K Number
K112982
Device Name
ANATOMIC ANKLE ARTHRODESIS INTERLOCKING NAIL(A3 INTERLOCKING NAIL )
Date Cleared
2012-04-02

(179 days)

Product Code
Regulation Number
888.3020
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The SBi Anatomic Ankle Athrodesis Interlocking Nail System is indicated for tibiotalocalcaneal arthrodesis of the ankle following: - Post traumatic and degenerative arthritis involving both ankle and subtalar joints, - Rheumatoid arthritis, - Osteoarthritis, - Pseudoarthrosis, - Severe foot/ankle deformity, or - Instability and skeletal defects after tumor resection. These include neuro-osteoarthroplasty (Charcot's foot), avascular necrosis of the talus, failed joint replacement, failed ankle fusion, and for distal tibia fracture non-unions when used concomitantly with tibiotalocalcaneal pathology.
Device Description
The SBi Anatomic Ankle Arthrodesis Interlocking Nail System consists of implants, associated instruments, and trays. The implants are made of implantable grade titanium while the instrument components and trays are made of several materials: Aluminum, stainless steel, PEEK, POM, and composite materials. The implants are intended for single use only and will be offered sterile and non-sterile.
More Information

Not Found

No
The 510(k) summary describes a mechanical implant system for ankle arthrodesis and does not mention any software, algorithms, or AI/ML capabilities.

Yes
The device is an arthrodesis interlocking nail system, which is an implant used to fuse joints. This is a therapeutic intervention aimed at treating medical conditions such as arthritis, deformities, and instability.

No

Explanation: The device description clearly states it is an "Ankle Arthrodesis Interlocking Nail System" which consists of implants and instruments designed for tibiotalocalcaneal arthrodesis (fusion of joints) of the ankle, not for diagnosing conditions.

No

The device description explicitly states that the system consists of implants, associated instruments, and trays made of various materials, indicating it is a hardware-based medical device.

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 (like blood, urine, tissue) to provide information about a person's health.
  • Device Description: The provided text describes a surgical implant system (nails, instruments, trays) used for fusing bones in the ankle and foot. This is a device that is surgically implanted into the body, not used to test samples from the body.
  • Intended Use: The intended use clearly states it's for surgical procedures to fuse bones (arthrodesis) in the ankle and foot due to various conditions. This is a therapeutic intervention, not a diagnostic test.

Therefore, based on the provided information, the SBi Anatomic Ankle Arthrodesis Interlocking Nail System is a surgical implant device, not an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

The SBi Anatomic Ankle Arthrodesis Interlocking Nail System intended for tibiotalocalcaneal arthrodesis of the ankle following: Post traumatic and degenerative arthritis involving both ankle and subtalar joints, osteoarthritis, Rheumatoid arthritis, Pseudoarthrosis, Severe foot/ankle deformity, or Instability and skeletal defects after tumor resection. These include neuro-osteoarthroplasty (Charcot's foot), avascular necrosis of the talus, failed joint replacement, failed ankle fusion, and for distal tibia fracture non-unions when used concomitantly with tibiotalocalcaneal pathology.

The SBi Anatomic Ankle Athrodesis Interlocking Nail System is indicated for tibiotalocalcaneal arthrodesis of the ankle following:

  • Post traumatic and degenerative arthritis involving both ankle and subtalar joints,
  • Rheumatoid arthritis,
  • Osteoarthritis,
  • Pseudoarthrosis,
  • Severe foot/ankle deformity, or
  • Instability and skeletal defects after tumor resection.
    These include neuro-osteoarthroplasty (Charcot's foot), avascular necrosis of the talus, failed joint replacement, failed ankle fusion, and for distal tibia fracture non-unions when used concomitantly with tibiotalocalcaneal pathology.

Product codes

HSB

Device Description

The SBi Anatomic Ankle Arthrodesis Interlocking Nail System consists of implants, associated instruments, and trays. The implants are made of implantable grade titanium while the instrument components and trays are made of several materials: Aluminum, stainless steel, PEEK, POM, and composite materials.
The implants are intended for single use only and will be offered sterile and non-sterile.
Materials: The implants are made from implantable grade TiAl6V4 titanium (ASTM F136) while the instrument components and trays are made of several materials: Aluminum, stainless steel, PEEK, POM, and composite materials.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

ankle, subtalar joints, foot

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)

Non-clinical data: Fatigue testing, cadaver implantation evaluations, literature search and evaluation, finite element analysis, and an engineering/dimensional analysis were performed in order to support substantial equivalence.

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

Not Found

Predicate Device(s)

Stryker T2 Ankle Arthrodesis Nail (K051590), Synthes Titanium Cannulated Hindfoot Arthrodesis Nail Expert System (K051678)

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 888.3020 Intramedullary fixation rod.

(a)
Identification. An intramedullary fixation rod is a device intended to be implanted that consists of a rod made of alloys such as cobalt-chromium-molybdenum and stainless steel. It is inserted into the medullary (bone marrow) canal of long bones for the fixation of fractures.(b)
Classification. Class II.

0

K112982 1/2

APR - 2 2012

510(k) Premarket Notification Summary of Safety and Effectiveness

Submission Information

| Manufacturer: | Small Bone Innovations, Inc.
1380 South Pennsylvania Avenue
Morrisville, PA 19067
Ph: 215-428-1791 Fax: 215-428-1795 |
|---------------|-------------------------------------------------------------------------------------------------------------------------------|
| Submitted By: | Small Bone Innovations, Inc.
Joseph Eble
1380 South Pennsylvania Avenue |

Morrisville, PA 19067

Date: October 4, 2011

Proprietary Name: SBi Anatomic Ankle Arthrodesis Interlocking Nail System

Classification name/Identification: Class II, An intramedullary fixation rod is a device intended to be implanted that consists of a rod made of alloys such as cobalt-chromium-molybdenum and stainless steel. It is inserted into the medullary (bone marrow) canal of long bones for the fixation of fractures

Product Code: HSB

Common/Usual Name and Reference Number: Intramedullary fixation rod - 21 CFR 888.3020

Substantial Equivalence: Documentation is provided which demonstrated the SBi Anatomic Ankle Arthrodesis Interlocking Nail System to be substantially equivalent to other legally marketed devices.

Device Description: The SBi Anatomic Ankle Arthrodesis Interlocking Nail System consists of implants, associated instruments, and trays. The implants are made of implantable grade titanium while the instrument components and trays are made of several materials: Aluminum, stainless steel, PEEK, POM, and composite materials.

Intended Use: The SBi Anatomic Ankle Arthrodesis Interlocking Nail System intended for tibiotalocalcaneal arthrodesis of the ankle following: Post traumatic and degenerative arthritis involving both ankle and subtalar joints, osteoarthritis, Rheumatoid arthritis, Pseudoarthrosis, Severe foot/ankle deformity, or Instability and skeletal defects after tumor resection. These include neuro-osteoarthroplasty (Charcot's foot), avascular necrosis of the talus, failed joint replacement, failed ankle fusion, and for distal tibia fracture non-unions when used concomitantly with tibiotalocalcaneal pathology.

1

The implants are intended for single use only and will be offered sterile and non-sterile.

Materials: The implants are made from implantable grade TiAl6V4 titanium (ASTM F136) while the instrument components and trays are made of several materials: Aluminum, stainless steel, PEEK, POM, and composite materials.

Predicate Devices: The subject devices are equivalent to Stryker T2 Ankle Arthrodesis Nail (K051590) and Synthes Titanium Cannulated Hindfoot Arthrodesis Nail Expert System (K051678).

Non-clinical data: Fatigue testing, cadaver implantation evaluations, literature search and evaluation, finite element analysis, and an engineering/dimensional analysis were performed in order to support substantial equivalence.

2

Image /page/2/Picture/0 description: The image shows the logo of the Department of Health & Human Services (HHS) of the United States. The logo features a stylized caduceus symbol, which is a winged staff with two snakes entwined around it. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged around the symbol.

DEPARTMENT OF HEALTH & HUMAN SERVICES

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

Small Bone Innovations, Inc. % Mr. John Minier 1380 South Pennsylvania Ave. Morrisville, PA 19067

APR - 2 2012

Re: K112982

Trade/Device Name: SBi Anatomic Ankle Arthrodesis Interlocking Nail System Regulation Number: 21 CFR 888.3020 Regulation Name: Intramedullary fixation rod Regulatory Class: II Product Code: HSB Dated: February 2, 2012 Received: February 7, 2012

Dear Mr. Minier:

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 device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set

3

Page 2 - Mr. John Minier

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,

Pen Berts nes ligir

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

Enclosure

4

4 Statement of Indications for Use

510(k) Number: 长川2982

Device Name: SBi Anatomic Ankle Athrodesis Interlocking Nail System

Indications For Use:

The SBi Anatomic Ankle Athrodesis Interlocking Nail System is indicated for tibiotalocalcaneal arthrodesis of the ankle following:

  • Post traumatic and degenerative arthritis involving both ankle and subtalar joints,

  • Rheumatoid arthritis,

  • Osteoarthritis,

  • Pseudoarthrosis,

  • Severe foot/ankle deformity, or

  • Instability and skeletal defects after tumor resection.

These include neuro-osteoarthroplasty (Charcot's foot), avascular necrosis of the talus, failed joint replacement, failed ankle fusion, and for distal tibia fracture non-unions when used concomitantly with tibiotalocalcaneal pathology.

Prescription Use V (Part 21 CFR 801 Subpart D) 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)

Page 1 of 1

ue

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

112482 510(k) Number