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510(k) Data Aggregation

    K Number
    K173445
    Manufacturer
    Date Cleared
    2018-02-02

    (88 days)

    Product Code
    Regulation Number
    888.3560
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K161559

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Pin Placement Guides

    The Materialise TKA Guide System is intended to be used as a surgical instrument to assist in the intra-operative positioning of total knee replacement components and in guiding the marking of bone before cutting.

    The Materialise TKA Guide System must be used in conjunction with the Zimmer NexGen CR-Flex fixed bearing, Zimmer NexGen CR fixed bearing, Zimmer NexGen LPS-Flex fixed bearing, Zimmer NexGen LPS fixed bearing, Zimmer Gender Solutions Natural - Knee Flex fixed bearing, Zimmer Persona™ CR fixed bearing, Zimmer Persona™ PS fixed bearing, Zimmer Persona™ Trabecular Metal™, Vanguard® Complete Knee System, Vanguard® SSK Revision Knee System, Regenerex® Primary Tibial System, Offset & Microplasty Tibial Systems, Maxim® Complete Knee System, Ascent™ Total Knee System, AGC® Complete Knee System, Lima Physica PS System Knee System, Lima Physica CR Knee System, Lima Physica KR Knee System, Omni Apex PS prostheses families only.

    The Materialise TKA Guides are intended for single use only.

    Cut-Through Guides

    The Materialise TKA Guide System is intended to be used as a surgical instrument to assist in the intra-operative positioning of total knee replacements and in guiding the marking of bone before cutting of the bone.

    The Materialise TKA Guide System must be used in conjunction with Vanguard™ Complete Knee System, Vanguard™ SSK 360, Vanguard™ SSK Revision Knee System, Regenerex™ Primary Tibial System, Offset & Microplasty™ Tibial Systems, Maxim™ Complete Knee System, Ascent™ Total Knee System and AGC™ Complete Knee system prostheses families only

    The Materialise TKA Guides are intended for single use only.

    Device Description

    Materialise TKA Guides are patient-specific medical devices that are designed to implant total knee prosthesis during total knee arthroplasty surgical procedures.

    The Materialise TKA Guides must only be used in conjunction with the Zimmer NexGen CR-Flex fixed bearing, Zimmer NexGen CR fixed bearing, Zimmer NexGen LPS-Flex fixed bearing, Zimmer NexGen LPS fixed bearing, Zimmer Gender Solutions Natural - Knee Flex fixed bearing, Zimmer Persond™ CR fixed bearing, Zimmer Persong™ PS fixed bearing, Zimmer Persona ™ Trabecular Metal ™, Vanguard® Complete Knee System, Vanguard® SSK Revision Knee System, Regenerex® Primary Tibial System, Offset & Microplasty Tibial Systems, Maxim® Complete Knee System, Ascent™ Total Knee System, AGC® Complete Knee system, Consensus Knee System, Lima Physica PS System Knee System, Lima Physica CR Knee System, Lima Physica KR Knee System, Omni Apex PS total knee prostheses. Consult the prosthesis labeling and instructions for use for specific patient indications, contraindications, associated risks, information for use, warnings and precautions. Materialise TKA Guides is an instrument set containing a femur and/or tibia template(s).

    AI/ML Overview

    The provided text does not contain detailed information about specific acceptance criteria and a study that quantitatively proves the device meets those criteria. It primarily focuses on the device's substantial equivalence to predicate devices based on non-clinical tests and overall performance.

    However, based on the information available, here's a breakdown of what can be extracted and what is missing:


    1. Table of Acceptance Criteria and Reported Device Performance

    Note: The document does not explicitly list quantitative acceptance criteria for the device's performance. It generally states that "the accuracy and performance of the system is adequate to perform as intended." The "Reported Device Performance" section below is an interpretation of the general claims made.

    Acceptance Criteria CategorySpecific Acceptance Criteria (as implied/inferred)Reported Device Performance (as stated in the document)
    Intended Use FulfillmentDevice successfully assists in intra-operative positioning and guiding bone marking/cutting for TKA.The device is "adequate to perform as intended" for assisting in intra-operative positioning of total knee replacement components and guiding marking/cutting of bone.
    Accuracy and Performance(Specific quantifiable accuracy metrics such as deviation from planned cuts, angular alignment errors, etc., are not provided.)"The accuracy and performance of the system is adequate to perform as intended."
    BiocompatibilityDevice materials are biocompatible for single-use surgical instruments."Previous testing for biocompatibility... are applicable to the subject device and demonstrate substantial equivalence with the predicate devices."
    SterilityDevice maintains sterility until use."Previous testing for... sterility... are applicable to the subject device and demonstrate substantial equivalence with the predicate devices."
    DebrisDevice does not generate unacceptable levels of debris."Previous testing for... debris... are applicable to the subject device and demonstrate substantial equivalence with the predicate devices."
    Dimensional StabilityDevice maintains its intended dimensions and shape during use."Previous testing for... dimensional stability are applicable to the subject device and demonstrate substantial equivalence with the predicate devices."
    Packaging IntegrityPackaging protects the device and maintains sterility."An updated packaging test is performed." (No specific results are given, only that it was performed).
    Manufacturing QualityDevice manufactured under established quality systems."The Materialise TKA Guide System will be manufactured in compliance with FDA (CFR 820 & Part 11) and ISO quality system (9000 and 13485) requirements."

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

    The document states, "Previous testing that the accuracy and performance of the system is adequate to perform as intended is applicable to the subject device." However, it does not provide information on the sample size used for any test set or the data provenance (e.g., country of origin, retrospective/prospective nature of the data). It refers to "previous testing" which implies data from predicate devices or earlier iterations, but no specifics are given for this submission.


    3. Number of Experts and Qualifications for Ground Truth

    The document does not specify the number of experts used or their qualifications for establishing ground truth within any performance study. The device's function involves a "qualified surgeon" approving a pre-surgical plan, which inherently involves expert input, but this is part of the clinical use rather than a study's ground truth establishment.


    4. Adjudication Method for the Test Set

    The document does not describe any adjudication method used for a test set.


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

    There is no mention of a Multi-Reader Multi-Case (MRMC) comparative effectiveness study being conducted or its results (effect size of human readers with/without AI assistance). The device is a surgical guide system, not an interpretive AI tool for diagnostic images, thus an MRMC study in the typical sense (e.g., for radiology AI) would not likely be applicable or reported here.


    6. Standalone (Algorithm Only Without Human-in-the-Loop Performance) Study

    The device description emphasizes that the "Materialise TKA Guide System generates a pre-surgical plan... The software device then is used pre-operatively by a qualified surgeon to inspect, fine-tune and approve the pre-surgical plan." This indicates a human-in-the-loop workflow.

    The document does not explicitly describe a standalone performance study (algorithm only, without human interaction) for the device. The system's design inherently involves surgeon approval of the plan before guide manufacturing.


    7. Type of Ground Truth Used

    The "ground truth" for this type of device, a surgical planning and guiding system, would typically relate to the accuracy of implementing the surgeon-approved pre-surgical plan relative to the actual bone cuts and component placement. However, the document does not explicitly state the type of ground truth used for verifying the system's "accuracy and performance." Given the nature of TKA guides, it would likely involve:

    • Imaging-based comparisons: Post-operative CT or X-rays compared against the pre-operative plan to assess component alignment and cut accuracy.
    • Intra-operative measurements: Direct measurement of pin hole locations or cut depths relative to the surgical plan.
    • Expert Consensus/Surgeon Approval: The 'ground truth' of the plan itself is established by the surgeon's approval.

    8. Sample Size for the Training Set

    The document does not provide any information regarding a training set sample size. The Materialise TKA Guide System is described as generating a pre-surgical plan based on MRI or CT images, and then designing guides. This suggests an engineering/design process rather than a machine learning model that requires a training set in the conventional sense. If its "planning" component uses algorithms, no training data for such algorithms is mentioned.


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

    Since no training set is mentioned (see point 8), there is no information on how ground truth for a training set was established.

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    K Number
    K172650
    Manufacturer
    Date Cleared
    2017-11-20

    (76 days)

    Product Code
    Regulation Number
    888.3520
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K161559

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Materialise PKA Guide System is intended to be used as a surgical instrument to assist in the positioning of Partial Knee Replacement components intra-operatively and in guiding the marking of bone before cutting and to guide cutting of the bone provided that anatomic landmarks necessary for alignment and positioning of the implant are identifiable on patient imaging scans.

    The Materialise PKA Guide System is to be used with ZUK UNI, JOURNEY™ UNI, JOURNEY II UNI, JZ (Hybrid) UNI knee systems prostheses families only.

    The Materialise PKA Guides are intended for single use only.

    Device Description

    Materialise PKA Guides are patient-specific medical devices that are designed to implant partial knee prosthesis.

    The Materialise PKA Guides must only be used in conjunction with the 510(k) cleared, legally marketed prosthesis. Consult the prosthesis labeling and instructions for specific patient indications, contraindications, associated risks, information for use, warnings and precautions. Materialise PKA Guides is an instrument set containing a femur and/or tibia template(s) and bone models.

    AI/ML Overview

    The provided document is an FDA 510(k) Premarket Notification for the Materialise PKA Guide System. While it discusses the device's intended use, technological characteristics, and comparison to predicate devices, it does not contain detailed information about specific acceptance criteria or the study that directly proves the device meets those criteria for software performance.

    The document states: "Testing verified that the accuracy and performance of the system is adequate to perform as intended. Testing verified that the accuracy and performance of the system is adequate to perform as intended. The stability of the device placement, surgical technique, intended use and functional elements of the subject device are the same as that of the predicate Zimmer Patient Specific Instruments System (K112301) and therefore previous cadaver testing on predicate device K112301 is considered applicable to the subject device."

    This indicates that general performance and accuracy testing was conducted, and the results were deemed adequate. However, it does not provide the specific "acceptance criteria" or the "reported device performance" in a quantitative table format, nor does it detail the specifics of such a study (sample size, data provenance, ground truth establishment, etc.).

    Therefore, I cannot fulfill your request for a table of acceptance criteria and reported device performance or the detailed study information based on the provided text. The document refers to "previous cadaver testing on predicate device K112301" as applicable, but it does not describe this testing in detail.

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