K Number
K180580
Date Cleared
2018-07-27

(144 days)

Product Code
Regulation Number
888.3030
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Medline ReNewal Reprocessed Smith & Nephew Jet-X External Fixation devices are intended to be used on adults or pediatric patients as required and are intended to be used for fracture fixation (open and closed): post-traumatic joint contracture which has resulted in loss of range of motion; fractures and disease which generally may result in joint contractures or loss of range of motion and fractures requiring distraction; pseudoarthrosis or non-union of long bones; limb lengthening by epiphyseal or metaphyseal distraction of bony or soft tissue deformity; correction of segmental bony or soft tissue defects; joint arthrodesis; and management of comminuted intractures of the distal radius. Medline ReNewal Reprocessed Smith & Nephew Jet-X External Fixation devices are for single use only.

Device Description

The Medline ReNewal Reprocessed Smith & Nephew Jet-X External Fixation systems. The devices consist of various clamps, posts, and bars, which are used to in the management of bone fractures and reconstructive, as well as corrective, orthopedic surgery. The materials used in their manufacture are chosen to address a wide range of applications. These devices have been designed to allow for the appropriate amount of rigidity and stability.

AI/ML Overview

This document describes the premarket notification (510(k)) for Medline ReNewal Reprocessed Smith & Nephew Jet-X External Fixation Devices. It's a reprocessed device, meaning it's been cleaned, disinfected, and prepared for reuse. The submission aims to demonstrate substantial equivalence to a legally marketed predicate device.

Here's an analysis of the acceptance criteria and supporting study information:

1. Table of Acceptance Criteria and Reported Device Performance

The document does not explicitly state acceptance criteria in a quantifiable sense (e.g., "device must achieve X level of performance"). Instead, it outlines performance tests conducted to demonstrate that the reprocessed devices maintain the same functional characteristics as the predicate device. The underlying acceptance criterion for a 510(k) for reprocessed single-use devices is generally that the reprocessed device must perform at least as safely and effectively as the original device.

Based on the provided text, the performance "metrics" are qualitative assurances of equivalence to the predicate.

Acceptance Criterion (Implied)Reported Device Performance
Functional EquivalenceThe reprocessed devices were determined to be substantially equivalent to the predicate device based on:Simulated use and artificial soiling studiesStructural integrity studiesCarbon rod stiffness per 4-point bend test (pre-conditioning)Cyclical axial compression and tension bending testCarbon rod stiffness per 4-point bend test (post-conditioning)Disassembly and reassembly (pre-and post-sterilization)
Cleaning EfficacyDemonstrated through:Visual inspectionCleaning efficacy tests (residual protein and residual carbohydrate)
Maintenance of Original Properties"The principle of operation of the reprocessed devices is identical to that of the predicates. There are no changes in intended use, performance specifications or method of operation. These devices utilize stainless steel, titanium, carbon fiber and aluminum materials and technological characteristics that are very similar when compared to the predicate devices."

2. Sample Size Used for the Test Set and Data Provenance

The document does not specify the sample sizes used for any of the tests.
The data provenance is not explicitly stated. Given that it's a 510(k) submission for a reprocessed device, the testing would typically be conducted by the reprocessing company (Medline ReNewal) or a contract lab on behalf of Medline ReNewal. It is prospective testing designed to show equivalence.

3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts

This type of information is not applicable or provided in this document. The "ground truth" for this device, which is a physical medical instrument, is its physical and functional performance, not a diagnostic interpretation that would require expert consensus. The "truth" is established by direct measurement and observation during the performance testing.

4. Adjudication Method for the Test Set

This information is not applicable or provided. Adjudication methods like 2+1 or 3+1 are typically used in clinical studies where human interpretation of data (e.g., radiological images) is involved. For a physical device performance study, the results are typically quantitative measurements or observations against predefined 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

This is not applicable. This document describes an external fixation device, not an AI-powered diagnostic or assistive tool. Therefore, an MRMC study related to human reader improvement with AI is irrelevant to this submission.

6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) was done

This is not applicable. As stated above, this is not an AI algorithm. The performance evaluation focuses on the physical and functional aspects of the reprocessed surgical instruments.

7. The Type of Ground Truth Used

For this device, the "ground truth" is established through physical and functional performance testing that compares the reprocessed device's characteristics (e.g., structural integrity, stiffness, cleanliness) directly against the known performance of the original predicate device. This involves objective measurements and observations, rather than expert consensus on diagnostic interpretations or pathology.

8. The Sample Size for the Training Set

This is not applicable. This is not a machine learning or AI device that requires a training set.

9. How the Ground Truth for the Training Set was Established

This is not applicable. This is not a machine learning or AI device.

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Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health and Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

Surgical Instrument Service and Savings Inc Stephanie Mays Regulatory Specialist, Quality Assurance/Regulatory Affairs (dba Medline ReNewal) 1500 NE Hemlock Ave Redmond, Oregon 97756

July 27. 2018

Re: K180580

Trade/Device Name: Medline ReNewal Reprocessed Smith & Nephew Jet-X External Fixation Devices Regulation Number: 21 CFR 888.3030 Regulation Name: Single/Multiple Component Metallic Bone Fixation Appliances And Accessories Regulatory Class: Class II Product Code: KTT Dated: June 23, 2018 Received: June 25, 2018

Dear Stephanie Mays:

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 Part 807); labeling (21 CFR Part 801); medical device reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820);

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and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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 comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Mark N. Melkerson -S

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

Enclosure: Reprocessed List

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Catalog No.Description
7106-2001JET-X Bar to pin clamp 10.5mm bar to 5mm pin
7106-2002JET-X Bar to bar clamp 10.5mm bar
7106-2004JET-X Bar to ring clamp
7106-2005JET-X Multiple pin clamp 10.5mm bar to 5mm pin
7107-0343JET-X Frame Stabilizer Tool
7106-4004JET-X Bar to ring clamp
7106-4005JET-X Bar Multiple Pin Clamp
7106-2009JET-X Freedom clamp 6mm bar to 5mm pin
7106-2010JET-X Mini bar 10.5mm to 4mm pin clamp
7106-2011JET-X Mini bar 6mm to 4mm pin clamp
7106-2012JET-X Mini Bar to Pin Clamp 6mm to 6mm
7106-2015JET-X Mini multiple pin clamp
7106-2016JET-X Mini Double pin clamp with ball joint
7106-2019JET-X Mini bar 6mm to 10.5mm bar clamp
7106-2721JET-X Ankle Clamp
7106-2722JET-X Freedom Bar to Ring Clamp 10.5mm Bar to Ring
7106-4001JET-X Freedom clamp 10.5mm bar to 5mm pin
7106-4002JET-X Freedom clamp 10.5mm bar to 10.5mm bar
7106-4009JET-X Bar to pin clamp
7106-4010JET-X Mini freedom clamp 10.5mm bar to 4mm pin
7106-4011JET-X Mini freedom clamp 6mm bar to 4mm pin
7106-4012JET-X Mini freedom clamp 6mm bar to 6mm pin
7106-4015JET-X Mini multiple pin clamp
7106-4016JET-X Mini double pin clamp with ball joint
7106-4019JET-X Freedom clamp 10.5mm bar to 6mm pin
7106-7372JET-X Quick clamp 10.5mm bar to 5mm pin
7106-7374JET-X Quick clamp 10.5mm bar to 10.5mm pin
7106-7375JET-X 4 Hole Pin Clamp
7106-7376JET-X 6 Hole Pin Clamp
7106-7371JET-X Mini Quick clamp 10.5mm to 4mm
7106-7373JET-X Mini Quick clamp 10.5mm bar to 6mm pin
7106-7377JET-X Quick Clamp 6mm to 4mm
7106-7378JET-X Quick Clamp 6mm to 6mm
7106-7380JET-X Quick Clamp 6mm to 5mm
7106-2160JET-X L-Bar 10.5mm
7106-2180JET-X V-Bar 10.5mm
7106-2100JET-X Bar 10.5mm x 100mm
7106-2150JET-X Bar 10.5mm x 150mm
7106-2200JET-X Bar 10.5mm x 200mm
7106-2250JET-X Bar 10.5mm x 250mm
7106-2300JET-X Bar 10.5mm x 300mm
7106-2350JET-X Bar 10.5mm x 350mm
7106-2400JET-X Bar 10.5mm x 400mm
7106-2500JET-X Bar 10.5mm x 500mm
7106-2600JET-X Bar 10.5mm x 600mm
7106-5050JET-X Mini Composite Bar 6mm x 50mm
7106-5075JET-X Composite Bar 6mm x 75mm
7106-5110JET-X Composite Bar 6mm x 110mm
7106-5150JET-X Composite Bar 6mm x 150mm
7106-5185JET-X Composite Bar 6mm x 185mm
7106-5225JET-X Composite Bar 6mm x 225mm
7106-5180JET-X Composite V-Bar 6mm
7106-5226JET-X Off-Set Bar 6mm
7106-7379JET-X Straight Post
7106-7381JET-X 30° Angled Post
7106-7382JET-X Freedom Post

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Indications for Use

510(k) Number (if known) K180580

Device Name

Medline ReNewal Reprocessed Smith & Nephew Jet-X External Fixation Systems

Indications for Use (Describe)

Medline ReNewal Reprocessed Smith & Nephew Jet-X External Fixation devices are intended to be used on adults or pediatric patients as required and are intended to be used for fracture fixation (open and closed): post-traumatic joint contracture which has resulted in loss of range of motion; fractures and disease which generally may result in joint contractures or loss of range of motion and fractures requiring distraction; pseudoarthrosis or non-union of long bones; limb lengthening by epiphyseal or metaphyseal distraction of bony or soft tissue deformity; correction of segmental bony or soft tissue defects; joint arthrodesis; and management of comminuted intractures of the distal radius. Medline ReNewal Reprocessed Smith & Nephew Jet-X External Fixation devices are for single use only.

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

Prescription Use (Part 21 CFR 801 Subpart D)
Over-The-Counter Use (21 CFR 801 Subpart C)

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Image /page/5/Picture/1 description: The image contains two logos side by side. The logo on the left is for Medline, and it features the word "MEDLINE" in a sans-serif font, with a star-like symbol above it, all in white against a blue background. The logo on the right is for ReNewal Full Circle Reprocessing, with "ReNewal" in green and blue, and "Full Circle Reprocessing" in a smaller font below it.

Traditional 510(k) Notification Medline ReNewal Reprocessed Smith & Nephew External Fixation Devices

5.0 510(k) Summary

This 510(k) summary of safety and effectiveness information is prepared in accordance with 21 CFR § 807.92.

Submitter/OwnerSurgical Instrument Service and Savings (dba Medline ReNewal)1500 NE Hemlock Ave.Redmond, OR 97756
Preparedby/ContactNameStephanie Boyle MaysRegulatory Affairs Specialist, Quality Assurance/Regulatory AffairsP: 541-516-4205 • F: 541-923-3375 • E:smays@medline.com
Date PreparedFebruary 28, 2108
Device NameandClassificationProprietary/TradeName:Medline ReNewal Reprocessed Smith & Nephew Jet-XExternal Fixation Systems Devices
RegulatoryName/Reference:Smooth or threaded metallic bone fixation fastener,21 CFR § 888.3040
Regulatory Class:Class II
Product Code:KTT
Panel:Orthopedic
510(k) number:K072212
PredicateDeviceProprietary/TradeName:Smith & Nephew Jet-X Bar System Clamps, Bars andPosts - MR Conditional
RegulatoryName/ReferenceSmooth or threaded metallic bone fixation fastener,21 CFR § 888.3040
Regulatory ClassClass II
Product Code:KTT
Panel:Orthopedic
Manufacturer:Smith & Nephew, Inc.,1450 Brooks Rd., Memphis, TN 38116
DeviceDescriptionThe Medline ReNewal Reprocessed Smith & Nephew Jet-X ExternalFixation systems. The devices consist of various clamps, posts, and bars,which are used to in the management of bone fractures and reconstructive,as well as corrective, orthopedic surgery. The materials used in theirmanufacture are chosen to address a wide range of applications. Thesedevices have been designed to allow for the appropriate amount of rigidityand stability.
Statement ofIntendedUse/Indicationsfor UseMedline ReNewal Reprocessed Smith & Nephew Jet-X External Fixationdevices are intended to be used on adults or pediatric patients as requiredand are intended to be used for fracture fixation (open and closed): post-traumatic joint contracture which has resulted in loss of range of motion;fractures and disease which generally may result in joint contractures orloss of range of motion and fractures requiring distraction; pseudoarthrosisor non-union of long bones; limb lengthening by epiphyseal or metaphysealdistraction; correction of bony or soft tissue deformity; correction ofsegmental bony or soft tissue defects; joint arthrodesis; and managementof comminuted intra-articular fractures of the distal radius. Medline

Image /page/5/Picture/6 description: The image is completely black, lacking any discernible features or content. The darkness dominates the entire frame, creating a void-like impression. There are no shapes, lines, or textures visible, resulting in a uniform and featureless composition. The absence of light and detail makes it impossible to identify any objects or subjects within the image.

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Image /page/6/Picture/1 description: The image shows two logos side by side. The logo on the left is for Medline, and it features the word "MEDLINE" in bold, white letters against a blue background, accompanied by a stylized white graphic. The logo on the right is for Renewal, with the "Re" in green and the "newal" in blue, and below it, the words "Full Circle Reprocessing" in blue.

ReNewal Reprocessed Smith & Nephew Jet-X External Fixation devicesare for single use only.
TechnologicalCharacteristicsThe principle of operation of the reprocessed devices is identical to that ofthe predicates. There are no changes in intended use, performancespecifications or method of operation. These devices utilize stainless steel,titanium, carbon fiber and aluminum materials and technologicalcharacteristics that are very similar when compared to the predicatedevices.
PerformanceTestingThe functional characteristics of the subject device have been evaluatedand have been determined to be substantially equivalent to the predicatedevice based on the following tests:• Functional performance studies:
○ simulated use and artificial soiling; and○ structural integrity;○ carbon rod stiffness per the 4-point bend test(pre-conditioning);○ cyclical axial compression and tension bending test;○ carbon rod stiffness per the 4-point bend test(post-conditioning); and○ disassembly and reassembly (pre-and post-sterilization).• Cleaning:○ visual inspection;○ cleaning efficacy (residual protein and residual carbohydrate).
Device ModelsCatalog No.Description
7106-2001JET-X Bar to pin clamp 10.5mm bar to 5mm pin
7106-2002JET-X Bar to bar clamp 10.5mm bar
7106-2004JET-X Bar to ring clamp
7106-2005JET-X Multiple pin clamp 10.5mm bar to 5mm pin
7107-0343JET-X Frame Stabilizer Tool
7106-4004JET-X Bar to ring clamp
7106-4005JET-X Bar Multiple Pin Clamp
7106-2009JET-X Freedom clamp 6mm bar to 5mm pin
7106-2010JET-X Mini bar 10.5mm to 4mm pin clamp
7106-2011JET-X Mini bar 6mm to 4mm pin clamp
7106-2012JET-X Mini Bar to Pin Clamp 6mm to 6mm
7106-2015JET-X Mini multiple pin clamp
7106-2016JET-X Mini Double pin clamp with ball joint
7106-2019JET-X Mini bar 6mm to 10.5mm bar clamp
7106-2721JET-X Ankle Clamp
7106-2722JET-X Freedom Bar to Ring Clamp 10.5mm Bar to Ring
7106-4001JET-X Freedom clamp 10.5mm bar to 5mm pin
7106-4002JET-X Freedom clamp 10.5mm bar to 10.5mm bar
7106-4009JET-X Bar to pin clamp
7106-4010JET-X Mini freedom clamp 10.5mm bar to 4mm pin
Catalog No.Description
7106-4012JET-X Mini freedom clamp 6mm bar to 6mm pin
7106-4015JET-X Mini multiple pin clamp
7106-4016JET-X Mini double pin clamp with ball joint
7106-4019JET-X Freedom clamp 10.5mm bar to 6mm pin
7106-7372JET-X Quick clamp 10.5mm bar to 5mm pin
7106-7374JET-X Quick clamp 10.5mm bar to 10.5mm pin
7106-7375JET-X 4 Hole Pin Clamp
7106-7376JET-X 6 Hole Pin Clamp
7106-7371JET-X Mini Quick clamp 10.5mm to 4mm
7106-7373JET-X Mini Quick clamp 10.5mm bar to 6mm pin
7106-7377JET-X Quick Clamp 6mm to 4mm
7106-7378JET-X Quick Clamp 6mm to 6mm
7106-7380JET-X Quick Clamp 6mm to 5mm
7106-2160JET-X L-Bar 10.5mm
7106-2180JET-X V-Bar 10.5mm
7106-2100JET-X Bar 10.5mm x 100mm
7106-2150JET-X Bar 10.5mm x 150mm
7106-2200JET-X Bar 10.5mm x 200mm
7106-2250JET-X Bar 10.5mm x 250mm
7106-2300JET-X Bar 10.5mm x 300mm
7106-2350JET-X Bar 10.5mm x 350mm
7106-2400JET-X Bar 10.5mm x 400mm
7106-2500JET-X Bar 10.5mm x 500mm
7106-2600JET-X Bar 10.5mm x 600mm
7106-5050JET-X Mini Composite Bar 6mm x 50mm
7106-5075JET-X Composite Bar 6mm x 75mm
7106-5110JET-X Composite Bar 6mm x 110mm
7106-5150JET-X Composite Bar 6mm x 150mm
7106-5185JET-X Composite Bar 6mm x 185mm
7106-5225JET-X Composite Bar 6mm x 225mm
7106-5180JET-X Composite V-Bar 6mm
7106-5226JET-X Off-Set Bar 6mm
7106-7379JET-X Straight Post
7106-7381JET-X 30° Angled Post
7106-7382JET-X Freedom Post

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Image /page/7/Picture/1 description: The image contains two logos side by side. The first logo is for Medline, and it features the word "MEDLINE" in white letters on a blue background, with a star-like symbol above the word. The second logo is for ReNewal Full Circle Reprocessing, with the word "ReNewal" in green and blue letters and the words "Full Circle Reprocessing" in smaller black letters below.

Device Model (concluded)

(concluded)

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Image /page/8/Picture/1 description: The image shows two logos side by side. The logo on the left is for Medline, and it features a blue background with a white star-like symbol and the word "MEDLINE" in white letters. The logo on the right is for ReNewal, and it features the word "ReNewal" in green and blue letters, with the words "Full Circle Reprocessing" in smaller blue letters below.

Traditional 510(k) Notification Medline ReNewal Reprocessed Smith & Nephew External Fixation Devices

DeviceCharacteristicsPredicateSmith & NephewJet-X Bar SystemClamps, Bars and PostsProposedMedline ReNewalReprocessedSmith & Nephew Jet-XExternal Fixation DevicesComparisonSame devices;original andreprocessed
510(k) NumberK072212TBDN/A
Common NameExternal Fixation SystemExternal Fixation SystemSame
Regulation No.888.3040888.3040Same
Product CodeKTTKTTSame
Intended UseThe devices describedherein are intended to beused on adults or pediatricpatients as required andare intended to be used forfracture fixation (open andclosed); post-traumaticjoint contracture which hasresulted in loss of range ofmotion fractures anddisease which generallymay result in jointcontractures or loss ofrange of motion andfractures requiringdistraction;pseudoarthrosis or non-union of long bones; limblengthening by epiphysealor metaphyseal distraction;correction of bony or softtissue deformity; correctionof segmental bony or softtissue defects; jointarthrodesis; andmanagement ofcomminuted intro-articularfractures of the distalradius. Jet-X Bar systemclamps, Bars and Posts -MR Conditional are forsingle use only.Medline ReNewalReprocessed Smith &Nephew Jet-X ExternalFixation devices areintended to be used onadults or pediatric patientsas required and areintended to be used forfracture fixation (open andclosed): post-traumaticjoint contracture which hasresulted in loss of range ofmotion; fractures anddisease which generallymay result in jointcontractures or loss ofrange of motion andfractures requiringdistraction;pseudoarthrosis or non-union of long bones; limblengthening by epiphysealor metaphyseal distraction;correction of bony or softtissue deformity; correctionof segmental bony or softtissue defects; jointarthrodesis; andmanagement ofcomminuted intra-articularfractures of the distalradius. Medline ReNewalReprocessed Smith &Nephew Jet-X ExternalFixation devices are forsingle use only.Same
TechnologicalcharacteristicsThe principle of operationof these devices isidentical to that of thepredicates. There are nochanges in intended use,performance specificationsor method of operation.These non-magnetic/MRSafe devices utilizestainless steel, titanium,and aluminum materialsand technologicalcharacteristics that arevery similar whencompared to the predicatedevices.The principle of operationof the reprocessed devicesis identical to that of thepredicates. There are nochanges in intended use,performance specificationsor method of operation.These devices utilizestainless steel, titanium,carbon fiber and aluminummaterials and technologicalcharacteristics that arevery similar whencompared to the predicatedevices.Same
Medline ReNewal Reprocessed Smith & Nephew Jet-X External Fixation Devices' design,materials, indications for use intended use and mechanism of action are the same as those for

Predicate and Medline ReNewal Reprocessed Smith & Nephew Summary Table: let-X External Fixation comparison

Image /page/8/Picture/5 description: The image is a solid black rectangle. The rectangle is centered on a white background. The black rectangle takes up most of the image, with a small white border around the edges.

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Image /page/9/Picture/1 description: The image shows two logos side by side. The logo on the left is for Medline, and it features the word "MEDLINE" in white letters on a blue background, with a white star-like symbol above the word. The logo on the right is for ReNewal Full Circle Reprocessing, with the word "ReNewal" in green and blue letters and the words "Full Circle Reprocessing" in smaller blue letters below it.

Traditional 510(k) Notification Medline ReNewal Reprocessed Smith & Nephew External Fixation Devices

le as those fo the predicate devices. Reprocessing makes no changes to design, materials, indications/intended use, shapes or sizes of the OEM devices.

ConclusionBased on a comparison of the indications for use, intended use,technological characteristics, and performance data to the predicate,devices, Medline ReNewal Reprocessed Smith & Nephew Jet-X ExternalFixation Devices are substantially equivalent to the predicate device.
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§ 888.3030 Single/multiple component metallic bone fixation appliances and accessories.

(a)
Identification. Single/multiple component metallic bone fixation appliances and accessories are devices intended to be implanted consisting of one or more metallic components and their metallic fasteners. The devices contain a plate, a nail/plate combination, or a blade/plate combination that are made of alloys, such as cobalt-chromium-molybdenum, stainless steel, and titanium, that are intended to be held in position with fasteners, such as screws and nails, or bolts, nuts, and washers. These devices are used for fixation of fractures of the proximal or distal end of long bones, such as intracapsular, intertrochanteric, intercervical, supracondylar, or condylar fractures of the femur; for fusion of a joint; or for surgical procedures that involve cutting a bone. The devices may be implanted or attached through the skin so that a pulling force (traction) may be applied to the skeletal system.(b)
Classification. Class II.