K Number
K200765
Device Name
Genius / Genuin Total Knee System
Date Cleared
2021-05-05

(407 days)

Product Code
Regulation Number
888.3560
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Indicated for use only with bone cement for patients suffering from: Severe knee joint pain, loss of mobility and disability due to: rheumatoid arthritis, osteoarthritis, traumatic arthritis, Correction of functional deformities. Posttraumatic loss of knee joint contour, particularly when there is patellofemoral erosion, dysfunction or prior patellectomy; Moderate valgus, Varus or flexion trauma. Knee fractures untreatable by other methods.
Device Description
The Genius / Genuin Total Knee System has 3 major components: - Femoral component - Tibial component - Includes Tibial Tray and Tibial Insert - Patellar component
More Information

Not Found

No
The summary describes a mechanical knee implant system and does not mention any software, image processing, AI, or ML capabilities. The performance studies are focused on the mechanical properties and biocompatibility of the materials.

Yes
The device is indicated for treating severe knee joint pain, loss of mobility, disability, and knee fractures, which are conditions that impair health and function, aiming to restore them.

No

This device is a total knee system, which is a prosthetic implant used for joint replacement, not for diagnosing medical conditions. The "Intended Use / Indications for Use" section describes conditions that warrant the use of the device, but the device itself is a treatment, not a diagnostic tool.

No

The device description clearly lists physical components (Femoral component, Tibial component, Patellar component) and the performance studies focus on the mechanical properties and testing of these hardware components. There is no mention of software as a primary or standalone component.

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

Here's why:

  • Intended Use: The intended use clearly describes a surgical implant for replacing a damaged knee joint. This is a therapeutic device used in vivo (within the body).
  • Device Description: The components listed (femoral, tibial, and patellar components) are all parts of a prosthetic knee joint, designed for surgical implantation.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or screening.

IVD devices are used to perform tests in vitro (outside the body) on biological samples. This device is a surgical implant used in vivo.

N/A

Intended Use / Indications for Use

Indicated for use only with bone cement for patients suffering from: Severe knee joint pain, loss of mobility and disability due to: rheumatoid arthritis, osteoarthritis, traumatic arthritis, Correction of functional deformities. Posttraumatic loss of knee joint contour, particularly when there is patellofemoral erosion, dysfunction or prior patellectomy; Moderate valgus, Varus or flexion trauma. Knee fractures untreatable by other methods.

Product codes

JWH

Device Description

The Genius / Genuin Total Knee System has 3 major components:

  • Femoral component
  • Tibial component - Includes Tibial Tray and Tibial Insert
  • Patellar component

Femoral Component: Femoral component is a posterior stabilized (PS) design for femoral prosthesis fabricated from CoCrMo Alloy (Cobalt-Chromium-Molybdenum) conforming to ASTM F75 – 18 & ISO 5832-4:2014. It is intended for cemented application to replace the articulating surface of the distal femur. The articulating surface of femoral component interfaces with the Tibial Insert to facilitate flexion-extension and internal-external movement. Femoral component of Genius / Genuin Total Knee System design has both Left and Right configurations. Each of the Left and Right configurations are available in eight different sizes namely A, B, C, D, E, F, G & H where A corresponds to the smallest femoral component and H corresponds to the largest femoral component. The sizes are based on the anterior/posterior (A/P) and medial/lateral (M/L) dimensions. The range of motion for the Genius / Genuin Total Knee System - femoral component is designed to range from 00 to 155° of flexion and provides the l/E rotation up to ±15° in extension and up to ±25° in flexion.

Tibial Component: The Tibial component comprises of two parts:

  • Tibial tray
  • Tibial Insert

Tibial Tray: Tibial tray comprises of a tibial platform that securely holds the Tibial Insert with a dovetail locking mechanism, and fabricated from CoCrMo (Cobalt-Chromium-Molybdenum) Alloy conforming to ASTM F75 - 18 & ISO 5832-4:2014. It is intended for cemented application. The bottom of the tibial tray component has a 0.8mm cement pocket depth for optimum fixation of the prosthesis to bone. Tibial tray is available in 6 different sizes namely size 1, 2, 3, 4, 6 & 7 wherein 1 corresponds to the smallest tibial size and 7 corresponds to largest tibial size.

Tibial Insert: Tibial insert is configured to have articulating surfaces over one side on which the articulating surface of the femoral component rolls/moves to achieve required flexionextension and rotational movements. The other side comprises of a dovetail locking (snap-fit) feature that gets securely interlocked with the tibial tray during the surgery. The tibial insert is fabricated from UHMWPE conforming to ASTM F648 – 14 & ISO 5834-2:2019. Tibial insert component is available in 8 sizes and each of the inserts are available with 8 different thicknesses i.e. Thickness-7, 8, 9, 10, 11, 13, 15 and 17mm.

Patella Component: The patella component is a dome shaped prosthesis made of UHMWPE conforming to ASTM F648 – 14 & ISO 5834-2:2019. It has 3 pegs on the opposite side of dome to facilitate better fixation with the resurfaced patellar bone. It is intended for cemented use only. It is designed to provide conforming contact during normal and high flexion activities. Patellar components are available in 6 sizes (diameters). Each size is available with different thickness.

There is no surface coating on any of the components of the Genius / Genuin Total Knee System.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Knee joint

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)

Non-Clinical Performance:

  • Cyclic Fatigue Testing of Metal Tibial Tray Component of Total Knee Joint Replacement (ASTM F1800-12)
  • Evaluating Tibial Insert Endurance under High Flexion (220,000 cycles) (ASTM F277-16)
  • Determination of Total Knee Implant Femoral-Patellar Contact Pressure/Area (ASTM F1672- 14)
  • Determination of Total Knee Implant Femoral-Tibial Contact Pressure/Area (ASTM F2083-12)
  • Determination of Total Knee Replacement Constraint (ASTM F1223- 14)
  • Accelerated Aging of UHMWPE after Gamma Irradiation in AIR (ASTM F2003-02)
  • Locking mechanism strength test data; static anterior and posterior shear, static medial and lateral shear, static tensile pull off (ASTM F1814-15)
  • 1m cycles testing (F/N curve) for shear resistance of tibial post in posterior stabilized tibial bearing (ASTM F1814-15)
  • Range of Motion (ASTM F1223-14)
  • UHMWPE Material Property Characterization
  • Biocompatibility Testing as per ISO 10993-1:2018

Clinical Performance Data/Information: Not provided as the device is proven to be substantially equivalent to predicate device.

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

Not Found

Predicate Device(s)

PFC Sigma Knee System (K182301)

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.

0

May 5, 2021

Image /page/0/Picture/1 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo includes the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text.

Biorad Medisys PVT LTD Sudhakar Saxena General Manager Regulatory Affairs Survey No 48/3 & 48/7, Pashan Sus Road, Sus Village, Taluka Mulshi Pune, Maharashtra 411021 INDIA

Re: K200765

Trade/Device Name: Genius / Genuin Total 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 Dated: March 26, 2021 Received: April 5, 2021

Dear Sudhakar Saxena:

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.

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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) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

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/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely.

Ting Song, Ph.D., R.A.C. Assistant Director DHT6A: Division of Joint Arthroplasty Devices OHT6: Office of Orthopedic Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K200765

Device Name Genius / Genuin Total Knee System

Indications for Use (Describe)

Indicated for use only with bone cement for patients suffering from: Severe knee joint pain, loss of mobility and disability due to: rheumatoid arthritis, osteoarthritis, traumatic arthritis, Correction of functional deformities. Posttraumatic loss of knee joint contour, particularly when there is patellofemoral erosion, dysfunction or prior patellectomy; Moderate valgus, Varus or flexion trauma. Knee fractures untreatable by other methods.

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)

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SPONSOR
Name:Biorad Medisys Pvt Ltd.
Address:Survey No 48/3 & 48/7, Pashan Sus Road Sus Village, Taluka
Mulshi Pune, India. Maharashtra - 411021
Phone:+91 020-30912000
Fax:+91 020-30912050
Name of Contact Person:Sudhakar Saxena
Designation:General Manager Regulatory
Date Prepared:May 04, 2021

DEVICE

Name of Device:Genius / Genuin Total Knee System
Common Name:Total Knee System
Classification Name:Prosthesis, Knee, Patellofemorotibial, Semi-Constrained,
Cemented, Polymer/Metal/Polymer (21 CFR 888.3560)
Product code:JWH

PREDICATE DEVICE

PFC Sigma Knee System (K182301), manufactured by DePuy Orthopaedics, Inc

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DEVICE DESCRIPTION

The Genius / Genuin Total Knee System has 3 major components:

  • Femoral component
  • . Tibial component - Includes Tibial Tray and Tibial Insert
  • Patellar component

The brief description of each major component is provided below:

Femoral Component: Femoral component is a posterior stabilized (PS) design for femoral prosthesis fabricated from CoCrMo Alloy (Cobalt-Chromium-Molybdenum) conforming to ASTM F75 – 18 & ISO 5832-4:2014. It is intended for cemented application to replace the articulating surface of the distal femur. The articulating surface of femoral component interfaces with the Tibial Insert to facilitate flexion-extension and internal-external movement. Femoral component of Genius / Genuin Total Knee System design has both Left and Right configurations. Each of the Left and Right configurations are available in eight different sizes namely A, B, C, D, E, F, G & H where A corresponds to the smallest femoral component and H corresponds to the largest femoral component. The sizes are based on the anterior/posterior (A/P) and medial/lateral (M/L) dimensions.

The range of motion for the Genius / Genuin Total Knee System - femoral component is designed to range from 00 to 155° of flexion and provides the l/E rotation up to ±15° in extension and up to ±25° in flexion.

Tibial Component: The Tibial component comprises of two parts:

  • . Tibial tray
  • Tibial Insert

Tibial Tray: Tibial tray comprises of a tibial platform that securely holds the Tibial Insert with a dovetail locking mechanism, and fabricated from CoCrMo (Cobalt-Chromium-Molybdenum) Alloy conforming to ASTM F75 - 18 & ISO 5832-4:2014. It is intended for cemented application. The bottom of the tibial tray component has a 0.8mm cement pocket depth for optimum fixation of the prosthesis to bone. Tibial tray is available in 6 different sizes namely size 1, 2, 3, 4, 6 & 7 wherein 1 corresponds to the smallest tibial size and 7 corresponds to largest tibial size.

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510(K) SUMMARY

Tibial Insert: Tibial insert is configured to have articulating surfaces over one side on which the articulating surface of the femoral component rolls/moves to achieve required flexionextension and rotational movements. The other side comprises of a dovetail locking (snap-fit) feature that gets securely interlocked with the tibial tray during the surgery. The tibial insert is fabricated from UHMWPE conforming to ASTM F648 – 14 & ISO 5834-2:2019. Tibial insert component is available in 8 sizes and each of the inserts are available with 8 different thicknesses i.e. Thickness-7, 8, 9, 10, 11, 13, 15 and 17mm.

Patella Component: The patella component is a dome shaped prosthesis made of UHMWPE conforming to ASTM F648 – 14 & ISO 5834-2:2019. It has 3 pegs on the opposite side of dome to facilitate better fixation with the resurfaced patellar bone. It is intended for cemented use only. lt is designed to provide conforming contact during normal and high flexion activities. Patellar components are available in 6 sizes (diameters). Each size is available with different thickness.

There is no surface coating on any of the components of the Genius / Genuin Total Knee System.

INDICATIONS FOR USE

Indicated for use only with bone cement for patients suffering from: Severe knee joint pain, loss of mobility and disability due to: rheumatoid arthritis, osteoarthritis, traumatic arthritis, polyarthritis, Correction of functional deformities. Post-traumatic loss of knee joint contour, particularly when there is patellofemoral erosion, dysfunction or prior patellectomy; Moderate valgus, Varus or flexion trauma. Knee fractures untreatable by other methods.

COMPARISON TO TECHNOLOGY CHARACTERISTICS:

The Genius / Genuin Total Knee System is equivalent to the predicate device with respect to intended use, device design, material and method of sterilization.

All the necessary performance test to determine the mechanical characteristics have been performed on the device i.e. Genius / Genuin Total Knee System.

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PERFORMANCE DATA

Non-Clinical Performance

The following tests have been conducted on the Genius / Genuin Total Knee Joint Replacement system:

  • . Cyclic Fatigue Testing of Metal Tibial Tray Component of Total Knee Joint Replacement (ASTM F1800-12)
  • Evaluating Tibial Insert Endurance under High Flexion (220,000 cycles) (ASTM F277-16)
  • . Determination of Total Knee Implant Femoral-Patellar Contact Pressure/Area (ASTM F1672- 14)
  • . Determination of Total Knee Implant Femoral-Tibial Contact Pressure/Area (ASTM F2083-12)
  • Determination of Total Knee Replacement Constraint (ASTM F1223- 14)
  • Accelerated Aging of UHMWPE after Gamma Irradiation in AIR (ASTM F2003-02)
  • Locking mechanism strength test data; static anterior and posterior shear, static medial and lateral shear, static tensile pull off (ASTM F1814-15)
  • 1m cycles testing (F/N curve) for shear resistance of tibial post in posterior stabilized tibial bearing (ASTM F1814-15)
  • Range of Motion (ASTM F1223-14)
  • . UHMWPE Material Property Characterization
  • Biocompatibility Testing as per ISO 10993-1:2018

Clinical Performance Data/Information

Not provided as the device is proven to be substantially equivalent to predicate device.

CONCLUSION

The Genius / Genuin Total Knee System components are identical to the predicate PFC Sigma Knee System components. Performance data and analyses demonstrate the device is as safe and effective and is substantially equivalent to the legally marketed predicate device.