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510(k) Data Aggregation

    K Number
    K143314
    Date Cleared
    2015-02-27

    (100 days)

    Product Code
    Regulation Number
    888.3358
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Progressive Orthopaedic Total Hip System implant components are in cementless reconstruction of the articulating surface of femoral and/or acetabular portions of the hip that are severely disabled and/or very painful as a result of:

    • · Non-inflammatory degenerative joint disease including osteoarthritis and avascular necrosis
    • · Rheumatoid arthritis or traumatic arthritis
    • · Correction of functional deformity
    • · Non-union femoral neck fracture
    • · Trochanteric fractures of the proximal femur with head involvement which is unmanageable using other techniques.

    The components can be used for primary hip arthroplasty or for revision of a failed total hip arthroplasty.

    Device Description

    The present 510k submission is for a non-cemented primary hip prosthesis that consists of a 4part total hip replacement system including femoral Head, acetabular poly liner, and acetabular metal (or shell) components. The femoral head component articulates within the poly acetabular component. The poly acetabular component snaps into the metal acetabular component. The design and sizing of the components correspond to natural hip anatomy to restore normal rotation, extension, and flexion.

    The femoral stem component is made from forged Ti 6AL 4V, with a Ti plasma spray coating. The uni-polar femoral head component is made from CoCr, or BIOLOX® delta ceramic, in 28, 32, and 36 mm sizes.

    The acetabular poly liner component is made of standard UHMWPE polyethylene in both hooded and non-hooded options. The acetabular poly liner component is offered with different inner and outer diameter combinations to accept various size uni-polar femoral heads and acetabular metal components.

    The acetabular metal (or shell) component is made from forged Ti 6AL 4V with a Ti porous coating. It is available in no-hole, cluster-hole, and revision multi-hole styles.

    AI/ML Overview

    The provided document is a 510(k) summary for a medical device called "The Progressive Orthopaedic Total Hip System". This document focuses on demonstrating substantial equivalence to a predicate device rather than presenting a study proving a device meets specific acceptance criteria for performance as would typically be seen for AI/Software as a Medical Device (SaMD).

    Therefore, the information requested for AI/SaMD performance studies is largely not applicable to this submission. This document details non-clinical laboratory testing to prove mechanical and material equivalence.

    However, I can extract the relevant information from the document as it pertains to the type of acceptance criteria and the testing done to meet regulatory requirements for this specific device.


    Acceptance Criteria and Device Performance (Not applicable in the typical AI/SaMD sense as this is a mechanical prosthesis):

    The document states that "All devices met the required performance specifications for testing and are considered equivalent to the predicate devices." The acceptance criteria are implicitly tied to the performance of the predicate device and established standards for hip prostheses, but specific numerical thresholds are not detailed in this summary.

    Here's a table based on the non-clinical tests performed:

    Test PerformedAcceptance Criteria (Implicit)Reported Device Performance
    Fatigue Performance Test for Progressive Orthopaedic StemMeet established standards for hip stem fatigue and predicateMet required performance specifications
    Fatigue Performance Test for the Neck Portion of the StemMeet established standards for neck fatigue and predicateMet required performance specifications
    Disassembly Force Test for Neck Taper/Femoral Head InterfaceMeet established standards for interface integrity and predicateMet required performance specifications
    Range of Motion Test for Total Hip SystemAchieve functional range of motion and predicateMet required performance specifications
    Burst Strength Test for Ceramic Femoral Heads (Static)Withstand static compression forces and predicateMet required performance specifications
    Cyclic Fatigue Test for Ceramic Femoral Heads (Cyclic)Withstand cyclic compression forces and predicateMet required performance specifications
    Post-Cyclic Fatigue Burst Test for Ceramic Femoral Heads (Static)Withstand static compression after cyclic loading and predicateMet required performance specifications
    Pull-Off Test for Ceramic Femoral HeadsDemonstrate adequate pull-off strength and predicateMet required performance specifications
    Rotational Stability Test for Ceramic Femoral HeadsDemonstrate adequate rotational stability and predicateMet required performance specifications
    Torsional Properties Test for Bone ScrewsMeet established standards for screw torsion and predicateMet required performance specifications
    Driving Torque Test for Bone ScrewsMeet established standards for screw driving torque and predicateMet required performance specifications
    Axial Pull-Out Strength Test for Bone ScrewsMeet established standards for screw pull-out and predicateMet required performance specifications
    Lever-Out Test for Acetabular Shell/Liner AssemblyDemonstrate resistance to lever-out forces and predicateMet required performance specifications
    Torque-Out Test for Acetabular Shell/Liner AssemblyDemonstrate resistance to torque-out and predicateMet required performance specifications
    Push-In Test for Acetabular Shell/Liner AssemblyDemonstrate appropriate push-in forces and predicateMet required performance specifications
    Push-Out Test for Acetabular Shell/Liner AssemblyDemonstrate appropriate push-out forces and predicateMet required performance specifications

    Additional Information (Specific to AI/SaMD, but N/A for this device):

    1. Sample size used for the test set and the data provenance: Not applicable. This device is a mechanical prosthesis, not a software device relying on a test set of data. The "samples" would be the physical devices or components tested in the lab.
    2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable. Ground truth for mechanical testing is established by physical measurements and engineering standards, not expert consensus on data.
    3. Adjudication method for the test set: Not applicable.
    4. 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 diagnostic or therapeutic device.
    5. If a standalone (i.e. algorithm only without human-in-the loop performance) was done: Not applicable.
    6. The type of ground truth used (expert consensus, pathology, outcomes data, etc): For this device, ground truth is based on established engineering standards (e.g., ISO standards for implant testing), material specifications, and performance data from the legally marketed predicate device (NovoSource NovoHip Total Hip System).
    7. The sample size for the training set: Not applicable. This device is not developed using machine learning that requires a training set.
    8. How the ground truth for the training set was established: Not applicable.

    Summary based on the provided document:

    The Progressive Orthopaedic Total Hip System underwent a series of non-clinical, in-vitro laboratory tests, including fatigue, strength, stability, and disassembly tests for its various components (stem, femoral head, acetabular shell/liner, bone screws). The acceptance criteria were implicitly defined by relevant engineering standards for orthopedic implants and by demonstrating equivalence to the predicate device, NovoSource NovoHip Total Hip System (K132158). The document states that all devices met the required performance specifications for testing, leading to the conclusion that the device is substantially equivalent to the predicate. No clinical testing was required for this 510(k) submission.

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