K Number
K152974
Device Name
ORTHOLOC® 3Di Foot Plating Reconstruction System
Date Cleared
2015-12-11

(64 days)

Product Code
Regulation Number
888.3030
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The ORTHOLOC® 3Di Foot Plating Reconstruction System is intended for use in stabilization of fresh fractures, revision procedures, joint fusion and reconstruction of small bones of the feet. Specific examples include: Mid / 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 Fusion First metatarsal osteotomies for hallux valgus correction including: - · Opening base wedge osteotomy - · Closing base wedge osteotomy - · Crescentic osteotomy - Proximal Chevron osteotomy - · Distal Chevron osteotomy (Austin) First metatarsal fracture fixation 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)
Device Description
The ORTHOLOC® 3Di Foot Reconstruction System Line Extension (ORTHOLOC® 3Di CrossCHECK Module) is comprised of a variety of titanium plates with shapes and sizes designed for internal fixation of small bone fragments. The implants included in this system are designed to provide highly anatomic and versatile plating options for an array of fusions and stabilizations. The plates include straight, right, and left configurations, as well as locking and non-locking screws.
More Information

Not Found

No
The device description and intended use focus solely on the physical components (plates and screws) for surgical fixation. There is no mention of any software, image processing, AI, or ML capabilities.

Yes
The device is intended for use in stabilization of fresh fractures, revision procedures, joint fusion, and reconstruction of small bones of the feet, which are therapeutic interventions.

No

This device is a surgical plating system intended for internal fixation of small bone fragments in the feet, not for diagnosing conditions.

No

The device description explicitly states it is comprised of "a variety of titanium plates with shapes and sizes designed for internal fixation of small bone fragments" and includes "locking and non-locking screws," indicating it is a hardware-based medical device.

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

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening.
  • Device Description: The ORTHOLOC® 3Di Foot Plating Reconstruction System is described as a system of titanium plates and screws used for internal fixation of bones in the feet.
  • Intended Use: The intended use is for stabilization of fractures, fusions, and reconstruction of small bones in the feet. This is a surgical procedure performed directly on the patient's body, not on a specimen taken from the body.

The device is a surgical implant used for orthopedic procedures, not a diagnostic test performed on biological samples.

N/A

Intended Use / Indications for Use

The ORTHOLOC® 3Di Foot Plating Reconstruction System is intended for use in stabilization of fresh fractures, revision procedures, joint fusion and reconstruction of small bones of the feet. Specific examples include:

Mid / 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 Fusion

First metatarsal osteotomies for hallux valgus correction including:

  • · Opening base wedge osteotomy
  • · Closing base wedge osteotomy
  • · Crescentic osteotomy
  • Proximal Chevron osteotomy
  • · Distal Chevron osteotomy (Austin)

First metatarsal fracture fixation

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)

Product codes

HRS

Device Description

The ORTHOLOC® 3Di Foot Reconstruction System Line Extension (ORTHOLOC® 3Di CrossCHECK Module) is comprised of a variety of titanium plates with shapes and sizes designed for internal fixation of small bone fragments. The implants included in this system are designed to provide highly anatomic and versatile plating options for an array of fusions and stabilizations. The plates include straight, right, and left configurations, as well as locking and non-locking screws.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

small bones of the feet

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)

Performance testing and analysis demonstrated substantial equivalence in static bending.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K151442, K132594, K120359, K121651

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 consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized image of a human figure embracing a bird, which is a symbol of care and protection.

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

Wright Medical Technology, Inc. Val Myles Regulatory Affairs Specialist 1023 Cherry Road Memphis. Tennessee 38117

December 11, 2015

Re: K152974

Trade/Device Name: ORTHOLOC® 3Di Foot Plating Reconstruction 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 Dated: September 26, 2015 Received: October 13, 2015

Dear Val Myles:

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

1

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 N. 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)

K152974

Device Name

ORTHOLOC® 3Di Foot Plating Reconstruction System

Indications for Use (Describe)

The ORTHOLOC® 3Di Foot Plating Reconstruction System is intended for use in stabilization of fresh fractures, revision procedures, joint fusion and reconstruction of small bones of the feet. Specific examples include:

Mid / 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 Fusion

First metatarsal osteotomies for hallux valgus correction including:

  • · Opening base wedge osteotomy
  • · Closing base wedge osteotomy
  • · Crescentic osteotomy
  • Proximal Chevron osteotomy
  • · Distal Chevron osteotomy (Austin)

First metatarsal fracture fixation

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)

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)

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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Image /page/3/Picture/0 description: The image shows the Wright logo. The logo consists of two overlapping trapezoids, one red and one orange, on the left side of the word "WRIGHT" in red, all caps. Below the word "WRIGHT" is the phrase "FOCUSED EXCELLENCE" in a smaller, gray font.

Headquarters Wright Medical Technology, Inc.

1023 Cherry Road Memphis, TN 38117

901 867 9971 wmt.com

510(K) SUMMARY

In accordance with the Food and Drug Administration Rule to implement provisions of the Safe Medical Devices Act of 1990 and in conformance with 21 CFR 807.92, this information serves as a Summary of Safety and Effectiveness for the use of the ORTHOLOC® 3Di Foot Plating Reconstruction System – Line Extension.

| (a)(1). Submitted By: | Wright Medical Technology, Inc.
1023 Cherry Road
Memphis, TN 38117 |
|------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Date: | October 2, 2015 |
| Contact Person: | Val Myles
Regulatory Affairs Specialist
Office - (901) 290-5162
Fax — (901) 867-4190 |
| (a)(2). Proprietary Name: | ORTHOLOC® 3Di Foot Plating
Reconstruction
System - Line Extension |
| Common Name: | Plate, Fixation, Bone |
| Classification Name and Reference: | 21 CFR 888.3030 - Class II |
| Device Product Code, Device Panel: | HRS - Orthopedic |
| (a)(3). Predicate Device: | K151442: TOTAL COMPRESSION PLATING
SYSTEM
K132594: CrossCHECK Plating System
K120359: ORTHOLOC® 3Di Hallux System
K121651: ORTHOLOC® 3Di
Midfoot/Flatfoot System |

(a)(4). Device Description

The ORTHOLOC® 3Di Foot Reconstruction System Line Extension (ORTHOLOC® 3Di CrossCHECK Module) is comprised of a variety of titanium plates with shapes and sizes designed for internal fixation of small bone fragments. The implants included in this system are designed to provide highly anatomic and versatile plating options for an array of fusions and stabilizations. The plates include straight, right, and left configurations, as well as locking and non-locking screws.

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(a)(5). INTENDED USE

The ORTHOLOC® 3Di Foot Reconstruction System is intended for use in stabilization of fresh fractures, revision procedures, joint fusion and reconstruction of small bones of the feet. Specific examples include:

Mid / 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 Fusion

First metatarsal osteotomies for hallux valgus correction including:

  • . Opening base wedge osteotomy
  • . Closing base wedge osteotomy
  • Crescentic osteotomy
  • Proximal Chevron osteotomy
  • Distal Chevron osteotomy (Austin) ●

First metatarsal fracture fixation

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)

(a)(6). Technological Characteristics Comparison

The subject devices included in ORTHOLOC® 3Di Foot Reconstruction System Line Extension are technologically substantially equivalent to predicate devices in material, size, and bending strength.

(b)(1). Substantial Equivalence - Non-Clinical Evidence

Performance testing and analysis demonstrated substantial equivalence in static bending.

  • (b)(2). Substantial Equivalence Clinical Evidence N/A

(b)(3). Substantial Equivalence - Conclusions

The design characteristics of the subject system do not raise any new types of questions of safety or effectiveness. From the evidence submitted in this 510(k), the subject devices can be expected to perform as well as the predicate devices.