Biomet Knee Joint Replacement Prostheses

K171054 · Biomet, Inc. · JWH · Jul 28, 2017 · Orthopedic

Device Facts

• Record ID: K171054
• Device Name: Biomet Knee Joint Replacement Prostheses
• Applicant: Biomet, Inc.
• Product Code: JWH · Orthopedic
• Decision Date: Jul 28, 2017
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 888.3560
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

1. Painful and disabled knee joint resulting from osteoarthritis, and/or traumatic arthritis where one or more compartments are involved. 2. Correction of varus, valgus, or posttraumatic deformity. 3. Correction or revision of unsuccessful osteotomy, arthrodesis, or failure of previous joint replacement procedure. The Regenerex femoral augments are indicated for use with the Vanguard Total Knee System. The Regenerex tibial augments are indicated for use with standard and offset Biomet Tibial Trays. Femoral components and tibial tray components with porous coatings are indicated for cemented biological fixation application. Non-coated (Interlok) devices and all-polyethylene patellar components are indicated for cemented application only. Regenerex components are intended only for uncemented biologic fixation application. The tibial bearings are intended for use with Biomet cemented or uncemented tibial trays. All-polyethylene patellar components are indicated for cemented use only.

Device Story

Biomet Knee Joint Replacement Prostheses are passive orthopedic implants used in total knee arthroplasty. The device consists of femoral, tibial, and patellar components designed to replace damaged knee joint surfaces. These implants are surgically implanted by orthopedic surgeons in a hospital/OR setting. The subject of this notification is the updated MR labeling to define the devices as MR Conditional. The device does not perform data processing or provide clinical outputs; it functions as a mechanical replacement for the knee joint. The benefit to the patient is the restoration of joint function and reduction of pain. The device is intended for cemented or uncemented fixation depending on the specific component and coating.

Clinical Evidence

No clinical data provided. Evidence consists of non-clinical bench testing for MR compatibility, including RF heating (ASTM F2182-11a), image distortion (ASTM F2119-07), and magnetically induced displacement force (ASTM 2052-14).

Technological Characteristics

Passive knee joint prostheses composed of metal and polymer. MR Conditional status established per ASTM F2503-13. Testing performed per ASTM F2182-11a, ASTM F2119-07, and ASTM 2052-14. Fixation methods include cemented and uncemented biological fixation.

Indications for Use

Indicated for patients with painful/disabled knee joints due to osteoarthritis, rheumatoid arthritis, or traumatic arthritis; patients requiring correction of varus, valgus, or posttraumatic deformity; and patients requiring revision of failed osteotomy, arthrodesis, or previous joint replacement.

Regulatory Classification

Identification

A knee joint patellofemorotibial polymer/metal/polymer semi-constrained cemented prosthesis is a device intended to be implanted to replace a knee joint. The device limits translation and rotation in one or more planes via the geometry of its articulating surfaces. It has no linkage across-the-joint. This generic type of device includes prostheses that have a femoral component made of alloys, such as cobalt-chromium-molybdenum, and a tibial component or components and a retropatellar resurfacing component made of ultra-high molecular weight polyethylene. This generic type of device is limited to those prostheses intended for use with bone cement (§ 888.3027).

Predicate Devices

• AGC Revision Knee Prosthesis (K912245)
• MCK (Maximum Congruent Knee) Knee System (K915132)
• Ultra High Molecular Weight Polyethylene Component (K921182)
• Konstruct Patellar Component (K960856)
• Maxim Knee System (K993159)
• Offset Tibial Tray (K010212)
• AGC Total Knee System, Ascent Total Knee System, Maxim Complete Knee System, Maxim Accel Knee System (K033489)
• Vanguard Patella Components (K040770)
• Vanguard SSK Knee System (K042757)
• Vanguard Removable Molded Poly Tibia (K060525)
• Vanguard Knee System Titanium Femoral Components (K080204)
• Regenerex Tibial Components (K080361)
• Regenerex Patella Components (K083782)
• Patient-Specific Vanguard Femoral Components (K102125)
• Vanguard Asymmetrical Patellar Component (K113550)
• Vanguard Complete Knee System (K113550)
• Vanguard SSK 360 Revision Knee System (K121149)
• E1 Series A Patellae, Standard 3-Peg, E1 Series A Patellae, Thin 3-Peg, E-1 Series A Patellae, Asymmetrical, 3-Peg (K140902)
• Biomet Tibial Trays (K142933)

Submission Summary (Full Text)

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Image /page/0/Picture/2 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract symbol that resembles a stylized human figure or a caduceus, often associated with healthcare.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

Biomet, Inc Jason Heckaman Manager, Regulatory Affairs 56 East Bell Drive Warsaw, Indiana 46581

saw, Indiana

Re: K171054 Trade/Device Name: Biomet Knee Joint Replacement Prostheses Regulation Number: 21 CFR 888.3560 Regulation Name: Knee joint patellofemorotibial polymer/metal/polymer semi-constrained cemented prosthesis Regulatory Class: Class II Product Code: JWH, HRY, MBV, MBH, OIY Dated: June 26, 2017 Received: June 27, 2017

July 28, 2017

Dear Mr. Heckaman:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

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

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Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) 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 contact the Division of Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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/MedicalDevices/Safety/ReportaProblem/default.htm 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 Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely.

# Mark N. Melkerson -S

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

Enclosure

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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

## Indications for Use

#### 510(k) Number (if known) K171054

Device Name

Biomet Knee Joint Replacement Prostheses

Indications for Use (Describe)

1. Painful and disabled knee joint resulting from osteoarthritis, and/or traumatic arthritis where one or more compartments are involved.

2. Correction of varus, valgus, or posttraumatic deformity.

3. Correction or revision of unsuccessful osteotomy, arthrodesis, or failure of previous joint replacement procedure.

The Regenerex femoral augments are indicated for use with the Vanguard Total Knee System.

The Regenerex tibial augments are indicated for use with standard and offset Biomet Tibial Trays.

Femoral components and tibial tray components with porous coatings are indicated for cemented biological fixation application. Non-coated (Interlok) devices and all-polyethylene patellar components are indicated for cemented application only.

Regenerex components are intended only for uncemented biologic fixation application.

The tibial bearings are intended for use with Biomet cemented or uncemented tibial trays.

All-polyethylene patellar components are indicated for cemented use only.

Type of Use (Select one or both, as applicable)

| <span style="font-size:12px">☑ Prescription Use (Part 21 CFR 801 Subpart D)</span> |
|------------------------------------------------------------------------------------|
| <span style="font-size:12px">☐ Over-The-Counter Use (21 CFR 801 Subpart C)</span> |

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### 510(k) Summary

In accordance with 21 CFR §807.92 and the Safe Medical Devices Act of 1990, the following information is provided for the Biomet Knee Joint Replacement Prostheses MR Labeling 510(k) premarket notification. The submission was prepared in accordance with the FDA guidance document, 'Format for Traditional and Abbreviated 510(k)s', issued on August 12, 2005.

| Sponsor: | Biomet Inc.<br>56 East Bell Drive<br>PO Box 587<br>Warsaw, IN 46581<br>Establishment Registration Number: 3003506715 |
|-----------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact Person: | Jason Heckaman<br>Manager, Regulatory Affairs<br>Telephone: [phone]) |
| Date: | July 27, 2017 |
| Subject Device: | Trade Name: Biomet Knee Joint Replacement<br>Prostheses MR Labeling<br>Common Name: Knee Prosthesis |
| | Classification Name:<br>JWH - Prosthesis, Knee, Patellofemorotibial, Semi-<br>Constrained, Cemented, Polymer/Metal/Polymer<br>(21 CFR 888.3560)HRY- Prosthesis, Knee, Femorotibial, Semi-<br>Constrained, Cemented, Metal/Polymer (21 CFR<br>888.3530)MBV - Prosthesis, Knee, Patello/Femorotibial,<br>Semi-Constrained, UHMWPE, Pegged, Cemented,<br>Polymer/Metal/Polymer (21 CFR 888.3560)MBH - Prosthesis, Knee, Patello/Femorotibial,<br>Semi-Constrained, Uncemented, Porous, Coated,<br>Polymer/Metal/Polymer (21 CFR 888.3565)OIY - Prosthesis, Knee, Patellofemorotibial, Semi-<br>Constrained, Cemented, Polymer +<br>Additive/Metal/Polymer + Additive (21 CFR<br>888 3560) |

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Predicate Device(s):

### Manufacturer: Biomet, Inc.

| K912245 | AGC Revision Knee Prosthesis |
|---------|-----------------------------------------------------------------------------------------------------------------------|
| K915132 | MCK (Maximum Congruent Knee) Knee System |
| K921182 | Ultra High Molecular Weight Polyethylene<br>Component |
| K960856 | Konstruct Patellar Component |
| K993159 | Maxim Knee System |
| K010212 | Offset Tibial Tray |
| K033489 | AGC Total Knee System, Ascent Total Knee System, Maxim Complete Knee System, Maxim<br>Accel Knee System |
| K040770 | Vanguard Patella Components |
| K042757 | Vanguard SSK Knee System |
| K060525 | Vanguard Removable Molded Poly Tibia |
| K080204 | Vanguard Knee System Titanium Femoral<br>Components |
| K080361 | Regenerex Tibial Components |
| K083782 | Regenerex Patella Components |
| K102125 | Patient-Specific Vanguard Femoral Components |
| K110362 | Vanguard Asymmetrical Patellar Component |
| K113550 | Vanguard Complete Knee System |
| K121149 | Vanguard SSK 360 Revision Knee System |
| K140902 | E1 Series A Patellae, Standard 3-Peg, E1 Series A Patellae, Thin 3-Peg, E-1 Series A Patellae,<br>Asymmetrical, 3-Peg |
| K142933 | Biomet Tibial Trays |

Summary of Technological Characteristics:

design features or dimensions, packaging or sterilization. The subject devices are intended for use in total knee arthroplasty.

Indications for Use: 1. Painful and disabled knee joint resulting from osteoarthritis, rheumatoid arthritis, and/or traumatic arthritis where one or more compartments are involved. 2. Correction of varus, valgus, or posttraumatic deformity. 3. Correction or revision of unsuccessful osteotomy, arthrodesis, or failure of previous joint replacement procedure.

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The Regenerex femoral augments are indicated for use with the Vanguard Total Knee System.

The Regenerex tibial augments are indicated for use with standard and offset Biomet Tibial Trays.

Femoral components and tibial tray components with porous coatings are indicated for cemented and uncemented biological fixation application. Non-coated (Interlok) devices and all-polyethylene patellar components are indicated for cemented application only.

Regenerex components are intended only for uncemented biologic fixation application.

The tibial bearings are intended for use with Biomet cemented or uncemented tibial trays.

All-polyethylene patellar components are indicated for cemented use only.

Summary of Performance Data (Nonclinical and/or Clinical):

### Non-Clinical Tests:

- Biomet has performed non-clinical Magnetic ● Resonance Imaging (MRI) studies on implants which are determined to be MR Conditional in accordance to ASTM F2503-13 Standard Practice for Marking Medical Devices and Other Items for Safety in the Magnetic Resonance Environment. MR Tests included the following:
- RF heating- ASTM F2182-11a O
- o Image Distortion- ASTM F2119-07
- Magnetically Induced Displacement Force - O ASTM 2052-14
- o CEM43 analysis
- Testing has been performed to establish product nonpyrogenicity.

#### . Clinical Tests:

Clinical data was not provided for the subject devices.

Substantial Equivalence Conclusion:

Non-clinical tests provided in this Traditional 510(k) establish the conditional safety and compatibility of the

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passive implants in a magnetic resonance (MR) environment. The subject devices are substantially equivalent to the legally marketed predicated devices.