Metal-on-Metal Hip Implants: Ancestry and Regulatory Clearance Quiz
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Questions and Answers

What clearance process allowed the ASR XL total hip replacement to be marketed without clinical trials?

  • Post-market surveillance
  • In vitro wear testing
  • 510(k) clearance (correct)
  • Pre-clinical testing

Which institution conducted in vitro wear testing on the ASR resurfacing at 55° inclination?

  • BSI
  • Leeds University (correct)
  • DePuy
  • Arthroplasty registers

What is the average wear of ASR resurfacing explants per year?

  • 18mm3/year (correct)
  • 90mm3/year
  • 55mm3/year
  • 9mm3/year

How many steps do resurfacing patients do per year on average?

<p>1.9 million steps p.a. (C)</p> Signup and view all the answers

What is the reported result from laboratory wear testing of the ASR XL total hip replacement?

<p>$73,605*$ implanted worldwide with no reports of failures (C)</p> Signup and view all the answers

Who is responsible for the post-market surveillance of the ASR XL total hip replacement?

<p>DePuy (B)</p> Signup and view all the answers

What testing process did the ASR XL total hip replacement undergo prior to being fitted by surgeons?

<p>Pre-clinical in vitro tests (C)</p> Signup and view all the answers

What noteworthy feature characterizes the ASR resurfacing wear testing at 55° inclination compared to large ASRs at 45°?

<p>$90x$ more wear observed per cycle (D)</p> Signup and view all the answers

'Substantial equivalence' is a concept closely related to which regulatory approval process in the United States?

<p>'510(k)' clearance process (B)</p> Signup and view all the answers

'Revision rates' in the context of metal-on-metal hips refer to what specific aspect?

<p>$Y$-year post-implantation failure rates (D)</p> Signup and view all the answers

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