K Number
K011815
Device Name
SYNTHES LCP PROXIMAL HUMERUS PLATES
Manufacturer
Date Cleared
2001-09-06

(87 days)

Product Code
Regulation Number
888.3030
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Synthes LCP Proximal Humerus Plate is indicated for fractures, fracture dislocations, osteotomies, and non-unions of the proximal humerus, particularly in osteopenic bone.
Device Description
The Synthes LCP Proximal Humerus Plates are designed to match the anatomy of the proximal humerus. These plates can be applied to either the right or left humerus. The proximal portion of each plate has threaded holes that accept 3.5 mm or 2.7 mm screws. The distal portion of the plate has combination holes that allow the option of using 3.5 mm locking or cortex screws, or 4.0 mm cancellous screws to accomplish plate fixation. These plates will be offered as an addition to the Synthes Small Fragment LCP (formerly DCL) System.
More Information

Not Found

Not Found

No
The 510(k) summary describes a mechanical orthopedic plate and does not mention any software, algorithms, or AI/ML capabilities.

Yes
The device is indicated for treating fractures, fracture dislocations, osteotomies, and non-unions of the proximal humerus, which are therapeutic interventions.

No
The document describes a plate used for fracture fixation, not for diagnosing conditions. It is a treatment device.

No

The device description clearly describes a physical plate made of metal (implied by "Synthes LCP Proximal Humerus Plate" and the description of screws and holes for fixation), which is a hardware component. There is no mention of software as the primary or sole component.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to examine specimens taken from the human body (like blood, urine, or tissue) to provide information about a person's health.
  • Device Description: The description clearly states that the Synthes LCP Proximal Humerus Plate is a surgical implant designed to fix fractures and other issues in the proximal humerus (the upper part of the arm bone). It is a physical device used in the body, not to test samples from the body.
  • Intended Use: The intended use is for treating fractures, dislocations, etc., of the proximal humerus. This is a surgical intervention, not a diagnostic test.

Therefore, based on the provided information, the Synthes LCP Proximal Humerus Plate is a surgical implant, not an IVD.

N/A

Intended Use / Indications for Use

Synthes LCP Proximal Humerus Plate is indicated for fractures, fracture dislocations, osteotomies, and non-unions of the proximal humerus, particularly in osteopenic bone.

Product codes (comma separated list FDA assigned to the subject device)

NDF, KTW

Device Description

The Synthes LCP Proximal Humerus Plates are designed to match the anatomy of the proximal humerus. These plates can be applied to either the right or left humerus. The proximal portion of each plate has threaded holes that accept 3.5 mm or 2.7 mm screws. The distal portion of the plate has combination holes that allow the option of using 3.5 mm locking or cortex screws, or 4.0 mm cancellous screws to accomplish plate fixation. These plates will be offered as an addition to the Synthes Small Fragment LCP (formerly DCL) System.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

proximal humerus

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Not Found

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

  • Synthes Small Fragment Dynamic Compression Locking (DCL)
    System
  • De Puy Ace Symmetry Proximal Humerus Plate

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 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.

0

SEP - 6 2001

Summary of Safety and Effectiveness Information [510(k) Summary] 3.

| Sponsor | Synthes (USA)
1690 Russell Road
Paoli, PA 19301 |
|-----------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Company Contact | Matthew M. Hull
(610) 647-9700 ext. 7191 |
| Name of the Device | Synthes LCP Proximal Humerus Plate |
| Regulation & Classification | Class II, §888.3030 - Plate, Fixation, Bone, Non-spinal, Metallic
Product code: NDF |
| Predicate Device(s) | - Synthes Small Fragment Dynamic Compression Locking (DCL)
System

  • De Puy Ace Symmetry Proximal Humerus Plate |
    | Device Description | The Synthes LCP Proximal Humerus Plates are designed to match the
    anatomy of the proximal humerus. These plates can be applied to
    either the right or left humerus. The proximal portion of each plate has
    threaded holes that accept 3.5 mm or 2.7 mm screws. The distal
    portion of the plate has combination holes that allow the option of
    using 3.5 mm locking or cortex screws, or 4.0 mm cancellous screws
    to accomplish plate fixation. These plates will be offered as an
    addition to the Synthes Small Fragment LCP (formerly DCL) System. |
    | Intended Use | Synthes LCP Proximal Humerus Plate is indicated for fractures,
    fracture dislocations, osteotomies, and non-unions of the proximal
    humerus, particularly in osteopenic bone. |
    | Material(s) | The LCP Proximal Humerus Plates will be available in either
    Stainless Steel or Titanium versions as are the other plates in the
    Synthes Small Fragment LCP System. |

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Image /page/1/Picture/1 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" arranged around the perimeter. Inside the circle is a stylized image of an eagle with three wavy lines representing its wings or feathers.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

SEP - 6 2001

Mr. Matthew M. Hull, RAC Senior Regulatory Specialist Synthes (USA) 1690 Russell Road P.O. Box 1766 Paoli, Pennsylvania 19301

Re: K011815

Trade/Device Name: Synthes LCP Proximal Humerus Plate Regulation Number: 888.3030 Regulation Name: Single/multiple component metallic bone fixation appliances and accessories Regulatory Class: II Product Code: KTW

Dated: June 8. 2001 Received: June 11, 2001

Dear Mr. Hull:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we 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). 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.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic QS inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

2

Page 2 - Norman F. Estrin, Ph.D., RAC

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed nouticate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR-Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at additionally 6071 v 1011 onally, for questions on the promotion and advertising of your device, (2017) 594-1639. I readiness at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small mormation on your respond and Consumer Assistance at its toll-free number (800) 638-2041 or Manufactor Internations met address "http://www.fda.gov/cdrh/dsma/dsmamain.html".

Sincerely yours,

Sis WC MD

For Celia M. Witten, Ph.D., M.D. Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

3

Indications for Use Statement 2.

Page 1 of 1

510(k) Number (if known):

Device Name:

Indications/ Contraindications:

Synthes LCP Proximal Humerus Plate

Koll 815

Synthes LCP Proximal Humerus Plate is indicated for ByIthes EOF Fracture dislocations, osteotomies, and fractures and the proximal humerus, particularly in osteopenic bone.

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use (Per 21 CFR 801.109)

OR

Over-The-Counter Use_

SL

Division of Oil

(Division Sign-Off) Division of General, Restorative and Neurological Devices

510(k) Number K011815

CONFIDENTIAL Synthes(USA) Synthes LCP Proximal Humerus Plates 510(k)

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