K Number
K182878
Device Name
Integra Salto Total Ankle System
Date Cleared
2018-12-18

(64 days)

Product Code
Regulation Number
888.3110
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Salto Talaris Total Ankle Prosthesis : The Salto Total Ankle Prosthesis is indicated as a total ankle replacement in primary or revision surgery for patients with ankle joints damaged by severe rheumatic, or degenerative arthritis. Components are intended for cemented use only. Integra XT Revision Ankle Replacement System: The Integra XT Revision Ankle Replacement System is indicated as a total ankle replacement in revision surgeries only for patients with ankle joints damaged by severe rheumatoid, posttraumatic, or degenerative arthritis. Components are intended for cemented use only.
Device Description
The Integra Salto Total Ankle System (Salto Talaris Total Ankle Prosthesis and the Integra XT Revision Ankle Replacement System) is a semi-constrained anatomical design. Both subsystems consist of two mating components: a metal tibial base in association with a conforming polyethylene articulating insert, and a metal talar resurfacing component.
More Information

No
The 510(k) summary describes a mechanical ankle prosthesis and does not mention any AI/ML components or capabilities.

Yes.
The device is indicated for total ankle replacement in patients with ankle joints damaged by severe arthritis, which is a therapeutic intervention.

No
The device is described as a total ankle prosthesis/replacement system, indicated for surgical repair of damaged ankle joints due to arthritis. Its function is to replace the joint, not to diagnose a condition.

No

The device description clearly outlines physical components (metal tibial base, polyethylene insert, metal talar resurfacing component) and performance studies related to the mechanical properties of these components, indicating it is a hardware device.

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

Here's why:

  • Intended Use: The intended use clearly states that the device is a "total ankle replacement" for patients with damaged ankle joints. This is a surgical implant used in the body, not a test performed on samples taken from the body.
  • Device Description: The description details the components of a prosthetic ankle joint, which are physical implants.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting specific analytes, or providing diagnostic information about a patient's condition based on laboratory testing.

IVD devices are used to examine specimens derived from the human body to provide information for the diagnosis, prevention, monitoring, treatment, or alleviation of disease. This device is a therapeutic device used to replace a damaged joint.

N/A

Intended Use / Indications for Use

Salto Talaris Total Ankle Prosthesis : The Salto Total Ankle Prosthesis is indicated as a total ankle replacement in primary or revision surgery for patients with ankle joints damaged by severe rheumatic, or degenerative arthritis. Components are intended for cemented use only.

Integra XT Revision Ankle Replacement System: The Integra XT Revision Ankle Replacement System is indicated as a total ankle replacement in revision surgeries only for patients with ankle joints damaged by severe rheumatoid, posttraumatic, or degenerative arthritis. Components are intended for cemented use only.

Product codes

HSN

Device Description

The Integra Salto Total Ankle System (Salto Talaris Total Ankle Prosthesis and the Integra XT Revision Ankle Replacement System) is a semi-constrained anatomical design. Both subsystems consist of two mating components: a metal tibial base in association with a conforming polyethylene articulating insert, and a metal talar resurfacing component.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

ankle joints

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

Nonclinical Performance Data: The Salto Talaris Total Ankle Prosthesis and Integra XT Revision Ankle Replacement System were subjected to verification per standard ASTM F2665 to establish equivalent performance in comparison to the predicate device.

  1. Tibial Tray Fatigue
  2. Tibial Tray/Insert Locking
  3. Tibial Tray Bone Fixation
  4. Talar Dome Bone Fixation
  5. Talar Dome Fatigue

Clinical Performance Data: Clinical performance data is not required to demonstrate substantial equivalence to the predicate device.

Key Metrics

Not Found

Predicate Device(s)

K153452: Salto Talaris, Salto XT

Reference Device(s)

K151459: Integra Cadence Total Ankle Replacement System

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 888.3110 Ankle joint metal/polymer semi-constrained cemented prosthesis.

(a)
Identification. An ankle joint metal/polymer semi-constrained cemented prosthesis is a device intended to be implanted to replace an ankle joint. The device limits translation and rotation in one or more planes via the geometry of its articulating surfaces and has no linkage across-the-joint. This generic type of device includes prostheses that have a talar resurfacing component made of alloys, such as cobalt-chromium-molybdenum, and a tibial resurfacing component made of ultra-high molecular weight polyethylene and 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.

December 18, 2018

Ascension Orthopedics, Inc. Divya Savant Regulatory Affairs Specialist 311 Enterprise Drive Plainsboro, NJ 08536

Re: K182878

Trade/Device Name: Integra Salto Total Ankle System Regulation Number: 21 CFR 888.3110 Regulation Name: Ankle Joint Metal/Polymer Semi-Constrained Cemented Prosthesis Regulatory Class: Class II Product Code: HSN Dated: November 20, 2018 Received: November 27, 2018

Dear Divya Savant:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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

1

801); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/CombinationProducts/GuidanceRegulatoryInformation/ucm597488.htm); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; 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 comprehensive regulatory information about medical devices and radiation-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,

Peter G.
Allen -S
Digitally signed by Peter
G. Allen -S
Date: 2018.12.18
12:57:01 -05'00'

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

Enclosure

2

Indications for Use

510(k) Number (if known)

K182878

Device Name Integra Salto Total Ankle System

Indications for Use (Describe)

Salto Talaris Total Ankle Prosthesis : The Salto Total Ankle Prosthesis is indicated as a total ankle replacement in primary or revision surgery for patients with ankle joints damaged by severe rheumatic, or degenerative arthritis. Components are intended for cemented use only.

Integra XT Revision Ankle Replacement System: The Integra XT Revision Ankle Replacement System is indicated as a total ankle replacement in revision surgeries only for patients with ankle joints damaged by severe rheumatoid, posttraumatic, or degenerative arthritis. Components are intended for cemented use only.

X Prescription Use (Part 21 CFR 801 Subpart D)

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

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Image /page/3/Picture/1 description: The image shows the Integra logo. The word "INTEGRA" is written in gray, with the tagline "LIMIT UNCERTAINTY" underneath. To the right of the text is a column of green squares of varying sizes.

510(k) Summary

| Sponsor | Ascension Orthopedics
11101 Metric Blvd
Austin, Texas 78758 |
|-------------------------|----------------------------------------------------------------------------------------------------------------|
| Establishment
Number | 3014207283 |
| Point of Contact | Divya Savant
Specialist, Regulatory Affairs
609-936-6968
311 Enterprise Drive
Plainsboro, NJ 08536 |
| Date | 12/7/2018 |

| Trade Name (s) | Integra Salto Total Ankle System: Salto Talaris Total Ankle
Prosthesis & Integra XT Revision Ankle Replacement System |
|----------------------|--------------------------------------------------------------------------------------------------------------------------|
| Common Name | Total Ankle Prosthesis |
| Classification Panel | Orthopedic |
| Classification | Class II |
| Classification Name | Ankle Joint Metal/Polymer Semi-Constrained Cemented Prosthesis |
| Regulation | 21 CFR 888.3110 |
| Product Code | HSN |
| Predicate Device | K153452: Salto Talaris, Salto XT |
| Reference Device | K151459: Integra Cadence Total Ankle Replacement System |

  • Device Description The Integra Salto Total Ankle System (Salto Talaris Total Ankle Prosthesis and the Integra XT Revision Ankle Replacement System) is a semi-constrained anatomical design. Both subsystems consist of two mating components: a metal tibial base in association with a conforming polyethylene articulating insert, and a metal talar resurfacing component.
  • Salto Talaris Total Ankle Prosthesis: The Salto Talaris Total Ankle Intended Use Prosthesis is indicated as a total ankle replacement in primary or revision surgery for patients with ankle joints damaged by severe rheumatoid, post-traumatic, or degenerative arthritis. Components are intended for cemented use only.

4

Image /page/4/Picture/1 description: The image shows the Integra logo. The word "INTEGRA" is written in gray, and below it, in smaller letters, is the phrase "LIMIT UNCERTAINTY". To the right of the word "INTEGRA" are four green squares of varying sizes, arranged in a descending order.

| | Integra XT Revision Ankle Replacement System: The Integra XT
Revision Ankle Replacement System is indicated as a total ankle
replacement in revision surgeries only for patients with ankle joints
damaged by severe rheumatoid, post-traumatic, or degenerative arthritis.
Components are intended for cemented use only. |
|------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Nonclinical
Performance Data | The Salto Talaris Total Ankle Prosthesis and Integra XT Revision
Ankle Replacement System were subjected to verification per standard
ASTM F2665 to establish equivalent performance in comparison to the
predicate device.

  1. Tibial Tray Fatigue
  2. Tibial Tray/Insert Locking
  3. Tibial Tray Bone Fixation
  4. Talar Dome Bone Fixation
  5. Talar Dome Fatigue |
    | Clinical
    Performance Data | Clinical performance data is not required to demonstrate substantial
    equivalence to the predicate device. |
    | Substantial
    Equivalence
    Conclusion | Substantial equivalence of the subject device and predicate device is
    based on the following:
    The modified device and predicate device have the same material. The modified devices and predicated devices have the same intended use. The devices operate using the same fundamental scientific technology. The devices share the same functional and technological characteristics via the same operational principles. There are no new questions of safety or effectiveness.
    In conclusion, the modified device and predicate device are both semi-
    constrained, total ankle arthroplasty systems that have the same intended use, fundamental scientific technology, and materials of construction. |