The intended use of Störk Instrumente GmbH's Bone Wires is the fixation of bone fractures and / or to guide other implants during insertion to the skeletal system.

Due to their design and used materials, which is either Stainless Steel acc. ASTM F 138 / 139 (316 L) or Titanium Alloy acc. to ASTM F 136, Grade 5, these devices can be used as implants.

Störk Instrumente GmbH delivers all Bone Wires in Non-Sterile conditions. The user may sterilize these devices by using a validated and applicable sterilization process.

Störk Instrumente GmbH recommends to use a steam-sterilizer that uses a validated sterilization cycle of 134°C / 270°F, 3 bar, for 10 minutes.

Device Description

Trade Name: Bone Wire Common Name: Kirschner Wire (K wire), Steinmann Wire, Bonell Wire (Pin), Cerclage Wire

AI/ML Overview

The provided text is a 510(k) Summary for a medical device (Bone Wires), which primarily focuses on demonstrating substantial equivalence to existing predicate devices. It does not contain information about specific acceptance criteria, performance studies against those criteria, or clinical evaluation data that would typically be found in an AI/ML medical device submission.

Therefore, I cannot populate the requested table or answer most of the questions, as this document type does not involve such studies for this class of device.

Here's what I can extract based on the provided text, and what is missing:

Acceptance Criteria and Device Performance Table:

Acceptance Criteria	Reported Device Performance
MATERIAL COMPOSITION:
Stainless Steel (ASTM F 138 / 139 (316 L))	Meets Stainless Steel acc. ASTM F 138 / 139 (316 L)
Titanium Alloy (ASTM F 136, Grade 5)	Meets Titanium Alloy acc. to ASTM F 136, Grade 5
BIOCOMPATIBILITY:	Biocompatibility is guaranteed by the composition of the used materials, which are also used in other legally marketed surgical implants (e.g., bone screws, plates, aneurysm clips, as cited in predicate 510(k)s: K983758, K000080, K003500).
SUBSTANTIAL EQUIVALENCE (Overall):	The device is substantially equivalent to legally marketed predicate bone wires (e.g., Kirschner Wires or Steinmann Pins) from companies like Syntec-Taichung Co., Ltd. (#K983121), Osteonics Corporation (#K971862), DePuy Inc. (#K960385), and Synvasive Technology Inc. (#961522).
STERILIZATION (User Recommendation):	Recommended to use a steam-sterilizer with a validated sterilization cycle of 134°C / 270°F, 3 bar, for 10 minutes.
INTENDED USE:	Fixation of bone fractures and/or to guide other implants during insertion to the skeletal system.

Detailed Response to Individual Questions:

A table of acceptance criteria and the reported device performance
- See the table above. The "acceptance criteria" for a traditional 510(k) for a device like this are primarily based on material standards and substantial equivalence to legally marketed predicate devices, rather than a quantifiable performance metric derived from a specific study.
Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)
- N/A. This document does not describe a "test set" in the context of performance testing or clinical studies. Substantial equivalence for this type of device is typically established through material property comparisons, design similarities, and intended use comparison with predicate devices, rather than a clinical performance study with a test set.
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)
- N/A. There is no "ground truth" establishment described in this document, as it's not a study evaluating diagnostic accuracy or clinical outcomes.
Adjudication method (e.g. 2+1, 3+1, none) for the test set
- N/A. No test set or adjudication method is described.
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 device (Bone Wire) is a physical implant, not an AI-powered diagnostic or assistive tool. Therefore, no MRMC study or AI assistance is relevant.
If a standalone (i.e. algorithm only without human-in-the-loop performance) was done
- N/A. This is not an algorithm or software device.
The type of ground truth used (expert consensus, pathology, outcomes data, etc.)
- N/A. No ground truth is established as there is no performance study of this nature. The "truth" for this submission is adherence to material standards and functional equivalence to predicate devices.
The sample size for the training set
- N/A. There is no "training set" as this is not an AI/ML device requiring training data.
How the ground truth for the training set was established
- N/A. No training set or ground truth for it is relevant or described.

Summary

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page 1 of 2

K...030665.....

510(K) Summary of Safety and EFFECTIVENESS IN Accordance with SMDA of 1990

DATE OF APPLICATION: 2003-02-21

Störk Instrumente GmbH Submitted by:: Engener Straße 29 D-78576 Emmingen/Liptingen Germany Tel.: +49 (7465) 825 Fax: +49 (7465) 2216

1. DEVICE DESCRIPTION

Trade Name: Bone Wire Common Name: Kirschner Wire (K wire), Steinmann Wire, Bonell Wire (Pin), Cerclage Wire

2. Classification

Device:	Pin, Fixation Smooth	Pin, Fixation, Threaded
Medical Specialty:	Part 888, Orthopedic	Part 888, Orthopedic
Product Code:	87 HTY	87 JDW
Device Class:	2	2
Regulation Number:	888.3040	888.3040

3. INTENDED USE

The intended use of Störk Instrumente GmbH's Bone Wires is the fixation of bone fractures and / or to guide other implants during insertion to the skeletal system.

Due to their design and used materials, which is either Stainless Steel acc. ASTM F 138 / 139 (316 L) or Titanium Alloy acc. to ASTM F 136, Grade 5, these devices can be used as implants.

Störk Instrumente GmbH is offering their Bone Wires only in an Non-Sterile condition.

Created on:	Updated on:	Index:	File:	Validated by:
2003-02-20	0000-00-00	01	510(k) bone wires_annexl_Summary.doc	Klaus Störk	Page 1 of 2
© MEDACENT GmbH & Co KG 2003

C MF-DAGENT GmbH & Co. KG. 2003

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030665 page 2 of st

4. SUBSTANTIAL EQUIVALENCE

Störk Instrumente GmbH's Bone Wires are substantially equivalent to other Bone Wires e.g. Kirschner Wires or Steinmann Pins legally marketed by many companies including

Syntec-Taichung Co., Ltd., #K983121 트
Osteonics Corporation, #K971862 .
. DePuy Inc., #K960385
. Synvasive Technology Inc., #961522

5. BIOCOMPATIBILITY

The biocompatibility is guaranteed by the composition of the used materials as mentioned in chapter 6. These materials are also used for most other surgical implants as bone screws, bone plates or neuro surgical implants as Aneurysm Clips as mentioned in following 510(k)'s:

K983758, Aesculap AG, Aesculap Yasargil Titanium Aneurysm Clips; 를
K000080, Howmedica Osteonics Corp., Asnis III Cannulated Screw System; 트
I K003500, Rebstock Instruments GmbH, Rebstock Yasargil Aneurysm Clips.

Störk Instrumente GmbH's Bone Wires are only made out of the in chapter 6 mentioned Raw Materials.

Compared with competitors Störk Instrumente GmbH's Bone Wires are made out of similar materials.

6. Sterilization by User

Störk Instrumente GmbH delivers all Bone Wires in Non-Sterile conditions. The user may sterilize these devices by using a validated and applicable sterilization process.

Störk Instrumente GmbH recommends to use a steam-sterilizer that uses a validated sterilization cycle of 134°C / 270°F, 3 bar, for 10 minutes.

Created on:	Updated on:	Index:	File:	Validated by:
2003-02-20	0000-00-00	01	510(k) bone wires_annexl_Summary.doc	Klaus Störk	Page 2 of 2

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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 resembling an eagle or bird in flight, composed of three stylized lines.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAR 2 5 2003

Störk Instrumente GmbH c/o Ms. Lori Advids Independent Import Agent Service LLC Subsidiary of the Hirdes Group 7046 Bentley Drive Gurnee, IL 60031

Re: K030665

Trade/Device Name: Bone Wire Regulation Number: 21 CFR 888.3040 Regulation Name: Smooth or threaded metallic bone fixation fastener Regulatory Class: II Product Code: HTY Dated: February 21, 2003 Received: March 3, 2003

Dear Ms. Advids:

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

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Page 2 - Ms. Lori Advids

forth in the quality systems (OS) 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) 594-4659. 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 vours.

Sincerely, yours,

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

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к ... Коздова 5 ...

IFU-STATEMENT

INDICATION FOR USE

The intended use of Stork Instrumente GmbH's Bone Wires is the fixation of bone fractures and I or to guide other implants during insertion to the skeletal system.

Due to their design and used materials, which is either Stainless Steel acc. ASTM F 138 / 139 (316 L) or Titanium Alloy acc. to ASTM F 136, Grade 5, these devices can be used as implants.

Störk Instrumente GmbH delivers all Bone Wires in Non-Sterile conditions. The user may sterilize these devices by using a validated and applicable sterilization process.

Störk Instrumente GmbH recommends to use a steam-sterilizer that uses a validated sterilization cycle of 134°C / 270°F, 3 bar, for 10 minutes.

Mach N. Melkersen

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

510(k) Number.

Created on:	Updated on:	Index:	File:	Validated by:
2003-02-20	0000-00-00	01	510(k) bonewires_annexII_IFU_Statement.doc	Klaus Störk	Page 1 of 1

Regulation Number and Section

§ 888.3040 Smooth or threaded metallic bone fixation fastener.

(a)
Identification. A smooth or threaded metallic bone fixation fastener is a device intended to be implanted that consists of a stiff wire segment or rod made of alloys, such as cobalt-chromium-molybdenum and stainless steel, and that may be smooth on the outside, fully or partially threaded, straight or U-shaped; and may be either blunt pointed, sharp pointed, or have a formed, slotted head on the end. It may be used for fixation of bone fractures, for bone reconstructions, as a guide pin for insertion of other implants, or it may be implanted through the skin so that a pulling force (traction) may be applied to the skeletal system.(b)
Classification. Class II.