K Number
K163338
Device Name
OMNIBotics Knee System
Date Cleared
2017-09-01

(277 days)

Product Code
Regulation Number
882.4560
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The OMNIBotics® Knee System is indicated for stereotaxic surgeon in locating anatomical structures and aligning endoprostheses with these anatomical structures during Total Knee Arthroplasty. The Active Spacer is indicated as a tool for adjustment of soft tissue and the femoral implant to reduce instability from flexion gap asymmetry. The OMNIBotics® Knee System supports OMNI Apex Knee™ System implants.
Device Description
The OMNIBotics® Knee system is a computer-assisted navigation system with a motorized bone cutting guide that is used by surgeons and OR staff to assist in performing stereotaxic total knee arthroplasty (TKA). The OMNIBotics® Knee System consists of the OMNIBotics® Station, ART Knee Application software, the iBlock® cutting guide for guiding femoral bone resections, and the Active Spacer, an active (motorized) knee spacer and ligament tensioning device for knee ligament balancing. The OMNIBotics® Station includes a 3D optoelectronic localizer mounted on an articulated arm, a laptop hosting the ART Knee Software and equipped with a touchscreen, an external LCD monitor and a three-button footswitch as a means for the user to interact with the system. The power supply and communication hardware required for the camera, the iBlock® and the Active Spacer are contained within a single enclosure, the control box, located at the base of the Station.
More Information

Not Found

No
The summary describes a computer-assisted navigation system with a motorized cutting guide and active spacer, focusing on stereotaxic guidance and ligament balancing. There is no mention of AI, ML, deep learning, or any related concepts in the device description, intended use, or performance studies. The "Mentions AI, DNN, or ML" field is explicitly marked as "Not Found".

No.
The device is a computer-assisted navigation and bone cutting guide system for total knee arthroplasty, and an active spacer for soft tissue adjustment and ligament balancing. It is a surgical tool used to assist surgeons, not a device that directly treats or prevents a disease or condition in a patient.

No.
The device is used to assist in performing surgical procedures (stereotaxic total knee arthroplasty) by locating anatomical structures and aligning endoprostheses, and adjusting soft tissue and the femoral implant, rather than diagnosing a medical condition.

No

The device description explicitly lists multiple hardware components including the OMNIBotics® Station, 3D optoelectronic localizer, laptop, touchscreen, external LCD monitor, footswitch, control box, iBlock® cutting guide, and Active Spacer.

Based on the provided information, the OMNIBotics® Knee System is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is for "stereotaxic surgeon in locating anatomical structures and aligning endoprostheses with these anatomical structures during Total Knee Arthroplasty." This describes a surgical navigation and assistance system used during a surgical procedure on a patient.
  • Device Description: The device description details a computer-assisted navigation system with a motorized bone cutting guide and a ligament tensioning device. These are tools used in the operating room to aid the surgeon.
  • Lack of Diagnostic Function: There is no mention of the device being used to analyze biological samples (like blood, tissue, or urine) or to provide diagnostic information about a patient's health status outside of the surgical context. IVDs are typically used to diagnose diseases, monitor conditions, or screen for health issues by examining samples.

The OMNIBotics® Knee System is clearly a surgical assistance device, not a diagnostic tool that analyzes biological samples.

N/A

Intended Use / Indications for Use

The OMNIBotics® Knee System is indicated for stereotaxic surgeon in locating anatomical structures and aligning endoprostheses with these anatomical structures during Total Knee Arthroplasty. The Active Spacer is indicated as a tool for adjustment of soft tissue and the femoral implant to reduce instability from flexion gap asymmetry. The OMNIBotics® Knee System supports OMNI Apex Knee™ System implants.

Product codes

OLO

Device Description

The OMNIBotics® Knee system is a computer-assisted navigation system with a motorized bone cutting guide that is used by surgeons and OR staff to assist in performing stereotaxic total knee arthroplasty (TKA). The OMNIBotics® Knee System consists of the OMNIBotics® Station, ART Knee Application software, the iBlock® cutting guide for guiding femoral bone resections, and the Active Spacer, an active (motorized) knee spacer and ligament tensioning device for knee ligament balancing.

The OMNIBotics® Station includes a 3D optoelectronic localizer mounted on an articulated arm, a laptop hosting the ART Knee Software and equipped with a touchscreen, an external LCD monitor and a three-button footswitch as a means for the user to interact with the system. The power supply and communication hardware required for the camera, the iBlock® and the Active Spacer are contained within a single enclosure, the control box, located at the base of the Station.

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

Surgeons and OR staff

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 OMNIBotics® Knee System tests include cadaver testing and verification and validation performance testing to demonstrate no new safety and efficacy issues are raised with this new device. Analyses demonstrate that system accuracy and performance are adequate for the established intended use. In conclusion, the modified OMNIBotics® Knee System is substantially equivalent to the predicate devices.

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

Not Found

Predicate Device(s)

K090953, K150372, K132104

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

§ 882.4560 Stereotaxic instrument.

(a)
Identification. A stereotaxic instrument is a device consisting of a rigid frame with a calibrated guide mechanism for precisely positioning probes or other devices within a patient's brain, spinal cord, or other part of the nervous system.(b)
Classification. Class II (performance standards).

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized caduceus symbol, which features three human profiles facing right, connected by a flowing ribbon-like design. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the symbol.

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

September 1, 2017

OMNIlife Science Inc. Christina Rovaldi Regulatory Affairs Specialist 480 Paramount Drive Raynham, Massachusetts 02767

Re: K163338

Trade/Device Name: OMNIBotics® Knee System Regulation Number: 21 CFR 882.4560 Regulation Name: Stereotaxic Instrument Regulatory Class: Class II Product Code: OLO Dated: August 18, 2017 Received: August 21, 2017

Dear Christina 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 Part 801); medical device reporting (reporting of medical devicerelated 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.

1

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/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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,

Katherine D. Kavlock -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

510(k) Number (if known) K163338

Device Name OMNIBotics® Knee System

Indications for Use (Describe)

The OMNIBotics® Knee System is indicated for stereotaxic surgeon in locating anatomical structures and aligning endoprostheses with these anatomical structures during Total Knee Arthroplasty. The Active Spacer is indicated as a tool for adjustment of soft tissue and the femoral implant to reduce instability from flexion gap asymmetry. The OMNIBotics® Knee System supports OMNI Apex Knee™ System implants.

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

[X] Prescription Use (Part 21 CFR 801 Subpart D)

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

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EF

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Image /page/3/Picture/0 description: The image shows the logo for OMNI Precision in Mobility. The logo consists of a green circular icon on the left and the word "OMNI" in large, bold, blue letters on the right. Below the word "OMNI" is the phrase "PRECISION IN MOBILITY" in smaller, lighter blue letters. The green circular icon appears to be an abstract representation of a person in motion.

510(k) Summary

Submitter:OMNIlife Science Inc.
Address:480 Paramount Drive
Raynham, Ma. 02767
Phone number:800-448-6664
Fax number:508-822-6030
FDA Registration #:1226188
Contact person:Christina Rovaldi, Regulatory Affairs Specialist
Phone number:1-774-226-1857
Fax number:508-822-6030
Date prepared:July 27, 2017
Trade name:OMNIBotics® Knee System
Classification Name:Orthopedic Stereotaxic Instrument
Product Code:OLO
Regulation:21 CFR 882.4560

Substantial equivalence claimed to: K090953: TOTAL KNEE SURGETICS Navigation System with IBlock® (Primary Predicate) K150372: VERASENSE Knee System K132104: eLibra® Soft Tissue Force Sensor

Description:

The OMNIBotics® Knee system is a computer-assisted navigation system with a motorized bone cutting guide that is used by surgeons and OR staff to assist in performing stereotaxic total knee arthroplasty (TKA). The OMNIBotics® Knee System consists of the OMNIBotics® Station, ART Knee Application software, the iBlock® cutting guide for guiding femoral bone resections, and the Active Spacer, an active (motorized) knee spacer and ligament tensioning device for knee ligament balancing.

The OMNIBotics® Station includes a 3D optoelectronic localizer mounted on an articulated arm, a laptop hosting the ART Knee Software and equipped with a touchscreen, an external LCD monitor and a three-button footswitch as a means for the user to interact with the system. The power supply and communication hardware required for the camera, the iBlock® and the Active Spacer are contained within a single enclosure, the control box, located at the base of the Station.

Indications for Use:

The OMNIBotics® Knee System is indicated for stereotaxic surgery to aid the surgeon in locating anatomical structures and aligning endoprostheses with these anatomical structures during Total

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Image /page/4/Picture/0 description: The image shows the logo for OMNI Precision in Mobility. The logo consists of a green circular graphic on the left and the word "OMNI" in large, bold, blue letters on the right. Below the word "OMNI" is the phrase "PRECISION IN MOBILITY" in smaller, blue letters. The circular graphic appears to be an abstract representation of a person in motion.

Knee Arthroplasty. The Active Spacer is indicated as a tool for adjustment of soft tissue and the femoral implant to reduce instability from flexion gap asymmetry. The OMNIBotics® Knee System supports OMNI Apex Knee™ System implants.

Technological Characteristics

The underlying technology of the OMNIBotics® Knee System is the same as the predicate device TOTAL KNEE SURGETICS Navigation System with iBlock® K090953. The system is based on the same operating principle and control, mechanism to provide the user with the same kind of information and guidance for the same surgery. The main changes with respect to the predicate device concern the modification of the ART software suite for navigation, and the addition of the Active Spacers for tensioning balance of the knee.

| General
Characteristic | OMNIBotics® Knee System | TOTAL KNEE SURGETICS
Navigation System with iBlock®
(K090953) |
|---------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Indications for
Use | The OMNIBotics® Knee System is
indicated for stereotaxic surgery to aid
the surgeon in locating anatomical
structures and aligning endoprostheses
with these anatomical structures
during Total Knee Arthroplasty. The
Active Spacer is indicated as a tool for
adjustment of soft tissue and the
femoral implant to reduce instability
from flexion gap asymmetry. The
OMNIBotics® Knee System supports
OMNI Apex Knee™ System implants. | The Total Knee Surgetics Navigation
System with iBlock® is intended for
use stereotaxic surgery to aid the
surgeon in locating anatomical
structures and aligning the
endoprostheses with the anatomical
structures.
It is specifically indicated for: Total
Knee Arthroplasty |
| Station | - A 3D optical localizer (OTS camera)

  • A Microsoft Windows based laptop
    computer that runs application
    specific (ART knee) software
  • One electronics enclosure
    containing power supplies and
    communication hardware for the
    iBlock®, optical camera, and active
    spacer
  • 31.5 inch display monitor
  • A mobile OTS cart | - A 3D optical localizer (OTS camera)
  • A Microsoft Windows based panel
    computer that runs application
    specific (TKS knee) software
  • Two electronics enclosures
    containing power supplies and
    communication hardware for the
    iBlock®, and optical camera
  • 17inch display monitor
  • A mobile custom designed cart |

Technological Characteristics Compared to Predicate Device:

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Image /page/5/Picture/0 description: The image contains the logo for OMNI Precision in Mobility. The logo consists of a green circular graphic on the left, which appears to be an abstract representation of a person in motion. To the right of the graphic is the word "OMNI" in large, bold, dark blue letters. Below "OMNI" are the words "PRECISION IN MOBILITY" in a smaller, sans-serif font, also in dark blue.

| General
Characteristic | OMNIBotics® Knee System | TOTAL KNEE SURGETICS
Navigation System with iBlock®
(K090953) |
|---------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| ART
Software: | - Total knee navigation software

  • based on imageless (CT-free)
    registration of the knee morphology
    and leg mechanical axis
  • Measured resection and ligament
    balancing profiles
  • Tibiofemoral gap measurements
    throughout flexion
  • Flexible workflows though the use
    of an onscreen menu
  • GUI formatted for 16:9 display
    ratio | - Total knee navigation software
  • based on imageless (CT-free)
    registration of the knee morphology
    and leg mechanical axis
  • Measured resection and ligament
    balancing profiles
  • Tibiofemoral gap measurements
    throughout flexion
  • Linear workflows pre-established
    in user profile preferences
  • GUI formatted for 5:4 display ratio |
    | Instruments: | - Rigid bodies equipped with sterile
    single-use markers
  • Adjustable cutting guide for tibial
    cut and/or distal femoral cut | - Rigid bodies equipped with sterile
    single-use markers
  • Adjustable cutting guide for tibial
    cut and/or distal femoral cut |
    | iBlock®
    motorized
    cutting guide | - Universal motorized cutting guide
    for positioning a saw-guide to the
    five femoral component resections | - Universal motorized cutting guide
    for positioning a saw-guide to the
    five femoral component resections |

In addition to the comparison of the core functionality of the OMNIBotics® Knee System to the TOTAL KNEE SURGETICS Navigation System with iBlock®, new features are provided with the OMNIBotics® Knee System through the use of the Active Spacer. The Active Spacer includes two independently controlled actuators for distraction and two force sensors for sensing loads on the medial and lateral compartments of the knee. The actuators are controlled in position control (to apply a controlled height) and in force control (to apply a controlled force, in Newtons), equivalent to the VERASENSE Knee System (K150372) and the eLibra® Soft Tissue Force Sensor (K132104) respectively.

In summary, the OMNIBotics® Knee System with the Active Spacer is substantially equivalent to the TKS Navigation System when combined with the Versasense and the eLibra® devices in device functionality and intended use, and safety and effectiveness is supported by the testing performed.

Verification and Validation Documentation

The OMNIBotics® Knee System tests include cadaver testing and verification and validation performance testing to demonstrate no new safety and efficacy issues are raised with this new device. Analyses demonstrate that system accuracy and performance are adequate for the established intended use. In conclusion, the modified OMNIBotics® Knee System is substantially equivalent to the predicate devices.

6

Image /page/6/Picture/0 description: The image shows the logo for OMNI Precision in Mobility. The logo consists of a green circular graphic on the left and the word "OMNI" in large, bold, blue letters on the right. Below the word "OMNI" is the phrase "PRECISION IN MOBILITY" in smaller, thinner, blue letters. The green circular graphic appears to be an abstract representation of a person.

Conclusion:

This performance of the OMNIBotics® Knee System is substantially equivalent to that of the TOTAL KNEE SURGETICS Navigation System with iBlock® (K090953) combined with the Versasense position control and the eLibra® force control. The OMNIBotics® Knee System has been demonstrated to be substantially equivalent to the predicate devices and raises no new concerns related to safety or efficacy.