K Number
K133477
Device Name
TOEGRIP, IMPLANT FOR PROXIMAL INTER-PHALANGEAL ARTHRODESIS
Manufacturer
Date Cleared
2014-02-10

(90 days)

Product Code
Regulation Number
888.3040
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The TOEGRIP® is intended for toes for general use in skeletally mature individuals undergoing surgery limited to interdigital fusion. The TOEGRIP® device is intended to be permanently implanted without any other additional device as an intramedullary bone fastener device for toes or fingers. The TOEGRIP® device is indicated for small bone reconstruction limited to interdigital fusion of toes in the following cases, listed in random order: - . Rigid PIP joints deformities - . Rigid hammertoes deformities - . Claw toes deformities (PIP and DIP joints) - Revision hammertoes surgeries . - . Shortening osteotomies of the proximal phalanx
Device Description
The TOEGRIP® device consists of a monobloc implant with three flexible prongs inserted intramedullary into each part of phalanx The prongs are linked by a T-shaped beam. The fixation concept is based on a press-fit contact due to its tapered shape and the sharp macrostructures once impacted. The TOEGRIP® device is intended for single use only, and is available in a range of 5 sizes with 3 possible degrees: 0°, 10° or 20°. The TOEGRIP® device is manufactured with material according to the ISO-10993, ZENIVA® PEEK. The feature design of the TOEGRIP® is substantially equivalent to the design features of other devices previously cleared for market.
More Information

No
The description focuses on the mechanical design and material of the implant, with no mention of AI or ML.

Yes.
The device is intended for the interdigital fusion of toes in cases of deformities, which is a therapeutic intervention aimed at correcting a condition or problem.

No

The TOEGRIP® device is an implantable medical device used for surgical fixation in toes, specifically for interdigital fusion. Its purpose is to physically connect bones, not to diagnose conditions.

No

The device description clearly states it is a "monobloc implant with three flexible prongs" made of "ZENIVA® PEEK," which are physical components, not software.

Based on the provided information, the TOEGRIP® 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 for diagnosis, monitoring, or screening.
  • TOEGRIP® Function: The TOEGRIP® is a surgical implant intended for permanent placement within the bone of toes or fingers to provide structural support and fixation during interdigital fusion surgery. It is a physical device used in the body, not a tool for analyzing samples from the body.
  • Intended Use: The intended use clearly describes a surgical procedure and the device's role in that procedure, not a diagnostic test.
  • Device Description: The description details the physical structure and material of an implantable device.
  • Lack of IVD Indicators: There is no mention of analyzing biological samples, diagnostic purposes, or any of the typical characteristics of an IVD.

Therefore, the TOEGRIP® is a surgical implant, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The TOEGRIP® is intended for toes for general use in skeletally mature individuals undergoing surgery limited to interdigital fusion.

The TOEGRIP® device is intended to be permanently implanted without any other additional device as an intramedullary bone fastener device for toes or fingers.

The TOEGRIP® device is indicated for small bone reconstruction limited to interdigital fusion of toes in the following cases, listed in random order:

  • Rigid PIP joints deformities
  • Rigid hammertoes deformities
  • Claw toes deformities (PIP and DIP joints)
  • Revision hammertoes surgeries
  • Shortening osteotomies of the proximal phalanx

Product codes

HTY

Device Description

The TOEGRIP® device consists of a monobloc implant with three flexible prongs inserted intramedullary into each part of phalanx The prongs are linked by a T-shaped beam. The fixation concept is based on a press-fit contact due to its tapered shape and the sharp macrostructures once impacted.
The TOEGRIP® device is intended for single use only, and is available in a range of 5 sizes with 3 possible degrees: 0°, 10° or 20°.
The TOEGRIP® device is manufactured with material according to the ISO-10993, ZENIVA® PEEK.
The feature design of the TOEGRIP® is substantially equivalent to the design features of other devices previously cleared for market.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

toes, fingers

Indicated Patient Age Range

skeletally mature individuals

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 Test Summary: The following tests were performed to demonstrate that the Synchro-Medical Toe Grip Device is substantially equivalent to other predicate devices. Static Four-point Bending Test Dynamic Four-point Bending Test. The results of these studies showed that the Synchro-Medical Toe Grip Device met the acceptance criteria.
Clinical Test Summary: No clinical tests were performed.

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

Not Found

Predicate Device(s)

K031712, K070598, K022599

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 888.3040 Smooth or threaded metallic bone fixation fastener.

(a)
Identification. A smooth or threaded metallic bone fixation fastener is a device intended to be implanted that consists of a stiff wire segment or rod made of alloys, such as cobalt-chromium-molybdenum and stainless steel, and that may be smooth on the outside, fully or partially threaded, straight or U-shaped; and may be either blunt pointed, sharp pointed, or have a formed, slotted head on the end. It may be used for fixation of bone fractures, for bone reconstructions, as a guide pin for insertion of other implants, or it may be implanted through the skin so that a pulling force (traction) may be applied to the skeletal system.(b)
Classification. Class II.

0

K133477

Traditional 510(k) Summary

FEB 1 0 2014

Synchro-Medical Toe Grip Device

| Submitter: | Synchro Medical
21 rue des Merisiers
FR-68920 Wettolsheim les Erlen |
|----------------|-----------------------------------------------------------------------------------------------------------------------------|
| Contact Person | Danilo Campani
President
Phone: +33(0)3 89 23 75 64
Fax:+33(0)3 89 27 14 52
Email: dcampani@synchro-medical.com |
| Date Prepared | 2/10/14 |
| Device Class | Class II |

Trade NameTOEGRIP®.
Common NameSynchro-Medical Toe Grip Device
Classification Name
and NumberSmooth or threaded metallic bone fixation fastener
21 CFR 888.3040
Classification Panel:Orthopedic
Product CodeHTY
Predicate DevicesInion OTPS Biodegradable Pin (K031712), Memometal Inc™
Smart Toe & X-Fuse (K070598) & New Deal K-Wire
(K022599)
Previous SubmissionsThere are no previous submissions

1

.

| Device Description | The TOEGRIP® device consists of a monobloc implant with
three flexible prongs inserted intramedullary into each part of
phalanx The prongs are linked by a T-shaped beam. The
fixation concept is based on a press-fit contact due to its tapered
shape and the sharp macrostructures once impacted.
The TOEGRIP® device is intended for single use only, and is
available in a range of 5 sizes with 3 possible degrees: 0°, 10°
or 20°.
The TOEGRIP® device is manufactured with material
according to the ISO-10993, ZENIVA® PEEK.
The feature design of the TOEGRIP® is substantially
equivalent to the design features of other devices previously
cleared for market. |

-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| Intended Use | The TOEGRIP® is intended for toes for general use in
skeletally mature individuals undergoing surgery limited to
interdigital fusion.
The TOEGRIP® device is intended to be permanently
implanted without any other additional device as an
intramedullary bone fastener device for toes or fingers.
The TOEGRIP® device is indicated for small bone
reconstruction limited to interdigital fusion of toes in the
following cases, listed in random order:
• Rigid PIP joints deformities
• Rigid hammertoes deformities
• Claw toes deformities (PIP and DIP joints)
• Revision hammertoes surgeries
• Shortening osteotomies of the proximal phalanx |
|--------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Materials: | The implant is manufactured from ASTM2026 implant grade
Polyetheretherketone (PEEK) Solvay Zeniva ZA-500. |

| August March Auction Address Andrews And

and the commend of the comments of the comments of the comments of the comments of the comments of the comments of the comments of the comments of the comments of the comment

2

Statement ofThe purpose of this submission is to obtain market clearance for the
Technologicalproposed the Synchro-Medical Toe Grip Device. Synchro-Medical
ComparisonToe Grip Device and its predicate devices have the similar
indications for use, have a similar functionality. Both devices are
manufactured using materials with a long history of use in
orthopaedic implants.

.

| Nonclinical Test
Summary | The following tests were performed to demonstrate that the
Synchro-Medical Toe Grip Device is substantially equivalent to
other predicate devices.
Static Four-point Bending Test Dynamic Four-point Bending Test The results of these studies showed that the Synchro-Medical
Toe Grip Device met the acceptance criteria. |
|-----------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Clinical Test Summary | No clinical tests were performed. |

Conclusion
The Synchro-Medical Toe Grip Device is substantially
equivalent to its predicate devices. This conclusion is based
upon the fact the Synchro-Medical Toe Grip Device and its
predicate devices have the same indications for use and have a
similar design.

3

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 caduceus symbol, which is a staff with two snakes entwined around it. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the symbol. The logo is black and white.

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

February 10, 2014

Synchro Medical % Mark F. Schenk Consulting Mr. Mark F. Schenk 505 Berks Place West Lawn, Pennsylvania 19609

Re: K133477

Trade/Device Name: Synchro-Medical Toe Grip Device Regulation Number: 21 CFR 888.3040 Regulation Name: Smooth or threaded metallic bone fixation fastener Regulatory Class: Class II Product Code: HTY Dated: November 12, 2013 Received: November 12, 2013

Dear Mr. Schenk:

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

4

Page 2 - Mr. Mark F. Schenk

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,

Vincent J原因evlin -S

for

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

Enclosure

5

Indications for Use

510(k) Number K133477 Device Name: Synchro-Medical Toe Grip Device Indications for Use:

The TOEGRIP® is intended for toes for general use in skeletally mature individuals undergoing surgery limited to interdigital fusion.

The TOEGRIP® device is intended to be permanently implanted without any other additional device as an intramedullary bone fastener device for toes or fingers.

The TOEGRIP® device is indicated for small bone reconstruction limited to interdigital fusion of toes in the following cases, listed in random order:

  • . Rigid PIP joints deformities
  • . Rigid hammertoes deformities
  • . Claw toes deformities (PIP and DIP joints)
  • Revision hammertoes surgeries .
  • . Shortening osteotomies of the proximal phalanx

Prescription Use _____________________________________________________________________________________________________________________________________________________________ (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Elizabeth 詞版ank -S

Division of Orthopedic Devices