K Number
K180159
Device Name
Klassic® Knee System
Date Cleared
2018-03-09

(49 days)

Product Code
Regulation Number
888.3560
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Klassic® Knee System is intended for prosthetic replacement in treatment of the following: - Patient conditions of non-inflammatory degenerative joint disease (NIDJ): . avascular necrosis and osteoarthritis - Patient conditions of inflammatory joint disease (IJD): rheumatoid arthritis ● - Patients with failed previous surgery where pain, deformity, or dysfunction . persists - . Correctable varus-valgus deformity and moderate flexion contracture - Revision of a previously failed knee arthroplasty . - . Patients who require a total knee replacement The Klassic® Knee System is indicated for cemented use only, except for the Klassic Femur, Porous, and the Klassic Tibial Baseplate, Porous, which are indicated for cementless use.
Device Description
The purpose of this 510(k) is to add Klassic® Knee CR/Congruent Tibial Inserts with E-Link®, Ultra-PS® Tibial Inserts with E-Link®, Sombrero Patellae with E-Link® and Domed Patellae with E-Link® ("E-Link® Knee Components") to the Klassic® Knee System. These components are manufactured from E-link®, a Vitamin E blended UHMWPE crosslinked by gamma irradiation. The E-Link® Knee Components are available in various sizes and thicknesses to match patient anatomy.
More Information

No
The summary describes a knee implant system made of a specific material (Vitamin E blended UHMWPE) and does not mention any software, algorithms, or data processing that would indicate the use of AI/ML. The performance studies are bench testing and engineering analyses, not studies involving AI/ML model training or evaluation.

Yes

Explanation: The device is a prosthetic replacement for the knee, intended to treat various joint diseases and correct deformities, which directly alleviates or treats a medical condition.

No

Explanation: The Klassic® Knee System is a prosthetic replacement device intended for surgical implantation to treat various knee conditions, not for diagnosing them. It is used to replace damaged or diseased knee joints.

No

The device description clearly states that the device is comprised of physical components (tibial inserts, patellae) made from a specific material (E-link®) and available in various sizes and thicknesses. This indicates a hardware medical device, not a software-only one.

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

Here's why:

  • Intended Use: The intended use clearly describes a prosthetic replacement for treating various knee joint conditions. This is a surgical implant, not a diagnostic test performed on samples taken from the body.
  • Device Description: The device is described as components of a knee replacement system made from specific materials. This aligns with a surgical implant.
  • No mention of in vitro testing: There is no indication that this device is used to examine specimens (like blood, urine, or tissue) outside of the body to provide diagnostic information.

IVD devices are used to perform tests on samples from the human body to diagnose diseases or other conditions. This device is a physical implant used to replace a damaged joint.

N/A

Intended Use / Indications for Use

The Klassic® Knee System is intended for prosthetic replacement of the following:

  • · Patient conditions of non-inflammatory degenerative joint disease (NID): avascular necrosis and osteoarthritis
  • · Patient conditions of inflammatory joint disease (IJD): rheumatoid arthritis
  • · Patients with failed previous surgery where pain, deformity, or dysfunction persists
  • · Correctable varus-valgus deformity and moderate flexion contracture
  • · Revision of a previously failed knee arthroplasty
  • · Patients who require a total knee replacement

The Klassic® Knee System is indicated for cemented use only, except for the Klassic Femur, Porous, and the Klassic Tibial Baseplate, Porous, which are indicated for cementless use.

Product codes (comma separated list FDA assigned to the subject device)

JWH, MBH

Device Description

The purpose of this 510(k) is to add Klassic® Knee CR/Congruent Tibial Inserts with E-Link®, Ultra-PS® Tibial Inserts with E-Link®, Sombrero Patellae with E-Link® and Domed Patellae with E-Link® ("E-Link® Knee Components") to the Klassic® Knee System. These components are manufactured from E-link®, a Vitamin E blended UHMWPE crosslinked by gamma irradiation. The E-Link® Knee Components are available in various sizes and thicknesses to match patient anatomy.

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

Prescription Use

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)

Engineering analyses and bench testing were performed on E-Link® Knee Components to evaluate wear for the worst case E-Link® Knee Construct, tibial-femoral stability characteristics, stress distributions and range of motion and tibial modular disassembly characteristics, as well as patella-femoral resistance to lateral subluxation and surface stress distribution. The results of these analyses and testing indicate that the E-Link® Components are substantially equivalent to the predicate components. Knee Additionally, the E-Link® Knee Components are in compliance with LAL testing requirements for orthopedic implants.

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.

K112906, K140942, K150105, K153075, K153310, K162422

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.

K141972, K112802

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

Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

March 9, 2018

Total Joint Orthopedics, Inc. Chris Weaber Product Development, Regulatory Manager 1567 E. Stratford Avenue Salt Lake City, Utah 84106

Re: K180159

Trade/Device Name: Klassic® Knee System Regulation Number: 21 CFR 888.3560 Regulation Name: Knee Joint Patellofemorotibial Polymer Semi-Constrained Cemented Prosthesis Regulatory Class: Class II Product Code: JWH, MBH Dated: January 19, 2018 Received: January 19, 2018

Dear Chris Weaber:

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 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);

1

K180159

and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Mark N. Melkerson -S

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

Enclosure

2

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: January 31, 2017 See PRA Statement below.

510(k) Number (if known) K180159

Device Name Klassic® Knee System

Indications for Use (Describe)

  • The Klassic® Knee System is intended for prosthetic replacement of the following:
  • · Patient conditions of non-inflammatory degenerative joint disease (NID): avascular necrosis and osteoarthritis
  • · Patient conditions of inflammatory joint disease (IJD): rheumatoid arthritis
  • · Patients with failed previous surgery where pain, deformity, or dysfunction persists
  • · Correctable varus-valgus deformity and moderate flexion contracture
  • · Revision of a previously failed knee arthroplasty
  • · Patients who require a total knee replacement

The Klassic® Knee System is indicated for cemented use only, except for the Klassic Femur, Porous, and the Klassic Tibial Baseplate, Porous, which are indicated for cementless use.

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)

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:

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"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."

3

5. 510(k) Summary

| Manufacturer: | Total Joint Orthopedics, Inc.
1567 E. Stratford Avenue
Salt Lake City, UT 84106
Phone: 801.486.6070
Fax: 801.486.6117 | |
|---------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------|
| Contact: | Mr. Chris Weaber
Product Development, Regulatory Manager | |
| Prepared By: | Musculoskeletal Clinical Regulatory Advisers, LLC
1050 K Street, NW, Suite 1000
Washington, DC 20001
Phone: 202.552.5800 | |
| Date Prepared: | January 19, 2018 | |
| Device Trade Name: | Klassic® Knee System | |
| Device Common Name: | Tibial Inserts and Patellae | |
| Classification: | 21 CFR 888.3560 – Knee joint patellofemorotibial
polymer/metal/polymer semi-constrained cemented
21 CFR 888.3565 Knee joint patellofemorotibial
metal/polymer porous-coated uncemented prosthesis
Class II | |
| | Product Codes: | JWH, MBH |

Indications for Use:

The Klassic® Knee System is intended for prosthetic replacement in treatment of the following:

  • Patient conditions of non-inflammatory degenerative joint disease (NIDJ): . avascular necrosis and osteoarthritis
  • Patient conditions of inflammatory joint disease (IJD): rheumatoid arthritis ●
  • Patients with failed previous surgery where pain, deformity, or dysfunction . persists
  • . Correctable varus-valgus deformity and moderate flexion contracture
  • Revision of a previously failed knee arthroplasty .
  • . Patients who require a total knee replacement

4

The Klassic® Knee System is indicated for cemented use only, except for the Klassic Femur, Porous, and the Klassic Tibial Baseplate, Porous, which are indicated for cementless use.

Device Description:

The purpose of this 510(k) is to add Klassic® Knee CR/Congruent Tibial Inserts with E-Link®, Ultra-PS® Tibial Inserts with E-Link®, Sombrero Patellae with E-Link® and Domed Patellae with E-Link® ("E-Link® Knee Components") to the Klassic® Knee System. These components are manufactured from E-link®, a Vitamin E blended UHMWPE crosslinked by gamma irradiation. The E-Link® Knee Components are available in various sizes and thicknesses to match patient anatomy.

Predicate Devices:

The E-Link® Knee Components are substantially equivalent to the predicate Klassic® Knee System Components (K112906, K140942, K150105, K153075, K153310, and K162422) with respect to indications, design, and function. The E-Link material is the same as the E-link material used in the Klassic HD® Acetabular Insert with E-Link Poly (K141972) and Pipeline's Vitamin E Poly (K112802).

Substantial Equivalence:

Engineering analyses and bench testing were performed on E-Link® Knee Components to evaluate wear for the worst case E-Link® Knee Construct, tibial-femoral stability characteristics, stress distributions and range of motion and tibial modular disassembly characteristics, as well as patella-femoral resistance to lateral subluxation and surface stress distribution. The results of these analyses and testing indicate that the E-Link® Components are substantially equivalent to the predicate components. Knee Additionally, the E-Link® Knee Components are in compliance with LAL testing requirements for orthopedic implants.