COCR BI-ANGULAR HUMERAL COMPONENT

K961571 · Biomet, Inc. · KWT · Aug 5, 1996 · Orthopedic

Device Facts

Record IDK961571
Device NameCOCR BI-ANGULAR HUMERAL COMPONENT
ApplicantBiomet, Inc.
Product CodeKWT · Orthopedic
Decision DateAug 5, 1996
DecisionSESE
Submission TypeTraditional
Regulation21 CFR 888.3650
Device ClassClass 2
AttributesTherapeutic

Device Story

CoCr Bi-Angular Humeral Component is a non-constrained metal humeral stem for shoulder arthroplasty. Device features tapered collarless geometry to load cement mantle in compression; proximal fins for rotational stability; suture holes for fracture reconstruction. Surface is grit-blasted (200 microinches) to enhance stem/cement fixation. Available in 7 primary sizes (6.5mm-15.5mm diameter, 115mm length) and revision sizes (8.0mm-14.0mm diameter, 190mm length). Intended for use with commercially available glenoid components. Implanted by orthopedic surgeons in clinical settings to restore joint function and stability in patients with humeral pathology.

Clinical Evidence

No clinical data provided. Safety and effectiveness are supported by design equivalence to predicate devices and literature citations regarding common complications associated with total shoulder arthroplasty.

Technological Characteristics

Material: Cobalt-Chromium (CoCr) alloy. Design: Tapered collarless humeral stem with proximal fins and suture holes. Surface treatment: Grit-blasted (200 microinches). Fixation: Cemented. Dimensions: 7 primary sizes (6.5-15.5mm diameter, 115mm length) and revision sizes (8.0-14.0mm diameter, 190mm length).

Indications for Use

Indicated for patients requiring shoulder joint replacement, including primary and revision cases, for conditions such as complex humeral fractures or other pathologies necessitating a non-constrained metal/polymer cemented prosthesis.

Regulatory Classification

Identification

A shoulder joint metal/polymer non-constrained cemented prosthesis is a device intended to be implanted to replace a shoulder joint. The device limits minimally (less than normal anatomic constraints) translation in one or more planes. It has no linkage across-the-joint. This generic type of device includes prostheses that have a humeral component made of alloys, such as cobalt-chromium-molybdenum, and a glenoid resurfacing component made of ultra-high molecular weight polyethylene, and is limited to those prostheses intended for use with bone cement (§ 888.3027).

Special Controls

*Classification.* Class II. The special controls for this device are:(1) FDA's: (i) “Use of International Standard ISO 10993 ‘Biological Evaluation of Medical Devices—Part I: Evaluation and Testing,’ ” (ii) “510(k) Sterility Review Guidance of 2/12/90 (K90-1),” (iii) “Guidance Document for Testing Orthopedic Implants with Modified Metallic Surfaces Apposing Bone or Bone Cement,” (iv) “Guidance Document for the Preparation of Premarket Notification (510(k)) Application for Orthopedic Devices,” and (v) “Guidance Document for Testing Non-articulating, ‘Mechanically Locked’ Modular Implant Components,” (2) International Organization for Standardization's (ISO): (i) ISO 5832-3:1996 “Implants for Surgery—Metallic Materials—Part 3: Wrought Titanium 6-Aluminum 4-Vandium Alloy,” (ii) ISO 5832-4:1996 “Implants for Surgery—Metallic Materials—Part 4: Cobalt-Chromium-Molybdenum Casting Alloy,” (iii) ISO 5832-12:1996 “Implants for Surgery—Metallic Materials—Part 12: Wrought Cobalt-Chromium-Molybdenum Alloy,” (iv) ISO 5833:1992 “Implants for Surgery—Acrylic Resin Cements,” (v) ISO 5834-2:1998 “Implants for Surgery—Ultra-high Molecular Weight Polyethylene—Part 2: Moulded Forms,” (vi) ISO 6018:1987 “Orthopaedic Implants—General Requirements for Marking, Packaging, and Labeling,” and (vii) ISO 9001:1994 “Quality Systems—Model for Quality Assurance in Design/Development, Production, Installation, and Servicing,” and (3) American Society for Testing and Materials': (i) F 75-92 “Specification for Cast Cobalt-28 Chromium-6 Molybdenum Alloy for Surgical Implant Material,” (ii) F 648-98 “Specification for Ultra-High-Molecular-Weight Polyethylene Powder and Fabricated Form for Surgical Implants,” (iii) F 799-96 “Specification for Cobalt-28 Chromium-6 Molybdenum Alloy Forgings for Surgical Implants,” (iv) F 1044-95 “Test Method for Shear Testing of Porous Metal Coatings,” (v) F 1108-97 “Titanium-6 Aluminum-4 Vanadium Alloy Castings for Surgical Implants,” (vi) F 1147-95 “Test Method for Tension Testing of Porous Metal Coatings,” (vii) F 1378-97 “Specification for Shoulder Prosthesis,” and (viii) F 1537-94 “Specification for Wrought Cobalt-28 Chromium-6 Molybdenum Alloy for Surgical Implants.”

Predicate Devices

Related Devices

Submission Summary (Full Text)

{0} k961571 AUG - 5 1996 # SUMMARY OF SAFETY AND EFFECTIVENESS Sponsor: Biomet, Inc. Airport Industrial Park Warsaw, Indiana 46580 Device: CoCr Bi-Angular Humeral Component Classification Name: Shoulder Joint Non-Constrained Metal/Polymer Cemented Prosthesis Device Description: The device is composed of a metallic humeral stem which is designed to articulate with a commercially available glenoid component. There is no linkage across the joint. The tapered collarless stem follows the natural contours of the canal; the tapered geometry loads the cement mantle in compression and promotes evenly distributed stress off-loading. Proximal fins contribute to maximize rotational stability while suture holes in the fins allows for proximal reconstruction of complex humeral fractures. The stem is "grit blasted" for a roughened surface of 200 microinches which provides for an improved fixation between the stem/cement interface. Stems are available in 7 sizes with diameters ranging from 6.5mm to 15.5mm in 1.5mm increments at a length of 115mm, for primary use. Revision stems are available in a range of diameters of 8.0mm to 14.0mm in 1.5mm increments at a length of 190mm. Potential Risks: The potential risks associated with this device are the same as with any joint replacement device. These include, but are not limited to: | Reaction to bone cement | Bone fracture | | --- | --- | | Fracture of the components | Hematoma | | Cardiovascular disorders | Blood vessel damage | | Implant loosening/migration | Nerve damage | | Soft tissue imbalance | Excessive wear | | Deformity of the joint | Infection | | Tissue growth failure | Dislocation | | Delayed wound healing | Metal sensitivity | | Fracture of the cement | | 000033 {1} Substantial Equivalence: In function and overall design Biomet's CoCr Bi-Angular Humeral Component is equivalent to almost all shoulder components on the market. Commercially available shoulder devices include: Atlas Shoulder, Kirschner, 510(k)# K940537 cleared for marketing 29 August, 1995. Neer Shoulder, Kirschner, 510(k)# K873073 cleared for marketing 1 October, 1987. Bi-Angular Shoulder, Biomet, 510(k)# K872454 cleared for marketing 27 August, 1987. 000034 {2} Reported Complication of Total Shoulder Arthroplasty | Complication | Citation | | --- | --- | | Glenoid loosening | Gristina (1987), Cofield (1984), Brenner, Neer (1982), Barrett (1987), Warren, Thomas, Kelly (1987), Friedman (1989), Roper, Hawkins (1989), Averill, Pahle, Boyd (1991), Wilde (1984), Amstutz (1988), Friedman (1986), Pritchett | | Component instability | Gristina (1987), Cofield (1984), Brenner, Neer (1982), Fleega, Barrett (1987), Roper, Hawkins (1989), Averill, Pahle, Wilde (1984), Amstutz (1988), Clayton, Pritchett | | Rotator cuff deficiency or tearing | Cofield (1984), Neer (1982), Fleega, Warren, Kelly (1987), Figgie | | Humeral component loosening | Gristina (1987), Neer (1982), Barrett (1987), Warren, Boyd (1991), Amstutz (1988) | | Infection | Gristina (1987), Neer (1982), Roper, Pahle, Kelly (1990), Wilde (1984), Amstutz (1988) | | Bone fracture | Brenner, Neer (1982), Barrett (1987), Warren, Thomas, Kelly (1987), Hawkins (1989), Averill, Pahle, Kelly (1990), Boyd (1991), Amstutz (1988), Pritchett | | Humeral Subsidence | Kelly (1990), Boyd (1991) | | Impingement | Barrett (1987), Warren, Wilde (1984) | | Pain | Barrett (1987), Copeland | | Heterotopic bone formation | Wilde (1984) | | Superior migration of the humeral head | Brenner, Thomas, Kelly (1987), Hawkins (1989), Averill, Boyd (1991), Amstutz (1988), Pritchett | | Tubercosity nonunion | Cofield (1984), Neer (1982) | | Excessive bleeding | Warren | | Nerve laceration or injury | Gristina (1987), Cofield (1984), Barrett (1987), Warren, Averill, Boyd (1991), Pritchett | | Hematoma | Cofield (1984) | | Wound healing | Figgie | | Muscle weakness | Copeland, Figgie | | Reflex sympathetic dystrophy | Cofield (1984) | | Pulmonary embolism | Cofield (1984) | 000005
Innolitics
510(k) Summary
Decision Summary
Classification Order
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