K Number
K143229
Device Name
Nexis osteosynthesis compressive screws
Manufacturer
Date Cleared
2015-02-06

(88 days)

Product Code
Regulation Number
888.3040
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Nexis® osteosynthesis compressive screws are single use devices indicated for the fixing and stabilizing the elective osteotomies of the mid foot bones and the metatarsal and phalanges of the foot only.
Device Description
Nexis® osteosynthesis compressive screws are single-use bone fixation devices intended to be permanently implanted. Nexis® osteosynthesis compressive screws are canulated compressive screws made of Titanium (Alloy Ti-6Al-4V ELI). Nexis® osteosynthesis compressive screws are compressive canulated bone screws which allow a permanent compression, thus supporting a secure osseous restoration.
More Information

Not Found

No
The summary describes a mechanical bone fixation device and does not mention any AI or ML components.

No
The device is described as a bone fixation device used for stabilizing osteotomies, which is a structural support function rather than a therapeutic one (i.e., treating a disease or disorder).

No

The device description and intended use clearly state that these are osteosynthesis compressive screws for fixing and stabilizing bones, not for diagnosing conditions.

No

The device description clearly states it is a physical, permanently implanted bone fixation device made of Titanium.

Based on the provided information, this 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, or tissue) to provide information for diagnosis, monitoring, or screening.
  • Device Description and Intended Use: The description clearly states that the Nexis® osteosynthesis compressive screws are "single-use bone fixation devices intended to be permanently implanted" for "fixing and stabilizing the elective osteotomies of the mid foot bones and the metatarsal and phalanges of the foot only." This involves direct surgical implantation into the body, not the analysis of specimens outside the body.

Therefore, the Nexis® osteosynthesis compressive screws are a surgical implant, not an IVD.

N/A

Intended Use / Indications for Use

The Nexis® osteosynthesis compressive screws are single use devices indicated for the fixing and stabilizing the elective osteotomies of the mid foot bones and the metatarsal and phalanges of the foot only.

Product codes

HWC

Device Description

Nexis® osteosynthesis compressive screws are single-use bone fixation devices intended to be permanently implanted. Nexis® osteosynthesis compressive screws are canulated compressive screws made of Titanium (Alloy Ti-6Al-4V ELI). Nexis® osteosynthesis compressive screws are compressive canulated bone screws which allow a permanent compression, thus supporting a secure osseous restoration.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

mid foot bones and the metatarsal and phalanges of the foot

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)

The biocompatibility evaluation for new devices Nexis® osteosynthesis compressive screws was conducted in accordance with Blue Book Memorandum #G95-1 (Use of International Standard ISO-10993, 'Biological Evaluation of Medical Devices Part 1: Evaluation and Testing) and International Standard ISO 10993-1 (Biological Evaluation of Medical Devices - Part 1: Evaluation and Testing Within a Risk Management Process) as recognized by FDA.
The new devices Nexis® osteosynthesis compressive screws have similar technological characteristics in terms of design and mechanical characteristics (Driving and removal torque, pull-out strength, torsional resistance) and thus are believed to be substantially equivalent to the predicate Memometal Fixos screws (device references: S-Fix/C-Fix/P-Fix) (K070039) and SBI Autofix™ System (K052576).

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

Not Found

Predicate Device(s)

K070039, K052576

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 is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract image of three human profiles facing right, stacked on top of each other.

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

February 6, 2015

NOVASTEP Mr. Gilles Audic QA/RA Director Espace Performance Alphasis - Batiment C1-C2 35769 Saint Gregoire France

Re: K143229

Trade/Device Name: Nexis® osteosynthesis compressive screws Regulation Number: 21 CFR 888.3040 Regulation Name: Smooth or threaded metallic bone fixation fastener Regulatory Class: Class II Product Code: HWC Dated: November 20, 2014 Received: November 24, 2014

Dear Mr. Audic:

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

1

Page 2 - Mr. Gilles Audic

(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 (OS) 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,

Mark N. Melkerson -S

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

Enclosure

2

Section

4: Indications for Use Statement

| DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration | Form Approved: OMB No. 0910-0120
Expiration Date: January 31, 2017
See PRA Statement below. |

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

Indications for Use

510(k) Number (if known)K143229
Device NameNexis ® osteosynthesis compressive screws
Indications for Use (Describe)
--------------------------------

The Nexis® osteosynthesis compressive screws are single use devices indicated for the fixing and stabilizing the elective osteotomies of the mid foot bones and the metatarsal and phalanges of the foot only.
Type of Use (Select one or both, as applicable)

2 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)

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW. The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

FORM FDA 3881 (1/14)

Page 1 of 1

PSC Publishing Services (301) 443-6740 EBF

3

en®

"510(k) Summary" as required by section 807.92(c)

SubmitterNOVASTEP
Espace performance Alphasis
Bâtiment C1-C2
35769 SAINT GREGOIRE
France
Phone : + 33 (0)2 99 33 86 50
Fax :+ 33 (0)9 70 29 18 95
Contact personMister Gilles AUDIC
QA / RA Director
Cell phone:+33 (0)6 30 93 96 08
e-mail: gilles.audic@novastep-ortho.com
Preparation dateJanuary 27th, 2015
Trade nameNexis® osteosynthesis compressive screws
Common NameScrew, Fixation, Bone
Classification NameSmooth or threaded metallic fixation fastener (21CFR 888.3040, product
code HWC)
Regulatory classII

| Legally marketed
predicate devices | 510(k) number: K070039
Device name: Memometal Fixos screws
Original applicant: MEMOMETAL TECHNOLOGIES
This predicate has not been subject to a design-related recall.

510(k) number: K052576
Device name: SBI Autofix™ System |
|------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | Original applicant: Small Bone Innovations International S.A. |
| | This predicate has not been subject to a design-related recall. |
| Description | Nexis® osteosynthesis compressive screws are single-use bone fixation
devices intended to be permanently implanted. Nexis® osteosynthesis
compressive screws are canulated compressive screws made of Titanium
(Alloy Ti-6Al-4V ELI).
Nexis® osteosynthesis compressive screws are compressive canulated
bone screws which allow a permanent compression, thus supporting a
secure osseous restoration. |
| Intended use | The Nexis® osteosynthesis compressive screws are intended for fixing and
stabilizing the elective osteotomies of the mid-foot bones and metatarsal
and phalanges of the foot only. |
| Comparison of the
technological
characteristics with the
predicate device | The new devices Nexis® osteosynthesis compressive screws have similar
technological characteristics in terms of material (ISO 5832-3 Implants For
Surgery -- Metallic Materials -- Part 3: Wrought Titanium 6-Aluminium 4-
Vanadium Alloy) and mechanical characteristics (ASTM F543-13 Standard
Specification and Test Methods for Metallic Medical Bone Screws) and
thus are believed to be substantially equivalent to the predicate
Memometal Fixos screws (device references: S-Fix/C-Fix/P-Fix) (K070039)
and SBI Autofix™ System (K052576). |
| Performance data | The biocompatibility evaluation for new devices Nexis® osteosynthesis
compressive screws was conducted in accordance with Blue Book
Memorandum #G95-1 (Use of International Standard ISO-10993,
'Biological Evaluation of Medical Devices Part 1: Evaluation and Testing)
and International Standard ISO 10993-1 (Biological Evaluation of Medical
Devices - Part 1: Evaluation and Testing Within a Risk Management
Process) as recognized by FDA. |
| | The new devices Nexis® osteosynthesis compressive screws have similar
technological characteristics in terms of design and mechanical
characteristics (Driving and removal torque, pull-out strength, torsional
resistance) and thus are believed to be substantially equivalent to the
predicate Memometal Fixos screws (device references: S-Fix/C-Fix/P-Fix)
(K070039) and SBI Autofix™ System (K052576). |
| Indication for use | The Nexis® osteosynthesis compressive screws are indicated for fixing
and stabilizing the elective osteotomies of the mid-foot bones and
metatarsal and phalanges of the foot only.
The indication for use statement for the Nexis® osteosynthesis
compressive screws is not strictly identical to the predicate devices; |
| | device nor do they affect the safety and effectiveness of the device
relative to the predicate. Both the subject and the predicate device have
the same intended use for fixation, correction and stabilization of small
bones in the foot. |
| Clinical studies | Clinical studies were not required for this submission. |
| Animal studies | Animal studies were not required for this submission. |
| Conclusion | Nexis® osteosynthesis compressive are substantially equivalent to their
predicate devices Memometal Fixos screws (device references: S-Fix/C-
Fix/P-Fix) (K070039) and SBI AutofixTM System (K052576), in terms of
intended use and indications for use, material, design and function. Any
minor differences between these devices do not raise new questions of
safety and effectiveness. |

novastep - Siège Social / Service Client

Espace Performance - Alphasis - Bâtiment C1-C2 - 35769 SAINT-GREGOIRE Cedex - FRANCE
Tél. +33 (0)2 99 23 60 77 - Fax : +33 (0)9 70 29 18 95 Code A.P.E. : 3250A - NºSIRET : 752 292 797 00012 - Nº TVA Intracommunautaire FR 64 752 292 797

4

ero"

1 n o v astep - Siège Social / Service Client
Espace Performane - Alphasis - Batiment C1-C2 - 35769 SANT-GREGONE Cedex - FFANCE
Tél. +33 (0)2 99 23 60 77 - Fax : +33 (0

Code A.P.E.: 3250ANSIRET 752 292 797 00012 N° TVA Intracommunautaire FR 64 752 292 797

5

ep®

1 no vastep - Siège Social / Service Client
Espace Performance - Alphasis - Batiment C1-C2 - 35769 SANT-GREGONE Cedex - FFANCE
Tél. +33 (0)2 99 23 60 77 - Fax : +33 (0)3