K Number
K140898
Device Name
PATIENT SPECIFIC DISTAL FEMORAL
Date Cleared
2015-01-20

(287 days)

Product Code
Regulation Number
888.3510
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Patient Specific Distal Femur is intended for the replacement of diseased or deficient bone in the distal femur. It is indicated for: Limb salvage procedures where radical resection and replacement of the bone is required Painful and disabled joint resulting from avascular necrosis, osteoarthritis, rheumatoid arthritis or traumatic arthritis Correction of varus, valgus or post traumatic deformity Correction of revision of unsuccessful osteotomy, arthrodesis, or previous joint replacement Ligament deficiencies Tumor resection Revision of previously failed total joint arthroplasty Trauma The Patient Specific Distal Femur and its components are for single use only. The Patient Specific Distal Femur and is components are for cemented use only.
Device Description
The Patient Specific Distal Femur is a patient-specific system that is intended for the replacement of diseased or deficient bone in the distal femur. The Patient Specific Distal Femur and its components are intended for cemented use only. The system is comprised of a range of stems, collars coated with hydroxyappetite (HA) or without coating (stippled or smooth), a range of shafts, femoral components (including axle, bushes and circlip), bumpers and a femoral epiphysis component, (i.e. SMILES TKR). The materials used in the manufacture of the Patient Specific Distal Femur include titanium alloy (Ti-6Al-4V), cobalt-chromium-molybdenum (Co-Cr-Mo) and ultra-high molecular weight polyethylene (UHMWPE). The device is for single use only.
More Information

Not Found

No
The description focuses on the materials and mechanical components of a patient-specific implant, with no mention of AI/ML for design, planning, or any other function.

Yes
The device is described as a replacement for diseased or deficient bone in the distal femur, intended for various medical conditions such as avascular necrosis, osteoarthritis, and traumatic arthritis, which indicates a therapeutic purpose.

No
The device is described as a "Patient Specific Distal Femur" intended for the replacement of diseased or deficient bone. This indicates it is a therapeutic or reconstructive device, not one used for diagnosis.

No

The device description clearly outlines physical components made of titanium alloy, cobalt-chromium-molybdenum, and UHMWPE, indicating it is a hardware medical device, not software-only.

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

Here's why:

  • Intended Use: The intended use is the replacement of diseased or deficient bone in the distal femur. This is a surgical implant used in vivo (within the body) to treat a physical condition.
  • Device Description: The device is described as a patient-specific system comprised of various components made of materials like titanium alloy, cobalt-chromium-molybdenum, and UHMWPE. These are materials typically used for surgical implants.
  • Lack of IVD Characteristics: An IVD is a medical device intended to be used in vitro (outside the body) for the examination of specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device does not fit this description. It does not analyze biological samples.

The device is clearly a surgical implant intended for orthopedic procedures.

N/A

Intended Use / Indications for Use

The Patient Specific Distal Femur is intended for the replacement of diseased or deficient bone in the distal femur. It is indicated for:
Limb salvage procedures where radical resection and replacement of the bone is required Painful and disabled joint resulting from avascular necrosis, osteoarthritis, rheumatoid arthritis or traumatic arthritis Correction of varus, valgus or post traumatic deformity Correction of revision of unsuccessful osteotomy, arthrodesis, or previous joint replacement Ligament deficiencies Tumor resection Revision of previously failed total joint arthroplasty Trauma

The Patient Specific Distal Femur and its components are for single use only.

The Patient Specific Distal Femur and is components are for cemented use only.

Product codes

KRO

Device Description

The Patient Specific Distal Femur is a patient-specific system that is intended for the replacement of diseased or deficient bone in the distal femur. The Patient Specific Distal Femur and its components are intended for cemented use only. The system is comprised of a range of stems, collars coated with hydroxyappetite (HA) or without coating (stippled or smooth), a range of shafts, femoral components (including axle, bushes and circlip), bumpers and a femoral epiphysis component, (i.e. SMILES TKR).

The materials used in the manufacture of the Patient Specific Distal Femur include titanium alloy (Ti-6Al-4V), cobalt-chromium-molybdenum (Co-Cr-Mo) and ultra-high molecular weight polyethylene (UHMWPE).

The device is for single use only.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

distal femur

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

The Patient Specific Distal Femur has been evaluated through non-clinical performance testing for disassembly of the distal femur and fatigue and wearing testing of the knee. The Patient Specific Distal Femur met all of the acceptance criteria.

Key Metrics

Not Found

Predicate Device(s)

K121029, K092138, K133152

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized image of three human profiles facing to the right, stacked on top of each other.

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

January 20, 2015

Stanmore Worldwide Implants, Ltd. Mr. Dan Clarke Regulatory and Compliance Officer 210 Centennial Avenue Centennial Park Elstree WD6 3SJ United Kingdom

Re: K140898

Trade/Device Name: Patient Specific Distal Femur Regulation Number: 21 CFR 888.3510 Regulation Name: Knee joint femorotibial metal/polymer constrained cemented prosthesis Regulatory Class: Class II Product Code: KRO Dated: December 19, 2014 Received: December 22, 2014

Dear Mr. Clarke:

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 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

1

Page 2 - Mr. Dan Clarke

(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 (OS) 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 contact the Division of Industry and Consumer Education 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. 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 Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Lori A. Wiggins -S

for

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

Enclosure

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Indications for Use Statement

510(k) Number:K140898
Device Name:Patient Specific Distal Femur
Indications for Use:The Patient Specific Distal Femur is intended for the replacement of diseased or deficient bone in the distal femur. It is indicated for:
Limb salvage procedures where radical resection and replacement of the bone is required Painful and disabled joint resulting from avascular necrosis, osteoarthritis, rheumatoid arthritis or traumatic arthritis Correction of varus, valgus or post traumatic deformity Correction of revision of unsuccessful osteotomy, arthrodesis, or previous joint replacement Ligament deficiencies Tumor resection Revision of previously failed total joint arthroplasty Trauma

The Patient Specific Distal Femur and its components are for single use only.

The Patient Specific Distal Femur and is components are for cemented use only.

Prescription Use _____________________________________________________________________________________________________________________________________________________________ (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

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510(k) Summary

Device Proprietary Name:Patient Specific Distal Femur
Common Name:Prosthesis, Knee, Femorotibial, Constrained, Cemented
Metal/Polymer
Classification Regulation:21 CFR 888.3510
Product Code:KRO
Submitter's Name:Stanmore Worldwide Implants Ltd.
Address:210 Centennial Avenue
Centennial Park
Elstree
WD6 3SJ UNITED KINGDOM
Contact Person:Ed Spearpoint
Telephone Number:+44-20-8238-6500
Fax Number:+44-20-8953-7443

Date Summary Prepared: January 15, 2015

Device Description

The Patient Specific Distal Femur is a patient-specific system that is intended for the replacement of diseased or deficient bone in the distal femur. The Patient Specific Distal Femur and its components are intended for cemented use only. The system is comprised of a range of stems, collars coated with hydroxyappetite (HA) or without coating (stippled or smooth), a range of shafts, femoral components (including axle, bushes and circlip), bumpers and a femoral epiphysis component, (i.e. SMILES TKR).

The materials used in the manufacture of the Patient Specific Distal Femur include titanium alloy (Ti-6Al-4V), cobalt-chromium-molybdenum (Co-Cr-Mo) and ultra-high molecular weight polyethylene (UHMWPE).

The device is for single use only.

Purpose of Submission

This Premarket Notification is being submitted as a modification to the METS® Modular Distal Femur to add patient-specific components and an extra-small option for the knee.

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Intended Use

The Patient Specific Distal Femur is intended for the replacement of diseased or deficient bone in the distal femur. It is indicated for:

  • Limb salvage procedures where radical resection and replacement ● of the bone is required
  • Painful and disabled joint resulting from avascular necrosis, ● osteoarthritis, rheumatoid arthritis or traumatic arthritis
  • Correction of varus, valgus or post traumatic deformity ●
  • Correction of revision of unsuccessful osteotomy, arthrodesis, or . previous joint replacement
  • Ligament deficiencies ●
  • Tumor resection ●
  • Revision of previously failed total joint arthroplasty ●
  • . Trauma

The Patient Specific Femur and its components are for single use only.

The Patient Specific Distal Femur and its components are for cemented use only.

Predicate Device(s)

The predicate devices are the METS® Modular Distal Femur, cleared on September 19, 2012 (K121029), the JTS® Extendible Distal Femoral Implant cleared on March 22, 2011(K092138) and the JTS® Extendible Distal Femoral Implant cleared on January 22, 2014 (K133152).

Technological Characteristics

The Patient Specific Distal Femur is a patient-specific implant system that is used to replace diseased or deficient bone in the distal femur. Every configuration includes a knee, femoral shaft, femoral stem and collar.

The Patient Specific Distal Femur is based on the surgeon's prescription and the patient radiological information. The implant is designed and manufactured for each patient.

The Patient Specific Distal Femur is provided sterile by gamma irradiation.

Substantial Equivalence

The Patient Specific Distal Femur has the same intended use and technological characteristics as the METS® Modular Distal Femur (K121029). The difference between the two implant systems is that the current version includes patient-specific components. These new components have been cleared previously by FDA as part of the JTS® Extendible Distal Femoral Implant (K092138 and K133152).

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Performance Data

The Patient Specific Distal Femur has been evaluated through non-clinical performance testing for disassembly of the distal femur and fatigue and wearing testing of the knee. The Patient Specific Distal Femur met all of the acceptance criteria.

The Patient Specific Distal Femur does not alter the fundamental scientific technology of the METS® Modular Distal Femur, alter the indication for use or raise any new questions of safety or effectiveness. Therefore, the Patient Specific Distal Femur is substantially equivalent to its predicate device.