K Number
K142945
Device Name
Sonoma Fibula Repair System
Date Cleared
2015-01-22

(104 days)

Product Code
Regulation Number
888.3020
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Sonoma Fibula Repair System is intended for use in the fixation of fibula fractures.
Device Description
The Sonoma Fibula Repair System includes all implants and instruments required for the fixation of fibula fractures. The Fibula Repair System includes the Sonoma Fibula Rod, Sonoma Bone Screws, End Cap and related instruments. Sonoma's Fibula Rod differs from traditional nails or rods as it utilizes Sonoma's ActivLoc® fixation gripper system at the proximal end of the rod to allow for proximal fixation without the use of screws. The implants are composed of 316 stainless steel per ASTM F138.
More Information

K071994 Acumed Small Bone Locking Rod System II, K031438 Acumed Small Bone Locking Rod System II

Not Found

No
The description focuses on mechanical components and materials, with no mention of software, algorithms, or data processing related to AI/ML.

Yes
The device is described as "intended for use in the fixation of fibula fractures" and includes implants and instruments for this purpose, indicating it is used to treat or stabilize a medical condition.

No
The device is described as a "Fibula Repair System" intended for "fixation of fibula fractures," which indicates a therapeutic or reparative function, not a diagnostic one.

No

The device description explicitly states that the system includes implants and instruments, which are physical hardware components.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is "for use in the fixation of fibula fractures." This describes a surgical procedure to repair a broken bone.
  • Device Description: The device is a system of implants (rod, screws, end cap) and instruments used for surgical fixation.
  • 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. This device does not perform any such tests.

The Sonoma Fibula Repair System is a surgical implant/device used directly in the body for structural support and repair.

N/A

Intended Use / Indications for Use

The Sonoma Fibula Repair System is intended for use in the fixation of fibula fractures.

Product codes

HSB

Device Description

The Sonoma Fibula Repair System includes all implants and instruments required for the fixation of fibula fractures. The Fibula Repair System includes the Sonoma Fibula Rod, Sonoma Bone Screws, End Cap and related instruments. Sonoma's Fibula Rod differs from traditional nails or rods as it utilizes Sonoma's ActivLoc® fixation gripper system at the proximal end of the rod to allow for proximal fixation without the use of screws. The implants are composed of 316 stainless steel per ASTM F138.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

fibula

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)

Engineering analysis and mechanical testing according to ASTM F1264-03(07) confirmed that the subject rods are equivalent to predicate Acumed rods in cyclic bending fatigue, static bending and static torsion.

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.

K071994 Acumed Small Bone Locking Rod System II, K031438 Acumed Small Bone Locking Rod System II

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

§ 888.3020 Intramedullary fixation rod.

(a)
Identification. An intramedullary fixation rod is a device intended to be implanted that consists of a rod made of alloys such as cobalt-chromium-molybdenum and stainless steel. It is inserted into the medullary (bone marrow) canal of long bones for the fixation of fractures.(b)
Classification. Class II.

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

January 22, 2015

Sonoma Orthopedics Products, Incorporated % Ms. Dawn Norman Managing Partner Memphis Regulatory Consulting, LLC 3416 Roxee Run Cove Bartlette, Tennessee 38133

Re: K142945

Trade/Device Name: Sonoma Fibula Repair System Regulation Number: 21 CFR 888.3020 Regulation Name: Intramedullary fixation rod Regulatory Class: Class II Product Code: HSB Dated: October 25, 2014 Received: October 28, 2014

Dear Ms. Norman:

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

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Page 2 - Ms. Dawn Norman

(21 CFR Part 807); labeling (21 CFR Part 801); medical device 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 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 yours.

Lori A. Wiggins -S

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

Enclosure

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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known)

K142945

Device Name Sonoma Fibula Repair System

Indications for Use (Describe)

The Sonoma Fibula Repair System is intended for use in the fixation of fibula fractures.

Type of Use (Select one or both, as applicable)

X Prescription 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 A SEPARATE PAGE IF NEEDED.

FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

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510(k) Summary

Sonoma Fibula Repair System October 9, 2014

| Company: | Sonoma Orthopedics Products, Inc
1388 Busch Parkway
Buffalo Grove, IL 60089 |
|----------|-----------------------------------------------------------------------------------|
| Phone: | 707-526-1335 |
| Fax: | 707-526-2022 |

Establishment 3007038372 Registration:

  • Primary Contact: Dawn Norman, MS Managing Partner Memphis Regulatory Consulting, LLC 3416 Roxee Run Cove Bartlett, TN 38133, USA Phone: 618-604-3064 Fax: 707-526-2022

Company/Secondary Contact:

Kyle Lappin

Sonoma Orthopedics Products, Inc 1388 Busch Parkway Buffalo Grove, IL 60089 Phone: 707-526-1335 Fax: 707-526-2022

Trade Name:Sonoma Fibula Repair System
Common Name:Rod, Fixation, Intramedullary and Accessories
Classification:Class II
Regulation Number:888.3020
Panel:87- Orthopedic
Product Code:HSB
Predicate Devices:K071994 Acumed Small Bone Locking Rod System II
K031438 Acumed Small Bone Locking Rod System II
Device Description:The Sonoma Fibula Repair System includes all implants and
instruments required for the fixation of fibula fractures. The Fibula
Repair System includes the Sonoma Fibula Rod, Sonoma Bone
Screws, End Cap and related instruments. Sonoma's Fibula Rod
differs from traditional nails or rods as it utilizes Sonoma's
ActivLoc® fixation gripper system at the proximal end of the rod
to allow for proximal fixation without the use of screws. The
implants are composed of 316 stainless steel per ASTM F138.
Indications for Use:The Sonoma Fibula Repair System is intended for use in the
fixation of fibula fractures.
Substantial Equivalence:The intended use of the subject device is the same as the predicate
devices. The indications for use for the subject device is limited to
the fibula as opposed to additional anatomical locations for the
predicate devices. The material of the subject device is the same
as the Acumed Small Bone Locking Rod System (K071994). The
dimensions of the subject device are within the range of the
predicate devices for proximal and distal diameter, lateral bend,
length, screw orientation, and placement of screws from the end of
the rod. The subject device utilizes 2.7 mm diameter distal screws
as opposed to 3.5 mm diameter distal screws. The subject devices
use three (3) distal screws as opposed to two (2) distal screws.
Thus, the subject device is substantially equivalent to the predicate
devices.
Performance Testing:Engineering analysis and mechanical testing according to ASTM
F1264-03(07) confirmed that the subject rods are equivalent to
predicate Acumed rods in cyclic bending fatigue, static bending
and static torsion.

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