Coated hip implants

K250450 · Medacta International S.A. · LZO · Sep 19, 2025 · Orthopedic

Device Facts

Record IDK250450
Device NameCoated hip implants
ApplicantMedacta International S.A.
Product CodeLZO · Orthopedic
Decision DateSep 19, 2025
DecisionSESE
Submission TypeTraditional
Regulation21 CFR 888.3353
Device ClassClass 2
AttributesTherapeutic

Intended Use

Versafitcup CC Trio and the Versafitcup CC Trio No-Hole are designed for cementless use in total hip arthroplasty in primary or revision surgery. The patient should be skeletally mature. The patient’s condition should be due to one or more of: Severely painful and/or disabled joint: as a result of osteoarthritis, post-traumatic arthritis, rheumatoid arthritis or psitis arthritis, congenital hip dysplasia, ankylosing spondylitis. Avascular necrosis of the femoral head. Acute traumatic fracture of the femoral head or neck. Failure of previous hip surgery: joint reconstruction, internal fixation, arthrodesis, hemiarthroplasty, surface replacement arthroplasty, or total hip replacement where sufficient bone stock is present. Quadra-P and Quadra-P Collared are designed for cementless use in total or partial hip arthroplasty in primary or revision surgery. The Quadra-P Cemented is designed for cemented use in total or partial hip arthroplasty in primary or revision surgery. Hip Replacement is indicated in the following cases: Severely painful and/or disabled joint as a result of arthritis, traumatic arthritis, rheumatoid polyarthritis, or congenital hip dysplasia. Avascular necrosis of the femoral head. Acute traumatic fracture of the femoral head or neck. Failure of previous hip surgery: joint reconstruction, internal fixation, arthrodesis, hemiarthroplasty, surface replacement arthroplasty, or total hip replacement. AMIStem-H, AMIStem-H collared, AMIStem-H Proximal Coating, AMIStem-P and AMIStem-P Collared are designed for cementless use in total or partial hip arthroplasty in primary or revision surgery. The AMIStem-C is designed for cemented use in total or partial hip arthroplasty in primary or revision surgery. Hip Replacement is indicated in the following cases: Severely painful and/or disabled joint as a result of arthritis, traumatic arthritis, rheumatoid polyarthritis, or congenital hip dysplasia. Avascular necrosis of the femoral head. Acute traumatic fracture of the femoral head or neck. Failure of previous hip surgery: joint reconstruction, internal fixation, arthrodesis, hemiarthroplasty, surface replacement arthroplasty, or total hip replacement. MiniMax is designed for cementless use in total or partial hip arthroplasty in primary or revision surgery. Hip Replacement is indicated in the following cases: Severely painful and/or disabled joint as a result of arthritis, traumatic arthritis, rheumatoid polyarthritis, or congenital hip dysplasia. Avascular necrosis of the femoral head. Acute traumatic fracture of the femoral head or neck. Failure of previous hip surgery: joint reconstruction, internal fixation, arthrodesis, hemiarthroplasty, surface replacement arthroplasty, or total hip replacement. Quadra-S, Quadra-H and Quadra-R is designed for cementless use in total or partial hip arthroplasty in primary or revision surgery. The hip prosthesis Quadra-C is designed for cemented use in total or partial hip arthroplasty in primary or revision surgery. Hip Replacement is indicated in the following cases: Severely painful and/or disabled joint as a result of arthritis, traumatic arthritis, rheumatoid polyarthritis, or congenital hip dysplasia. Avascular necrosis of the femoral head. Acute traumatic fracture of the femoral head or neck. Failure of previous hip surgery: joint reconstruction, internal fixation, arthrodesis, hemiarthroplasty, surface replacement arthroplasty, or total hip replacement. The Quadra-C size 0 implant should not be implanted in patients with a mass of 65 kg or greater. SMS and SMS Collared are designed for cementless use in total or partial hip arthroplasty in primary or revision surgery. Hip Replacement is indicated in the following cases: Severely painful and/or disabled joint as a result of arthritis, traumatic arthritis, rheumatoid polyarthritis, or congenital hip dysplasia. Avascular necrosis of the femoral head. Acute traumatic fracture of the femoral head or neck. Failure of previous hip surgery: joint reconstruction, internal fixation, arthrodesis, hemiarthroplasty, surface replacement arthroplasty, or total hip replacement. Mpres stem is a cementless neck preserving stem designed for use in total or partial hip arthroplasty for primary or revision surgery. Total Hip Arthroplasty with the Mpres stem is indicated in the following cases: Severely painful and/or disabled joint as a result of arthrosis, traumatic arthritis, rheumatoid polyarthritis or congenital hip dysplasia. Avascular necrosis of the femoral head. Acute traumatic fracture of the femoral head. Failure of previous hip surgery: Conservative hip surgery, Internal fixation, Arthrodesis, Hip resurfacing replacement. Partial hip arthroplasty with the Mpres stem is indicated in the following cases: Acute traumatic fracture of the femoral head. Avascular necrosis of the femoral head. Primary pathology involving the femoral head but with a non-deformed acetabulum. Mpact implants are designed for cementless use in total hip arthroplasty in primary or revision surgery. The patient should be skeletally mature. The patient’s condition should be due to one or more of: Severely painful and/or disabled joint: as a result of osteoarthritis, post-traumatic arthritis, rheumatoid arthritis or psoriatic arthritis, congenital hip dysplasia, ankylosing spondylitis. Avascular necrosis of the femoral head. Acute traumatic fracture of the femoral head or neck. Failure of previous hip surgery: joint reconstruction, internal fixation, arthrodesis, hemiarthroplasty, surface replacement arthroplasty, or total hip replacement where sufficient bone stock is present.

Device Story

Coated hip implants (stems and acetabular shells) for total/partial hip arthroplasty; primary or revision surgery. Modification: addition of alternate coating supplier for Titanium, Hydroxyapatite, and Porous Titanium coatings. Device substrates (Ti-6Al-4V, Ti-6Al-7Nb) and design remain unchanged. Implants provide structural replacement of hip joint components; coatings facilitate osseointegration. Used in clinical orthopedic settings by surgeons. Output is physical implant integration with patient bone; clinical decision-making based on patient pathology and bone stock. Benefits include restoration of joint function and pain relief.

Clinical Evidence

No clinical studies were conducted. Substantial equivalence is based on non-clinical bench testing, including coating composition analysis (ISO 13179-1, 13779-2/3), mechanical property evaluation (ASTM F1854, F1147, F1609, F1044, F1160, F1978, F3090-20), cleaning validation (ISO 19227), biocompatibility (ISO 10993), and shelf-life/packaging validation (ISO 11607).

Technological Characteristics

Substrates: Ti-6Al-4V (ASTM F136) or Ti-6Al-7Nb (ISO 5832-11). Coatings: Titanium, Hydroxyapatite, or Porous Titanium. Mechanical/structural characteristics unchanged. Sterilization and packaging methods remain consistent with predicate devices.

Indications for Use

Indicated for skeletally mature patients requiring total or partial hip arthroplasty (primary or revision) due to severe joint pain/disability from osteoarthritis, post-traumatic/rheumatoid/psoriatic arthritis, congenital hip dysplasia, ankylosing spondylitis, avascular necrosis, acute traumatic fracture, or failed previous hip surgery. Quadra-C size 0 contraindicated for patients ≥ 65 kg.

Regulatory Classification

Identification

A hip joint metal/ceramic/polymer semi-constrained cemented or nonporous uncemented prosthesis is a device intended to be implanted to replace a hip joint. This device limits translation and rotation in one or more planes via the geometry of its articulating surfaces. It has no linkage across-the-joint. The two-part femoral component consists of a femoral stem made of alloys to be fixed in the intramedullary canal of the femur by impaction with or without use of bone cement. The proximal end of the femoral stem is tapered with a surface that ensures positive locking with the spherical ceramic (aluminium oxide, A12 03 ) head of the femoral component. The acetabular component is made of ultra-high molecular weight polyethylene or ultra-high molecular weight polyethylene reinforced with nonporous metal alloys, and used with or without bone cement.

Predicate Devices

Related Devices

Submission Summary (Full Text)

{0} FDA U.S. FOOD & DRUG ADMINISTRATION September 19, 2025 Medacta International S.A. % Christopher Lussier Senior Director, Quality, Regulatory and Clinical Research Medacta USA 6386 Global Drive, Suite 101 Memphis, Tennessee 38141 Re: K250450 Trade/Device Name: Coated hip implants Regulation Number: 21 CFR 888.3353 Regulation Name: Hip Joint Metal/Ceramic/Polymer Semi-Constrained Cemented Or Nonporous Uncemented Prosthesis Regulatory Class: Class II Product Code: LZO, LPH Dated: February 18, 2025 Received: September 4, 2025 Dear Christopher Lussier: We have reviewed your section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (the Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database available at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading. If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register. U.S. Food & Drug Administration 10903 New Hampshire Avenue Silver Spring, MD 20993 www.fda.gov {1} K250450 - Christopher Lussier Page 2 Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download). Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30, Design controls; 21 CFR 820.90, Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181). Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical device-related adverse events) (21 CFR Part 803) for devices or postmarketing safety reporting (21 CFR Part 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reporting-combination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050. All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rule"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance/unique-device-identification-system-udi-system. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-devices/medical-device-safety/medical-device-reporting-mdr-how-report-medical-device-problems. For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory- {2} K250450 - Christopher Lussier Page 3 assistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100). Sincerely, # Limin Sun -S Limin Sun, Ph.D. Assistant Director DHT6A: Division of Joint Arthroplasty Devices OHT6: Office of Orthopedic Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health Enclosure {3} DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration Indications for Use Form Approved: OMB No. 0910-0120 Expiration Date: 06/30/2023 See PRA Statement below. 510(k) Number (if known) K250450 Device Name Coated Hip Implants Indications for Use (Describe) - Versafitcup CC TRIO The Versafitcup CC Trio and the Versafitcup CC Trio No-Hole are designed for cementless use in total hip arthroplasty in primary or revision surgery. The patient should be skeletally mature. The patient’s condition should be due to one or more of: - Severely painful and/or disabled joint: as a result of osteoarthritis, post-traumatic arthritis, rheumatoid arthritis or psoriatic arthritis, congenital hip dysplasia, ankylosing spondylitis. - Avascular necrosis of the femoral head. - Acute traumatic fracture of the femoral head or neck. - Failure of previous hip surgery: joint reconstruction, internal fixation, arthrodesis, hemiarthroplasty, surface replacement arthroplasty, or total hip replacement where sufficient bone stock is present. - Quadra-P and Quadra-P Collared The hip prosthesis Quadra-P and Quadra-P Collared are designed for cementless use in total or partial hip arthroplasty in primary or revision surgery. The Quadra-P Cemented is designed for cemented use in total or partial hip arthroplasty in primary or revision surgery. Hip Replacement is indicated in the following cases: - Severely painful and/or disabled joint as a result of arthritis, traumatic arthritis, rheumatoid polyarthritis, or congenital hip dysplasia. - Avascular necrosis of the femoral head. - Acute traumatic fracture of the femoral head or neck. - Failure of previous hip surgery: joint reconstruction, internal fixation, arthrodesis, hemiarthroplasty, surface replacement arthroplasty, or total hip replacement. - AMIStem-H, AMIStem-H Collared, AMIStem-H Proximal Coating, AMIStem-P and AMIStem-P Collared The hip prosthesis AMIStem-H, AMIStem-H collared, AMIStem-H Proximal Coating, AMIStem-P and AMIStem-P Collared are designed for cementless use in total or partial hip arthroplasty in primary or revision surgery. The AMIStem-C is designed for cemented use in total or partial hip arthroplasty in primary or revision surgery. Hip Replacement is indicated in the following cases: - Severely painful and/or disabled joint as a result of arthritis, traumatic arthritis, rheumatoid polyarthritis, or congenital hip dysplasia. - Avascular necrosis of the femoral head. - Acute traumatic fracture of the femoral head or neck. - Failure of previous hip surgery: joint reconstruction, internal fixation, arthrodesis, hemiarthroplasty, surface replacement arthroplasty, or total hip replacement. - MiniMAX The MiniMax is designed for cementless use in total or partial hip arthroplasty in primary or revision surgery. Hip Replacement is indicated in the following cases: - Severely painful and/or disabled joint as a result of arthritis, traumatic arthritis, rheumatoid polyarthritis, or congenital hip dysplasia. - Avascular necrosis of the femoral head. - Acute traumatic fracture of the femoral head or neck. - Failure of previous hip surgery: joint reconstruction, internal fixation, arthrodesis, hemiarthroplasty, surface replacement FORM FDA 3881 (6/20) P3C Publishing Services (301) 443-6740 {4} arthroplasty, or total hip replacement. - Quadra-H and Quadra-R The hip prosthesis Quadra -S, Quadra-H and Quadra-R is designed for cementless use in total or partial hip arthroplasty in primary or revision surgery. The hip prosthesis Quadra-C is designed for cemented use in total or partial hip arthroplasty in primary or revision surgery. Hip Replacement is indicated in the following cases: - Severely painful and/or disabled joint as a result of arthritis, traumatic arthritis, rheumatoid polyarthritis, or congenital hip dysplasia. - Avascular necrosis of the femoral head. - Acute traumatic fracture of the femoral head or neck. - Failure of previous hip surgery: joint reconstruction, internal fixation, arthrodesis, hemiarthroplasty, surface replacement arthroplasty, or total hip replacement. The Quadra-C size 0 implant should not be implanted in patients with a mass of 65 kg or greater. - SMS and SMS Collared The hip prosthesis SMS and SMS Collared are designed for cementless use in total or partial hip arthroplasty in primary or revision surgery. Hip Replacement is indicated in the following cases: - Severely painful and/or disabled joint as a result of arthritis, traumatic arthritis, rheumatoid polyarthritis, or congenital hip dysplasia. - Avascular necrosis of the femoral head. - Acute traumatic fracture of the femoral head or neck. - Failure of previous hip surgery: joint reconstruction, internal fixation, arthrodesis, hemiarthroplasty, surface replacement arthroplasty, or total hip replacement. - Mpres The Mpres stem is a cementless neck preserving stem designed for use in total or partial hip arthroplasty for primary or revision surgery. Total Hip Arthroplasty with the Mpres stem is indicated in the following cases: - Severely painful and/or disabled joint as a result of arthrosis, traumatic arthritis, rheumatoid polyarthritis or congenital hip dysplasia. - Avascular necrosis of the femoral head. - Acute traumatic fracture of the femoral head. - Failure of previous hip surgery: - Conservative hip surgery, - Internal fixation, - Arthrodesis, - Hip resurfacing replacement. Partial hip arthroplasty with the Mpres stem is indicated in the following cases: - Acute traumatic fracture of the femoral head. - Avascular necrosis of the femoral head. - Primary pathology involving the femoral head but with a non-deformed acetabulum. - Mpact Acetabular Shell The Mpact implants are designed for cementless use in total hip arthroplasty in primary or revision surgery. The patient should be skeletally mature. The patient’s condition should be due to one or more of: - Severely painful and/or disabled joint: as a result of osteoarthritis, post-traumatic arthritis, rheumatoid arthritis or psoriatic arthritis, congenital hip dysplasia, ankylosing spondylitis. - Avascular necrosis of the femoral head. - Acute traumatic fracture of the femoral head or neck. - Failure of previous hip surgery: joint reconstruction, internal fixation, arthrodesis, hemiarthroplasty, surface replacement arthroplasty, or total hip replacement where sufficient bone stock is present. FORM FDA 3881 (6/20) Page 2 of 3 {5} Type of Use (Select one or both, as applicable) ☐ Prescription Use (Part 21 CFR 801 Subpart D) ☐ Over-The-Counter Use (21 CFR 801 Subpart C) # CONTINUE ON A SEPARATE PAGE IF NEEDED. This section applies only to requirements of the Paperwork Reduction Act of 1995. *DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.* The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to: Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov "An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number." FORM FDA 3881 (6/20) Page 3 of 3 {6} K250450 Page 1 of 6 Coated hip implants Traditional 510(k) - K250450 Medacta International SA # 510(k) Summary ## I. Submitter Medacta International SA Strada Regina 6874 Castel San Pietro (CH) Switzerland Phone (+41) 91 696 60 60 Fax (+41) 91 696 60 66 Contact Person: Stefano Baj, Regulatory and Compliance Director, Medacta International SA Applicant Correspondent: Chris Lussier, Senior Director, Quality, Regulatory, and Clinical Research, Medacta USA Date Prepared: February 18, 2025 Date Revised: September 18, 2025 ## II. Device | Device Proprietary Name: | Coated hip implants | | --- | --- | | Common or Usual Name: | Prosthesis, Hip, Semi-Constrained, Metal/Ceramic/Polymer, Cemented or Non-Porous, Uncemented | | Classification Name: | Hip joint metal/ceramic/polymer semi-constrained cemented or nonporous uncemented prosthesis | | Primary Product Code | LZO | | Secondary Product Code | LPH | | Regulation Number: | 21 CFR 888.3353, 21 CFR 888.3358 | | Device Classification | II | ## III. Predicate Device Substantial equivalence is claimed to the following predicate devices. Primary Predicate device: - Medacta International SA, Versafitcup® CC Trio, K103352; Additional Predicate devices: - Medacta International SA, Versafitcup CC Trio extension, K122911; - Medacta International SA, Quadra P, K181254; - Medacta International SA, Quadra-P, K192827; - Medacta International SA, Quadra-P, K202730; - Medacta International SA, AMIStem-H Proximal Coating, K161635; - Medacta International SA, AMIStem-H Proximal Coating, AMIStem-P and AMIStem-P Collared, K173794; - Medacta International SA, AMIStem-P Short Neck, K192126; {7} K250450 Page 2 of 6 Coated hip implants Traditional 510(k) - K250450 Medacta International SA Medacta International SA, MiniMAX, K170845; Medacta International SA, MiniMAX, K192352; Medacta International SA, SMS Femoral Stem, K181693; Medacta International SA, SMS Cementless Stem, K201673; Medacta International SA, SMS Cementless Stem, K203041; Medacta International SA, Mpres Neck Preserving Stem, K210263; Medacta International SA, Medacta Total Hip Prothesis System-AMIStem H, Quadra S And Quadra H femoral stems, K093944; Medacta International SA, AMIStem and Quadra - Line Extension, K121011; Medacta International SA, Medacta Total Hip Prosthesis System - Quadra J, Quadra R, K082792; Medacta International SA, Mpact® Acetabular System, K103721; Medacta International SA, Mpact Extension, K122641; Medacta International SA, Mpact Extension, K132879; Medacta International SA, Mpact Extension, K230011. # IV. Device Description The aim of this submission is to seek clearance for the addition of a new coating supplier for the following coatings: Titanium + Hydroxyapatite coating; Hydroxyapatite coating; - Porous Titanium coating for Mpact devices; and Titanium coating for Mpact T sizes devices. The already FDA cleared devices affected by the change are listed in Table 1 below. Table 1: FDA cleared devices impacted by the change. | 510k | Product name | Substrate material | Coating | | --- | --- | --- | --- | | K103352 | Versafitcup CC TRIO | Ti-6Al-4V (ASTM F136) | Titanium + Hydroxyapatite | | K122911 | | | | | K181254 | Quadra-P | Ti-6Al-7Nb (ISO 5832-11) | Titanium + Hydroxyapatite | | K192827 | Quadra-P Collared | | | | K202730 | Quadra-P Short Neck | | | | K161635 | AMIStem-H Proximal Coating | Ti-6Al-7Nb (ISO 5832-11) | Titanium + Hydroxyapatite | | K173794 | | | | | K173794 | AMIStem-P | Ti-6Al-7Nb (ISO 5832-11) | Titanium + Hydroxyapatite | | K192126 | AMIStem-P Collared | | | | K192126 | AMIStem-P Short Neck | | | | K170845 | MiniMAX | Ti-6Al-7Nb (ISO 5832-11) | Titanium + Hydroxyapatite | | K192352 | | | | | K181693 | SMS | Ti-6Al-7Nb (ISO 5832-11) | Titanium + Hydroxyapatite | | K201673 | | | | {8} K250450 Page 3 of 6 Coated hip implants Traditional 510(k) – K250450 Medacta International SA | 510k | Product name | Substrate material | Coating | | --- | --- | --- | --- | | K203041 | SMS Collared | Ti-6Al-7Nb (ISO 5832-11) | Titanium + Hydroxyapatite | | K210263 | Mpres | Ti-6Al-7Nb (ISO 5832-11) | Titanium + Hydroxyapatite | | K093944 | AMIStem-H | Ti-6Al-7Nb (ISO 5832-11) | Hydroxyapatite | | K121011 | AMIStem-H Collared | | | | K082792 | Quadra-H | Ti-6Al-7Nb (ISO 5832-11) | Hydroxyapatite | | K093944 | Quadra-H Short Neck | | | | K121011 | | | | | K082792 | Quadra-R | Ti-6Al-7Nb (ISO 5832-11) | Hydroxyapatite | | K103721 | Mpact Acetabular Shell | Ti-6Al-4V (ASTM F136) | Porous Titanium | | K122641 | | | | | K132879 | | | | | K230011 | | | Porous Titanium / Titanium | V. Indications for Use - **Versafitcup CC TRIO** The Versafitcup CC Trio and the Versafitcup CC Trio No-Hole are designed for cementless use in total hip arthroplasty in primary or revision surgery. The patient should be skeletally mature. The patient’s condition should be due to one or more of: - Severely painful and/or disabled joint: as a result of osteoarthritis, post-traumatic arthritis, rheumatoid arthritis or psoriatic arthritis, congenital hip dysplasia, ankylosing spondylitis. - Avascular necrosis of the femoral head. - Acute traumatic fracture of the femoral head or neck. - Failure of previous hip surgery: joint reconstruction, internal fixation, arthrodesis, hemiarthroplasty, surface replacement arthroplasty, or total hip replacement where sufficient bone stock is present. - **Quadra-P and Quadra-P Collared** The hip prosthesis Quadra-P and Quadra-P Collared are designed for cementless use in total or partial hip arthroplasty in primary or revision surgery. The Quadra-P Cemented is designed for cemented use in total or partial hip arthroplasty in primary or revision surgery. Hip Replacement is indicated in the following cases: - Severely painful and/or disabled joint as a result of arthritis, traumatic arthritis, rheumatoid polyarthritis, or congenital hip dysplasia. - Avascular necrosis of the femoral head. - Acute traumatic fracture of the femoral head or neck. - Failure of previous hip surgery: joint reconstruction, internal fixation, arthrodesis, hemiarthroplasty, surface replacement arthroplasty, or total hip replacement. {9} K250450 Page 4 of 6 Coated hip implants Traditional 510(k) – K250450 Medacta International SA - **AMIStem-H, AMIStem-H Collared, AMIStem-H Proximal Coating, AMIStem-P and AMIStem-P Collared** The hip prosthesis AMIStem-H, AMIStem-H collared, AMIStem-H Proximal Coating, AMIStem-P and AMIStem-P Collared are designed for cementless use in total or partial hip arthroplasty in primary or revision surgery. The AMIStem-C is designed for cemented use in total or partial hip arthroplasty in primary or revision surgery. Hip Replacement is indicated in the following cases: - Severely painful and/or disabled joint as a result of arthritis, traumatic arthritis, rheumatoid polyarthritis, or congenital hip dysplasia. - Avascular necrosis of the femoral head. - Acute traumatic fracture of the femoral head or neck. - Failure of previous hip surgery: joint reconstruction, internal fixation, arthrodesis, hemiarthroplasty, surface replacement arthroplasty, or total hip replacement. - **MiniMAX** The MiniMax is designed for cementless use in total or partial hip arthroplasty in primary or revision surgery. Hip Replacement is indicated in the following cases: - Severely painful and/or disabled joint as a result of arthritis, traumatic arthritis, rheumatoid polyarthritis, or congenital hip dysplasia. - Avascular necrosis of the femoral head. - Acute traumatic fracture of the femoral head or neck. - Failure of previous hip surgery: joint reconstruction, internal fixation, arthrodesis, hemiarthroplasty, surface replacement arthroplasty, or total hip replacement. - **Quadra-H and Quadra-R** The hip prosthesis Quadra -S, Quadra-H and Quadra-R is designed for cementless use in total or partial hip arthroplasty in primary or revision surgery. The hip prosthesis Quadra-C is designed for cemented use in total or partial hip arthroplasty in primary or revision surgery. Hip Replacement is indicated in the following cases: - Severely painful and/or disabled joint as a result of arthritis, traumatic arthritis, rheumatoid polyarthritis, or congenital hip dysplasia. - Avascular necrosis of the femoral head. - Acute traumatic fracture of the femoral head or neck. - Failure of previous hip surgery: joint reconstruction, internal fixation, arthrodesis, hemiarthroplasty, surface replacement arthroplasty, or total hip replacement. The Quadra-C size 0 implant should not be implanted in patients with a mass of 65 kg or greater. - **SMS and SMS Collared** The hip prosthesis SMS and SMS Collared are designed for cementless use in total or partial hip arthroplasty in primary or revision surgery. Hip Replacement is indicated in the following cases: - Severely painful and/or disabled joint as a result of arthritis, traumatic arthritis, rheumatoid polyarthritis, or congenital hip dysplasia. - Avascular necrosis of the femoral head. - Acute traumatic fracture of the femoral head or neck. {10} K250450 Page 5 of 6 Coated hip implants Traditional 510(k) – K250450 Medacta International SA - Failure of previous hip surgery: joint reconstruction, internal fixation, arthrodesis, hemiarthroplasty, surface replacement arthroplasty, or total hip replacement. - **Mpres** The Mpres stem is a cementless neck preserving stem designed for use in total or partial hip arthroplasty for primary or revision surgery. Total Hip Arthroplasty with the Mpres stem is indicated in the following cases: - Severely painful and/or disabled joint as a result of arthrosis, traumatic arthritis, rheumatoid polyarthritis or congenital hip dysplasia. - Avascular necrosis of the femoral head. - Acute traumatic fracture of the femoral head. - Failure of previous hip surgery: - Conservative hip surgery, - Internal fixation, - Arthrodesis, - Hip resurfacing replacement. Partial hip arthroplasty with the Mpres stem is indicated in the following cases: - Acute traumatic fracture of the femoral head. - Avascular necrosis of the femoral head. - Primary pathology involving the femoral head but with a non-deformed acetabulum. - **Mpact Acetabular Shell** The Mpact implants are designed for cementless use in total hip arthroplasty in primary or revision surgery. The patient should be skeletally mature. The patient’s condition should be due to one or more of: - Severely painful and/or disabled joint: as a result of osteoarthritis, post-traumatic arthritis, rheumatoid arthritis or psoriatic arthritis, congenital hip dysplasia, ankylosing spondylitis. - Avascular necrosis of the femoral head. - Acute traumatic fracture of the femoral head or neck. - Failure of previous hip surgery: joint reconstruction, internal fixation, arthrodesis, hemiarthroplasty, surface replacement arthroplasty, or total hip replacement where sufficient bone stock is present. VI. Comparison of Indications for Use and technological characteristics The subject hip implants with the coating performed by the new supplier are substantially equivalent to the predicate devices. The only modification of the previously cleared orthopedic devices is the addition of an alternate supplier to administer the coating process. The devices design, principle of operation, substrate material, dimensional characteristics, indications for use, biocompatibility, packaging, shelf life and sterility will not change as a result of the implementation of an alternate coating supplier. {11} K250450 Page 6 of 6 Coated hip implants Traditional 510(k) – K250450 Medacta International SA ## VI. Performance Data Validation and testing were conducted according to test protocols to provide a detailed characterization of the coating performed by the new supplier and to demonstrate the substantial equivalence between the coatings performed by the new supplier and the ones performed by the current coating supplier, thus the substantial equivalence between the subject devices coated by the new coating supplier and the predicate devices coated by the current coating supplier. The analysis and evaluations on the coating and on the subject coated products, performed according to standard’s requirements, show that they meet the corresponding acceptance criteria and that the devices coated by new coating supplier are validated, they can be considered safe and effective for their intended use and substantially equivalent to the predicate devices. ## Non-Clinical Studies - COATING CHARACTERIZATION - Evaluation of the composition of the coating powders and of the coating performed by the new supplier on coupons according to ISO 13179-1, ISO 13779-2 and ISO 13779-3; - Evaluation of the mechanical properties and morphology of the coating performed by the new supplier on coupons according to ASTM F1854, ASTM F1147, ASTM F1609, ASTM F1044, ASTM F1160, ASTM F1978, ISO 21920-3 and ISO 13779-4; - COATED PRODUCT CHARACTERIZATION - Evaluation of the coating characteristics on the coated final products or on coupons coated with the devices’ production batch according to ASTM F1854, ASTM F1609 and ISO 21920-3; - Evaluation of the mechanical properties of the final coated products according to ASTM F3090-20; - CLEANING evaluation according to ISO 19227 - BIOCOMPATIBILITY assessment according to ISO 10993 series - SHELF-LIFE evaluation including subject devices packaging validation according to ISO 11607-1 and ISO 11607-2 ## Clinical Studies: - No clinical studies were conducted. 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Innolitics
510(k) Summary
Decision Summary
Classification Order
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