K Number
K153378
Device Name
Monster BITE Screw System
Manufacturer
Date Cleared
2015-12-21

(28 days)

Product Code
Regulation Number
888.3040
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Monster BITE 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
Device Description
The Monster BITE Screw System™ includes snap-off, threaded bone screws offered in 2.0mm and 2.7mm diameters having overall lengths from 8 to 24mm.
More Information

No
The 510(k) summary describes a mechanical bone screw system and its performance based on mechanical testing, with no mention of AI, ML, image processing, or data-driven algorithms.

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

No
The device description indicates it is a system of bone screws used for reconstruction, osteotomy, arthrodesis, joint fusion, fracture repair, and fracture fixation. It does not describe any function related to diagnosing a condition or disease.

No

The device description explicitly states it includes "snap-off, threaded bone screws," which are physical hardware components.

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

Here's why:

  • Intended Use: The intended use clearly states the device is for surgical procedures involving bone (reconstruction, osteotomy, fracture repair, etc.). This is a therapeutic or surgical use, not a diagnostic one.
  • Device Description: The description details a physical implantable device (bone screws). IVDs are typically reagents, instruments, or systems used to examine specimens from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening.
  • Lack of Diagnostic Information: There is no mention of the device being used to analyze biological samples or provide diagnostic information about a patient's condition.
  • Performance Studies: The performance studies focus on mechanical properties (torsion, pullout strength, insertion/removal torque), which are relevant to the structural integrity and function of a surgical implant, not the accuracy of a diagnostic test.

In summary, the Monster BITE Screw System™ is a surgical implant used for fixing and stabilizing bone, which falls under the category of a medical device, but not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Monster BITE 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

HWC

Device Description

The Monster BITE Screw System™ includes snap-off, threaded bone screws offered in 2.0mm and 2.7mm diameters having overall lengths from 8 to 24mm.

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 of torsion and pullout strength along with insertion/removal torque testing per ASTM F543 demonstrated the Monster BITE Screw System™ mechanical performance to be substantially equivalent to the predicate devices.

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

Not Found

Predicate Device(s)

Paragon 28 (K151418)

Reference Device(s)

Paragon 28 (K124027), Smith & Nephew (K090675), OsteoMed Corp. (K924018)

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.

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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 text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of three human profiles facing right, arranged in a way that resembles a bird in flight.

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

December 21, 2015

Paragon 28, Incorporated % Karen E. Warden, Ph.D. Representative/Consultant BackRoads Consulting, Incorporated P.O. Box 566 Chesterland, Ohio 44026-0566

Re: K153378

Trade/Device Name: Monster BITE 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: November 20, 2015 Received: November 23, 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 (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set

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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" (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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Form Approved: OMB No. 0910-0120

Expiration Date: January 31, 2017

See PRA Statement on last page.

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known)

K153378

Device Name Monster BITE Screw System™

Indications for Use (Describe)

The Monster BITE 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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510(k) Summary

Date:20 November 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 BITE Screw System™
Device ClassificationClass II
Classification Name:Smooth or threaded metallic bone fixation fastener
Regulation:888.3040
Device Product Code:HWC
Submission Purpose:This submission addresses modified dimensions of the cleared Monster
Screw components and adds the Monster BITE Screw System to the
Monster Screw System™ family.
Device Description:The Monster BITE Screw System™ includes snap-off, threaded bone
screws offered in 2.0mm and 2.7mm diameters having overall lengths
from 8 to 24mm.
Intended Use:The Monster BITE 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 BITE Screw System™ implants are manufactured from
medical grade titanium alloy (per ASTM F136).
Predicate Devices:Primary: Paragon 28 (K151418)
Reference Devices:Paragon 28 (K124027)
Smith & Nephew (K090675)
OsteoMed Corp. (K924018)
Performance Data:Theoretical comparisons of torsion and pullout strength along with
insertion/removal torque testing per ASTM F543 demonstrated the
Monster BITE Screw System™ mechanical performance to be
substantially equivalent to the predicate devices.
Technological
Characteristics:The Monster BITE 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 alloy) and
• sizes (dimensions are comparable to those offered by the
predicate systems).
Therefore the fundamental scientific technology of the Monster BITE
Screw System™ is the same as previously cleared devices.

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The Monster BITE Screw System™ possesses the same intended use
and technological characteristics as the predicate devices. Therefore the Conclusion: Monster BITE Screw System™ is substantially equivalent for its intended use.