DEVICE: HemiCAPOVO® (M5288H025046W0)

Device Identifier (DI) Information

HemiCAPOVO®
8H02-5046-W
In Commercial Distribution
8H02-5046-W
ARTHROSURFACE INCORPORATED
M5288H025046W0
HIBCC

1
144666109 *Terms of Use
Humeral Component, 50mm x 46mm, OVO
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Device Characteristics

Labeling does not contain MRI Safety Information
No
No
Yes
Yes
No
No
No
No

GMDN

[?]

GMDN© Term Code, Names and Definitions (*Terms of Use): GMDN® is a registered trademark of The GMDN Agency. All rights reserved. Used under licence from The GMDN Agency Ltd.

GMDN Term Code GMDN Term Name GMDN Term Definition GMDN Term Status [?] Implantable?
60512 Shoulder humeral body prosthesis
A sterile implantable component of a total shoulder prosthesis intended to form a connection between a humeral stem prosthesis and a humeral head prosthesis. It is made of metal [e.g., cobalt-chrome-molybdenum (Co-Cr-Mo)] or titanium (Ti)] and is used in a modular shoulder replacement system.
Active true
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FDA Product Code

[?]
Product Code Product Code Name
HSD Prosthesis, Shoulder, Hemi-, Humeral, Metallic Uncemented
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FDA Premarket Submission

FDA Premarket Submission Number [?] Supplement Number [?]
K142942 000
No CLOSE

Sterilization

Yes
No
Sterilization Method [?]
No Sterilization Methods Found
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Storage and Handling

[?]
Storage and Handling
No storage/handling found
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Clinically Relevant Size

[?]
Size Type Text
Outer Diameter: 50 Millimeter
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Device Record Status

00107596-8f89-47de-b7f1-4b3ce3a44ad5
July 06, 2018
3
October 20, 2015
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Alternative and Additional Identifiers Additional Identifiers

Package DI

[?]
Package DI Number Quantity per Package Contains DI Package Package Discontinue Date Package Status Package Type
No Package DIs found
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Secondary DI

[?]
Issuing Agency [?] Secondary DI Number
No Secondary DIs found
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Unit of Use DI

[?]
Unit of Use DI Number: No Unit of Use DI Numbers Found CLOSE

Direct Marking (DM)

[?]
No
No
None
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Production Identifier(s) in UDI

[?]
Yes
No
Yes
No
No CLOSE

Customer Contact

[?]
508-520-3003
contact@arthrosurface.com
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