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510(k) Data Aggregation

    K Number
    K230078
    Manufacturer
    Date Cleared
    2023-11-03

    (297 days)

    Product Code
    Regulation Number
    888.3560
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The TRAX® CR Total Knee System is indicated for use:

    • In primary total knee arthroplasty (TKA) as a result of:
    • · Painful, disabling joint disease of the knee resulting from degenerative arthritis, rheumatoid arthritis or post-traumatic arthritis.
    • · Post-traumatic loss of knee joint configuration and function.
    • Moderate varus, valgus or flexion deformity in which the ligamentous structures can be returned to adequate function and stability.
    • In revision of previous osteotomy,
    • In revision of previous unsuccessful unicompartimental or femoro-patellar knee.
      The TRAX® CR Total Knee System is for single use only and is intended for implantation with bone cement only.
    Device Description

    The TRAX® CR Total Knee System belongs to the category of Cruciate Retaining (CR) total knee prostheses (only anterior-cruciate is sacrificed).
    The TRAX® CR Total Knee System is intended for use as a semi-constrained replacement system. It consists of a femoral component, a tibial implant and a patellar component. The tibial implant consists of two components: bearing insert and tibial baseplate. The patellofemoral joint may be preserved or resurfaced with the patellar resurfacing implant.
    The selection of the appropriate implants can be made by using the recommendations of the surgical technique and by using the x-ray templates and trial implants supplied with the instrumentation.

    AI/ML Overview

    The provided document is a 510(k) premarket notification for the TRAX® CR Total Knee System. This type of notification focuses on demonstrating substantial equivalence to a legally marketed predicate device, rather than providing extensive clinical study data and performance metrics against specific acceptance criteria like those often seen for AI/ML devices or novel technologies.

    Therefore, many of the requested details about acceptance criteria, device performance tables, sample sizes, expert ground truth, MRMC studies, standalone performance, and training set information are not applicable to this specific document or the type of regulatory submission it represents.

    However, I can extract the information that is present and indicate where the requested information is not provided.


    TRAX® CR Total Knee System: Substantial Equivalence Summary

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria (Bench Test Standard)Reported Device Performance (Summary)
    ASTM F1814-15 (Disassembly forces)Testing conducted according to FDA guidance documents.
    ASTM F1223-20 (Tibio-femoral constraint)Testing conducted according to FDA guidance documents.
    ASTM F2083-20 (Tibio-femoral contact stresses)Testing conducted according to FDA guidance documents.
    ISO 14243-1 (2009) (Tibio-femoral wear)Testing conducted according to FDA guidance documents.
    ASTM F1800-19 (Baseplate fatigue)Testing conducted according to FDA guidance documents.
    ASTM F1223-20 (Patello-Femoral Constraint)Testing conducted according to FDA guidance documents.
    ASTM F2083-21 (Patello-Femoral contact area stress)Testing conducted according to FDA guidance documents.
    ASTM F1800-19 (Stem interlock strength)Testing conducted according to FDA guidance documents.
    ASTM F2759-19 (Characterization of AXPE polyethylene)Testing conducted according to FDA guidance documents.
    ASTM F2052-2021 (MRI compatibility testing)Testing conducted according to FDA guidance documents.
    ISO 10993 (Biocompatibility testing)Testing conducted according to FDA guidance documents.
    [Implicit: Substantial Equivalence]"Amplitude considers the TRAX CR Total Knee System to be substantially equivalent to the predicate devices listed above. This conclusion is based upon the devices' similarities in principles of operation, technology, materials and indications for use."

    Explanation: The "acceptance criteria" here are the recognized FDA/international standards for mechanical and material testing of total knee systems. The "reported device performance" is a general statement indicating that testing was conducted per FDA guidance and that the device meets the criteria for substantial equivalence, implying it performed acceptably against these standards when compared to the predicate devices. Specific quantitative results are not provided in this summary.

    2. Sample Size Used for the Test Set and Data Provenance

    • Sample Size: Not applicable. This document refers to non-clinical bench testing, not clinical studies with patients. The sample sizes for the various mechanical and material tests (e.g., number of components tested for fatigue, wear, etc.) are implicitly defined by the referenced ASTM and ISO standards but are not explicitly reported in this summary.
    • Data Provenance: Not applicable. The data comes from bench testing, not patient data from a specific country or collected retrospectively/prospectively.

    3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications

    • Not applicable. This is a non-clinical submission. Ground truth for bench testing is established by the design of the test method and instrumentation to measure physical properties according to established standards.

    4. Adjudication Method for the Test Set

    • Not applicable. This is a non-clinical submission.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    • No. An MRMC study was not done. This type of study is typically for evaluating diagnostic or interpretive devices with human readers, which is not the case for a knee implant. The document explicitly states: "Clinical data and conclusions were not needed for this device."

    6. Standalone (Algorithm Only) Performance Study

    • Not applicable/No. This is a physical medical device (knee implant), not an algorithm or software-only device.

    7. Type of Ground Truth Used

    • For the non-clinical testing, the "ground truth" is based on engineering specifications and measurements conforming to the referenced ASTM and ISO standards. This includes properties like material strength, wear resistance, disassembly forces, and constraint.

    8. Sample Size for the Training Set

    • Not applicable. This is a physical medical device. The "training" in this context refers to the design and manufacturing process, which is established through engineering and quality control procedures, not through a 'training set' of data like in machine learning.

    9. How the Ground Truth for the Training Set Was Established

    • Not applicable. As above, this is a physical device. The device's design and manufacturing rely on established engineering principles, material science, and quality management systems (like 21 CFR Part 820), rather than a ground truth established for a data training set.
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    K Number
    K161414
    Manufacturer
    Date Cleared
    2017-01-19

    (241 days)

    Product Code
    Regulation Number
    888.3560
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The ANATOMIC® Total Knee System is indicated for use in total knee arthroplasty as a result of:

    • Painful, disabling joint disease of the knee resulting from degenerative arthritis, rheumatoid arthritis or post-traumatic arthritis;
    • Post-traumatic loss of knee joint configuration 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.

    The ANATOMIC® Total Knee System is for single use only and is intended for implantation with bone cement only.

    Device Description

    The ANATOMIC® Total Knee System belongs to the category of sliding posterior-stabilized total knee prostheses (PS, posterior-cruciate substituting).

    The ANATOMIC® Total Knee System is intended for use as a semi-constrained replacement system. It consists of a femoral implant, a tibial implant and a patellar implant. The tibial implant consists of two components: tibial insert and tibial baseplate. The patellofemoral joint may be preserved or resurfaced with the patellar resurfacing implant.

    The femoral implant comes in right and left versions and in various sizes. The tibial baseplate and tibial insert are symmetrical and can be used both for right and left sides. The tibial baseplate comes in various sizes. The tibial insert is available in various sizes and thicknesses.

    The nominal size of the insert includes the thickness of the tibial baseplate. The standard keel (supplied in the tibial baseplate packaging) must be mounted and blocked on the implant by the surgeon before implantation.

    The components are for cemented used only.

    The selection of the appropriate implants can be made by using the recommendations of the surgical technique and by using the x-ray templates and trial implants supplied with the instrumentation.

    AI/ML Overview

    Please note: The provided document describes the ANATOMIC® Total Knee System, which is a medical device (knee prosthesis). The request asks for information relevant to "AI/ML powered device" or "software" performance criteria. Since this document is for a mechanical implant and not an AI/ML powered device, many of the requested fields (like "AI vs without AI assistance," "number of experts for ground truth," "adjudication method," "sample size for training set," etc.) are not applicable and thus couldn't be extracted from the provided text.

    Based on the provided document, here's an analysis of the acceptance criteria and study information for the ANATOMIC® Total Knee System:

    1. Table of acceptance criteria and the reported device performance

    The document does not explicitly present a table of quantitative acceptance criteria with corresponding performance results in the format typically used for software or AI/ML devices. Instead, it refers to a "substantial equivalence" conclusion based on a comparison to predicate devices and adherence to relevant standards through non-clinical testing.

    The comparison table (Table 1 on pages 4-6) lists numerous characteristics and states "YES" under the "Substantial equivalence?" column for each feature, indicating that the device's characteristics are considered equivalent to the predicate devices.

    Key areas covered by the non-clinical testing for substantial equivalence:

    Acceptance Criteria Category (Derived from Testing Type)Reported Device Performance (as implied by "Substantial Equivalence")
    Tibial Baseplate FatigueMet required fatigue strength per FDA guidance.
    Insert (post) FatigueMet required fatigue strength per FDA guidance.
    WearDemonstrated acceptable wear characteristics.
    Range of MotionAchieved intended range of motion (High flexion = 130° max).
    Constraints Femoro-TibialDemonstrated appropriate femoro-tibial constraints.
    Constraints Patello-FemoralDemonstrated appropriate patello-femoral constraints.
    Contact Area/Stress Femoro-TibialExhibited acceptable contact area and stress distribution.
    Contact Area/Stress Patello-FemoralExhibited acceptable contact area and stress distribution.
    Interlock Strength insert/BaseplateDemonstrated sufficient interlock strength.
    UHMWPE Material PropertiesConformed to test standards (ISO 5834-2, ASTM F648 for predicates).
    Galvanic Effect on CorrosionAssessed and demonstrated conformity to relevant standard.

    2. Sample size used for the test set and the data provenance

    The document describes non-clinical laboratory testing, not human patient data. Therefore, concepts like "test set sample size" (in terms of patients) and "data provenance" (country of origin, retrospective/prospective) are not applicable in the context of this device. The tests are performed on physical samples of the device components.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    Not applicable. Ground truth, in the context of this document, refers to physical measurements and engineering standards, not expert evaluation of clinical data.

    4. Adjudication method for the test set

    Not applicable. This concept applies to human reader studies or clinical trials, not non-clinical laboratory testing of a mechanical implant.

    5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

    Not applicable. This is a mechanical implant, not an AI/ML powered device.

    6. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done

    Not applicable. This is a mechanical implant, not an AI/ML powered device.

    7. The type of ground truth used

    The ground truth for the non-clinical tests is based on established engineering standards and regulatory guidance (e.g., FDA Guidance Class II/Special Controls Guidance Document Knee Joint Patellofemorotibial and Femorotibial Metal/Polymer Porous-Coated Uncemented Prostheses; Guidance for Industry and FDA, issued January 16, 2003, and test standards for materials like ISO 5832-4, ASTM F75, ISO 5834-2, ASTM F648).

    8. The sample size for the training set

    Not applicable. This is a mechanical implant; there is no "training set" in the AI/ML sense. The "training" in manufacturing would refer to design, material selection, and process validation, which are not typically quantified by a "sample size" in this context.

    9. How the ground truth for the training set was established
    Not applicable, for the same reasons as point 8.

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