K Number
K972626
Device Name
ADVANCE KNEE SYSTEM
Date Cleared
1997-09-29

(77 days)

Product Code
Regulation Number
888.3560
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The ADVANCE® Total Knee System components are indicated for use in total knee arthroplasty for reduction or relief of pain and/or improved knee function in skeletally mature patients with the following conditions: 1) noninflammatory degenerative joint disease including osteoarthritis, traumatic arthritis, or avascular necrosis; 2) inflammatory degenerative joint disease including rheumatoid arthritis; 3) correction of functional deformity; 4) revision procedures where other treatments or devices have failed; and 5) treatment of fractures that are unmanageable using other techniques. These products are for use with cement only.
Device Description
The ADVANCE® knee system components consists of femoral and modular tibial inserts intended to be used only with bone cement. The ADVANCE® femoral component is manufactured from cobalt chrome alloy. The tibial components are manufactured from ultra high molecular weight polyethylene.
More Information

Not Found

Not Found

No
The summary describes a traditional knee implant system made of metal and plastic components, with no mention of AI or ML in the intended use, device description, or performance studies.

Yes
The device is indicated for reduction or relief of pain and/or improved knee function, which are therapeutic outcomes.

No
The device is a total knee system used for arthroplasty, which is a treatment for knee conditions, not for diagnosing them. Its intended use is to replace or restore knee function, not to identify a disease or condition.

No

The device description explicitly states that the device consists of physical components (femoral and tibial components made of cobalt chrome alloy and polyethylene) intended for surgical implantation. This is a hardware medical device, not software-only.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly describes a surgical implant for total knee replacement. It's used in the body to treat conditions affecting the knee joint.
  • Device Description: The device is described as components made of cobalt chrome alloy and ultra high molecular weight polyethylene, designed to be implanted with bone cement. This is consistent with a surgical implant.
  • IVD Definition: An In Vitro Diagnostic device is used to examine specimens (like blood, urine, or tissue) outside of the body to provide information for diagnosis, monitoring, or screening. This device does not perform any such function.

The information provided describes a medical device intended for surgical implantation, not an IVD.

N/A

Intended Use / Indications for Use

The ADVANCE® knee system components are indicated in total knee replacements for the following conditions: 1) noninflammatory degenerative joint disease including osteoarthritis, traumatic arthritis, or avascular necrosis; 2) inflammatory degenerative joint disease including rheumatoid arthritis; 3) correction of functional deformity; 4) revision procedures where other treatments or devices have failed; and 5) treatment of fractures that are unmanageable using other techniques.

The ADVANCE® Total Knee System components are indicated for use in total knee arthroplasty for reduction or relief of pain and/or improved knee function in skeletally mature patients with the following conditions:

  • noninflammatory degenerative joint disease including osteoarthritis, 1) traumatic arthritis, or avascular necrosis;
    1. inflammatory degenerative joint disease including rheumatoid arthritis;
    1. correction of functional deformity;
    1. revision procedures where other treatments or devices have failed; and
  • treatment of fractures that are unmanageable using other techniques.
    These products are for use with cement only.

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

JWH

Device Description

The ADVANCE® knee system components consists of femoral and modular tibial inserts intended to be used only with bone cement.
The ADVANCE® femoral component is manufactured from cobalt chrome alloy. The tibial components are manufactured from ultra high molecular weight polyethylene.

Mentions image processing

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Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Knee

Indicated Patient Age Range

skeletally mature patients

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)

  • Submitted patella-femoral contact area testing demonstrates that the ADVANCE® knee system . component is comparable to the predicate device.
  • Submitted femoral-tibial contact area testing demonstrates that the ADVANCE® knee system . component is comparable to the predicate device.
  • Submitted patella-femoral lateral stability testing demonstrates that the ADVANCE® knee system . component resists lateral subluxation similar to the predicate device.
  • Submitted femoral-tibial constraint testing (anterior shear, posterior shear, medial shear, lateral . shear, and rotation) demonstrates that the ADVANCE® knee system component is expected to remain stable and resist displacement when subjected to appropriate physiological loads.
  • Submitted ultra high molecular weight polyethylene (UHMWPE) properties demonstrate that the . ADVANCE® polyethylene components should perform adequately.

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.

Axiom Total Knee System

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.

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

§ 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 shows a stylized letter "W" logo. The "W" is formed by three thick, black, angled lines that converge at the bottom, creating a triangular shape. To the right of the "W" and slightly below it, there is a small circled "R" symbol, indicating a registered trademark.

Image /page/0/Picture/1 description: The image shows the logo for Wright Medical Technology, Inc. The logo is in black and white and features the company name in a bold, sans-serif font. Below the company name is the address: 5677 Airline Road, Arlington, TN 38002, and the phone number: 901-867-9971.

K972626
Sept. 29, 1997

Contact Person: Dan Regan Date Prepared: July 11, 1997

510(k) SUMMARY

Trade Name:ADVANCE® knee system components
Common Name:Total Knee Replacement Implant
Product Classification:II
Predicate Device:Axiom Total Knee System

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of 21 CFR 807.92.

Description/Intended Use

The ADVANCE® knee system components consists of femoral and modular tibial inserts intended to be used only with bone cement.

The ADVANCE® knee system components are indicated in total knee replacements for the following conditions: 1) noninflammatory degenerative joint disease including osteoarthritis, traumatic arthritis, or avascular necrosis; 2) inflammatory degenerative joint disease including rheumatoid arthritis; 3) correction of functional deformity; 4) revision procedures where other treatments or devices have failed; and 5) treatment of fractures that are unmanageable using other techniques.

Materials

The ADVANCE® femoral component is manufactured from cobalt chrome alloy. The tibial components are manufactured from ultra high molecular weight polyethylene.

Testing Summary

  • Submitted patella-femoral contact area testing demonstrates that the ADVANCE® knee system . component is comparable to the predicate device.
  • Submitted femoral-tibial contact area testing demonstrates that the ADVANCE® knee system . component is comparable to the predicate device.
  • Submitted patella-femoral lateral stability testing demonstrates that the ADVANCE® knee system . component resists lateral subluxation similar to the predicate device.
  • Submitted femoral-tibial constraint testing (anterior shear, posterior shear, medial shear, lateral . shear, and rotation) demonstrates that the ADVANCE® knee system component is expected to remain stable and resist displacement when subjected to appropriate physiological loads.
  • Submitted ultra high molecular weight polyethylene (UHMWPE) properties demonstrate that the . ADVANCE® polyethylene components should perform adequately.

1

Image /page/1/Picture/2 description: The image is a seal or logo. It features the text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" arranged in a circular fashion around a central emblem. The emblem consists of three stylized, curved lines that appear to be interconnected, possibly representing a symbol or abstract design.

SEP 2 9 1997

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Dan Reqan ·International Regulatory Affairs Manager Wright Medical Technology 5677 Airline Road Arlington, Tennessee 38002

Re: K972626 ADVANCE® Total Knee System Trade Name: Regulatory Class: II Product Code: JWH July 11, 1997 Dated: Received: July 14, 1997

Dear Mr. Regan:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). You may, therefore, market the device, subject to the general controls provisions The general controls provisions of the Act of the Act. include reguirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. ਸ substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirement, as set forth in the Quality System Requlation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic (QS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

2

Page 2 - Mr. Dan Regan

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4659. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,

Celia M. Witten, Ph.D., M

ia M. Witten, Ph.D., M.D. Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

3

C. Indications for Use of the Device

510(k) Number (if known):K972626
------------------------------------

ADVANCE® Total Knee System Tibial Insert and Femoral Device Name: Component

Indications for Use:

The ADVANCE® Total Knee System components are indicated for use in total knee arthroplasty for reduction or relief of pain and/or improved knee function in skeletally mature patients with the following conditions:

  • noninflammatory degenerative joint disease including osteoarthritis, 1) traumatic arthritis, or avascular necrosis;
    1. inflammatory degenerative joint disease including rheumatoid arthritis;
    1. correction of functional deformity;
    1. revision procedures where other treatments or devices have failed; and
  • treatment of fractures that are unmanageable using other techniques. ર)

These products are for use with cement only.

(Please do not write below this line-continue on another page if needed)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use X (Per 21 CFR 801.109) Or

Over-the-Counter Use

(Optional Format 1-2-96)

pucellz

(Division Sign-Off) Division of General Restorative Devices 510(k) Number.

00007