COMPREHENSIVE REVERSE SHOULDER SCREWS

K132239 · Biomet Manufacturing Corp · PHX · Sep 6, 2013 · Orthopedic

Device Facts

• Record ID: K132239
• Device Name: COMPREHENSIVE REVERSE SHOULDER SCREWS
• Applicant: Biomet Manufacturing Corp
• Product Code: PHX · Orthopedic
• Decision Date: Sep 6, 2013
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 888.3660
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The Comprehensive® Reverse Shoulder is indicated for use in patients whose shoulder joint has a grossly deficient rotator cuff with severe arthropathy and/or previously failed shoulder ioint replacement with a grossly deficient rotator cuff. The patient must be anatomically and structurally suited to receive the implants and a functional deltoid muscle is necessary. The Comprehensive® Reverse Shoulder is indicated for primary, fracture, or revision total shoulder replacement for the relief of pain and significant disability due to gross rotator cuff deficiency. Glenoid components with Hydroxyapatite (HA) coating applied over the porous coating are indicated only for uncemented biological fixation applications. The Glenoid Baseplate components are intended for cementless application with the addition of screw fixation. Interlok finish humeral stems are intended for cemented use and the MacroBond coated humeral stems are intended for press-fit or cemented applications. Humeral components with porous coated surface coating are indicated for either cemented or uncemented biological fixation applications.

Device Story

Comprehensive® Reverse Shoulder is a total shoulder replacement system; utilizes reverse configuration (glenoid-side ball, humeral-side polyethylene bearing). System includes glenoid baseplate with central screw and four peripheral screw holes for fixation. Screws available in locking and non-locking styles; provided in sterile and non-sterile options for user-facility sterilization. Device used by orthopedic surgeons in clinical/surgical settings to restore shoulder function and relieve pain in patients with rotator cuff deficiency. Modification involves peripheral screw design and addition of non-sterile screw options.

Clinical Evidence

No clinical data submitted. Substantial equivalence determined via non-clinical bench testing (torque to failure).

Technological Characteristics

Reverse shoulder prosthesis; glenoid baseplate with central and peripheral screw fixation. Materials include metal and polymer components. Features include Hydroxyapatite (HA) coating for uncemented fixation, Interlok finish for cemented stems, and MacroBond coating for press-fit/cemented stems. Non-sterile options provided for facility-based sterilization.

Indications for Use

Indicated for patients with grossly deficient rotator cuff and severe arthropathy, or failed shoulder joint replacement with gross rotator cuff deficiency. Requires anatomically/structurally suitable anatomy and functional deltoid muscle. Indicated for primary, fracture, or revision total shoulder replacement for pain relief and disability reduction.

Regulatory Classification

Identification

A shoulder joint metal/polymer semi-constrained cemented prosthesis is a device intended to be implanted to replace a shoulder 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 includes prostheses that have a humeral resurfacing 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 “Specification for Titanium-6 Aluminum-4 Vanadium Alloy Castings for Surgical Implants,” (vi) F 1147-95 “Test Method for Tension Testing of Porous Metal,” (vii) F 1378-97 “Standard Specification for Shoulder Prosthesis,” and (viii) F 1537-94 “Specification for Wrought Cobalt-28 Chromium-6 Molybdenum Alloy for Surgical Implants.”

Predicate Devices

• Comprehensive® Reverse Shoulder (K080642)

Submission Summary (Full Text)

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DEPARTMENT OF HEALTH & HUMAN SERVICES

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Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

November 2, 2016

Biomet Manufacturing Corporation Ms. Patricia Sandborn Beres Senior Regulatory Specialist 56 East Bell Drive Warsaw, Indiana 46582

Re: K132239

Trade/Device Name: Comprehensive® Reverse Shoulder - Screws Regulation Number: 21 CFR 888.3660 Regulation Name: Shoulder joint metal/polymer semi-constrained cemented prosthesis Regulatory Class: Class II Product Code: PHX, KWS, PAO Dated: July 30, 2013 Received: July 31, 2013

Dear Ms. Beres:

This letter corrects our substantially equivalent letter of September 6, 2013.

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 (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. 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.

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

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## Page 2 - Ms. Patricia Sandborn Beres

device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

## Lori A. Wiggins -S

for

Mark N. Melkerson Director Division of Orthopedic Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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## Indications for Use

510(k) Number (if known):

Device Name: Comprehensive® Reverse Shoulder - Screws

Indications For Use:

The Comprehensive® Reverse Shoulder is indicated for use in patients whose shoulder joint has a grossly deficient rotator cuff with severe arthropathy and/or previously failed shoulder ioint replacement with a grossly deficient rotator cuff. The patient must be anatomically and structurally suited to receive the implants and a functional deltoid muscle is necessary.

The Comprehensive® Reverse Shoulder is indicated for primary, fracture, or revision total shoulder replacement for the relief of pain and significant disability due to gross rotator cuff deficiency.

Glenoid components with Hydroxyapatite (HA) coating applied over the porous coating are indicated only for uncemented biological fixation applications. The Glenoid Baseplate components are intended for cementless application with the addition of screw fixation.

Interlok finish humeral stems are intended for cemented use and the MacroBond coated humeral stems are intended for press-fit or cemented applications. Humeral components with porous coated surface coating are indicated for either cemented or uncemented biological fixation applications.

Prescription Use ___ X (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use NO (21 CFR 807 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH. Office of Device Evaluation (ODE)

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## 510(k) SUMMARY

A summary of 510(k) safety and effectiveness information in accordance with the requirements of 21 CFR 807.92

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| | SUBMITTER INFORMATION | |
|------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------|
| Name | Biomet Manufacturing Corp. | |
| Address | 56 East Bell Drive | |
| | Warsaw, IN 46582 | |
| Phone number | [phone] | |
| Fax number | [phone] | |
| Establishment Registration Number | 1825034 | |
| Name of contact person | Patricia Sandborn Beres | |
| | Senior Regulatory Specialist | |
| | Biomet Manufacturing Corp. | |
| Date prepared | July 29, 2013 | |
| NAME OF DEVICE | | |
| Trade name | Comprehensive® Reverse Shoulder Screws | |
| Common name | Glenoid prosthesis | |
| Classification name | Regulation | Product Code |
| Shoulder joint, metal/polymer, semi- | 21 CFR 888.3660 | KWS |
| constrained, cemented prosthesis | | |
| Shoulder joint metal/polymer (+additive) semi- | 21 CFR 888.3660 | PAO |
| constrained cemented prosthesis | | |
| Classification panel | Orthopedics | |
| Legally marketed device(s) to which | Comprehensive® Reverse Shoulder (K080642) | |
| equivalence is claimed | | |
| Reason for 510(k) submission | New device | |
| Device description<br>SEP 06 2013 | The Comprehensive® Reverse Shoulder is intended for<br>total shoulder replacement in a reverse shoulder<br>configuration. Unlike traditional total shoulder<br>replacement, a reverse shoulder employs a ball for<br>articulation on the glenoid side of the joint and a<br>polyethylene bearing surface on the humeral side of the<br>joint. The glenoid baseplate features a medial boss<br>through which a Central Screw is placed to hold the<br>component in place. Additionally, there are four<br>peripheral screw holes through the baseplate for<br>screw fixation. The screws are available in both<br>locking and non-locking styles. Both sterile and non-<br>sterile versions of the screws will be marketed.<br><br>This 510(k) is for a design modification to the peripheral<br>screws as well as the inclusion of non-sterile central and<br>peripheral screw options to allow sterilization of the<br>screws at the user facility in a screw caddy. | |

Malling Address:
Production More More More More More More More More Morrison Morrison Morrison Morrison Monte Morrison Monte Morrol Monte Blommer Monto Blombia Morro Blombia

Shipping Address:
56 East Bell Drive ત્ત્વજ્યના IN 45582

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510(K) Summary
Comprehensive® Reverse Shoulder Screws
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K132239 (2/2)

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| Indications<br>for use | The Comprehensive® Reverse Shoulder is indicated for use in patients whose shoulder joint<br>has a grossly deficient rotator cuff with severe arthropathy and/or previously failed shoulder<br>joint replacement with a grossly deficient rotator cuff. The patient must be anatomically and<br>structurally suited to receive the implants and a functional deltoid muscle is necessary.<br><br>The Comprehensive® Reverse Shoulder is indicated for primary, fracture, or revision total<br>shoulder replacement for the relief of pain and significant disability due to gross rotator<br>cuff deficiency.<br><br>Glenoid components with Hydroxyapatite (HA) coating applied over the porous coating<br>are indicated only for uncemented biological fixation applications. The Glenoid Baseplate<br>components are intended for cementless application with the addition of screw fixation.<br><br>Interlok finish humeral stems are intended for cemented use and the MacroBond coated<br>humeral stems are intended for press-fit or cemented applications. Humeral components<br>with porous coated surface coating are indicated for either cemented or uncemented<br>biological fixation applications. |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| SUMMARY OF THE TECHNOLOGICAL CHARACTERISTICS COMPARED TO THE PREDICATE | |
| There is no difference between the new devices and the predicate devices with respect to indications for<br>use, principles of operation, or manufacturing. Design differences have been demonstrated to not affect<br>safety or effectiveness or raise new issues of safety or effectiveness. | |
| PERFORMANCE DATA | |
| Non-Clinical Tests Conducted For Determination Of Substantial Equivalence | |
| Torque to Failure | |
| Clinical Tests Conducted for Determination of Substantial Equivalence and/or of Clinical Information | |
| No clinical data submitted | |
| CONCLUSIONS DRAWN FROM NON-CLINICAL AND CLINICAL DATA | |
| No clinical data was necessary for a determination of substantial equivalence. The results of testing indicated<br>the devices performed within the intended use, did not raise any new safety and efficacy issues and were<br>found to be substantially equivalent to the predicate devices. | |

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