K Number
K111667
Device Name
SYNTHES SUPRAPATELLAR INSERTION INSTRUMENTS
Manufacturer
Date Cleared
2011-12-05

(174 days)

Product Code
Regulation Number
888.3030
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Synthes Suprapatellar Insertion Instruments are part of the Synthes Tibial Nail System EX. The Synthes Tibial Nail System EX is intended to stabilize fractures of the proximal and distal tibia and the tibial shaft; open and closed tibial shaft fractures; certain pre- and post-isthmic fractures; and tibial malunions and non-unions.
Device Description
The Synthes (USA) Suprapatellar Insertion Instruments consist of aiming arms, protection sleeves, trocars, and accessory instruments which are intended to facilitate the surgical approach for the insertion of intramedullary nail implants of the Synthes Tibial Nail System EX.
More Information

Not Found

No
The document describes surgical instruments for inserting tibial nails and does not mention any AI or ML capabilities.

No.
The device consists of instruments intended to facilitate the surgical insertion of intramedullary nail implants, which are the therapeutic devices. The instruments themselves do not directly provide therapy.

No
The device, Synthes Suprapatellar Insertion Instruments, is intended to facilitate the surgical approach for the insertion of intramedullary nail implants. Its purpose is to aid in stabilizing fractures, not to diagnose them.

No

The device description explicitly lists physical instruments (aiming arms, protection sleeves, trocars, and accessory instruments) and mentions in vitro studies and biocompatibility testing, indicating it is a hardware-based medical device.

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

Here's why:

  • Intended Use: The intended use clearly states that the instruments are used to "facilitate the surgical approach for the insertion of intramedullary nail implants" to stabilize fractures. This is a surgical procedure performed directly on the patient's body.
  • Device Description: The description details surgical instruments like aiming arms, protection sleeves, and trocars, which are used during surgery.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens (like blood, urine, or tissue) outside of the body to provide information for diagnosis, monitoring, or treatment.

IVD devices are used to perform tests on samples taken from the body, not for direct surgical intervention.

N/A

Intended Use / Indications for Use

The Synthes Suprapatellar Insertion Instruments are part of the Synthes Tibial Nail System EX. The Synthes Tibial Nail System EX is intended to stabilize fractures of the proximal and distal tibia and the tibial shaft; open and closed tibial shaft fractures; certain pre- and post-isthmic fractures; and tibial malunions and non-unions.

Product codes

JDS

Device Description

The Synthes (USA) Suprapatellar Insertion Instruments consist of aiming arms, protection sleeves, trocars, and accessory instruments which are intended to facilitate the surgical approach for the insertion of intramedullary nail implants of the Synthes Tibial Nail System EX.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

proximal and distal tibia and the tibial shaft

Indicated Patient Age Range

Not Found

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)

In vitro studies under simulated use, biocompatibility testing of specific instrument components composed of non-standardized materials, as dimensional and tolerance based analyses were conducted and the results support the conclusion that there are no effects of the modification subject to this premarket notification on the safety and effectiveness of the Synthes Tibial Nail System EX.

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

Not Found

Predicate Device(s)

K040762, K061019

Reference Device(s)

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.

0

DEC - 5 2011

3.0 Page _________________________________________________________________________________________________________________________________________________________________________ 510(k) Summary Synthes (USA) Sponsor: 1301 Goshen Parkway West Chester, PA 19380 (610) 719-6604 June 10, 2011 Date: Thomas N. Shea Contact: Synthes (USA) 1301 Goshen Parkway West Chester, PA 19380 (610) 719-6809 Device Name: Synthes Suprapatellar Insertion Instruments Classification: Class II, §888.3030 - Single / multiple component metallic bone fixation appliance and accessories. Product Code: JDS (Nail, Fixation, Bone) Predicate Synthes (USA) Tibial Nail System EX ( K040762 ). Devices: Smith & Nephew TriGen® Meta-Nail Retrograde Femoral and Tibial Nail System (K061019). The Synthes (USA) Suprapatellar Insertion Instruments consist of Device Description: aiming arms, protection sleeves, trocars, and accessory instruments which are intended to facilitate the surgical approach for the insertion of intramedullary nail implants of the Synthes Tibial Nail System EX. Indications for The Synthes Suprapatellar Insertion Instruments are part of the Synthes Tibial Nail System EX. The Synthes Tibial Nail System EX is Use: intended to stabilize fractures of the proximal and distal tibia and the tibial shaft; open and closed tibial shaft fractures; certain pre- and post-isthmic fractures; and tibial malunions and non-unions. Information presented in this premarket notification supports that there Substantial are no effects of the described modification on the safety and Equivalence: effectiveness of the predicate Synthes Tibial Nail System EX (K040762).The modification does not affect the predicate system's indications for use, design of intramedullary implants, fundamental technology and or implant material composition. In vitro studies under simulated use, biocompatility testing of specific instrument components composed of non-standardized materials, as dimensional and tolerance based analyses were conducted and the results support the conlusion that there are no effects of the modification subject to this premarket notification on the safety and effectiveness of the Synthes Tibial Nail System EX.

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Image /page/1/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 a stylized emblem featuring an abstract representation of an eagle or bird-like figure, with three curved lines forming the body and wings.

DEC - 5 2011

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

Synthes (USA) " % Mr. Christopher Hack 1301 Goshen Parkway West Chester, Pennsylvania 19380

Re: K111667

Trade/Device Name: Synthes Suprapatellar Insertion Instruments Regulation Number: 21 CFR 888.3030 Regulation Name: Single/multiple component metallic bone fixation appliances and accessories Regulatory Class: Class II Product Code: JDS Dated: October 26, 2011 Received: October 27, 2011

Dear Mr. Hack:

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 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

2

Page 2 -- Mr. Christopher Hack

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/ReportaProblem/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,

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 (if known):K111667
Device Name:Synthes Suprapatellar Insertion Instruments
Indications for Use:The Synthes Suprapatellar Insertion Instruments are part of the Synthes Tibial Nail System EX. The Synthes Tibial Nail System EX is intended to stabilize fractures of the proximal and distal tibia and the tibial shaft; open and closed tibial shaft fractures; certain pre- and post-isthmic fractures; and tibial malunions and non-unions.

Prescription Use x (Per 21 CFR 801.109)

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)

Michael Olsen to MMM

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

510(k) Number K111667