K Number
K112301
Device Name
ZIMMER PATIENT SPECIFIC INSTRUMENTS PLANNER
Manufacturer
Date Cleared
2012-01-06

(149 days)

Product Code
Regulation Number
888.3520
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Zimmer Patient Specific Instruments System is intended to be used as a surgical instrument to assist in the positioning of Unicompartmental Knee Replacement components intra-operatively and in guiding the marking of bone before cutting and to guide cutting of the bone provided that anatomic landmarks necessary for alignment and positioning of the implant are identifiable on patient imaging scans. The Zimmer Patient Specific Instruments System is to be used with Zimmer Unicompartmental High Flex Knee System prostheses families only. The Zimmer Patient Specific Instruments are intended for single use only.
Device Description
The Zimmer Patient Specific Instruments System consists of a software component, Zimmer Patient Specific Instruments Planner and a hardware component, Zimmer Patient Specific Instruments and is designed to assist the surgeon in the placement of unicompartmental knee replacement components for Unicompartmental High Flex Knee System prosthesis.
More Information

No
The summary describes a software and hardware system for patient-specific surgical guides based on imaging, but there is no mention of AI or ML in the description, intended use, or performance studies. The focus is on planning and physical guides, not algorithmic learning or prediction.

No
The device is described as a surgical instrument to assist in the positioning of knee replacement components and guiding bone cutting, rather than directly treating a medical condition.

No

The device is described as a surgical instrument system used intra-operatively to assist in the positioning of knee replacement components and guide bone cutting, rather than to diagnose a medical condition.

No

The device description explicitly states that the system consists of both a software component and a hardware component.

Based on the provided information, the Zimmer Patient Specific Instruments System is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states that the system is a "surgical instrument to assist in the positioning of Unicompartmental Knee Replacement components intra-operatively and in guiding the marking of bone before cutting and to guide cutting of the bone". This describes a surgical aid used during a procedure, not a test performed in vitro (outside the body) on biological samples to diagnose a condition.
  • Device Description: The description reinforces its role as a "surgical instrument" and a "hardware component" designed to assist in the placement of knee replacement components.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples, detecting analytes, or providing diagnostic information about a patient's health status.

The system utilizes imaging data (MRI) to create patient-specific guides for surgery, which is a common application in medical devices, but it doesn't fit the definition of an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Zimmer Patient Specific Instruments System is intended to be used as a surgical instrument to assist in the positioning of Unicompartmental Knee Replacement components intra-operatively and in guiding the marking of bone before cutting and to guide cutting of the bone provided that anatomic landmarks necessary for alignment and positioning of the implant are identifiable on patient imaging scans.

The Zimmer Patient Specific Instruments System is to be used with Zimmer Unicompartmental High Flex Knee System prostheses families only.

The Zimmer Patient Specific Instruments are intended for single use only.

Product codes

HSX/OOG, HSX, HRY, JWH/OIY, MBH, OOG, JWH, MBH

Device Description

The Zimmer Patient Specific Instruments System consists of a software component, Zimmer Patient Specific Instruments Planner and a hardware component, Zimmer Patient Specific Instruments and is designed to assist the surgeon in the placement of unicompartmental knee replacement components for Unicompartmental High Flex Knee System prosthesis.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

MRI imaging data

Anatomical Site

Knee

Indicated Patient Age Range

Not Found

Intended User / Care Setting

qualified surgeon

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)

Software validation and accuracy performance testing by means of saw bone models, cadaveric trials and guide deformation verification after sterilization were performed to assess the safety and effectiveness of the device.

These tests verified that the accuracy and performance of the device is adequate to perform as intended.

Non-clinical laboratory testing was performed to determine substantial equivalence. Testing verified that the accuracy and performance of the device is adequate to perform as intended.

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

Not Found

Predicate Device(s)

K033363, K110415, K093533

Reference Device(s)

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

§ 888.3520 Knee joint femorotibial metal/polymer non-constrained cemented prosthesis.

(a)
Identification. A knee joint femorotibial metal/polymer non-constrained cemented prosthesis is a device intended to be implanted to replace part of a knee joint. The device limits minimally (less than normal anatomic constraints) translation in one or more planes. It has no linkage across-the-joint. This generic type of device includes prostheses that have a femoral condylar resurfacing component or components made of alloys, such as cobalt-chromium-molybdenum, and a tibial component or components made of ultra-high molecular weight polyethylene and are intended for use with bone cement (§ 888.3027).(b)
Classification. Class II.

0

KILZZOI(113)

JAN - 6 2012

510(k) Summary

Submitter information

Company nameMaterialise N.V.
Establishment registration number3003998208
Street AddressTechnologielaan 15
CityLeuven
Postal code3001
CountryBelgium
Phone number+32 16 39 62 80
Fax number+32 16 39 66 06
Principal contact personAlexandra Razzhivina
Contact titleRegulatory Officer
Contact e-mail addressregulatory.affairs@materialise.be
Additional contact personLi Cher Chan
Contact titleQuality responsible
Contact e-mail addresslicher.chan@materialise.com.my
Additional contact personKarl vom Berge
Contact titleProduct Manager
Contact e-mail addresskarl.vomberge@materialise.be

Submission date

The date of the Traditional 510(k) submission is 8th of August.

Submission information

| Trade Name | Zimmer Patient Specific Instruments Planner
Zimmer Patient Specific Instruments |
|---------------------|------------------------------------------------------------------------------------|
| Common Name | Knee prosthesis |
| Classification Name | Knee joint femorotibial metal/polymer non-constrained
cemented prosthesis |
| Product code | HSX/OOG (21 CFR § 888.3520) |

Predicate devices

Predicate Device
Trade or proprietary or model nameZimmer Unicompartmental Knee System
510(k) numberK033363
Decision date01/16/2004
Product codeHSX
ManufacturerZimmer, INC.

Predicate Device

Signature™ Personalized Patient Care System Trade or proprietary or model name

1

510(k) numberK110415
Decision date05/16/2011
Product codeHRY, JWH/OIY, MBH, OOG
ManufacturerMaterialise N.V.
Predicate Device
Trade or proprietary or model nameZimmer Patient Specific Instrument System 2.0
510(k) numberK093533
Decision date02/17/2010
Product codeJWH, MBH
ManufacturerMaterialise N.V.

Device Information

Description of the device

The Zimmer Patient Specific Instruments System consists of a software component, Zimmer Patient Specific Instruments Planner and a hardware component, Zimmer Patient Specific Instruments and is designed to assist the surgeon in the placement of unicompartmental knee replacement components for Unicompartmental High Flex Knee System prosthesis.

Functioning of the device

The Zimmer Patient Specific Instruments System generates a pre-surgical plan based on MRI imaging data using the Zimmer Patient Specific Instruments Planner (software component). The software is then used pre-operatively by a qualified surgeon to inspect, fine-tune and approve the pre-surgical plan. Zimmer Patient Specific Instruments are designed and manufactured based on the approved pre-surgical plan. Zimmer Patient Specific Instruments are patient specific templates that transfer the pre-operatively determined positioning of the Unicompartmental Knee Replacement components to the patient intra-operatively, assisting the surgeon in positioning and aligning the actual Unicompartmental Knee Replacement components by guiding and marking cut locations.

Intended use

The Zimmer Patient Specific Instruments System is intended to be used as a surgical instrument to assist in the positioning of Unicompartmental Knee Replacement components intra-operatively and in guiding the marking of bone before cutting and to guide cutting of the bone provided that anatomic landmarks necessary for alignment and positioning of the implant are identifiable on patient imaging scans.

The Zimmer Patient Specific Instruments System is to be used with Zimmer Unicompartmental High Flex Knee System prostheses families only.

The Zimmer Patient Specific Instruments are intended for single use only.

Summary of technological characteristics

Device comparison showed that the proposed device is substantially equivalent in intended use, materials and performance characteristics to the predicate devices.

2

Performance data

Non-clinical tests

Software validation and accuracy performance testing by means of saw bone models, cadaveric trials and guide deformation verification after sterilization were performed to assess the safety and effectiveness of the device.

These tests verified that the accuracy and performance of the device is adequate to perform as intended.

Clinical data

Non-clinical laboratory testing was performed to determine substantial equivalence. Testing verified that the accuracy and performance of the device is adequate to perform as intended.

3

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three stripes forming its wing, and three wavy lines below it. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular fashion around the eagle.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

JAN - 6 2012

Materialise N.V. % Ms. Alexandra Razzhivina 15 Technologielaan Leuven, 3001 Belgium

Re: K112301

Trade/Device Name: The Zimmer Patient Specific Instruments System 3.0 Regulation Number: 21 CFR 888.3520 Regulation Name: Knee joint femorotibial metal/polymer non-constrained cemented prothesis Regulatory Class: Class II Product Code: HSX, OOG Dated: December 16, 2011 Received: December 19, 2011

Dear Ms. Razzhivina:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you; however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to 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

4

Page 2 – Ms. Alexandra Razzhivina

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 CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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 (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours,

. /Mark N. Melkerson Director Division of Surgical. Orthopedic and Restorative Devices Office of Device Evaluation Center for Devices and - - Radiological Health

Enclosure

5

Indications for Use

510(k) Number (if known): K112301

Device Name: The Zimmer Patient Specific Instruments System 3.0

Indications for Use:

The Zimmer Patient Specific Instruments System is intended to be used as a surgical instrument to assist in the positioning of Unicompartmental Knee Replacement components intra-operatively and in guiding the marking of bone before cutting and to guide cutting of the bone provided that anatomic landmarks necessary for alignment and positioning of the implant are identifiable on patient imaging scans.

The Zimmer Patient Specific Instruments System is to be used with Zimmer Unicompartmental High Flex Knee System prostheses families only.

The Zimmer Patient Specific Instruments are intended for single use only.

Prescription Use × (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

B.P. Ramilh for

(Division Sign-Off) Division of Surgical, Orthopedic. and Restorative Devices

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510(k) Number K112301