K Number
K110805
Device Name
GUIDED GROWTH SYSTEM EIGHT-PLATE, QUAD-PLATE (STAINLESS STEEL)
Manufacturer
Date Cleared
2011-06-21

(90 days)

Product Code
Regulation Number
888.3030
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended 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 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 and 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. The plates and screws are made from implant quality stainless steel conforming to ASTM F-138.
More Information

Not Found

No
The device description and performance studies focus on the mechanical properties and function of a physical implant for guiding bone growth, with no mention of software, algorithms, or data processing that would indicate AI/ML.

Yes
The device is designed 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 designed to correct angular deformities in growing bones, functioning as an implant that redirects bone growth. It does not perform any diagnostic function such as identifying, assessing, or monitoring a disease or condition.

No

The device description clearly describes a physical implant (plates and screws made of stainless steel) intended for surgical implantation, not a software-only device.

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

Here's why:

  • Intended Use: The intended use is to physically redirect the growth of long bones to correct angular deformities in growing children. This is a surgical intervention, not a diagnostic test performed on samples from the body.
  • Device Description: The device is a physical implant (plates and screws) made of stainless steel, designed to be surgically attached to bone. This is a medical device used for treatment, not for diagnosing a condition.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting markers, or providing diagnostic information based on in vitro testing.

The device is clearly a surgical implant used for orthopedic correction.

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

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 and 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. The plates and screws are made from implant quality stainless steel conforming to ASTM F-138.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Long bones, knee (femur and/or tibia), ankle, elbow (humerus), wrist (radius).

Indicated Patient Age Range

Pediatric 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)

Biomechanical Testing:
In order to demonstrate that the Stainless steel Guided Growth System has the mechanical properties necessary to perform its intended use and to perform as well as the predicate device, Orthofix conducted mechanical and functional testing of the system. This testing includes tensile strength testing and stiffness calculations. The results of the testing demonstrated the Stainless Steel Guided Growth System to meet or exceed all testing requirements and to perform as well as the predicate device.

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.

K031439, K093442

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

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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510(k) SUMMARY

. . .

Guided Growth System Stainless Steel eight-Plate/quad-Plate

JUN 2 1 2011

Summary Date:March 7, 2011
Submitter Data:Orthofix Inc.
3451 Plano Parkway
Lewisville, TX 75656
214-937-2000
214-937-2764 (fax)
Primary Contact:Darla Chew
darlachew@orthofix.com
Device Trade Name:Guided Growth System - stainless steel eight-Plate/quad-Plate
Common Name:bone plate
Classification Name:Single/multiple component metallic bone fixation appliances and
accessories. (21 CFR Parts 888.3030
Product Code:OBT - plate, bone, growth control, pediatric, epiphysiodesis
Legally Marketed
Predicate Devices:Growth Guidance Plate (eight-Plate) K031439/ 11-20-03
Guided Growth System (quad-Plate) K093442/ 06-10-10
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 and 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. The plates and screws are made from implant quality
stainless steel conforming to ASTM F-138.
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

1

K.110805
p/2/2

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).

Biomechanical Testing:

In order to demonstrate that the Stainless steel Guided Growth System has the mechanical properties necessary to perform its intended use and to perform as well as the predicate device, Orthofix conducted mechanical and functional testing of the system. This testing includes tensile strength testing and stiffness calculations. The results of the testing demonstrated the Stainless Steel Guided Growth System to meet or exceed all testing requirements and to perform as well as the predicate device.

Technological Characteristics:

The Stainless Steel Guided Growth System is considered to be substantially equivalent in design, intended use and material to the predicate device. However, there are certain design differences, but these do not raise new questions regarding safety and effectiveness.

FeaturesGuided Growth System - Stainless Steel
Plate/Screw MaterialImplant quality stainless steel (316L)
Available Plate
Sizeseight-Plate: 12mm; 16mm
quad-Plate: 16mm; 22mm
Plate GeometryContoured waist and low profile for pediatric usage. Center hole for a temporary
guide pin to ensure accurate application of the plate.
Fixation Method,
Screw HolesPlates are attached to the external surface of the bone over the growth plate by
bone screws two (eight-Plate) or four (quad-Plate)
Screw TypeCannulated or Solid
Screw Length16mm - cannulated
24mm and 32mm - cannulated and solid

Sterilization:

The stainless steel Guided Growth System components are supplied NON-STERILE and require sterilization prior to use.

Substantial Equivalence:

Substantial equivalence is based upon design, dimension, material characterization, and biomechanical testing of the device in comparison to the predicates. The stainless steel Guided Growth System is substantially equivalent in design and function to the Growth Guidance Plate - eight-Plate (K031493 / 11/20/03) and the Guided Growth System -- quad-Plate (K093442 / 06/10/10)

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo consists of a circular border with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is an emblem featuring a stylized depiction of an eagle or bird-like figure with three wing-like shapes.

Public Health Service

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

Orthofix Inc. % Ms. Mary Biggers Regulatory Consultant 3451 Plano Parkway Lewisville, Texas 75056

JUN 2 1 2011

Re: K110805

Trade/Device Name: Orthofix Guided Growth System eight-Plate/quad-stainless steel (pediatric epiphysiodesis bone plates) Regulation Number: 21 CFR 888.3030 Regulation Name: Single/multiple component metallic bone fixation appliances and accessories Regulatory Class: Class II Product Code: OBT Dated: June 7, 2011 Received: June 9, 2011

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 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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

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

3

Page 2 - Ms. Mary Biggers

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 sct 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 yours,

E.I. Keith

$\sigma/$

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

Enclosure

4

V110808

INDICATION FOR USE STATEMENT

of Page

510(k) Number (if known):

Device Name:

Orthofix Guided Growth System eight-Plate/quad-Plate - stainless steel (pediatric epiphysiodesis bone plates)

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 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).

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)

for M. Melkerson

(Division Sign Oft) Division of Surgical, Orthopedic, and Restorative Devices

510(k) Number K110805