← Product Code [HRY](/submissions/OR/subpart-d%E2%80%94prosthetic-devices/HRY) · K960617

# ADVANCE TIBIAL COMPONENT (K960617)

_Wrightmedicaltechnologyinc · HRY · May 8, 1996 · Orthopedic · SN_

**Canonical URL:** https://fda.innolitics.com/submissions/OR/subpart-d%E2%80%94prosthetic-devices/HRY/K960617

## Device Facts

- **Applicant:** Wrightmedicaltechnologyinc
- **Product Code:** [HRY](/submissions/OR/subpart-d%E2%80%94prosthetic-devices/HRY.md)
- **Decision Date:** May 8, 1996
- **Decision:** SN
- **Submission Type:** Traditional
- **Regulation:** 21 CFR 888.3530
- **Device Class:** Class 2
- **Review Panel:** Orthopedic
- **Attributes:** Therapeutic

## Intended Use

The ADVANCE™ Tibial Component is intended for tricompartmental or bicompartmental replacement of the knee for reduction or relief of pain and/or improved knee function in skeletally mature patients with the following conditions: 1) noninflammatory degenerative joint disease including osteoarthritis, traumatic arthritis, or avascular necrosis; 2) inflammatory degenerative joint disease including rheumatoid arthritis; 3) correction of functional deformity; 4) revision procedures where other treatments or devices have failed; 5) treatment of fractures that are unmanageable using other techniques.

## Device Story

ADVANCE™ Tibial Component; modular two-piece knee replacement system; metal tibial base (cobalt chrome) and plastic insert (UHMWPE). Used in total knee arthroplasty; requires bone cement fixation. Implanted by orthopedic surgeons in hospital setting. Device replaces damaged joint surfaces; restores knee function; reduces pain. Stability provided by femoral-tibial constraint design; locking mechanism secures insert to base. Benefits patient via improved mobility and pain relief.

## Clinical Evidence

Bench testing only. Fatigue testing simulated in vivo loading; femoral-tibial contact area testing showed higher conformity than published predicate data; locking detail integrity compared to market systems; femoral-tibial constraint testing (anterior, posterior, medial, lateral shear, and rotation) confirmed stability; UHMWPE material properties verified.

## Technological Characteristics

Modular two-piece design; cobalt chrome alloy tibial base; ultra high molecular weight polyethylene (UHMWPE) insert. Cemented fixation. Mechanical stability via femoral-tibial constraint design.

## Regulatory Identification

A knee joint femorotibial metal/polymer semi-constrained cemented prosthesis is a device intended to be implanted to replace part of 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 consist of a femoral component made of alloys, such as cobalt-chromium-molybdenum, and a tibial component made of ultra-high molecular weight polyethylene and is limited to those prostheses intended for use with bone cement (§ 888.3027).

## Predicate Devices

- Insall/Burstein Modular Total Knee System

## Submission Summary (Full Text)

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K960617

![img-0.jpeg](img-0.jpeg)

# WRIGHT

MEDICAL TECHNOLOGY, INC.

5677 AIRLINE ROAD

ARLINGTON, TN 38002

901-867-9971

Contact Person: Judy English

Date Prepared: February 12, 1996

# 510(k) Summary of Safety and Effectiveness

Trade Name: ADVANCE™ Tibial Component

Common Name: Metal-backed Tibial Component

Product Classification: II

Predicate Device: Insall/Burstein Modular Total Knee System

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of 21 CFR 807.92.

# Description/Intended Use

The ADVANCE™ Tibial Component is part of the ADVANCE™ Total Knee System, a total knee replacement system consisting of femoral, tibial, and patellar components. The ADVANCE™ Tibial Component is a modular two-piece component consisting of a metal tibial base and a plastic insert. The ADVANCE™ Tibial Component is intended to be used only with bone cement.

The ADVANCE™ Tibial Component is intended for tricompartmental or bicompartmental replacement of the knee for reduction or relief of pain and/or improved knee function in skeletally mature patients with the following conditions: 1) noninflammatory degenerative joint disease including osteoarthritis, traumatic arthritis, or avascular necrosis; 2) inflammatory degenerative joint disease including rheumatoid arthritis; 3) correction of functional deformity; 4) revision procedures where other treatments or devices have failed; 5) treatment of fractures that are unmanageable using other techniques.

# Materials

The metallic tibial base component is manufactured from cobalt chrome alloy. The tibial insert components are manufactured from ultra high molecular weight polyethylene.

# Testing Summary

- Submitted fatigue testing demonstrates that the ADVANCE™ Tibial Base Component was able to withstand test loading designed to simulate in vivo loading.
- Submitted femoral-tibial contact area testing demonstrates that the ADVANCE™ Tibial Component is more conforming (higher contact area) than independently published data for the predicate device.
- Submitted locking detail testing demonstrates that the ADVANCE™ Tibial Component lock detail integrity is comparable to other posterior stabilized knee systems available on the market.
- Submitted femoral-tibial constraint testing (anterior shear, posterior shear, medial shear, lateral shear, and rotation) demonstrates that the ADVANCE™ Tibial Component is expected to remain stable and resist displacement when subjected to appropriate physiological loads.
- Submitted ultra high molecular weight polyethylene (UHMWPE) properties demonstrate that the ADVANCE™ tibial insert polyethylene components should perform adequately.

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**Source:** [https://fda.innolitics.com/submissions/OR/subpart-d%E2%80%94prosthetic-devices/HRY/K960617](https://fda.innolitics.com/submissions/OR/subpart-d%E2%80%94prosthetic-devices/HRY/K960617)

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