K Number
K121624
Device Name
BIOMET MICROFIXATION NEURO PLATING SYSTEM
Date Cleared
2012-10-12

(133 days)

Product Code
Regulation Number
882.5320
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
These devices are implantable bone plates and bone screws for neuro procedures including: - 1. Fractures - 2. Osteotomies - 3. Reconstructive procedures - 4. Revision procedures where other treatments or devices have failed
Device Description
Biomet Microfixation manufactures and distributes a variety of internal fixation devices intended to aid in the alignment and stabilization of bone in the cranial skeletal system. Instrumentation has been designed specifically for use with each system of implants. The Biomet Microfixation Cranio/Neuro Plaing System is comprised of a variety of titanium plates and screws with shapes and sizes intended to aid in the alignment and stabilization of bone in the cranial skeletal system. The plates include variations of straight, angle, double angle, L-shape, Z-shape, X-shape, burr hole, triangle, square, matrix, mesh, and crescent options with various lengths and thickness. The screws range in diameters of 1.0mm to 2.3mm and lengths from 3.0mm to 6.0mm.
More Information

Not Found

No
The device description and performance studies focus on the physical properties and sterilization of bone plates and screws, with no mention of AI or ML.

No

The device is an implantable bone plate and screw system intended for mechanical support of the cranial skeletal system, not for therapy of a disease or condition.

No

These devices are described as implantable bone plates and bone screws intended to aid in the alignment and stabilization of bone, which are therapeutic rather than diagnostic tools.

No

The device description clearly states it is comprised of titanium plates and screws, which are physical hardware components, not software.

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 testing is done outside of the body.
  • Device Description: The provided text clearly describes implantable bone plates and screws that are used within the body to stabilize bone in the cranial skeletal system.
  • Intended Use: The intended uses (fractures, osteotomies, reconstructive procedures, revision procedures) are all surgical procedures performed directly on the patient's bone.

The device described is an implantable medical device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

These devices are implantable bone plates and bone screws for neuro procedures including:

  • Fractures l .
    1. Osteotomies
    1. Reconstructive procedures
  • Revision procedures where other treatments or devices have failed 4.

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

GWO, GXR, HBW

Device Description

Biomet Microfixation manufactures and distributes a variety of internal fixation devices intended to aid in the alignment and stabilization of bone in the cranial skeletal system. Instrumentation has been designed specifically for use with each system of implants.

The Biomet Microfixation Cranio/Neuro Plaing System is comprised of a variety of titanium plates and screws with shapes and sizes intended to aid in the alignment and stabilization of bone in the cranial skeletal system.

The plates include variations of straight, angle, double angle, L-shape, Z-shape, X-shape, burr hole, triangle, square, matrix, mesh, and crescent options with various lengths and thickness. The screws range in diameters of 1.0mm to 2.3mm and lengths from 3.0mm to 6.0mm.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

cranial skeletal system

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)

Nonclinical testing: Referenced testing demonstrates that the device can be cleaned and sterilized within the required parameters, demonstrating equivalence to the predicate devices. A worst case scenario of instrumentation was compromised and underwent testing resulting in achieving the required cleaning results as outlined in the testing. The cleaning testing was performed per an FDA approved protocol. Sterility testing, (Reference AAMI TIR 12 and ANSI/AAMI/ISO 17665-1:2006) provided worst case testing by inoculating worst case sample components that then demonstrated results to have been effectively sterilized per required parameters.

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.

K854886, K922741, K953385

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

§ 882.5320 Preformed alterable cranioplasty plate.

(a)
Identification. A preformed alterable cranioplasty plate is a device that is implanted into a patient to repair a skull defect. It is constructed of a material, e.g., tantalum, that can be altered or reshaped at the time of surgery without changing the chemical behavior of the material.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/0 description: The image shows the logo for Biomet Microfixation. The logo is in black and white and features the word "BIOMET" in large, bold letters on top. Below that, the word "MICROFIXATION" is written in smaller, thinner letters. The logo appears to be for a medical or surgical company.

510(k) Summary

510(k) Number: Date Prepared: Submitter:

K121624 October 2, 2012 Biomet Microfixation 1520 Tradeport Drive Jacksonville, FL 32218-2480

Contact:

Sheryl Malmberg, Global Regulatory Affairs Specialist 904-741-4400 fax 904-741-9425

| Common or Usual Name: | Neuro Plating System | | | | Biomet Microfixation
Neuro Plating System | Walter Lorenz
Surgical K854886 | Walter Lorenz
Surgical K922741 | Walter Lorenz
Surgical K953385 |
|------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Classification Name: | Preformed Alterable
Cranioplasty Plate | Burr Hole Cover | Cranioplasty Plate
Fastener | Material | Titanium | Titanium | Titanium | Titanium |
| Device Classification: | II (882.5320) | II (882.5250) | HBW (882.5360) | Indications
for Use | These devices are
implantable bone plates
and bone screws for
cranial procedures
including:

  1. Fractures
  2. Osteotomies
  3. Reconstructive
    procedures
  4. Revision procedures
    where other treatments
    or devices have failed. | These devices are
    implantable bone
    plates and bone
    screws for oral,
    cranio-maxillofacial
    procedures including:
  5. Fractures, 2.
    Osteotomies,
    including
    orthognathic
    procedures, 3.
    Reconstructive
    procedures, and 4.
    Revision procedures
    where other
    treatments or devices
    have failed. | These devices are
    implantable bone
    plates and bone
    screws for oral,
    cranio-maxillofacial
    procedures including:
  6. Fractures, 2.
    Osteotomies,
    including
    orthognathic
    procedures, 3.
    Reconstructive
    procedures, and 4.
    Revision procedures
    where other
    treatments or devices
    have failed. | These devices are
    implantable bone
    plates and bone
    screws for oral,
    cranio-maxillofacial
    procedures including:
  7. Fractures, 2.
    Osteotomies,
    including
    orthognathic
    procedures, 3..
    Reconstructive
    procedures, and 4.
    Revision procedures
    where other
    treatments or devices
    have failed. |
    | Device Product Code: | GWO | GXR | HBW | Use | Single | Single | Single | Single |
    | Sterility | Provided non-sterile;
    steam sterilization
    validation on file | Provided non-sterile;
    steam sterilization
    validation on file | Provided non-sterile;
    steam sterilization
    validation on file | Provided non-sterile;
    steam sterilization
    validation on file | | | | |
    | Shape of
    Plates | New shape includes pre-
    contoured mesh.
    Additional system
    plates include variations
    of straight, curved,
    angle, double angle, L-,
    T-, double T-, Z-, X-,
    Y-, double Y-shape,
    burr hole, triangle,
    rectangle, square,
    matrix, and mesh
    options with various
    lengths and thicknesses. | Variations of straight,
    curved, L-, T-, Y-
    shape, matrix, plate
    options. | Variations of straight,
    square, rectangular,
    and mesh plate
    options | Variations of straight,
    angle, curved, L-, T-,
    double T-, Z-, X-, Y-,
    double Y-, H-shape,
    triangle, square,
    rectangle, matrix,
    mesh, orbital floor,
    and LeFort plate
    options. | | | | |
    | Screw Sizes | No new screws in this
    submission. Additional
    system screws range in
    diameters of 1.0mm to
    2.3 and lengths from
    2.0mm to 7.0mm. Head
    geometry includes
    cross-drive and center
    drive, with HT (high
    torque) and SD (self-
    drilling) options. | Screws range in
    diameters of 1.0mm
    to 2.3mm and lengths
    from 2.0mm to
    29.0mm
    Head geometry
    includes cross-drive
    and center drive, with
    HT (high torque) and
    SD (self-drilling)
    options | Not Applicable | Not Applicable | | | | |

Device Name: Biomet Microfixation Neuro Plating System

Intended Use:

These devices are implantable bone plates and bone screws for neuro procedures including:

  • Fractures l .
    1. Osteotomies
    1. Reconstructive procedures
  • Revision procedures where other treatments or devices have failed 4.

Contraindications:

  • Active infection 1.
    1. Foreign body sensitivity. Where material sensitivity is to be completed prior to implantation.
    1. Patients with limited blood supply, insufficient quantity of bone, or latent infection.
    1. Patients with mental or neurologic conditions who are unwilling or incapable of following postoperative care instructions.

Description: Biomet Microfixation manufactures and distributes a variety of internal fixation devices intended to aid in the alignment and stabilization of bone in the cranial skeletal system. Instrumentation has been designed specifically for use with each system of implants.

The Biomet Microfixation Cranio/Neuro Plaing System is comprised of a variety of titanium plates and screws with shapes and sizes intended to aid in the alignment and stabilization of bone in the cranial skeletal system.

The plates include variations of straight, angle, double angle, L-shape, Z-shape, X-shape, burr hole, triangle, square, matrix, mesh, and crescent options with various lengths and thickness. The screws range in diameters of 1.0mm to 2.3mm and lengths from 3.0mm to 6.0mm.

Sterility Information: The plates and screws will be marketed as non-sterile, single use devices.

Possible risks:

  • Poor bone formation, Osteolysis, Osteolysis, Osteomyelitis, inhibited revascularization, or infection can 1. cause loosening, bending, cracking or fracture of the device.
    1. Nonunion or delayed union, which may lead to breakage of the implant.
    1. Migration, bending, fracture or loosening of the implant.
  • Metal sensitivity, or allergic reaction to a foreign body. 4.
  • న్. Decrease in bone density due to stress shielding.
    1. Pain, discomfort, abnormal sensation, or palpability due to the presence of the device.
    1. Increased fibrous tissue response around the fracture site and/or the implant.
    1. Necrosis of bone.
    1. Inadequate healing.

OCT 1 2 2012

1

1421624

Substantial Equivalence Biomet Microfixation considers the Neuro Plating System modifications equivalent to the Biomet Microfixation (formally Walter Lorenz Surgical) Wuerzburg Titanium Mini Bone Plates and Bone Screws cleared under K854886, Lorenz 1.0 MM System cleared under K922741, and Lorenz 1.0mm, 1.5mm, 2.0mm Plating system cleared under K953385. Subject pre-contoured mesh are similar to the predicate devices in terms of material, indications, use, sterility, and design.

2

Nonclinical testing: Referenced testing demonstrates that the device can be cleaned and sterilized within the required parameters, demonstrating equivalence to the predicate devices. A worst case scenario of instrumentation was compromised and underwent testing resulting in achieving the required cleaning results as outlined in the testing. The cleaning testing was performed per an FDA approved protocol. Sterility testing, (Reference AAMI TIR 12 and ANSI/AAMI/ISO 17665-1:2006) provided worst case testing by inoculating worst case sample components that then demonstrated results to have been effectively sterilized per required parameters.

Conclusion: This testing data supports the determination of substantial equivalence by demonstrating worst case scenarios for both cleaning and sterilization that fall within acceptable parameters providing a 10 * Sterility Assurance Level (SAL). No new safety and efficacy issues were raised.

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

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 stylized eagle with three wavy lines representing the feathers. The eagle is enclosed in a circle with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter.

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

OCT 12 2012

Biomet Microfixation % Ms. Sheryl Malmberg Global Regulatory Affairs Specialist 1520 Tradeport Drive Jacksonville, FL 32218

Re: K121624

Trade/Device Name: Biomet Microfixation Neuro Plating System Regulation Number: 21 CFR 882.5320 Regulation Name: Preformed alterable cranioplasty plate Regulatory Class: Class II Product Code: GWO, GXR, HBW Dated: September 11, 2012 Received: September 12, 2012

Dear Ms. Malmberg:

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

4

Page 2 - Ms. Sheryl Malmberg

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,
Kesia Alexander

Image /page/4/Picture/6 description: The image shows a handwritten word, "for", in cursive script. The "f" is elongated with a large loop extending below the baseline, and the "o" and "r" are connected with a smooth, flowing line. The writing appears to be done with a pen or marker, and the overall style is elegant and fluid.

Malvina B. Eydelman, M.D. Director Division of Ophthalmic, Neurological, and Ear, Nose and Throat Devices Office of Device Evaluation Center for Devices and Radiological Health

· Enclosure

5

Indications for Use

K121624 510(k) Number (if known):

Device Name: Biomet Microfixation Neuro Plating System

Indications For Use:

These devices are implantable bone plates and bone screws for neuro procedures including:

    1. Fractures
    1. Osteotomies
    1. Reconstructive procedures
    1. Revision procedures where other treatments or devices have failed

AND/OR Prescription Use XX (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (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)

image

(Division Sign-Off)

Division of Ophthalmic, Neurological and Ear, Nose and Throat Devices

510(k) Number K121624