MAKO SURGICAL CORP. UNICONDYLAR KNEE IMPLANT SYSTEM II

K080368 · Mako Surgical Corp. · HSX · Jun 20, 2008 · Orthopedic

Device Facts

Record IDK080368
Device NameMAKO SURGICAL CORP. UNICONDYLAR KNEE IMPLANT SYSTEM II
ApplicantMako Surgical Corp.
Product CodeHSX · Orthopedic
Decision DateJun 20, 2008
DecisionSESE
Submission TypeTraditional
Regulation21 CFR 888.3520
Device ClassClass 2
AttributesTherapeutic

Intended Use

MAKO Surgical Corp. Unicondylar Knee Implant System II components are for use in unicompartmental knee arthroplasty as a result of: - Moderately disabling joint disease of the knee resulting from painful osteo- or post traumatic arthritis - Revision of previous unsuccessful unicompartmental knee replacement - As an alternative to tibial osteotomy in patients with unicompartmental osteoarthritis These components are single use only and are intended for implantation with bone cement.

Device Story

Unicompartmental knee arthroplasty system; consists of CoCr femoral condyle component, titanium tibial baseplate, and UHMWPE tibial inlay/onlay inserts. Femoral component features polished articular surface, cement pocket, and fixation pegs; allows 155° flexion. Tibial onlay components utilize interlocking mechanism; tibial inlay features waffle pattern and peripheral cement channel for fixation. Intended for cemented, single-use implantation. Used by orthopedic surgeons in clinical settings to treat unicompartmental knee disease. Provides mechanical replacement of joint surfaces to reduce pain and restore function.

Clinical Evidence

Bench testing only. No clinical data provided.

Technological Characteristics

Materials: CoCr (femoral), Titanium (baseplate, radiographic marker), UHMWPE (inlays). Sterilization: Gamma radiation (implants), steam (instruments). Design: Non-constrained, cemented, metal/polymer knee prosthesis. 8 sizes available for femoral and tibial components.

Indications for Use

Indicated for patients with moderately disabling knee joint disease due to painful osteoarthritis or post-traumatic arthritis, patients requiring revision of unsuccessful unicompartmental knee replacement, or patients with unicompartmental osteoarthritis as an alternative to tibial osteotomy.

Regulatory Classification

Identification

A knee joint femorotibial metal/polymer non-constrained cemented prosthesis is a device intended to be implanted to replace part of a knee joint. The device limits minimally (less than normal anatomic constraints) translation in one or more planes. It has no linkage across-the-joint. This generic type of device includes prostheses that have a femoral condylar resurfacing component or components made of alloys, such as cobalt-chromium-molybdenum, and a tibial component or components made of ultra-high molecular weight polyethylene and are intended for use with bone cement (§ 888.3027).

Predicate Devices

Related Devices

Submission Summary (Full Text)

{0}------------------------------------------------ K080368 *1/1 JUN 2 0 2008 2555 Davie Road • Ft. Lauderdale, EL 33317 • Phone 954.927.2044 • Fax 954.927.0446 • www.makosurglcal.com ## 510(K) SUMMARY | Submitter: | MAKO Surgical Corp. | |----------------------------|-----------------------------------------------------------------------------------------| | Address: | 2555 Davie Road, Fort Lauderdale, FL 33317 | | Phone number / Fax Number: | (Ph) 954-927-2044 x 605; (F) 954-927-0446 | | Contact Person: | William F. Tapia | | Date Prepared: | May 15, 2008 | | Proprietary Name: | MAKO Surgical Corp. Unicondylar Knee Implant System II | | Common Name: | Unicondylar Knee System | | Classification Name / #: | Class II; 21 CFR 888.3520 | | Product Code: | 87 HSX - Knee Joint Femorotibial, Metal/Polymer Non-Constrained, Cemented<br>Prosthesis | Substantial Equivalence: The MAKO Surgical Corp. Unicondylar Knee Implant System II is substantially equivalent to Zimmer Unicompartmental Knee System K033363; Stryker ElUS, K992287 & K033769; Encore EPIK Uni Knee System K020741 & K022437; Biomet Repicci II Unicondylar Knee, K971938; MAKO Surgical Corp. Unicondylar Knee Implant System K060017 & K073248. | Feature | MAKO Surgical Corp. Unicondylar Knee Implant System II | |-----------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | Implant Components | Femoral component Tibial inlay component Radiographic marker in tibial inlay component Tibial onlay insert component Tibial baseplate | | Sizes | Femoral components are available in 8 sizes. Tibial components are available in 8 sizes | | Materials | Femoral component - CoCr Tibia Inlay component - UHMWPE Radiographic marker in tibial inlay component-- Titanium wire Tibia onlay insert component - UHMWPE Tibial Baseplate - Titanium | | Instrumentation | Provided separately in a re-usable/sterilizable tray. Tray includes various tools<br>(e.g., femoral trials, tibial insert and baseplate trials, impactors, inserters, extractors) used during surgery. | | Sterilization and Packaging | Sterilization: Femoral and tibial components - gamma radiation Instrumentation - steam sterilization Packaging: Both femoral and tibial components are supplied in double sealed containers maintaining double sterile barriers. | | Biocompatibility | Both devices are made of materials for surgical implant applications per recognized ASTM standards. | Description: This device consists of a CoCMo femoral condyle component, a titanium baseplate, and ultra-high molecular weight polyethylene tibial onlay and inlay components have been designed to fit the medial and lateral compartments and are intended for cemented, one-time use only. The femoral condyle component features a polished articular surface, a cement pocket, and 2 fixation pegs. The design of the fenoral condyle component allows for up to 155° flexion. The tibial components consist of a tibial onlay (tibial baseplate and tibial onlay insert) and a tibial inlay insert. The tibial onlay components snap together with an interlocking mechanism. The tibial inlay insert contains a waffle pattern on the bottom side and a peripheral cement channel to enhance fixation when cemented in the tibia. Intended Use/Indications for Use: MAKO Surgical Corp. Unicondylar Knee Implant System II components are for use in unicompartmental knee arthroplasty as a result of: - Moderately disabling joint disease of the knee resulting from painful osteo- or post traumatic arthritis � - Revision of previous unsuccessful unicompartmental knee replacement � - As an alternative to tibial osteotomy in patients with unicompartmental osteoarthrifis � These components are single use only and are intended for implantation with bone cement. {1}------------------------------------------------ Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized graphic of three horizontal lines curving upwards on the right side. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the graphic. Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850 ## JUN 2 0 2008 MAKO Surgical Corp. % William F. Tapia 2555 Davie Road Ft. Lauderdale, FL 33317 Re: K080368 Trade/Device Name: MAKO Surgical Corp. Unicondylar Knee Implant System II Regulation Number: 21 CFR 888.3520 Regulation Name: Knee joint femorotibial metal/polymer, non-constrained cemented prosthesis Regulatory Class: Class II Product Code: HSX Dated: June 16, 2008 Received: June 17, 2008 Dear Mr. Tapia: 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. 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. If your device is classified (see above) into either class II (Special Controls) or class III (PMA), 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 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 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050. {2}------------------------------------------------ Page 2 - William F. Tapia This letter will allow you to begin marketing your device as described in your Section 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), please contact the Center for Devices and Radiological Health's (CDRH's) Office of Compliance at (240) 276-0120. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at 240-276-3474. For questions regarding of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at 240-276-3464. You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html. Sincerely yours, Mark M. Millman Mark N. Melkerson Director Division of General. Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health Enclosure {3}------------------------------------------------ MAKO SURGICAL CORP. K080368 2555 Davie Road . • .Et. Lauderdale, FL 33317 . • Phone 954.927.0446 • www.makosurgical.com ## INDICATIONS FOR USE 510(k) Number (if known): Device Name: MAKO Surgical Corp. Unicondylar Knee Implant System II Indications for Use: MAKO Surgical Corp. Unicondylar Knee Implant System II components are for use in unicompartmental knee arthroplasty as a result of: - Moderately disabling joint disease of the knee resulting from painful osteo- or post traumatic � arthritis - � Revision of previous unsuccessful unicompartmental knee replacement - As an alternative to tibial osteotomy in patients with unicompartmental osteoarthritis � These components are single use only and are intended for implantation with bone cement. Prescription Use (Part 21 CFR 801 Subpart D) AND/OR Over-the-Counter Use (21 CFR 801 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED) Neil P Concurrence of CDRH, Office of Device Evaluation (ODE) for mxm eral, Restorative, and Neurological Devices 510(k) Number K080368
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