K Number
K013035
Device Name
GUARDIAN LIMB SALVAGE SYSTEM
Date Cleared
2001-12-07

(88 days)

Product Code
Regulation Number
888.3510
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The indications for use for the GUARDIAN™ Limb Salvage System will be substantially equivalent to the indication for use listed under competitive devices previously cleared for market and identical to the indication for use previously submitted under Lacey Rotating Hinge Knee, DCW Modular Distal Femoral System, and. S.O.S.™ Proximal Femur. GUARDIAN™ Limb Salvage Hip Components: Indicated for use in total hip arthroplasty for reduction or relief of pain and/or improved hip function in skeletally mature patients with the following conditions: 1) non-inflammatory degenerative joint disease such as osteoarthritis, avascular necrosis, ankylosis, protrusio acetabuli, and painful hip dysplasia; 2) inflammatory degenerative joint disease such as rheumatoid arthritis; 3) correction of functional deformity; 4) revision procedures where other treatments or devices have failed; and, 5) treatment of fractures that are unmanageable using other techniques. Limb salvage system is also indicated for procedures where radical resection and replacement of the proximal, distal and/or total femur is required with the following conditions: 1) patients suffering from severe arthropathy of the hip that does not respond to any conservative therapy or better alternative surgical treatment; 2) surgical intervention for severe trauma, revision hip arthroplasties, and/or Oncology indications; and, 3) matastatic diseases (e.g., osteosarcomas, chondrosarcomas, gaint cell tumors, bone tumors). The GUARDIAN™ Limb Salvage Knee Components: Indicated for cemented use in knee arthroplasty for reduction or relief of pain and/or improved knee function in skeletally mature patients with the following conditions: 1) noninflammatory degenerative joint disease including osteoarthritis, traumatic arthritis, or avascular necrosis; 2) inflammatory degenerative joint disease including rheumatoid arthritis; 3) correction of functional deformity; 4) revision procedures where other treatments or devices have failed; and, 5) treatment of fractures that are unmanageable using other techniques. Limb salvage system is also indicated for procedures where radical resection and replacement of the proximal tibia is required with the following conditions: 1) patients suffering from severe arthropathy of the knee that does not respond to any conservative therapy or better alternative surgical treatment; 2) surgical intervention for severe trauma, revision knee arthroplasties, and/or Oncology indications; and, 3) matastatic diseases (e.g., osteosarcomas, chondrosarcomas, gaint cell tumors, bone tumors).
Device Description
The GUARDIAN™ Limb Salvage System consists of components that are used in the reconstruction of the lower limb. The reconstruction applications are proximal femur, distal femur, total femur, proximal tibia, and hinged knee. The components are femoral neck, mid-section, stem, distal hinge femur, tibial hinge assembly, axial pin, tibial sleeve spacer, tibial sleeve, male-male mid-section, resurfacing hinge femur, and proximal tibia.
More Information

Not Found

Lacey Rotating Hinge Knee, DCW Modular Distal Femoral System, S.O.S.™ Proximal Femur

No
The document describes a mechanical limb salvage system and does not mention any software, algorithms, or data processing that would indicate the use of AI or ML.

Yes
The device is indicated for use in total hip and knee arthroplasty for the reduction or relief of pain and/or improved function, and for radical resection and replacement procedures to treat conditions like severe arthropathy, trauma, and oncology indications, all of which fall under therapeutic goals.

No

The device is a limb salvage system, which consists of components used in the reconstruction of the lower limb for various conditions, primarily related to severe joint degenerative diseases, trauma, and oncological indications. It is a treatment device, not one designed to diagnose conditions.

No

The device description clearly lists physical components used in surgical reconstruction, indicating it is a hardware-based medical device, not software-only.

Based on the provided text, the GUARDIAN™ Limb Salvage System is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • IVD Definition: In vitro diagnostic devices are used to examine specimens (like blood, urine, or tissue) taken from the human body to provide information for diagnosis, monitoring, or screening.
  • GUARDIAN™ Limb Salvage System Description: The description clearly states that the system consists of components used in the reconstruction of the lower limb. This involves surgically implanting physical components into the patient's body.
  • Intended Use: The intended use describes the system's application in surgical procedures for conditions affecting the hip and knee joints and bones, such as arthroplasty, revision procedures, and treatment of fractures and tumors. These are all clinical interventions performed directly on the patient, not laboratory tests on specimens.

Therefore, the GUARDIAN™ Limb Salvage System is a surgical implant device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The indications for use for the GUARDIAN™ Limb Salvage System will be substantially equivalent to the indication for use listed under competitive devices previously cleared for market and identical to the indication for use previously submitted under Lacey Rotating Hinge Knee, DCW Modular Distal Femoral System, and. S.O.S.™ Proximal Femur.

GUARDIAN™ Limb Salvage Hip Components:

Indicated for use in total hip arthroplasty for reduction or relief of pain and/or improved hip function in skeletally mature patients with the following conditions:

    1. non-inflammatory degenerative joint disease such as osteoarthritis, avascular necrosis, ankylosis, protrusio acetabuli, and painful hip dysplasia;
    1. inflammatory degenerative joint disease such as rheumatoid arthritis;
    1. correction of functional deformity;
    1. revision procedures where other treatments or devices have failed; and,
    1. treatment of fractures that are unmanageable using other techniques.

Limb salvage system is also indicated for procedures where radical resection and replacement of the proximal, distal and/or total femur is required with the following conditions:

    1. patients suffering from severe arthropathy of the hip that does not respond to any conservative therapy or better alternative surgical treatment;
    1. surgical intervention for severe trauma, revision hip arthroplasties, and/or Oncology indications; and,
    1. matastatic diseases (e.g., osteosarcomas, chondrosarcomas, gaint cell tumors, bone tumors).

The GUARDIAN™ Limb Salvage Knee Components:

Indicated for cemented use in knee arthroplasty for reduction or relief of pain and/or improved knee function in skeletally mature patients with the following conditions:

    1. noninflammatory degenerative joint disease including osteoarthritis, traumatic arthritis, or avascular necrosis;
    1. inflammatory degenerative joint disease including rheumatoid arthritis;
    1. correction of functional deformity;
    1. revision procedures where other treatments or devices have failed; and,
    1. treatment of fractures that are unmanageable using other techniques.

Limb salvage system is also indicated for procedures where radical resection and replacement of the proximal tibia is required with the following conditions:

    1. patients suffering from severe arthropathy of the knee that does not respond to any conservative therapy or better alternative surgical treatment;
    1. surgical intervention for severe trauma, revision knee arthroplasties, and/or Oncology indications; and,
    1. matastatic diseases (e.g., osteosarcomas, chondrosarcomas, gaint cell tumors, bone tumors).

Product codes (comma separated list FDA assigned to the subject device)

JDI, KRO

Device Description

The GUARDIAN™ Limb Salvage System consists of components that are used in the reconstruction of the lower limb. The reconstruction applications are proximal femur, distal femur, total femur, proximal tibia, and hinged knee. The components are femoral neck, mid-section, stem, distal hinge femur, tibial hinge assembly, axial pin, tibial sleeve spacer, tibial sleeve, male-male mid-section, resurfacing hinge femur, and proximal tibia.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

hip, knee, proximal femur, distal femur, total femur, proximal tibia

Indicated Patient Age Range

skeletally mature patients

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Not Found

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

Not Found

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 888.3510 Knee joint femorotibial metal/polymer constrained cemented prosthesis.

(a)
Identification. A knee joint femorotibial metal/polymer constrained cemented prosthesis is a device intended to be implanted to replace part of a knee joint. The device limits translation or rotation in one or more planes and has components that are linked together or affined. This generic type of device includes prostheses composed of a ball-and-socket joint located between a stemmed femoral and a stemmed tibial component and a runner and track joint between each pair of femoral and tibial condyles. The ball-and-socket joint is composed of a ball at the head of a column rising from the stemmed tibial component. The ball, the column, the tibial plateau, and the stem for fixation of the tibial component are made of an alloy, such as cobalt-chromium-molybdenum. The ball of the tibial component is held within the socket of the femoral component by the femoral component's flat outer surface. The flat outer surface of the tibial component abuts both a reciprocal flat surface within the cavity of the femoral component and flanges on the femoral component designed to prevent distal displacement. The stem of the femoral component is made of an alloy, such as cobalt-chromium-molybdenum, but the socket of the component is made of ultra-high molecular weight polyethylene. The femoral component has metallic runners which align with the ultra-high molecular weight polyethylene tracks that press-fit into the metallic tibial component. The generic class also includes devices whose upper and lower components are linked with a solid bolt passing through a journal bearing of greater radius, permitting some rotation in the transverse plane, a minimal arc of abduction/adduction. This generic type of device is limited to those prostheses intended for use with bone cement (§ 888.3027).(b)
Classification. Class II.

0

Image /page/0/Picture/0 description: The image shows handwritten text that appears to be a combination of letters and numbers. The text includes 'K013035' on the top line and '10F3' on the bottom line. The handwriting is somewhat stylized, with some characters more clearly formed than others.

Image /page/0/Picture/1 description: The image shows the logo for Wright Medical Technology, Inc. The logo features a stylized "W" on the left, followed by the word "WRIGHT" in large, bold letters. Below "WRIGHT" is the text "MEDICAL TECHNOLOGY, INC." with a line underneath. The address "5677 AIRLINE ROAD ARLINGTON, TN 38002" and phone number "901-867-9971" are printed below the line.

DEC 0 7 2001

510(K) SUMMARY OF SAFETY AND EFFECTIVENESS

In accordance with the Food and Drug Administration Rule to implement provisions of the Safe Medical Devices Act of 1990 and in conformance with 21 CRF 807, this information serves as a Summary of Safety and Effectiveness for the use of the GUARDIAN™ Limb Salvage System.

Submitted By:Wright Medical Technology, Inc.
Date:September 7, 2001
Contact Person:Ehab M. Esmail
Manager, Regulatory Affairs
Proprietary Name:GUARDIAN™ Limb Salvage System
Common Name:Limb Salvage System
Classification Name and Reference:21 CFR 888.3350 Prosthesis, Hip, Semi-
Constrained, Metal/Polymer Cemented- Class II
21 CFR 888.3510 Prosthesis, Knee, Femorotibial,
Constrained, Cemented, Metal/Polymer – Class II

Device Product Code and Panel Code:

Orthopedics/87/ JDI, KRO

DEVICE INFORMATION

A. INTENDED USE

The indications for use for the GUARDIAN™ Limb Salvage System will be substantially equivalent to the indication for use listed under competitive devices previously cleared for market and identical to the indication for use previously submitted under Lacey Rotating Hinge Knee, DCW Modular Distal Femoral System, and. S.O.S.™ Proximal Femur.

Image /page/0/Picture/11 description: The image shows the logo for Wright Medical Technology, Inc. The logo features a stylized "W" symbol above the word "WRIGHT" in a bold, sans-serif font. Below "WRIGHT" is the text "MEDICAL TECHNOLOGY, INC." in a smaller, sans-serif font, with a line underneath.

Image /page/0/Picture/12 description: The image shows a black and white logo of a globe. The globe is tilted to the right and shows the continents of Asia and Australia. The logo is simple and stylized, with a thick black line representing the outline of the globe. The continents are filled in with black, and the oceans are white.

1

K013035
2 OF 3

GUARDIAN™ Limb Salvage Hip Components:

Indicated for use in total hip arthroplasty for reduction or relief of pain and/or improved hip function in skeletally mature patients with the following conditions:

    1. non-inflammatory degenerative joint disease such as osteoarthritis, avascular necrosis, ankylosis, protrusio acetabuli, and painful hip dysplasia;
    1. inflammatory degenerative joint disease such as rheumatoid arthritis;
    1. correction of functional deformity;
    1. revision procedures where other treatments or devices have failed; and,
    1. treatment of fractures that are unmanageable using other techniques.

Limb salvage system is also indicated for procedures where radical resection and replacement of the proximal, distal and/or total femur is required with the following conditions:

    1. patients suffering from severe arthropathy of the hip that does not respond to any conservative therapy or better alternative surgical treatment;
    1. surgical intervention for severe trauma, revision hip arthroplasties, and/or Oncology indications; and,
    1. matastatic diseases (e.g., osteosarcomas, chondrosarcomas, gaint cell tumors, bone tumors).

The GUARDIAN™ Limb Salvage Knee Components:

Indicated for cemented use in knee arthroplasty for reduction or relief of pain and/or improved knee function in skeletally mature patients with the following conditions:

    1. noninflammatory degenerative joint disease including osteoarthritis, traumatic arthritis, or avascular necrosis;
    1. inflammatory degenerative joint disease including rheumatoid arthritis;
    1. correction of functional deformity;
    1. revision procedures where other treatments or devices have failed; and,
    1. treatment of fractures that are unmanageable using other techniques.

Limb salvage system is also indicated for procedures where radical resection and replacement of the proximal tibia is required with the following conditions:

    1. patients suffering from severe arthropathy of the knee that does not respond to any conservative therapy or better alternative surgical treatment;
    1. surgical intervention for severe trauma, revision knee arthroplasties, and/or Oncology indications; and,
    1. matastatic diseases (e.g., osteosarcomas, chondrosarcomas, gaint cell tumors, bone tumors).

Image /page/1/Picture/24 description: The image shows the logo for Wright Medical Technology, Inc. The logo features a stylized "W" above the word "WRIGHT" in a bold, sans-serif font. Below "WRIGHT" are the words "MEDICAL TECHNOLOGY, INC." in a smaller, sans-serif font.

Image /page/1/Picture/25 description: The image shows a black and white drawing of a globe. The globe is tilted on its axis and shows the continents of Asia and Australia. The globe is surrounded by a circular frame, and there is some text at the bottom of the image, but it is unreadable.

2

Image /page/2/Picture/1 description: The image shows handwritten text that appears to be a combination of letters and numbers. The text includes 'K013035' and '30F-3', written in a casual, slightly slanted style. The handwriting is clear, but the overall presentation suggests it may be a label or identifier noted quickly.

B. DEVICE DESCRIPTION

The GUARDIAN™ Limb Salvage System consists of components that are used in the reconstruction of the lower limb. The reconstruction applications are proximal femur, distal femur, total femur, proximal tibia, and hinged knee. The components are femoral neck, mid-section, stem, distal hinge femur, tibial hinge assembly, axial pin, tibial sleeve spacer, tibial sleeve, male-male mid-section, resurfacing hinge femur, and proximal tibia.

RECONSTRUCTION APPLICATIONS
COMPONENTSPROXIMAL
FEMURDISTAL
FEMURTOTAL
FEMURPROXIMAL
TIBIAHINGED
KNEE
FEMORAL NECK
MID-SECTION
STEM
DISTAL HINGE FEMUR
TIBIAL HINGE ASSEMBLY
AXIAL PIN
TIBIAL SLEEVE SPACER
TIBIAL SLEEVE
MALE-MALE MID-SECTION
RESURFACING HINGE FEMUR
PROXIMAL TIBIA

C. SUBSTANTIAL EQUIVALENCE INFORMATION

The intended use, material, type of interface, and design features of GUARDIAN™ Limb Salvage System are substantially equivalent to the competitive devices previously cleared for market. The safety and effectiveness of the GUARDIAN™ Limb Salvage System are adequately supported by the substantial equivalence information, materials data, and testing results provided within the Premarket Notification.

Image /page/2/Picture/7 description: The image shows a black and white logo of a globe. The globe is tilted and shows the continents of Asia and Australia. The words "World Trade Organization" are written below the globe. The logo is simple and recognizable.

and the comments of the comment of the starting the first and the first and

3

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized image of an eagle with three stripes representing the department's mission. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the eagle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

DEC 0 7 2001

Mr. Ehab M. Esmail Manager, Regulatory Affairs Wright Medical Technology, Inc. 5677 Airline Road Arlington, Tennessee 38002

Re: K013035

Trade/Device Name: GUARDIAN Limb Salvage System Regulation Number: 21 CFR 888.3510; 21 CFR 888.3350 Regulation Name: Er OFF oversion is eetal/polymer constrained cemented prosthesis; Hip joint metal/polymer semi-constrained cemented prosthesis Regulatory Class: II Product Code: KRO, JDI Dated: September 7, 2001 Received: September 10, 2001

Dear Mr. Esmail:

We have reviewed your Section 510(k) premarket notification of intent to market the device we nave reviewed your becared in added is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate for use stated in the encreaty to ttgansy the Medical Device Amendments, or to conninered pror to May 20, 1978, are oncernance with the provisions of the Federal Food, Drug, devices that have boon roomsomed in avere approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The I ou may, therefore, market of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it If your device to such additional controls. Existing major regulations affecting your device can may or subject to back as back as Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean I loase of actived that I Dr over device complies with other requirements of the Act that I Dri has made a associations administered by other Federal agencies. You must or any I vith all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set OFF art 007), accems (QS) regulation (21 CFR Part 820); and if applicable, the electronic form in the quint on control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

4

Page 2 - Mr. Ehab M. Esmail

This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 21 CFR Part 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4659. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

Mark N Millerson

Celia M. Witten, Ph.D., M.D. Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

page 1 of 2

for Mark n millumor

(Divisior
Divis.Restorative
and Newblogica services
510(k) NumberK01305
0

WRIGHT
MEDICAL TECHNOLOGY, INC.

5677 AIRLINE ROAD
ARLINGTON, TN 38002
901-867-9971

K013035

GUARDIAN™ Limb Salvage System

j Number

INDICATIONS STATEMENT

GUARDIAN™ Limb Salvage Hip Components:

OUARDIAN - Limis Burning arthroplasty for reduction or relief of pain and/or improved hip function in skeletally mature patients with the following conditions:

    1. non-inflammatory degenerative joint disease such as osteoarthritis, avascular necrosis, ankylosis, protrusio acetabuli, and painful hip dysplasia;
    1. inflammatory degenerative joint disease such as rheumatoid arthritis;
    1. correction of functional deformity;
    1. revision procedures where other treatments or devices have failed; and,
    1. treatment of fractures that are unmanageable using other techniques.

Limb salvage system is also indicated for procedures where radical resection and replacement Entho sarvage system is asso total femur is required with the following conditions:

    1. patients suffering from severe arthropathy of that does not respond to any conservative therapy or better alternative surgical treatment;
  • ourgical intervention for severe trauma, revision hip arthroplasties, and/or Oncology indications.
    1. matastatic diseases (e.g., osteosarcomas, chondrosarcomas, gaint cell tumors, bone tumors)

The GUARDIAN™ Limb Salvage Knee Components:

Indicated for cemented use in knee arthroplasty for reduction or relief of pain and/or improved knee function in skeletally mature patients with the following conditions:

    1. noninflammatory degenerative joint disease including osteoarthritis, traumatic arthritis, or avascular necrosis;
    1. inflammatory degenerative joint disease including rheumatoid arthritis;
    1. correction of functional deformity;
    1. revision procedures where other treatments or devices have failed; and
    1. treatment of fractures that are unmanageable using other techniques.

Image /page/5/Picture/25 description: The image shows the logo for Wright Medical Technology, Inc. The logo features a stylized "W" symbol above the word "WRIGHT" in a serif font. Below the word "WRIGHT" are the words "MEDICAL TECHNOLOGY, INC." in a smaller, sans-serif font.

Image /page/5/Picture/26 description: The image shows a black and white drawing of a cell. The cell appears to be in the process of cell division, with the chromosomes visible inside the cell. The cell membrane is also visible, and it appears to be intact. There are some dark spots inside the cell.

INDICATIONS STATEMENT

6

page of 2

Limb salvage system is also indicated for procedures where radical resection and replacement of the proximal tibia is required with the following conditions:

    1. patients suffering from severe arthropathy of the knee that does not respond to any conservative therapy or better alternative surgical treatment;
    1. surgical intervention for severe trauma, revision knee arthroplasties, and/or Oncology indications.
  • matastatic diseases (e.g., osteosarcomas, chondrosarcomas, gaint cell tumors, bone 3) tumors)

(PLEASE DO NOT WRITE BELOW THIS LINE – CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off) Division of General Restorative Devices 510(k) Number

Prescription Use
(Per21 CFR 801.109) X

OR

Over-The Counter Use (Optional Format 1-2-96)

Mark M. Millican

Restorative 510(K) V

Image /page/6/Picture/14 description: The image shows a black and white drawing of a globe. The globe appears to be a depiction of Earth, with visible landmasses and oceans. A curved line is above the globe, possibly representing an orbit or trajectory. The image has a grainy texture, suggesting it may be a scan or reproduction of an older illustration.

Image /page/6/Picture/15 description: The image shows the logo for Wright Medical Technology. The logo consists of a stylized "W" on the left, followed by the words "WRIGHT MEDICAL TECHNOLOGY" stacked on top of each other. Below the logo is the text "A Wright Medical Group Company."