AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Treu Bone Fixation Screws and Pins are intended to be used as implants for the fixation of bone fractures, fusion of joints or bone reconstructions or as guide pins for insertion of other implants.

Device Description

Treu Bone Screws are available in thread diameters ranging from ø1.5 mm to ø7 mm, lengths ranging from 6 mm to 130 mm, are either cannulated or non-cannulated and made of stainless steel or titanium alloy.

Treu Schanz Screws are available in wire diameters ranging from ø3.0 mm to ø6.0 mm, lengths ranging from 60 mm to 350 mm, thread lengths ranging from 20 mm and are made of stainless steel.

Treu Kirschner Wires are available in wire diameters ranging from ø0.8 mm to ø3.0 mm, lengths ranging from 70 mm to 500 mm, are partially or completely smooth or threaded and are made of stainless steel.

Treu Steinmann Pins are available in wire diameters ranging from ø3.0 mm to ø6.0 mm, lengths ranging from 80 mm to 500 mm, are partially or completely smooth or threaded and are made of stainless steel.

Treu Larsen Pins are available in one diameter (ø1.6 mm) and four lengths (60, 80, 100, 120 mm). The head of the pin is 2.5 mm thick and the anchoring hole is ø1.2 mm to facilitate a ø1 mm cerclage wire. The proximal part of the Larsen Pin is prepared for cutting and fits in conventional as well as mini drivers.

AI/ML Overview

The provided document is a 510(k) summary for Treu Bone Fixation Screws and Pins. This type of submission focuses on demonstrating substantial equivalence to a legally marketed predicate device, rather than proving a device meets specific performance acceptance criteria through a clinical study with detailed results as often seen with AI/software as a medical device (SaMD) or novel device submissions.

Therefore, the document does not contain the following information typically associated with a study proving acceptance criteria for AI medical devices:

  • A table of acceptance criteria and reported device performance.
  • Sample sizes used for test and training sets.
  • Data provenance.
  • Number and qualifications of experts for ground truth.
  • Adjudication methods.
  • MRMC comparative effectiveness study or related effect sizes.
  • Standalone algorithm performance.
  • Type of ground truth used (e.g., pathology, outcomes data).

Instead, the submission demonstrates substantial equivalence based on:

  1. Device Description: Detailed specifications of the Treu Bone Fixation Screws and Pins (materials, dimensions, cannulated/non-cannulated, smooth/threaded).
  2. Intended Use: Clearly states the intended use as implants for fixation of bone fractures, fusion of joints, bone reconstructions, or as guide pins for insertion of other implants.
  3. Substantial Equivalence to Predicate Devices: Lists several existing legally marketed devices (K983006, K021932, K062103, etc.) from manufacturers like Stryker, Synthes, Darco, DePuy, OsteoMed, and Störk Instrumente. The conclusion states that the Treu devices are substantially equivalent to these predicate devices based on the available information.

In summary, this 510(k) submission for Treu Bone Fixation Screws and Pins relies on demonstrating that the device is as safe and effective as other devices already on the market through substantial equivalence, rather than providing the detailed clinical study information requested for acceptance criteria proof, which is more common for novel technologies or AI/SaMD.

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Image /page/0/Picture/1 description: The image shows a logo with the letters "T", "Z", and "I" stacked on top of each other inside of a circle. Above the circle is the registered trademark symbol. Below the circle, the text "TZEU-INSTRUMENTE" is written in a sans-serif font. The logo appears to be for a company that manufactures instruments.

K083912

JUL 1 5 2009

510(K) SUMMARY OF SAFETY AND EFFECTIVENESS IN ACCORDANCE WITH SMDA OF 1990

December 22, 2008 Date of Application:

APPLICANT: TREU-INSTRUMENTE GMBH Altentalstr. 6-10 Tuttlingen, Germany D-78532 Phone: +49 (7461) 9621-0 Fax: +49 (7461) 77567 Email: joerg.kapp@treu.co

Device NameTreu Bone Fixation Screws and Pins
Trade NameCommon NameProductCodeMedical Spe-cialityRegulationNumberDeviceClass
Treu Cortical ScrewsScrew, Fixation BoneHWC87/ Orthopedic888.30402
Treu Corticalis ScrewsScrew, Fixation BoneHWC87/ Orthopedic888.30402
Treu Shank ScrewsScrew, Fixation BoneHWC87/ Orthopedic888.30402
Treu Cancellous ScrewsScrew, Fixation BoneHWC87/ Orthopedic888.30402
Treu Compression ScrewsScrew, Fixation BoneHWC87/ Orthopedic888.30402
Treu Snap off ScrewsScrew, Fixation BoneHWC87/ Orthopedic888.30402
Treu Cannulated ScrewsScrew, Fixation BoneHWC87/ Orthopedic888.30402
Treu Schanz ScrewsPin, Fixation, SmoothJDW87/ Orthopedic888.30402
Treu SpiRe Schanz ScrewsPin, Fixation, SmoothJDW87/ Orthopedic888.30402
Treu Kirschner WiresPin, Fixation, Smooth orThreadedHTY / JDW87/ Orthopedic888.30402
Treu Larsen PinsPin, Fixation, SmoothHTY87/ Orthopedic888.30402
Treu Steinmann PinsPin, Fixation, SmoothJDW87/ Orthopedic888.30402

Description of the Device

Treu Bone Screws are available in thread diameters ranging from ø1.5 mm to ø7 mm, lengths ranging from 6 mm to 130 mm, are either cannulated or non-cannulated and made of stainless steel or titanium alloy.

Treu Schanz Screws are available in wire diameters ranging from ø3.0 mm to ø6.0 mm, lengths ranging from 60 mm to 350 mm, thread lengths ranging from 20 mm and are made of stainless steel.

Treu Kirschner Wires are available in wire diameters ranging from ø0.8 mm to ø3.0 mm, lengths ranging from 70 mm to 500 mm, are partially or completely smooth or threaded and are made of stainless steel.

Treu Steinmann Pins are available in wire diameters ranging from ø3.0 mm to ø6.0 mm, lengths ranging from 80 mm to 500 mm, are partially or completely smooth or threaded and are made of stainless steel.

Treu Larsen Pins are available in one diameter (ø1.6 mm) and four lengths (60, 80, 100, 120 mm). The head of the pin is 2.5 mm thick and the anchoring hole is ø1.2 mm to facilitate a ø1 mm

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K083912. (pg. 2 of 2)

TREU-INSTRUMENTE GmbH Bone Fixation Screws and Pins

Image /page/1/Picture/2 description: The image shows a logo with the letters 'T' and 'Z' stacked on top of each other inside of a circle. A registered trademark symbol is located to the right of the circle. Below the circle, the text 'TREU-INSTRUMENTE' is printed in a serif font. The logo appears to be for a company or organization.

cerclage wire. The proximal part of the Larsen Pin is prepared for cutting and fits in conventional as well as mini drivers.

Intended Use

The Treu Bone Fixation Screws and Pins are intended to be used as implants for the fixation of bone fractures, fusion of joints or bone reconstructions or as guide pins for insertion of other implants.

Substantial Equivalence

Treu Bone Fixation Screws and Pins are substantial equivalent to the predicate devices of Stryker Osteonics K983006, Synthes (USA) K021932, Darco International, Inc. K062103, DePuy Orthopedics Inc. K062352, Synthes (USA) K002605, OsteoMed L.P. K063298, Störk Instrumente GmbH K030665, OsteoMed (USA) K062863, Stryker Traum [formal:Howmedica Osteonics Corp (USA)] K000080.

Conclusion

Based on the available 510(k) summaries and 510(k) statements (21 CFR 807) and the information provided herein, we conclude that TREU-INSTRUMENTE Bone Fixation Screws and Pins are substantially equivalent to the existing legally marketed devices under Federal Food, Drug and Cosmetic Act.

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Image /page/2/Picture/0 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 image of an eagle or other bird-like figure, with stylized wings and tail feathers.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Rockville MD 20850

Food and Drug Administration 9200 Corporate Boulevard

TREU-INSTRUMENTE GmbH % MEDAGENT GmbH & Co. KG Mr. Franz Menean Griesweg 47 Mühlheim, Baden-Württemberg GERMANY 78570

JUL 1 5 2009

Re: K083912

Trade/Device Name: Treu Bone Fixation Screws and Pins Regulation Number: 21 CFR 888.3040 Regulation Name: Smooth or threaded metallic bone fixation fastener Regulatory Class: II Product Code: HWC, JDW, HTY Dated: July 14, 2009 Received: July 14, 2009

Dear Mr. Menean:

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 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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.

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Page 2 - Mr. Franz Menean

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/cdrh/mdr/ for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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,

Barbara buchius

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

Enclosure

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Indications for Use

510(k) Number: K083912

Device Name:

Treu Bone Fixation Screws and Pins

Indications for Use:

The Treu Bone Fixation Screws and Pins are intended to be used as implants for the fixation of bone fractures, fusion of joints or bone reconstructions or as guide pins for insertion of other implants.

Prescription Use _ YES (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use _ NO (21 SFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Barbara Buehlman

(Division Sign-Off) Division of Surgical, Orthopedic, and Restorative Devices

510(k) Number K083912

Page 1 of 1

§ 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.