K Number
K240938
Device Name
The Optimotion™ Blue Plus Knee System
Date Cleared
2024-06-27

(83 days)

Product Code
Regulation Number
888.3565
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
· Painful, disabling joint disease of the knee resulting from: noninflammatory degenerative joint disease (including osteoarthritis, traumatic arthritis, or avascular necrosis), rheumatoid arthritis or post-traumatic arthritis. · Post-traumatic loss of knee joint configurations and function. · Moderate Varus, valgus, or flexion deformity in which the ligamentous structures can be returned to adequate function and stability. · Revision of previous unsuccessful knee replacement or other procedure. - · Fracture of the distal femur and/or proximal tibia that cannot be standard fracture-management techniques. - · Ligamentous instability requiring implant bearing surface geometries with increased constraint. - · Absent or non-functioning posterior cruciate ligament. - · Severe anteroposterior instability of the knee joint · Optimotion™ Blue Plus Knee System and Optimotion™ Blue Total Knee System non-porous implant components are indicated for cemented use only. · Optimotion™ Blue Plus Knee System and Optimotion™ Blue Total Knee System porous coated implant components are indicated for cemented or uncemented use.
Device Description
The Optimotion™ Blue Plus Knee System is a line addition to the Optimotion™ Blue Total Knee System (K191084) consisting of a posterior stabilizing (PS) femoral and PS tibial insert components. The femoral component is composed of CoCrMo alloy, non-porous for cemented use. The femoral component is to be used with PMMA bone cement. The tibial insert components are composed of UHMWPE with Vitamin E. The Optimotion™ Blue Plus Knee System is intended for cemented replacement of the femur and articulating surfaces of the knee. Femoral Component: The femoral component is symmetric. The femoral component is available in posterior stabilizing (PS) design and is offered in eight (8) sizes. The system is designed to allow each size femoral component to be interchangeable with the next size up, the same size, or the next size down Optimotion™ Blue Tibial Tray and corresponding Optimotion™ Blue Plus PS Tibial Insert. Tibial Inserts: The PS Tibial Insert components are symmetric and available in three configurations for varying levels of constraint. The three configurations from lowest to highest constraint are Low Post (LP), Low Post Plus (LP+), and High Post (HP). The LP Tibial Insert has the shortest and smallest perimeter post and the HP Tibial Insert has the highest and largest perimeter post, with the LP+ containing a post that is between the LP and HP post sizes. Each configuration of PS Tibial Insert is offered in eight (8) sizes and seven (7) thicknesses. The tibial insert components are compatible with the Tibial Tray Components of the Optimotion™ Blue Total Knee System.
More Information

No
The 510(k) summary describes a mechanical knee implant system and does not mention any software, algorithms, or data processing that would indicate the use of AI or ML. The performance studies focus on mechanical properties and wear simulation.

Yes

The device is a knee replacement system intended to treat painful and disabling joint diseases, trauma, and deformities of the knee. This clearly falls under the definition of a therapeutic device as it is designed to alleviate a condition or treat a disease.

No

This is a knee replacement system, which is a therapeutic device intended to replace damaged knee components. It is not used to diagnose a medical condition.

No

The device description explicitly details physical components made of CoCrMo alloy and UHMWPE, which are hardware materials for knee implants. The performance studies also focus on wear simulation, CAD analysis of physical dimensions, and mechanical testing of the locking mechanism, all related to hardware performance.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Description: The description clearly states that the Optimotion™ Blue Plus Knee System is a line addition to a total knee replacement system consisting of femoral and tibial insert components made of CoCrMo alloy and UHMWPE. These are implantable components designed to replace damaged knee joint structures.
  • Intended Use: The intended use describes the device's purpose as treating painful and disabling joint disease of the knee, post-traumatic loss of knee joint configurations, deformities, revisions of previous knee replacements, fractures, and ligamentous instability. These are all related to the mechanical function and structure of the knee joint, not the analysis of biological samples.

Therefore, this device is a surgical implant for knee replacement, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

· Painful, disabling joint disease of the knee resulting from: noninflammatory degenerative joint disease (including osteoarthritis, traumatic arthritis, or avascular necrosis), rheumatoid arthritis or post-traumatic arthritis.

· Post-traumatic loss of knee joint configurations and function.

· Moderate Varus, valgus, or flexion deformity in which the ligamentous structures can be returned to adequate function and stability.

· Revision of previous unsuccessful knee replacement or other procedure.

  • · Fracture of the distal femur and/or proximal tibia that cannot be standard fracture-management techniques.
  • · Ligamentous instability requiring implant bearing surface geometries with increased constraint.
  • · Absent or non-functioning posterior cruciate ligament.
  • · Severe anteroposterior instability of the knee joint

· Optimotion™ Blue Plus Knee System and Optimotion™ Blue Total Knee System non-porous implant components are indicated for cemented use only.

· Optimotion™ Blue Plus Knee System and Optimotion™ Blue Total Knee System porous coated implant components are indicated for cemented or uncemented use.

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

MBH, JWH, OIY

Device Description

The Optimotion™ Blue Plus Knee System is a line addition to the Optimotion™ Blue Total Knee System (K191084) consisting of a posterior stabilizing (PS) femoral and PS tibial insert components. The femoral component is composed of CoCrMo alloy, non-porous for cemented use. The femoral component is to be used with PMMA bone cement. The tibial insert components are composed of UHMWPE with Vitamin E. The Optimotion™ Blue Plus Knee System is intended for cemented replacement of the femur and articulating surfaces of the knee.
Femoral Component: The femoral component is symmetric. The femoral component is available in posterior stabilizing (PS) design and is offered in eight (8) sizes. The system is designed to allow each size femoral component to be interchangeable with the next size up, the same size, or the next size down Optimotion™ Blue Tibial Tray and corresponding Optimotion™ Blue Plus PS Tibial Insert.
Tibial Inserts: The PS Tibial Insert components are symmetric and available in three configurations for varying levels of constraint. The three configurations from lowest to highest constraint are Low Post (LP), Low Post Plus (LP+), and High Post (HP). The LP Tibial Insert has the shortest and smallest perimeter post and the HP Tibial Insert has the highest and largest perimeter post, with the LP+ containing a post that is between the LP and HP post sizes. Each configuration of PS Tibial Insert is offered in eight (8) sizes and seven (7) thicknesses. The tibial insert components are compatible with the Tibial Tray Components of the Optimotion™ Blue Total Knee System.

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 articulating surface of the PS Femoral Component and PS Tibial Inserts are identical to the articulating surface of the CR Femoral Component and HCCR Tibial Inserts of the 510k approved Optimotion Blue Total Knee System (K191084). As such, the wear simulation analysis that was performed on those approved components per ISO 14243-(1)-2002 will be referenced for the subject device.
The minimum tibial insert thickness was tested using Solidworks CAD drawing analysis to confirm that the minimum thickness of the thinnest, smallest size PS Tibial Insert is greater than 6mm. Solidworks CAD analysis was also used to demonstrate the range of motion of the PS Femoral Component and PS Tibial inserts.
The locking mechanism of the PS Tibial Inserts are identical to the locking mechanisms of the CR and HCCR Tibial Inserts in the Optimotion Blue Total Knee System. However, due to the addition of a post on the PS Tibial Inserts, shear static and fatique testing were performed using the thickest and largest size HP PS Tibial Insert.
Validation studies of packaging and shelf life and Bacterial Endotoxin Tests (BET) per ANSI/AAMI were performed on the already FDA cleared Optimotion Blue Total Knee System and are referenced in this 510(k) submission. The subject devices are packaged in the same manner and at the same facility as the cleared devices. The subject devices are comprised of the same material as the cleared devices.

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.

K141056

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.

K191084

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

§ 888.3565 Knee joint patellofemorotibial metal/polymer porous-coated uncemented prosthesis.

(a)
Identification. A knee joint patellofemorotibial metal/polymer porous-coated uncemented 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 is designed to achieve biological fixation to bone without the use of bone cement. This identification includes fixed-bearing knee prostheses where the ultra high molecular weight polyethylene tibial bearing is rigidly secured to the metal tibial base plate.(b)
Classification. Class II (special controls). The special control is FDA's guidance: “Class II Special Controls Guidance Document: Knee Joint Patellofemorotibial and Femorotibial Metal/Polymer Porous-Coated Uncemented Prostheses; Guidance for Industry and FDA.” See § 888.1 for the availability of this guidance.

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Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: a symbol on the left and the FDA name and title on the right. The symbol on the left is a stylized representation of a human figure, while the text on the right reads "FDA U.S. FOOD & DRUG ADMINISTRATION" in blue letters.

June 27, 2024

Optimotion Implants, LLC Cassidy Larwood Product Development Engineer 6052 Turkev Lake Road Suite 170 Orlando, Florida 32819

Re: K240938

Trade/Device Name: The Optimotion™ Blue Plus Knee System Regulation Number: 21 CFR 888.3565 Regulation Name: Knee Joint Patellofemorotibial Metal/Polymer Porous-Coated Uncemented Prosthesis Regulatory Class: Class II Product Code: MBH, JWH, OIY Dated: April 5, 2024 Received: April 5, 2024

Dear Cassidy Larwood:

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 (the 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 available 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.

Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device"

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(https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30. Design controls; 21 CFR 820.90. Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review. the OS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

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 Part 803) for devices or postmarketing safety reporting (21 CFR Part 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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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 mediation-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, Peter G. Allen Digitally signed by Peter G. Allen -5
Date: 2024.06.27 13:52:32
-04'00' -S

For: Lixin Liu, Ph.D. 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

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Indications for Use

510(k) Number (if known) K240938

Device Name

The Optimotion™ Blue Plus Knee System

Indications for Use (Describe)

· Painful, disabling joint disease of the knee resulting from: noninflammatory degenerative joint disease (including osteoarthritis, traumatic arthritis, or avascular necrosis), rheumatoid arthritis or post-traumatic arthritis.

· Post-traumatic loss of knee joint configurations and function.

· Moderate Varus, valgus, or flexion deformity in which the ligamentous structures can be returned to adequate function and stability.

· Revision of previous unsuccessful knee replacement or other procedure.

  • · Fracture of the distal femur and/or proximal tibia that cannot be standard fracture-management techniques.
  • · Ligamentous instability requiring implant bearing surface geometries with increased constraint.
  • · Absent or non-functioning posterior cruciate ligament.
  • · Severe anteroposterior instability of the knee joint

· Optimotion™ Blue Plus Knee System and Optimotion™ Blue Total Knee System non-porous implant components are indicated for cemented use only.

· Optimotion™ Blue Plus Knee System and Optimotion™ Blue Total Knee System porous coated implant components are indicated for cemented or uncemented use.

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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510(k) SUMMARY for the Optimotion™ Blue Plus Knee System

In accordance with 21 CFR 807.92 of the Federal Code of Regulations, the following information is a summary of safety and effectiveness of the Optimotion™ Blue Plus Knee System.

CONTACT DETAILS Applicant Name: Optimotion Implants LLC Applicant Address: 6052 Turkey Lake Rd. Suite 170. Orlando, FL 32819, United States Applicant Contact Telephone: 877-678-6686 Cassidy Larwood Applicant Contact: DEVICE NAME The Optimotion™ Blue Plus Knee System Device Trade Name: Total Knee Joint Replacement Prosthesis Common Name:

Classification Name:Knee Joint Patellofemorotibial Metal/Polymer
Porous-Coated Uncemented Prosthesis
Regulation Number:21 CFR section 888.3565
Product Codes:MBH, JWH, OIY

PREDICATE DEVICE

K141056

Stryker Triathlon Knee System; Product Code MBH, JWH

DEVICE DESCRIPTION SUMMARY

The Optimotion™ Blue Plus Knee System is a line addition to the Optimotion™ Blue Total Knee System (K191084) consisting of a posterior stabilizing (PS) femoral and PS tibial insert components. The femoral component is composed of CoCrMo alloy, non-porous for cemented use. The femoral component is to be used with PMMA bone cement. The tibial insert components are composed of UHMWPE with Vitamin E. The Optimotion™ Blue Plus Knee System is intended for cemented replacement of the femur and articulating surfaces of the knee.

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Femoral Component: The femoral component is symmetric. The femoral component is available in posterior stabilizing (PS) design and is offered in eight (8) sizes. The system is designed to allow each size femoral component to be interchangeable with the next size up, the same size, or the next size down Optimotion™ Blue Tibial Tray and corresponding Optimotion™ Blue Plus PS Tibial Insert.

Tibial Inserts: The PS Tibial Insert components are symmetric and available in three configurations for varying levels of constraint. The three configurations from lowest to highest constraint are Low Post (LP), Low Post Plus (LP+), and High Post (HP). The LP Tibial Insert has the shortest and smallest perimeter post and the HP Tibial Insert has the highest and largest perimeter post, with the LP+ containing a post that is between the LP and HP post sizes. Each configuration of PS Tibial Insert is offered in eight (8) sizes and seven (7) thicknesses. The tibial insert components are compatible with the Tibial Tray Components of the Optimotion™ Blue Total Knee System.

INDICATIONS FOR USE

  • Painful, disabling joint disease of the knee resulting from; noninflammatory . degenerative joint disease (including osteoarthritis, traumatic arthritis, or avascular necrosis), rheumatoid arthritis or post-traumatic arthritis. Post-traumatic loss of knee joint confiqurations and function.
  • Moderate Varus, valgus, or flexion deformity in which the ligamentous structures can be returned to adequate function and stability.
  • Revision of previous unsuccessful knee replacement or other procedure. ●
  • Fracture of the distal femur and/or proximal tibia that cannot be stabilized by standard . fracture-management techniques.
  • . Ligamentous instability requiring implant bearing surface geometries with increased constraint.
  • Absent or non-functioning posterior cruciate ligament. .
  • Severe anteroposterior instability of the knee joint ●
  • . Optimotion™ Blue Plus Knee System and Optimotion™ Blue Total Knee System nonporous implant components are indicated for cemented use only.
  • Optimotion™ Blue Plus Knee System and Optimotion™ Blue Total Knee System . porous-coated implant components are indicated for cemented or uncemented use.

INDICATIONS FOR USE COMPARISON

The device has the same indications for use compared to the predicate device.

TECHNOLOGICAL COMPARISON

The subject device is a line extension of the FDA cleared Optimotion Blue Total Knee System (K191084) using Stryker Triathlon PS Components (K141056) as a predicate device for the posterior stabilizing functionality. As such, the subject device has characteristics of both systems with no new technological characteristics. Namely, the tibial inserts

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and the locking mechanism of the tibial inserts to the tibial trav are the same in the subject device as the Optimotion Blue Total Knee System (UHMWPE with Vitamin E using a Dovetail locking mechanism). The articulating surface of the subject Optimotion Blue Plus PS Tibial Inserts are the same as the FDA cleared Optimotion Blue HCCR Tibial Inserts. The design of the tibial eminence (tibial post) of the LP and HP PS Tibial Inserts of the subject device are comparable in design to the Tibial Bearing Insert-PS and Total Stabilizer+ Tibial Inserts of the predicate device, respectively. Similarly, the design of the intercondylar box of the PS Femur of the subject device is comparable to that of the predicate device. The material and processes to manufacture the proposed PS Femoral Component (CoCrMo) is the same as in the FDA cleared Cemented CR Femoral Component of the Optimotion Blue Total Knee System. Further, the intended use and indications for use are the same in the subject device as the predicate device.

PERFORMANCE DATA

The performance data presented in this 510(k) notification show Optimotion™ Blue Plus Knee System to meet the standards for total knee replacement devices and to be substantially equivalent to the predicate device.

The articulating surface of the PS Femoral Component and PS Tibial Inserts are identical to the articulating surface of the CR Femoral Component and HCCR Tibial Inserts of the 510k approved Optimotion Blue Total Knee System (K191084). As such, the wear simulation analysis that was performed on those approved components per ISO 14243-(1)-2002 will be referenced for the subject device.

The minimum tibial insert thickness was tested using Solidworks CAD drawing analysis to confirm that the minimum thickness of the thinnest, smallest size PS Tibial Insert is greater than 6mm. Solidworks CAD analysis was also used to demonstrate the range of motion of the PS Femoral Component and PS Tibial inserts.

The locking mechanism of the PS Tibial Inserts are identical to the locking mechanisms of the CR and HCCR Tibial Inserts in the Optimotion Blue Total Knee System. However, due to the addition of a post on the PS Tibial Inserts, shear static and fatique testing were performed using the thickest and largest size HP PS Tibial Insert.

Validation studies of packaging and shelf life and Bacterial Endotoxin Tests (BET) per ANSI/AAMI were performed on the already FDA cleared Optimotion Blue Total Knee System and are referenced in this 510(k) submission. The subject devices are packaged in the same manner and at the same facility as the cleared devices. The subject devices are comprised of the same material as the cleared devices.

CONCLUSION

Optimotion Blue Plus Knee System is substantially equivalent to the identified predicate devices based on the indications for use, materials, design, size, and performance data presented in this 510(k) notification.