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510(k) Data Aggregation

    K Number
    K211303

    Validate with FDA (Live)

    Date Cleared
    2021-06-04

    (36 days)

    Product Code
    Regulation Number
    888.3540
    Age Range
    All
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticPediatricDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Avon Patello-femoral Joint Prosthesis is intended to be used in cemented patellofemoral arthroplasty in patients with degenerative arthritis in the distal femur and patella, patients with a history of patellar dislocation or patella fracture, or patients with failed previous surgery (arthroscopy, tibial tubercle elevation, lateral release) where pain, deformity or dysfunction persists.

    These components are single use only and are intended for implantation with bone cement.

    Device Description

    This submission covers the Avon femoral and patellar components of the Avon Patello-femoral Joint Prosthesis. The femoral components are manufactured from Cobalt Chrome (CoCr) and the patellar components are manufactured from Ultra-high Molecular Weight Polyethylene (UHMWPE) materials.

    The purpose of this submission is to add Magnetic Resonance (MR) Conditional labeling to the labeling of the Avon femoral and patellar components of the Avon Patello-femoral Joint Prosthesis. Additionally, minor labeling and packaging updates, as detailed in the respective sections, are also included in this submission.

    AI/ML Overview

    The provided text is a 510(k) Summary for a medical device (Avon Patello-femoral Joint Prosthesis) seeking clearance for minor labeling and packaging updates, specifically to add Magnetic Resonance (MR) Conditional labeling. This submission does not describe a study to prove the device meets acceptance criteria related to its clinical effectiveness or performance in a patient.

    Instead, it describes non-clinical testing to demonstrate that the device is "MR Conditional" as per relevant ASTM standards. Therefore, many of the requested categories are not applicable to the information provided.

    Here's the breakdown of what can be extracted:

    1. A table of acceptance criteria and the reported device performance

    Acceptance Criteria (Standard)Reported Device Performance
    Magnetically Induced Displacement Force:It was concluded that the subject Avon femoral and patellar components... do not present a new worst case with respect to magnetically induced displacement force... Therefore, the Avon components are qualified to be "MR Conditional" for MR-induced displacement.
    ASTM F2052-15: Standard Test Method for Measurement of Magnetically Induced Displacement Force on Medical Devices in the Magnetic Resonance Environment
    Magnetically Induced Torque:It was concluded that the subject Avon femoral and patellar components... do not present a new worst case with respect to... torque... Therefore, the Avon components are qualified to be "MR Conditional" for... torque.
    ASTM F2213-17: Standard Test Method for Measurement of Magnetically Induced Torque on Medical Devices in the Magnetic Resonance Environment
    Image Artifact:It was concluded that the subject Avon femoral and patellar components... do not present a new worst case with respect to... MR image artifacts... Therefore, the Avon components are qualified to be "MR Conditional" for... image artifacts.
    ASTM F2119-07 (Reapproved 2013): Standard Test Method for Evaluation of MR Image Artifacts from Passive Implants
    Heating by RF Fields:It was concluded that the subject Avon femoral and patellar components... do not present a new worst case with respect to... RF-induced heating. Therefore, the Avon components are qualified to be "MR Conditional" for... RF-induced heating. The labeling has been modified to include the MR Conditional symbol and to provide the parameters for safe scanning.
    ASTM F2182-19: Standard Test Method for Measurement of Radio Frequency Induced Heating On or Near Passive Implants During Magnetic Resonance Imaging

    2. Sample size used for the test set and the data provenance (e.g., country of origin of the data, retrospective or prospective)

    This information is not provided. The testing was non-clinical (laboratory testing of the device components), not involving human subjects or patient data.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g., radiologist with 10 years of experience)

    Not applicable. The ground truth for the MR Conditional testing is established by the ASTM standards themselves, which define methodologies and criteria for measurement. No human experts were involved in establishing "ground truth" for this non-clinical testing.

    4. Adjudication method (e.g., 2+1, 3+1, none) for the test set

    Not applicable. This was non-clinical, objective testing against predefined engineering standards.

    5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

    Not applicable. This document is not about AI or diagnostic imaging interpretation. It is for a joint prosthesis and its MR compatibility.

    6. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done

    Not applicable. This document is not about an algorithm, but a physical medical device.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

    The "ground truth" for the non-clinical testing was defined by adherence to published ASTM standards for MR compatibility. These are objective engineering and physics standards.

    8. The sample size for the training set

    Not applicable. This was non-clinical testing, not a machine learning study.

    9. How the ground truth for the training set was established

    Not applicable. This was non-clinical testing, not a machine learning study.

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