K Number
K072221
Device Name
MODIFICATION TO TRIATHLON TS KNEE SYSTEM
Date Cleared
2007-10-15

(66 days)

Product Code
Regulation Number
888.3560
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Triathlon TS Total Knee System tibial components are intended for use in primary and revision total knee arthroplasty to alleviate pain and restore function. All tibial components presented in this submission are provided sterile for single-use. General Total Knee Arthroplasty (TKR) Indications: - Painful, disabling joint disease of the knee resulting from: degenerative arthritis, rheumatoid arthritis or post-traumatic arthritis. - Post-traumatic loss of knee joint configuration and function. - Moderate varus, valgus, or flexion deformity in which the ligamentous structures can be returned to adequate function and stability. - Revision of previous unsuccessful knee replacement or other procedure. - Fracture of the distal femur and/or proximal tibia that cannot be stabilized by standard fracture management techniques Additional Indications for Posterior Stabilized (PS) and Total Stabilizer (TS) Components: - Ligamentous instability requiring implant bearing surface geometries with increased constraint. - Absent or non-functioning posterior cruciate ligament. - Severe anteroposterior instability of the knee joint. Additional Indications for Total Stabilizer (TS) Components: - Severe instability of the knee secondary to compromised collateral ligament integrity or function. The Triathlon TS Total Knee System components are intended for cemented use only.
Device Description
The Triathlon TS Total Knee System features TS and TS Plus tibial inserts available in sizes 1 through 8 and thicknesses from 9mm to 31mm. These tibial inserts used with the Triathlon TS Total Knee System have been modified. The tibial inserts feature an open cam box with a tibial post slot to accommodate a cobalt chrome tibial post intended for additional stability in the knee joint. The Triathlon TS tibial inserts also feature a metal locking wire for assembly into previously cleared Triathlon tibial baseplates. The Triathlon TS Plus and the Triathlon TS inserts are available in sequentially crosslinked and standard polyethylene.
More Information

Not Found

No
The summary describes a mechanical knee implant system and does not mention any software, algorithms, or data processing capabilities that would indicate the use of AI or ML.

Yes

The device, a component of a total knee arthroplasty system, is intended to alleviate pain and restore function in individuals with disabling knee joint diseases, which aligns with the definition of a therapeutic device.

No

The device is a component of a total knee arthroplasty system, intended to alleviate pain and restore function in the knee. It is a therapeutic device, not a diagnostic one, as it does not diagnose a condition but rather treats an existing one.

No

The device description clearly describes physical components (tibial inserts, metal locking wire, tibial baseplates) which are hardware, not software.

Based on the provided text, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states that the device is for "primary and revision total knee arthroplasty to alleviate pain and restore function." This is a surgical procedure performed on the body, not a test performed on samples taken from the body.
  • Device Description: The description details physical components (tibial inserts, tibial post, locking wire) that are implanted into the knee joint. This is consistent with a surgical implant, not an IVD.
  • Lack of IVD Characteristics: The text does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring substances in samples
    • Providing diagnostic information based on sample analysis

The device is a surgical implant used to replace or repair a damaged knee joint.

N/A

Intended Use / Indications for Use

The Triathlon TS Total Knee System tibial components are intended for use in primary and revision total knee arthroplasty to alleviate pain and restore function. All tibial components presented in this submission are provided sterile for single-use.

General Total Knee Arthroplasty (TKR) Indications:

  • Painful, disabling joint disease of the knee resulting from: degenerative arthritis, . rheumatoid arthritis or post-traumatic arthritis.
  • Post-traumatic loss of knee joint configuration and function. .
  • Moderate varus, valgus, or flexion deformity in which the ligamentous structures can be . returned to adequate function and stability.
  • . Revision of previous unsuccessful knee replacement or other procedure.
  • Fracture of the distal femur and/or proximal tibia that cannot be stabilized by standard fracture . management techniques

Additional Indications for Posterior Stabilized (PS) and Total Stabilizer (TS) Components:

  • Ligamentous instability requiring implant bearing surface geometries with increased . constraint.
  • Absent or non-functioning posterior cruciate ligament. .
  • Severe anteroposterior instability of the knee joint. .

Additional Indications for Total Stabilizer (TS) Components:

  • Severe instability of the knee secondary to compromised collateral ligament integrity or . function.
    The Triathlon TS Total Knee System components are intended for cemented use only.

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

JWH

Device Description

The Triathlon TS Total Knee System features TS and TS Plus tibial inserts available in sizes 1 through 8 and thicknesses from 9mm to 31mm. These tibial inserts used with the Triathlon TS Total Knee System have been modified. The tibial inserts feature an open cam box with a tibial post slot to accommodate a cobalt chrome tibial post intended for additional stability in the knee joint. The Triathlon TS tibial inserts also feature a metal locking wire for assembly into previously cleared Triathlon tibial baseplates. The Triathlon TS Plus and the Triathlon TS inserts are available in sequentially crosslinked and standard polyethylene.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

knee

Indicated Patient Age Range

Not Found

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.

K070095

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

§ 888.3560 Knee joint patellofemorotibial polymer/metal/polymer semi-constrained cemented prosthesis.

(a)
Identification. A knee joint patellofemorotibial polymer/metal/polymer semi-constrained cemented prosthesis is a device intended to be implanted to replace a knee joint. The device limits translation and rotation in one or more planes via the geometry of its articulating surfaces. It has no linkage across-the-joint. This generic type of device includes prostheses that have a femoral component made of alloys, such as cobalt-chromium-molybdenum, and a tibial component or components and a retropatellar resurfacing component made of ultra-high molecular weight polyethylene. This generic type of device is limited to those prostheses intended for use with bone cement (§ 888.3027).(b)
Classification. Class II.

0

007 1 5 2007

Howmedica
OSTEONICS

325 Corporate Drive Mahwah, NJ USA 07430

510(k) Summary of Safety and Effectiveness for the Triathlon® TS Knee System

Proprietary Name:Triathlon® TS Knee System
Common Name:Total Knee Joint Replacement Prosthesis
Classification Name and ReferenceJoint patellofemorotibial polymer/metal/polymer
semi-constrained cemented prosthesis.
21 CFR §888.3560
Regulatory Class:Class II
Device Product Code:87 JWH - prosthesis, knee, patellofemorotibial,
semi-constrained, cemented,
polymer/metal/polymer
For Information contact:Tiffani Rogers
Regulatory Affairs Specialist
Stryker Orthopaedics
325 Corporate Drive
Mahwah, New Jersey 07432
Phone: (201) 831-5612
Fax: (201) 831-6038
E-Mail: Tiffani.Rogers@stryker.com
Date Summary Prepared:August 8, 2007

Device Description

The Triathlon TS Total Knee System features TS and TS Plus tibial inserts available in sizes 1 through 8 and thicknesses from 9mm to 31mm. These tibial inserts used with the Triathlon TS Total Knee System have been modified. The tibial inserts feature an open cam box with a tibial post slot to accommodate a cobalt chrome tibial post intended for additional stability in the knee joint. The Triathlon TS tibial inserts also feature a metal locking wire for assembly into

1

previously cleared Triathlon tibial baseplates. The Triathlon TS Plus and the Triathlon TS inserts are available in sequentially crosslinked and standard polyethylene.

Intended Use:

The Triathlon TS Total Knee System tibial components are intended for use in primary and revision total knee arthroplasty to alleviate pain and restore function. All tibial components presented in this submission are provided sterile for single-use.

Indications for Use

General Total Knee Arthroplasty (TKR) Indications:

  • Painful, disabling joint disease of the knee resulting from: degenerative arthritis, . rheumatoid arthritis or post-traumatic arthritis.
  • Post-traumatic loss of knee joint configuration and function. .
  • Moderate varus, valgus, or flexion deformity in which the ligamentous structures can be . returned to adequate function and stability.
  • . Revision of previous unsuccessful knee replacement or other procedure.
  • Fracture of the distal femur and/or proximal tibia that cannot be stabilized by standard fracture . management techniques

Additional Indications for Posterior Stabilized (PS) and Total Stabilizer (TS) Components:

  • Ligamentous instability requiring implant bearing surface geometries with increased . constraint.
  • Absent or non-functioning posterior cruciate ligament. .
  • Severe anteroposterior instability of the knee joint. .

Additional Indications for Total Stabilizer (TS) Components:

  • Severe instability of the knee secondary to compromised collateral ligament integrity or . function.
    The Triathlon TS Total Knee System components are intended for cemented use only.

Substantial Equivalence:

The determination of substantial equivalence of the Triathlon TS Total Knee System tibial inserts is based on its similarities in indications for use, intended use, design and sterilization to Howmedica Osteonics' Triathlon TS Total Knee System (K070095, cleared June 01, 2007).

2

Image /page/2/Picture/12 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three overlapping wing-like shapes. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES. USA" is arranged in a circular fashion around the eagle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

OCT 1 5 2007

Howmedica Osteonics Corp. % Ms. Tiffani Rogers Regulatory Affairs Specialist Stryker Orthopaedics 325 Corporate Drive Mahwah, New Jersey 07432

Re: K072221

Trade/Device Name: Triathlon® TS Knee System Regulation Number: 21 CFR 888.3560 Regulation Name: Knee joint patellofemorotibial polymer/metal/polymer semiconstrained cemented prosthesis Regulatory Class: Class II Product Code: JWH Dated: September 27, 2007 Received: September 28, 2007

Dear Ms. Rogers:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions 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 may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal 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 that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21

3

Page 2 - Ms. Tiffani Rogers

CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050. 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), please contact the Office of Compliance at (240) 276-0120. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours.

Darbage Buelin
Sen

Mark N. Me kerson Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

510(k) Number (if known): _ K072221

Device Name:

Indications for Use

General Total Knee Arthroplasty (TKR) Indications:

  • Painful, disabling joint disease of the knee resulting from: degenerative arthritis, ● rheumatoid arthritis or post-traumatic arthritis.
  • Post-traumatic loss of knee joint configuration and function. .
  • Moderate varus, valgus, or flexion deformity in which the ligamentous structures can be . returned to adequate function and stability.
  • Revision of previous unsuccessful knee replacement or other procedure. .
  • Fracture of the distal femur and/or proximal tibia that cannot be stabilized by standard fracture ● management techniques

Additional Indications for Posterior Stabilized (PS) and Total Stabilizer (TS) Components:

  • Ligamentous instability requiring implant bearing surface geometries with increased . constraint.
  • Absent or non-functioning posterior cruciate ligament. .
  • Severe anteroposterior instability of the knee joint. .

Additional Indications for Total Stabilizer (TS) Components:

  • Severe instability of the knee secondary to compromised collateral ligament integrity or . function.
    The Triathlon TS Total Knee System components are intended for cemented use only.

Prescription Use

OR Over-the-Counter Use (Per 21 CFR 801.109)

(PLEASE DO NOT WRITE BELOW THIS LINE – CONTINUE ON ANOTHER PAGE IF NEEDED) Concurrence of CDRH, Office of Device Evaluation (ODE) Division of General, Restorative, and Neurological 510(k) I