The use of the Implex HEP Acetabular Cup System, Cemented, is indicated for: a) Total Hip Replacement in severely disabled joints as a result of degenerative arthritis or avascular necrosis; b) Secondary revision of a previously unsuccessful acetabular component; c) Other hip problems where clinical experience has shown that alternative modes of treatment are less likely to achieve satisfactory results; d) Fracture dislocation of the hip, or irreducible fractures in which adequate fixation cannot be obtained; e) Non-union of femoral neck or head fractures; and f) Salvage of a failed primary or secondary total or hemi hip.
Device Story
Implex HEP Acetabular Cup System is a cemented acetabular component for total hip replacement. Device consists of a shell made of Hedrocel® material, available in OD sizes 40-70 mm and ID sizes 22, 26, 28, and 32 mm. Implanted using specialized Implex Acetabular Cup Instrumentation System. Used by orthopedic surgeons in clinical settings to replace damaged acetabular surfaces. Provides a stable bearing surface for hip joint articulation, aiming to restore joint function and alleviate pain in patients with severe hip pathology.
Clinical Evidence
Bench testing only. Performance characteristics and material properties were evaluated under defined laboratory conditions to support substantial equivalence.
Technological Characteristics
Acetabular cup system; material: Hedrocel®; dimensions: 40-70 mm OD, 22-32 mm ID; intended for cemented fixation; surgical instrumentation system required for implantation.
Indications for Use
Indicated for patients requiring total hip replacement due to degenerative arthritis, avascular necrosis, fracture dislocation, irreducible fractures, non-union of femoral neck/head fractures, or salvage of failed primary/secondary hip procedures.
Regulatory Classification
Identification
A hip joint metal/polymer semi-constrained cemented prosthesis is a device intended to be implanted to replace a hip 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 femoral component made of alloys, such as cobalt-chromium-molybdenum, and an acetabular resurfacing component made of ultra-high molecular weight polyethylene and is limited to those prostheses intended for use with bone cement (§ 888.3027).
Predicate Devices
Implex A-230 Porous Acetabular Cup System, Cemented
Implex Hedrocel® Acetabular Restrictor
Submission Summary (Full Text)
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Implex Corp. 510(k) Premarket Notification Number K971705
1971705
AUG - 6 - 557
## 510(k) SUMMARY - IMPLEX HEP ACETABULAR CUP SYSTEM, CEMENTED
| Submitter Name: | Implex Corp. |
|--------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Submitter Address: | 80 Commerce Drive<br>Allendale, New Jersey 07401-1600 |
| Contact Person: | Robert Cohen or Robert Poggie |
| Phone Number: | (201) 818-1800 |
| Fax Number: | (201) 818-0567 |
| Date Prepared: | July 28, 1997 |
| Device Trade Name: | Implex HEP Acetabular Cup System, Cemented |
| Device Common Name: | Acetabular Cup |
| Classification Name: | Prosthesis, Hip, Acetabular Component, Cemented |
| Predicate Device(s): | Implex A-230 Porous Acetabular Cup System, Cemented;<br>Implex Hedrocel® Acetabular Restrictor |
| Device Description: | Implex HEP Acetabular Cups, Cemented, are available in<br>OD sizes from 40 mm to 70 mm (in 2 mm increments), and<br>with four possible ID size options (22 mm, 26 mm, 28 mm,<br>and 32 mm). Implex HEP Acetabular Cups are to be<br>implanted using the Implex Acetabular Cup Instrumentation<br>System. |
| Indications for Use: | The use of the Implex HEP Acetabular Cup System,<br>Cemented, is indicated for: |
| | a) Total Hip Replacement in severely disabled joints as<br>a result of degenerative arthritis or avascular<br>necrosis; |
| | b) Secondary revision of a previously unsuccessful<br>acetabular component; |
| | c) Other hip problems where clinical experience has<br>shown that alternative modes of treatment are less<br>likely to achieve satisfactory results; |
| | d) Fracture dislocation of the hip, or irreducible<br>fractures in which adequate fixation cannot be<br>obtained; |
| | e) Non-union of femoral neck or head fractures; and |
| | f) Salvage of a failed primary or secondary total or<br>hemi hip. |
| Device Technological<br>Characteristics and<br>Comparison to<br>Predicate Device(s): | The surgical instrumentation and design geometry of the<br>predicate Implex A-230 Porous Acetabular Cup System,<br>Cemented, and the Implex HEP acetabular Cup System,<br>Cemented, are equivalent. The primary difference between<br>the two device systems is that the Implex HEP Acetabular<br>Cup, Cemented shell is comprised of Hedrocel®, and the<br>Implex A-230 Porous Acetabular Cup is comprised of<br>porous coated titanium alloy.<br><br>The Hedrocel® material used in the Implex HEP Acetabular<br>Cup System, Cemented, is identical to the Hedrocel®<br>material which comprises the Implex Hedrocel® Acetabular<br>Restrictor. |
| Performance Data: | Testing conducted to characterize the materials and the<br>performance characteristics of the device under defined<br>laboratory conditions was provided to support a finding of<br>substantial equivalence. |
| Conclusion: | The Implex HEP Acetabular Cup System, Cemented, is<br>substantially equivalent to the identified predicate devices. |
: ১১২
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## 510(k) Summary, Continued
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Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" arranged around the perimeter. Inside the circle is an abstract symbol resembling a stylized human figure or a caduceus, composed of three interconnected profiles facing to the right.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
Glenn N. Byrd, MBA Associate Director of Regulatory Affairs Advanced Bioresearch Associates ... ... . . Authorized Requlatory Agent for Implex Corporation 1700 Rockville Pike, Suite 450 Rockville, Maryland 20852-1631
AUG - 6 1997
Re : K971705 Implex HEP Acetabular Cup System, Cemented Requlatory Class: II Product Code: JDI Dated: May 8, 1997 Received: May 8, 1997
Dear Mr. Byrd:
We have reviewed your Section 510 (k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). 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 (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Requlations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirement, as set forth in the Quality System Regulation (QS) for Medical Dovices: General regulation (21 CFR Part 820) and that, through periodic (QS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in requlatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or requlations.
{3}------------------------------------------------
## Page 2 - Glenn N. Byrd, MBA
This letter will allow you to begin marketing your device as described in your 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 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" (21 CFR 807.97). Other gener Other qeneral information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.qov/cdrh/dsmamain.html".
Sincerely yours,
S. Galin M. Witter, Ph.D., M.
a M. Witten, Ph.D., M.D. Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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| 510(k) Number (if known): | K971705 |
|---------------------------|-----------------------------------|
| Device Name: | Implex HEP Acetabular Cup System, |
Device Name.
Cemented
Indications For Use: . . . . . .
The use of the Implex HEP Acetabular Cup System, Cemented, is indicated for:
- Total Hip Replacement in severely disabled joints a) as a result of degenerative arthritis or avascular necrosis;
- Secondary revision of a previously unsuccessful b) acetabular component;
- Other hip problems where clinical experience has C) shown that alternative modes of treatment are less likely to achieve satisfactory results;
- Fracture dislocation of the hip, or irreducible d ) fractures in which adequate fixation cannot be obtained;
- Non-union of femoral neck or head fractures; and e )
- £) Salvage of a failed primary or secondary total or hemi hip.
(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH; Office of Device Evaluation (ODE)
sion (Sign-Off)
of Generai Restorative Devices
10(K) Number K971705
Prescription Use (Per 21 CFR 801.109)
OR ...
Over-The-Counter Use
(Optional Format 1-2-96)
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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.
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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.