K Number
K093442
Device Name
GUIDED GROWTH SYSTEM
Manufacturer
Date Cleared
2010-06-10

(217 days)

Product Code
Regulation Number
888.3030
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Guided Growth System plates are designed for the express and sole purpose of redirecting the angle of growth of long bone(s). This is useful for gradually correcting angular deformities in growing children. Specific conditions/diseases for which the device will be indicated include: valgus, varus or flexion, extension deformities of the knee (femur and/or tibia), valgus, varus or plantar flexion deformities of the ankle, valgus or varus deformities of the elbow (humerus), radial or ulnar deviation, flexion or extension deformities of the wrist (radius).
Device Description
The Guided Growth System is designed for the gradual correction of pediatric deformities in both the upper and lower extremities. The device can be used for correction of congenital deformities as well as correction of acquired deformities, provided that the physis (growth plates) are not fused. The plates feature a contoured waist and low profile for pediatric usage. There is a center hole in the plate for a temporary guide pin to be implanted to ensure accurate application of the plate. The plates are attached to the external surface of the bone over the growth plate by two or four screws. These screws are not locked to the plate, but rather are allowed to swivel and diverge in their position as bone growth occurs. The implant acts like a flexible hinge, permitting growth at the growth plate to gradually straighten the limb. Immediately after implantation, the patient is allowed mobility and weight bearing.
More Information

Not Found

No
The device description and performance studies focus on the mechanical properties and function of the plates and screws for guiding bone growth, with no mention of AI or ML technologies.

Yes.
The device is used to correct angular deformities in growing children by redirecting the angle of growth of long bones, which is a therapeutic intervention.

No

This device is a surgical implant designed to correct angular deformities in growing children by redirecting bone growth. It is a therapeutic device, not a diagnostic one.

No

The device description clearly describes a physical implant (plates and screws) designed to be surgically attached to bone. This is a hardware medical device, not software-only.

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

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, tissue) to provide information about a person's health. This information is used for diagnosis, monitoring, or screening.
  • Device Function: The Guided Growth System is a surgical implant designed to physically correct bone deformities by redirecting bone growth. It is implanted directly into the body and does not analyze any biological specimens.
  • Intended Use: The intended use clearly describes a mechanical intervention to correct anatomical structure, not a diagnostic test based on biological samples.

Therefore, based on the provided information, the Guided Growth System is a surgical device, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Guided Growth System plates are designed for the express and sole purpose of redirecting the angle of growth of long bone(s). This is useful for gradually correcting angular deformities in growing children. Specific conditions/diseases for which the device will be indicated include: valgus, varus or flexion, extension deformities of the knee (femur and/or tibia), valgus, varus or plantar flexion deformities of the ankle, valgus or varus deformities of the elbow (humerus), radial or ulnar deviation, flexion or extension deformities of the wrist (radius).

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

OBT

Device Description

The Guided Growth System is designed for the gradual correction of pediatric deformities in both the upper and lower extremities. The device can be used for correction of congenital deformities as well as correction of acquired deformities, provided that the physis (growth plates) are not fused. The plates feature a contoured waist and low profile for pediatric usage. There is a center hole in the plate for a temporary guide pin to be implanted to ensure accurate application of the plate. The plates are attached to the external surface of the bone over the growth plate by two or four screws. These screws are not locked to the plate, but rather are allowed to swivel and diverge in their position as bone growth occurs. The implant acts like a flexible hinge, permitting growth at the growth plate to gradually straighten the limb. Immediately after implantation, the patient is allowed mobility and weight bearing.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Long bone(s), knee (femur and/or tibia), ankle, elbow (humerus), wrist (radius). Both upper and lower extremities.

Indicated Patient Age Range

growing children (pediatric usage)

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)

Biomechanical Testing: In order to demonstrate that the Guided Growth System Quad-Plate has the mechanical properties necessary to perform its intended use, and that the Quad Plate performs as well as or better than the predicate device, Orthofix has conducted mechanical and functional testing of the Quad-Plate in accordance with ASTM F564-02 Standard Specification and Test Method for Metallic Bone Staples. The testing was successfully completed demonstrating the Quad Plate performs as well as the Guided Growth System eight-Plate.

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

Not Found

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.

K031493

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).

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.

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1/2 K093442

SUMMARY OF SAFETY AND EFFECTIVENESS

| Summary Preparation

Date:June 10, 2010
510(k) Submitter:Mary E. Biggers, RAC
Orthofix Inc. 1720 Bray Central Drive
McKinney, TX 75609
469-742-2500JUN 10 2010
Primary Contact:Darla Chew
Directory, Regulatory Affairs
Orthofix Inc.
Phone: 469-742-8824
Fax: 469-742-2556
darlachew@orthofix.com
Device Trade Name:Guided Growth System™
Device Common
Name:bone plate
Regulation Name:Single/multiple component metallic bone fixation appliances and accessories.
Classification Name:plate, bone, growth control, pediatric, epiphysiodesis
(21 CFR Parts 888.3030)
Product Code:OBT
Indications for Use:The Guided Growth System plates are designed for the express and sole
purpose of redirecting the angle of growth of long bone(s). This is useful for
gradually correcting angular deformities in growing children. Specific
conditions/diseases for which the device will be indicated include: valgus, varus
or flexion, extension deformities of the knee (femur and/or tibia), valgus, varus
or plantar flexion deformities of the ankle, valgus or varus deformities of the
elbow (humerus), radial or ulnar deviation, flexion or extension deformities of
the wrist (radius).
Predicate Device:The Orthofix Inc. Guided Growth System Quad-Plate is substantially equivalent
in design, function, and intended use to the Orthofix Guided Growth System
eight-Plate®. The Orthofix Guided Growth System eight-Plate, manufactured by
Orthofix Inc. of McKinney, Texas, was originally cleared by FDA under K031493
on November 20, 2003.

1

1

The Guided Growth System is designed for the gradual correction of pediatric Device Description: deformities in both the upper and lower extremities. The device can be used for correction of congenital deformities as well as correction of acquired deformities, provided that the physis (growth plates) are not fused. The plates feature a contoured waist and low profile for pediatric usage. There is a center hole in the plate for a temporary guide pin to be implanted to ensure accurate application of the plate. The plates are attached to the external surface of the bone over the growth plate by two or four screws. These screws are not locked to the plate, but rather are allowed to swivel and diverge in their position as bone growth occurs. The implant acts like a flexible hinge, permitting growth at the growth plate to gradually straighten the limb. Immediately after implantation, the patient is allowed mobility and weight bearing.

| Biomechanical
Testing: | In order to demonstrate that the Guided Growth System Quad-Plate has the
mechanical properties necessary to perform its intended use, and that the Quad
Plate performs as well as or better than the predicate device, Orthofix has
conducted mechanical and functional testing of the Quad-Plate in accordance
with ASTM F564-02 Standard Specification and Test Method for Metallic Bone
Staples. The testing was successfully completed demonstrating the Quad Plate
performs as well as the Guided Growth System eight-Plate. |
|-----------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Material: | The Guided Growth System eight-Plate, Quad Plate and screws are made from
titanium alloy, Ti6AL-4V ELI conforming to ASTM F136. |
| Sterilization: | The Guided Growth eight-Plate, Quad-Plate and Bone Screws are supplied
NON-STERILE and require sterilization prior to use. |
| Substantial
Equivalence: | The Guided Growth System Quad Plate is substantially equivalent in design |

and function to the Guided Growth System eight-Plate. The Guided Growth System eight-Plate received 510(k) clearance under K031493 on 11-20-03.

Featureseight-Plate®Quad-Plate
Indications for
Use"The Guided Growth Plate is designed for the express and sole
purpose of redirecting the angle of growth of long bone(s). This is
useful for gradually correcting angular deformities in growing
children. Specific conditions/diseases for which the device will be
indicated include: valgus, varus or flexion, extension deformities of
the knee (femur and/or tibia), valgus, varus or plantar flexion
deformities of the ankle, valgus or varus deformities of the elbow
(humerus), radial or ulnar deviation, flexion or extension deformities
of the wrist (radius)"Identical
MaterialTi6A14V ELIIdentical
Featureseight-Plate®Quad-Plate
Fixation MethodBone ScrewsIdentical
Number of
Fixation PointsTwoFour
Design Featuresa contoured waist and low profile for pediatric usageIdentical
Size Ranges
(lengths)12mm and 16 mm16 mm and 22mm

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K09 3442 3/3

  • Based upon the results of biomechanical testing the Guided Growth System Quad-Conclusion: Plate has the mechanical properties to perform its indications for use and is considered to be substantially equivalent to the predicate device in design, material and intended use.

3

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" arranged around the perimeter. Inside the circle is an abstract symbol that resembles an eagle or bird in flight, with three stylized lines forming the body and wings.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

Orthofix, Inc. % Ms. Mary Biggers 1720 Bray Central Drive McKinney, Texas 75069

JUN 1 0 2010

Re: K093442

Trade/Device Name: Guided Growth System Quad-Plate Regulation Number: 21 CFR 888.3030 Regulation Name: Single/multiple component metallic bone fixation appliances and accessories Regulatory Class: II Product Code: OBT Dated: May 10, 2010 Received: May 12, 2010

Dear Ms. Biggers:

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 Amendmonts, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Dr w 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 misbrandi, nound adulteration. Please note: CDRH does not evaluate information related to contractly, and warranties. We remind you, however, that device labeling must be truthful and not mucleading.

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 not the Act or any Federal statutes and regulations administered by other Federal agencies. Your 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

4

Page 2 - Ms. Mary Biggers

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.

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/MedicalDevices/Safety/ReportalProblem/default.htm 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 (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely vours.

Dallard Melker
Mark N. Melkerson

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

Enclosure

5

INDICATION FOR USE STATEMENT

Page
of

K093442

510(k) Number (if known):

Device Name:

"Guided Growth System Quad-Plate" (bone plate)

Indications for Use:

The Guided Growth Plates are designed for the express and sole purpose of redirecting the angle of growth of long bone(s). This is useful for gradually correcting annyllar deformities in growing children. Specific conditions/diseases for which the device will be indicated include: valgus, varus or flexion, extension deformities of the knee (fiem wr and/or tibia), valgus, varus or plantar flexion deformities of the ankle, valgus or varus deformities of the elbow (humerus), radial or ulnar deviation, flexion or extension deformitus of the wrist (radius)

Prescription Use: X (Per 21 CFR 801.109)

Or

Over-The-Counter (Optional Format 1-2-96)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Santur for mxn
(Division Sign-Off)

Division of Surgical, Orthopedic, and Restorative Devices

510(k) Number K093442