K Number
K112437
Device Name
ARTHREX FRACTURE SYSTEM
Manufacturer
Date Cleared
2011-12-21

(119 days)

Product Code
Regulation Number
888.3030
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Arthrex Fracture System is intended to be used for internal bone fixation for bone fractures, fusions, osteotomies and non-unions in the ankle, foot, hand, wrist, clavicle, scapula, olecranon, humerus, radius, ulna, tibia, calcaneous, femur and fibula. The Arthrex Fracture Plates are to be used with the 2.7mm-4.0mm Arthrex Low Profile Screws. The Clavicle Plate Button is intended for use with the clavicle plates for clavicle indications such as for the treatment of syndesmotic trauma, such as fixation of acromioclavicular separations due to coracoclavicular ligament disruption, and this button may not be used alone. The button is intended to be used with #5 Fiber Wire or FiberTape.
Device Description
The Arthrex Fracture System is a family of stainless steel plates, screws, and buttons. The plates may be contoured or straight and may be available in left and right configurations. The plates are to be used with the 2.7mm-4.0mm Low Profile Screws. The screws are solid and fully threaded and may be locking or non-locking. The button is stainless steel and designed to fit securely in the holes of the fracture plates. The button is intended to be used with the previously cleared suture, which is provided separately.
More Information

Not Found

No
The device description and intended use clearly define a system of mechanical implants (plates, screws, buttons) for bone fixation. There is no mention of software, algorithms, or any computational processing that would suggest the use of AI or ML. The performance studies focus on mechanical properties.

Yes
The device is intended for internal bone fixation for fractures, fusions, non-unions, osteotomies, and ligament repair, which are all therapeutic interventions for medical conditions.

No
The device is described as a system for internal bone fixation (plates, screws, and buttons) used to treat fractures and non-unions, not to diagnose them.

No

The device description explicitly states it is a family of stainless steel plates, screws, and buttons, which are physical hardware components.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Description and Intended Use: The provided information clearly describes the Arthrex Fracture System as a collection of stainless steel plates, screws, and buttons intended for the internal fixation of bone fractures, fusions, osteotomies, and non-unions. This is a surgical implant used directly on the bone within the body.
  • Lack of In Vitro Testing: There is no mention of this device being used to test samples outside of the body. The performance studies described are mechanical tests (bending and pull-out strength), not diagnostic tests on biological samples.

Therefore, based on the provided information, the Arthrex Fracture System is a surgical implant for bone fixation, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Arthrex Fracture System is intended to be used for internal bone fixation for bone fractures, fusions, osteotomies and non-unions in the ankle, foot, hand, wrist, clavicle, scapula, olecranon, humerus, radius, ulna, tibia, calcaneous, femur and fibula. The Arthrex Fracture Plates are to be used with the 2.7mm-4.0mm Arthrex Low Profile Screws.

The Clavicle Plate Button is intended for use with the clavicle plates for clavicle indications such as for the treatment of syndesmotic trauma, such as fixation of acromioclavicular separations due to coracoclavicular ligament disruption, and this button may not be used alone. The button is intended to be used with #5 Fiber Wire or FiberTape.

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

HWC, HRS, HTN

Device Description

The Arthrex Fracture System is a family of stainless steel plates, screws, and buttons. The plates may be contoured or straight and may be available in left and right configurations. The plates are to be used with the 2.7mm-4.0mm Low Profile Screws. The screws are solid and fully threaded and may be locking or non-locking. The button is stainless steel and designed to fit securely in the holes of the fracture plates. The button is intended to be used with the previously cleared suture, which is provided separately.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

ankle, foot, hand, wrist, clavicle, scapula, olecranon, humerus, radius, ulna, tibia, calcaneous, femur and fibula.

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)

The submitted mechanical testing data demonstrated that the bending and pull-out strength of the proposed devices are substantially equivalent to the bending and pull-out strength of the predicate devices.

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.

K011335, K102998, K043248, K052776, K103705, K111253

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.

0

2 510(k) Summary of Safety and Effectiveness

K112437 (pg.1 of 2)

Date Summary PreparedNovember 29, 2011
Manufacturer/Distributor/SponsorArthrex, Inc.
1370 Creekside Boulevard
Naples, FL 34108-1945 USA
510(k) ContactCourtney Smith
Manager, Regulatory Affairs
Arthrex, Inc.
1370 Creekside Boulevard Naples,
FL 34108-1945 USA Telephone:
239/643.5553, ext. 1720
Fax: 239/598.5508
Email: csmith@arthrex.com
Trade NameArthrex Fracture System
Common NamePlate, fixation, bone
Product Code -Classification NameHWC, HRS, HTN
CFR21 CFR 888.3030: Single/multiple component metallic bone
fixation appliances and accessories
21 CFR 888.3040: Smooth or threaded metallic bone fixation
fastener.
Predicate DeviceK011335: Synthes One-Third Tubular Plates
K102998: Acumed Congruent Bone Plate System
K043248 / K052776: Arthrex TightRope Syndesmosis and
Acromioclavicular (AC) Devices
K103705 / K111253: Arthrex Low Profile Screws
Device Description and
Intended UseThe Arthrex Fracture System is a family of stainless steel plates,
screws, and buttons. The plates may be contoured or straight and
may be available in left and right configurations. The plates are to
be used with the 2.7mm-4.0mm Low Profile Screws. The screws
are solid and fully threaded and may be locking or non-locking.
The button is stainless steel and designed to fit securely in the
holes of the fracture plates. The button is intended to be used with
the previously cleared suture, which is provided separately.
The Arthrex Fracture System is intended to be used for internal
bone fixation for bone fractures, fusions, osteotomies and non-
unions in the ankle, foot, hand, wrist, clavicle, scapula, olecranon,
humerus, radius, ulna, tibia, calcaneous, femur and fibula. The
Arthrex Fracture Plates are to be used with the 2.7mm-4.0mm
Arthrex Low Profile Screws.
plates for clavicle indications such as for the treatment of
syndesmotic trauma, such as fixation of acromioclavicular
separations due to coracoclavicular ligament disruption, and this
button may not be used alone. The button is intended to be used
with #5 FiberWire or FiberTape.
Substantial Equivalence
SummaryThe Arthrex Fracture System is substantially equivalent to the
predicate Synthes One-Third Tubular Plates (K011335), Acumed
Congruent Bone Plate System (K102998), Arthrex TightRope
Syndesmosis and Acromioclavicular (AC) Devices (K043248 /
K052776), and the cleared Arthrex Low Profile Screws
(K103705, K111253) in which the basic features and intended
uses are the same. Any differences between the Fracture System
and the predicates are considered minor and do not raise questions
concerning safety and effectiveness.
The proposed devices are composed of Stainless Steel which is
substantially equivalent to the predicate devices.
The submitted mechanical testing data demonstrated that the
bending and pull-out strength of the proposed devices are
substantially equivalent to the bending and pull-out strength of the
predicate devices.
Based on the indication for use, technological characteristics, and
the comparison to the predicate devices, Arthrex, Inc. has
determined that the Fracture System is substantially equivalent to
currently marketed predicate devices.

1

KI12437 (pg. 2 of z)

・・

2

Image /page/2/Picture/1 description: The image shows the seal of the U.S. Department of Health & Human Services. The seal features a circular arrangement of text that reads "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA". Inside the circle is a stylized image of an eagle with its wings spread, symbolizing the department's mission to protect the health of all Americans and provide essential human services.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room W-066-0609 Silver Spring, MD 20993-0002

Arthrex, Incorporated % Ms. Courtney Smith Manager, Regulatory Affairs 1370 Creekside Boulevard Naples, Florida 34108

DEC 2 1 2011

Re: K112437

Trade/Device Name: Arthrex Fracture System Regulation Number: 21 CFR 888.3030 Regulation Name: Single/multiple component metallic bone fixation appliances and accessories Regulatory Class: Class II Product Code: HTN, HWC, HRS Dated: December 12, 2011 Received: December 14, 2011

Dear Ms. Smith:

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

3

Page 2 – Ms. Courtney Smith

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/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Mark N. Melleman

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

Enclosure

4

1 Indications for Use Form

Indications for Use

510(k) Number (if known):_____________________________________________________________________________________________________________________________________________________

Device Name: Arthrex Fracture System

Indications For Use:

The Arthrex Fracture System is intended to be used for internal bone fixation for bone fractures, fusions, osteotomies and non-unions in the ankle, foot, hand, wrist, clavicle, scapula, olecranon, humerus, radius, ulna, tibia, calcaneous, femur and fibula. The Arthrex Fracture Plates are to be used with the 2.7mm-4.0mm Arthrex Low Profile Screws.

The Clavicle Plate Button is intended for use with the clavicle plates for clavicle indications such as for the treatment of syndesmotic trauma, such as fixation of acromioclavicular separations due to coracoclavicular ligament disruption, and this button may not be used alone. The button is intended to be used with #5 Fiber Wire or FiberTape.

Prescription Use _ V AND/OR Over-The-Counter Use (Per 21 CFR 801 Subpart D) (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)

PAGE 1 of 1

Muthal Mheen

(Division Sign-Off) (Division Sign-On)
Division of Surgical, Orthopedic, DIVIsion of Suices

510(k) Number K112437