The Medline Foot Plates and Screws are intended for use in stabilization of fresh fractures, revision procedures, joint fusion and reconstruction of bones of the feet and toes. Specific examples include:

· Arthrodesis of the first metatarsalcuneiform joint (Lapidus Fusion)
· Arthrodesis of the first metatarsophalangeal joint (MTP) including:
Primary MTP Fusion due to hallux ridgidus and/or hallux valgus
Revision MTP Fusion
· Revision of failed first MTP Arthroplasty implant

Flatfoot Osteotomies:

· Lateral Column Lengthening (Evans Osteotomy)
· Plantar Flexion Opening Wedge Osteotomy of the Medial Cuneiform (Cotton Osteotomy)
· Medial Displacement Calcaneal Osteotomy (MDCO)

Midfoot / Hindfoot Fusions:

· LisFranc Arthrodesis and/or Stabilization
· 1st(Lapidus), 2nd, 3rd, 4th, and 5th Tarsometatarsal (TMT) Fusions
· Intercuneiform Fusions
· Navicular-Cuneiform (NC) Fusion
· Talo-Navicular (TN) Fusion
· Calcaneo-Cuboid (CC) Fusion
· Medial Column Fusions (NC and 1st TMT)

The Medline Locking and Non-Locking Cortical Screws are indicated for use with the Medline Foot Plates of the same base material. The Non-Locking Cortical Screws are also indicated for bone reconstruction, osteotomy, arthrodesis, joint fusion, fracture repair, and fracture fixation, appropriate for the size of the device.

Device Description

The Medline Foot Plates and Screws are manufactured from Titanium Alloy. The System includes plates offered in various styles, sizes and options; each contoured for specific anatomy and designed for specific procedures, and 2.7mm and 3.5mm diameter locking and non-locking cortical screws to be used with the polyaxial locking holes and compression slots included in the plates. The non-locking cortical screws can also be used for bone reconstruction, osteotomy, arthrodesis, joint fusion, fracture fixation, appropriate for the size of the device. The system also includes reusable instrumentation necessary to implant the plates and screws, e.g. drill guides, tissue protectors, and drill bits. The Medline Foot Plates and Screws are within the currently marketed sizes and indications of the identified predicate devices.

AI/ML Overview

This appears to be a 510(k) summary for a medical device (Medline Foot Plates and Screws), not a study demonstrating AI algorithm performance. Therefore, many of the requested categories related to AI performance, ground truth, and expert evaluation are not applicable.

However, I can extract the information relevant to the device's mechanical performance testing.

1. Table of Acceptance Criteria and Reported Device Performance

Test Type	Acceptance Criteria (Standard)	Reported Device Performance
Static 4-Point Bending (Plates)	ASTM F382 (ensuring equivalence to predicate)	Equivalent to Predicate
Static Pullout (Screws)	ASTM F543 (ensuring equivalence to predicate)	Equivalent to Predicate
Static Torque (Screws)	ASTM F543 (ensuring equivalence to predicate)	Equivalent to Predicate

2. Sample Size Used for the Test Set and Data Provenance
The document does not specify the exact sample sizes (number of plates or screws) used for each mechanical test. The data provenance is from in vitro laboratory testing of the physical devices, not from clinical or human data.

3. Number of Experts Used to Establish the Ground Truth for the Test Set and Their Qualifications
This is not applicable as the "ground truth" here refers to the physical properties and performance of the device measured against established engineering standards (ASTM F382 and F543), not biological or clinical diagnoses requiring expert consensus.

4. Adjudication Method for the Test Set
Not applicable. Mechanical testing results are objective measurements from laboratory equipment, not subjective assessments requiring adjudication.

5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study
Not applicable. This is not an AI-assisted diagnostic device.

6. Standalone (Algorithm Only Without Human-in-the-Loop Performance) Study
Not applicable. This is not an AI algorithm.

7. Type of Ground Truth Used
The “ground truth” for the performance assessment of these medical devices is defined by recognized international standards for metallic bone fixation implants: ASTM F382 for plates and ASTM F543 for screws. The performance of the Medline devices was compared to the performance of a predicate device (Wright Medical Ortholoc™ System) tested against the same standards.

8. Sample Size for the Training Set
Not applicable. There is no training set as this is not an AI algorithm.

9. How the Ground Truth for the Training Set Was Established
Not applicable. There is no training set.

Summary

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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 words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized image of three faces in profile, stacked one behind the other. The faces are rendered in a simple, abstract style.

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

August 6, 2015

Medline Industries, Incorporated Ms. Jennifer Mason Senior Regulatory Affairs Specialist 1 Medline Place Mundelein, Illinois 60060

Re: K151235

Trade/Device Name: Medline Foot Plates and Screws 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: May 8, 2015 Received: May 11, 2015

Dear Ms. Mason:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing

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(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 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/ResourcesforYou/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

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Indications for Use

510(k) Number (if known) K151235

Device Name

Medline Foot Plates and Screws

Indications for Use (Describe)

· Arthrodesis of the first metatarsalcuneiform joint (Lapidus Fusion)
· Arthrodesis of the first metatarsophalangeal joint (MTP) including:
Primary MTP Fusion due to hallux ridgidus and/or hallux valgus
Revision MTP Fusion
· Revision of failed first MTP Arthroplasty implant

Flatfoot Osteotomies:

· Lateral Column Lengthening (Evans Osteotomy)
· Plantar Flexion Opening Wedge Osteotomy of the Medial Cuneiform (Cotton Osteotomy)
· Medial Displacement Calcaneal Osteotomy (MDCO)

Midfoot / Hindfoot Fusions:

· LisFranc Arthrodesis and/or Stabilization
· 1st(Lapidus), 2nd, 3rd, 4th, and 5th Tarsometatarsal (TMT) Fusions
· Intercuneiform Fusions
· Navicular-Cuneiform (NC) Fusion
· Talo-Navicular (TN) Fusion
· Calcaneo-Cuboid (CC) Fusion
· Medial Column Fusions (NC and 1st TMT)

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

X Prescription Use (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 801 Subpart C)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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K151235 Page 1 of 3

Image /page/3/Picture/1 description: The image shows the Medline logo. The logo consists of the word "MEDLINE" in white, stacked vertically, with a white starburst-like symbol to the right of the text. The background is a solid dark blue color. The logo is simple and clean, with a focus on the company name and a memorable symbol.

ledline Industries, Inc. One Medline Place Mundelein, IL 60060

SECTION 5 510(k) SUMMARY [AS REQUIRED BY 21CFR807.92(c)]

Submitter / 510(k) Sponsor

Medline Industries, Inc. 1 Medline Place Mundelein, IL 60060

Registration Number: 1417592

Contact Person

Jennifer Mason Senior Regulatory Affairs Specialist Phone: 847-643-3652 Email: jamason@medline.com

Summary Preparation Date July 31, 2015

Type of 510(k) Submission Traditional

Device Name / Classification

Name of Device: Medline Foot Plates and Screws Proprietary Name: Medline Foot Plates and Screws Common Name: Plate, Fixation, Bone Classification Number: 21 CFR 888.3030 - Class II Classification Name: Single/multiple component metallic bone fixation appliances and accessories Product Code: HRS: Plate, Fixation, Bone HWC: Screw, Fixation Bone Classification Panel: Orthopedics

Predicate Device

WRIGHT MEDICAL ORTHOLOC™ 3Di System K121651 (Primary) – ORTHOLOC™ 3Di Midfoot/Flatfoot System (Wright Midfoot/Flatfoot System)

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Image /page/4/Picture/1 description: The image shows the Medline logo. The logo consists of the word "MEDLINE" in white, set against a dark blue square. To the right of the word is a white star-like symbol with four points. The logo is positioned on the left side of the image.

ledline Industries. Inc One Medline Place Mundelein, IL 60060

Device Description

Indications for Use

· Arthrodesis of the first metatarsalcuneiform joint (Lapidus Fusion)
· Arthrodesis of the first metatarsophalangeal joint (MTP) including:
Primary MTP Fusion due to hallux ridgidus and/or hallux valgus
Revision MTP Fusion
· Revision of failed first MTP Arthroplasty implant

Flatfoot Osteotomies:

· Lateral Column Lengthening (Evans Osteotomy)
· Plantar Flexion Opening Wedge Osteotomy of the Medial Cuneiform (Cotton Osteotomy)
· Medial Displacement Calcaneal Osteotomy (MDCO)

Midfoot / Hindfoot Fusions:

LisFranc Arthrodesis and/or Stabilization
· 1st(Lapidus), 2nd, 3rd, 4th, and 5th Tarsometatarsal (TMT) Fusions
· Intercuneiform Fusions
Navicular-Cuneiform (NC) Fusion
Talo-Navicular (TN) Fusion
Calcaneo-Cuboid (CC) Fusion
· Medial Column Fusions (NC and 1st TMT)

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Image /page/5/Picture/1 description: The image is the logo for Medline. The logo is a blue square with the word "MEDLINE" in white, sans-serif font. A white, stylized starburst is behind the word "MEDLINE". To the right of the blue square is a gray rectangle.

edline Industries. Inc ne Medline Place Mundelein II 60060

Summary of Technological Characteristics

The proposed device is substantially equivalent to the predicate devices. The Wright Medical ORTHOLOC™ 3Di System K121651, ORTHOLOC 3Di Hallux System K120359, ORTHOLOC™ 3Di Ankle Plating System and the Ortholoc Bone Screws K120802 were selected as the predicates based on the same intended use and same materials.

Summary of Non-Clinical Testing

Test Type	Testing Standards	Performance Results
Static 4-Point Bending Testing(Plates)	ASTM F382	Equivalent to Predicate
Static Pullout Testing (Screws)	ASTM F543	Equivalent to Predicate
Static Torque Testing (Screws)	ASTM F543	Equivalent to Predicate

Summary of Performance Testing

Static 4-Point Bend Testing

Static 4-point bend testing was conducted per ASTM F382-99 (2008). The purpose of this test was to ensure that the average load to failure of the proposed Medline Foot Plates was equivalent to the average load to failure bending stiffness of the predicate Wright Medical ORTHOLOC™ Plates.

Static Axial Pullout Testing

Static axial pullout testing was conducted per ASTM F543-13. The purpose of this test was to ensure that the axial pullout strength of the proposed Medline Locking Screws and Non-Locking Cortical Screws were equivalent to the pullout strength of the predicate Wright Medical ORTHOLOC™ Locking and Bone Screws.

Static Torque Testing

Static torque testing was conducted per ASTM F543-13. The purpose of this test was to ensure that the torsional strength of the proposed Medline Locking Screws and Non-Locking Cortical Screws were equivalent to the torsional strength of the predicate Wright Medical ORTHOLOC™ Locking and Bone Screws.

Conclusion

In accordance with 21 CFR Part 807. and based on the information provided in this premarket notification, Medline Industries, Inc. concludes that the Medline Foot Plates and Screws are safe, effective and substantially equivalent to the predicate, Wright Medical ORTHOLOC 3Di System (K 121651) as described herein.

Regulation Number and Section

§ 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.