device may be held in the hand or attached to spectacles.

(b) Classification. Class I. The device is exempt from the premarket notification procedures in part 807, subpart E of this chapter. The device also is exempt from the current good manufacturing practice regulations in part 820 of this chapter, with the exception of § 820.180, with respect to general requirements concerning records, and §820.198, with respect to complaint files.

[52 FR 33355, Sept. 2, 1987, as amended at 53 FR 35607, Sept. 14, 1988]

$886.5600 Ptosis crutch.

(a) Identification. A ptosis crutch is a device intended to be mounted on the spectacles of a patient who has ptosis (drooping of the upper eyelid as a result of faulty development or paralysis) to hold the upper eyelid open.

(b) Classification. Class I. The device is exempt from the premarket notification procedures in part 807, subpart E of this chapter. The device also is exempt from the current good manufacturing practice regulations in part 820 of this chapter, with the exception of §820.180, with respect to general requirements concerning records, and § 820.198, with respect to complaint files.

[52 FR 33355, Sept. 2, 1987, as amended at 53 FR 35607, Sept. 14, 1988]

§886.5800 Ophthalmic bar reader.

(a) Identification. An ophthalmic bar reader is a device that consists of a magnifying lens intended for use by a patient who has impaired vision. The device is placed directly onto reading material to magnify print.

(b) Classification. Class I. The device is exempt from the premarket notification procedures in part 807, subpart E of this chapter. The device also is exempt from the current good manufacturing practice regulations in part 820 of this chapter, with the exception of § 820.180, with respect to general requirements concerning records, and § 820.198, with respect to complaint files.

[52 FR 33355, Sept. 2, 1987, as amended at 53 FR 35607, Sept. 14, 1988]

§ 886.5810 Ophthalmic prism reader.

(a) Identification. An ophthalmic prism reader is a device intended for use by a patient who is in a supine position to change the angle of print to aid reading.

(b) Classification. Class I. The device is exempt from the premarket notification procedures in part 807, subpart E of this chapter. The device also is exempt from the current good manufacturing practice regulations in part 820 of this chapter, with the exception of § 820.180, with respect to general requirements concerning records, and § 820.198, with respect to complaint files.

[52 FR 33355, Sept. 2, 1987, as amended at 53 FR 35607, Sept. 14, 1988]

tion procedures in subpart E of part 807 of this chapter.

[52 FR 33355, Sept. 2, 1987, as amended at 59 FR 63014, Dec. 7, 1994]

§ 886.5844 Prescription spectacle lens.

(a) Identification. A prescription spectacle lens is a glass or plastic device that is a lens intended to be worn by a patient in a spectacle frame to provide refractive corrections in accordance with a prescription for the patient. The device may be modified to protect the eyes from bright sunlight (i.e., prescription sunglasses). Prescription sunglass lenses may be reflective, tinted, polarizing, or photosensitized.

(b) Classification. Class I. The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter.

[52 FR 33355, Sept. 2, 1987, as amended at 53 FR 35607, Sept. 14, 1988; 59 FR 63014, Dec. 7, 1994]

§ 886.5870 Low-vision telescope.

(a) Identification. A low-vision telescope is a device that consists of an arrangement of lenses or mirrors intended for use by a patient who has impaired vision to increase the apparent size of objects. This generic type of device includes handheld or spectacle telescopes.

(b) Classification. Class I. The device is exempt from the premarket notification procedures in part 807, subpart E of this chapter. The device also is exempt from the current good manufacturing practice regulations in part 820 of this chapter, with the exception of § 820.180, with respect to general requirements concerning records, and

§820.198, with respect to complaint files.

[52 FR 33355, Sept. 2, 1987, as amended at 53 FR 35607, Sept. 14, 1988]

§886.5900 Electronic vision aid.

(a) Identification. An electronic vision aid is an AC-powered or battery-powered device that consists of an electronic sensor/transducer intended for use by a patient who has impaired vision or blindness to translate visual images of objects into tactile or auditory signals.

(b) Classification. Class I. The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter.

[55 FR 48443, Nov. 20, 1990, as amended at 59 FR 63014, Dec. 7, 1994]

§886.5910 Image intensification vision aid.

(a) Identification. An image intensification vision aid is a battery-powered device intended for use by a patient who has limited dark adaptation or impaired vision to amplify ambient light.

(b) Classification. Class I. The device is exempt from the premarket notification procedures in part 807, subpart E of this chapter. The device also is exempt from the current good manufacturing practice regulations in part 820 of this chapter, with the exception of § 820.180, with respect to general requirements concerning records, and § 820.198, with respect to complaint files.

[52 FR 33355, Sept. 2, 1987, as amended at 53 FR 35607, Sept. 14, 1988]

§886.5915 Optical vision aid.

(a) Identification. An optical vision aid is a device that consists of a magnifying lens with an accompanying ACpowered or battery-powered light source intended for use by a patient who has impaired vision to increase the apparent size of object detail.

(b) Classification. Class I. The ACpowered device and the battery-powered device are exempt from the premarket notification procedures in subpart E of part 807 of this chapter. The battery-powered device is also exempt from the current good manufacturing

practice regulations in part 820 of this chapter, with the exception of §820.180, with respect to general requirements concerning records, and §820.198, with respect to complaint files.

(55 FR 48443, Nov. 20, 1990, as amended at 59 FR 63014, Dec. 7, 1994]

§886.5916 Rigid gas permeable contact lens.

(a) Identification. A rigid gas permeable contact lens is a device intended to be worn directly against the cornea of the eye to correct vision conditions. The device is made of various materials, such as cellulose acetate butyrate, polyacrylate-silicone, or silicone elastomers, whose main polymer molecules generally do not absorb or attract water.

(b) Classification. (1) Class II if the device is intended for daily wear only.

(2) Class III if the device is intended for extended wear.

(c) Date PMA or notice of completion of a PDP is required. As of May 28, 1976, an approval under section 515 of the act is required before a device described in paragraph (b)(2) of this section may be commercially distributed. See § 886.3.

[52 FR 33355, Sept. 2, 1987, as amended at 59 FR 10284, Mar. 4, 1994]

$886.5918 Rigid gas permeable contact lens solution.

(a) Identification. A rigid gas permeable contact lens solution is a device intended to clean, disinfect, wet, or store a rigid gas permeable contact lens (§ 886.5916).

(b) Classification. Class III.

(c) Date PMA or notice of completion of a PDP is required. As of May 28, 1976, an approval under section 515 of the act is required before this device may be commercially distributed. See § 886.3.

$886.5925 Soft (hydrophilic) contact lens.

(a) Identification. A soft (hydrophilic) contact lens is a device intended to be worn directly against the cornea and adjacent limbal and scleral areas of the eye to correct vision conditions or act as a therapeutic bandage. The device is made of various polymer materials the main polymer molecules of which absorb or attract a certain volume (percentage) of water.

(b) Classification. (1) Class II if the device is intended for daily wear only.

(2) Class III if the device is intended for extended wear.

(c) Date PMA or notice of completion of a PDP is required. As of May 28, 1976, an approval under section 515 of the act is required before a device described in paragraph (b)(2) of this section may be commercially distributed. See § 886.3.

[52 FR 33355, Sept. 2, 1987, as amended at 59 FR 10284, Mar. 4, 1994]

§ 886.5928 Soft (hydrophilic) contact lens solution.

(a) Identification. A soft (hydrophilic) contact lens solution is a device intended to clean, disinfect, wet, or store soft (hydrophilic) contact lens (§ 886.5925).

a

(b) Classification. Class III.

(c) Date PMA or notice of completion of a PDP is required. As of May 28, 1976, an approval under section 515 of the act is required before this device may be commercially distributed. See § 886.3.

$886.5933 Contact lens heat disinfection unit.

(a) Identification. A contact lens heat disinfection unit is a device intended to disinfect a contact lens by means of heat.

(b) Classification. Class III.

(c) Date PMA or notice of completion of a PDP is required. As of May 28, 1976, an approval under section 515 of the act is required before this device may be commercially distributed. See §886.3.

Subpart C-(Reserved)

Subpart D-Prosthetic Devices

888.3000 Bone cap.

888.3010 Bone fixation cerclage.

888.3015 Bone heterograft.

888.3020 Intramedullary fixation rod. 888.3025 Passive tendon prosthesis. 888.3027 Polymethylmethacrylate (PMMA) bone cement.

888.3030 Single/multiple component metallic

bone fixation appliances and accessories. 888.3040 Smooth or threaded metallic bone fixation fastener.

888.3050 Spinal interlaminal fixation orthosis.

888.3060 Spinal intervertebral body fixation orthosis.

888.3100 Ankle joint metal/composite semiconstrained cemented prosthesis. 888.3110 Ankle joint metal/polymer semiconstrained cemented prosthesis. 888.3120 Ankle joint metal/polymer non-constrained cemented prosthesis.

888.3150 Elbow joint metal/metal or metal/ polymer constrained cemented thesis.

pros

888.3380 Hip joint femoral (hemi-hip) trunnion-bearing metal/polyacetal cemented prosthesis.

888.3390 Hip joint femoral (hemi-hip) metal/ polymer cemented or uncemented prosthesis.

888.3400 Hip joint femoral (hemi-hip) metallic resurfacing prosthesis.

888.3410 Hip joint metal/polymer semi-constrained resurfacing cemented prosthesis.

888.3480 Knee joint femorotibial metallic constrained cemented prosthesis. 888.3490 Knee joint femorotibial metal/composite non-constrained cemented prosthesis.

888.3500 Knee joint femorotibial metal/composite semi-constrained cemented prosthesis.

888.3510 Knee joint femorotibial metal/polymer constrained cemented prosthesis. 888.3520 Knee joint femorotibial metal/polynon-constrained cemented pros

mer

thesis.

con

con

strained cemented prosthesis. 888.3220 Finger joint metal/polymer constrained cemented prosthesis. 888.3230 Finger joint polymer constrained prosthesis.

888.3300 Hip joint metal constrained cemented or uncemented prosthesis. 888.3310 Hip joint metal/polymer

con

strained cemented or uncemented prosthesis.

888.3320 Hip joint metal/metal semi-constrained, with a cemented acetabular component, prosthesis. 888.3330 Hip joint metal/metal semi-constrained, with an uncemented acetabular component, prosthesis.

888.3340 Hip joint metal/composite semiconstrained cemented prosthesis. 888.3350 Hip joint metal/polymer semi-constrained cemented prosthesis. 888.3353 Hip joint metal/ceramic/polymer semi-constrained cemented or nonporous uncemented prosthesis.

888.3358 Hip joint metal/polymer/metal semi-constrained porous-coated uncemented prosthesis.

888.3360 Hip joint femoral (hemi-hip) metallic cemented or uncemented prosthesis. 888.3370 Hip joint (hemi-hip) acetabular metal cemented prosthesis.

polymer/metal/polymer semi-constrained cemented prosthesis.

888.3570 Knee joint femoral (hemi-knee) metallic uncemented prosthesis.

888.3580 Knee joint patellar (hemi-knee) me

tallic resurfacing uncemented prosthesis. 888.3590 Knee joint tibial (hemi-knee) metallic resurfacing uncemented prosthesis. 888.3640 Shoulder joint metal/metal or metal/polymer constrained cemented prosthesis.

888.3650 Shoulder joint metal/polymer nonconstrained cemented prosthesis. 888.3660 Shoulder joint metal/polymer semiconstrained cemented prosthesis. 888.3680 Shoulder joint glenoid (hemi-shoulder) metallic cemented prosthesis. 888.3690 Shoulder joint humeral (hemishoulder) metallic uncemented pros

thesis.

888.3720 Toe joint polymer constrained prosthesis.

888.3730 Toe joint phalangeal (hemi-toe) polymer prosthesis.

888.3750 Wrist joint carpal lunate polymer prosthesis.

888.3760 Wrist joint carpal scaphoid polymer prosthesis.

888.3770 Wrist joint carpal trapezium polymer prosthesis.

888.3780 Wrist joint polymer constrained prosthesis.

888.3790 Wrist joint metal constrained cemented prosthesis.

888.3800 Wrist joint metal/polymer semiconstrained cemented prosthesis. 888.3810 Wrist joint ulnar (hemi-wrist) polymer prosthesis.

Subpart E-Surgical Devices

888.4150 Calipers for clinical use.

888.4200 Cement dispenser.

888.4210 Cement mixer for clinical use. 888.4220 Cement monomer vapor evacuator. 888.4230 Cement ventilation tube. 888.4300 Depth gauge for clinical use. 888.4540 Orthopedic manual surgical instru

ment.

888.4580 Sonic surgical instrument and accessories/attachments.

888.4600 888.4800 Template for clinical use. 888.5850 Nonpowered orthopedic traction apparatus and accessories.

Protractor for clinical use.

888.5890 Noninvasive traction component. 888.5940 Cast component.

888.5960 Cast removal instrument. 888.5980 Manual cast application and removal instrument.

AUTHORITY: Secs. 501, 510, 513, 515, 520, 701 of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 351, 360, 360c, 360e, 360j, 371).

SOURCE: 52 FR 33702, Sept. 4, 1987, unless otherwise noted.

Subpart A-General Provisions

§ 888.1 Scope.

(a) This part sets forth the classification of orthopedic devices intended for human use that are in commercial distribution.

(b) The identification of a device in a regulation in this part is not a precise description of every device that is, or will be, subject to the regulation. A manufacturer who submits a premarket notification submission for a device under part 807 cannot show merely that the device is accurately described by the section title and identification provision of a regulation in this part, but shall state why the device is substantially equivalent to other devices, as required by §807.87.

(c) To avoid duplicative listings, an orthopedic device that has two or more types of uses (e.g., used both as a diagnostic device and as a surgical device) is listed in one subpart only.

(d) References in this part to regulatory sections of the Code of Federal

Regulations are to chapter I of title 21 unless otherwise noted.

§ 888.3 Effective dates of requirement for premarket approval.

A device included in this part that is classified into class III (premarket approval) shall not be commercially distributed after the date shown in the regulation classifying the device unless the manufacturer has an approval under section 515 of the act (unless an exemption has been granted under section 520(g)(2) of the act). An approval under section 515 of the act consists of FDA's issuance of an order approving an application for premarket approval (PMA) for the device or declaring completed a product development protocol (PDP) for the device.

(a) Before FDA requires that a device commercially distributed before the enactment date of the amendments, or a device that has been found substantially equivalent to such a device, has an approval under section 515 of the act, FDA must promulgate a regulation under section 515(b) of the act requiring such approval, except as provided in paragraphs (b) and (c) of this section. Such a regulation under section 515(b) of the act shall not be effective during the grace period ending on the 90th day after its promulgation or on the last day of the 30th full calendar month after the regulation that classifies the device into class III is effective, whichever is later. See section 501(f)(2)(B) of the act. Accordingly, unless an effective date of the requirement for premarket approval is shown in the regulation for a device classified into class III in this part, the device may be commercially distributed without FDA's issuance of an order approving a PMA or declaring completed a PDP for the device. If FDA promulgates a regulation under section 515(b) of the act requiring premarket approval for a device, section 501(f)(1)(A) of the act applies to the device.

(b) Any new, not substantially equivalent, device introduced into commercial distribution on or after May 28, 1976, including a device formerly marketed that has been substantially altered, is classified by statute (section 513(f) of the act) into class III without any grace period and FDA must have