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510(k) Data Aggregation

    Why did this record match?
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The PROCOTYL® PRIME Acetabular Cup System is intended for use in total hip arthroplasty for reduction or relief of pain and/or improved hip function in skeletally mature patients with the following conditions:

    1. non-inflammatory degenerative joint disease such as osteoarthritis, avascular necrosis, ankylosis, protrusio acetabuli. and painful hip dysplasia;
    2. inflammatory degenerative joint disease such as rheumatoid arthritis;
    3. correction of functional deformity; and,
    4. revision procedures where other treatments or devices have failed.
      Shells with BIOFOAM® metal foam coating are intended only for uncemented arthroplasty.
    Device Description

    The PROCOTYL® PRIME Acetabular Cup System includes acetabular shells, acetabular liners, and optional cancellous bone screws. The design features are summarized below:

    • Acetabular Shells
      • Manufactured from titanium alloy
      • BIOFOAM® coated
      • Available in Solid or Quad configurations
      • Outer Diameter sizes 42mm to 68mm in 2mm increments
    • Acetabular Liners
      • Manufactured from A-CLASS® highly crosslinked ultra high molecular weight polyethylene)
      • Available in Standard. Lipped Face-changing or Lateralized configurations
      • Inner Diameter sizes 22mm to 44mm
    • Bone Screws
      • Manufactured from titanium alloy
      • 6.5mm diameter
      • Available in lengths 15mm to 80mm in 5mm increments
    AI/ML Overview

    This document is a 510(k) summary for the PROCOTYL® PRIME Acetabular Cup System, a medical device for total hip arthroplasty. It describes the device, its intended use, and argues for its substantial equivalence to previously cleared predicate devices.

    Here's an analysis of the provided text in relation to your request about acceptance criteria and studies:

    Crucially, this document is a 510(k) Pre-Market Notification, which is a regulatory submission to demonstrate that a new device is substantially equivalent to a legally marketed predicate device. It is not a detailed clinical study report or a publication presenting performance metrics against specific acceptance criteria for an AI/ML device.

    Therefore, most of the information you are requesting about acceptance criteria, specific performance metrics, sample sizes for test sets, expert ground truth, MRMC studies, or standalone algorithm performance for an AI/ML device is not present in this document. This document concerns a physical orthopedic implant.

    However, I can extract the information that is available and clarify what is missing based on your request.


    Summary of Device Acceptance Criteria and Performance (Based on available information):

    Acceptance Criteria (Implied)Reported Device Performance
    Mechanical Performance (Nonclinical Testing):
    Lock detail strength (Push-out, Lever-out, Torque-out per ASTM 1820)"The lock detail of the subject PROCOTYL® PRIME Acetabular Cup System was evaluated by testing Push-out, Lever-out and Torque-out of the Liner per ASTM 1820." (Implied: met relevant ASTM standards, but no specific values or thresholds are provided for "meeting" the criteria).
    Deformation and frictional torque under pinch-loading conditions"The subject System underwent deformation and frictional torque testing to evaluate the properties under pinch-loading conditions." (Implied: results were acceptable, but no specific values or thresholds are provided.)
    Fatigue resistance (Long term axial cyclic loading)"The subject System completed long term axial cyclic loading to evaluate fatigue resistance properties." (Implied: acceptable fatigue resistance, but no specific methodology or pass/fail criteria are defined.)
    Wear rate and wear particle analysis"The subject System underwent wear testing to determine the wear rate and a wear particle analysis was performed on the wear debris." (Implied: acceptable wear characteristics, but no specific wear rate thresholds or particle analysis results are given.)
    Range of motion"Additionally, a range of motion study was completed for the PROCOTYL® PRIME Acetabular Cup System." (Implied: acceptable range of motion, but no specific values or comparison to predicate is given.)
    Cancellous bone screw properties (per ASTM F543)"Finally, per ASTM F543, the properties of the cancellous bone screws were examined." (Implied: met relevant ASTM standards, but no specific values or thresholds are provided.)
    Biocompatibility:
    Pyrogen Limit Specification (per Limulus Amebocyte Lysate (LAL) test)"The Limulus Amebocyte Lysate (LAL) test was used to determine the subject devices meets the specified pyrogen limit specification of ≤ 20 EU/device." (Explicitly states: "meets the specified pyrogen limit specification of ≤ 20 EU/device.")
    Substantial Equivalence (Overall Regulatory Goal):"The design features and materials are substantially equivalent to those of the predicate devices. The fundamental scientific technology of the subject devices has not changed relative to the predicate devices. The safety and effectiveness of the subject devices are adequately supported by the substantial equivalence information, materials information, and analysis data provide within this Premarket Notification." (This is the overarching "acceptance criterion" for a 510(k), demonstrated by comparing to predicate devices and performing nonclinical testing to support this claim).

    Missing Information (as per your request, because this is not an AI/ML device nor a typical clinical study report):

    1. Sample size used for the test set and the data provenance: Not applicable. The "test set" here refers to physical components tested in a lab, not a diagnostic dataset. The document does not specify sample sizes (e.g., number of cups, liners, or screws) for any of the nonclinical tests. Data provenance, in the sense of country of origin or retrospective/prospective for patient data, is also not applicable here.
    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 an orthopedic implant's mechanical properties is typically established through recognized engineering standards (e.g., ASTM) and validated testing methodologies, not expert medical consensus on diagnostic images.
    3. Adjudication method (e.g. 2+1, 3+1, none) for the test set: Not applicable. This applies to human review of diagnostic outputs, not mechanical testing.
    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/ML diagnostic device with human-in-the-loop.
    5. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable. This is not an AI/ML algorithm.
    6. The type of ground truth used (expert consensus, pathology, outcomes data, etc): For mechanical testing, the "ground truth" is defined by the specifications and performance standards (e.g., ASTM standards) that the device must meet. For biocompatibility, it's defined by the pyrogen limit specification (≤ 20 EU/device). It's not based on expert consensus, pathology, or outcomes data in the conventional sense used for diagnostic devices.
    7. The sample size for the training set: Not applicable. This is not an AI/ML device that requires a training set.
    8. How the ground truth for the training set was established: Not applicable.
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    K Number
    K141235
    Date Cleared
    2014-09-12

    (122 days)

    Product Code
    Regulation Number
    888.3353
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K130984

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

    The PROFEMUR® Renaissance® Classic Long Neck Hip Stems are indicated for use in total hip arthroplasty for reduction or relief of pain and/or improved hip function in skeletally mature patients with the following conditions:

      1. non-inflammatory degenerative joint disease such as osteoarthritis, avascular necrosis, ankylosis, protrusio acetabuli, and painful hip dysplasia;
    • inflammatory degenerative joint disease such as rheumatoid arthritis; 2.
      1. correction of functional deformity; and,
      1. revision procedures where other treatments or devices have failed.

    The PROFEMUR® Renaissance® Classic Long Neck Hip Stems are single use components, intended for use in conjunction with associated ceramic or metal femoral heads as part of uncemented total hip arthroplasty.

    Device Description

    The PROFEMUR® Renaissance® Classic Long Neck Hip Stems are monolithic stems manufactured from a forged titanium alloy (ASTM F620) and designed for use in uncemented total hip arthroplasty. The PROFEMUR® Renaissance® Classic Long Neck Hip Stems are available in 32 configurations and are coated with titanium plasma spray conforming to ASTM F1580. The 32 configurations consist of standard and reduced flare components (14 sizes reduced and 18 sizes standard). The reduced and standard flares refer to the amount of material in the proximal-medial region. Each flare configuration is available in two neck offset options, Straight (standard) and Varus 8° (extended). The geometry, distal-from-resection, is identical to those available with the predicate device.

    AI/ML Overview

    The provided document is a 510(k) Premarket Notification for a medical device called "PROFEMUR® Renaissance® Classic Long Neck Hip Stems". This type of document is for demonstrating substantial equivalence to a legally marketed predicate device, not for establishing novel acceptance criteria or performing extensive studies proving a device meets specific performance criteria in the same way, for example, a new drug might.

    Therefore, the information regarding acceptance criteria and studies (especially clinical ones) will be limited to what is relevant for a 510(k) submission, primarily focusing on proving similarity to a predicate device and non-clinical performance.

    Here's an analysis based on the provided text, addressing your points:

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

    Acceptance Criteria (Non-Clinical)Reported Device Performance
    Proximal fatigue test (ISO 7206-4)"satisfied the acceptance criteria"
    Distal fatigue test (ISO 7206-6)"satisfied the acceptance criteria"
    Range of Motion (ISO 21535)"were deemed acceptable"

    2. Sample sizes used for the test set and the data provenance

    The document does not specify the sample sizes (number of devices tested) for the non-clinical tests (fatigue and range of motion). The data provenance is non-clinical/laboratory testing, not human data.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    This question is not applicable as the "ground truth" for non-clinical engineering tests (fatigue, range of motion) is based on established ISO standards. There are no "experts" establishing unique ground truth in the sense of clinical interpretation.

    4. Adjudication method for the test set

    This question is not applicable. Adjudication methods are relevant for human-interpreted data, often in clinical studies. Non-clinical tests follow standardized protocols.

    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

    No MRMC study was done. This is a hip stem (implantable medical device), not an AI diagnostic tool.

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

    This question is not applicable as this is not an AI algorithm. The device is a physical hip stem.

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

    For the non-clinical tests, the "ground truth" is adherence to the specified ISO standards (ISO 7206-4, ISO 7206-6, and ISO 21535). These standards define the test methods and acceptance limits.

    8. The sample size for the training set

    This question is not applicable as this is not an AI/machine learning device that requires a training set.

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

    This question is not applicable as this is not an AI/machine learning device and therefore has no "training set" or corresponding ground truth.

    Summary based on the document:

    The PROFEMUR® Renaissance® Classic Long Neck Hip Stems are a line extension of an existing predicate device (PROFEMUR® Renaissance® Classic Hip Stem, K130984). The substantial equivalence claim is primarily based on:

    • Identical Indications for Use to the predicate device.
    • Identical Material (forged titanium alloy, ASTM F620, with titanium plasma spray coating, ASTM F1580) to the predicate device.
    • Identical Geometry (distal-from-resection) to the predicate, with the exception of neck length, which is the defining characteristic of the "long neck" extension.
    • Non-clinical testing to demonstrate performance in fatigue and range of motion, adhering to ISO standards.

    The document explicitly states: "Clinical data was not provided for the subject devices." This is typical for a 510(k) submission for a device modification or line extension where substantial equivalence can be demonstrated through non-clinical data and comparison to a predicate.

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    Why did this record match?
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    MicroPort total hip systems are indicated for use in total hip arthroplasty for reduction or relief of pain and/or improved hip function in skeletally mature patients with the following conditions:

    • non-inflammatory degenerative joint disease such as osteoarthritis, avascular necrosis, 1. ankylosis, protrusio acetabuli, and painful hip dysplasia;
    • inflammatory degenerative joint disease such as rheumatoid arthritis; 2.
    • correction of functional deformity; and, 3.
    • revision procedures where other treatments or devices have failed 4.

    Modular shells with porous metal bead coating may be used in either cemented or uncemented arthroplasty. Shells with BIOFOAM® metal foam coating are intended only for uncemented arthroplasty.

    Device Description

    The DYNASTY® Acetabular System with Ceramic contains femoral heads in size 28mm manufactured from alumina matrix composite, mating acetabular liners manufactured from crosslinked polyethylene, and beaded acetabular shells manufactured from titanium alloy.

    AI/ML Overview

    The provided 510(k) summary for the DYNASTY® Acetabular System with Ceramic does not contain information related to acceptance criteria for a device, nor does it describe a study that proves the device meets specific acceptance criteria in the manner typically associated with AI/software devices.

    Instead, this document describes a traditional medical device (an orthopedic implant) and focuses on demonstrating substantial equivalence to previously cleared predicate devices. The "study" mentioned is purely for mechanical and tribological (wear) evaluation, not clinical or performance criteria as would be relevant for software or AI.

    Therefore, I cannot extract the requested information in the format provided because it's not present in the document.

    Here's why and what the document does provide:

    • Type of Device: The DYNASTY® Acetabular System with Ceramic is a physical orthopedic implant (acetabular shell, liner, and femoral head for total hip replacement). It is not a software device or an AI algorithm.
    • Regulatory Pathway: This is a 510(k) premarket notification, which seeks to demonstrate substantial equivalence to a legally marketed predicate device, rather than proving safety and effectiveness through extensive clinical trials as for a PMA.
    • "Acceptance Criteria" in this context: For a physical implant like this, "acceptance criteria" relate to engineering specifications, material properties, biocompatibility, mechanical strength, wear resistance, and manufacturing quality. These are typically assessed through bench testing and adherence to recognized standards.
    • "Study" in this context: The "study" mentioned is non-clinical mechanical and tribological testing.

    Specific answers based on the provided text, explaining why other points are not applicable:

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

      • Not Applicable. The document does not provide a table of acceptance criteria or performance metrics in the way one would for a software or AI device (e.g., sensitivity, specificity, AUC). It discusses mechanical and tribological evaluations and comparisons to predicate devices rather than specific performance targets against clinical gold standards.
    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 refers to mechanical testing, not a clinical study involving a test set of data. The "subject size 28mm ceramic head was used as a worst case" for burst, post-fatigue burst, rotational stability, and pull-off force testing, implying a limited number of physical samples (likely one or a few) were subjected to these mechanical tests. No patient data or clinical retrospective/prospective studies were conducted.
    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. This device is not a diagnostic or AI tool requiring expert ground truth for a test set.
    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set:

      • Not Applicable. This is not a clinical study requiring adjudication of expert opinions.
    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 physical medical device, not an AI system.
    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:

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

      • Not Applicable. For mechanical testing, the "ground truth" would be the physical properties derived from standardized test methods (e.g., force measured at failure, wear volume). The document states:
        • "The subject DYNASTY® Acetabular System with Ceramic was evaluated mechanically and tribologically."
        • "The mechanical testing on the subject and predicate devices was performed on wrought Cobalt Chrome modular neck spigots cleared under K091423 and K100866."
        • "The subject size 28mm ceramic head was used as a worst case in burst, post-fatigue burst, rotational stability, and pull off force testing."
        • "Wear testing compared the subject size 28mm femoral heads to the K130376 DYNASTY® Acetabular System."
        • "Range of motion evaluation compared the subject system to the predicate K052026 in three planes."
        • This implies physical engineering measurements as the "ground truth" for evaluating the device's mechanical characteristics.
    8. The sample size for the training set:

      • Not Applicable. This is not an AI/ML device requiring a training set.
    9. How the ground truth for the training set was established:

      • Not Applicable. This is not an AI/ML device requiring a training set.

    In summary, the provided document describes a "Traditional 510(k)" pathway for a physical orthopedic implant. The demonstration of safety and effectiveness relies on substantial equivalence to predicate devices and non-clinical bench testing, not clinical studies or performance criteria typically associated with software/AI medical devices.

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