PMAs Needed for 2 MoM Replacement Hips

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An FDA 2/18 final order says that manufacturers will have to submit a PMA application for two types of metal-on-metal (MoM) total hip replacement devices. Affected are the hip joint metal/metal semi-constrained with a cemented acetabular component, and the hip joint metal/metal semi-constrained with an uncemented acetabular component.

An agency announcement says that “given the known risks, FDA believes that there is sufficient evidence and information to conclude that general controls in combination with special controls would provide reasonable assurance of the safety and effectiveness of these devices. The agency has determined that these devices should remain Class 3 (higher risk) devices and PMA applications must be filed with the agency by 5/18 if a manufacturer wants to continue marketing their MoM total hip replacement devices and/or market new MoM total hip replacement devices.”

PMA submissions will have to include (1) any risks known, or that should be reasonably known, to the applicant; (2) the effectiveness of the device that is the subject of the application and (3) full reports of all nonclinical and clinical information from investigations on the safety and effectiveness of the device for which premarket approval is sought.

The announcement also lists other FDA MoM hip implant activities to date.

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