K Number
K081356
Device Name
OLECRANAIL INTRAMEDULLARY FIXATION SYSTEM
Date Cleared
2008-07-09

(56 days)

Product Code
Regulation Number
888.3020
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The OlecraNail™ Intramedullary Fixation System and accessories are intended for the surgical fixation of all fractures and surgical osteotomies of the proximal ulna in the acute or chronic setting.
Device Description
The OlecraNail™ intramedullary rod is a solid bore, stainless steel, tapered rod that is inserted into a pre-drilled hole into the medullary canal of the proximal ulna. Once the device is in place, a combination stainless steel/polyphenylsulfone guide is used to drill into the bone and insert several screws through the bone and rod to secure all bone fragments and lock the rod into position. During this process, compression at the fracture site may be obtained by manually turning a knob to activate the compression mechanism. After all screws are placed, the guide may then be detached using a break-away mechanism.
More Information

No
The description details a mechanical intramedullary fixation system and its components. There is no mention of software, algorithms, or data processing that would indicate the use of AI or ML. The performance studies are mechanical tests, not evaluations of algorithmic performance.

Yes
The device is described as an intramedullary fixation system intended for the surgical fixation of fractures and osteotomies, which is a therapeutic intervention.

No

Explanation: The device is an intramedullary fixation system used for surgical fixation of fractures and osteotomies. It is a treatment device, not a diagnostic one.

No

The device description clearly outlines a physical intramedullary rod, guide, and screws made of stainless steel and polyphenylsulfone, which are hardware components. The performance studies also focus on the mechanical properties of these physical components.

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

Here's why:

  • Intended Use: The intended use clearly states "surgical fixation of all fractures and surgical osteotomies of the proximal ulna". This describes a surgical procedure performed on the patient's body, not a test performed on a sample taken from the patient's body.
  • Device Description: The device description details a physical implant (intramedullary rod, screws, guide) used to stabilize bone fractures. This is a surgical device, not a diagnostic test kit or instrument.
  • Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring substances in those samples
    • Providing information for diagnosis, monitoring, or screening

The OlecraNail™ Intramedullary Fixation System is a surgical implant used for orthopedic procedures.

N/A

Intended Use / Indications for Use

The OlecraNail™ Intramedullary Fixation System and accessories are intended for the surgical fixation of all fractures and surgical osteotomies of the proximal ulna in the acute or chronic setting.

Product codes

HSB

Device Description

The OlecraNail™ intramedullary rod is a solid bore, stainless steel, tapered rod that is inserted into a pre-drilled hole into the medullary canal of the proximal ulna. Once the device is in place, a combination stainless steel/polyphenylsulfone guide is used to drill into the bone and insert several screws through the bone and rod to secure all bone fragments and lock the rod into position. During this process, compression at the fracture site may be obtained by manually turning a knob to activate the compression mechanism. After all screws are placed, the guide may then be detached using a break-away mechanism.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

proximal ulna

Indicated Patient Age Range

Not Found

Intended User / Care Setting

surgical

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)

Three tests were performed on OlecraNail™ intramedullary rods. The first test, the three-point bending test, was similar in protocol to the four-point bending test described in ASTM-F1264. In this bending test. the OlecraNail™ intramedullary rod demonstrated equal or superior elastic limits and rigidity compared to commonly used implants for identical indications. In the second test, the OlecraNail™ intramedullary rod demonstrated a higher torsional strength than would be sustainable by the screws that would be used to stabilize the nail in the bone. The final test, which subjected the rodguide junction to bending and torsional stresses, showed that the assembly can tolerate significant stresses beyond what would be seen in a standard operative setting. These three tests indicate that the OlecraNail™ intramedullary rod and assembly will support the in vivo loads expected to be seen for this application.

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

Not Found

Predicate Device(s)

Synthes Intramedullary Nail for the Olecranon (K073402), Acumed Small Bone Locking Rod System (K071944), Plus Orthopedics IP-XS Compression Nail System (K032548), Acumed Polarus Nail (K920666)

Reference Device(s)

Knowles Pins (K983757), K002486

Predetermined Change Control Plan (PCCP) - All Relevant Information

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

KO81356 Page 4

JUL - 9 2008

Section 5: 510(k) Summary

Submitter's Name and Address

Mylad Orthopedic Solutions, LLC 8803 Windy Creek Way McLean, Virginia 22102 Phone: (793)738-6547 Facsimile: (661)885-4447

Scott Edwards, M.D.

Contact Person Date of Summary:

Proprietary Name of Device:

Common/Usual Name:

Classification Name:

Legally Marketed Equivalent Devices:

OlecraNail™ Intramedullary Fixation System

intramedullary nail

Rod, Fixation, Intramedullary and Accessories per 21 CFR section 888.3020

Synthes Intramedullary Nail for the Olecranon (K073402) Acumed Small Bone Locking Rod System (K071944) Plus Orthopedics IP-XS Compression Nail System (K032548) Acumed Polarus Nail (K920666)

Summary of Device:

The OlecraNail™ intramedullary rod is a solid bore, stainless steel, tapered rod that is inserted into a pre-drilled hole into the medullary canal of the proximal ulna. Once the device is in place, a combination stainless steel/polyphenylsulfone guide is used to drill into the bone and insert several screws through the bone and rod to secure all bone fragments and lock the rod into position. During this process, compression at the fracture site may be obtained by manually turning a knob to activate the compression mechanism. After all screws are placed, the guide may then be detached using a break-away mechanism.

Intended Use:

This device is intended for the surgical fixation of all fractures and surgical osteotomies of the proximal ulna in the acute or chronic settings. This intended use is quite similar to the indications of the predicate devices and does not raise issues of safety or effectiveness.

1

Technological Characteristics of the Device Compared to the Predicate Devices: The material, design, and intended use of the OlecraNail™ Intramedullary Fixation System are identical or similar to at least one of the listed predicates. The OlecraNail™ implant is made from 316L VM stainless steel in conformance with ASTM-F138 with multiple transverse holes for interlocking components, which is the identical material of all three predicates. The OlecraNail™ implant is tapered from 7 mm proximally to 5 mm distally similarly to its predicate, Acumed Polarus Nail (K920666). Its length is 100 mm, which is similar to Plus Orthopedics/Smith and Nephew IP-XS Compression Nail System (K032548) which is 99 mm. The external threads of the locking screws engage the internal threads of the nail similar to Acumed Polarus Nail (K920666). Compression may be obtained by axially moving the nail within the bone, in a similar mechanism as demonstrated by Plus Orthopedics IP-XS Compression Nail System (K032548). Detachment of the nail from the guide is achieved by a break-away mechanism commonly used in orthopedics, such as Knowles Pins (K983757). There are no technological characteristics that raise new issues of safety or effectiveness.

Non-Clinical Tests:

Three tests were performed on OlecraNail™ intramedullary rods. The first test, the three-point bending test, was similar in protocol to the four-point bending test described in ASTM-F1264. In this bending test. the OlecraNail™ intramedullary rod demonstrated equal or superior elastic limits and rigidity compared to commonly used implants for identical indications. In the second test, the OlecraNail™ intramedullary rod demonstrated a higher torsional strength than would be sustainable by the screws that would be used to stabilize the nail in the bone. The final test, which subjected the rodguide junction to bending and torsional stresses, showed that the assembly can tolerate significant stresses beyond what would be seen in a standard operative setting. These three tests indicate that the OlecraNail™ intramedullary rod and assembly will support the in vivo loads expected to be seen for this application.

Miscellaneous Information:

All screws used in this System are covered by a pre-existing premarket notification clearance. K002486.

The stainless steel (316L VM) for all parts is supplied, inspected, and certified by Orchid Design to meet ASTM-F138.

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle-like symbol with three curved lines forming its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the symbol. The logo is black and white.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mylad Orthopedic Solutions, LLC % Scott G. Edwards, M.D. President 8803 Windy Creek Way McLean, Virginia 22102

JUL - 9 2008

Re: K081356

Trade/Device Name: OlecraNail ™ Intramedullary Fixation System Regulation Number: 21 CFR 888.3020 Regulation Name: Intramedullary fixation rod Regulation Class: Class II Product Code: HSB Dated: June 24, 2008 Received: June 26, 2008

Dear Dr. Edwards:

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.

3

Page 2 - Scott G. Edwards. M.D.

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 Center for Devices and Radiological Health's (CDRH's) Office of Compliance at (240) 276-0120. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at 240-276-3474. For questions regarding of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at 240-276-3464. 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 (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Mark M. Millman

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

Enclosure

4

Statement of Indications for Use Section 4:

KO81356 510(k) Number

OlecraNail™ Intramedullary Fixation System Device Name:

Indications for Use:

The OlecraNail™ Intramedullary Fixation System and accessories are intended for the surgical fixation of all fractures and surgical osteotomies of the proximal ulna in the acute or chronic setting.

Prescription Usex
(21 CFR 801 Subpart D)

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)

for MxM

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

510(k) Number K081356 - 6 -