K Number
K151418
Device Name
Monster Screw System
Manufacturer
Date Cleared
2015-07-15

(48 days)

Product Code
Regulation Number
888.3040
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Monster Screw System™ is indicated for use in bone reconstruction, osteotomy, arthrodesis, joint fusion, ligament fixation, fracture repair and fracture fixation, appropriate for the size of the device.
Device Description
The Monster Screw System™ is comprised of bone screws and washers. The Monster Screw is a threaded bone screw offered in 2.0mm to 9.5mm diameters (in 0.5 mm increments) having overall lengths from 8mm (for smaller diameters) thru 200mm (for larger diameters). The screws are offered having a variety of features with respect to head, thread, tip, cannulation and material. Size-matched washers are also available.
More Information

No
The summary describes a mechanical bone screw system with no mention of software, image processing, or AI/ML terms.

Yes
The device is clearly indicated for medical purposes such as bone reconstruction, fracture repair, and joint fusion, which are therapeutic interventions.

No

The device description and intended use indicate that the Monster Screw System™ is a surgical implant used for bone reconstruction and fixation, not for diagnosing conditions. It is a therapy device.

No

The device description explicitly states it is comprised of bone screws and washers, which are physical hardware components.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use of the Monster Screw System™ is for surgical procedures involving bone (reconstruction, osteotomy, fracture repair, etc.). This is a therapeutic device used in vivo (within the body).
  • Device Description: The device is comprised of bone screws and washers, which are physical implants.
  • Lack of IVD Characteristics: IVD devices are used to examine specimens (like blood, urine, tissue) in vitro (outside the body) to provide information for diagnosis, monitoring, or screening. The Monster Screw System™ does not perform any such function.

The information provided clearly describes a surgical implant, not a diagnostic test performed on biological samples.

N/A

Intended Use / Indications for Use

The Monster Screw System™ is indicated for use in bone reconstruction, osteotomy, arthrodesis, joint fusion, fracture repair and fracture fixation, appropriate for the size of the device.

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

HWC, HTN

Device Description

The Monster Screw System™ is comprised of bone screws and washers. The Monster Screw is a threaded bone screw offered in 2.0mm to 9.5mm diameters (in 0.5 mm increments) having overall lengths from 8mm (for smaller diameters) thru 200mm (for larger diameters). The screws are offered having a variety of features with respect to head, thread, tip, cannulation and material. Size-matched washers are also available.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

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)

Theoretical comparisons demonstrated the Monster Screw System™ mechanical performance to be substantially equivalent to the predicate devices.

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.

Paragon 28 (K124027)

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.

Vilex Inc (K973309, K991151, K991197 and K014154), OsteoMed Corp. (K924018)

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

§ 888.3040 Smooth or threaded metallic bone fixation fastener.

(a)
Identification. A smooth or threaded metallic bone fixation fastener is a device intended to be implanted that consists of a stiff wire segment or rod made of alloys, such as cobalt-chromium-molybdenum and stainless steel, and that may be smooth on the outside, fully or partially threaded, straight or U-shaped; and may be either blunt pointed, sharp pointed, or have a formed, slotted head on the end. It may be used for fixation of bone fractures, for bone reconstructions, as a guide pin for insertion of other implants, or it may be implanted through the skin so that a pulling force (traction) may be applied to the skeletal system.(b)
Classification. Class II.

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the seal is a stylized image of three human profiles facing to the right, stacked on top of each other.

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

July 15, 2015

Paragon 28 % Karen Warden, Ph.D. Backroads Consulting, Inc P.O. Box 566 Chesterland, Ohio 44026-0566

Re: K151418 Trade/Device Name: Monster Screw System Regulation Number: 21 CFR 888.3040 Regulation Name: Smooth Or Threaded Metallic Bone Fixation Fastener Regulatory Class: Class II Product Code: HWC, HTN Dated: June 16, 2015 Received: June 17, 2015

Dear Dr. Warden:

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 of medical devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in

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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" (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 Melkerson Director Division of Orthopedic Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

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

510(k) Number (if known)

K151418

Device Name Monster Screw System™

Indications for Use (Describe)

The Monster Screw System™ is indicated for use in bone reconstruction, osteotomy, arthrodesis, joint fusion, fracture repair and fracture fixation, appropriate for the size of the device

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

区 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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Section 8 – 510(k) Summary

Date:26 May 2015
Sponsor:Paragon 28, Inc.
4B Inverness Ct. E., STE 280
Englewood, Colorado 80112
Phone: (888) 728-1888
Facsimile: (888) 728-1220
Sponsor Contact:Frank S. Bono, Chief Technology Officer
510(k) Contact:Karen E. Warden, PhD
BackRoads Consulting
PO Box 566
Chesterland, OH 44026
Office: 440.729.8457
Trade Names:Monster Screw System™
Device ClassificationClass II
Classification Name:Smooth or threaded metallic bone fixation fastener, Single/multiple
component metallic bone fixation appliances and accessories
Regulation:888.3040, 888.3030
Device Product Code:HWC, HTN
Submission Purpose:This submission addresses modified dimensions of the cleared 2.0
Monster Screw components.
Device Description:The Monster Screw System™ is comprised of bone screws and washers.
The Monster Screw is a threaded bone screw offered in 2.0mm to 9.5mm
diameters (in 0.5 mm increments) having overall lengths from 8mm (for
smaller diameters) thru 200mm (for larger diameters). The screws are
offered having a variety of features with respect to head, thread, tip,
cannulation and material. Size-matched washers are also available.
Intended Use:The Monster Screw System™ is indicated for use in bone reconstruction,
osteotomy, arthrodesis, joint fusion, ligament fixation, fracture repair and
fracture fixation, appropriate for the size of the device.
Materials:The Monster Screw System™ implants are manufactured from medical
grade titanium alloy (per ASTM F136) and stainless steel alloy (per
ASTM F2229).
Predicate Devices:Primary: Paragon 28 (K124027)
Reference:
Vilex Inc (K973309, K991151, K991197 and K014154)
OsteoMed Corp. (K924018)
Performance Data:Theoretical comparisons demonstrated the Monster Screw System™
mechanical performance to be substantially equivalent to the predicate
devices.
Technological
Characteristics:The Monster Screw System™ possesses the same technological
characteristics as one or more of the predicate devices. These include:
performance (as described above), basic design (threaded fastener), material (titanium and/or stainless steel alloys) and sizes (dimensions are comparable to those offered by the
predicate systems). Therefore the fundamental scientific technology of the Monster Screw
System™ is the same as previously cleared devices.
Conclusion:The Monster Screw System™ possesses the same intended use and
technological characteristics as the predicate devices. Therefore the
Monster Screw System™ is substantially equivalent for its intended use.

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