K Number
K060026
Device Name
KOBY SURGICAL INTERNAL FIXATION SYSTEM
Manufacturer
Date Cleared
2006-01-26

(22 days)

Product Code
Regulation Number
888.3040
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Koby Surgical Internal Fixation System implants are intended for fixation of fractures, non-unions, arthrodeses and osteotomies of the small bones in the hand and foot. The implants are intended for single use only. These implants are not intended for attachment or fixation to the posterior elements (pedicles) of the cervical, thoracic or lumbar spine.
Device Description
The Koby Surgical Internal Fixation System consists of a series of cannulated and non-cannulated bone screws which vary in diameters and lengths. These screws are constructed from implant-grade titanium and are used to aid in the fixation of bones in the upper and lower extremities.
More Information

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Not Found

No
The summary describes a system of bone screws for internal fixation and does not mention any software, algorithms, or AI/ML capabilities.

Yes
The device is used for the fixation of fractures, non-unions, arthrodeses, and osteotomies of small bones, which directly addresses a medical condition or injury.

No
The device is an internal fixation system (bone screws) used for surgical repair of fractures and other bone conditions, not for diagnosing diseases or conditions.

No

The device description explicitly states it consists of physical bone screws made of titanium, which are hardware components.

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, tissue) to provide information about a person's health. This testing is done outside of the body (in vitro).
  • Device Description: The Koby Surgical Internal Fixation System consists of bone screws that are implanted inside the body to fix fractures and other bone issues.
  • Intended Use: The intended use is for surgical fixation of bones, which is an in vivo (within the living body) procedure.

Therefore, based on the provided information, the Koby Surgical Internal Fixation System is a surgical implant, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Koby Surgical Internal Fixation System implants are intended for fixation of fractures, non-unions, arthrodeses and osteotomies of the small bones in the hand and foot. The implants are intended for single use only.

These implants are not intended for attachment or fixation to the posterior elements (pedicles) of the cervical, thoracic or lumbar spine.

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

HWC

Device Description

The Koby Surgical Internal Fixation System consists of a series of cannulated and non-cannulated bone screws which vary in diameters and lengths. These screws are constructed from implant-grade titanium and are used to aid in the fixation of bones in the upper and lower extremities.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

small bones in the hand and foot

Indicated Patient Age Range

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Intended User / Care Setting

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

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

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

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

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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).

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§ 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.

0

Image /page/0/Picture/0 description: The image shows the logo for Koby Surgical. The text "Koby Surgical" is in a large, bold font, with a line underneath each word. Below this, the text "Innovations in Foot Surgery" is in a smaller font.

1635 Houston, TX Phone: 281.398.5656 Fax: 281.398.5660

JAN 2 6 2006

510(k) Summary

Date Prepared:December 29, 2005
Sponsor:Koby Surgical
16350 Park Ten Place, Suite 101
Houston, TX 77084
Company Contact:Perry Forrester
Phone: (281) 398-5656
Fax: (281) 398-5660
Device Trade Name:Koby Surgical™ Internal Fixation System
Classification Name:Smooth & threaded metallic bone fixation fasteners (21 CFR
888.3040, Product Code HWC, Class II)
Common Name:Bone Screw or Internal Fixation Device (non-spinal)
Substantial Equivalence:Documentation is provided which demonstrates the Koby
Surgical Internal Fixation System to be substantially equivalent
to other legally marketed devices.
Device Description:The Koby Surgical Internal Fixation System consists of a series
of cannulated and non-cannulated bone screws which vary in
diameters and lengths. These screws are constructed from
implant-grade titanium and are used to aid in the fixation of
bones in the upper and lower extremities.
Intended Usage:The Koby Surgical Internal Fixation System implants are
intended for fixation of fractures, non-unions, arthrodeses and
osteotomies of the small bones in the hand and foot.
The
implants are intended for single use only.
These implants are not intended for attachment or fixation to the
posterior elements (pedicles) of the cervical, thoracic or lumbar
spine.
Material:Titanium Alloy (Ti-6AL-4V ELI)

Section 5 – Page 1 of 1

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Image /page/1/Picture/1 description: The image is a black and white circular logo for the Department of Health and Human Services in the USA. The logo features the department's emblem, which is a stylized eagle with three lines representing its body and wings. The eagle is facing right. The text "DEPARTMENT OF HEALTH AND HUMAN SERVICES. USA" is arranged around the upper half of the circle, following its curvature.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JAN 2 6 2006

Mr. Perry Forrester President Koby Surgical 16350 Park Ten Place, Suite 101 Houston, Texas 77084

Re: K060026

Trade/Device Name: Koby Surgical Internal Fixation System Regulation Number: 21 CFR 888.3040 Regulation Name: Smooth or threaded metallic bone fixation fastener Regulatory Class: II Product Code: HWC Dated: December 29, 2005 Received: January 4, 2006

Dear Mr. Forrester:

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. Forrester

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 (240) 276-0120. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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/industry/support/index.html.

Sincerely yours.

Barbara Buchund
for

Mark N. Melkerson, Acting Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

3

cc: HFZ-401 DMC HFZ-404 510(k) Staff
HFZ-410 Division D.O. f/t:NKM:rrr: 1/25/06

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4

Indications for Use

510(k) Number: Pending

Device Name: Koby Surgical Internal Fixation System

Indications For Use:

The Koby Surgical Internal Fixation System implants are intended for fixation of fractures, non-unions, arthrodeses and osteotomies of the small bones in the hand and foot. The implants are intended for single use only.

These implants are not intended for attachment or fixation to the posterior elements (pedicles) of the cervical, thoracic or lumbar spine.

Prescription Use V (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Saubare Bried for MXM

is on Sign-O Division of General, Restorative, and Neurological Devices

510(k) Number K060026