K Number
K150456
Device Name
Arthrex Plates, Screws, and Staples
Manufacturer
Date Cleared
2015-04-29

(68 days)

Product Code
Regulation Number
888.3030
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Arthrex Modified Osteotomy System, designed for Opening Wedge Distal Tibial, Distal Femoral, Proximal Tibial osteotomies, and High Tibial Closing Osteotomies, is used in conjunction with bone screws to provide fixation following surgery. Specifically for use in treatment of non-union, malunion, and fractures of proximal tibia, distal femur, and distal tibia including simple, comminuted, lateral wedge, depression, medial wedge, bicondylar, combinations of lateral wedge and depression, and fractures with associated shaft fractures. Specially sloped plates can be used in cases when a tibial slope adjustment is needed. This system consists of plates and screws which join together to correct abnormalities or trauma related injuries. It is intended to be used with adequate post-operative immobilization. The Arthrex Humeral Fracture Plates and Screws are intended to provide internal fixation of proximal fractures of the humerus. The Arthrex Compression Staple is intended to be used for fixation such as: LisFranc arthrodesis, mono or bi-cortical osteotomies in the forefoot, first metatarsophalangeal arthrodesis, Akin osteotomy, midfoot and hindfoot arthrodesis or osteotomies, fixation of osteotomies for hallux valgus treatment (Scarf and Chevron), and arthrodesis of the metatarsocuneiform joint to reposition, and stabilize metatarsus primus varus. The Arthrex Distal Extremity Plate System is intended for use in stabilization of fresh fractures, revision procedures, osteotomies, joint fusion and reconstruction of small bones and bone fragments of the hand/wrist, foot/ankle, and osteopenic bone. The Arthrex Compression Plates are intended to be used for internal bone fixation for bone fractures, fusions, or osteotomies in the ankle, foot, hand and wrist, such as opening wedge osteotomies of Hallux Valgus. The Arthrex Distal Radius Plate System is intended for internal fixation for fractures and reconstruction of the small bones, primarily including the distal radius and distal ulna. Examples of these internal fixations and reconstructions include compression fractures, intra-articular and extra-articular fractures, displaced fractures, osteotomies, non-unions and malunions. The system can be used for palmar, dorsal or orthogonal application. The Arthrex Compression FT Screw is intended for fixation of small bone fragments, such as apical fragments, osteochondral fragments and cancellous fragments. Specific applications include the following: Osteochondral fragments (talar vault, femoral condyle)Apical fragments (radial head, patellar rim, navicular, metacarpal/metatarsal)Cancellous fragments (talus)Carpal, metacarpal, and small hand boneTarsal and metatarsalsPhalangesIntra-articular fracturesAnkleProximal and distal humerusProximal and distal radiusProximal and distal ulnaOsteochondral fixation and fracturesOsteochondritis DissecansFixation of fractures and osteotomies about the kneeOblique fractures of the fibulaReconstructive surgeries of the footMalleolar fixation
Device Description
The Arthrex Plates, Screws, and Staples is a family of plates, screws, and staples manufactured from stainless steel or titanium that will be offered as sterile or non-sterile devices in various sizes for use in orthopedic surgery.
More Information

Not Found

No
The document describes a family of orthopedic implants (plates, screws, and staples) and does not mention any software, algorithms, or AI/ML capabilities. The "Mentions AI, DNN, or ML" field is explicitly marked as "Not Found".

Yes.

The device is intended for the treatment of various injuries and conditions, including non-union, malunion, fractures, osteotomies, and fusions, which qualifies it as a therapeutic device.

No

Explanation: The device description and intended use indicate that this system consists of plates, screws, and staples used to provide internal fixation for fractures, fusions, and osteotomies. It is a surgical implant designed for treatment, not for diagnosing medical conditions.

No

The device description explicitly states it is a family of plates, screws, and staples manufactured from stainless steel or titanium, which are physical hardware components.

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

Here's why:

  • Intended Use: The intended use clearly describes the device as being used for internal fixation of bones following surgery for fractures, osteotomies, fusions, and reconstructions. This involves physically implanting the device into the body to stabilize bone structures.
  • Device Description: The device is described as plates, screws, and staples made from stainless steel or titanium, designed for use in orthopedic surgery. These are physical implants.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or treatment. IVDs are typically used in laboratories or point-of-care settings to analyze biological samples.

The device described is a surgical implant used to provide structural support and fixation within the body, which falls under the category of medical devices, but not specifically In Vitro Diagnostics.

N/A

Intended Use / Indications for Use

The Arthrex Modified Osteotomy System, designed for Opening Wedge Distal Tibial, Distal Femoral, Proximal Tibial osteotomies, and High Tibial Closing Osteotomies, is used in conjunction with bone screws to provide fixation following surgery. Specifically for use in treatment of non-union, and fractures of proximal tibia, distal femur, and distal tibia including simple, comminuted, lateral wedge, depression, medial wedge, bicondylar, combinations of lateral wedge and depression, and fractures with associated shaft fractures. Specially sloped plates can be used in cases when a tibial slope adjustment is needed. This system consists of plates and screws which join together to correct abnormalities or trauma related injuries. It is intended to be used with adequate post-operative immobilization.

The Arthrex Humeral Fracture Plates and Screws are intended to provide internal fixation of proximal fractures of the humerus.

The Arthrex Compression Staple is intended to be used for fixation such as: LisFranc arthrodesis, mono or bi-cortical osteotomies in the forefoot, first metatarsophalangeal arthrodesis, Akin osteotomy, midfoot arthrodesis or osteotomies, fixation of osteotomies for hallux valgus treatment (Scarf and Chevron), and arthrodesis of the metatarsocuneiform joint to reposition, and stabilize metatarsus primus varus.

The Arthrex Distal Extremity Plate System is intended for use in stabilization of fresh fractures, osteotomies, joint fusion and reconstruction of small bone fragments of the hand/wrist, foot/ankle, and osteopenic bone.

The Arthrex Compression Plates are intended to be used for internal bone fractures, fusions, or osteotomies in the ankle, foot, hand and wrist, such as opening wedge osteotomies of Hallux Valgus.

The Arthrex Distal Radius Plate System is internal fixation for fractures and reconstruction of the small bones, primarily including the distal radius and distal ulna. Examples of these internal fixations and reconstructions include compression fractures, intra-articular fractures, displaced fractures, osteotomies, non-unions and malunions. This system can be used for palmar, dorsal or orthogonal application.

The Arthrex Compression FT Screw is intended for fixation of small bone fragments, such as apical fragments, osteochondral fragments and cancellous fragments. Specific applications include the following: Osteochondral fragments (talar vault, femoral condyle); Apical fragments (radial head, patellar, metacarpal/metatarsal); Cancellous fragments (talus); Carpal, metacarpal, and small hand bone; Tarsal and metatarsals; Phalanges; Intra-articular fractures; Ankle: Proximal and distal humerus: Proximal and distal radius: Proximal and distal ulna: Osteochondral fixation and fractures; Osteochondritis Dissecans; Fixation of fractures about the knec; Oblique fractures of the floula; Reconstructive surgeries of the foot; Malleolar fixation

Product codes (comma separated list FDA assigned to the subject device)

HRS, HWC, JDR

Device Description

The Arthrex Plates, Screws, and Staples is a family of plates, screws, and staples manufactured from stainless steel or titanium that will be offered as sterile or non-sterile devices in various sizes for use in orthopedic surgery.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

proximal tibia, distal femur, distal tibia, humerus, forefoot, hand/wrist, foot/ankle, ankle, foot, hand, wrist, distal radius, distal ulna, talar vault, femoral condyle, radial head, patellar, metacarpal/metatarsal, talus, carpal, metatarsals, phalanges, knee, 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)

Not Found

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.

K014155, K041965, K080111, K111253, K130510, K131474, K132217

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

§ 888.3030 Single/multiple component metallic bone fixation appliances and accessories.

(a)
Identification. Single/multiple component metallic bone fixation appliances and accessories are devices intended to be implanted consisting of one or more metallic components and their metallic fasteners. The devices contain a plate, a nail/plate combination, or a blade/plate combination that are made of alloys, such as cobalt-chromium-molybdenum, stainless steel, and titanium, that are intended to be held in position with fasteners, such as screws and nails, or bolts, nuts, and washers. These devices are used for fixation of fractures of the proximal or distal end of long bones, such as intracapsular, intertrochanteric, intercervical, supracondylar, or condylar fractures of the femur; for fusion of a joint; or for surgical procedures that involve cutting a bone. The devices may be implanted or attached 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 consists of a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is an abstract symbol resembling a stylized eagle or bird in flight, composed of three human profiles facing to the right.

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

April 29, 2015

Arthrex Inc. Mr. David L. Rogers Regulatory Affairs Associate 1370 Creekside Boulevard Naples, Florida 34108-1945

Re: K150456 Trade/Device Name: Arthrex Plates, Screws, and Staples Regulation Number: 21 CFR 888.3030 Regulation Name: Single/multiple component metallic bone fixation appliances and accessories Regulatory Class: Class II Product Code: HRS, HWC, JDR Dated: April 7, 2015 Received: April 8, 2015

Dear Mr. David L. Rogers:

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

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Page 2 - Mr. David L. Rogers

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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Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: January 31, 2017 See PRA Statement below.

510(k) Number (if known) K150456

Device Name Arthrex Plates, Screws, and Staples

Indications for Use (Describe)

The Arthrex Modified Osteotomy System, designed for Opening Wedge Distal Tibial, Distal Femoral, Proximal Tibial osteotomies, and High Tibial Closing Osteotomies, is used in conjunction with bone screws to provide fixation following surgery. Specifically for use in treatment of non-union, and fractures of proximal tibia, distal femur, and distal tibia including simple, comminuted, lateral wedge, depression, medial wedge, bicondylar, combinations of lateral wedge and depression, and fractures with associated shaft fractures. Specially sloped plates can be used in cases when a tibial slope adjustment is needed. This system consists of plates and screws which join together to correct abnormalities or trauma related injuries. It is intended to be used with adequate post-operative immobilization.

The Arthrex Humeral Fracture Plates and Screws are intended to provide internal fixation of proximal fractures of the humerus.

The Arthrex Compression Staple is intended to be used for fixation such as: LisFranc arthrodesis, mono or bi-cortical osteotomies in the forefoot, first metatarsophalangeal arthrodesis, Akin osteotomy, midfoot arthrodesis or osteotomies, fixation of osteotomies for hallux valgus treatment (Scarf and Chevron), and arthrodesis of the metatarsocuneiform joint to reposition, and stabilize metatarsus primus varus.

The Arthrex Distal Extremity Plate System is intended for use in stabilization of fresh fractures, osteotomies, joint fusion and reconstruction of small bone fragments of the hand/wrist, foot/ankle, and osteopenic bone.

The Arthrex Compression Plates are intended to be used for internal bone fractures, fusions, or osteotomies in the ankle, foot, hand and wrist, such as opening wedge osteotomies of Hallux Valgus.

The Arthrex Distal Radius Plate System is internal fixation for fractures and reconstruction of the small bones, primarily including the distal radius and distal ulna. Examples of these internal fixations and reconstructions include compression fractures, intra-articular fractures, displaced fractures, osteotomies, non-unions and malunions. This system can be used for palmar, dorsal or orthogonal application.

The Arthrex Compression FT Screw is intended for fixation of small bone fragments, such as apical fragments, osteochondral fragments and cancellous fragments. Specific applications include the following: Osteochondral fragments (talar vault, femoral condyle); Apical fragments (radial head, patellar, metacarpal/metatarsal); Cancellous fragments (talus); Carpal, metacarpal, and small hand bone; Tarsal and metatarsals; Phalanges; Intra-articular fractures; Ankle: Proximal and distal humerus: Proximal and distal radius: Proximal and distal ulna: Osteochondral fixation and fractures; Osteochondritis Dissecans; Fixation of fractures about the knec; Oblique fractures of the floula; Reconstructive surgeries of the foot; Malleolar fixation

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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2.6 510(K) SUMMARY OF SAFETY AND EFFECTIVENESS
Date Summary PreparedApril 9, 2015
Manufacturer/Distributor/SponsorArthrex, Inc.
1370 Creekside Boulevard
Naples, FL 34108-1945 USA
510(k) ContactDavid L Rogers
Regulatory Affairs Associate
Arthrex, Inc.
1370 Creekside Boulevard
Naples, FL 34108-1945 USA
Telephone: 239/643.5553, ext. 71924
Fax: 239/598.5508
Email: david.rogers@Arthrex.com
Trade NameArthrex Plates, Screws, and Staples
Common NamePlate, fixation, bone, staple
Product Code -Classification Name
CFRHRS - Plate, Fixation, Bone
HWC - Screw, Fixation, Bone
JDR - Single/multiple component metallic bone
fixation appliances and accessories
21 CFR 888.3030: Single/multiple component metallic
bone fixation appliances and accessories
21 CFR 888.3040: Smooth or threaded metallic bone
fixation fastener
Predicate DeviceK014155: Arthrex Modified Osteotomy System
K041965: Arthrex Humeral Fracture Plates & Screws
K080111: Arthrex Compression Staple
K111253: Arthrex Distal Extremity Plate System
K130510: Arthrex Compression Plates
K131474: Arthrex Distal Radius Plate System
K132217: Arthrex Compression FT Screws
Purpose of SubmissionThis special 510(k) premarket notification is intended
to address the use of Gamma Irradiation and Ethylene
Oxide sterilization on the Arthrex Plates, Screws, and
Staples devices, which were originally cleared as non-
sterile devices under K014155, K041965, K080111,
K111253, K130510, K131474, K132217. The intended
use, material, and fundamental technological
characteristics of the proposed Arthrex Plates, Screws,
and Staples are substantially equivalent to the non-
sterile predicates.
Device DescriptionThe Arthrex Plates, Screws, and Staples is a family of
plates, screws, and staples manufactured from
stainless steel or titanium that will be offered as sterile
or non-sterile devices in various sizes for use in
orthopedic surgery.
Intended UseThe Arthrex Modified Osteotomy System, designed for
Opening Wedge Distal Tibial, Distal Femoral, Proximal
Tibial osteotomies, and High Tibial Closing
Osteotomies, is used in conjunction with bone screws
to provide fixation following surgery. Specifically for
use in treatment of non-union, malunion, and
fractures of proximal tibia, distal femur, and distal
tibia including simple, comminuted, lateral wedge,
depression, medial wedge, bicondylar, combinations of
lateral wedge and depression, and fractures with
associated shaft fractures. Specially sloped plates can
be used in cases when a tibial slope adjustment is
needed. This system consists of plates and screws
which join together to correct abnormalities or trauma
related injuries. It is intended to be used with
adequate post-operative immobilization.
The Arthrex Humeral Fracture Plates and Screws are
intended to provide internal fixation of proximal
fractures of the humerus.
The Arthrex Compression Staple is intended to be used
for fixation such as: LisFranc arthrodesis, mono or bi-
cortical osteotomies in the forefoot, first
metatarsophalangeal arthrodesis, Akin osteotomy,
midfoot and hindfoot arthrodesis or osteotomies,
fixation of osteotomies for hallux valgus treatment
(Scarf and Chevron), and arthrodesis of the
metatarsocuneiform joint to reposition, and stabilize
metatarsus primus varus.
The Arthrex Distal Extremity Plate System is intended
for use in stabilization of fresh fractures, revision
procedures, osteotomies, joint fusion and
reconstruction of small bones and bone fragments of
the hand/wrist, foot/ankle, and osteopenic bone.
The Arthrex Compression Plates are intended to be
used for internal bone fixation for bone fractures,
fusions, or osteotomies in the ankle, foot, hand and
wrist, such as opening wedge osteotomies of Hallux
Valgus.
The Arthrex Distal Radius Plate System is intended for
internal fixation for fractures and reconstruction of the
small bones, primarily including the distal radius and
distal ulna. Examples of these internal fixations and
reconstructions include compression fractures, intra-
articular and extra-articular fractures, displaced
fractures, osteotomies, non-unions and malunions.
The system can be used for palmar, dorsal or
orthogonal application.

The Arthrex Compression FT Screw is intended for
fixation of small bone fragments, such as apical
fragments, osteochondral fragments and cancellous
fragments. Specific applications include the following:
Osteochondral fragments (talar vault, femoral
condyle)Apical fragments (radial head, patellar rim,
navicular, metacarpal/metatarsal)Cancellous fragments (talus)Carpal, metacarpal, and small hand boneTarsal and metatarsalsPhalangesIntra-articular fracturesAnkleProximal and distal humerusProximal and distal radiusProximal and distal ulnaOsteochondral fixation and fracturesOsteochondritis DissecansFixation of fractures and osteotomies about
the kneeOblique fractures of the fibulaReconstructive surgeries of the footMalleolar fixation |
| Substantial Equivalence Summary | The Arthrex Plates, Screws, and Staples is
substantially equivalent to the predicate devices in
which the basic design features and intended uses are
the same. Any differences between the Arthrex
Plates, Screws, and Staples and the predicates are
considered minor and do not raise questions
concerning safety and effectiveness.

All devices subject to this submission were previously
cleared as non-sterile devices. The proposed devices
will undergo Gamma Irradiation or Ethylene Oxide |
| (EO) sterilization. | |
| Based on the indications for use, technological
characteristics, and the summary of data submitted,
Arthrex, Inc. has determined that the Arthrex Plates,
Screws, and Staples is substantially equivalent to the
predicates. | |

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