K Number
K153437
Device Name
Apex Revision Knee System
Manufacturer
Date Cleared
2015-12-21

(24 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 (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 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 the femoral component and cemented to the prepared femur.
Device Description
The proposed devices are intended to be used for primary and revision total knee replacement. The fluted femoral stems and the keeled femoral stems are slight modifications of the existing designs. The femoral stems offer enhanced press-fit implantation and torsional stability by adding longitudinal raised ribs similar to most stems designs currently marketed. The notched 10mm posterior femoral augment has been created to increase the product offerings when using posterior augments. The new notched augment will allow a 10mm distal augment and 10mm posterior augment to be used together. The femoral Locking Bolt functions similarly to the tibial locking bolt. It was designed for femoral use for enhanced fixation of the stem to the femur. The current tibial peg offers additional torsional stability when added to the modular tibial baseplate. The proposed revision tibial Peg is a slight modification of that existing tibial peg and is improved in size and torque strength. The Augment Peg Bolt is similar to the tibial peg and can be used to add additional torsional stability to the modular tibia baseplate when augments are used. The material of each new component is titanium alloy Ti-6Al-4V E.L.I (ASTM F136)
More Information

No
The device description focuses on mechanical components and materials, with no mention of software, algorithms, or data processing that would indicate AI/ML.

Yes
The device is a total knee replacement system intended to treat conditions like osteoarthritis and rheumatoid arthritis, which are therapeutic interventions.

No.
Explanation: The device is described as a total knee replacement system, intended for use as a primary or revision total knee replacement, which is a therapeutic device, not a diagnostic one.

No

The device description clearly outlines physical components made of titanium alloy intended for surgical implantation, indicating it is a hardware medical device.

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

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, or tissue) to provide information for diagnosis, monitoring, or screening.
  • Device Description and Intended Use: The provided text clearly describes a total knee replacement system intended for surgical implantation to replace a damaged knee joint. This is an implantable medical device, not a device used for testing samples outside the body.

The information provided focuses on the mechanical aspects of the prosthesis, its materials, and its surgical application, which are characteristic of an orthopedic implant.

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 (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 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 the femoral component and cemented to the prepared femur.

Product codes

JWH

Device Description

The proposed devices are intended to be used for primary and revision total knee replacement.

The fluted femoral stems and the keeled femoral stems are slight modifications of the existing designs. The femoral stems offer enhanced press-fit implantation and torsional stability by adding longitudinal raised ribs similar to most stems designs currently marketed.

The notched 10mm posterior femoral augment has been created to increase the product offerings when using posterior augments. The new notched augment will allow a 10mm distal augment and 10mm posterior augment to be used together.

The femoral Locking Bolt functions similarly to the tibial locking bolt. It was designed for femoral use for enhanced fixation of the stem to the femur.

The current tibial peg offers additional torsional stability when added to the modular tibial baseplate. The proposed revision tibial Peg is a slight modification of that existing tibial peg and is improved in size and torque strength. The Augment Peg Bolt is similar to the tibial peg and can be used to add additional torsional stability to the modular tibia baseplate when augments are used.

The material of each new component is titanium alloy Ti-6Al-4V E.L.I (ASTM F136)

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)

The conclusions drawn from the nonclinical and clinical tests demonstrate that the devices are as safe, as effective, and performs as well as or better than the legally marketed device. Testing was not conducted but the devices were evaluated and no-testing justifications were written. The following justifications were written to explain the safety and effectiveness of the revision knee with the proposed modifications. The modifications do not raise any new safety or effectiveness concerns.

  • KTR-102 Femur Stem Bolt Testing Justification
  • KTR-100 Revision Knee Fluted Stem FEA Comparison
  • KTR-101 Notched Augment Justification
  • KTR-106 Keeled stem justification/FEA
  • KTR-107 Augment peg bolt justification

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

Not Found

Predicate Device(s)

K112891 Apex Revision Knee System, K131472 Apex Knee Modular Tibia System

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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.

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Image /page/0/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized caduceus symbol, which is a staff with two snakes coiled around it. The caduceus is positioned to the right of the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA", which is arranged in a circular fashion around the top of the logo.

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

OMNIlife Science, Incorporated Ms. Christina Rovaldi RA/QA Associate 50 O'Connell Way, Suite 10 East Taunton, Massachusetts 02718

Re: K153437 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 Dated: November 25, 2015 Received: November 27, 2015

Dear Ms. Rovaldi:

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 (21 CFR Part 807); labeling (21 CFR Parts 801); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set

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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 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,

Mark N. Melkerson -S

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

Enclosure

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Form Approved: OMB No. 0910-0120

Expiration Date: January 31, 2017

See PRA Statement below.

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known)

Device Name Apex Revision Knee System

Indications for Use (Describe)

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 (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 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 the femoral component and cemented to the prepared femur.

Type of Use (Select one or both, as applicable)

Prescription Use (Part 21 CFR 801 Subpart D)

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

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

*DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW."

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration. Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

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510(k) Summary

TABLE 1: 510(k) SUMMARY
Date Summary Prepared11/25/2015
Manufacturer/Distributor/SponsorOMNIlife Science, Inc.
50 O'Connell Way
Suite 10
East Taunton, MA 02718
510(k) ContactChristina Rovaldi
RA/QA Associate
OMNIlife Science
50 O' Connell Way
Suite 10
East Taunton, MA 02718
Telephone: 774-226-1857
Fax: 508-822-6030
Email: crovaldi@omnils.com
Trade NameApex Revision Knee System
Common NameKnee joint patellofemorotibial polymer/metal/polymer
semi-constrained cemented prosthesis
Classification21 CFR 888.3560 Prosthesis, Knee,
Patellofemorotibial, Semi-Constrained, Cemented,
Polymer/Metal/Polymer
JWH
Predicate DeviceK112891 Apex Revision Knee System,
K131472 Apex Knee Modular Tibia System
Purpose of SubmissionThis Special 510(k) premarket notification is being
submitted to propose modifications to the Apex Knee
Revision System (K112891) and the Apex Modular
Tibia System (K131472) by adding additional stem
types, augments, pegs and bolts to expand the product
offering.
Intended 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 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 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 proposed devices are intended to be used for primary and revision total knee replacement.

The fluted femoral stems and the keeled femoral stems are slight modifications of the existing designs. The femoral stems offer enhanced press-fit implantation and torsional stability by adding longitudinal raised ribs similar to most stems designs currently marketed.

The notched 10mm posterior femoral augment has been created to increase the product offerings when using posterior augments. The new notched augment |
| Substantial Equivalence Summary | will allow a 10mm distal augment and 10mm posterior augment to be used together. |
| | The femoral Locking Bolt functions similarly to the tibial locking bolt. It was designed for femoral use for enhanced fixation of the stem to the femur. |
| | The current tibial peg offers additional torsional stability when added to the modular tibial baseplate. The proposed revision tibial Peg is a slight modification of that existing tibial peg and is improved in size and torque strength. The Augment Peg Bolt is similar to the tibial peg and can be used to add additional torsional stability to the modular tibia baseplate when augments are used. |
| | The material of each new component is titanium alloy Ti-6Al-4V E.L.I (ASTM F136) |
| | The proposed devices with modifications are substantially equivalent to the existing Apex Revision Knee System cleared in K112891 and Modular Tibia devices cleared under K131472 as the basic design, interface, fundamental technology, materials and intended use are the same. |
| | The use of the new Revision Knee System components with the existing revision knee components do not introduce any new risks of safety or efficacy. Testing was not conducted but the devices were evaluated and no-testing justifications were written. The following justifications were written to explain the safety and effectiveness of the revision knee with the proposed modifications. The modifications do not raise any new safety or effectiveness concerns. |
| | KTR-102 Femur Stem Bolt Testing Justification KTR-100 Revision Knee Fluted Stem FEA Comparison KTR-101 Notched Augment Justification KTR-106 Keeled stem justification/FEA |
| | - KTR-107 Augment peg bolt justification |
| | The justifications are described in section 12, Device |
| | Description. |
| | |
| | Based on the design, fundamental technology, identical |
| | material, intended use and technological characteristics, |
| | OMNIlife science believes the proposed Apex Revision |
| | Knee System devices to be substantially equivalent to |
| | legally marketed predicates. |
| Conclusion Statement | The conclusions drawn from the nonclinical and clinical |
| | tests demonstrate that the devices are as safe, as |
| | effective, and performs as well as or better than the |
| | legally marketed device. |

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