K Number
K142707
Device Name
AIS Odontoid Fracture Fixation System
Date Cleared
2014-12-19

(88 days)

Product Code
Regulation Number
888.3040
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
For fracture fixation of small bones and small bone fragments including odontoid fractures.
Device Description
The AIS Odontoid Fracture Fracture Fixation System is comprised of screws and instruments. The 4.0mm cortical screws are either a fully-threaded or partially threaded. They are offered in various lengths and will be non-sterile. The screws are manufactured from titanium alloy (Ti6Al4V) per ISO 5832/3.
More Information

No
The device description and performance studies focus on the mechanical properties and substantial equivalence to predicate devices, with no mention of AI or ML.

No.
The device description and intended use indicate it is for fracture fixation, which is a structural support/fixation function, not a therapeutic treatment.

No
The device description indicates it is a system of screws and instruments for fracture fixation, which is a therapeutic rather than a diagnostic function.

No

The device description explicitly states it is comprised of "screws and instruments," which are physical hardware components. The performance studies also involve static and dynamic testing of these physical components.

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

Here's why:

  • Intended Use: The intended use is "For fracture fixation of small bones and small bone fragments including odontoid fractures." This describes a surgical implant used to stabilize bone fractures within the body.
  • Device Description: The device is comprised of screws and instruments made from titanium alloy. These are physical devices used in a surgical procedure.
  • Lack of IVD Characteristics: An IVD is a medical device used to perform tests on samples taken from the human body (like blood, urine, tissue) to provide information about a person's health. The provided description does not mention any testing of biological samples.

Therefore, the AIS Odontoid Fracture Fixation System is a surgical implant, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

For fracture fixation of small bones and small bone fragments including odontoid fractures.

Product codes

HWC

Device Description

The AIS Odontoid Fracture Fracture Fixation System is comprised of screws and instruments. The 4.0mm cortical screws are either a fully-threaded or partially threaded. They are offered in various lengths and will be non-sterile. The screws are manufactured from titanium alloy (Ti6Al44V) per ISO 5832/3.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Small bones and small bone fragments including odontoid.

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

Non-clinical testing was performed to demonstrate that the AIS Odontoid Fracture Fixation System is substantially equivalent to other predicate devices. The following testing was performed: Static Testing per ASTMF543 and Static and Dynamic Cantilever Testing per ASTM F2193. The results showed that the subject AIS Odontoid Fracture Fixation System meets or exceeds the performance of the predicate devices, and the device is therefore found to be substantially equivalent.

Key Metrics

Not Found

Predicate Device(s)

K970549, K020791, K132910

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

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized representation of three human profiles facing right, arranged in a way that suggests unity and connection. The profiles are black and are set against a white background. Encircling the profiles are the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in a circular arrangement.

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

Aesculap Implant Systems, Incorporated Ms. Lisa M. Boyle Regulatory Affairs Manager 3773 Corporate Parkway Center Valley, Pennsylvania 18034

December 19, 2014

Re: K142707

Trade/Device Name: AIS Odontoid Fracture Fixation System Regulation Number: 21 CFR 888.3040 Regulation Name: Smooth or threaded metallic bone fixation fastener Regulatory Class: Class II Product Code: HWC Dated: September 18, 2014 Received: September 22, 2014

Dear Ms. Lisa M Boyle:

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

1

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 Industry and Consumer Education 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. 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 Industry and Consumer Education 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.

Sincerely vours.

Mark N. Melkerson -S

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

Enclosure

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I. REQUIRED STATEMENTS

Page 1 of 1

A. INDICATIONS FOR USE STATEMENT

510(k) Number:_ K142707

Device Name: Aesculap Implant Systems (AIS): Odontoid Fracture Fixation System

Indications for Use:

For fracture fixation of small bones and small bone fragments including odontoid fractures.

Prescription Use _____________________________________________________________________________________________________________________________________________________________ X == and/or Over-the-Counter Use _____________________________________________________________________________________________________________________________________________ (per 21 CFR 801.109)

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED) Concurrence of CDRH, Office of Device Evaluation (ODE)

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B. 510(k) SUMMARY (as required by 21 CFR 807.92)

Aesculap Implant Systems (AIS), LLC. Odontoid Fracture Fixation System

November 12, 2014

| COMPANY: | Aesculap®Implant Systems (AIS), LLC.
3773 Corporate Parkway
Center Valley, PA 18034
Establishment Registration Number: 3005673311 |
|----------------------|--------------------------------------------------------------------------------------------------------------------------------------------|
| CONTACT: | Lisa M. Boyle
800-258-1946 (phone)
610-791-6882 (fax) |
| TRADE NAME: | AIS Odontoid Fracture Fixation System |
| COMMON NAME: | Screw, Fixation, Bone |
| CLASSIFICATION NAME: | Smooth or Threaded Metallic Bone Fixation Fastener |
| REGULATION NUMBER: | 21 CFR 888.3040 |
| PRODUCT CODE: | HWC |
| DEVICE CLASS: | Class II |

PURPOSE FOR PREMARKET NOTIFICATION

The submission expands the indications for use of the Aesculap Titanium Alloy Bone Screws cleared under K970549.

DEVICE DESCRIPTION

The AIS Odontoid Fracture Fracture Fixation System is comprised of screws and instruments. The 4.0mm cortical screws are either a fully-threaded or partially threaded. They are offered in various lengths and will be non-sterile. The screws are manufactured from titanium alloy (Ti6Al4V) per ISO 5832/3.

INDICATIONS FOR USE

For fracture fixation of small bone fragments including odontoid fractures.

TECHNOLOGICAL CHARACTERISTICS(compared to Predicates)

As is established in this submission, the AIS Odontoid Fracture Fixation System is substantially equivalent to other predicate devices cleared by FDA. The subject device is shown to be substantially equivalent and has the same technological characteristics

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Page 2 of 2

to its predicate devices through comparison in design, intended use, material composition, function and range of sizes.

PERFORMANCE DATA

Non-clinical testing was performed to demonstrate that the AIS Odontoid Fracture Fixation System is substantially equivalent to other predicate devices. The following testing was performed:

  • . Static Testing per ASTMF543
  • . Static and Dynamic Cantilever Testing per ASTM F2193

The results showed that the subject AIS Odontoid Fracture Fixation System meets or exceeds the performance of the predicate devices, and the device is therefore found to be substantially equivalent.

PREDICATE DEVICE

  • Aesculap Titanium Alloy Bone Screws (K970549) ●
  • BioPro (Millenium Medical) HBS Headless Bone Screw (K020791) .
  • . DePuy Synthes Spine Dens Access System (K132910)