Cleared Traditional

K111735 - REVERSE SHOULDER PROSTHESIS MONOBLOCK HEMI ADAPTER (FDA 510(k) Clearance)

Oct 2011
Decision
104d
Days
Class 2
Risk

K111735 is an FDA 510(k) clearance for the REVERSE SHOULDER PROSTHESIS MONOBLOCK HEMI ADAPTER. This device is classified as a Shoulder Prosthesis, Reverse Configuration (Class II - Special Controls, product code PHX).

Submitted by Encore Medical, L.P. (Austin, US). The FDA issued a Cleared decision on October 3, 2011, 104 days after receiving the submission on June 21, 2011.

This device falls under the Orthopedic FDA review panel. Regulated under 21 CFR 888.3660. Intended To Be Used To Relieve Pain And To Replace The Glenoid And Humeral Side Of The Shoulder Joint In Order To Restore Mobility In A Grossly Rotator Cuff Deficient Joint With Severe Arthropathy Or A Previous Joint Replacement With A Grossly Rotator Cuff Deficient Joint..

Submission Details

510(k) Number K111735 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received June 21, 2011
Decision Date October 03, 2011
Days to Decision 104 days
Submission Type Traditional
Review Panel Orthopedic (OR)
Summary Summary PDF

Device Classification

Product Code PHX — Shoulder Prosthesis, Reverse Configuration
Device Class Class II - Special Controls
CFR Regulation 21 CFR 888.3660
Definition Intended To Be Used To Relieve Pain And To Replace The Glenoid And Humeral Side Of The Shoulder Joint In Order To Restore Mobility In A Grossly Rotator Cuff Deficient Joint With Severe Arthropathy Or A Previous Joint Replacement With A Grossly Rotator Cuff Deficient Joint.

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