K Number
K980428
Device Name
BIOMET BIAXIAL TOTAL ELBOW
Manufacturer
Date Cleared
1998-05-05

(90 days)

Product Code
Regulation Number
888.3150
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Biomet Biaxial Total Elbow is indicated for use in Rheumatoid Arthritis, Non-Inflammatory Degenerative Joint Disease including Osteoarthritis and Avascular Necrosis, correction of severe functional deformity, revision procedures where other treatments or devices have failed., and treatment of acute or chronic fractures with humeral epicondyle involvement which are unmanageable using other treatment methods. This linked constrained elbow prosthesis is indicated for joints with both intact and limited soft tissue structures about the elbow. This device is a single use implant. It is intended for use with bone cement.
Device Description
The Biomet Biaxial Total Elbow Prosthesis is a constrained hinge elbow prosthesis used to replace the humeral-ulnar articulation of the human elbow. The implant consists of two main components, an ulnar and a humeral component which are ioined by a modular connecting piece. The biaxial elbow is a "loose hinge" type that has a parallel acting second axis of articulation between the ulnar and humeral stems. An inheirent characteristic of the biaxial articulation is that it can vary the anterior-posterior offset between the intramedullary stems. The Biaxial Elbow allows the stem offset to vary because of varying amounts of flexion between the displaced axes of the prosthesis. The humeral component is a titanium allov stem. The humeral stem incorporates a flange on the anterior side for additional fixation. A portion of the stem and flange are plasma sprayed coated. The remainer of the stem is a bead blast finish. The humeral component utilizes a polyethylene humeral bearing (saddle bearing) to prevent metal on metal contact with the connecting segment. The ulnar component is titanium alloy stem. A portion of the surface of the ulnar component is textured with a thin layer of Biomet's plasma spray coating (Bondcoat) and the remainer is a bead blast finish. The ulnar component utilizes a polyethylene ulnar bearing (saddle bearing) to prevent metal on metal contact with the connecting segment. The modular connecting segment is a cobalt chromium allov metallic piece with a polished finish. The connecting segment is joined to the humeral and ulnar stems by means of a sleeve bearing metal reinforcing rod and saddle bearing. The metal reinforcing rod or axle assembly is manufactured from cobalt chromium. The axles are sleeved by axle bearings, which are manufactured from ArCom® (ultra high molecular weight polyethylene (UHMWPE)). The axle retaining clips are manufactured from titanium alloy. The saddle bearings of the humeral and ulnar component are manufactured from Arcom.
More Information

Not Found

No
The device description focuses on the mechanical components and materials of a constrained hinge elbow prosthesis. There is no mention of software, algorithms, or data processing that would indicate the use of AI or ML.

Yes

The device is an elbow prosthesis designed to replace a damaged joint, which directly treats the conditions listed in the "Intended Use" section such as Rheumatoid Arthritis and Osteoarthritis, thereby providing a therapeutic benefit.

No

The device is an implantable prosthetic elbow, designed to replace the humeral-ulnar articulation of the human elbow. It is a treatment device, not a diagnostic one.

No

The device description clearly details physical components made of titanium alloy, cobalt chromium alloy, and polyethylene, indicating it is a hardware implant, not software.

No, 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 (like blood, urine, or tissue) to detect diseases, conditions, or infections.
  • Device Description: The provided text describes a surgical implant designed to replace the elbow joint. It is a physical device implanted into the body.
  • Intended Use: The intended use clearly states it's for treating conditions affecting the elbow joint through surgical implantation.

The device is a prosthetic implant, not a diagnostic test.

N/A

Intended Use / Indications for Use

The Biomet Biaxial Total Elbow is indicated for use in Rheumatoid Arthritis, Non-Inflammatory Degenerative Joint Disease including Osteoarthritis and Avascular Necrosis, correction of severe functional deformity, revision procedures where other treatments or devices have failed., and treatment of acute or chronic fractures with humeral epicondyle involvement which are unmanageable using other treatment methods. This linked constrained elbow prosthesis is indicated for joints with both intact and limited soft tissue structures about the elbow.

This device is a single use implant. It is intended for use with bone cement.

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

JDC

Device Description

The Biomet Biaxial Total Elbow Prosthesis is a constrained hinge elbow prosthesis used to replace the humeral-ulnar articulation of the human elbow. The implant consists of two main components, an ulnar and a humeral component which are ioined by a modular connecting piece.

The biaxial elbow is a "loose hinge" type that has a parallel acting second axis of articulation between the ulnar and humeral stems. An inheirent characteristic of the biaxial articulation is that it can vary the anterior-posterior offset between the intramedullary stems. The Biaxial Elbow allows the stem offset to vary because of varying amounts of flexion between the displaced axes of the prosthesis.

The humeral component is a titanium allov stem. The humeral stem incorporates a flange on the anterior side for additional fixation. A portion of the stem and flange are plasma sprayed coated. The remainer of the stem is a bead blast finish. The humeral component utilizes a polyethylene humeral bearing (saddle bearing) to prevent metal on metal contact with the connecting segment.

The ulnar component is titanium alloy stem. A portion of the surface of the ulnar component is textured with a thin layer of Biomet's plasma spray coating (Bondcoat) and the remainer is a bead blast finish. The ulnar component utilizes a polyethylene ulnar bearing (saddle bearing) to prevent metal on metal contact with the connecting segment.

The modular connecting segment is a cobalt chromium allov metallic piece with a polished finish. The connecting segment is joined to the humeral and ulnar stems by means of a sleeve bearing metal reinforcing rod and saddle bearing. The metal reinforcing rod or axle assembly is manufactured from cobalt chromium. The axles are sleeved by axle bearings, which are manufactured from ArCom® (ultra high molecular weight polyethylene (UHMWPE)). The axle retaining clips are manufactured from titanium alloy. The saddle bearings of the humeral and ulnar component are manufactured from Arcom.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

elbow

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)

Not Found

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.

Coonrad III Total Elbow (Zimmer, 510(k) #K883665), Osteonics Elbow Prosthesis (Osteonics Corp., 510(k) #K861680)

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

§ 888.3150 Elbow joint metal/polymer constrained cemented prosthesis.

(a)
Identification. An elbow joint metal/polymer constrained cemented prosthesis is a device intended to be implanted to replace an elbow joint. It is made of alloys, such as cobalt-chromium-molybdenum, or of these alloys and of an ultra-high molecular weight polyethylene bushing. The device prevents dislocation in more than one anatomic plane and consists of two components that are linked together. This generic type of device is limited to those prostheses intended for use with bone cement (§ 888.3027).(b)
Classification. Class II. The special controls for this device are:(1) FDA's:
(i) “Use of International Standard ISO 10993 ‘Biological Evaluation of Medical Devices—Part I: Evaluation and Testing,’ ”
(ii) “510(k) Sterility Review Guidance of 2/12/90 (K90-1),”
(iii) “Guidance Document for Testing Orthopedic Implants with Modified Metallic Surfaces Apposing Bone or Bone Cement,”
(iv) “Guidance Document for the Preparation of Premarket Notification (510(k)) Application for Orthopedic Devices,”
(v) “Guidance Document for Testing Non-articulating, ‘Mechanically Locked’ Modular Implant Components,”
(2) International Organization for Standardization's (ISO):
(i) ISO 5832-3:1996 “Implants for Surgery—Metallic Materials—Part 3: Wrought Titanium 6-Aluminum 4-Vandium Alloy,”
(ii) ISO 5832-4:1996 “Implants for Surgery—Metallic Materials—Part 4: Cobalt-Chromium-Molybdenum Casting Alloy,”
(iii) ISO 5832-12:1996 “Implants for Surgery—Metallic Materials—Part 12: Wrought Cobalt-Chromium-Molybdenum Alloy,”
(iv) ISO 5833:1992 “Implants for Surgery—Acrylic Resin Cements,”
(v) ISO 5834-2:1998 “Implants for Surgery—Ultra High Molecular Weight Polyethylene—Part 2: Moulded Forms,”
(vi) ISO 6018:1987 “Orthopaedic Implants—General Requirements for Marking, Packaging, and Labeling,”
(vii) ISO 9001:1994 “Quality Systems—Model for Quality Assurance in Design/Development, Production, Installation, and Servicing,” and
(viii) ISO 14630:1997 “Non-active Surgical Implants—General Requirements,”
(3) American Society for Testing and Materials':
(i) F 75-92 “Specification for Cast Cobalt-28 Chromium-6 Molybdenum Alloy for Surgical Implant Material,”
(ii) F 648-98 “Specification for Ultra-High-Molecular-Weight Polyethylene Powder and Fabricated Form for Surgical Implants,”
(iii) F 799-96 “Specification for Cobalt-28 Chromium-6 Molybdenum Alloy Forgings for Surgical Implants,”
(iv) F 981-93 “Practice for Assessment of Compatibility of Biomaterials (Nonporous) for Surgical Implant with Respect to Effect of Material on Muscle and Bone,”
(v) F 1044-95 “Test Method for Shear Testing of Porous Metal Coatings,”
(vi) F 1108-97 “Specification for Titanium-6 Aluminum-4 Vanadium Alloy Castings for Surgical Implants,”
(vii) F 1147-95 “Test Method for Tension Testing of Porous Metal Coatings, ” and
(viii) F 1537-94 “Specification for Wrought Cobalt-28 Chromium-6 Molybdenum Alloy for Surgical Implants.”

0

5 1000 MAY SUMMARY OF SAFETY AND EFFECTIVENESS

| Sponsor: | Biomet, Inc.
Airport Industrial Park
Warsaw, Indiana 46580 |
|------------------------------------------------|------------------------------------------------------------------|
| Device: | Biomet Biaxial Total Elbow |
| Classification Name:
prosthesis. (888.3150) | Elbow joint metal/polymer constrained cemented |

K980428Intended Use: The Biomet Biaxial Total Elbow is indicated for use in Rheumatoid Arthritis, Non-Inflammatory Degenerative Joint Disease including Osteoarthritis and Avascular Necrosis, correction of severe functional deformity, revision procedures where other treatments or devices have failed., and treatment of acute or chronic fractures with humeral epicondyle involvement which are unmanageable using other treatment methods. This linked constrained elbow prosthesis is indicated for joints with both intact and limited soft tissue structures about the elbow.

This device is a single use implant. It is intended for use with bone cement.

Device Description: The Biomet Biaxial Total Elbow Prosthesis is a constrained hinge elbow prosthesis used to replace the humeral-ulnar articulation of the human elbow. The implant consists of two main components, an ulnar and a humeral component which are ioined by a modular connecting piece.

The biaxial elbow is a "loose hinge" type that has a parallel acting second axis of articulation between the ulnar and humeral stems. An inheirent characteristic of the biaxial articulation is that it can vary the anterior-posterior offset between the intramedullary stems. The Biaxial Elbow allows the stem offset to vary because of varying amounts of flexion between the displaced axes of the prosthesis.

The humeral component is a titanium allov stem. The humeral stem incorporates a flange on the anterior side for additional fixation. A portion of the stem and flange are plasma sprayed coated. The remainer of the stem is a bead blast finish. The humeral component utilizes a polyethylene humeral bearing (saddle bearing) to prevent metal on metal contact with the connecting segment.

The ulnar component is titanium alloy stem. A portion of the surface of the ulnar component is textured with a thin layer of Biomet's plasma spray coating (Bondcoat) and the remainer is a bead blast finish. The ulnar component utilizes a polyethylene ulnar bearing (saddle bearing) to prevent metal on metal contact with the connecting segment.

The modular connecting segment is a cobalt chromium allov metallic piece with a polished finish. The connecting segment is joined to the humeral and ulnar stems by means of a sleeve bearing metal reinforcing rod and saddle bearing. The metal

Image /page/0/Picture/9 description: The image shows the number 000076 in a bold, sans-serif font. The numbers are black against a white background. The image is slightly tilted.

1

reinforcing rod or axle assembly is manufactured from cobalt chromium. The axles are sleeved by axle bearings, which are manufactured from ArCom® (ultra high molecular weight polyethylene (UHMWPE)). The axle retaining clips are manufactured from titanium alloy. The saddle bearings of the humeral and ulnar component are manufactured from Arcom.

Potential Risks: The potential risks associated with this device are the same as with any joint replacement device. These include, but are not limited to:

Reaction to bone cement Fracture of the components Cardiovascular disorders Implant loosening/migration Soft tissue imbalance Deformity of the joint Delayed wound healing Fracture of the cement Dislocation

  • Bone fracture Hematoma Blood vessel damage Nerve damage Excessive wear Infection Metal sensitivity Breakdown of porous surface
    Substantial Equivalence: In function and overall design Biomet's Biaxial Total Elbow is equivalent to almost all elbow joint metal/polymer constrained cemented prostheses on the market. Predicate devices include:

Coonrad III Total Elbow (Zimmer, 510(k) #K883665) Osteonics Elbow Prosthesis (Osteonics Corp., 510(k) #K861680)

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract image of an eagle with three human profiles incorporated into its design.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

5 1698 MAY

Deborah M. Matarazzo R.N., B.S.N. Clinical Research Specialist Biomet, Inc. P.O. Box 587 46581-0587 Warsaw, Indiana

Re : K980428 Biomet Biaxial Total Elbow Trade Name: Requlatory Class: III Product Code: JDC Dated: January 29, 1998 Received: February 4, 1998

Dear Ms. Matarazzo:

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 requirements 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 Requlations, 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 Regulation (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 Reqister. 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 requlations.

3

Page 2 - Deborah M. Matarazzo R.N., B.S.N.

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,

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

Enclosure

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Page 1 of 1

510(k) Number (if known): K980428

Device Name: Biomet Biaxial Total Elbow

Indications For Use: The Biaxial Hinge Total Elbow is indicated for use in Rheumatoid Arthritis, Non-inflammatory degenerative joint disease including osteoarthritis and avascular necrosis, correction of severe functional deformity, revision procedures where other treatments or devices have failed, and treatment of acute or chronic fractures with humeral epicondyle involvement which are unmanageable using other treatment methods. This linked constrained elbow prosthesis is indicated for joints with both intact and limited soft tissue structure about the elbow.

This device is a single use implant. It is intended for use with bone cement.

(PLEASE DO NOT WRITE BETON THIS LINE - CONTINUE ON ANOTHER PAGE IN NEEDED) Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use
(Per 21 CFR 801.109)

tcolly

Division Sign-Off)
Division of General Restorative Devices
10(k) Number. K980428