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510(k) Data Aggregation
(70 days)
The Triathlon® CS (Condylar Stabilizing) Lipped Insert is intended for use in primary and revision total knee arthroplasty to alleviate pain and restore function. The Triathlon® CS (Condylar Stabilizing) Lipped Inserts will be provided sterile and are for single use only.
Indications For Use:
- Painful, disabling joint disease of the knee resulting from: noninflammatory . degenerative joint disease (including osteoarthritis, traumatic arthritis or avascular necrosis), or rheumatoid 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
- Fracture of the distal femur and/or proximal tibia that cannot be stabilized by standard . fracture management techniques
The Triathlon® CS (Condylar Stabilizing) Lipped Insert is compatible with the standard Triathlon® CR (Cruciate Retaining) and Triathlon® PS (Posterior Stabilizing) femoral components as well as the Triathlon® Primary Cemented, Triathlon® Beaded Baseplates, the Triathlon® Universal Baseplate and the Triathlon® Low-Profile Baseplate. The Triathlon® CS Lipped Insert features a similar anterior constraint to the Triathlon® CR insert which allows the surgeon to retain or sacrifice the Posterior Cruciate Ligament (PCL).
The provided document is a 510(k) Summary for a medical device called the Triathlon® CS (Condylar Stabilizing) Lipped Insert. This document is related to a knee implant component, not an AI/ML-driven diagnostic or prognostic device. Therefore, much of the information requested in your prompt regarding AI/ML study design (such as sample sizes for test/training sets, data provenance, expert adjudication, MRMC studies, standalone performance, and ground truth establishment) is not applicable.
The document focuses on establishing substantial equivalence to existing legally marketed predicate devices, which is the regulatory pathway for this type of medical device.
Here's an analysis based on the available information:
1. Table of Acceptance Criteria and Reported Device Performance
For this specific device (a knee implant component), the "acceptance criteria" are demonstrated through substantial equivalence to predicate devices, focusing on design, materials, and operational principles, rather than performance metrics typically seen in AI/ML studies (like sensitivity, specificity, or AUC). The reported "performance" relates to its physical characteristics and how they compare to established implants.
Acceptance Criterion (Demonstrates Substantial Equivalence to Predicates) | Reported Device Performance (Comparison) |
---|---|
Intended Use (Primary and revision total knee arthroplasty to alleviate pain and restore function) | States intended use is "substantially equivalent to other modular tibial inserts" |
Design (Lipped insert compatible with specific femoral and baseplate components, similar anterior constraint to Triathlon® CR insert allowing PCL retention/sacrifice) | Compared to Duracon® CS Lipped Tibial Insert, Triathlon® CR Tibial insert, and Triathlon® PS insert. "Range of Constraint and Contact Area/Peak Stress was presented to compare to other tibial inserts on the market." |
Materials (Polymer) | States materials are "substantially equivalent to other modular tibial inserts" |
Operational Principles (Mechanism of action within the knee joint) | States operational principles are "substantially equivalent to other modular tibial inserts" |
Biomechanical Performance (Range of Constraint, Contact Area/Peak Stress) | "The results demonstrate that the subject components are substantially equivalent to the predicate components." (Specific values are not provided in this summary) |
2. Sample Size for Test Set and Data Provenance
Not applicable for this type of submission. This is a medical device (implant) and its equivalence isn't typically demonstrated through a "test set" of patient data in the way an AI/ML algorithm would be. The "test" for this device involves engineering analysis, material testing, and potentially bench testing, not clinical data sets for performance evaluation against a ground truth.
3. Number of Experts Used to Establish Ground Truth and Qualifications
Not applicable. There is no "ground truth" establishment in the context of clinical images or data for this engineering-focused substantial equivalence. The "experts" involved would be engineers, materials scientists, and regulatory specialists evaluating the design and testing of the implant.
4. Adjudication Method for the Test Set
Not applicable.
5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study
Not applicable. This is not an AI/ML device that assists human readers.
6. Standalone Performance Study
While the device undergoes extensive standalone engineering and material testing (e.g., fatigue testing, wear testing, range of motion, contact stress analysis), these are not presented as "standalone performance" in the context of an algorithm's output. The summary explicitly states: "Range of Constraint and Contact Area/Peak Stress was presented to compare to other tibial inserts on the market." This indicates engineering performance testing was conducted, but specific details or test results are not provided in this regulatory summary.
7. Type of Ground Truth Used
The "ground truth" in this context is the established performance and safety of the predicate devices and fundamental engineering and biomechanical principles for knee implants. Compliance with these established standards and the demonstrated equivalence to existing safe and effective devices serve as the basis for regulatory acceptance.
8. Sample Size for the Training Set
Not applicable.
9. How the Ground Truth for the Training Set Was Established
Not applicable.
Summary Conclusion for this Specific Device:
This 510(k) summary demonstrates the substantial equivalence of the Triathlon® CS (Condylar Stabilizing) Lipped Insert to predicate devices, thereby establishing its safety and effectiveness without needing extensive new clinical trials or AI-specific performance metrics. The "study" here refers to the comparative analysis of its design, materials, and biomechanical properties against legally marketed knee implant components, conforming to engineering standards and principles rather than statistical performance on patient data.
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