Taperloc® Complete Hip Stems

K200196 · Biomet Orthopedics · LZO · Dec 8, 2020 · Orthopedic

Device Facts

• Record ID: K200196
• Device Name: Taperloc® Complete Hip Stems
• Applicant: Biomet Orthopedics
• Product Code: LZO · Orthopedic
• Decision Date: Dec 8, 2020
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 888.3353
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

1. Non-Inflammatory degenerative joint disease including osteoarthritis and avascular necrosis. 2. Rheumatoid arthritis. 3. Correction of functional deformity. 4. Treatment of non-union. Femoral neck fracture, and trochanteric fractures of the proximal femur with head involvement, unmanageable by other techniques. 5. Revision procedures where other treatment or devices have failed. Porous coated components are intended for uncemented biological fixation.

Device Story

Taperloc® Complete Hip Stems are porous-coated femoral implants for hip arthroplasty; designed for uncemented biological fixation. Features include bi-planar wedge geometry and titanium substrate with proximally circumferential titanium porous plasma-sprayed coating. Used by orthopedic surgeons in clinical/OR settings to replace diseased or damaged hip joints. Device provides structural support and fixation within the femur; facilitates joint mobility and pain relief. Changes from predicate include reduced distal profile for specific sizes, transition to automated porous plasma spray process, and shift to single-forging manufacturing process.

Clinical Evidence

No clinical data provided. Substantial equivalence supported by non-clinical bench testing, including tensile, fatigue, porosity, pore size, thickness, abrasion, shear, and roughness testing for the plasma spray coating, and rotating beam fatigue testing for the single-forging process.

Technological Characteristics

Titanium substrate; proximally circumferential titanium porous plasma-sprayed coating. Bi-planar wedge design. Standards: ASTM F1147 (tensile), ASTM F1160 (fatigue/shear fatigue), ASTM F1854 (porosity/pore size/thickness), ASTM F1978 (Tabor abrasion), ASTM F1044 (shear static), ASTM STP 731 (rotating beam fatigue).

Indications for Use

Indicated for patients requiring hip arthroplasty due to non-inflammatory degenerative joint disease (osteoarthritis, avascular necrosis), rheumatoid arthritis, functional deformity, non-union, femoral neck/trochanteric fractures, or revision procedures.

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

• Taperloc® Complete Hip Stems (K101086)

Submission Summary (Full Text)

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

Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: a symbol on the left and the text "FDA U.S. FOOD & DRUG ADMINISTRATION" on the right. The symbol on the left is a stylized image of a human figure, and the text on the right is in blue and white.

December 8, 2020

Biomet Orthopedics Genoa Atwood Regulatory Affairs, Sr. Specialist 56 East Bell Drive, PO Box 587 Warsaw, Indiana 46581

Re: K200196

Trade/Device Name: Taperloc® Complete Hip Stems 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, KWZ, JDI, MAY, MEH, LPH, KWL, KWY Dated: November 12, 2020 Received: November 13, 2020

Dear Genoa Atwood:

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. 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 located 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.

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

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

requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/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-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email ([e-mail]) or phone [phone] or 301-796-7100).

Sincerely,

Vesa Vuniqi 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

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

# Indications for Use

#### 510(k) Number

K200196

Device Name

Taperloc® Complete Hip Stems

#### Indications for Use (Describe)

- 1. Non-Inflammatory degenerative joint disease including osteoarthritis and avascular necrosis.
- 2. Rheumatoid arthritis.
- 3. Correction of functional deformity.
- 4. Treatment of non-union. Femoral neck fracture, and trochanteric fractures of the proximal femur with head involvement, unmanageable by other techniques.
- 5. Revision procedures where other treatment or devices have failed.

Porous coated components are intended for uncemented biological fixation.

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

X 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."

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

## 510(k) Summary

In accordance with 21 CFR §807.92 and the Safe Medical Devices Act of 1990, the following information is provided for the Taperloc® Complete Hip Stems 510(k) premarket notification. The submission was prepared in accordance with the FDA guidance document, 'Format for Traditional and Abbreviated 510(k)s', issued on September 13, 2019.

| Sponsor: | Biomet Orthopedic<br>56 East Bell Drive<br>PO Box 587<br>Warsaw, IN 46581<br>Establishment Registration Number: 1825034 | Primary Predicate | 510(k) Number |
|------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------|---------------|
| Primary Contact<br>Person: | Genoa Atwood<br>Regulatory Affairs Sr. Specialist<br>Telephone: [phone] | Taperloc® Complete Hip Stems | K101086 |
| Secondary Contact<br>Person: | Rhonda Myers<br>Regulatory Affairs Sr. Project Manager<br>Telephone: [phone] | | |
| Date: | January 2, 2020 | | |
| Subject Device: | Trade Name: Taperloc® Complete Hip Stems<br>Common Name: Uncemented porous modular hip prosthesis | | |
| Classification Name: | • LZO - Hip joint metal/ceramic/polymer semi constrained<br>cemented or nonporous uncemented prosthesis (21<br>CFR 888.3353)<br>• KWZ- Hip joint metal/polymer constrained cemented<br>uncemented prosthesis (21 CFR 888.3310)<br>• JDI - Hip joint metal/polymer semi-constrained cemented<br>prosthesis (21 CFR 888.3350)<br>• MAY- Hip joint metal/ceramic/polymer semi- constrained<br>cemented or nonporous uncemented prosthesis (21<br>CFR 888.3353)<br>• MEH- Hip joint metal/ceramic/polymer semi-constrained<br>cemented or nonporous uncemented prosthesis (21<br>CFR 888.3353)<br>• LPH - Hip joint metal/polymer/metal semi-constrained<br>porous-coated uncemented prosthesis (21 CFR<br>888.3358)<br>• KWL- Hip joint femoral (hemi-hip) metallic cemented or<br>uncemented prosthesis (21 CFR 888.3360)<br>• KWY- Hip joint femoral (hemi-hip) metal/polymer cemented<br>or uncemented prosthesis (21 CFR 888.3390) | | |

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

# Predicate Device:

| Purpose and Device<br>Description: | Taperloc® Complete Hip Stems are used for hip arthroplasty. |
|-------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | Taperloc® Complete Hip Stems are an implant device, a porous<br>coated femoral stem intended for uncemented biological fixation.<br>The Taperloc® Complete is a series of hip stems with a bi-planar<br>wedge design, titanium substrate, and proximally circumferential<br>titanium porous plasma sprayed design. |
| | The purpose of this submission is:<br>• To submit a 510(k) for cumulative changes made to the system<br>since original clearance;<br>○ The distal profile of the Taperloc Complete 9mm Reduced<br>Distal Profile hip stems was reduced in diameter,<br>○ The Porous Plasma Spray Process was changed to an<br>automatic process,<br>○ The manufacturing process was changed from a double<br>forging process step to a single-forging step. |
| Intended Use and | The Taperloc® Complete Hip Stems are intended for hip joint<br>arthroplasty. |
| Indications for Use: | 1. Non-Inflammatory degenerative joint disease including<br>osteoarthritis and avascular necrosis.<br>2. Rheumatoid arthritis.<br>3. Correction of functional deformity.<br>4. Treatment of non-union. Femoral neck fracture, and trochanteric<br>fractures of the proximal femur with head involvement,<br>unmanageable by other techniques.<br>5. Revision procedures where other treatment or devices have failed<br>Porous coated components are intended for uncemented biological<br>fixation. |
| Summary of<br>Technological<br>Characteristics: | The rationale for substantial equivalence is based on consideration of<br>the following characteristics:<br>• Intended Use: Identical to predicate<br>• Indications for Use: Identical to predicate<br>• Materials: Identical to predicate<br>• Design Features: Similar to predicate |
| | • Sterilization: Similar to predicate |

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

Summary of Performance Data: (Nonclinical and/or Clinical)

## Non-Clinical Tests:

- Porous Plasma Spray Coating testing was performed on samples of ● robotically applied coating versus predicate manually applied coating. Testing included:
- Tensile (ASTM 1147) O
- Fatigue (ASTM (F1160) O
- Porosity (ASTM F1854) O
- Pore Size (ASTM F1854) O
- Thickness (ASTM F1854) o
- Tabor Abrasion (ASTM F1978) O
- Shear Fatigue (ASTM F1160) O
- Shear Static ASTM (F1044) O
- Roughness (comparison to predicate) O

All testing passed and met the specifications or comparison testing (as applicable) to the predicate devices.

- One-Step Forging Distal Pot Up/Down Fatigue testing was performed on samples of single forged hip stem material and compared to predicate double forged hip stem material. Testing included:
- Rotating Beam Fatigue (ASTM STP 731) O

All testing passed and met specifications and comparison to the predicate device.

## Clinical Tests:

- None provided ●
The proposed Taperloc® Complete Hip Stems have the same intended use and indications for use as the predicate devices. The proposed devices have similar technological characteristics to the predicates, and the information provided herein demonstrates that:

- any differences do not raise new questions of safety and . effectiveness; and
- the proposed devices are at least as safe and effective as the legally marketed predicate devices.

Substantial Equivalence Conclusion: