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510(k) Data Aggregation
(184 days)
Indications for use with the CONSENSUS® Hip System or UNISYN™ Hip System:
A) Significantly impaired joints resulting from rheumatoid, osteo, and post-traumatic arthritis.
B) Revision of failed femoral head replacement, cup arthroplasty or other hip procedures.
C) Proximal femoral fractures.
D) Avascular necrosis of the femoral head.
E) Non-union of proximal femoral neck fractures.
F) Other indications such as congenital dysplasia, arthrodesis conversion, coxa magna, coxa plana, coxa vara, coxa valga, developmental conditions, metabolic and tumorous conditions, osteomalacia, osteoporosis, pseudarthrosis conversion, and structural abnormalities
Acetabular components are indicated for cemented and cementless use.
Consensus femoral stems are indicated for cemented and cementless use.
UniSyn femoral stems are indicated for cementless use only.
HA coated implants are indicated for cementless use only.
The Consensus® Hip System (CHS) currently offers a semi-constrained metal-backed acetabular component comprising a porous coated shell manufactured from Titanium alloy (ASTM F620 or F136) (K922561, K020153, K060635) and a mating insert manufactured from ultra-high molecular weight polyethylene (UHMWPE) (K922561) (ASTM F648) or highly crosslinked UHMWPE (ASTM F648) (K021466, K070061). The shell is designed for uncemented press-fit or cemented use to the prepared acetabulum, and is designed to mate with the insert via secure insert/shell locking mechanism. The previously cleared inserts are designed to articulate with the CHS femoral heads.
The CS2™ Plus acetabular insert adds a lateralized configuration to the current line of CHS crosslinked UHMWPE acetabular inserts (i.e. CS2™ inserts) (K021466, K070061). The design intent is to allow the surgeon more intraoperative flexibility to medialize the acetabular cup or lateralize the head center, while maintaining substantial insert wall thickness.
This document describes the 510(k) summary for the Consensus Orthopedics, Inc. CS2™ Plus Acetabular Insert (K100933). It is not a study proving device performance against acceptance criteria in the manner typically seen for software or diagnostic devices. Instead, it is a submission demonstrating substantial equivalence to predicate devices for a medical implant.
Therefore, many of the requested categories (e.g., sample size for test set, number of experts, adjudication method, MRMC study, standalone performance, sample size for training set, ground truth for training set) are not applicable or cannot be extracted from this type of document.
However, I can extract information related to non-clinical testing performed to support the substantial equivalence claim, which serves as the "study" for this device.
Here's a breakdown of the available information:
1. Table of Acceptance Criteria and Reported Device Performance
The document does not explicitly state "acceptance criteria" with numerical targets in the same way a diagnostic algorithm's performance metrics would have. Instead, the "acceptance criteria" are implied by demonstrating that the CS2™ Plus Acetabular Insert performs comparably or better than the predicate CS2™ insert in specific mechanical tests, and that it is substantially equivalent in design and materials. The "reported device performance" are the results of these comparative tests.
Test Performed | Implied Acceptance Criteria (Demonstrated Equivalence/Performance of Predicate) | Reported Device Performance (CS2™ Plus vs. CS2™) |
---|---|---|
Torsion testing of insert/shell locking mechanism | Acceptable locking mechanism integrity as demonstrated by predicate devices. | Testing performed for both CS2™ Plus and CS2™; results verified the new device is substantially equivalent to the predicate device. |
Lever out testing | Acceptable resistance to dislodgement from the shell as demonstrated by predicate devices. | Testing performed for both CS2™ Plus and CS2™; results verified the new device is substantially equivalent to the predicate device. |
Range of motion study | Acceptable range of motion for hip articulation, comparable to predicate devices. | Testing performed for both CS2™ Plus and CS2™; results verified the new device is substantially equivalent to the predicate device. |
CAD verification study of locking mechanism | Geometrical compatibility and proper function of the locking mechanism. | Performed for both CS2™ Plus and CS2™; results verified the new device is substantially equivalent to the predicate device. |
Push out testing | Acceptable resistance to insert push-out. | Performed for CS2™ (predicate); results implicitly used as a benchmark for the CS2™ Plus's substantial equivalence. |
2. Sample Size Used for the Test Set and Data Provenance
This is a materials and mechanical testing submission, not a data-driven algorithm submission. Therefore:
- Sample Size for the Test Set: Not specified in terms of clinical or image data. The "test set" would refer to the number of physical devices or components subjected to mechanical testing. This number is not disclosed in the summary, but typically would involve a standard number of samples per test type for statistical validity in engineering.
- Data Provenance: Not applicable in the sense of country of origin for clinical data. The tests are non-clinical (laboratory/mechanical).
- Retrospective or Prospective: Not applicable. These are laboratory tests.
3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts
Not applicable. "Ground truth" in this context refers to engineering specifications and performance benchmarks, not expert consensus on medical images or patient outcomes.
4. Adjudication Method for the Test Set
Not applicable. This document describes mechanical testing, not a clinical trial requiring adjudication of patient outcomes or expert reviews.
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 a medical implant, not an AI/imaging 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. The non-clinical testing performed is effectively "standalone" in that it tests the device's mechanical properties directly.
7. The Type of Ground Truth Used
The "ground truth" for this submission are established engineering standards for medical devices, the performance characteristics of the predicate devices, and the design specifications of the device itself (e.g., ensuring wall thickness, range of motion, locking mechanism integrity). It's based on mechanical testing results and CAD verification against design specifications and predicate device performance.
8. The Sample Size for the Training Set
Not applicable. There is no "training set" in the context of an algorithm.
9. How the Ground Truth for the Training Set was Established
Not applicable. There is no "training set" in the context of an algorithm.
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