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510(k) Data Aggregation

    K Number
    K090375
    Date Cleared
    2009-06-23

    (126 days)

    Product Code
    Regulation Number
    882.4560
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Orthopilot® Next Generation Navigation Platform is a system for computer-aided navigation of surgical instruments. Its purpose is to position endoprosthesis in arthroplasty in the patient. It aids the surgeon in accurately positioning the cutting guides, drills and reamers for endoprosthesis replacement surgery(such as total knee, revision knee, unicondylar knee, and total hip systems) and provides intraoperative measurements of bone alignment. It indicates angles and positions for implant placement.

    Device Description

    Aesculap's OrthoPilot Next Generation is a computer assisted surgical navigation system that uses proprietary software to provide optimal anatomical information to a surgeon. The hardware in the system consists of the following primary components: stereotaxic camera, computer (w/ monitors), rigid bodies (transmitters), power supply, various tagged instruments, an ultrasound module, transport cart and stand. The computer accepts input from the transmitters on the rigid bodies either mounted to the patients bones or mobile to palpate anatomical landmarks in conjunction with a camera to monitor the spatial location of the transmitters in relation to each other and/or instruments. The computer also can accept spatial input for anatomical landmarks from an ultrasound unit.

    AI/ML Overview

    The provided text is a 510(k) summary for the Aesculap Orthopilot Next Generation, a surgical navigation platform. It states that "No applicable performance standards have been promulgated under FDCA Section 514 for this system" and that "The previously cleared software modules were developed in accordance with Aesculap's internal SOP's as well as CDRH's 'General Principles of Software Validation, Final Guidance for Industry and FDA Staff.'"

    Therefore, the document does not contain the information requested regarding specific acceptance criteria, a study proving device performance against those criteria, sample sizes, expert qualifications, adjudication methods, MRMC studies, standalone performance, or details on ground truth for training or test sets.

    The submission focuses on establishing substantial equivalence to a previously cleared device (Orthopilot Total Knee Arthroscopy software module, K080547) rather than providing detailed performance study data for the Orthopilot Next Generation.

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    K Number
    K080547
    Date Cleared
    2008-05-23

    (85 days)

    Product Code
    Regulation Number
    882.4560
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Orthopilot® Next Generation Navigation Platform is a system for computer-aided navigation of surgical instruments. Its purpose is to optimally position endoprosthesis in arthroplasty in the patient. It aids the surgeon in accurately positioning the cutting guides, drills and reamers for total endoprosthesis replacement surgery and provides intraoperative measurements of bone alignment. It indicates optimized angles and positions for implant placement.

    Device Description

    Aesculap's OrthoPilot Next Generation is a computer assisted surgical navigation system that uses proprietary software to provide optimal anatomical information to a surgeon. The hardware in the system consists of the following primary components: stereotaxic camera, computer (w/ monitors), rigid bodies (transmitters), power supply, various taqged instruments, an ultrasound module, transport cart and stand. The computer accepts input from the transmitters on the rigid bodies either mounted to the patients bones or mobile to palpate anatomical landmarks in conjunction with a camera to monitor the spatial location of the transmitters in relation to each other and/or instruments. The computer also can accept spatial input for anatomical landmarks from an ultrasound unit. The software modules for the OrthoPilot Next Generation consist of modules for both a knee suite and a hip suite.

    AI/ML Overview

    The provided text is a 510(k) summary for the Aesculap Orthopilot Next Generation, a surgical navigation platform. It does not contain information about specific acceptance criteria, a study proving device performance against such criteria, sample sizes for test or training sets, ground truth establishment details, expert qualifications, or MRMC study results. The document primarily focuses on establishing substantial equivalence to a predicate device based on hardware upgrades, with the software remaining unchanged from a previously cleared version.

    Therefore, most of the requested information cannot be extracted from this document.

    Here's a summary of what can be extracted:

    Acceptance Criteria and Device Performance

    The document does not specify quantitative acceptance criteria or report device performance against such criteria. The basis for clearance is substantial equivalence.

    Study Details

    The document does not describe a clinical study or performance study that would entail acceptance criteria, sample sizes, ground truth, or expert involvement as described in the prompt.

    Information Not Found in the Document:

    • Acceptance Criteria Table: No specific quantitative acceptance criteria are listed.
    • Reported Device Performance: No performance metrics are provided.
    • Sample size for the test set: Not mentioned.
    • Data provenance (country of origin, retrospective/prospective): Not mentioned.
    • Number of experts and qualifications for ground truth: Not mentioned.
    • Adjudication method for the test set: Not mentioned.
    • Multi-reader multi-case (MRMC) comparative effectiveness study: Not mentioned.
    • Effect size of human reader improvement with AI vs. without AI assistance: Not applicable as no such study is described.
    • Standalone (algorithm only) performance study: Not mentioned.
    • Type of ground truth used (expert consensus, pathology, outcomes data, etc.): Not mentioned.
    • Sample size for the training set: Not mentioned.
    • How the ground truth for the training set was established: Not mentioned.

    What is mentioned:

    The document states that a "Performance Data" section is included, but it focuses on compliance with promulgated standards and software development principles, rather than clinical performance metrics.

    • "No applicable performance standards have been promulgated under FDCA Section 514 for this system."
    • "The previously cleared software modules were developed in accordance with Aesculap's internal SOP's as well as CDRH's 'General Principles of Software Validation; Final Guidance for Industry and FDA Staff.'"
    • The device complies with:
      • IEC 60601-1 (International Electrotechnical Commission: Medical Electrical Equipment, Part 1: General Requirements for Safety)
      • IEC 60601-1-2 (International Electrotechnical Commission: Medical Electrical Equipment, General Requirements for Safety: Electromagnetic Compatibility - Requirements and Tests)

    The basis for clearance is "Substantial Equivalence" to the Aesculap OrthoPilot 2 system (cleared in K013569). The key point for substantial equivalence is that "The OrthoPilot Next Generation navigation system merely represents an across the board upgrade in hardware technology and connectivity" and "The software that has been previously cleared for OrthoPilot 2 is compatible with OrthoPilot Next Generation and remains unchanged." This implies that clinical performance studies were not deemed necessary for this 510(k) clearance due to the software being identical to a previously cleared version and the changes being hardware-only.

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    K Number
    K072899
    Date Cleared
    2008-02-06

    (118 days)

    Product Code
    Regulation Number
    882.4560
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Orthopilot® 2 Navigation Platform is a system for computer-aided navigation of surgical instruments. Its purpose is to optimally position endoprosthesis in arthroplasty such as the Search Evolution Knee system and the Gem Knee system in the patient. It aids the surgeon in accurately positioning the cutting guides, drills and reamers for total endoprosthesis replacement surgery and provides intraoperative measurements of bone alignment. It indicates optimized angles and positions for implant placement.

    Device Description

    The Total Hip Arthroplasty (THA) software module version 3.0 is an upgrade to the THA version 2.0 that was cleared for the Aesculap Orthopilot 2. It is designed to provide computer aided navigation for total hip arthroplasty using Aesculap's Orthopilot 2 platform. The Orthopilot 2 uses transmitters that are mounted to the patients bones, or are mobile to palpate anatomical landmarks in conjunction with a camera to monitor the spatial location of the transmitters in relation to each other and/or instruments. THA version 3.0 also allows for the use of ultrasound to provide data for anatomical landmarks.

    AI/ML Overview

    The provided text describes an upgrade to a surgical navigation system, the Aesculap Orthopilot 2 THA V 3.0, and its substantial equivalence to a previously cleared device. However, it does not contain specific performance data, acceptance criteria, or details of a study that would prove the device meets such criteria.

    The document primarily focuses on:

    • Device Description and Indications for Use: Explaining what the device does (computer-aided navigation for total hip arthroplasty) and its upgrades (THA version 3.0, ultrasound data integration).
    • Regulatory Compliance: Mentioning adherence to Aesculap's internal SOPs and FDA guidance, as well as recognized international standards (IEC 60601-1, IEC 60601-1-2) for safety and electromagnetic compatibility.
    • Substantial Equivalence: Stating that the device is substantially equivalent to its predecessor (THA Module 2.0, K050752), which was cleared based on its equivalence to an even earlier version (THA Module 1.0, K013569). This is the primary method of demonstrating safety and effectiveness in a 510(k) submission when no applicable performance standards have been promulgated.

    Therefore, I cannot provide the requested information in the table format or answer the specific questions about acceptance criteria, study details, sample sizes, ground truth establishment, or expert involvement, as this information is not present in the provided text.

    The document explicitly states under "PERFORMANCE DATA": "No applicable performance standards have been promulgated under FDCA Section 514 for this system." This indicates that the FDA did not require specific performance testing against predefined external standards to grant market clearance for this particular device upgrade as a 510(k). Instead, clearance was based on demonstrating substantial equivalence to a legally marketed predicate device.

    To answer your questions, one would need to refer to the original 510(k) submissions (K050752 and K013569) for the predicate devices, or other documentation that might contain detailed performance testing if such testing was performed internally by the manufacturer and submitted as part of the equivalence argument.

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    K Number
    K021327
    Manufacturer
    Date Cleared
    2002-07-25

    (90 days)

    Product Code
    Regulation Number
    882.4560
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Orthopilot® HTO module is designed to assist an orthopedic surgeon to navigate the two bone cuts to form the wedge for correction of the leg axis.

    Device Description

    Orthopilot® HTO (High Tibia Osteotomy) module uses transmitters that are mounted to the patients bones, or are flexible to palpate landmarks and a camera to monitor the spatial location of those transmitters in relation to each other and the medical instruments. These locations are used to locate the centers of rotation of the femur head, ankle and knee. These measurements allow for greater accuracy than mechanical methods of ascertaining cutting angles. The HTO module is only a tool to navigate the instruments for the bone cuts. It is not linked to any specific implant.

    AI/ML Overview

    The provided document is a 510(k) summary for the Aesculap Orthopilot® HTO module, indicating its purpose is to gain marketing clearance. However, it explicitly states there are no performance standards for such devices and references conformity to applicable ASTM and ISO standards generally. No specific acceptance criteria or detailed study results are included in this document to demonstrate the device meets any particular performance criteria.

    Therefore, the following information cannot be extracted from the provided text:

    • A table of acceptance criteria and the reported device performance
    • Sample sized used for the test set and the data provenance
    • Number of experts used to establish the ground truth for the test set and the qualifications of those experts
    • Adjudication method for the test set
    • If a multi-reader multi-case (MRMC) comparative effectiveness study was done, and if so, what was the effect size of how much human readers improve with AI vs without AI assistance
    • If a standalone (i.e. algorithm only without human-in-the-loop performance) was done
    • The type of ground truth used
    • The sample size for the training set
    • How the ground truth for the training set was established

    The document primarily focuses on establishing substantial equivalence to existing devices (Orthopilot® 2 Navigation Platform, Kinamed Orthopilot®, Stryker Navigation System-Knee Module, Brainlab Vector Vision Knee) rather than presenting a detailed performance study with specific metrics and acceptance criteria.

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    K Number
    K013569
    Device Name
    ORTHOPILOT 2
    Manufacturer
    Date Cleared
    2002-04-04

    (157 days)

    Product Code
    Regulation Number
    882.4560
    Reference & Predicate Devices
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Orthopilot® 2 Navigation Platform is a system for computer-aided navigation of surgical instruments. Its purpose is to optimally position endoprosthesis in arthroplasty such as the Search Evolution Knee system and the Gem Knee system in the patient. It aids the surgeon in accurately positioning the cutting guides, drills and reamers for total endoprosthesis replacement surgery and provides intraoperative measurements of bone alignment. It indicates optimized angles and positions for implant placement. (Does not include an indication for High Tibial Osteotomy (HTO) module).

    Device Description

    Orthopilot® 2 Navigation Platform uses transmitters that are mounted to the patients bones, or are flexible to palpate landmarks and a camera to monitor the spatial location of those transmitters in relation to each other and the medical instruments. These locations are used to locate the centers of rotation of the femur head, ankle, knee. These measurements allow for greater accuracy than mechanical methods of ascertaining implantation sites and positions.

    AI/ML Overview

    The provided text does not contain any information about acceptance criteria or a study proving the device meets acceptance criteria.

    The document is a 510(k) premarket notification for the Orthopilot 2 Navigation Platform. It focuses on regulatory compliance, device description, indications for use, and substantial equivalence to previously cleared devices.

    Therefore, I cannot fulfill your request for the following information based on the provided text:

    1. A table of acceptance criteria and the reported device performance
    2. Sample size used for the test set and the data provenance
    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts
    4. Adjudication method for the test set
    5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, and its effect size
    6. If a standalone performance (i.e. algorithm only without human-in-the-loop performance) was done
    7. The type of ground truth used
    8. The sample size for the training set
    9. How the ground truth for the training set was established

    The document primarily states that the Orthopilot 2 Navigation Platform complies with general safety and electromagnetic compatibility standards (IEC 60601-1, IEC 60601-1-2, CAN/CSA-C22.2 No. 601.1-M90), but these are performance standards for electrical and medical equipment safety, not clinical performance acceptance criteria for the navigation system's accuracy or efficacy in positioning endoprostheses. The FDA's letter also indicates that no applicable performance standards have been promulgated under Section 514 specifically for this device system.

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    K Number
    K003347
    Device Name
    ORTHOPILOT
    Manufacturer
    Date Cleared
    2001-02-23

    (121 days)

    Product Code
    Regulation Number
    882.4560
    Reference & Predicate Devices
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use
    Device Description
    AI/ML Overview
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