K Number
K020562
Device Name
APEX INTRAMEDULLARY NAIL SYSTEM
Date Cleared
2002-05-16

(85 days)

Product Code
Regulation Number
888.3020
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
- Low subtrochanteric fractures - Pseudarthrosis and corrective osteotomies - Transverse fractures - Pathologic fractures, impending pathologic fractures, and tumor resections. - Oblique and spiral fractures - Supracondylar fractures, including those with intra-articular extension - Segmental fractures - Ipsilateral femoral neck fractures - Comminuted fractures - Fractures proximal to total knee arthoplasty - Fractures distal to a hip implant - Nonunions and malunions. - Acute bone lengthening and shortening - Reamed and unreamed applications - High Supracondylar fractures, including those with intra-articular extension.
Device Description
The APEX Intramedullary Nail System consists of intramedullary rods for fixation inside the canal of the tibia or femur. All the rods are cannulated and cylindrical in shape. The rods are available in a variety of diameters and lengths and have holes located the proximal and distal ends for fixation to bone by means of locking screws. An end cap is available. It screws into the threaded end of the nails to prevent bone ingrowth, which may hamper attachment of the extraction instrumentation. All components of the APEX Intramedullary Nail System are manufactured from titanium alloy (Ti-6Al-4V).
More Information

Not Found

Not Found

No
The description focuses solely on the mechanical components and materials of a traditional intramedullary nail system. There is no mention of software, algorithms, or any features that would suggest AI/ML capabilities.

Yes
The device is an intramedullary nail system intended for the fixation of various types of fractures and nonunions in the femur or tibia, which directly contributes to the treatment and healing of these conditions.

No.
The device description clearly states that the APEX Intramedullary Nail System consists of "intramedullary rods for fixation inside the canal of the tibia or femur," indicating it is a therapeutic device for fracture fixation, not a diagnostic one. The "Intended Use / Indications for Use" section lists various types of fractures and bone conditions that this system is used to treat, not to diagnose.

No

The device description explicitly states it consists of "intramedullary rods for fixation inside the canal of the tibia or femur" and describes physical components like rods, screws, and an end cap made of titanium alloy. This indicates a hardware-based medical device, not a software-only one.

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. They are used outside the body.
  • Device Description: The APEX Intramedullary Nail System is described as "intramedullary rods for fixation inside the canal of the tibia or femur." This clearly indicates it is an implantable device used within the body to stabilize bones.
  • Intended Use: The intended uses listed are all related to the surgical treatment of bone fractures and deformities. These are surgical procedures, not diagnostic tests performed on specimens.

The device is a surgical implant, not an IVD.

N/A

Intended Use / Indications for Use

  • Low subtrochanteric fractures
  • Pseudarthrosis and corrective osteotomies
  • Transverse fractures
  • Pathologic fractures, impending pathologic fractures, and tumor resections.
  • Oblique and spiral fractures
  • Supracondylar fractures, including those with intra-articular extension
  • Segmental fractures
  • Ipsilateral femoral neck fractures
  • Comminuted fractures
  • Fractures proximal to total knee arthoplasty
  • Fractures with bone loss
  • Fractures distal to a hip implant
  • Nonunions and malunions.
  • Acute bone lengthening and shortening
  • Reamed and unreamed applications
  • High Supracondylar fractures, including those with intra-articular extension.

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

HSB

Device Description

The APEX Intramedullary Nail System consists of intramedullary rods for fixation inside the canal of the tibia or femur. All the rods are cannulated and cylindrical in shape. The rods are available in a variety of diameters and lengths and have holes located the proximal and distal ends for fixation to bone by means of locking screws. An end cap is available. It screws into the threaded end of the nails to prevent bone ingrowth, which may hamper attachment of the extraction instrumentation.

All components of the APEX Intramedullary Nail System are manufactured from titanium alloy (Ti-6Al-4V).

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

inside the canal of the tibia or femur

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.

Not Found

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

§ 888.3020 Intramedullary fixation rod.

(a)
Identification. An intramedullary fixation rod is a device intended to be implanted that consists of a rod made of alloys such as cobalt-chromium-molybdenum and stainless steel. It is inserted into the medullary (bone marrow) canal of long bones for the fixation of fractures.(b)
Classification. Class II.

0

MAY 1 6 2002

000562

510(k) PREMARKET NOTIFICATION SUMMARY OF SAFETY AND EFFECTIVENESS APEX Intramedullary Nail System

Submission Information

| Name and Address of the Sponsor Of the 510(k) Submission: | Magly Orthopedics, LLC
14241 NE Woodinville-Duvall Road, #415
Woodinville, Washington 98072
425.489.2057 Phone
425.482.0147 Fax |
|-----------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------|
| Contact Person: | Dave Stinson |
| Date Summary Prepared: | February 2, 2002 |

Device Identification

Proprietary Name:APEX Intramedullary Nail System
Common Name:Intramedullary Fixation System
Classification:Intramedullary Fixation Rod
21 CFR §888.3020

Predicate Device Identification

The design and function of the APEX Intramedullary Nail System is substantially equivalent to that of the predicate Stryker Howmedica Osteonics Retrograde/Antegrade Femoral Nail, the predicate ACE AIM Titanium Nails (DePuy/ACE, a Johnson Company), and the Smith & Nephew TriGen Knee Nail. The APEX Intramedullary Nail System is similar to the listed predicate device in design, function, materials used, and indications for use.

Device Description

The APEX Intramedullary Nail System consists of intramedullary rods for fixation inside the canal of the tibia or femur. All the rods are cannulated and cylindrical in shape. The rods are available in a variety of diameters and lengths and have holes located the proximal and distal ends for fixation to bone by means of locking screws. An end cap is available. It screws into the threaded end of the nails to prevent bone ingrowth, which may hamper attachment of the extraction instrumentation.

All components of the APEX Intramedullary Nail System are manufactured from titanium alloy (Ti-6Al-4V).

Magly Orthopedics, LLC APEX Intramedullary Nail System 23

1

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features the department's name in a circular arrangement around a symbol. The symbol consists of three stylized human profiles facing right, stacked on top of each other, with flowing lines suggesting movement or progress.

Food and Drug Administratio 9200 Corporate Boulevard Rockville MD 20850

MAY 1 6 2002

Magly Orthopedics, LLC c/o Mr. Dave Stinson 15009 NE 195th Street Woodinville, WA 98072

Re: K020562

Trade/Device Name: APEX Intramedullary Nail System Regulation Number: 888.3020 Regulation Name: Intramedullary fixation rod Regulatory Class: II Product Code: HSB Dated: February 15, 2002 Received: February 20, 2002

Dear Mr. Stinson:

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.

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.

2

Page 2 - Mr. Dave Stinson

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 and additionally 21 CFR Part 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4659. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained 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,

Muriam C. Provost

Car Celia 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

3. Statement of Indications for Use

Page 1 of 1

510(k) Number:

20560 Pending

Device Name:

APEX Intramedullary Nail System

Indication(s) for Use:

  • · Low subtrochanteric fractures
  • · Pseudarthrosis and corrective osteotomies
  • Transverse fractures
  • Pathologic fractures, impending pathologic fractures, and tumor resections.
  • · Oblique and spiral fractures
  • Supracondylar fractures, including those with intra-articular extension
  • Segmental fractures
  • Ipsilateral femoral neck fractures
  • Comminuted fractures
  • Fractures proximal to total knee arthoplasty
  • · Fractures with bone loss
  • Fractures distal to a hip implant
  • · Nonunions and malunions.
  • Acute bone lengthening and shortening
  • Reamed and unreamed applications
  • High Supracondylar fractures, including those with intra-articular extension.

Muriam C. Provost

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

510(k) Number K026562

(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

(Optional Format 1-2-96)

Maqly Orthopedics, LLC APEX Intramedullary Nail System 14