K Number
K152072
Device Name
CrossRoads Screw System
Date Cleared
2015-09-23

(58 days)

Product Code
Regulation Number
888.3040
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The CrossRoads Screw System is indicated for fracture repair and fixation, osteotomy, joint fusion, reconstruction and arthrodesis of bones appropriate for the size of the device.
Device Description
The CrossRoads Screw System is comprised of bone screws having various features in a variety of diameters and lengths to accommodate differing patient anatomy.
More Information

No
The summary describes a mechanical bone screw system and its performance based on theoretical analysis, with no mention of AI/ML, image processing, or data-driven performance metrics.

No
The device is indicated for fracture repair and fixation, osteotomy, joint fusion, reconstruction and arthrodesis, which are surgical and orthopedic procedures, not therapeutic treatments.

No
Explanation: The device is a screw system used for fracture repair and fixation, osteotomy, joint fusion, reconstruction and arthrodesis of bones. Its purpose is therapeutic/interventional, not diagnostic.

No

The device description explicitly states it is comprised of bone screws, 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 a device used for surgical procedures on bones (fracture repair, fixation, osteotomy, joint fusion, reconstruction, arthrodesis). This is a therapeutic and structural function, not a diagnostic one performed on samples outside the body.
  • Device Description: The description of bone screws further supports its use in surgical intervention, not in vitro testing.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting specific analytes, or providing diagnostic information about a patient's health status.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device's function is entirely different.

N/A

Intended Use / Indications for Use

The CrossRoads Screw System is indicated for fracture repair and fixation, osteotomy, joint fusion, reconstruction and arthrodesis of bones appropriate for the size of the device.

Product codes

HWC

Device Description

The CrossRoads Screw System is comprised of bone screws having various features in a variety of diameters and lengths to accommodate differing patient anatomy.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

bones appropriate for the size of the device.

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

Theoretical analysis of the worst case CrossRoads screws was performed to predict torsional and pullout strengths for the subject and predicate devices. The Large Screws do not result in a new worst-case within the system. The results demonstrate the predicted performance of the CrossRoads screws is substantially equivalent to the predicate devices.

Key Metrics

Not Found

Predicate Device(s)

K143039 CrossRoads Screw System, K000080 and K024060 Stryker Asnis III Screw System

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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.

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 border with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized image of three human profiles facing to the right, stacked on top of each other, resembling a bird-like shape.

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

September 23, 2015

CrossRoads Extremity Systems, LLC % Mr. Vernon Hartdegen Sr. Vice President of Operations 6055 Primacy Parkway Suite 140 Memphis, Tennessee 38119

Re: K152072

Trade/Device Name: CrossRoads Screw System Regulation Number: 21 CFR 888.3040 Regulation Name: Smooth or threaded metallic bone fixation fastener Regulatory Class: Class II Product Code: HWC Dated: September 1, 2015 Received: September 3, 2015

Dear Mr. Hartdegen:

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

1

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 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)

K152072

Device Name CrossRoads Screw System

Indications for Use (Describe)

The CrossRoads Screw System is indicated for fracture repair and fixation, osteotomy, joint fusion, reconstruction and arthrodesis of bones appropriate for the size of the device.

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)

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov

"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

510(k) Summary

Date:July 23, 2015
Device Name:CrossRoads Screw System
Company:CrossRoads Extremity Systems (previously
OrthoDiscovery Group LLC)
6055 Primacy Parkway, Suite 140
Memphis, TN 38119 USA
Phone: 901.221.8406
Primary Contact:Vernon Hartdegen, Sr. VP of Operations
901.221.8406
Vhartdegen@crextremity.com
Trade Name:CrossRoads Screw System
Common Name:Screw System
Classification:Class II
Regulation Number:888.3040, Smooth or threaded metallic bone fixation
fastener
Panel:Orthopedic
Product Code:HWC
Predicate Devices:K143039 CrossRoads Screw System
K000080 and K024060 Stryker Asnis III Screw System
Device Description:The CrossRoads Screw System is comprised of bone
screws having various features in a variety of diameters and
lengths to accommodate differing patient anatomy.
Indications for Use:The CrossRoads Screw System is indicated for fracture
repair and fixation, osteotomy, joint fusion, reconstruction
and arthrodesis of bones appropriate for the size of the
device.
Materials:The CrossRoads Screw System implant components are
manufactured titanium alloy (ASTM F136) and stainless
steel (ASTM F138).
Substantial Equivalence:Theoretical analysis of the worst case CrossRoads screws was performed to predict torsional and pullout strengths for the subject and predicate devices. The results demonstrate the predicted performance of the CrossRoads screws is substantially equivalent to the predicate devices. The CrossRoads Screw System possesses the same technological characteristics as the predicate devices. These include:

4

  • · predicted performance,
  • implant grade materials, and
  • · basic design.

Therefore the fundamental scientific technology of the CrossRoads Screw System devices is the same as previously cleared devices. Therefore the CrossRoads Screw System is substantially equivalent for its intended use.

Performance Testing: Theoretical analysis of the worst case CrossRoads screws was performed to predict torsional and pullout strengths for the subject and predicate devices. The Large Screws do not result in a new worst-case within the system. The results demonstrate the predicted performance of the CrossRoads screws is substantially equivalent to the predicate devices.