USA – FDA drafts guidance to aid orthopedic implant guide makers

The US Food and Drug Administration (FDA) has issued draft guidance that outlines its expectations from sponsors filing premarket submissions for patient-matched guides used in orthopedic surgeries, detailing design and performance expectations for the devices.

The draft guidance specifically addresses patient-matched guides that are used in the pre-operative planning stage of orthopedic implant surgeries. The surgical plans themselves are based on landmarks on pre-operative patient images and take into consideration the implant system being used in the surgery.

“As the designs of the patient-matched guides differ slightly between each patient, it is important to establish a design template and a range of pre-specified allowable design parameters to ensure a consistent and accurate guide,” said FDA in their guidance. “In addition to the design process, the preparation (cleaning/sterilization) and actual surgical use of the guide (surgical technique) are also critical to patient-matched guide performance.”…