K Number
K153374
Device Name
CARE BRAND Locking Bone Plates and Screws Osteosynthesis Plating System, CARE Brand of DHS/DCS Plating System
Manufacturer
Date Cleared
2016-06-17

(207 days)

Product Code
Regulation Number
888.3030
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
CARE BRAND Locking Bone Plates and Screws Osteosynthesis Plating System, CARE Brand of DHS/DCS Plating System are indicated for treating fractures of various bones including the clavicle, pelvis, scapula, long bone ( humerus, ulna, radius, femur, tibia and fibula), and small bone (metacarpals, metatarsals, phalanges). CARE Brand of DHS/DCS Plating System is used to provide fixation of fractures to the proximal femur shaft and generally indicated for use in trochanteric, intertrochanteric fractures. The system is indicated for use in adult patients only. All implants are for single use only.
Device Description
CARE BRAND Locking Bone Plates and Screws Osteosynthesis Plating System, CARE Brand of DHS/DCS Plating System consists of various shape and sizes of plates featuring compression and locking holes, full-threaded-cortical, locking self-tapping screws, compression and dynamic screws. The plates and screws are fabricated from Stainless Steel and Titanium. The system contains several models based on the size of the device and application site such as fixation/reconstruction of small fragment bones, forefoot, mid-foot, rear-foot, ankle, or other bones appropriate for the size of the device. The plate implants are in many models available: like, Reconstruction Plates, T- Plates, Anatomical Plates, Clavicle Hook Plates. These all are mainly divided into - DHS/DCS Plates. - Large Fragment Plates - Small Fragment Plates - Mini Fragment Plates The number of the holes varies from 2 to 22. The Locking screw implants are in corresponding diameter ranges from 2.4mm, 2.7mm, 3.5mm, 5.0mm diameters with lengths varying as per the requirements and minimum length: 6 mm to maximum length 90mm. The Non-locking screw implants are in 3.5mm and 4.5mm diameter and length range from 10mm to 74mm. CARE Brand of DHS/DCS Plating System consist of DHS/DCS Plates, lag Screw, compression screw, and 4.5 Cortex screw (Standard and Self Tapping). The DHS plates are available with barrel length 25mm (short barrel) and 38mm (Standard barrel angels varies from 130° to 150°. The DHS/DCS Screw is available in total length from 50 to 120 mm. thread length 22mm. shaft 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 3.8 mm. These devices are not indicated for use in spine. These implants are supplied non-sterile, the products have to be sterilized prior to use.
More Information

Not Found

No
The device description and intended use clearly describe a system of mechanical bone plates and screws made of stainless steel and titanium. There is no mention of software, algorithms, image processing, or any other components that would suggest the use of AI or ML. The performance studies are based on mechanical testing standards.

Yes
The device, consisting of plates and screws, is indicated for treating fractures of various bones, providing fixation and stabilization, which falls under the definition of a therapeutic intervention to restore health.

No
The device, CARE BRAND Locking Bone Plates and Screws Osteosynthesis Plating System, is an osteosynthesis plating system designed for treating fractures. Its function is to provide fixation of fractures, which is a therapeutic rather than a diagnostic purpose. The description details various plates and screws used for internal fixation of bones, not for diagnosing conditions.

No

The device description clearly states it consists of physical components like plates and screws made of Stainless Steel and Titanium, which are hardware.

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 about a person's health.
  • Device Description: The description clearly states that this device is a system of bone plates and screws made of stainless steel and titanium. These are implants designed to be surgically placed within the body to fix bone fractures.
  • Intended Use: The intended use is to treat bone fractures by providing fixation. This is a surgical procedure performed directly on the patient's body, not on a specimen outside the body.

Therefore, based on the provided information, this device falls under the category of surgical implants for orthopedic use, not In Vitro Diagnostics.

N/A

Intended Use / Indications for Use

CARE BRAND Locking Bone Plates and Screws Osteosynthesis Plating System, CARE Brand of DHS/DCS Plating System are indicated for treating fractures of various bones including the clavicle, pelvis, scapula, long bone ( humerus, ulna, radius, femur, tibia and fibula), and small bone (metacarpals, metatarsals, phalanges).

CARE Brand of DHS/DCS Plating System is used to provide fixation of fractures to the proximal femur shaft and generally indicated for use in trochanteric, intertrochanteric fractures.

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

Product codes

HRS, HWC

Device Description

CARE BRAND Locking Bone Plates and Screws Osteosynthesis Plating System, CARE Brand of DHS/DCS Plating System consists of various shape and sizes of plates featuring compression and locking holes, full-threaded-cortical, locking self-tapping screws, compression and dynamic screws.

The plates and screws are fabricated from Stainless Steel and Titanium.

The system contains several models based on the size of the device and application site such as fixation/reconstruction of small fragment bones, forefoot, mid-foot, rear-foot, ankle, or other bones appropriate for the size of the device. The plate implants are in many models available: like, Reconstruction Plates, T- Plates, Anatomical Plates, Clavicle Hook Plates.

These all are mainly divided into

  • DHS/DCS Plates.
  • Large Fragment Plates
  • Small Fragment Plates
  • Mini Fragment Plates

The number of the holes varies from 2 to 22.

The Locking screw implants are in corresponding diameter ranges from 2.4mm, 2.7mm, 3.5mm, 5.0mm diameters with lengths varying as per the requirements and minimum length: 6 mm to maximum length 90mm.

The Non-locking screw implants are in 3.5mm and 4.5mm diameter and length range from 10mm to 74mm.

CARE Brand of DHS/DCS Plating System consist of DHS/DCS Plates, lag Screw, compression screw, and 4.5 Cortex screw (Standard and Self Tapping). The DHS plates are available with barrel length 25mm (short barrel) and 38mm (Standard barrel angels varies from 130° to 150°. The DHS/DCS Screw is available in total length from 50 to 120 mm. thread length 22mm. shaft 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 3.8 mm.

These devices are not indicated for use in spine.

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

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

clavis, scapula, long bone (humerus, ulna, radius, femur, tibia and fibula), small bone (metacarpals, metatarsals, phalanges), proximal femur shaft

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

Non-clinical testing performed against applicable product standards:
Material Standards:

  • ASTM F 136: Standard specification for wrought Titanium-6Aluminium-4Vanadium ELI (Extra low interstitial) Alloy for surgical implant applications.
  • ASTM F 138: Standard Specification for Wrought 18 chromium-14Nickel-2.5Molybdenum stainless steel bar and wire for surgical implants.
  • ASTM 139: Standard Specification for Wrought 18Chromium-14Nickel-F 2.5Molybdenum Stainless Steel Sheet and Strip for Surgical Implants

Performance 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:

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

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

Not Found

Predicate Device(s)

K923613, K953607, K840954, K092609, K082807, K051986, K062564, K030597, K011978, K030858, K033995, K001945, K041860, K000684, K061753, K012114, K040777, K050110, K000682, 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.

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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 is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract 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

June 17, 2016

Ortho Care Mr. Rajeev Chhabra Managing Partner 3/10 Kirti Nagar Industrial Area New Delhi, 110015 INDIA

Re: K153374 Trade/Device Name: CARE BRAND Locking Bone Plate and Screws Osteosynthesis Plating System, CARE 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: April 19, 2016 Received: April 21, 2016

Dear Mr. Chhabra:

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

1

(21 CFR Part 807); labeling (21 CFR Parts 801); medical device reporting of medical device-related 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" (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.

Vincent J. Devlin -S

for 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)

K153374

Device Name

CARE BRAND Locking Bone Plates and Screws Osteosynthesis Plating System, CARE Brand of DHS/DCS Plating System

Indications for Use (Describe)

CARE BRAND Locking Bone Plates and Screws Osteosynthesis Plating System, CARE Brand of DHS/DCS Plating System are provided non-sterile.

CARE BRAND Locking Bone Plates and Screws Osteosynthesis Plating System are indicated for treating fractures of various bones including the clavis, scapula, long bone ( humerus, ulna, radius, femur, tibia and fibula), and small bone (metacarpals, metatarsals, phalanges).

CARE Brand of DHS/DCS Plating System is used to provide fixation of fractures to the proximal femur shaft and generally indicated for use in trochanteric, pertrochanteric, intertrochanteric fractures.

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)

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 Druq 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."

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Premarket Notification 510(k) Summary as required by Section 807.92

General Company Information as required by 807:92 (a)

(a.1) The submitter's name, address, telephone number, a contact person, and the date the summary was prepared

Submitter's Name: Ortho Care

Address:

Office: 3/10 Kirti Nagar Industrial Area, New Delhi-110015 India

Factory:

Plot Number A-31, Sector A-4, Tronica City, Loni, Ghaziabad, 201102 India

Contact Person Name:Mr. Rajeev Chhabra
Title:Managing Partner
Phone Number:+91-9810038246
Dated:05-11-2015

This is a bundled submission.

Throughout the submission there is a mention of CARE BRAND Locking Bone Plates and Screws Osteosynthesis Plating System, CARE Brand of DHS/DCS Plating System that represents the range of products covered under this 510(k) submission.

4

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:

  • . CARE BRAND Locking Bone Plates and Screws Osteosynthesis Plating System, CARE 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 Pane: Orthopaedic

Regulation Number: 21 CFR 888.3030 and 21 CFR 888.3040

Variants/Types:

CARE BRAND Locking Bone Plates and Screws Osteosynthesis Plating System, CARE Brand of DHS/DCS Plating System are further subdivided into following categories

S. No.CategoryTypes
01Dynamic Hip Screw Type /Dynamic
Condylar Screw Type DHS and
Compression ScrewsNon-Locking Version
02Large Fragment PlatesLocking Version
03Small Fragment PlatesLocking Version
04Mini Fragment PlatesLocking Version
05Bone ScrewsLocking and Non-Locking
Version

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Further Description of CARE BRAND Locking Bone Plates and Screws Osteosynthesis Plating System, CARE Brand of DHS/DCS Plating System

Generally there are following types of bone plates used with cortical (cortex) and Locking Screws. These bone plates are generally designed on the basis of the bone contour and

anatomy. The Dynamic Hip Screw Plate and Dynamic Condylar Type Plates are used with Dynamic Hip Screw combined with Compression Screw and shaft with cortical (cortex) screws.

S. No.TypeSubtype
01Dynamic Hip Screw Type
/Dynamic Condylar Screw
TypeDynamic Hip Screw Plate, Dynamic Condylar Screw Plate
02Small and Large
FragmentT-Shaped, Hook, Angled Plates. Reconstructions plates
03Dynamic compressionSmall DCP, Narrow DCP, Lengthening Narrow, Broad DCP, Lengthening Broad Plates
04Mini FragmentT-Shaped

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A3) Identification of the Predicate Device:

Following are the predicate device 510(k) with which we are declaring substantial equivalence:

Following is the range of variants covered with their corresponding predicate devices.

S. No.Subject DevicePredicate Device
1.Dynamic Hip Screw Plate (with Dynamic Compression
Holes) (Long Barrel)Synthes Limited Contact-Dynamic Hip Screw
Implant (LC-DHS)" for K923613
Dynamic Hip Screw Plate (with Dynamic Compression
Holes) (Short Barrel)Synthes Titanium Limited Contact-Dynamic
Hip Screw Implant (Ti LC-DHS)" for K953607
2.Dynamic Condylar Plate with Dynamic Compression
Holes (Barrel length 25 mm)Synthes dynamic condylar screw or d.c.s.
K840954
3.Dynamic Hip Screw, Ø 12.5mm with Compression
ScrewSynthes Limited Contact-Dynamic Hip Screw
Implant (LC-DHS)" for K923613
Synthes Titanium Limited Contact-Dynamic
Hip Screw Implant (Ti LC-DHS)" for K953607
4.LCP Curved Narrow PlatesSynthes 3.5 mm and 4.5 mm
Curved Narrow and Broad Locking
Compression Plates
(LCP) (K092609)
5.Narrow Locking Plate For 4.5mm/5.0mm ScrewsSynthes 3.5 and 4.5mm Locking
Compression Plate System (K082807)
6.Locking Reconstruction Plate 4.5mmSynthes 4.5 mm LCP Straight
Reconstruction Plate (K051986)
7.LCP Curved Broad PlatesSynthes 3.5 mm and 4.5 mm
Curved Narrow and Broad Locking
Compression Plates
(LCP) (K092609)
8.Broad Locking Plate For 4.5mm/5.0mm ScrewsSynthes 3.5 and 4.5mm Locking
Compression Plate System (K082807)
9.Locking distal femur plate - right
Locking distal femur plate - leftSynthes LCP Distal Femur
Plates (K062564)
10.Proximal Lateral Tibia Locking Plate Left
Proximal Lateral Tibia Locking Plate RightK030597 Synthes 3.5 Titanium LCP
Proximal Tibia Plate (For Titanium)
Synthes LCP Proximal Tibia
Plate (K011978) (For Stainless Steel)
11.Locking Femoral Proximal Lateral Plates L/R 5 Holes
To 13 Holes, Left
Locking Femoral Proximal Lateral Plates L/R 5 Holes
To 13 Holes, RightSynthes (USA) LCP Proximal Femur Plate
and Screws (K030858)
12.Locking Humeral Distal Dorsal Plates L/R Without
Support 2.7/3.5, Left & RightSynthes 3.5mm LCP Distal
Humerus System (K033995)
13.Locking Humeral Distal Dorsal Plates L/R With Lateral
Support 2.7/3.5, Left & RightSynthes 3.5mm LCP Distal
Humerus System (K033995)
14.Distal Tibial Locking Plate 2.7/3.5, LeftSynthes Medial Distal Tibia Plate
(K001945)
15Distal Tibial Locking Plate 2.7/3.5, RightSynthes Medial Distal Tibia Plate
(K001945)
16.Locking philos proximal humeral plate - Long
Locking philos proximal humeral plate - ShortSynthes (USA) LCP® Proximal Humerus
Plates, Long (K041860)
17.Small Locking Plate For Dia 3.5mm ScrewsSynthes 3.5 and 4.5mm Locking
Compression Plate System with expended
indications (K082807)
18.Locking Proximal Humeral Plate - long
Locking Proximal Humeral Plate - shortProximal humerus plate long
Synthes K041860
19.Locking T-Plate Oblique angled For Dia 3.5mm
Screws, LeftSynthes Small Fragment Dynamic
Compression Locking(DCL) System
(K000684)
20Locking T-Plate Oblique angled For Dia 3.5mm
Screws, RightSynthes Small Fragment Dynamic
Compression Locking(DCL) System
(K000684)
21.Locking T-Plate Right Angle FOR Dia 3.5mm Screws,
3 Hole HeadSynthes Small Fragment Dynamic
Compression Locking(DCL)
System(K000684)
22Locking T-Plate Right Angle FOR Dia 3.5mm Screws,
4 Hole HeadSynthes Small Fragment Dynamic
Compression Locking(DCL)
System (K000684)
23.LCP Proximal Tibial Plate 3.5, LeftSynthes 3.5mm Titanium LCP Proximal
Tibia Plate (K030597) OR Synthes LCP
Proximal Tibia Plates (K011978)
24LCP Proximal Tibial Plate 3.5, RightSynthes 3.5mm Titanium LCP Proximal
Tibia Plate (K030597) OR Synthes LCP
Proximal Tibia Plates (K011978)
25.LCP Clavicle Hook Plate, LeftSynthes Clavicle Hook Plate
(K061753)
26LCP Clavicle Hook Plate, RightSynthes Clavicle Hook Plate
(K061753)
27.Locking Distal Dorsal Radius T-Plates 2.7mm, 3HolesK012114 (Synthes locking distal radius
plating system)
28Locking Distal Dorsal Radius T-Plates 2.7mm, 4HolesLCP Radial Head Plating System
(K040777)
29.Locking Compression EXTRA-ARTICULAR VOLAR
DISTAL RADIUS PLATES 2.4 HEAD 4HOLES, Left
and Right with Shaft having 3 Holes, 4 Holes and 5
HolesLCP Radial Head Plating
System (K040777)
30.Locking Head Screw, Dia - 2.4mm - Self TappingSynthes
2.4mm titanium locking screw
(K040777)
31.Locking Head Screw, Dia - 2.7mm - Self TappingSynthes LCP Modular Foot plate
(K050110)
32.Locking Head Screw, Dia - 3.5mm - Self TappingSynthes Small Fragment Dynamic
Compression Locking (DCL) System
(K000684)
33.Locking Head Screw, Dia - 5.0mm - Self TappingSynthes Large Fragment Dynamic
Compression Locking (DCL) System
(K000682)
34.Cortex Screw Ø 3.5mm, Self TappingSynthes Cortical Screws K112583
35.Cortex Screw Ø 4.5mm, Self TappingSynthes Cortical Screws (K112583)

7

8

a4). A description of the device that is the subject of the premarket notification submission, such as might be found in the labeling or promotional material for the device

9

Device Description:

CARE BRAND Locking Bone Plates and Screws Osteosynthesis Plating System, CARE Brand of DHS/DCS Plating System consists of various shape and sizes of plates featuring compression and locking holes, full-threaded-cortical, locking self-tapping screws, compression and dynamic screws.

The plates and screws are fabricated from Stainless Steel and Titanium.

The system contains several models based on the size of the device and application site such as fixation/reconstruction of small fragment bones, forefoot, mid-foot, rear-foot, ankle, or other bones appropriate for the size of the device. The plate implants are in many models available: like, Reconstruction Plates, T- Plates, Anatomical Plates, Clavicle Hook Plates.

These all are mainly divided into

  • DHS/DCS Plates.
  • Large Fragment Plates
  • Small Fragment Plates
  • Mini Fragment Plates

The number of the holes varies from 2 to 22.

The Locking screw implants are in corresponding diameter ranges from 2.4mm, 2.7mm, 3.5mm, 5.0mm diameters with lengths varying as per the requirements and minimum length: 6 mm to maximum length 90mm.

The Non-locking screw implants are in 3.5mm and 4.5mm diameter and length range from 10mm to 74mm.

CARE Brand of DHS/DCS Plating System consist of DHS/DCS Plates, lag Screw, compression screw, and 4.5 Cortex screw (Standard and Self Tapping). The DHS plates are available with barrel length 25mm (short barrel) and 38mm (Standard barrel angels varies from 130° to 150°. The DHS/DCS Screw is available in total length from 50 to 120 mm. thread length 22mm. shaft 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 3.8 mm.

These devices are not indicated for use in spine.

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

10

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

Indications for Use:

• CARE BRAND Locking Bone Plates and Screws Osteosynthesis Plating System, CARE Brand of DHS/DCS Plating System are provided non-sterile.

CARE BRAND Locking Bone Plates and Screws Osteosynthesis Plating System are indicated for treating fractures of various bones including the clavicle, pelvis, scapula, long bone ( humerus, ulna, radius, femur, tibia and fibula), and small bone (metacarpals, metatarsals, phalanges).

CARE Brand of DHS/DCS Plating System is used to provide fixation of fractures to the proximal femur shaft and generally indicated for use in trochanteric, intertrochanteric fractures.

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

A comparison between the CARE BRAND Locking Bone Plates and Screws Osteosynthesis Plating System, CARE Brand of DHS/DCS Plating System and predicate devices has been performed which has resulted in demonstration of similarities in dimensional and performance criteria.

| S. No. | Characteristics | Predicate Device Versus New
Device (Care 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 |
| 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 |

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

11

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 material standards are the essential part to be complied to first, as it is the basis of manufacturing metallic surgical implants.

We have complied to following material standards

    1. ASTM F 136: Standard specification for wrought Titanium-6Aluminium-4Vanadium ELI (Extra low interstitial) Alloy for surgical implant applications.
    1. ASTM F 138: Standard Specification for Wrought 18 chromium-14Nickel-2.5Molybdenum stainless steel bar and wire for surgical implants.
    1. ASTM 139: Standard Specification for Wrought 18Chromium-14Nickel-F 2.5Molybdenum Stainless Steel Sheet and Strip for Surgical Implants

We have verified the purchased material compliance to these standards and copies of the relevant test results were provided in the submission.

B: Performance Standards:

The device performance of CARE BRAND Locking Bone Plates and Screws Osteosynthesis Plating System, CARE Brand of DHS/DCS Plating System has been demonstrated against following applicable 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:

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

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

CARE BRAND Locking Bone Plates and Screws Osteosynthesis Plating System, CARE Brand of DHS/DCS Plating System are of similar design and pattern as well as similar intended use. Clinical information was not necessary to demonstrate substantial equivalence.

CONCLUSION:

General, Safety and Performance conclusion:

From the available data available we can justify that the CARE BRAND Locking Bone Plates and Screws Osteosynthesis Plating System, CARE 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.

Hence these devices can be considered safe and effective for their intended use.