ORTHOPILOT NEXT GENERATION-UKA SOFTWARE, MODEL FS210

K090375 · Aesculap Implant System, Inc. · OLO · Jun 23, 2009 · Neurology

Device Facts

• Record ID: K090375
• Device Name: ORTHOPILOT NEXT GENERATION-UKA SOFTWARE, MODEL FS210
• Applicant: Aesculap Implant System, Inc.
• Product Code: OLO · Neurology
• Decision Date: Jun 23, 2009
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 882.4560
• Device Class: Class 2

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 Story

Computer-assisted surgical navigation system; provides anatomical information for arthroplasty. Hardware includes stereotaxic camera, computer with monitors, rigid body transmitters, power supply, tagged instruments, and ultrasound module. System tracks spatial location of transmitters mounted to patient bones or mobile instruments via camera; accepts anatomical landmark input from ultrasound. Used in OR by surgeons to guide cutting guides, drills, and reamers. Provides intraoperative measurements of bone alignment and implant positioning angles. Benefits include increased accuracy in endoprosthesis placement.

Clinical Evidence

No clinical data provided. Bench testing only; software modules developed in accordance with internal SOPs and FDA guidance on software validation.

Technological Characteristics

Stereotaxic surgical navigation platform. Components: stereotaxic camera, computer, rigid body transmitters, ultrasound module, tagged instruments. Connectivity: networked/integrated system. Software: proprietary modules for knee and hip suites. Sterilization: not specified.

Indications for Use

Indicated for patients undergoing endoprosthesis replacement surgery, including total knee, revision knee, unicondylar knee, and total hip systems, requiring computer-aided navigation for instrument positioning and bone alignment measurement.

Regulatory Classification

Identification

A stereotaxic instrument is a device consisting of a rigid frame with a calibrated guide mechanism for precisely positioning probes or other devices within a patient's brain, spinal cord, or other part of the nervous system.

Predicate Devices

• Orthopilot Total Knee Arthroscopy (TKA) software module (K080547)

Submission Summary (Full Text)

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K090375

#### C. 510(k) SUMMARY OF SAFETY AND EFFECTIVENESS

(in Accordance with SMDA of 1990)

| Aesculap Orthopilot Next Generation | | JUN 23 2009 |
|-------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------|-------------|
| April 3, 2009 | | |
| COMPANY: | Aesculap® Implant Systems, Inc.<br>3773 Corporate Parkway<br>Center Valley, PA 18034<br>Establishment Registration Number: 3005673311 | |
| CONTACT: | Lisa M. Boyle<br>800-258-1946 x 5274 (phone)<br>610-791-6882 (fax) | |
| TRADE NAME: | Aesculap Orthopilot Next Generation | |
| COMMON NAME: | Surgical Navigation Platform | |
| DEVICE CLASS: | Class II | |
| PRODUCT CODE: | OLO | |
| CLASSIFICATION: | 882.4560 - Orthopedic Stereotaxic Instrument | |
| REVIEW PANEL: | Orthopedic | |

## INDICATIONS FOR 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.

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The software modules for the OrthoPilot Next Generation consist of modules for both a knee suite and a hip suite.

## PERFORMANCE DATA

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.

# SUBSTANTIAL EQUIVALENCE

Aesculap® Implant Systems, Inc. believes that the OrthoPilot Unicondylar Knee Arthroscopy (UKA) software module is substantially equivalent to our currently marketed OrthoPilot Total Knee Arthroscopy (TKA) software module cleared in Aesculap's 510(k) submission #K080547.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

JUN 23 2009

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Aesculap Implant System, Incorporated % Ms. Lisa M. Boyle Sr. Regulatory Affairs Specialist 3773 Corporate Parkway Center Valley, Pennsylvania 18034

Re: K090375

Trade/Device Name: Aesculap Orthopilot Next Generation Regulation Number: 21 CFR 882.4560 Regulation Name: Stereotactic Instrument Regulatory Class: II Product Code: OLO Dated: May 18, 2009 Received: May 20, 2009

Dear Ms. Boyle:

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 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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing

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Page 2-Ms. Lisa M. Boyle

practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to

http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/cdrl/mdr/ for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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 [phone] or [phone] or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Mark M. Melkerson

Mark N. Melkerson Director Division of Surgical, Orthopedic and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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#### B. INDICATIONS FOR USE STATEMENT

1,090378 510(k) Number:

### Device Name: Aesculap Orthopilot Next Generation

## Indication for 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.

AND/OR Over-The-Counter Use Prescription Use × (Part 21 CFR 801 Subpart D) (21 CFR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)

H, Office of Device Evaluation (ODE) Concurrence of C

Nukl R.E.L. for mth
(Division Sign-Off)

Division of Surgical, Orthopedic, and Restorative Devices

510(k) Number K090375

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