The Copeland™ MB Resurfacing Humeral Heads are indicated for the following conditions where the humeral head and neck are of sufficient bone stock and there is presence of an intact or reconstructable rotator cuff which is necessary for proper functioning and dislocation resistance: - 1) Non-inflammatory degenerative joint disease including osteoarthritis and avascular necrosis. - 2) Rheumatoid arthritis - 3) Correction of functional deformity - 4) Reconstructable rotator cuff - 5) Treatment of fractures of the humeral head - 6) Traumatic arthritis For uncemented use only.
Device Story
Copeland™ MB Resurfacing Humeral Heads are metallic, uncemented humeral replacement components for shoulder arthroplasty. Designed for patients with pain or disability of the gleno-humeral joint requiring hemi- or total shoulder replacement. Device preserves humeral bone stock, offering an alternative to traditional stemmed prostheses and facilitating future revision. Components feature a tapered, fluted stem for stability and are available in four sizes; small, medium, and large share a radius of curvature, while extra-large accommodates larger bone stock. Used by orthopedic surgeons in clinical settings. Output is a prosthetic humeral head surface. Clinical benefit includes pain relief, restored joint function, and bone preservation.
Clinical Evidence
Clinical data provided from 103 resurfacing heads implanted in cementless surface replacement arthroplasty of the shoulder since 1990. Minimum follow-up was 2 years. Results demonstrate substantial equivalence to predicate devices.
Technological Characteristics
Materials: Cobalt-chrome-molybdenum alloy (ASTM F-75). Surface: MacroBond™ plasma spray coating on non-articulating surface. Design: Tapered, fluted stem; four sizes (S, M, L, XL). Connectivity: None. Sterilization: Not specified. Sensing/Actuation: Mechanical prosthesis.
Indications for Use
Indicated for patients with non-inflammatory degenerative joint disease (osteoarthritis, avascular necrosis), rheumatoid arthritis, functional deformity, reconstructable rotator cuff, humeral head fractures, or traumatic arthritis. Requires sufficient humeral bone stock and intact/reconstructable rotator cuff for dislocation resistance. For uncemented use only.
Regulatory Classification
Identification
A shoulder joint humeral (hemi-shoulder) metallic uncemented prosthesis is a device made of alloys, such as cobalt-chromium-molybdenum. It has an intramedullary stem and is intended to be implanted to replace the articular surface of the proximal end of the humerus and to be fixed without bone cement (§ 888.3027). This device is not intended for biological fixation.
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K010657
## SEP 1 4 2001
## CORPORATE HEADOUARTERS SUMMARY OF SAFETY AND EFFECTIVENESS
Sponsor:
Biomet, Inc. Airport Industrial Park Warsaw. Indiana 46580
Contact Person:
Sara B. Shultz Telephone: (219) 267-6639 Fax: (219) 372-1683
Device:
Copeland™M MB Resurfacing Humeral Heads
Classification Name:
prosthesis, shoulder, hemi-, humeral, metallic, uncemented
Device Product Code:
HSD (21 CFR 888.3690) MBF (unknown, recently down classified)
Legally Marketed Devices To Which Substantial Equivalence is Claimed: Copeland TM Resurfacing Heads (K003044), Bi-Polar Shoulder (K002998), Bi-Polar Shoulder System (K991585), and Bio-Modular® Shoulder System (K992119).
Intended Use: The Copeland™ MB Resurfacing Humeral Heads are indicated for the following conditions where the humeral head and neck are of sufficient bone stock and there is presence of an intact or reconstructable rotator cuff which is necessary for proper functioning and dislocation resistance:
- 1) Non-inflammatory degenerative joint disease including osteoarthritis and avascular necrosis.
- 2) Rheumatoid arthritis
- 3) Correction of functional deformity
- 4) Reconstructable rotator cuff
- 5) Treatment of fractures of the humeral head
- 6) Traumatic arthritis
For uncemented use only.
Device Description: These devices are intended for use as a cementless fixation humeral replacement system that requires minimal bone resection. Copeland™ MB Resurfacing Humeral Heads can be used in hemi- or total shoulder replacement surgical procedures in
> MAILING ADDRESS P.O. Box 587 Warsaw, IN 46581-0587
> > I
SHIPPING ADDRESS 56 E. Bell Drive Warsaw, IN 46582
1
OFFICE 219.267.6639
ﺁﻻﺋﯽ ﮐﮯ ﺑﺎﺭﯼ ﮐﮯ ﺍﯾﮏ ﮐﮯ ﺍﯾﮏ ﮐﮯ ﺍﺱ ﮐﮯ ﺍﯾﮏ ﮐﮯ ﺍﺱ ﮐﮯ ﺍﯾﮏ ﮐﮯ ﺍﺱ ﮐﮯ ﺍﯾﮏ ﮐﮯ ﺍﺱ ﮐﯽ ﻣﺠﻤﻮﻋﯽ ﺁﺑﺎﺩﯼ ﮐﮯ ﺷﮩﺮ ﮐﮯ ﺷﮩﺮ ﮐﮯ ﺷﮩﺮ ﮐﮯ ﺷﮩﺮ ﮐﺎ ﺍﯾﮏ ﮐﮯ ﺷﮩﺮ ﮐﺎ ﺍﯾﮏ ﮐﮯ ﺷﮩﺮ ﮐﺎ ﺍﯾﮏ ﮐﮯ ﺷﮩﺮ ﮐﺎ ﺍﯾﮏ ﮐﮯ ﺷﮩﺮ ﮐ 219.267.8137
E-MAIL biomet@biomet.com
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Image /page/1/Picture/0 description: The image shows the word "BIOMET" in a stylized font, with the letters connected and partially enclosed in boxes. Below the word "BIOMET" is the text "CORPORATE HEADQUARTERS" in a simple, sans-serif font. The text is evenly spaced and centered below the logo.
Patients experiencing pain or disability of the gleno-humeral joint. By preserving the bone stock, this device gives a patient an alternative to other total shoulder devices where more bone is removed. This device can easily be revised to a longer stemmed prosthesis if necessary due to the initial bone preservation.
The humeral head components are available in four sizes - small, medium, large, and extra-large. The small, medium, and large humeral heads have the same radius of curvature, but the heights differ to cater for the range of anatomical sizes and offsets. The extra-large head has a larger radius of curvature to accommodate a patient with larger bone stock. The stem is tapered and fluted to provide maximum stability in the humerus. The components are manufactured from cobalt-chrome-molybdenum alloy (ASTM F-75) and have a thin layer of plasma spray coating known as MacroBond™ on the non-articulating surface. There is a depression in the surface of the inner spherical radius of the head. This depression is intended for the location of the MacroBond™ Coating.
The small, medium, and large humeral head components can be used with the BioModular Glenoids or Integrated Glenoids. The extra-large head can only be used with Biomet's BioModular Glenoids due to the larger spherical radius.
Summary of Technologies: The Copeland™ MB Resurfacing Humeral Heads have the same design as the predicate Copeland™ Resurfacing Heads. The predicate devices are porous coated and cleared for cemented use, whereas, this submission contains a device with a MacroBond™ coating indicated for uncemented use. Clinical data was supplied to address these differences.
Non-Clinical Testing: Finite Element Analysis was done to compare the Copeland™ MB Resurfacing Humeral Heads to the predicate, Copeland™ Resurfacing Heads. The MacroBond™ coating was characterized by performing various mechanical tests.
Clinical Testing: Since 1990, 103 resurfacing heads have been implanted in cementless surface replacement arthroplasty of the shoulder. The minimum follow-up was 2 years. These clinical results provide data that demonstrates the substantial equivalence of the CopelandTM MB Resurfacing Humeral Heads
> MAILING ADDRESS P.O. Box 587 Warsaw, IN 46581-0587
SUPPING ADDRESS 56 15, Bell Drive Warsaw, IN 46582
1
OFFICE 219.267.6639
l'AX 219.267.8157
E-MAIL blomet@biomet.com
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Image /page/2/Picture/1 description: The image shows the logo for the Department of Health & Human Services (HHS). The logo features a stylized caduceus symbol, which is a staff with two snakes coiled around it, representing medicine and health. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" are arranged in a circular pattern around the caduceus symbol. The logo is black and white.
SEP 1 4 2001
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
Ms. Sara B. Shultz Regulatory Specialist Biomet, Inc. P.O. Box 587 Warsaw, Indiana 46581-0587
Re: K010657/S001
Trade/Device Name: Copeland™M MB Resurfacing Humeral Heads Regulation Number: 21 CFR 888.3690 Regulation Name: Shoulder joint humeral (hemi-shoulder) metallic uncemented prosthesis Regulatory Class: Class II Product Code: HSD Dated: June 14, 2001 Received: June 18, 2001
Dear Ms. Shultz:
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.
If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such 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); 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.
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This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.
If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 21 CFR Part 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4659. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html
Sincerely yours.
Susa Walker, MD
Image /page/3/Picture/5 description: The image shows a stylized drawing of a cursive letter. The letter has a loop at the top and a curved base. The drawing is simple and lacks detail.
Celia M. Witten, Ph.D., M.D. Director Division of General. Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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Page 1 of 1
510 (k) Number (if known) : __________________________________________________________________________________________________________________________________________________
Device Name: Copeland™ MB Resurfacing Humeral Heads
Indications For Use:
The Copeland™ MB Resurfacing Humeral Heads are indicated for the following conditions where the humeral head and neck are of sufficient bone stock and there is presence of an intact or reconstructable rotator cuff which is necessary for proper functioning and dislocation resistance:
- 1) Non-inflammatory degenerative joint disease including osteoarthritis and avascular necrosis.
- 2) Rheumatoid arthritis
- 3) Correction of functional deformity
- 4) Reconstructable rotator cuff
- 5) Treatment of fractures of the humeral head
- 6) Traumatic arthritis
For uncemented use only.
(PLEASE DO NOT WRITE BELOW THIS LINE. CONTINUE ON ANOTHER PAGE IF NEEDED.)
Concurrence of CDRH, Office of Device Evaluation (ODE)
| Prescription Use<br>(Per 21 CFR 801.109) | <div><div style="display:inline-block;"><svg height="20" width="20"><path d="M5 13 L15 3 L16 4 L6 14 Z" fill="black"></path></svg></div> OR Over-The-Counter-Use</div> (Optional Format 1-2-96) Division of General, Restorative and Neurological Devices |
|------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 510(k) Number | # K010657 |
000003
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1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
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Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
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Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
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Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
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With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
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What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
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Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.