K Number
K143399
Manufacturer
Date Cleared
2015-05-08

(161 days)

Product Code
Regulation Number
882.4310
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Footed Attachments and Cutting Accessories are intended to be used with the Stryker Consolidated Operating Room Equipment (CORE®) Console and electric and pneumatic motors. When used with these motors, the Footed Attachments and Cutting Accessories are intended to cut bone in the following manner: drilling, reaming, shaping, dissecting, shaving and smoothing for the following medical applications: Neuro: Spine: Ear, Nose, and Throat (ENT) / Otology /Neurotology/Otorhinolaryngology; Craniofacial (bones of the skull and supraorbital region); and Sternotomy.

Specific applications include Craniectomy, Pterional Craniotomy, Sub Occipital/Retro Sigmoid/Posterior Fossa Craniotomy, Sphenoid Wing Dissection, Laminotomy/Laminectomy, and Orthopedic Spine.

These devices are also usable in the preparation for the placement of screws, metal, wires, pins, and other fixation devices.

Device Description

Footed Attachments are prescription medical devices that are designed to provide an interface between a cutting accessory and a high speed motor. When used with a motor and a cutting accessory, the Footed Attachments are intended cut, drill, ream, dissect and shape bone in a variety of surgical procedures including the following specialty areas: Neuro, Spine, ENT, Sternotomy and Orthopedics.

The Stryker Footed Attachments are available in footed and non-footed configurations. The primary difference is the addition of the foot feature at the end of the nose tube.

The footed attachment is offered in two configurations: Fixed Footed Attachments and Rotating Footed Attachments. The primary difference between the Fixed and the Rotating Footed Attachment is the ability to rotate the foot portion of the device independently from the motor.

Cutting accessories are single use, sterile devices which have a mount or notch machined at their proximal end and a head with a sharp cutting edge at their distal end. The cutting accessories when used with a high speed drill and Footed Attachments are intended to cut, drill, ream, decorticate, shape, dissect, shave and smooth bone in a variety of surgical procedures.

AI/ML Overview

The document provided is a 510(k) Premarket Notification for Stryker Footed Attachments and Cutting Accessories. It outlines the device's indications for use, describes the device, and discusses performance and biocompatibility testing. However, it does not include an acceptance criteria table with reported device performance in the manner typically seen for diagnostic or AI-driven devices (e.g., sensitivity, specificity, AUC).

Instead, the document details a comparative study against predicate and reference devices, focusing on demonstrating substantial equivalence for a medical device that cuts bone. The "acceptance criteria" here are met through various non-clinical performance tests and biocompatibility assessments, and by showing similarity to legally marketed devices.

Therefore, many of the requested items (e.g., sample size for test set, data provenance, number of experts, adjudication method for ground truth, MRMC study, standalone performance, training set sample size and ground truth establishment) are not applicable in the context of this device and the type of information presented in a 510(k) for a surgical tool like this one. This document focuses on demonstrating physical, functional, and material equivalence rather than diagnostic performance metrics.

Here's an attempt to answer the questions based on the provided document, noting where information is not present or not applicable:


Acceptance Criteria and Device Performance Study

The acceptance criteria for the Stryker Footed Attachments and Cutting Accessories are demonstrated through a series of non-clinical performance tests and biocompatibility evaluations, aimed at showing that the device meets its performance requirements and is substantially equivalent to legally marketed predicate devices. The study detailed is primarily a bench-testing and comparative analysis rather than a clinical trial or diagnostic performance study.

1. Table of Acceptance Criteria and Reported Device Performance

Acceptance Criteria CategorySpecific Test/EvaluationReported Device Performance / Conclusion
Performance RequirementsLife Testing - Fluted Bur cutting accessoriesMeets performance requirements
Life Testing – Spiral RoutersMeets performance requirements
Life Testing – Tapered and Straight cutting accessoriesMeets performance requirements
Life testing – Diamond bur cutting accessoriesMeets performance requirements
Temperature Testing – Bur Cutting AccessoryMeets performance requirements
Temperature Testing - Router Cutting AccessoryMeets performance requirements
Life, Functional and Graphics Testing of Footed AttachmentsSufficient for intended use
Attachment Latch TestSufficient for intended use
BiocompatibilityCytotoxicityNon-cytotoxic
SensitizationNon-sensitizing
IrritationNegligible irritant
Acute Systemic ToxicityNon-toxic
Material Mediated Pyrogenicity (Attachments)Non-pyrogen
Bacterial Endotoxin Testing (Cutting Accessories)Requirement met
Colorant LeachablesPass
Substantial EquivalenceComparison to Predicate and Reference Devices (K112593, K113476, K081475)Similar safety and effectiveness profile

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

The document does not specify sample sizes for the individual non-clinical performance and biocompatibility tests. It indicates these were "verification tests" performed to demonstrate performance. The data provenance is internal to Stryker Instruments, as these are non-clinical bench tests. There is no mention of country of origin for data as it's not a clinical study involving patients. The tests are prospective in nature, as they are part of the device development and verification process.

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

Not Applicable (N/A). For this type of device (a surgical cutting tool), "ground truth" as it pertains to diagnostic accuracy (e.g., for an AI algorithm) is not relevant. The "ground truth" for performance is established by engineering specifications, safety standards, and functional requirements for cutting bone, which are verified through the described non-clinical tests.

4. Adjudication Method for the Test Set

Not Applicable (N/A). There is no "adjudication method" in the context of diagnostic agreement, as this is not a diagnostic device or a study involving subjective assessment of output by multiple readers.

5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

No. A MRMC comparative effectiveness study was not done. This type of study is relevant for evaluating the impact of AI on human reader performance in diagnostic tasks, which is not the purpose of this submission for a surgical instrument.

6. Standalone (Algorithm Only Without Human-in-the-Loop Performance) Study

Not Applicable (N/A). This device is a mechanical surgical tool, not an algorithm or AI system. Therefore, a standalone performance study in that context is not relevant. The device implicitly performs "stand-alone" in its function as a tool, but its performance is measured against engineering and safety criteria, not AI metrics.

7. Type of Ground Truth Used

The "ground truth" in this context refers to the engineering specifications, functional requirements, and safety standards for a device intended to cut bone. For biocompatibility, the ground truth is established by international standards (e.g., AAMI/ANSI/ISO 10993-1) for biological evaluation of medical devices. The assessment of "substantial equivalence" is based on comparing the subject device's features and performance to those of legally marketed predicate devices.

8. Sample Size for the Training Set

Not Applicable (N/A). This device is not an AI/ML algorithm that requires a training set.

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

Not Applicable (N/A). As there is no training set, this question is not applicable.

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract symbol that resembles a stylized caduceus or a representation of the human form. The symbol is composed of three wavy lines that converge to form a head-like shape.

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

May 8, 2015

Stryker Instruments Ms. Jeanne S. Warner Regulatory Affairs Manager 4100 E. Milham Ave. Kalamazoo, Michigan 49001

K143399 Trade/Device Name: Stryker Footed Attachments and Cutting Accessories Regulation Number: 21 CFR 882.4310 Regulation Name: Powered Simple Cranial Drills, Burrs, Trephines, and Their Accessories Regulatory Class: Class II Product Code: HBE, ERL Dated: April 7, 2015 Received: April 8, 2015

Dear Ms. Warner,

Re:

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

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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/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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,

Carlos L. Pena -50/0

Carlos L. Peña, PhD, MS Director Division of Neurological and Physical Medicine Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K143399

Device Name

Stryker Footed Attachments and Cutting Accessories

Indications for Use (Describe)

The Footed Attachments and Cutting Accessories are intended to be used with the Stryker Consolidated Operating Room Equipment (CORE®) Console and electric and pneumatic motors. When used with these motors, the Footed Attachments and Cutting Accessories are intended to cut bone in the following manner: drilling, reaming, shaping, dissecting, shaving and smoothing for the following medical applications: Neuro: Spine: Ear, Nose, and Throat (ENT) / Otology /Neurotology/Otorhinolaryngology; Craniofacial (bones of the skull and supraorbital region); and Sternotomy.

Specific applications include Craniectomy, Pterional Craniotomy, Sub Occipital/Retro Sigmoid/Posterior Fossa Craniotomy, Sphenoid Wing Dissection, Laminotomy/Laminectomy, and Orthopedic Spine.

These devices are also usable in the preparation for the placement of screws, metal, wires, pins, and other fixation devices.

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

☑ Prescription Use (Part 21 CFR 801 Subpart D)
☐ Over-The-Counter Use (21 CFR 801 Subpart C)

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Image /page/3/Picture/1 description: The image shows the Stryker logo in black and white. The logo is a stylized wordmark with a distinctive design. The letters are bold and connected, giving the logo a modern and recognizable appearance.

510(k) Summary

510(k) Owner:Stryker Instruments4100 E. Milham AvenueKalamazoo, MI 49001(p) 269-323-7700(f) 269-389-5299
Contact Person:Jeanne S. WarnerRegulatory Affairs Manager
RegistrationNumber:Date SummaryPrepared:1811755May 07, 2015

Trade Name(s): Stryker Footed Attachments and Cutting Accessories

Powered simple cranial drills, burrs, trephines, and their accessories. Common Name:

Product CodeDeviceRegulationNumberClass
HBE(Primary Code)Drills, burs,trephines, andaccessories(simple, powered)21 CFR882.4310II
ERL(Secondary Code)Drill, Surgical, ENT(Electric orPneumatic)including21 CFR874.4250II

Predicate Device:

Classification

Data:

510(k)numberProductcodeTrade nameManufacturer
K112593ERLStryker® ConsolidatedOperating RoomEquipment (CORE)SystemStrykerInstruments

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Reference Device-

Anspach:

TradeName:Anspach Dissecting Tools
Type:Reference Device
510(k)Number:K113476
Description:The primary predicate device has successfullyaddressed decision points 1 to 4 in the 510(k) DecisionMaking Flowchart as per FDA) Guidance for Industryand FDA Staff, The 510(k) Program: EvaluatingSubstantial Equivalence in Premarket Notifications[510(k)], dated July 28, 2014.However, the dimensions, material and technologicalcharacteristics of 2.3mm and 3.0mm spiral routers arecompared to Anspach Dissecting Tools, which arecleared through the 510(k), K113476.
Reference Device-Medtronic:Trade Name:Medtronic Footed Attachments and Cutting Tools
Type:Reference Device
510(k) Number:K081475
Description:Medtronic Cutting Tools have been used as a reference device since these devices have the same intended use and same technological characteristics as the subject device. Moreover, the dimensions, material and technological characteristics of Stryker 1.5mm spiral routers are compared to the 1.5mm spiral router offered by Medtronic.

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Stryker®

Indications for Use:

The Footed Attachments and Cutting Accessories are intended to be used with the Stryker Consolidated Operating Room Equipment (CORE®) Console and electric and pneumatic motors. When used with these motors, the Footed Attachments and Cutting Accessories are intended to cut bone in the following manner: drilling, reaming, decorticating, shaping, dissecting, shaving and shaping for the following medical applications: Neuro; Spine; Ear, Nose, and Throat (ENT)/Otology/Neurotology/ Otorhinolaryngology; Craniofacial(bones of the skull and supraorbital region); and Sternotomy.

Specific applications include Craniotomy/Craniectomy, Pterional Craniotomy, Sub Occipital/Retro Sigmoid/Posterior Fossa Craniotomy, Sphenoid Wing Dissection, Laminotomy / Laminectomy, and Orthopedic Spine.

These devices are also usable in the preparation for the placement of screws, metal, wires, pins, and other fixation devices.

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Image /page/6/Picture/0 description: The image shows the word "stryker" in a bold, sans-serif font. The word is all lowercase, and there is a registered trademark symbol to the right of the "r". The word is in black and the background is white.

Device Footed Attachments are prescription medical devices that are designed to Description: provide an interface between a cutting accessory and a high speed motor. When used with a motor and a cutting accessory, the Footed Attachments are intended cut, drill, ream, dissect and shape bone in a variety of surgical procedures including the following specialty areas:

Neuro, Spine, ENT, Sternotomy and Orthopedics.

The Stryker Footed Attachments are available in footed and non-footed configurations. The primary difference is the addition of the foot feature at the end of the nose tube.

The footed attachment is offered in two configurations: Fixed Footed Attachments and Rotating Footed Attachments. The primary difference between the Fixed and the Rotating Footed Attachment is the ability to rotate the foot portion of the device independently from the motor.

Cutting accessories are single use, sterile devices which have a mount or notch machined at their proximal end and a head with a sharp cutting edge at their distal end. The cutting accessories when used with a high speed drill and Footed Attachments are intended to cut, drill, ream, decorticate, shape, dissect, shave and smooth bone in a variety of surgical procedures.

Performance The following verification tests were performed which demonstrate that the Data (Non device meets the performance requirements under its indications for use Clinical Tests): conditions.

  • Life Testing - Fluted Bur cutting accessories
  • Life Testing – Spiral Routers
  • Life Testing – Tapered and Straight cutting accessories
  • Life testing – Diamond bur cutting accessories
  • Temperature Testing – Bur Cutting Accessory
  • Temperature Testing - Router Cutting Accessory
  • Life, Functional and Graphics Testing of Footed Attachments
  • Attachment Latch Test

Results of these tests demonstrate that the functionality, integrity, and safety and effectiveness of the Stryker Footed Attachments and Cutting Accessories is sufficient for their intended use and support a determination of substantial equivalence.

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Biocompat-Stryker Footed Attachments and Cutting Accessories are classified as ibility Tests: external communicating devices: tissue/bone/dentin with limited patient contact (< 24 hours).

The biocompatibility evaluation was conducted in accordance with AAMI/ANSI/ISO ISO 10993-1:2009/(R)2013, Biological evaluation of medical devices – Part 1: Evaluation and testing within a risk management process, and Guidance for Industry and FDA Staff, Use of International Standard ISO-10993, "Biological Evaluation of Medical Devices Part 1: Evaluation and Testing," dated April 23, 2013.

Results of testing validate that the subject devices are non-cytotoxic, nonsensitizing, a negligible irritant, non-toxic, and non-pyrogenic.

Tests PerformedBiocompatibility TestConclusions
BiocompatibilityTestingCytotoxicityNon-cytotoxic
SensitizationNon-sensitizing
IrritationNegligible irritant
Acute Systemic ToxicityNon-toxic
Material Mediated Pyrogenicity(Attachments)Non-pyrogen
BiocompatibilityTestingBacterial Endotoxin Testing (CuttingAccessories)Requirement met
BiocompatibilityTestingColorant LeachablesPass

Table 1: Overview of Biocompatibility Testing

No clinical testing was deemed necessary for this 510(k). Clinical Tests:

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Table 2: Comparison of Subject, Predicate and Reference Devices

FeatureSubject Device -Stryker® - FootedAttachments andPredicate Device -Stryker CORE®(Duraguards, RoutersReference Device -Anspach DissectingTools (K113476)Reference Device -Medtronic FootedAttachments andJustification
Cutting Accessoriesand Burs) ( K112593)Cutting Tools (K081475)
Model NameFooted AttachmentsFixed DuraguardsNot applicable as 510k isfor Cutting Accessories onlyFooted AttachmentsSimilar
Rotating Footed AttachmentsSteering DuraguardsNot applicable as 510k isfor Cutting Accessories onlyRotating Footed AttachmentsVerification andValidationtesting has
Non-Footed Attachments;8cm and 9cmD-AttachmentNot applicable as 510k isfor Cutting Accessories onlyNon-Footed Attachments 8-Band 9-MValidationtesting has
Tapered, Spiral, StraightroutersTapered routersTapered, Spiral routersTapered, Spiral, Straight routersdemonstratedthat the subject
Match Head and DiamondMatch Head cuttingaccessoriesNoneNot applicable for thesecutting accessory head typesMatch Head and DiamondMatch Head cutting accessoriesdevices have asimilar safetyand effectivenessprofile as thelegally marketedpredicatedevices.
PatientPopulationGeneralGeneralGeneralGeneralIdentical
Contra-indicationsNoneNoneNoneNoneIdentical
FeatureSubject Device - Stryker® –Footed Attachments and CuttingAccessoriesPredicateDevice –StrykerCORE®(Duraguards,Routers andBurs)(K112593)Reference Device -Anspach DissectingTools (K113476)Reference Device -Medtronic FootedAttachments andCutting Tools(K081475)Justification
Indicationsfor UsestatementThe Footed Attachments andCutting Accessories are intended tobe used with the StrykerConsolidated Operating RoomEquipment (CORE®) Console andelectric and pneumatic motors.When used with these motors, theFooted Attachments and CuttingAccessories are intended to cutbone in the following manner:drilling, reaming, decorticating,shaping, dissecting, shaving andsmoothing for the followingmedical applications: Neuro; Spine;Ear, Nose, and Throat (ENT) /Otology/Neurotology/Otorhinolaryngology;Craniofacial (bones of the skull andsupraorbital region); andSternotomy.Specific applications includeCraniotomy/Craniectomy, PterionalCraniotomy, Sub Occipital/RetroSigmoid/Posterior FossaCraniotomy, Sphenoid WingDissection,Laminotomy/Laminectomy, andOrthopedic Spine.These devices are also usable in thepreparation for the placement ofscrews, metal, wires, pins, andThe Stryker®ConsolidatedOperatingRoomEquipment(CORE) Systemis intended foruse in thecutting, drilling,reaming,decorticating,shaping, andsmoothing ofbone, bonecement andteeth in avariety ofsurgicalprocedures,including butnot limited todental, ENT(ear, nose,throat), neuro,spine, andendoscopicapplications. Itis also usable inthe placementor cutting ofscrews, metal,wires, pins, andother fixationdevices.Dissection tools areintended for cuttingand shaping boneincluding spine andcranium.7The Electric Drill Systemis indicated for theincision / cutting,removal, drilling, andsawing of soft and hardtissue and bone, andbiomaterials in thefollowing applications:• Neurosurgical(Cranial,Craniofacial),• Spinal• Arthroscopic• Orthopedic• Sternotomy• General SurgicalProceduresSimilar.The intendeduse of all thedevicesidentical; to cutbone.The specificindications thatare beingproposed foraddition are asubset ofalready clearedindications forthe predicatedevices.Verification andValidationtesting hasdemonstratedthat the subjectdevices have asimilar safetyandeffectivenessprofile as thelegallymarketedpredicatedevices.
FeatureSubject Device -Stryker® - FootedAttachments andCutting AccessoriesPredicate Device -– StrykerCORE®(Duraguards,Routers andBurs) ( K112593)Reference Device -Anspach DissectingTools (K113476)Reference Device -Medtronic FootedAttachments andCutting Tools(K081475)Justification
AttachmentMaterial17-4 Stainless Steel (SST)17-4 Stainless Steel(SST) and 13-8MO Stainless Steel(SST)N/A – Attachments notreferenced17-4 Stainless Steel(SST)Identical
AttachmentPackagingPackaged in a sealedKorrvu retention insertPackaged in asealed Korrvuretention insertNot applicable as 510k isfor Cutting AccessoriesonlyWrapped in a LowDensity Polyethylene bagand placed in a One PieceFolder E-flute corrugatedcartonSimilar
SterilizationMethodSupplied non-sterile.Sterilized at the userfacility by steamsterilization.Supplied non-sterile. Sterilized atthe user facility bysteam sterilization.N/A – Attachments notreferencedSupplied non-sterile.Sterilized at the userfacility by steamsterilization.Identical
Model NameFooted AttachmentsFixed DuraguardsN/A – Attachments notreferencedFooted AttachmentsSimilar
Rotating FootedAttachmentsSteeringDuraguardsN/A – Attachments notreferencedRotating FootedAttachmentsSimilar
Non-Footed Attachments(8cm and 9cm)D-AttachmentN/A – Attachments notreferencedNon-Footed Attachments(8-B and 9-M)Similar
Tapered, Spiral, StraightRoutersTapered, StraightRoutersFluted Spiral, FlutedTapered, Spiral, StraightRoutersIdentical
Match Head and DiamondMatch Head cuttingaccessoriesMatch Head andDiamond MatchHead cuttingaccessoriesNoneMatch Head andDiamond Match Headcutting accessoriesIdentical
FeatureSubject Device -Stryker® - FootedAttachments andCutting AccessoriesPredicate Device– StrykerCORE®(Duraguards,Routers andBurs) (K112593)Reference Device -Anspach DissectingTools (K113476)Reference Device -Medtronic FootedAttachments andCutting Tools(K081475)Justification
Attachmentconfiguration• Fixed Footed• Non-Footed• Rotating Footed• Fixed• Footed• Non-Footed• Rotating• FootedNot applicable as 510k isfor Cutting Accessoriesonly• Fixed Footed• Non-Footed• Rotating FootedIdentical
Knurling onthe surface ofthe AttachmentYesNoNot applicable as 510k isfor Cutting AccessoriesonlyYesSimilar to predicate.Identical to reference.Verification andValidation testing hasdemonstrated that thesubject devices have asimilar safety andeffectiveness profile asthe legally marketedpredicate devices.
FootedAttachmentSize12mm-25mm12mm-25mm12mm-25mm12mm-25mmIdentical
Type of RouterTapered, Straight, SpiralTaper, StraightTapered, SpiralTapered, Straight, SpiralSimilar
Type of BurMatch Head, DiamondMatch HeadMatch Head,Diamond MatchHeadNoneMatch Head, DiamondMatch HeadIdentical

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Conclusion

The subject Stryker® Footed Attachments and Cutting Accessories have the same fundamental scientific technology, intended use, functional characteristics and applications and therefore have a similar safety and effectiveness profile as the legally marketed predicate devices.

§ 882.4310 Powered simple cranial drills, burrs, trephines, and their accessories.

(a)
Identification. Powered simple cranial drills, burrs, trephines, and their accessories are bone cutting and drilling instruments used on a patient's skull. The instruments are used with a power source but do not have a clutch mechanism to disengage the tip after penetrating the skull.(b)
Classification. Class II (performance standards).