedica System 12 Acetabular System
    • Smith & Nephew Orthopaedics Reflection Acetabular System
    • DePuy Duraloc Acetabular System
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    K Number
    K012961
    Date Cleared
    2001-10-18

    (44 days)

    Product Code
    Regulation Number
    888.3350
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Device Name :

    SULZER ORTHOPEDICS CONVERGE ACETABULAR SYSTEM

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Components of the Converge Acetabular System are intended for use in total hip arthroplasty for treatment of the following:

    • patient conditions of noninflammatory degenerative joint disease (NIDJD); e.g., avascular necrosis, osteoarthritis, and inflammatory joint disease (IJD), e.g., rheumatoid arthritis.
    • those patients with failed previous surgery where pain, deformity, or dysfunction persists.
    • revision of a previously failed arthroplasty where there is sufficient bone stock to support the implant.
    Device Description

    The Converge Acetabular System consists of the following shell components:

    • I. Hemispherical: The Converge Hemispherical Shell is a porous coated, Ti-6A1-4V (ASTM F136) shell. The outer surface of the shell has CSTi porous coating (commercially pure titanium) to provide for biological fixation. The shell is available in various sizes ranging from 39mm to 65mm (in 2mm increments). The shell features 2 screwhole plugs that are sintered in place. The screwhole plugs can be removed intraoperatively before or after implantation if the surgeon opts to enhance fixation of the shell with bone screws. When left in place (no supplemental screws used), the screwhole plugs limit material ingress and egress (e.g., tissue, debris particles, cement, etc.).
    • II. Rim-Flare: The Converge Rim Flare Shell is a Ti-6AI-4V metallic acetabular shell coated with CSTi porous coating. It is designed with an offset outer radius in the rim region which permits the loads to be transmitted to the periphery of the outer surface. An initial press-fit of the component is achieved by the offset radius in this region. Additionally, the outer design of the shell incorporates three pegs which are press-fit into the cancellous bone of the reamed acetabulum to minimize the potential for tilting or rotation of the device. The shell is available in various sizes ranging from 39mm to 71mm (in 2mm increments).
    • III. Revision: The Converge Revision Shell is a Ti-6Al-4V metallic acetabular shell coated with CSTi porous coating. The Revision shell has up to nine screwholes which allow for screw placement into the illum, ischium and pubis. Those screwholes that are not utilized may be plugged after implantation to limit passage of tissue, debris particles, cement, etc. The shell is available in various sizes ranging from 43mm (in 2mm increments).
      All three Converge shells feature a central dome hole which allows for interface with the impactor/alignment instrument as well as for visualization of the acetabulum to ensure complete seating of the device. The dome hole may be plugged using a threaded cover to restrict unwanted material migration through the hole.
      All three of the Converge shell components will use existing Inter-Op instrumentation and will mate with currently marketed Inter-Op Acetabular Inserts (oxygenless packaged polyethylene, Durasul, or Metasul).
    AI/ML Overview

    The provided text is a 510(k) summary for the Sulzer Orthopedics Converge Acetabular System. It details the product, its intended use, and claims substantial equivalence to a previously cleared device. However, it does not contain any information regarding acceptance criteria, device performance studies, sample sizes, expert qualifications, or ground truth establishment.

    Therefore, I cannot provide the requested table or answer the specific questions about the study that proves the device meets the acceptance criteria. The document focuses on regulatory compliance through substantial equivalence, not on a performance study with defined acceptance criteria.

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