K Number
K014001
Device Name
DISTRACTION OSTEOGENESIS ROD APPLIANCES, MODELS 1, 2, AND 3
Date Cleared
2003-02-04

(427 days)

Product Code
Regulation Number
872.4760
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Oral Osteodistraction Distraction Rod Appliances is intended to be used in the mandible for conditions such as mandibular deficiency or post-traumatic effects of the mandible, where gradual bone distraction is required.
Device Description
Distraction Osteogenesis Rod Appliances are used for mandibular bone distraction. The major components include: - 1. KLS Martin bone plates and screws. - Ormco Stainless steel crowns, Herbst Rods. 2. - 3. Leone expansion screws.
More Information

Not Found

No
The summary describes a mechanical device for bone distraction and does not mention any software, algorithms, or data processing that would indicate the use of AI or ML.

Yes
The device is described as being used for "gradual bone distraction" in the mandible, which is a therapeutic intervention.

No
This device is described as a treatment appliance for bone distraction, not a tool for identifying or characterizing a disease or condition. Its purpose is to gradually reshape bone, which is a therapeutic action, not a diagnostic one.

No

The device description explicitly lists hardware components such as bone plates, screws, crowns, rods, and expansion screws.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Description and Intended Use: The description clearly states that the device is an "Oral Osteodistraction Distraction Rod Appliance" intended for use in the mandible for conditions requiring gradual bone distraction. This involves a surgical procedure directly on the patient's bone, not the analysis of a sample taken from the body.
  • Components: The components listed (bone plates, screws, crowns, rods, expansion screws) are all surgical implants and instruments used for bone manipulation and fixation, not for analyzing biological samples.

Therefore, this device falls under the category of a surgical implant or instrument, not an in vitro diagnostic.

N/A

Intended Use / Indications for Use

The Oral Osteodistraction Distraction Rod Appliances is intended to be used in the mandible for conditions such as mandibular deficiency or post-traumatic effects of the mandible, where gradual bone distraction is required.

Product codes

MQN

Device Description

Distraction Osteogenesis Rod Appliances are used for mandibular bone distraction.

The major components include:

    1. KLS Martin bone plates and screws.
  • Ormco Stainless steel crowns, Herbst Rods. 2.
    1. Leone expansion screws.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

mandible

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Craniofacial Surgeon

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)

K973275, K962272

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.4760 Bone plate.

(a)
Identification. A bone plate is a metal device intended to stabilize fractured bone structures in the oral cavity. The bone segments are attached to the plate with screws to prevent movement of the segments.(b)
Classification. Class II.

0

K014001

510(K) SUMMARY (as required by 807.92(c))

FEB 0 4 2003

| Submitter of 510(k): | Oral Osteodistraction, L.P.
600 Lake Cook Rd., Suite 150
Buffalo Grove, IL 60089 | | |
|----------------------|----------------------------------------------------------------------------------------|--------------|--|
| | Phone: | 847-215-7554 | |
| | Fax: | 847-215-7563 | |
| Contact Person: | Yan Razdolsky | | |
| Date of Summary: | October 10, 2001 | | |
| Trade Name: | Oral Osteodistraction Distraction Rod Appliances (Rod 1, Rod 2
and Rod 3) | | |
| Classification Name: | External Mandibular Fixator and/or Distractor | | |
| Predicate Device: | | | |

KLS-MartinIntraoral DistractorK973275
SynthesMandibular DistractorK962272

Intended Use:

The Oral Osteodistraction Distraction Rod Appliances is intended to be used in the mandible for conditions such as mandibular deficiency or post-traumatic effects of the mandible, where gradual bone distraction is required.

Device Description:

Distraction Osteogenesis Rod Appliances are used for mandibular bone distraction.

The major components include:

    1. KLS Martin bone plates and screws.
  • Ormco Stainless steel crowns, Herbst Rods. 2.
    1. Leone expansion screws.

1

Comparison Chart

Oral OsteogenesisKLS-MartinSynthes
MaterialStainless Steel 304TI - 6AL4V
Titanium AlloySurgical
Stainless Steal
Facial
Skeleton/PinsStainless Steel 301TI - 6AL4V
Titanium AlloySurgical
Stainless Steal
Distraction Rate.5mm/day first 2 days then
1mm/day after that1mm/day1mm/day
Fixed to Patient
BoneScrewsScrewsScrews
Completed
DistractionGeared RodGeared RodGeared Rod
Distraction
ActivationHex KeySameScrewdriver
External
Facial Bone
DistractorIntraoralIntraoralInternal
Intended UseMandible DistractionSameSame
Device PlacementSubcutaneousSameSame
UserCraniofacial SurgeonSameSame

2

Image /page/2/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" around the perimeter. Inside the circle is an abstract symbol that resembles a stylized caduceus or a representation of the human form.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

FEB 0 4 2003

Oral Osteodistraction, L.P. C/O Mr. Arthur J. Ward AJW Technology Consultants, Incorporated 962 Allegro Lane Apollo Beach, Florida 33572

Re: K014001

Trade/Device Name: Oral Osteodistraction Rod Appliances Regulation Number: 872.4760 Regulation Name: Bone Plate Regulatory Class: II Product Code: MQN Dated: November 26, 2002 Received: December 9, 2002

Dear Mr. Ward:

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.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), 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 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

3

Page 2 - Mr. Ward

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); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate 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). please contact the Office of Compliance at (301) 594-4613. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours.

Susan Runres

Susan Runner, DDS, MA Interim Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

4

510(k) Number (if known): 长 0 | 中 ○ ○ |

Oral Osteodistraction Distraction Rod Appliances Device Name:

Indications For Use:

The Oral Osteodistraction Distraction Rod Appliances is intended to be used in the mandible for conditions such as mandibular deficiency or post-traumatic effects of the mandible, where gradual bone distraction is required.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use (Per 21 CFR 801.109)

OR

Over-The-Counter Use__________________________________________________________________________________________________________________________________________________________

(Optional Format 1-2-

Susan Rower

(Division Sign-Off) Division of Anesthesiology, General Hospital, Infection Control, Dental Devices

510(k) Number. K014001