K Number
K060038
Device Name
SBI RADIO-CAPITELLAR IMPLANT
Date Cleared
2006-03-30

(83 days)

Product Code
Regulation Number
888.3160
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The SBI Radio-Capitellar implant is indicated for use in the elbow for reduction or relief of pain and/or improved elbow function in skeletally mature patients with the following conditions: 1) non-inflammatory degenerative joint disease including osteo-arthritis or traumatic arthritis: 2) inflammatory degenerative joint disease including rheumatoid arthritis; 3) correction of functional deformity; 4) revision procedures where other treatments and devices have failed; and 5) treatment of fractures that are unmanageable using other techniques. The Avanta Radio-Capitellar implant is intended for cemented use only.
Device Description
The SBI Radio-Capitellar Implant provides an alternative to hemi-arthroplasty of the proximal radial head. The implant is used for the treatment of degenerative joint disorders of the radio-capitellar joint allowing activities of daily living to be performed with no or significantly reduced pain. The radio-capitellar implant is designed to be used with the radial stem components of the rHead and rHead Recon stem implants cleared for market under 510(k) K011819 and K023604 respectively.
More Information

No
The 510(k) summary describes a physical implant for elbow arthroplasty and makes no mention of software, algorithms, or any terms related to AI or ML.

Yes
The device is implanted to reduce pain and improve elbow function in patients with degenerative joint disease, which directly addresses a health condition.

No
This device is an implant designed for the treatment of degenerative joint disorders and fractures, not for diagnosing conditions.

No

The device description clearly states it is an "implant," which is a physical medical device intended for surgical insertion into the body. It is not software.

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

Here's why:

  • Intended Use: The intended use clearly describes a surgical implant for treating conditions within the elbow joint. This is a therapeutic device, not a diagnostic one.
  • Device Description: The description details a physical implant designed to replace or augment a part of the elbow joint. This is consistent with a surgical device.
  • Lack of IVD Characteristics: There is no mention of analyzing samples from the human body (like blood, urine, tissue), performing tests to diagnose conditions, or providing information for diagnostic purposes.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device does not fit that description.

N/A

Intended Use / Indications for Use

The SBI Radio-Capitellar implant is indicated for use in the elbow for reduction or relief of pain and/or improved elbow function in skeletally mature patients with the following conditions: 1) non-inflammatory degenerative joint disease including osteo-arthritis or traumatic arthritis: 2) inflammatory degenerative joint disease including rheumatoid arthritis; 3) correction of functional deformity; 4) revision procedures where other treatments and devices have failed; and 5) treatment of fractures that are unmanageable using other techniques. The Avanta Radio-Capitellar implant is intended for cemented use only.

Product codes

JDB

Device Description

The SBI Radio-Capitellar Implant provides an alternative to hemi-arthroplasty of the proximal radial head. The implant is used for the treatment of degenerative joint disorders of the radio-capitellar joint allowing activities of daily living to be performed with no or significantly reduced pain. The radio-capitellar implant is designed to be used with the radial stem components of the rHead and rHead Recon stem implants cleared for market under 510(k) K011819 and K023604 respectively. The SBI Radio-Capitellar implant is designed from implantable grades of cobalt chrome alloy and ultra-high molecular weight polyethylene (UHMWPE).

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Elbow

Indicated Patient Age Range

skeletally mature patients

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)

K011819, K023604

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 888.3160 Elbow joint metal/polymer semi-constrained cemented prosthesis.

(a)
Identification. An elbow joint metal/polymer semi-constrained cemented prosthesis is a device intended to be implanted to replace an elbow joint. The device limits translation and rotation in one or more planes via the geometry of its articulating surfaces. It has no linkage across-the-joint. This generic type of device includes prostheses that consist of a humeral resurfacing component made of alloys, such as cobalt-chromium-molybdenum, and a radial resurfacing component made of ultra-high molecular weight polyethylene. This generic type of device is limited to those prostheses intended for use with bone cement (§ 888.3027).(b)
Classification. Class II.

0

K060038 p.1/2

MAR 3 0 2006

510(k) Summary

| Manufacturer: | rms Company
8600 Evergreen Boulevard
Minneapolis, MN 55433
763-786-1520 - Office
763-783-5073 |
|--------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Submitted By: | Small Bone Innovations
James O' Connor
505 Park Avenue, 14th Floor
New York, NY 10022
joconnor@totalsmallbone.com
215-428-1791 - Office
212-750-2112 - Fax |
| Proprietary Name: | SBI Radio-Capitellar Implant |
| Classification name: | Class II, 888.3160 - Prosthesis, Elbow, Semi-Constrained,
Cemented |
| Common/Usual Name: | Elbow joint metal/polymer semi-constrained cemented
prosthesis |
| Substantial Equivalence: | Documentation is provided which demonstrated the SBI
Radio-Capitellar Implant to be substantially equivalent to
other legally marketed devices. |
| Device Description: | The SBI Radio-Capitellar Implant provides an alternative
to hemi-arthroplasty of the proximal radial head. The
implant is used for the treatment of degenerative joint
disorders of the radio-capitellar joint allowing activities of
daily living to be performed with no or significantly
reduced pain. The radio-capitellar implant is designed to
be used with the radial stem components of the rHead and
rHead Recon stem implants cleared for market under
510(k) K011819 and K023604 respectively. |
| Intended Use: | The SBI Radio-Capitellar implant is indicated for use in the
elbow for reduction or relief of pain and/or improved elbow
function in skeletally mature patients with the following
conditions: 1) non-inflammatory degenerative joint disease
including osteo-arthritis or traumatic arthritis: 2) |

1

inflammatory degenerative joint disease including rheumatoid arthritis; 3) correction of functional deformity; 4) revision procedures where other treatments and devices have failed; and 5) treatment of fractures that are unmanageable using other techniques.

Material:

The SBI Radio-Capitellar implant is designed from implantable grades of cobalt chrome alloy and ultra-high molecular weight polyethylene (UHMWPE).

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH AND HUMAN SERVICES, USA" around the perimeter. Inside the circle is an abstract symbol resembling an eagle or a stylized human figure with outstretched arms.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAR 3 0 2006

Small Bone Innovations, Inc. c/o Mr. Robert Hoehn Regulatory Associate 505 Park Avenue - 14th Floor New York, New York 10022

Re: K060038

Trade/Device Name: SBI Radio-Capitellar Regulation Number: 21 CFR 888.3160 Regulation Name: Elbow joint metal/polymer semi-constrained cemented prothesis Regulatory Class: II Product Code: JDB Dated: December 15, 2005 Received: January 6, 2006

Dear Mr. Hoehn:

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

3

Page 2 -Mr. Robert Hoehn

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 premiated noticated 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" (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.

Hulut Lemus

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

Enclosure

4

Indications for Use

510(k) Number:

Device Name: SBI Radio-Capitellar

Indications For Use:

The SBI Radio-Capitellar implant is indicated for use in the elbow for reduction or relief of pain and/or improved elbow function in skeletally mature patients with the following conditions: 1) non-inflammatory degenerative joint disease including osteo-arthritis; 2) inflammatory degenerative joint disease including rheumatoid arthritis; 3) correction of functional deformity; 4) revision procedures where other treatments and devices have failed; and 5) treatment of fractures that are unmanageable using other techniques.

The Avanta Radio-Capitellar implant is intended for cemented use only.

Prescription Use V (Part 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 IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Herbert Lemar us

Page 1 of 1

Division of General, Restorative. and Neurological Devices

510(k) Number K060038