Rule 2026-11306

FDA classifies a shoulder-joint (hemi-shoulder) ceramic-head/metal-stem prosthesis as Class II (special controls)

Department of Health and Human Services ・Published Jun 5, 2026 ・91 FR 34152

The FDA classifies the shoulder joint humeral (hemi-shoulder) ceramic-head/metallic-stem (cemented or uncemented) prosthesis into Class II (special controls), stating this provides a reasonable assurance of safety and effectiveness while reducing regulatory burden and enhancing patient access to innovative devices.

Document overview (primary data)

  • Document typeRule
  • AgencyDepartment of Health and Human Services
  • Citation91 FR 34152

Key points

  • FDA classifies the hemi-shoulder ceramic-head/metal-stem prosthesis as Class II
  • The applicable special controls are identified and codified
  • Class II provides a reasonable assurance of safety and effectiveness
  • Aims to enhance patient access to innovative devices by reducing burden
  • A final order that sets the device regulatory pathway
  • The device is a hemi-shoulder type with a ceramic head and metallic stem, cemented or uncemented.

1FDA places the ceramic-head hemi-shoulder prosthesis in Class II

FDA published a final order in the Federal Register classifying the shoulder joint humeral (hemi-shoulder) prosthesis built from a ceramic head and a metallic stem, cemented or uncemented, as a Class II (special controls) medical device. The special controls for this device type are named in the order and written into the codified classification.

FDA reasons that Class II gives a reasonable assurance of safety and effectiveness, and that lighter regulatory burden will bring beneficial new devices within easier reach of patients.

2Hemi-shoulder prostheses with ceramic heads

The device is the humeral (hemi-shoulder) prosthesis consisting of a ceramic head and a metallic stem, used cemented or uncemented. The special controls applicable to this device type are identified in the order and become part of the codified classification language.

3How FDA device classes work

FDA's device classification is risk-based: Class I (general controls), Class II (special controls), and Class III (premarket approval). FDA determined that classifying this device into Class II provides a reasonable assurance of its safety and effectiveness. It also states the action will enhance patients' access to beneficial, innovative devices, in part by reducing regulatory burdens.

4The conditions narrowing the scope

This order does not cover shoulder prostheses generally. It narrows the scope down to the construction.

ConditionContent
SiteThe humeral side of the shoulder joint
TypeHemi-shoulder
HeadCeramic
StemMetallic
FixationCemented or uncemented

The special controls applying to this device type are identified in the order and become part of the codified classification language. Device classification governs the regulatory pathway in the US market, so for those developing or manufacturing orthopaedic implants, the class and the applicable special controls are foundational information.

Why it matters

An example of U.S. medical-device regulation (classification). For those in orthopedic implants and regulatory affairs, a useful read on the pathway and the applicable special controls.

FAQ

What is Class II?
FDA's moderate-risk device category requiring special controls in addition to general controls — between Class I (low) and Class III (high, premarket approval).
Why classify devices?
To set the appropriate regulatory pathway and controls per device, assuring safety while avoiding excessive burden to speed market entry.

Sources (primary)

Source: Federal Register (federal documents, public domain). Links go to the official site.

#FDA#Medical device#Orthopedics#Class II#Regulatory classification
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