K Number
K150561
Device Name
NET Brand Small Fragment and Large Fragment Osteosynthesis Plating System, NET Brand of DHS/DCS Plating System
Date Cleared
2015-11-25

(264 days)

Product Code
Regulation Number
888.3030
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
NET Brand Small Fragment and Large Fragment Osteosynthesis System is intended for small and large bone fracture fixation, arthrodesis and osteotomy fixation. Examples include: fractures of the clavicle, scapula, humerus, olecranon, radius, ulna, distal femur, proximal tibial pilon, fibula, pelvis and acetabulum fractures; periprosthetic fractures; The use of locking plate/screw systems is suited for treatment of fractures in osteopenic bone. This system is not indicated for use in the spine. NET Brand DHS/DCS plating system may be used for fixation of the fractures of proximal femur such as femoral neck, trochanteric, pertrochanteric or intertrochanteric zones.
Device Description
NET Brand Small Fragment and Large Fragment Osteosynthesis Plating System consists of plates and screws in a variety of designs and sizes and made from Ti-6Al-4V alloy or stainless steel. Plates are provided in straight designs and in various geometric configurations that are commonly used in trauma and reconstructive surgery. Plates are provided with screw holes to accommodate non-locking and locking screws designs. Screws are provided in, 3.5mm Cortex Self-tapping, 4.5 mm Cortex self-tapping and 2.7mm self-tapping cortex locking, 3.5mm selftapping Cortex Locking, 5.0 mm cortex Locking thread designs in various lengths. This system is not indicated for use in spine. NET Brand of DHS/DCS Plating System made from Ti-6Al-4V alloy or stainless steel and consist of DHS/DCS Plates, lag Screw, compression screw, and 4.5 Cortex screw Self Tapping, The DHS plates are available with barrel length 25mm (short barrel) and 38mm (Standard barrel) and barrel angels varies in 130° to 150°. The DCS plate is having angle of 95° The DHS/DCS Screw is available in total length from 50 to 145 mm, thread length 22mm, shaft diameter 7 mm and outer diameter of 12.5. The thread of DHS/DCS Screw has a buttress type. The DHS/DCS Compression Screw can be used to achieve fracture compression. Its dimension is available with thread length 36mm and outer diameter 4.0 mm.
More Information

No
The summary describes a system of plates and screws for bone fracture fixation. There is no mention of AI, ML, image processing, or any software component that would suggest the use of such technologies. The performance studies are based on mechanical testing, not algorithmic performance.

Yes
The device is described as an "Osteosynthesis System" and "Plating System" intended for "fracture fixation, arthrodesis and osteotomy fixation," which are all therapeutic interventions designed to treat medical conditions (fractures, joint fusion, bone cutting).

No
The device is described as an osteosynthesis system, which includes plates and screws used for bone fracture fixation, arthrodesis, and osteotomy fixation. These are therapeutic interventions, not diagnostic tools.

No

The device description explicitly states it consists of plates and screws made from Ti-6Al-4V alloy or stainless steel, which are hardware components. The performance studies also focus on mechanical testing of these 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 for the fixation of bone fractures, arthrodesis, and osteotomy. This is a surgical intervention, not a diagnostic test performed in vitro (outside the body).
  • Device Description: The device description details plates and screws made from metal alloys, designed for implantation into the body to stabilize bones. This is consistent with a surgical implant, not an IVD.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or screening.

The device is a surgical implant used for orthopedic procedures.

N/A

Intended Use / Indications for Use

NET Brand Small Fragment and Large Fragment Osteosynthesis System is intended for small and large bone fracture fixation, arthrodesis and osteotomy fixation. Examples include: fractures of the clavicle, scapula, humerus, olecranon, radius, ulna, distal femur, proximal tibial pilon, fibula, pelvis and acetabulum fractures; periprosthetic fractures; The use of locking plate/screw systems is suited for treatment of fractures in osteopenic bone. This system is not indicated for use in the spine.

NET Brand DHS/DCS plating system may be used for fixation of the fractures of proximal femur such as femoral neck, trochanteric, pertrochanteric or intertrochanteric zones.

Product codes

HRS, HWC

Device Description

NET Brand Small Fragment and Large Fragment Osteosynthesis Plating System consists of plates and screws in a variety of designs and sizes and made from Ti-6Al-4V alloy or stainless steel. Plates are provided in straight designs and in various geometric configurations that are commonly used in trauma and reconstructive surgery. Plates are provided with screw holes to accommodate non-locking and locking screws designs. Screws are provided in, 3.5mm Cortex Self-tapping, 4.5 mm Cortex self-tapping and 2.7mm self-tapping cortex locking, 3.5mm selftapping Cortex Locking, 5.0 mm cortex Locking thread designs in various lengths. This system is not indicated for use in spine.

NET Brand of DHS/DCS Plating System made from Ti-6Al-4V alloy or stainless steel and consist of DHS/DCS Plates, lag Screw, compression screw, and 4.5 Cortex screw Self Tapping, The DHS plates are available with barrel length 25mm (short barrel) and 38mm (Standard barrel) and barrel angels varies in 130° to 150°. The DCS plate is having angle of 95°

The DHS/DCS Screw is available in total length from 50 to 145 mm, thread length 22mm, shaft diameter 7 mm and outer diameter of 12.5. The thread of DHS/DCS Screw has a buttress type.

The DHS/DCS Compression Screw can be used to achieve fracture compression. Its dimension is available with thread length 36mm and outer diameter 4.0 mm.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

clavicle, scapula, humerus, olecranon, radius, ulna, distal femur, proximal tibial pilon, fibula, pelvis, acetabulum, femoral neck, trochanteric, pertrochanteric or intertrochanteric zones. This system is not indicated for use in the spine.

Indicated Patient Age Range

adult patients only.

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

Performance data provided to demonstrate substantial equivalence included engineering analysis and mechanical testing according to ASIM F382, ASTM F 384 and ASTM F543.
For Bone Plates:
As per ASTM F 382 and ASTM F 384 Static Four Point Bend Test: Conforms, Dynamic Four Point Bend Test: Conforms
For Bone. Screws:
As per ASTM F 543 :Torsional Properties: Conforms, Driving Torque : . Conforms, Pull-out Test: Conforms

Key Metrics

Not Found

Predicate Device(s)

K011815, K033995, K000684, K061753, K082807, K030858, K062564, K011978, K023802, K051986, K000682, K923613, K953607, K840954, K112583

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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 features the department's name encircling a symbol. The symbol is a stylized representation of three human profiles facing right, stacked on top of each other. The profiles are rendered in a simple, flowing line.

November 25, 2015

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

Narang Medical Limited Mr. Vivek Narang Director 46, Naraina Industrial Area, Phase-1 New Delhi 110028 India

Re: K150561

Trade/Device Name: NET Brand Small Fragment and Large Fragment Osteosynthesis Plating System, NET Brand of DHS/DCS Plating System 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 Dated: September 22, 2015 Received: September 29, 2015

Dear Mr. Narang:

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

1

Page 2 - Mr. Vivek Narang

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 of medical devicerelated 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,

Mark N. Melkerson -S

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

Enclosure

2

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known) K150561

Device Name

NET Brand Small Fragment and Large Fragment Osteosynthesis Plating System, NET Brand of DHS/DCS Plating System

Indications for Use (Describe)

NET Brand Small Fragment and Large Fragment Osteosynthesis System is intended for small and large bone fracture fixation, arthrodesis and osteotomy fixation. Examples include: fractures of the clavicle, scapula, humerus, olecranon, radius, ulna, distal femur, proximal tibial pilon, fibula, pelvis and acetabulum fractures; periprosthetic fractures; The use of locking plate/screw systems is suited for treatment of fractures in osteopenic bone. This system is not indicated for use in the spine.

NET Brand DHS/DCS plating system may be used for fixation of the fractures of proximal femur such as femoral neck, trochanteric, pertrochanteric or intertrochanteric zones, The system is indicated for use in adult patients only. All implants are for single use 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)

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"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."

3

Premarket Notification 510(k) Summary As required by Section 807.92 General Company Information as required by 807:92 (a) (a.1)

Submitter's Name:Narang Medical Limited
Address
Office:46, Community Center, Naraina Industria Area,
Phase-1, New Delhi 110028
Factory:Plot Number D-4, Sector A-2, Tronica City, Loni,
Ghaziabad, 201102
CONTACT PERSON NAME:Mr. Vivek Narang
TITLE:Director
PHONE NUMBER:+91-45554000
Dated:18-11-2015

4

This is a bundled submission.

Throughout the submission there is a mention of NET Brand Small Fragment and Large Fragment Osteosynthesis Plating System, NET Brand of DHS/DCS Plating System that represents the range of products covered under this 510(k) submission.

a.2: The name of the device, including the trade or proprietary name if applicable, the common or usual name, and the classification name, if known

Proprietary Name:

NET Brand Small Fragment and Large Fragment Osteosynthesis Plating System,

NET Brand of DHS/DCS Plating System

Common or Usual Name:

Orthopaedic Bone Plates

Orthopaedic Bone Screws

Classification Name:

PLATES, FIXATION, BONE SCREWS, FIXATION, BONE

Product Code:

HRS, HWC

Device Class:

ll

Review Panel:

Orthopaedic

Regulation Number:

21 CFR 888.3030 and 21 CFR 888.3040

5

Variants/Types:

NET Brand Small Fragment and Large Fragment Osteosynthesis Plating System, NET Brand of DHS/DCS Plating System are further subdivided into following categories

S. No.CategoryTypes
01Small Fragment Osteosynthesis
Plating SystemLocking
02Large Fragment Osteosynthesis
Plating SystemLocking
03DHS/DCS Plating SystemNA

Further Description:

NET Brand Small Fragment and Large Fragment Osteosynthesis Plating System consists of plates and screws in a variety of designs and sizes and made from Ti-6Al-4V alloy or stainless steel. Plates are provided in straight designs and in various geometric configurations that are commonly used in trauma and reconstructive surgery. Plates are provided with screw holes to accommodate non-locking and locking screws designs. Screws are provided in, 3.5mm Cortex Self-tapping, 4.5 mm Cortex self-tapping and 2.7mm self-tapping cortex locking, 3.5mm selftapping Cortex Locking, 5.0 mm cortex Locking thread designs in various lengths. This system is not indicated for use in spine.

NET Brand of DHS/DCS Plating System made from Ti-6Al-4V alloy or stainless steel and consist of DHS/DCS Plates, lag Screw, compression screw, and 4.5 Cortex screw Self Tapping, The DHS plates are available with barrel length 25mm (short barrel) and 38mm (Standard barrel) and barrel angels varies in 130° to 150°. The DCS plate is having angle of 95°

The DHS/DCS Screw is available in total length from 50 to 145 mm, thread length 22mm, shaft diameter 7 mm and outer diameter of 12.5. The thread of DHS/DCS Screw has a buttress type.

The DHS/DCS Compression Screw can be used to achieve fracture compression. Its dimension is available with thread length 36mm and outer diameter 4.0 mm.

6

a3) IDENTIFICATION OF THE PREDICATE DEVICE:

For the purposes of US FDA's regulation of medical devices, NET Brand Small Fragment and Large Fragment Osteosynthesis Plating System, NET Brand of DHS/DCS Plating System are substantially equivalent in indications and design principles to the following predicate devices.

| S. No. | Device Name | 510(k)
Number | Predicate
Manufacturer's
Name | Subject Device Name |
|--------|-----------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------|-------------------------------------|-----------------------------------------------------------------------------------|
| 1. | Synthes LCP Proximal
Humerus Plate | K011815 | Synthes (USA) | Filos - Proximal Humerus
Safety Lock Plate 3.5 -
Standard |
| 2. | 3.5 mm LCP Distal Humerus
System | K033995 | Synthes (USA) | Distal Humerus Safety Lock
Plate 2.7/3.5, Dorsolateral |
| 3. | 3.5 mm LCP Distal Humerus
System | K033995 | Synthes (USA) | Distal Humerus Safety Lock
Plate 2.7/3.5, Dorsolateral
with Lateral Support |
| 4. | 3.5 mm LCP Distal Humerus
System | K033995 | Synthes (USA) | Medial Distal Humerus Safety
Lock Plate 2.7/3.5mm |
| 5. | Synthes Small Fragment Dynamic
Compression Locking (DCL)
System | K000684 | Synthes (USA) | LC-DCP Safety Lock Plate 3.5 |
| 6. | Synthes Small Fragment
Dynamic Compression
Locking (DCL) System | K000684 | Synthes (USA) | Safety Lock 'T' Plate 3.5,
Right Angled |
| 7. | Synthes Small Fragment
Dynamic Compression
Locking (DCL) System | K000684 | Synthes (USA) | Safety Lock 'T' Plate 3.5,
Oblique Angled |
| 8. | Synthes Clavicle Hook Plate | K061753 | Synthes (USA) | Clavicle Hook Safety Lock
Plate 3.5 |
| 9. | Synthes Small Fragment Dynamic
Compression Locking (DCL)
System | K000684 | Synthes (USA) | Reconstruction Safety Lock
Plate 3.5 - Straight |
| 10. | 3.5 mm LCP Distal Humerus
System | (K033995) | Synthes (USA) | Safety Lock Screw Ø 2.7mm -
Self Tapping |
| | | | | |
| 11. | Synthes Small Fragment
Dynamic Compression
Locking (DCL) System | K000684 | Synthes (USA) | Safety Lock Screw Ø 3.5mm -
Self Tapping |
| 12. | Synthes (USA) 3.5 mm and 4.5
mm Locking Compression Plate
(LCP) System with Expanded
Indications | K082807 | Synthes (USA) | Broad LC-DCP Safety Lock
Plate 4.5 /5.0 |
| 13. | Synthes (USA) 3.5 mm and 4.5
mm Locking Compression Plate
(LCP) System with Expanded
Indications | K082807 | Synthes (USA) | Narrow LC-DCP Safety Lock
Plate 4.5/5.0 |
| 14. | Synthes (USA) LCP Proximal
Femur Plate and Screws | K030858 | Synthes (USA) | Proximal Femoral Safety Lock
Plate 4.5/5.0/7.3 |
| 15. | Synthes LCP Distal Femur Plates | K062564 | Synthes (USA) | Distal Femoral Safety Lock
Plate 4.5/5.0 |
| 16. | Synthes LCP Proximal Tibia Plate
Synthes 4.5 mm Titanium LCP
Proximal Tibia Plating System | For Stainless
Steel Plate
(K011978)
For
Titanium
Plate
K023802 | Synthes (USA) | Proximal Lateral Tibial Safety
Lock Plate 4.5/5.0 |
| 17. | Synthes Small Fragment
Dynamic Compression
Locking (DCL) System | K000684 | Synthes (USA) | Safety Lock 'T' Plate 4.5/5.0 |
| 18. | Synthes Small Fragment
Dynamic Compression
Locking (DCL) System | K000684 | Synthes (USA) | L Buttress Safety Lock Plate
4.5/5.0 |
| 19. | Synthes Small Fragment
Dynamic Compression
Locking (DCL) System | K000684 | Synthes (USA) | T Buttress Safety Lock Plate
4.5/5.0 |
| 20. | Synthes 4.5 mm LCP
Straight Reconstruction
Plates | K051986 | Synthes (USA) | Reconstruction Safety Lock
Plate 4.5/5.0 |
| 21. | Synthes Large Fragment Dynamic
Compression Locking (DCL)
System | K000682 | Synthes (USA) | Safety Lock Screw Ø 5.0mm |
| | | | | |
| 22. | Synthes Limited Contact-
Dynamic Hip Screw Implant (LC-
DHS)" for K923613 | K 923613 | Synthes (USA) | Dynamic Hip Compression
Plate (with Dynamic
Compression Holes) |
| | Synthes Titanium Limited
Contact-Dynamic Hip Screw
Implant (Ti LC-DHS)" for
K953607 | K953607 | | |
| | Synthes Limited Contact-
Dynamic Hip Screw Implant (LC-
DHS)" for K923613 | K 923613 | | Dynamic Hip Compression |
| 23. | Synthes Titanium Limited
Contact-Dynamic Hip Screw
Implant (Ti LC-DHS)" for
K953607 | K953607 | Synthes (USA) | Plate - Short Barrel (with
Dynamic Compression Holes) |
| 24. | DYNAMIC CONDYLAR
SCREW OR D.C.S | K840954 | Synthes (USA) | DCS Plate 95° with Dynamic
Compression Holes |
| | Synthes Dynamic Hip Plate | K 923613
K953607 | Synthes (USA) | Standard Lag Screw, Ø
12.5mm |
| 25. | Synthes Limited Contact-
Dynamic Hip Screw Implant (LC-
DHS)" for K923613 | K 923613 | | |
| | Synthes Titanium Limited
Contact-Dynamic Hip Screw
Implant (Ti LC-DHS)" for
K953607 | K953607 | Synthes (USA) | Compression Screw |
| 26. | Synthes Cortical Screws | K112583 | Synthes (USA) | Cortex Screw Ø 3.5mm, Self
Tapping |
| 27. | Synthes Cortical Screws | K112583 | Synthes (USA) | Cortex Screw Ø 4.5mm, Self
Tapping |

7

8

These implants are sold non-sterile, the products have to be sterilized prior to use.

A5). (5) A statement of the intended use of the device

Indications for Use:

NET Brand Small Fragment and Large Fragment Osteosynthesis System is intended for small and large bone fracture fixation, arthrodesis and osteotomy fixation. Examples include: fractures of the clavicle, scapula, humerus, olecranon, radius, ulna, distal femur, proximal tibial pilon, fibula, pelvis and acetabulum fractures; periprosthetic fractures; The use of locking plate/screw systems is suited for treatment of fractures in osteopenic bone. This system is not indicated for use in the spine.

9

NET Brand DHS/DCS plating system may be used for fixation of the fractures of proximal femur such as femoral neck, trochanteric, pertrochanteric or intertrochanteric zones.

The system is indicated for use in adult patients only. All implants are for single use only.

a6). Summary of Technological Characteristics as compared to the predicate devices:

SUBSTANTIAL EQUIVALENCE INCLUDING COMPARISON WITH PREDICATE DEVICES

The subject device and the predicate devices have the same intended use and have the same technological characteristics. The subject and predicate devices are all fabricated from the same or similar materials and share similar design characteristics.

The subject and predicate devices encompass the same range of physical dimensions, are packaged using the same materials, and are to be sterilized by the same methods. Any differences in the technological characteristics do not raise new issues of safety or efficacy. Performance data provided to demonstrate substantial equivalence included engineering analysis and mechanical testing according to ASIM F382, ASTM F 384 and ASTM F543.

Overall, Small Fragment and Large Fragment Osteosynthesis System of Narang Medical Limited have the following similarities to the predicate devices:

    • has the same intended use,
    • uses the same operating principle,
    • incorporates the same basic design,
    • incorporates the same or very similar materials, and
  • has similar packaging and can be sterilized using the same materials and processes.

Following is the summary of parameters in which the comparison has been verified:

| S. No. | Characteristics | Predicate Device Versus New
Device (Auxein Brand) | Remarks |
|--------|--------------------------|--------------------------------------------------------------------------------------|------------|
| 01 | Indications for use | Similar intended use in New Device
and Predicate device | Equivalent |
| 02 | Material | Same material used in New Device
and Predicate device | Equivalent |
| 03 | Performance
Standards | Same performance standards used in
both New Device as well as predicate
device | Equivalent |

10

| 04 | Sterilization | Same method of sterilization used in
both New Device as well as
Predicate device | Equivalent |
|----|-----------------------------|----------------------------------------------------------------------------------------|------------|
| 05 | Dimensional
Verification | Same dimensions found in both New
Device as well as Predicate device | Equivalent |

b1). Discussion on the non-clinical testing performed

Following are the applicable product standards considered for non-clinical standards

  • A: Material Standards
  • B: Performance Standards

A: Material Standards: The raw material standards are the first standards to be complied, as it ensures compliance to the materials to be used for manufacturing of metallic surgical implants.

following material standards have been adopted and complied:

ASTM F 136: Standard specification for wrought Titanium-6Aluminium-1. 4Vanadium ELI (Extra low interstitial) Alloy for surgical implant applications.

ட Standard Specification for Wrought 2. ASTM 138: 18 chromium-14Nickel-2.5Molybdenum stainless steel bar and wire for surgical implants.

ட 3. ASTM 139: Standard Specification for Wrought 18Chromium-14Nickel-2.5Molybdenum Stainless Steel Sheet and Strip for Surgical Implants

B: Performance Standards:

The performance of NET Brand Small Fragment and Large Fragment Osteosynthesis Plating System, NET Brand of DHS/DCS Plating System has been verified as per the following standards

  • ASTM F 382,
  • ASTM F 384 and
  • ASTM F 543
  • For Bone Plates:

As per ASTM F 382 and ASTM F 384 Static Four Point Bend Test: Conforms, Dynamic Four Point Bend Test: Conforms

  • For Bone . Screws:
    SECTION 05

11

  • As per ASTM F 543 :Torsional Properties: Conforms, Driving Torque : . Conforms, Pull-out Test: Conforms

b2). Discussion on the clinical evaluation referenced and relied upon:

NET Brand Small Fragment and Large Fragment Osteosynthesis Plating System,

NET Brand of DHS/DCS Plating System are of similar design and pattern as well as similar indications for use. Therefore Clinical information was not necessary to demonstrate substantial equivalence.

CONCLUSION:

General, Safety and Performance conclusion:

| S. No. | Parameter of
Conclusion | Proposed Device | Predicate
Device |
|--------|----------------------------|------------------------------------------------------------------------------------------------------------------------|---------------------|
| 01 | Product Code | For Bone Plates: HRS
For Bone Screws: HWC | Same |
| 02 | Regulation
Number | For Bone Plates: 21CFR 888.3030
For Bone Screws: 21CFR 888.3040 | Same |
| 03 | Regulatory Class | Class II | Class II |
| 04 | Indications For
use | Same Indications For Use | Similar |
| 05 | Sterilization | Provided Non-Sterile and to be sterilized using
Autoclaving Method to achieve SAL of 10-6 AAMI
ST79, ISO 17665-1 | Similar |

12

| 06 | Mechanical Test
Performance | For Bone Plates: | Same |
|----|--------------------------------|-----------------------------------------|------|
| | | As per ASTM F 382 and ASTM F 384 | |
| | | - Static Four Point Bend Test Conforms | |
| | | - Dynamic Four Point Bend Test Conforms | |
| | | For Bone Screws: | |
| | | As per ASTM F 543 | |
| | | - Torsional Properties Conforms | |
| | | - Insertion Torque Conforms | |
| | | - Removal Torque Conforms | |
| | | - Axial Pull-out Test Conforms | |
| 07 | Material
Standards | ASTM F 136, ASTM F 138 and ASTM F 139 | Same |

General, Safety and Performance Conclusion:

From the available data available we can justify that the NET Brand Small Fragment and Large Fragment Osteosynthesis Plating System, NET Brand of DHS/DCS Plating System are as safe, as effective and perform as same indications for use as that of already marketed predicate devices identified in a3. Of 510(k) summary.

Therefore, our devices can be considered safe and effective for their intended use.