REFLECTION DUAL DIMENSION SHELL

K960094 · Smith & Nephew Richards, Inc. · MBL · Mar 27, 1996 · Orthopedic

Device Facts

Record IDK960094
Device NameREFLECTION DUAL DIMENSION SHELL
ApplicantSmith & Nephew Richards, Inc.
Product CodeMBL · Orthopedic
Decision DateMar 27, 1996
DecisionSESE
Submission TypeTraditional
Regulation21 CFR 888.3358
Device ClassClass 2
AttributesTherapeutic

Intended Use

The indications for use include cemented or uncemented total hip arthroplasty for rheumatoid arthritis; osteoarthritis; post-traumatic arthritis; avascular necrosis; femoral neck fractures; osteomyelitis; fracture-dislocation of the hip; and unsuccessful cup arthroplasty, endoprosthesis, femoral osteotomy, or girdlestone resection.

Device Story

Acetabular component for total hip arthroplasty; provides prosthetic socket for femoral head. Features modified outer diameter with peripheral rim enhancement for improved press-fit stability. Available in no-hole (apex hole for insertion) or 3-hole configurations for adjunctive screw fixation. Used in orthopedic surgery; implanted by surgeons. Internal geometry and locking mechanism identical to previous Reflection Acetabular Component. Provides stable foundation for hip joint replacement; facilitates patient mobility and pain relief.

Clinical Evidence

Bench testing only. No clinical data provided.

Technological Characteristics

Material: Titanium 6 Aluminum 4 Vanadium Alloy (ISO 5832/III) with C.P. titanium bead coating (ASTM F67). Design: Acetabular shell with peripheral rim enhancement for press-fit. Options: No-hole or 3-hole configurations. Fixation: Press-fit with optional screw fixation.

Indications for Use

Indicated for patients requiring total hip arthroplasty due to rheumatoid arthritis, osteoarthritis, post-traumatic arthritis, avascular necrosis, femoral neck fractures, osteomyelitis, fracture-dislocation of the hip, or failed prior hip procedures (cup arthroplasty, endoprosthesis, femoral osteotomy, or Girdlestone resection).

Regulatory Classification

Identification

A hip joint metal/polymer/metal semi-constrained porous-coated uncemented prosthesis is a device intended to be implanted to replace a hip joint. The device limits translation and rotation in one or more planes via the geometry of its articulating surfaces. It has no linkage across the joint. This generic type of device has a femoral component made of a cobalt-chromium-molybdenum (Co-Cr-Mo) alloy or a titanium-aluminum-vanadium (Ti-6Al-4V) alloy and an acetabular component composed of an ultra-high molecular weight polyethylene articulating bearing surface fixed in a metal shell made of Co-Cr-Mo or Ti-6Al-4V. The femoral stem and acetabular shell have a porous coating made of, in the case of Co-Cr-Mo substrates, beads of the same alloy, and in the case of Ti-6Al-4V substrates, fibers of commercially pure titanium or Ti-6Al-4V alloy. The porous coating has a volume porosity between 30 and 70 percent, an average pore size between 100 and 1,000 microns, interconnecting porosity, and a porous coating thickness between 500 and 1,500 microns. The generic type of device has a design to achieve biological fixation to bone without the use of bone cement.

Predicate Devices

Related Devices

Submission Summary (Full Text)

{0} MAR 27 1996 Smith & Nephew Richards Inc. Reflection Dual Dimension Shell [510(k) Notification] Summary of Safety and Effectiveness K960094 # Intended Use The indications for use include cemented or uncemented total hip arthroplasty for rheumatoid arthritis; osteoarthritis; post-traumatic arthritis; avascular necrosis; femoral neck fractures; osteomyelitis; fracture-dislocation of the hip; and unsuccessful cup arthroplasty, endoprosthesis, femoral osteotomy, or girdlestone resection. # Modifications that do not significantly affect safety and effectiveness. The outer diameter of The Reflection Dual Dimension Shell has been modified to include an area with a larger diameter. This feature is a peripheral enhancement to the rim of the cup for improved press fit stability. The shell will be available in a no holed version (one apex hole for shell insertion) and a 3-holed version for some adjunctive screw fixations. In addition to the similarities to the previous Reflection Acetabular Component, The Dual Dimension Shell is similar to several shells currently marketed by other companies, The DePuy Duraloc and the Osteonics PSL shells. Since this modification is only to the outer geometry and the internal geometry and the locking mechanism remain the same as the previous Reflection Acetabular Component. # Materials The acetabular shell is Titanium 6 Aluminum 4 Vanadium Alloy (ISO 5832/III) with a coating of commercial pure (C.P.) titanium beads (ASTM F67). # Substantial Equivalence Information The legally marketed devices with which the subject device is to be compared for the determination of substantially equivalency. | Features | Reflection D.D. | Osteonics PSL | DePuy Duraloc | | --- | --- | --- | --- | | Shell Material | Titanium | Titanium | Titanium | | Porous Surface | Sintered Beads (rough surface) | Sintered Beads (smooth surface) | Sintered Beads (rough surface) | | Shell Geometry | Low Profile (-2mm) with peripheral build-up | Low Profile (-1mm) with peripheral build-up | Low Profile (-3mm) | | Shell Options | No holes, Three holes | No holes, Five holes | No holes, 3 holes, 3 spikes, 12 holes | | Adjunctive Fixation | Screws | Screws | Screws and fixed spikes | | Liner Overhang | Neutral and 20 degree | Neutral, 10, and 20 degree | Neutral, 10, and 15 degree | | Polished Inner Surface | Yes | No | Yes (Sector Cup only) | Esmail-X5471 January 8, 1996
Innolitics
510(k) Summary
Decision Summary
Classification Order
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