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510(k) Data Aggregation
(260 days)
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(74 days)
The GMReis Suture Anchors is intended to be used for soft tissue reattachment in the elbow, shoulder, hand, wrist, foot, ankle, knee, and hip. Specific indications are listed below:
Elbow: Biceps Tendon Reattachment, Ulnar or Radial Collateral Ligament Reconstruction.
Shoulder: Rotator Cuff Repair, Bankart Repair, SLAP Lesion Repair, Biceps Tenodesis, Acromio-Clavicular Separation Repair, Deltoid Repair, Capsular Shift or Capsulolabral Reconstruction.
Hand/Wrist: Scapholunate Ligament Reconstruction, Repair/Reconstruction of collateral ligaments, Repair of Flexor and Extensor Tendons at the PIP, DIP and MCP joints for all digits, tendon transfers, Carpal Ligament Reconstruction and Carpometacarpal joint arthroplasty (basal thumb joint arthroplasty).
Foot/Ankle: Lateral Stabilization, Medial Stabilization, Achilles Tendon Repair, Metatarsal Ligament Repair, Hallux Valgus reconstruction, tendon transfers, Mid-foot reconstruction.
Knee: Medial Collateral Ligament Repair, Lateral Collateral Ligament Repair, Patellar Tendon Repair, Posterior Oblique Ligament Repair, Iliotibial Band Tenodesis.
Hip: Capsular repair, acetabular labral repair.
The Suture Anchors, manufactured by GM dos Reis Industria e Comercio Ltda, are anchor-type implants, and are manufactured in PEEK (polyetheretherketone). The anchors are made available preloaded in a disposable inserter device, composed of a metal rod and a polymeric handle. The implant and disposable inserter devices are unique products and cannot be sold separately. Implants of the Suture Anchors are classified as surgically invasive, non-absorbable, and non-active implantable medical devices. In addition, the implants, as well as the inserter device, are for single-use and sold in sterile form by Ethylene Oxide.
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(238 days)
Stitch Cerclage - Suture Tapes are indicated in orthopedic surgeries as bone fixation cerclage, specifically:
- Sternotomy indications including the "rewiring" of osteomized sternums;
- Repair of long bone fractures due to trauma or reconstruction.
Stitch Cerclage - Suture Tapes are indicated in orthopedic surgeries for internal fixation of discontinued bone structures. The product are not to be used in conjunction with other bone fixation implants, like plates. The surgical sutures and tapes are made of UHMWPE (ultra-high molecular weight polyethylene), the needles are made in AISI300 steel series, according to the standard ASTM F899 and cerclage is assembled on an ABS loader, additional instruments may be used as well. Those materials are identical to those used in other cleared GMReis devices like the reference device cleared under K223114. It is provided in sterile condition sterilized by Ethylene Oxide.
Based on the provided FDA 510(k) clearance letter for the Stitch Cerclage - Suture System, here's a breakdown of the acceptance criteria and the study that proves the device meets them:
Important Note: The provided document is an FDA 510(k) clearance letter, which means the device has already been cleared. This letter summarizes the regulatory decision and mentions that studies were performed, but it does not contain the detailed study protocols, results, or data itself. Therefore, I will extract all available information and explicitly state when information is not present in this document.
Acceptance Criteria and Device Performance Study Summary
The acceptance criteria for this device are largely implied through the comparison to a predicate device and the successful completion of specified mechanical tests. The performance study focused on demonstrating substantial equivalence to the predicate device, particularly in mechanical properties relevant to its intended use as a bone fixation cerclage.
1. Table of Acceptance Criteria and Reported Device Performance
| Acceptance Criteria (Implied) | Reported Device Performance |
|---|---|
| Material Equivalence: Made of materials safe and equivalent to predicate devices. | The device is made of UHMWPE (ultra-high molecular weight polyethylene) for sutures/tapes and AISI300 steel series for needles, which are identical to those used in other cleared GMReis devices (Reference Device K223114) and are considered equivalent to the predicate device. |
| Design Equivalence: Shares equivalent design characteristics with predicate devices. | The device has “equivalent design characteristics as well as physical dimensions” compared to the predicate. Minor differences "do not raise new issues of safety or efficacy." |
| Mechanical Performance: Performance is comparable or superior to the predicate device in relevant mechanical tests (chemical composition, creep, tension static, fatigue). | Performance was demonstrated through mechanical testing (chemical composition, creep test, tension static, and fatigue tests). The specific results are not provided in this document, but the conclusion states: "We therefore consider the subject device equivalent to its predicate device in the mechanical tests performed." The methodology was based on the article "Cerclage Performance Analysis – a Biomechanical Comparison of Different Techniques and Materials", L. M. Hägerich, et al, Musculoskeletal Disorders (2022). |
| Sterility: Provided in a sterile condition via a validated method. | The device is provided in sterile condition, sterilized by Ethylene Oxide, which is a common and accepted sterilization method. |
| Biocompatibility: Materials are biocompatible for implantation. | While not explicitly detailed as a separate test, the use of UHMWPE and AISI300 steel, which are "identical to those used in other cleared GMReis devices" and are common in medical devices, implies that their biocompatibility has been previously established and met. |
| Substantial Equivalence: Overall device is substantially equivalent to legally marketed predicate devices in terms of indications for use, technological characteristics, and safety/effectiveness. | The submission concludes that the device is "substantially equivalent" to the predicate in "intended use, indications for use, material composition, anatomical region, multiple sizes, and basic design features." The mechanical testing supported this claim, with no new issues of safety or effectiveness identified. |
2. Sample Sizes Used for the Test Set and Data Provenance
- Sample Size: The document does not specify the exact sample sizes (e.g., number of test specimens, number of cycles for fatigue) used for the mechanical testing. It mentions "chemical composition, creep test, tension static and fatigue tests."
- Data Provenance: The studies were conducted by the manufacturer, GM Dos Reis Industria e Comercio Ltda, which is based in Campinas, Brazil. The data is based on mechanical testing, not clinical data, and therefore is not characterized as retrospective or prospective in the usual clinical sense. It's laboratory-based performance data.
3. Number of Experts Used to Establish the Ground Truth for the Test Set and Their Qualifications
- For this type of mechanical device clearance, "ground truth" is established through engineering standards, validated test methodologies, and comparison to the known performance of predicate devices.
- The document does not mention the use of human experts (like radiologists) for "ground truth" establishment as would be common for AI/imaging device clearances. The "experts" involved would be engineering and quality control personnel at the manufacturer and potentially external testing laboratories, ensuring compliance with test methodologies.
4. Adjudication Method for the Test Set
- Since this is a mechanical device performance study, no explicit "adjudication method" in the sense of clinician consensus on medical images is applicable or mentioned. The "adjudication" is inherent in the adherence to established mechanical testing protocols and statistical analysis of the results to demonstrate equivalence to the predicate.
5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study
- No MRMC study was done. This type of study is specifically relevant for imaging devices or AI algorithms where human readers' performance is being evaluated or augmented. The Stitch Cerclage Suture System is a physical medical device, not an imaging or AI diagnosis system.
- The document explicitly states: "No clinical data were included in this submission."
6. Standalone (Algorithm Only Without Human-in-the-Loop Performance)
- Not applicable. This concept pertains to AI algorithms. The Stitch Cerclage Suture System is a physical product and does not have an "algorithm-only" performance component.
7. Type of Ground Truth Used
- The "ground truth" for this device type is established through objective, quantifiable mechanical properties and material composition, compared against established industry standards (where available) or the performance of a legally marketed predicate device.
- Specifically, the study compared "chemical composition, creep test, tension static and fatigue tests" to information from a published article ("Cerclage Performance Analysis – a Biomechanical Comparison of Different Techniques and Materials", L. M. Hägerich, et al, Musculoskeletal Disorders (2022)) and to the predicate device.
8. Sample Size for the Training Set
- Not applicable / Not mentioned. This device is a physical product, not an AI algorithm. Therefore, there is no "training set" in the context of machine learning. The design and manufacturing process would involve internal validation and verification activities, but this is distinct from training an AI model.
9. How the Ground Truth for the Training Set Was Established
- Not applicable. As there is no AI "training set," there is no ground truth established for one. The "ground truth" for the device's design and manufacturing is derived from engineering principles, relevant material standards (e.g., ASTM F899 for steel), and performance expectations set by the predicate device.
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(107 days)
The GMReis Fibula Nail System is intended for fixation of fractures and osteotomies of the fibula.
The GMReis Fibula Nail System is a system of locked intramedullary nails for osteosynthesis of fibular fractures. It has multiple lengths (110mm to 180mm) and diameters (3.0mm and 3.6mm). The arrangement of the holes in the intramedullary nails allows the surgeon to block the implant in different planes. The screws have a specific profile that reduces the risk of skin prominence and have threaded locking in the nail holes. GMReis Fibula Nail System are manufactured with titanium alloy, are for single use and the devices are provided non-sterile and must be properly cleaned and sterilized before use, according to the recommendations provided in the Instructions for Use.
The provided FDA 510(k) Clearance Letter for the "GMReis Fibula Nail System" (K250559) establishes substantial equivalence based on mechanical performance data, not clinical performance or AI/software-driven insights. Therefore, many of the requested points regarding acceptance criteria, study design, ground truth establishment, and expert involvement for an AI/software-based device cannot be extracted from this document.
The clearance is for a mechanical medical device (an intramedullary fixation rod), not a software or AI device. The type of acceptance criteria and study design are fundamentally different for a mechanical device versus a software/AI device.
However, I can extract the information relevant to this specific device's clearance process from the provided document:
Acceptance Criteria and Device Performance for GMReis Fibula Nail System (K250559) - A Mechanical Device
1. Table of Acceptance Criteria and Reported Device Performance
| Acceptance Criteria Category | Specific Criteria (Implicitly based on predicate equivalence) | Reported Device Performance (as stated in the 510(k) Summary) |
|---|---|---|
| Mechanical Performance | Demonstrated equivalent mechanical properties to the predicate device for fibula fracture fixation. | "The performance of the subject devices are demonstrated through mechanical testing according to ASTM F1264 and ASTM F543, respectively. Based on submitted testing data, the subject device is equivalent to the predicate device." |
| Material Equivalence | Material composition to be suitable for implantation and consistent with the predicate device. | "GMReis Fibula Nail System are manufactured with titanium alloy... All of the subject device final finished components are manufactured... using identical materials... as used for the previously cleared reference devices in K201728, K223114 and K232829." Predicate also had titanium, with an option for stainless steel. |
| Biocompatibility | Biologically compatible for human implantation. | "substantially equivalent with regard to materials, packaging and biocompatibility" (stated in comparison to predicate/reference devices). |
| Sterilization | Suitable for sterilization. | "are for single use and the devices are provided non-sterile and must be properly cleaned and sterilized before use, according to the recommendations provided in the Instructions for Use." "are to be sterilized by the same methods" (as predicate). |
| Dimensions/Fit for Use | Appropriate lengths and diameters for fibula fixation, comparable to predicate devices in function. | Minor differences in length and diameter compared to the predicate (predicate has longer, smaller, and larger diameter nails). These differences are deemed "minor and do not affect the safety and effectiveness of the subject device." Predicate's additional stainless steel option is also noted as a minor difference. |
2. Sample size used for the test set and the data provenance:
- Sample Size: Not explicitly stated as a number of devices tested, but implicitly refers to a sufficient number of samples to satisfy the requirements of the ASTM standards (ASTM F1264 for Intramedullary Fixation Rods and ASTM F543 for Metallic Medical Bone Screws). These standards outline specific testing configurations and sample numbers for mechanical characterization.
- Data Provenance: The document does not specify the country of origin of the data beyond the manufacturer being in Brazil. The data is retrospective in the sense that it's generated for a regulatory submission rather than a prospective clinical trial.
3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:
- Not Applicable. This is a mechanical device. "Ground truth" in the context of expert consensus or clinical outcomes is not relevant for the primary evidence of substantial equivalence for this type of device. The "ground truth" here is the physical properties demonstrated by mechanical testing, measured by calibrated equipment.
4. Adjudication method for the test set:
- Not Applicable. As this is mechanical testing to specific ASTM standards, there is no expert adjudication process in the sense of reviewing images or clinical data. The results are quantitative measurements against predefined engineering specifications.
5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance:
- Not Applicable. This is a mechanical implant device, not an AI or software product. MRMC studies are for evaluating diagnostic or interpretive AI systems with human-in-the-loop.
6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:
- Not Applicable. This is a mechanical implant device, not an AI algorithm.
7. The type of ground truth used:
- Quantitative Mechanical Properties: The "ground truth" for this device are the quantifiable mechanical properties (e.g., stiffness, strength, fatigue life) as determined by standardized laboratory tests (ASTM F1264 and ASTM F543).
8. The sample size for the training set:
- Not Applicable. This is a mechanical device, so there is no "training set" in the context of machine learning or AI.
9. How the ground truth for the training set was established:
- Not Applicable. (See point 8)
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(56 days)
Versalock Upper Limb Plating System are intended to be used for internal bone fixation for bone fractures, fusions, osteotomies and non-unions of the clavicle, scapula, olecranon, humerus, radius, and ulna.
Versalock Upper Limb Plating System consists of plates and screws in a variety of designs and sizes that are commonly used in trauma and reconstructive surgery. The bone plates and screws are made from titanium alloy or pure titanium. The plates range in thickness from 1.4 to 3.5 mm, and the screws range in diameter from 2.0 to 3.5 mm. They are available on different sizes and shapes, according to the implantation site and the extension of the fracture. Versalock Upper Limb Plating System are for single use and the devices are provided non-sterile. They must be properly cleaned and sterilized before use, according to the recommendations provided in the Instructions for Use.
This document describes the Versalock Upper Limb Plating System, a medical device for internal bone fixation. However, it is a 510(k) Premarket Notification for a Class II medical device, specifically metallic bone fixation appliances and accessories. These types of devices generally rely on mechanical testing to demonstrate substantial equivalence rather than clinical studies involving human patients or AI performance metrics.
Therefore, many of the requested elements for a study proving acceptance criteria (such as sample sizes for test/training sets, expert consensus, MRMC studies, or standalone algorithm performance) are not applicable in this context. The acceptance criteria and "study" described herein are based on mechanical performance standards.
Here's an analysis of the provided information, focusing on what is available:
1. A table of acceptance criteria and the reported device performance
| Acceptance Criteria (Standard) | Reported Device Performance |
|---|---|
| ASTM F382 (for plates) | Demonstrated equivalent to predicate devices based on submitted testing data. |
| ASTM F543 (for screws) | Demonstrated equivalent to predicate devices based on submitted testing data. |
Explanation: The acceptance criteria for this device are defined by its ability to meet established mechanical testing standards (ASTM F382 for plates and ASTM F543 for screws) and demonstrate substantial equivalence to legally marketed predicate devices. The "reported device performance" is that it successfully met these criteria.
2. Sample size used for the test set and the data provenance
- Sample size: Not explicitly stated as a "test set" in the context of clinical or AI performance. For mechanical testing, the sample size would refer to the number of plates and screws tested per configuration. This information is typically detailed in the test reports, which are not included in this summary.
- Data provenance: Mechanical testing is conducted under controlled laboratory conditions, not on human data. The specific lab where the testing was performed is not mentioned, but the manufacturer is based in Brazil.
3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts
- Not Applicable. This device does not involve expert-established ground truth in the way an AI diagnostic device would. Its performance is assessed through objective mechanical properties.
4. Adjudication method for the test set
- Not Applicable. There is no "adjudication method" as understood in clinical studies with human observers. Mechanical testing results are compared against the accepted performance parameters of the ASTM standards and the predicate devices.
5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance
- Not Applicable. This is not an AI-assisted device, nor is it a diagnostic device that would involve human readers.
6. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done
- Not Applicable. This is a physical medical implant, not an algorithm.
7. The type of ground truth used
- The "ground truth" for this medical device is adherence to established mechanical performance standards (ASTM F382 and F543) and factual data demonstrating substantial equivalence in material, design, and performance to legally marketed predicate devices.
8. The sample size for the training set
- Not Applicable. This is a physical medical device, not an AI model.
9. How the ground truth for the training set was established
- Not Applicable.
In summary: The provided document is an FDA 510(k) clearance for a bone plating system. The "study" proving the device meets acceptance criteria is a series of mechanical tests conducted according to ASTM standards (F382 for plates, F543 for screws), which confirmed the device is mechanically equivalent to its predicate devices. The acceptance criteria are essentially defined by these standards and the equivalence to existing cleared devices. Information relevant to AI/clinical performance metrics (like expert reviews, reader studies, ground truth establishment for AI) is not relevant to this type of device submission.
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(56 days)
GMReis Ankle Plating System are intended to be used for internal bone fixation for bone fractures, fusions, osteotomies and non-unions in the ankle.
GMReis Ankle Plating System consists of plates and screws in a variety of designs and sizes that are commonly used in trauma and reconstructive surgery. The bone plates and screws are made from titanium alloy. The plates range in thickness from 1.8 to 3.6 mm, and the screws range in diameter from 2.7 to 3.5 mm. They are available on different sizes and shapes, according to the implantation site and the extension of the fracture. GMReis Ankle Plating System are for single use. The devices are provided non-sterile and must being properly cleaned and sterilized before use, according to the recommendations provided in the Instructions for Use.
This document, K242998, describes a 510(k) premarket notification for the "GMReis Ankle Plating System." This is a medical device, specifically bone plates and screws, and the submission aims to demonstrate its substantial equivalence to previously marketed predicate devices.
The request asks for information about the acceptance criteria and the study that proves the device meets them, specifically in the context of an AI/software-driven medical device. However, the provided document does NOT contain information about an AI/software component, nor does it detail acceptance criteria related to a diagnostic or analytical performance study typical of AI/software devices.
Instead, this document focuses on establishing substantial equivalence for a physical orthopedic implant through:
- Comparison of Technological Characteristics: Showing similarity in design, intended use, materials, manufacturing processes, and sterilization methods to predicate devices.
- Performance Data (Mechanical Testing): Demonstrating the physical performance of the plates and screws according to well-established ASTM standards for metallic bone fixation devices.
Therefore, I cannot provide the requested information regarding AI/software specific acceptance criteria, test set sample sizes, data provenance, expert ground truth, adjudication methods, MRMC studies, standalone AI performance, or training set details, as this information is not present in the provided document.
The "acceptance criteria" for this specific device (GMReis Ankle Plating System) are implicitly met by demonstrating that its mechanical performance is comparable to or better than the predicate devices, and that its materials and manufacturing processes are substantially equivalent.
Here's a breakdown of what can be extracted from the document, tailored to the spirit of your request but acknowledging the different nature of the device:
1. A table of acceptance criteria and the reported device performance
| Acceptance Criteria (Implicit for a Bone Plate System) | Reported Device Performance (as stated in Section VII) |
|---|---|
| Mechanical Performance: | |
| - Plate performance | Demonstrated through mechanical testing according to ASTM F382. |
| - Screw performance | Demonstrated through mechanical testing according to ASTM F543. |
| Material/Biocompatibility: | "substantially equivalent to the predicates with regard to materials and biocompatibility." |
| Intended Use: | "same basic design and intended use" as predicate. |
| Manufacturing Process: | "identical materials and identical manufacturing processes" as a previously cleared reference device (K182718). |
| Sterilization Method: | "sterilized by the same methods" as predicate. |
Note: The document states "Based on submitted testing data, the subject device is equivalent to the predicate devices." The specific numerical or statistical results of these mechanical tests that demonstrate equivalency are not provided in this summary, but the assertion is that the acceptance criteria for mechanical performance (i.e., meeting or exceeding predicate performance as per ASTM standards) were met.
2. Sample sizes used for the test set and the data provenance (e.g., country of origin of the data, retrospective or prospective)
- No information provided regarding sample sizes for human clinical data or diagnostic test sets, as this is a mechanical device primarily evaluated through engineering tests, not a diagnostic AI.
- Data Provenance: The mechanical testing data would typically be generated in a lab setting, presumably by the manufacturer (GM Dos Reis Industria e Comercio Ltda) from Brazil, as they are the submitter. The document does not specify the country of origin of the test data directly, but it would be expected to come from their internal or contracted testing facilities.
3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g., radiologist with 10 years of experience)
- Not applicable. This pertains to establishing ground truth for diagnostic accuracy, which is not relevant for this physical device. Mechanical testing results are based on objective physical measurements against standards, not expert interpretation.
4. Adjudication method (e.g., 2+1, 3+1, none) for the test set
- Not applicable. No expert adjudication is described or required for mechanical testing of this nature.
5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance
- Not applicable. This device is a bone plate system, not an AI diagnostic tool. No MRMC study was conducted.
6. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done
- Not applicable. This refers to AI algorithm performance.
7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)
- Not applicable directly. For mechanical testing, the "ground truth" is defined by the objective performance requirements outlined in the ASTM standards (e.g., specific load-bearing capacities, fatigue life). Compliance with these standards serves as the "truth" for the device's physical performance.
8. The sample size for the training set
- Not applicable. There is no "training set" as this is not an AI/machine learning device.
9. How the ground truth for the training set was established
- Not applicable. There is no "training set."
In summary, the provided FDA 510(k) clearance letter and summary for the GMReis Ankle Plating System clearly indicate that this is a physical implant device, and its safety and effectiveness (specifically substantial equivalence) are demonstrated through a comparison of physical characteristics and mechanical performance testing, not through AI/software validation studies.
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(83 days)
Versalock Mini and Micro Plating System is intended for fracture fixation, arthrodesis, reconstruction, and osteotomy fixation of the hand and foot. The use of locking plate/screw systems is suited for treatment of fractures in osteopenic bone.
Versalock Mini and Micro Plating System consists of plates and screws in a variety of designs and sizes that are commonly used in trauma and reconstructive surgery. The bone plates are made from commercially pure titanium allov and the bone screws are manufactured from titanium alloy only. The plates range in thickness from 0.6 to 1.7 mm, and the screws range in diameter from 1.3 to 2.7 mm. They are available on different sizes and shapes, according to the implantation site and the extension of the fracture. Versalock Mini and Micro Plating System are for single use. The devices are provided non-sterile and must being properly cleaned and sterilized before use, according to the recommendations provided in the Instructions for Use.
This document is a 510(k) premarket notification for a medical device called the "Versalock Mini and Micro Plating System." As such, it describes the device and its intended use, and argues for its substantial equivalence to previously cleared predicate devices. It does not present acceptance criteria for a device's performance, nor a study proving it meets such criteria in terms of clinical or diagnostic efficacy.
Instead, the provided text describes the mechanical performance testing conducted to demonstrate substantial equivalence to predicate devices, which is a different type of evaluation.
Therefore, many of the requested items (e.g., sample size for test set, number of experts for ground truth, adjudication method, MRMC study effect size, standalone performance, training set details) are not applicable or available in this document.
Here's a breakdown of what is available based on the given text:
1. A table of acceptance criteria and the reported device performance
This document does not present specific acceptance criteria in terms of clinical or diagnostic performance, nor does it report such performance for the device. Instead, it states that:
| Acceptance Criteria (Implied) | Reported Device Performance |
|---|---|
| Mechanical performance in accordance with ASTM F382 (for plates), ASTM F3437 (for screws), and ASTM F543 (for screws). | "Based on submitted testing data, the subject device is equivalent to the predicate devices." (Page 5) |
2. Sample size used for the test set and the data provenance
- Test Set Sample Size: Not applicable. This document refers to mechanical testing, not a clinical trial or diagnostic study with a "test set" of patient data. The "sample size" would refer to the number of plates and screws tested mechanically. This specific number is not provided in the document.
- Data Provenance: Not applicable. The data provenance would be from laboratory mechanical testing.
3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts
Not applicable. This device is for fracture fixation, and the evaluation here is mechanical equivalence, not a diagnostic or clinical efficacy study requiring expert-established ground truth on patient data.
4. Adjudication method (e.g. 2+1, 3+1, none) for the test set
Not applicable. There is no "adjudication method" described for mechanical testing.
5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance
Not applicable. This is a physical bone plating system, not an AI-powered diagnostic device, and therefore no MRMC study would be relevant.
6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done
Not applicable. This is a physical bone plating system, not an algorithm.
7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)
Not applicable. For the mechanical testing, the "ground truth" would be established by the ASTM standard test methods (e.g., defined load limits, displacement measurements, failure points).
8. The sample size for the training set
Not applicable. This is a physical device, and the evaluation is for mechanical equivalence to predicate devices, not an AI model requiring a training set.
9. How the ground truth for the training set was established
Not applicable. See above.
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(88 days)
The EXPERT - Flexible Joint Fixation System is intended as an adjunct in fracture repair involving metaphyseal and periarticular bone fragments where screws are not indicated, and as an adjunct in external and intramedullary fixation systems involving plates and nails, with fracture braces and casting. The EXPERT - Flexible Joint Fixation System are intended to provide fixation during the healing process following:
EXPERT FAST - SYNDESMOSIS and EXPERT FAST DUAL:
Syndesmotic trauma, such as fixation of syndesmosis disruptions) in connection with Weber B and C ankle fractures.
EXPERT ACL and EXPERT ACL II:
Fixation of bone to bone or soft tissue to bone, and is intended as fixation posts, a distribution bridge, or for distributing suture tension over areas of ligament or tendon repair. Specifically, these models are offered for Anterior Cruciate Ligament (ACL) Repair.
EXPERT FAST - CORACOID PLATE and EXPERT FAST- AC:
Specifically, these models are intended to provide fixation during the healing process following a syndesmotic trauma, such as fixation of acromioclavicular separations due to coracoclavicular ligament disruptions.
The EXPERT - Flexible Joint Fixation System was designed for fixation, being used as a biomechanical structure to simulate a support pillar distributing the tensions in the suture wire or tape. The plates are manufactured in titanium alloy conforming to ASTM F136. The sutures are manufactured from UHMWPE. The devices are sold sterile and are single use. The EXPERT - Flexible Joint Fixation System is a line extension to the EXPERT - Joint Fixation System consisting of new models.
The provided text describes a medical device, the "EXPERT - Flexible Joint Fixation System," and its 510(k) summary for FDA clearance. However, the document does not contain information about acceptance criteria or a study that proves the device meets specific performance criteria in the way a clinical or algorithmic performance study would.
The document discusses equivalence to predicate devices based on "submitted testing data" but does not detail the nature of these tests, specific acceptance criteria, or the results. It mentions:
- Performance Data: "Based on submitted testing data, the proposed EXPERT - Flexible Joint Fixation System is equivalent to the Arthrex ACL TightRope (K100652) and TightRopeTM Acromioclavicular (K052776) predicate devices." (Page 6)
- Conclusion: "Any differences between the proposed device and the predicate device are considered minor and do not raise new or different questions concerning safety or effectiveness." (Page 6)
This refers to engineering testing or benchtop studies to demonstrate the mechanical equivalence or biocompatibility of the device's components to previously cleared predicate devices, rather than a study evaluating diagnostic or prognostic capabilities of an AI/ML algorithm.
Therefore, I cannot fulfill the request to provide a table of acceptance criteria and reported device performance related to a study proving the device meets these criteria in the context of AI/ML or clinical performance, nor can I provide information on sample sizes, ground truth establishment, expert qualifications, or MRMC studies for this particular device based on the provided text.
The information requested, such as sample size for test sets, data provenance, number of experts for ground truth, adjudication methods, MRMC studies, standalone performance, type of ground truth, training set size, and how training set ground truth was established, is not present in the provided FDA 510(k) summary for the EXPERT - Flexible Joint Fixation System. This is typical for a 510(k) for a physical medical device like a fixation system, which focuses on substantial equivalence to predicate devices through technical, material, and mechanical comparisons, rather than AI/ML algorithm performance.
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(287 days)
The Versalock Rib and Sternum Plates System is intended for use in the stabilization and fixation of fractures of the anterior chest wall including sternal fixation following sternal reconstructive surgical procedures, rib and sternum fractures, fusions and osteotomies.
The Versalock Rib and Sternum Plates System is indicated for the stabilization and rigid fixation of chest wall fractures, including sternal reconstruction processes, trauma and/or planned osteotomies. The physical principle is based on rigid fixation, where the screws have a specific thread profile in their head, which, when fixed, allows the surgeon to fix it with a variable angle of ±15° in the threaded hole of the plate. The system also allows fixation with non-threaded head screws when the surgeon so desires. The devices are presented in Titanium Alloy according to the standard ASTM F136 and Pure Titanium According to ASTM F67.
This document describes a 510(k) premarket notification for the "Versalock Rib and Sternum Plates System". This type of submission focuses on demonstrating substantial equivalence to a legally marketed predicate device rather than proving safety and effectiveness through clinical trials with specific acceptance criteria as you might see for a novel, high-risk device.
Therefore, the sections of your request related to "acceptance criteria," "study that proves the device meets the acceptance criteria," "sample sizes used for the test set," "number of experts used to establish ground truth," "adjudication method," "MRMC comparative effectiveness study," "standalone performance," "type of ground truth," "sample size for training set," and "how ground truth for the training set was established" are not directly applicable in the context of this 510(k) submission for a metallic bone fixation appliance.
Instead, the submission relies on demonstrating substantial equivalence through a comparison of technological characteristics and non-clinical performance testing to recognized consensus standards.
Here's a breakdown of the relevant information from the provided text, addressing your questions where possible within the context of a 510(k) submission for this type of device:
1. A table of acceptance criteria and the reported device performance
The document does not present a table of acceptance criteria and reported device performance in the manner typically seen for clinical diagnostic studies or novel performance claims. For a 510(k) for a metallic bone fixation device, "acceptance criteria" are generally met by demonstrating that the device's mechanical properties are comparable to or meet the requirements of established ASTM standards, which are considered sufficient to ensure safety and effectiveness for its intended use, similar to predicate devices.
The "reported device performance" is indicated by its successful testing against these standards, implying it met the performance expectations set forth by those standards.
| Performance Characteristic | Standard Tested Against | Reported Outcome / "Acceptance" |
|---|---|---|
| Torsional Properties | ASTM F543 | Tested successfully |
| Driving Torque | ASTM F543 | Tested successfully |
| Axial Pullout Strength | ASTM F543 | Tested successfully |
| Single Cycle Bending (Static) | ASTM F382 | Tested successfully |
| Bending Fatigue Test | ASTM F382 | Tested successfully |
| Lateral Distraction, Longitudinal and Transversal Shear | (No specific ASTM number listed, but implied as part of mechanical testing) | Tested successfully |
| Pyrogenicity | USP <151> | Device meets pyrogen limit specifications |
2. Sample size used for the test set and the data provenance
- Sample Size: The document does not specify the exact number of samples used for each mechanical test. This level of detail is typically found in the full test reports, not in the 510(k) summary. However, recognized consensus standards like ASTM F543 and F382 usually dictate the minimum number of samples required for robust testing.
- Data Provenance: The testing was "non-clinical" and performed against recognized consensus standards (ASTM F543, ASTM F382, USP <151>). This implies laboratory-based mechanical and biological (pyrogen) testing. The country of origin of the data is not explicitly stated, but the manufacturer is based in Brazil, suggesting the testing could have occurred there or by a certified lab elsewhere. The data is prospective in the sense that these tests were conducted specifically for this submission.
3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts
N/A. For mechanical and biological performance testing of a bone fixation device, "experts" in the sense of establishing clinical ground truth (like radiologists reading images) are not applicable. The "ground truth" for this device is its physical and material properties, assessed by engineering and laboratory methods against established standards.
4. Adjudication method for the test set
N/A. Adjudication methods (like 2+1 reader consensus) are relevant for clinical studies, particularly in image interpretation or diagnostic pathways. This submission relies on objective mechanical and biological test results.
5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance
N/A. This is a medical device for physical fixation, not an AI/software device or a diagnostic tool requiring human reader interpretation. No MRMC study was conducted or is relevant for this device.
6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done
N/A. This device is not an algorithm or AI. It is a physical implant.
7. The type of ground truth used
The "ground truth" for this device, in the context of its 510(k) submission, is established through:
* Mechanical properties: Measured values obtained from testing according to ASTM F543 and ASTM F382, which serve as objective standards for bone fixation devices.
* Material composition: Conformance to ASTM F136 (Titanium Alloy) and ASTM F67 (Pure Titanium).
* Biocompatibility/Sterility related: Meeting pyrogen limit specifications per USP <151>.
* Substantial Equivalence: Comparison to the design, materials, and intended use of legally marketed predicate devices (K161590, K161896).
8. The sample size for the training set
N/A. This is not an AI/machine learning device, so there is no training set in that context. If "training set" is meant as in "samples used for development and iterative testing," that information is not provided in the summary.
9. How the ground truth for the training set was established
N/A. Not applicable for this type of device and submission.
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(217 days)
Quick - Radius Disposable Set is intended for fracture fixation, arthrodesis, reconstruction, and osteotomy fixation of the hand and wrist. The use of locking plate and screw systems is suited for treatment of fractures in osteopenic bone.
Quick - Radius Disposable Set are plate and instruments kit, for osteosynthesis procedures of the distal radius, in sterile condition, single use and disposable instruments after use. This sterile set must be used with 2.4mm screws, also sterile and individually packaged. The surgeon selects the best combination of plate size, left or right and screw designs and quantities, as needed. Single use and sterile templates are available, individually packed, for determining the size of the plate to be used. Also, as an option, individually packed plates, instruments only kit, and instruments with plates and screws kit, are available in sterile condition.
The plates and screws are produced with Titanium Alloy, according with standard ASTM F136, and the instruments are made of Stainless Steel, according with standard ASTM F899.
The provided text describes a 510(k) submission for a medical device, the "Quick - Radius Disposable Set." The document primarily focuses on demonstrating substantial equivalence to existing predicate devices, rather than presenting a performance study against specific acceptance criteria for a novel device or an AI/algorithm-based diagnostic tool.
Therefore, the information required to populate the fields related to acceptance criteria, specific performance metrics, sample sizes for test sets, data provenance, expert ground truth establishment, adjudication methods, MRMC studies, standalone performance, and training set details for an AI/algorithm-based device is not present in the provided text.
The document states:
- "The proposed device is a line extension to the predicate device with new presentation forms." (Page 3, Section VI)
- "The proposed and predicate devices have the same basic design, intended use and biocompatibility profile." (Page 3, Section VI)
- "Difference between the proposed device and the predicate includes addition of a presentation form in a sterile condition." (Page 3, Section VI)
- "The subject Quick - Radius Disposable Set components possess the same technological characteristics as the predicate devices. These include: performance, shape and dimensions, material and manufacturing, sizes, biocompatibility and device usage." (Page 3, Section VII)
- "The EO sterilization has been validated to a sterility assurance level (SAL) of 10-6, according to ISO 11135" (Page 3, Section VII)
- "Any differences between the proposed device and the predicate device are considered minor and do not raise new or different questions concerning safety or effectiveness." (Page 3, Section VI and Page 4, Section VIII)
In conclusion, this submission is for a physical medical device (bone plates and screws set) seeking 510(k) clearance based on substantial equivalence to predicate devices, mainly through demonstrating equivalent design, materials, and a validated sterilization process. It does not involve software, AI, or diagnostic claims that would necessitate the types of performance studies and acceptance criteria typically associated with those technologies.
Therefore, I cannot fill in the requested table and answer the specific questions about "acceptance criteria" and "study that proves the device meets the acceptance criteria" in the context of an AI/algorithm, as the provided text does not contain such information. The "performance data" section in the document (Section VII) refers to the performance of the physical components (e.g., mechanical performance, biocompatibility) rather than diagnostic accuracy metrics.
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