Locking Plate System can be used for adult patients with age above 21 as indicated for fixation of fractures, including ulna, radius, humerus, femur tibia and fibula.

Device Description

The proposed products, Locking Plate System, contain (1) locking plates (1.Ps) with various specifications. (2) locking screws with various specifications and (3) various specific instruments. Locking Plates are the plates that made of Titanium. The limited-contact design of LPs reduces plate-to-bone contact, thus limiting vascular trauma. The screws are available in three kinds, which are 3.5mm Hexagonal Locking Screws with hexagonal interface, 3.5mm Stardrive Locking Screws with Torx interface, and 5.0mm Locking Screws with hexagonal interface. There are various instruments specific to the proposed device intend for completing the surgery.

AI/ML Overview

This document is a 510(k) summary for a Locking Plate System, which is a Class II medical device. The submission focuses on demonstrating substantial equivalence to predicate devices through non-clinical testing.

Here's an analysis of the provided text based on your request:

1. Table of Acceptance Criteria and Reported Device Performance

Acceptance Criteria (Standard)	Reported Device Performance (Test Results)
ASTM F382-99 (Reapproved 2008), Standard Specification and Test Method for Metallic Bone Plates	Performance tested: Static and Dynamic Performance tested per ASTM F382. (Implicitly, the device met the specifications of this standard to claim substantial equivalence.)
ASTM F543-07, Standard Specification and Test Methods for Metallic Medical Bone Screws	Performance tested: Torsional, Driving Torque and Pull out strength tested per ASTM F543. (Implicitly, the device met the specifications of this standard to claim substantial equivalence.)
ISO 17665-1:2006 Sterilization of health care products- Moist heat, Part 1: Requirements for the development, validation and routing control of a sterilization process for medical devices	Performance met: "The test results demonstrated that the proposed device complies with the following standards." (Specifically implied for sterilization, as the device is supplied non-sterile and "Subject to steam sterilized prior to use.")

2. Sample Size Used for the Test Set and Data Provenance

The document explicitly states: "No clinical study is included in this submission."
Therefore, there is no patient-specific test set, sample size, or data provenance (e.g., country of origin, retrospective/prospective) related to clinical outcomes. All testing was non-clinical (laboratory/bench testing).

3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts

Not applicable. As no clinical studies were performed, there was no need for experts to establish ground truth from patient data. The "ground truth" for non-clinical testing is adherence to established engineering standards (ASTM and ISO).

4. Adjudication Method for the Test Set

Not applicable. No clinical studies were performed, so no adjudication method for human decisions on patient cases was required.

5. If a Multi Reader Multi Case (MRMC) Comparative Effectiveness Study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

Not applicable. This is not an AI/software device. It's a hardware medical device (bone plates and screws), and no MRMC studies or AI involvement are mentioned.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

Not applicable. This is not an algorithm/software device.

7. The Type of Ground Truth Used

The "ground truth" for this submission are the performance requirements and specifications defined by the referenced international standards (ASTM F382, ASTM F543, ISO 17665-1). The non-clinical tests' goal was to demonstrate compliance with these established engineering standards.

8. The Sample Size for the Training Set

Not applicable. There is no training set mentioned, as this is not a machine learning or AI device.

9. How the Ground Truth for the Training Set was Established

Not applicable. There is no training set for this type of device.

Summary

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K132642 page 1 0f 5

Section 3 510(k) Summary

This 510(k) Summary of 510(k) safety and effectiveness information is being submitted in accordance with requirements of SMDA 1990 and Title 21. CFR Section 807.92.

K132642 The assigned 510(k) Number:

3.1 Date of Submission

08/23/2013

OCT 0 3 2013

3.2 Sponsor Identification

Beijing Libeier Bio-Engineering Institute Co. Ltd. 100, 6th Kechuang Street. Economic And Technological Development Area East, Beijing, 100176. China.

Establishment Registration Number: Not yet registered

Contact Person: Jenny Jiang Position: Overseas Specialist Tel: +86 10 67895577 ext. 8226 Fax: +86 10 67857129 Email: jenny@libeier.com

3.3 Submission Correspondent

Ms. Diana Hong & Mr. Lee Fu Mid-Link Consulting Co.. Ltd P.O. Box 120-119 Shanghai. 200120. China Tel: +86-21-22815850 Fax: 240-238-7587 Email: info@mid-link.net

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3.4 Proposed Devices Identification

K132642 page 2 of 5

Proposed Device Name: Locking Plate System Proposed Device Common Name: Bone Plates and Bone Screws

Regulatory Information of Plates: Classification Name: Plate, Fixation, Bone Common Name: Bone Plates Class: Class II Product Code: HRS Regulation Number: 21 CFR 888.3030 Review Panel: Orthopedic

Regulatory Information of Screws: Classification Name: Screw, Fixation, Bone Common Name: Bone Screws Class: Class II Product Code: HWC Regulation Number: 21 CFR 888.3040 Review Panel: Orthopedic

Intended Use Statement:

I.ocking Plate System can be used for adult patients with age above 21 as indicated for fixation of fractures, including ulna, radius, humerus. femur tibia and fibula.

3.5 Device Description

3-2

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3.6 Predicate Device Identification

Predicate Device 1

510(k) Number K 101400

Predicate Device Name Locking Compression Plate

Manufacturer Changzhou Orthmed Medical Instrument Co., Ltd

Predicate Device 2

510(k) Number K100721

Predicate Device Name Locking Bone Screw

Manufacturer

Changzhou Orthmed Medical Instrument Co., Ltd

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3.7 Non-Clinical Test Conclusion

Non clinical tests were conducted to verify that the proposed device met all design specifications as was Substantially Equivalent (SE) to the predicate device. The test results demonstrated that the proposed device complies with the following standards:

ASTM F382-99 (Reapproved 2008), Standard Specification and Test Method for Metallic Bone a) Plates.
ASTM F543-07. Standard Specification and Test Methods for Metallic Medical Bone Screws. b)
1SO 17665-1:2006 Sterilization of health care products- Moist heat, Part 1: Requirements for the c) development. validation and routing control of a sterilization process for medical devices.
3.8 Clinical Testing Conclusion

No clinical study is included in this submission.

3.9 Substantially Equivalent (SE) Conclusion
The following table compares the DEVICE to the predicate device with respect to intended use. technological characteristics and principles of operation, etc.

Item	Proposed Device	Predicate Device 1	Predicate Device 2
Product Code	HRS	HRS	/
	HWC	/	HWC
Regulation	21 CFR 888.3030	21 CFR 888.3030	/
Number	21 CFR 888.3040	/	21 CFR 888.3040
Class	Class 2	Class 2	Class 2
Intended Use	Locking Plate Systemcan be used for adultpatients with age above21 as indicated forfixation of fractures.including ulna, radius,humerus, femur tibia andfibula.	Locking CompressionPlate can be used foradult patients with ageabove 21 as indicated forfixation of fractures.including ulna, radius.humerus, femur andtibia.	Locking Bone Screw isindicated for bonereconstruction,osteotomy, arthrodesis.joint fusion, fracturerepair, and fracturefixation of bonesappropriate for the sizeof the device.
Material	Plate: TitaniumLocking Screw:Titanium alloy	Plate: Titanium	/Locking Screw:Titanium alloy

Table 3-1 Comparison of Technology Characteristics

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K132642 page 5 of 5

Premarket Notification 510(k) Submission

Section 3 510k Summary

Project #: M0572013

How supplied	Non-Sterile	Non-Sterile	Non-Sterile
Single Use	Yes	Yes	Yes
Sterile	Subjectto steamsterilized prior to use.	Subjectto steamsterilized prior to use.	Subjectto steamsterilized prior to use.
Performance	Static and DynamicPerformance tested perASTM F382Torsional, DrivingTorque and Pull outstrength tested perASTM F543.	Static and DynamicPerformance tested perASTM F382	Torsional, DrivingTorque and Pull outstrength tested perASTM F543.

Differences in intended use. material and performance between the proposed and predicate device have been discussed and address. The proposed device is determined to be Substantially Equivalent (SE) to the predicate devices, in respect of safety and effectiveness.

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Image /page/5/Picture/0 description: The image shows the logo for the Department of Health & Human Services USA. The logo is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" around the perimeter. In the center of the logo is a symbol that resembles three stylized human figures.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

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

October 3, 2013

Beijing Libeier Bio-Engineering Institute Company, Limited % Ms. Diana Hong General Manager Mid-Link Consulting Company, Limited P.O. Box 120-119 Shanghai, 200120 CHINA

Re: K132642

Trade/Device Name: Locking Plate System Regulation Number: 21 CFR 888.3030 Regulation Name: Single/multiple component metallic bone fixation appliances and accessories Regulatory Class: Class II Product Code: HRS, HWC Dated: August 23, 2013 Received: August 26, 2013

Dear Ms. Hong:

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

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Page 2 - Ms. Diana Hong

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/MedicalDcvices/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.

Sincercly yours,

Image /page/6/Picture/6 description: The image shows the name "Erin Keith" in a simple, bold font. The letters are black against a white background, making the text easily readable. The font appears to be a sans-serif style, giving it a clean and modern look. The name is presented in a straightforward manner without any additional design elements.

for

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

Enclosure

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Section 2 Indications for Use

K132642 510(k) Number: Device Name: Locking Plate System

Indications for Use:

Locking Plate System can be used for adult patients with age above 21 as indicated for fixation of fractures, including ulna, radius, humerus, femur tibia and fibula.

OPRESCRIPTION USE (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 OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Page 1 of 1

Elizabeth L. Frank -S

Division of Orthopedic Devices

Regulation Number and Section

§ 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.