EXCIA TOTAL HIP SYSTEM

K140915 · Aesculap Implant Systems, LLC · LZO · Jul 21, 2014 · Orthopedic

Device Facts

• Record ID: K140915
• Device Name: EXCIA TOTAL HIP SYSTEM
• Applicant: Aesculap Implant Systems, LLC
• Product Code: LZO · Orthopedic
• Decision Date: Jul 21, 2014
• Decision: SESE
• Submission Type: Special
• Regulation: 21 CFR 888.3353
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The Excia Hip System is intended to replace the hip joint. The device is intended for: Patients suffering from severe hip pain and disability due to rheumatoid arthritis, osteoarthritis, traumatic arthritis, polyarthritis, collagen disorders, avascular necrosis of the femoral head and nonunion of previous fractures of the femur Patients with congenital hip dysplasia, protrusion acetabuli, or slipped capital femoral ephiphysis Patients suffering from disability due to previous fusion Patients with acute femoral neck fractures The Excia Hip System is available with two (2) femoral stems. One is manufactured from CoCr and intended for cemented fixation. The other femoral stem is for uncemented fixation and manufactured from Ti with Plasmapore with or without µCaP®

Device Story

Excia T femoral stem is a line extension of the Excia Total Hip System; designed for uncemented hip arthroplasty. Device consists of a titanium femoral stem with Plasmapore coating; features 12/14 taper; available in sizes 8-20; lacks trochanter wing; includes asymmetrical distal tip. Implanted by orthopedic surgeons in clinical/hospital settings to replace diseased or damaged hip joints. Provides structural support for prosthetic hip components; restores joint function; reduces patient pain/disability. Substantially equivalent to existing Excia and Synergy hip systems.

Clinical Evidence

No clinical data provided. Substantial equivalence supported by bench testing only. Endurance properties of the stem, head, and neck were evaluated per FDA guidance, ASTM F2068-09, ISO 7206-4, and ISO 7206-6.

Technological Characteristics

Material: Titanium (Ti) with Plasmapore coating. Design: 12/14 taper, sizes 8-20, asymmetrical distal tip, no trochanter wing. Intended for uncemented fixation. Standards: ASTM F2068-09, ISO 7206-4, ISO 7206-6.

Indications for Use

Indicated for patients requiring hip joint replacement due to severe pain/disability from rheumatoid arthritis, osteoarthritis, traumatic arthritis, polyarthritis, collagen disorders, avascular necrosis, femoral head nonunion, congenital hip dysplasia, protrusion acetabuli, slipped capital femoral epiphysis, previous fusion, or acute femoral neck fractures.

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

• Aesculap Implant Systems Excia Total Hip System (K092143)
• Aesculap Implant Systems Excia Total Hip System (K060918)
• Smith & Nephew Synergy Hip System

Reference Devices

• Excia Hip System (K042344)
• Excia Hip System (K060437)
• Excia Hip System (K061344)

Submission Summary (Full Text)

{0}------------------------------------------------

Aesculap Implant Systems Excia Total Hip System - Excia T

### JUL 2 1 2014

#### в. 510(k) SUMMARY (as required by 21 CFR 807.92)

#### Excia Total Hip System Excia T Femoral Stem

April 08, 2014

#### COMPANY:

Aesculap Implant Systems, LLC 3773 Corporate Parkway Center Valley, PA 18034

Establishment Registration Number: 3005673311

#### CONTACT:

Julie Tom Wing 610-984-9147 (phone) 610-791-6882 (fax) julie [e-mail]

#### TRADE NAME:

Excia Total Hip System

#### COMMON NAME:

Femoral Hip Stem

#### CLASSIFICATION NAME(s):

Hip joint metal/ceramic/polymer semi-constrained cemented or nonporous uncemented prosthesis

Hip joint femoral (hemi-hip) metallic cemented or uncemented prosthesis

Hip joint femoral (hemi-hip) metal polymer cemented or uncemented prosthesis

REGULATION NUMBER(S): 888.3353; 888.3360; 888.3390

CLASSIFICATION PRODUCT CODE(S): LZO

SUBSEQUENT PRODUCT CODE(S): LWJ; KWY

#### SUBSTANTIAL EQUIVALENCE

Aesculap Implant Systems, LLC believes that the addition of Excia T femoral stems to Excia Total Hip System is substantially equivalent to Aesculap Implant Systems Excia Total Hip System (510(K)s K092143 and K060918) and Smith & Nephew Synergy Hip System.

{1}------------------------------------------------

#### DEVICE DESCRIPTION

Excia T femoral stem is manufactured from Titanium (Ti) with a Plasmapore coating. The femoral stem will be offered in a 12/14 taper in stem sizes 8 to 20. The stems are designed without a trochanter wing and features a shorter stem length with an asymmetrical distal tip.

Excia T femoral stem is intended for uncemented use.

#### PURPOSE FOR PREMARKET NOTIFICATION

The purpose of this premarket notification is to gain clearance of Excia T 12/14 femoral stems, a line extension which complements the full product range of Aesculap Implant Systems Excia Hip System (510(K)s K042344, K060437, K060918, and K061344, and K092143).

#### INDICATIONS FOR USE

The Excia Hip System is intended to replace the hip joint.

The device is intended for:

- Patients suffering from severe hip pain and disability due to rheumatoid arthritis, . osteoarthritis, traumatic arthritis, polyarthritis, collagen disorders, avascular necrosis of the femoral head and nonunion of previous fractures of the femur
- Patients with congenital hip dysplasia, protrusion acetabuli, or slipped capital femoral . ephiphysis
- . Patients suffering from disability due to previous fusion
- . Patients with acute femoral neck fractures

The Excia Hip System is available with two (2) femoral stems. One is manufactured from CoCr and intended for cemented fixation. The other femoral stem is for uncemented fixation and manufactured from Ti with Plasmapore with or without µCaP®

{2}------------------------------------------------

### TECHNOLOGICAL CHARACTERISTICS (compared to Predicate(s)}

The addition of 12/14 Excia T femoral hip stems to Aesculap Excia Hip System is substantially equivalent to the predicates, Excia Hip System and Smith & Nephew Synergy Hip System, all previously cleared by FDA. The subject device has the same technological characteristics through comparison of the predicate devices' indications for use, design, materials of construction, manufacturing process, and range of sizes offered.

#### PERFORMANCE DATA

Endurance properties of the Excia T stem, head and neck were evaluated in accordance to Guidance for Industry and FDA Staff Non-clinical Information for Femoral Prostheses, September 17, 2007; ASTM F2068-09; ISO 7206-4 and ISO 7206-6. Testing demonstrated that the subject device is substantially equivalent to the predicate devices.

{3}------------------------------------------------

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609

July 21, 2014

Aesculap Implant Systems, LLC % Ms. Julie Tom Wing Regulatory Affairs Specialist 3773 Corporate Parkway Center Valley, Pennsylvania 18034

Re: K140915

Trade/Device Name: Excia Total Hip System 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, LWJ, KWY Dated: July 2, 2014 Received: July 3, 2014

Dear Ms. Wing:

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

Image /page/3/Picture/11 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract image of an eagle.

{4}------------------------------------------------

Page 2 - Ms. Julie Tom Wing

(21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical 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" (21 CFR 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/ReportalProblem/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

for

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

Enclosure

{5}------------------------------------------------

#### DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: January 31, 2017 See PRA Statement on last page.

510(k) Number (if known)

K140915

Device Name Excia Total Hip System

Indications for Use (Describe)

The Excia Hip System is intended to replace a hip joint.

The device is intended for:

· Patients suffering from severe hip pain and disability due to rheumatoid arthritis, traumatic arthritis, polyarthritis, collagen disorders, avascular necrosis of the femoral head and nonunion of previous fractures of the femur

· Paticats with congenital hip dysplasia, protrusion acctabuli, or slipped capital femoral ephiphysis

· Patients suffering from disability due to previous fusion

· Patients with acute femoral neck fractures

The Excia Hip System is available with two (2) femoral stems. One is manufactured for cemented fixation. The other femoral stem is for uncemented from Ti with Plasmapore with or with or without yCaP®.

Type of Use (Select one or both, as applicable)

2 Prescription Use (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 801 Subpart C)

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.

#### FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

## Elizabeth L. Frank -S

Division of Orthopedic Devices