K Number
K131674
Device Name
PREBENT PLATING WITH VIRTUAL SURGICAL PLANNING
Date Cleared
2013-08-08

(62 days)

Product Code
Regulation Number
872.4760
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
For use in the stabilization and fixation of mandibular fractures and mandibular reconstructive surgical procedures.
Device Description
The Biomet Microfixation PreBent Plates with Virtual Surgical Planning is comprised of a variety of titanium plates with shapes and sizes designed for internal fixation for mandible reconstruction procedures. The plates include variations of straight, angle, curved, Y-shape, double Y-shape, and matrix, options with various lengths and thickness. Plates are offered flat or pre-bent. Pre-bent plates are contoured by Biomet Microfixation per surgeon specifications or patient specific anatomical model and include patient specific guides and instruments, of the VSP System (K120956, cleared December 12, 2012). The VSP System is used by Medical Modeling to create the guides, instrumentation and a patient specific anatomical model from CT scans provided by a surgeon. Medical Modeling uses the surgeon information to create the anatomical patient specific model. The anatomical patient specific model is then used to aide in proper alignment and bending of the plates previously cleared under K063052 (cleared 01/12/07), K113152 (cleared 06/29/12), and K081067 (cleared 05/09/08). This bending process is conducted at Biomet Microfixation based on our process specification and inspection criteria previously cleared with K063052.
More Information

No
The description focuses on virtual surgical planning and patient-specific anatomical models derived from CT scans, but does not mention the use of AI or ML algorithms for analysis, planning, or plate bending. The process described is based on surgeon specifications and previously cleared systems.

No.
The device is described as titanium plates used for stabilization and fixation of mandibular fractures, which is a structural support function rather than a therapeutic one (e.g., delivering medication, stimulating a biological response, or providing pain relief).

No

The device is described as titanium plates used for stabilization and fixation of mandibular fractures and reconstructive surgical procedures, and it creates patient-specific anatomical models and guides for surgical planning, but it does not perform any diagnostic function.

No

The device description clearly states it is comprised of titanium plates and includes patient specific guides and instruments, which are hardware components. While it utilizes virtual surgical planning (VSP) software, the core device is physical hardware.

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

Here's why:

  • Intended Use: The intended use is for the "stabilization and fixation of mandibular fractures and mandibular reconstructive surgical procedures." This describes a surgical intervention on the patient's body, not a test performed on a sample taken from the body to diagnose a condition.
  • Device Description: The device is comprised of "titanium plates" and associated guides and instruments used in surgery. This is a surgical implant and related tools.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting analytes, or providing diagnostic information about a patient's health status.

The device utilizes patient-specific anatomical models derived from CT scans to aid in surgical planning and plate bending, but this process is for surgical guidance and customization of an implant, not for in vitro diagnostic testing.

N/A

Intended Use / Indications for Use

For use in the stabilization and fixation of mandibular fractures and mandibular reconstructive surgical procedures.

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

76 JEY, 76 DZJ, 90 LLZ

Device Description

The Biomet Microfixation PreBent Plates with Virtual Surgical Planning is comprised of a variety of titanium plates with shapes and sizes designed for internal fixation for mandible reconstruction procedures. The plates include variations of straight, angle, curved, Y-shape, double Y-shape, and matrix, options with various lengths and thickness. Plates are offered flat or pre-bent. Pre-bent plates are contoured by Biomet Microfixation per surgeon specifications or patient specific anatomical model and include patient specific guides and instruments, of the VSP System (K120956, cleared December 12, 2012). The VSP System is used by Medical Modeling to create the guides, instrumentation and a patient specific anatomical model from CT scans provided by a surgeon. Medical Modeling uses the surgeon information to create the anatomical patient specific model. The anatomical patient specific model is then used to aide in proper alignment and bending of the plates previously cleared under K063052 (cleared 01/12/07), K113152 (cleared 06/29/12), and K081067 (cleared 05/09/08). This bending process is conducted at Biomet Microfixation based on our process specification and inspection criteria previously cleared with K063052.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

CT scans

Anatomical Site

mandible

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)

Clinical testing was not performed to support this submission.
Non-clinical testing was not performed, as the predicate plates have been previously cleared and the subject devices are identical. We have provided the process specification for bending the plates and inspection criteria for inspecting the output to ensure the proper alignment to the anatomical model.

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.

K063052, K120956, K113512, K081067

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

§ 872.4760 Bone plate.

(a)
Identification. A bone plate is a metal device intended to stabilize fractured bone structures in the oral cavity. The bone segments are attached to the plate with screws to prevent movement of the segments.(b)
Classification. Class II.

0

510(k) Summary

Date Prepared:August 1, 2013
Manufacturer:Biomet Microfixation
1520 Tradeport Drive
Jacksonville, FL 32218-2480
Contact:Elizabeth Wheeler
Regulatory Affairs Specialist
904-741-4400 x 9558
Proprietary Name:Biomet Microfixation PreBent Plates with Virtual Surgical
Planning
Common or Usual Name:Bone Plate
Device Classification:Class II
Device Product Code:76 JEY (21 CFR 872.4760)
Secondary Device
Product Code(s):76 DZJ
90 LLZ
Predicate Device:K063052- Lorenz Titanium Fracture/ Reconstruction Devices and
Pre-Bent Plates
K120956- VSP System (Medical Modeling)
K113512- Biomet Microfixation Mandibular Fracture/
Reconstruction Devices and Pre-Bent Plates System
K081067- Fracture/Reconstruction System (TraumaOne)
AUG 0 8 2013

Device Description:

The Biomet Microfixation PreBent Plates with Virtual Surgical Planning is comprised of a variety of titanium plates with shapes and sizes designed for internal fixation for mandible reconstruction procedures. The plates include variations of straight, angle, curved, Y-shape, double Y-shape, and matrix, options with various lengths and thickness. Plates are offered flat or pre-bent. Pre-bent plates are contoured by Biomet Microfixation per surgeon specifications or patient specific anatomical model and include patient specific guides and instruments, of the VSP System (K120956, cleared December 12, 2012). The VSP System is used by Medical Modeling to create the guides, instrumentation and a patient specific anatomical model from CT scans provided by a surgeon. Medical Modeling uses the surgeon information to create the anatomical patient specific model. The anatomical patient specific model is then used to aide in proper alignment and bending of the plates previously cleared under K063052 (cleared 01/12/07), K113152 (cleared 06/29/12), and K081067 (cleared 05/09/08). This bending process

1

is conducted at Biomet Microfixation based on our process specification and inspection criteria previously cleared with K063052.

Indications for Use:

For use in the stabilization and fixation of mandibular fractures and mandibular reconstructive surgical procedures.

Possible Risks:

    1. Poor bone formation, Osteoporosis, Osteolysis, Osteomyelitis, inhibited revascularization, or infection can 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.
    1. Metal sensitivity or allergic reaction to a foreign body.
    1. 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.

Technological Characteristics:

The subject PreBent Plates with Virtual Surgical Planning devices are identical to the predicate devices in terms of indications, use, material, and design. The only difference between the subject device and the predicate device is that the subject device, is not only shaped based on an anatomical specific model, but also the provided patient specific guides and instruments of the VSP System (K 120956, cleared December 12, 2012), where the predicate pre-bent plates are shaped based on an anatomical specific model only, Biomet Microfixation has a process specification for bending plates and an inspection criteria to verify the plate matches the anatomical model. Because the plates are verified to a patient specific model they are 100% verified to the Medical Modeling output, anatomical model, for every case. Therefore, no additional testing was conducted on the subject plates.

Sterility Information:

The plates will be marketed as non-sterile, single-use devices.

Clinical Testing:

Clinical testing was not performed to support this submission.

Non-Clinical Testing:

Non-clinical testing was not performed, as the predicate plates have been previously cleared and the subject devices are identical. We have provided the process specification for bending the plates and inspection criteria for inspecting the output to ensure the proper alignment to the anatomical model.

2

Substantial Equivalence Conclusion:

When compared to the predicate devices, Lorenz Titanium Fracture/ Reconstruction Devices and Pre-Bent Plates (K063052, cleared 01/12/07), Fracture/Reconstruction System (TraumaOne) (K081067, cleared 05/09/08) and Biomet Microfixation Mandibular Fracture Reconstruction Devices and Pre-Bent Plates System (K113152, cleared 06/29/12), substantial equivalence is based on the same indications for use and technological characteristics. The subject devices are identical to the predicate devices, but an update to the labeling will be made to give the option of the prebent plates with Medical Modeling VSP System to include patient specific guides, instruments and anatomical model.

Based on the determination that no clinical or non-clinical testing was deemed necessary, it can be concluded that the subject devices, PreBent Plates with Virtual Surgical Planning, are safe and effective and perform as well as the predicate devices. Therefore, we conclude that the subject devices are substantially equivalent.

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

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

August 8, 2013

Biomet Microfixation Ms. Elizabeth Wheeler Regulatory Affairs Specialist 1520 Tradeport Drive JACKSONVILLE FL 32218-2480

Re: K131674

Trade/Device Name: Biomet Microfixation PreBent Plates with Virtual Surgical Planning Regulation Number: 21 CFR 872.4760 Regulation Name: Bone Plate Regulatory Class: II Product Code: JEY, DZJ, LLZ Dated: July 8, 2013 Received: July 11, 2013

Dear Ms. Wheeler:

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 for ase saled in the May 28, 1976, the enactment date of the Medical Device Amendments, or 10 conninered processified 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 I ou may merelor symbols of the Act include requirements for annual registration. Ilisting of general controls provide in of active, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warrantics. 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.

4

Page 2 - Ms. Wheeler

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 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 contact the Division of Small Manufacturers, International and Consumer Assistance at its tollfree number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. 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,

Kwame O. Ulmer -S

Kwame Ulmer, M.S. Acting Division Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

Biomet Microfixation Special 510(k)-PreBent Plates with Virtual Surgical Planning

:

Indications for Use

510(k) Number (if known): |૮٦ | ٢٠٦ | ١٦ |

Device Name: Biomet Microfixation PreBent Plates with Virtual Surgical Planning

Indications For Use: For use in the stabilization and fixation of mandibular fractures and mandibular reconstructive surgical procedures.

Prescription Use xx AND/OR (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)

Andrew I. Steen -S 2013.08.06 09:33:55 -04'00'

Division Sign-Off) rivision of Anesthestology, General Hospital ifection Control, Dental Devices

Page 1 of 1

510(k) Number: الح الك اك اك