K Number
K041860
Device Name
SYNTHES (USA) LCP PROXIMAL HUMERUS PLATES, LONG
Manufacturer
Date Cleared
2004-09-08

(61 days)

Product Code
Regulation Number
888.3030
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Synthes (USA) LCP Proximal Humerus Plate, long is indicated for fractures and fracture dislocations, osteotomies, and non-unions of the proximal humerus, particularly in osteopenic bone.
Device Description
The Synthes LCP Proximal Humerus Plates, long are pre-contoured to match the anatomy of the proximal humerus with a limited contact low profile design. The plate features locking holes and combination locking and compression holes which accept 2.7, 3.5, & 4.0 mm cortex screws, 3.5 mm locking screws, and 4.0 mm cancellous screws. The System will be available in Stainless Steel and Titanium. These plates will be offered as an addition to the Synthes Small Fragment LCP (formerly DCL) System.
More Information

Synthes LCP Proximal Humerus Plates, Synthes Small Fragment DCL System

Not Found

No
The description focuses on the mechanical design and materials of a bone plate, with no mention of software, algorithms, or data processing that would indicate AI/ML.

No.
The device is an orthopedic implant (plate) used to stabilize fractures, which is a reconstructive rather than therapeutic function in the sense of treating a disease or condition. It helps in the healing process by providing mechanical support.

No
The device description indicates it is an implant used for fracture fixation, not for diagnosing medical conditions.

No

The device description clearly describes a physical implant (plate) made of stainless steel and titanium, which is a hardware component.

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

Here's why:

  • IVD devices are used to examine specimens from the human body (like blood, urine, or tissue) to provide information for diagnosis, monitoring, or screening.
  • The Synthes LCP Proximal Humerus Plate is a surgical implant used to fix fractures and other bone issues in the proximal humerus. It is a physical device implanted into the body, not used to analyze biological samples.

The provided information clearly describes a surgical implant for orthopedic use, not a diagnostic test performed on biological specimens.

N/A

Intended Use / Indications for Use

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

Product codes

HRS, HWC

Device Description

The Synthes LCP Proximal Humerus Plates, long are pre-contoured to match the anatomy of the proximal humerus with a limited contact low profile design. The plate features locking holes and combination locking and compression holes which accept 2.7, 3.5, & 4.0 mm cortex screws, 3.5 mm locking screws, and 4.0 mm cancellous screws. The System will be available in Stainless Steel and Titanium. 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)

Synthes LCP Proximal Humerus Plates, Synthes Small Fragment DCL System

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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

Image /page/0/Picture/0 description: The image shows the word "SYNTHES" in bold, black letters. There is a registered trademark symbol to the right of the word. To the left of the word is a circular logo with a design inside. There is a horizontal line below the word.

041860
page 1 of 1

SEP - 8 2004

3.0510(k) Summary
Sponsor:Synthes (USA)
1690 Russell Road
Paoli, PA 19301
(610) 647-9700
Device Name:Synthes (USA) LCP® Proximal Humerus Plates, Long
Classification:Class II, 21 CFR §888.3030
Single/multiple component metallic bone fixation appliances and
accessories
Predicate Device:Synthes LCP Proximal Humerus Plates
Synthes Small Fragment DCL System
Device Description:The Synthes LCP Proximal Humerus Plates, long are pre-contoured
to match the anatomy of the proximal humerus with a limited
contact low profile design. The plate features locking holes and
combination locking and compression holes which accept 2.7, 3.5,
& 4.0 mm cortex screws, 3.5 mm locking screws, and 4.0 mm
cancellous screws. The System will be available in Stainless Steel
and Titanium. These plates will be offered as an addition to the
Synthes Small Fragment LCP (formerly DCL) System.
Intended Use:Synthes (USA) LCP Proximal Humerus Plate, long is indicated for
fractures and fracture dislocations, osteotomies, and non-unions of
the proximal humerus, particularly in osteopenic bone.
Substantial
Equivalence:Documentation is provided which demonstrates that Synthes LCP
Proximal Humerus Plates, long is substantially equivalent to other
legally marketed Synthes devices.

1

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 circle with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract symbol that resembles an eagle or bird in flight, composed of three curved lines.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

SEP = 8 2004

Sheri L. Musgnung Regulatory Affairs Specialist Synthes (USA) 1690 Russell Road Paoli, Pensylvania 19301

Re: K041860

Ro+1600
Device Name: Synthes (USA) LCP® Proximal Humerus Plates, long Regulation Number: 21 CFR 888.3030 Regulation Name: Single/multiple component metallic bone fixation appliances and accessories Regulatory Class: II Product Code: HRS, HWC Dated: July 8, 2004 Received: July 9, 2004

Dear Ms. Musgnung :

We have reviewed your Section 510(k) premarket notification of intent to market the device wf nave teviewed your beceren be device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate for use suated in the encreations of the enactment date of the Medical Device Amendments, or to commerce pror to rias 2011-12-12 in accordance with the provisions of the Federal Food, Drug, de nees that have been rolat 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 r ou may, diorerors, mians of the Act include requirements for annual registration, listing of general controlo provision 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 If your device is exassinou controls. Existing major regulations affecting your device can may or sations to outsil and 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 r toase of acrised that the rearmination that your device complies with other requirements of the Act that I DA has made a avoid regulations administered by other Federal agencies. You must or any I 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 OF R Part 877) facems (QS) regulation (21 CFR Part 820); and if applicable, the electronic form in the quality of over is one of the Act); 21 CFR 1000-1050.

2

Page 2 -- Sheri L. Musgnung

This letter will allow you to begin marketing your device as described in your Section 510(k) I his letter will anow you to begin maneting of substantial equivalence of your device to a legally premits that notheadon. The PPA maing of casification 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 If you desire specific advice for your ac not one of one of the regulation entitled, the regulation entitled, the Colliact the Office of Compilation" (21CFR Part 807.97). You may obtain Milsblaining Uy tereforee to premientonsibilities under the Act from the Division of Small other general 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.

Mark A. Milburn

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

Image /page/3/Picture/0 description: The image shows the word "SYNTHES" in bold, black letters. To the left of the word is a circular logo with a design inside. A horizontal line is located underneath the word "SYNTHES". The logo and word are likely part of a company or brand identity.

Indications for Use

KO4180

510(k) Number (if known):

Device Name:

Synthes (USA) LCP® Proximal Humerus Plates, long

Indications:

Synthes (USA) LCP Proximal Humerus Plate, long is indicated for fractures and fracture dislocations, osteotomies, and nonunions of the proximal humerus, particularly in osteopenic bone.

X Prescription Use _ (Per 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use_ (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Mark A. Milburn

Jivision Sign-Division of General, Restorative, and Neurological Devices

510(k) Number K041860

000004