K Number
K112891
Device Name
APEX REVISION KNEE SYSTEMS
Date Cleared
2012-02-29

(152 days)

Product Code
Regulation Number
888.3560
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Apex Knee™ System is intended for use as a primary or revision total knee replacement. This prosthesis may be used for the following conditions, as appropriate: • Non-inflammatory degenerative joint disease, including osteoarthritis and avascular necrosis; • Rheumatoid arthritis; • Correction of functional deformity; • Revision procedures where other treatments or devices have failed; The porous coated femoral component may be used cemented or uncemented (biological fixation). The porous coated tibial baseplate component may be used uncemented (biological fixation). All other femoral, tibial baseplate and patellar components are indicated for cemented use only. The Apex Knee™ Modular Tibia System Tibial Augments are intended to be bolted to the Tibia Baseplate and cemented to the prepared tibia. The Apex Revision Knee System augments are intended to be bolted to the femoral component and cemented to the prepared femur.
Device Description
The Apex Revision Knee System includes the Revision Femoral Component, PS-R Insert, Retaining bolts, Femoral Augments and Femoral Stems. The Revision system is compatible with the previously cleared Modular Tibial Baseplates (K101994) and Patella component (K060192). The PS-R Insert has one level of medio-lateral constraint. The Revision Femoral component incorporates a proportionally sized box that is higher than the Apex PS Knee design (K102578). The Revision Femoral Component has the same bone cuts as the Apex CR Knee System and the Apex PS Knee System (K060192 and K102578). Size ranges, high flex and all other key design features of the Apex CR Knee System (K060192) have been retained in the Apex Revision Knee System. The Femoral Augments and Femoral Stems are available for use with the Revision Femoral Component.
More Information

K060192- Apex Knee™ System, K102578- Apex PS Knee™ System, K952830- Darwin Knee System (TC3)

No
The summary describes a mechanical knee replacement system and its components, with no mention of software, algorithms, or any technology related to AI or ML. The performance studies focus on mechanical testing and wear analysis.

Yes
Explanation: The device is a total knee replacement system intended for conditions like degenerative joint disease and rheumatoid arthritis, which are therapeutic uses.

No

The Apex Knee™ System is a total knee replacement prosthesis, which is a therapeutic device, not a diagnostic one. It is used to treat conditions like osteoarthritis and rheumatoid arthritis by replacing the knee joint, not to identify or diagnose them.

No

The device description clearly outlines physical components of a knee replacement system, including femoral components, inserts, bolts, augments, and stems. There is no mention of software as the primary or sole component.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states that the Apex Knee™ System is a total knee replacement prosthesis used for surgical implantation to treat various knee conditions. This is a surgical device, not a diagnostic test performed on samples taken from the body.
  • Device Description: The description details the components of a knee implant (femoral component, insert, augments, stems, etc.). These are physical parts designed to replace a joint, not reagents or instruments used for in vitro testing.
  • Lack of IVD Indicators: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting biomarkers, or providing diagnostic information. The performance studies focus on mechanical properties and wear of the implant.

This device falls under the category of a surgical implant, specifically a total knee replacement system.

N/A

Intended Use / Indications for Use

The Apex Knee™ System is intended for use as a primary or revision total knee replacement. This prosthesis may be used for the following conditions, as appropriate:
• Non-inflammatory degenerative joint disease, including osteoarthritis and avascular necrosis;
• Rheumatoid arthritis;
• Correction of functional deformity;
• Revision procedures where other treatments or devices have failed;

The porous coated femoral component may be used cemented or uncemented (biological fixation). The porous coated tibial baseplate component may be used uncemented (biological fixation). All other femoral, tibial baseplate and patellar components are indicated for cemented use only.

The Apex Knee™ Modular Tibia System Tibial Augments are intended to be bolted to the Tibia Baseplate and cemented to the prepared tibia. The Apex Revision Knee System augments are intended to be bolted to the femoral component and cemented to the prepared femur.

Product codes

JWH, MBH

Device Description

The Apex Revision Knee System includes the Revision Femoral Component, PS-R Insert, Retaining bolts, Femoral Augments and Femoral Stems. The Revision system is compatible with the previously cleared Modular Tibial Baseplates (K101994) and Patella component (K060192). The PS-R Insert has one level of medio-lateral constraint. The Revision Femoral component incorporates a proportionally sized box that is higher than the Apex PS Knee design (K102578). The Revision Femoral Component has the same bone cuts as the Apex CR Knee System and the Apex PS Knee System (K060192 and K102578). Size ranges, high flex and all other key design features of the Apex CR Knee System (K060192) have been retained in the Apex Revision Knee System. The Femoral Augments and Femoral Stems are available for use with the Revision Femoral Component.

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)

Non-Clinical Test Summary:

  • Revision Femur Stem Location Analysis
  • Apex PS Knee Revision Femur Flexion Range of Motion ASTM F2083-08- Standard Specification for Total Knee Prosthesis
  • FDA -Class II Special Controls Guidance Document: Knee Joint Patellofemorotibial and Femorotibial Metal/Polymer Porous-Coated Uncemented Prostheses: Guidance for Industry and FDA
  • Apex Revision Knee Lift-off (Jump Height) Comparison
  • Tibio-Femoral Constraint of the Apex PS Knee, Revision femur and PS-R Insert ASTM F2083-08- Standard Specification for Total Knee Prosthesis
  • ASTM F1223-03- Standard Test Method for Determination of Total Knee Replacement Constraint
  • Contact Area of the Apex PS Revision Knee ASTM F2083-08- Standard Specification for Total Knee Prosthesis
  • FDA -Class II Special Controls Guidance Document: Knee Joint Patellofemorotibial and Femorotibial Metal/Polymer Porous-Coated Uncemented Prostheses: Guidance for Industry and FDA
  • Revision Knee Insert post Strength FDA Class II Special Controls Guidance Document: Knee Joint Patellofemorotibial and Femorotibial Metal/Polymer Porous-Coated Uncemented Prostheses; Guidance for Industry and FDA, issued on January 16, 2003
  • Apex Knee Stem Testing
  • Revision Knee Femur Augment Testing
  • Apex PS Revision Knee Patello-Femoral Contact Area and Stability ASTM F2083-08 Standard Specification for Total. Knee Prosthesis
  • FDA Class II Special Controls Guidance Document: Knee Joint Patellofemorotibial and Femorotibial Metal/Polymer Porous-Coated Uncemented Prostheses; Guidance for Industry and FDA, issued on January 16, 2003
  • Apex PS Revision Knee Wear Review ISO 14243-3- Implants for surgery -- Wear of total knee-joint prostheses -- Part 3: Loading and displacement parameters for wear-testing machines with displacement control and corresponding environmental conditions for test.
  • ISO 14243-2- Implants for surgery -- Wear of total knee-joint prostheses -- Part 2: Methods of measurement
  • ASTM F1877- Standard Practice for Characterization of Particles

Key Results: All samples tested met the acceptance criteria. No clinical studies were performed.

Clinical Test Summary Conclusions: The Apex Revision Knee System is substantially equivalent to the predicate devices.

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.

K060192- Apex Knee™ System, K102578- Apex PS Knee™ System, K952830- Darwin Knee System (TC3)

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

i

FEB 2 9 2012

510(k) Summary

Apex Revision Knee ™ System29 September, 2011
SubmitterOMNIlife science, Inc.
50 O'Connell Way Suite #10
E. Taunton MA 02718ContactRadhika Pondicherry
Regulatory Affairs
774-226-1852
(508) 822-6030 (fax)
Preparation Date29 September, 2011
Trade Name
Common/Classification
NameApex Revision Knee System
Knee joint patellofemorotibial polymer/metal/polymer semi-constrained
cemented prosthesis
Knee joint patellofemorotibial metal/polymer porous-coated uncemented
prosthesis.
Regulatory Class
Product CodeClass II per 21 CFR §888.3560, 21 CFR §888.3565
JWH, MBH
Legally Marketed
Predicate Device(s)K060192- Apex Knee™ System- cleared 15Jul2006
K102578- Apex PS Knee™ System, cleared 25May2011
K952830- Darwin Knee System (TC3) cleared 18Jan1996
Device DescriptionThe Apex Revision Knee System includes the Revision Femoral Component,
PS-R Insert, Retaining bolts, Femoral Augments and Femoral Stems. The
Revision system is compatible with the previously cleared Modular Tibial
Baseplates (K101994) and Patella component (K060192). The PS-R Insert has
one level of medio-lateral constraint. The Revision Femoral component
incorporates a proportionally sized box that is higher than the Apex PS Knee
design (K102578). The Revision Femoral Component has the same bone cuts
as the Apex CR Knee System and the Apex PS Knee System (K060192 and
K102578). Size ranges, high flex and all other key design features of the Apex
CR Knee System (K060192) have been retained in the Apex Revision Knee
System. The Femoral Augments and Femoral Stems are available for use with
the Revision Femoral Component.
Indications for UseThe Apex Knee™ System is intended for use as a primary or revision total
knee replacement. This prosthesis may be used for the following conditions,
as appropriate:
• Non-inflammatory degenerative joint disease, including osteoarthritis
and avascular necrosis;
• Rheumatoid arthritis;
• Correction of functional deformity;
• Revision procedures where other treatments or devices have failed;
The porous coated femoral component may be used cemented or
uncemented (biological fixation). The porous coated tibial baseplate

1

component may be used uncemented (biological fixation). All other femoral, tibial baseplate and patellar components are indicated for cemented use only.
The Apex Knee™ Modular Tibia System Tibial Augments are intended to be bolted to the Tibia Baseplate and cemented to the prepared tibia. The Apex Revision Knee System augments are intended to be bolted to the femoral component and cemented to the prepared femur.
Predicate Device
ComparisonThe Apex Revision Knee System is manufactured, packaged, and sterilized using equivalent materials and processes as the predicates. The subject device(s) is also substantially equivalent to its predicate(s) based on comparison of design features, intended use, and indications for use. The safety and effectiveness of the Revision Knee is adequately supported by the substantial equivalence information, materials information, and analysis data provided within this Premarket Notification.
Non-Clinical Test
SummaryRevision Femur Stem Location Analysis
Apex PS Knee Revision Femur Flexion Range of Motion ASTM F2083-08- Standard Specification for Total Knee Prosthesis FDA -Class II Special Controls Guidance Document: Knee Joint Patellofemorotibial and Femorotibial Metal/Polymer Porous-Coated Uncemented Prostheses: Guidance for Industry and FDA Apex Revision Knee Lift-off (Jump Height) Comparison
Tibio-Femoral Constraint of the Apex PS Knee, Revision femur and PS-R Insert ASTM F2083-08- Standard Specification for Total Knee Prosthesis ASTM F1223-03- Standard Test Method for Determination of Total Knee Replacement Constraint Contact Area of the Apex PS Revision Knee ASTM F2083-08- Standard Specification for Total Knee Prosthesis FDA -Class II Special Controls Guidance Document: Knee Joint Patellofemorotibial and Femorotibial Metal/Polymer Porous-Coated Uncemented Prostheses: Guidance for Industry and FDA Revision Knee Insert post Strength FDA Class II Special Controls Guidance Document: Knee Joint Patellofemorotibial and Femorotibial Metal/Polymer Porous-Coated Uncemented Prostheses; Guidance for Industry and FDA, issued on January 16, 2003 Apex Knee Stem Testing
Revision Knee Femur Augment Testing
Apex PS Revision Knee Patello-Femoral Contact Area and Stability ASTM F2083-08 Standard Specification for Total. Knee Prosthesis FDA Class II Special Controls Guidance Document: Knee Joint Patellofemorotibial and Femorotibial Metal/Polymer Porous-Coated Uncemented Prostheses; Guidance for Industry and FDA, issued on January 16, 2003 Apex PS Revision Knee Wear Review ISO 14243-3- Implants for surgery -- Wear of total knee-joint prostheses --

2

Part 3: Loading and displacement parameters for wear-testing machines with displacement control and corresponding environmental conditions for test.

  • . ISO 14243-2- Implants for surgery -- Wear of total knee-joint prostheses --Part 2: Methods of measurement
  • ASTM F1877- Standard Practice for Characterization of Particles .

All samples tested met the acceptance criteria. No clinical studies were performed.

Clinical Test Summary Conclusions

The Apex Revision Knee System is substantially equivalent to the predicate devices.

3

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

FEB 2 9 2012

OMNIlife science. Inc. % Ms. Christine Nassif Director, Regulatory Affairs 50 O'Connell Way, Suite 10 East Taunton, Massachusetts 02718

Received: February 15, 2012

Re: K112891

Trade/Device Name: Apex Revision Knee System Regulation Number: 21 CFR 888.3560 Regulation Name: Knee joint patellofemorotibial polymer/metal/polymer Semi-constrained cemented prosthesis Regulatory Class: Class II Product Code: JWH, MBH Dated: February 13, 2012

Dear Ms. Nassif:

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.

4

Page 2 - Ms. Christine Nassif

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 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:

Device Name: Apex Revision Knee System

The Apex Knee™ System is intended for use as a primary or revision total knee replacement. This prosthesis may be used for the following conditions, as appropriate:

  • Non-inflammatory degenerative joint disease, including osteoarthritis and avascular ● necrosis;
  • . Rheumatoid arthritis;
  • . Correction of functional deformity;
  • Revision procedures where other treatments or devices have failed; .

The porous coated femoral component may be used cemented or uncemented (biological fixation). The porous coated tibial baseplate component may be used uncemented (biological fixation). All other femoral, tibial baseplate and patellar components are indicated for cemented use only.

The Apex Knee™ Modular Tibia System Tibial Augments are intended to be bolted to the Tibia Baseplate and cemented to the prepared tibia. The Apex Revision Knee System augments are intended to be bolted to the femoral component and cemented to the prepared femur.

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)

Page 1 of 1

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

KI 2891 510(k) Number_