K Number
K153759
Device Name
SIGN Compression Screw System
Date Cleared
2016-02-25

(57 days)

Product Code
Regulation Number
888.3040
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Indications for the SIGN Compression Screw System include intracapsular femoral neck fractures, with proper soft tissue management.
Device Description
The SIGN Compression Screw System consists of multiple components; self-tapping compression screws, and a set of surgical instruments. Each implant component is made from Stainless Steel, per requirements in ASTM F138. All implants are single use and provided nonsterile.
More Information

Not Found

No
The summary describes a mechanical implant and surgical instruments, with no mention of software, algorithms, or data processing that would indicate AI/ML.

Yes
The device is described as a "SIGN Compression Screw System" used for "intracapsular femoral neck fractures," which are medical conditions that the device is intended to treat or alleviate.

No
Explanation: The device, the SIGN Compression Screw System, is indicated for treating intracapsular femoral neck fractures. It is a system of screws and surgical instruments used for mechanical fixation. It does not perform any diagnostic function; its purpose is therapeutic (repairing a fracture).

No

The device description explicitly states it consists of physical components (screws and surgical instruments) made of Stainless Steel. It also mentions mechanical testing, which is typical for hardware devices. There is no mention of software as a component or its function.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use/Indications for Use: The intended use is for treating intracapsular femoral neck fractures. This is a surgical procedure performed directly on the patient's body.
  • Device Description: The device consists of surgical implants (screws) and instruments used in surgery.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens (like blood, urine, or tissue) in vitro (outside the body) to provide information about a physiological state, health, or disease.

IVDs are used for diagnostic purposes by analyzing samples outside the body. This device is a surgical implant used inside the body for treatment.

N/A

Intended Use / Indications for Use

Indications for the SIGN Compression Screw System include intracapsular femoral neck fractures, with proper soft tissue management.

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

HWC

Device Description

The SIGN Compression Screw System consists of multiple components; self-tapping compression screws, and a set of surgical instruments. Each implant component is made from Stainless Steel, per requirements in ASTM F138. All implants are single use and provided nonsterile.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

femoral neck

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)

Mechanical testing was performed and three performance characteristics were evaluated: Axial stiffness, load to failure, and cyclic fatigue. The results support substantial equivalence and did not raise any issues on the safety or effectiveness of the device.

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.

ASNIS III Cannulated Screw System (K000080), SIGN Hip Construct (SHC) (K083582)

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.

Not Found

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 & Human Services. The logo consists of a circular border with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the edge. Inside the circle is an abstract symbol that resembles a stylized human face or profile.

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

February 25, 2016

SIGN Fracture Care International Mr. Robert Schmitt Regulatory Affairs/Quality Assurance Manager 451 Hills Street, Suite B Richland, Washington 99354

Re: K153759

Trade/Device Name: SIGN Compression 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: December 16, 2015 Received: December 30, 2015

Dear Mr. Schmitt:

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 Parts 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" (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

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Indications for Use

510(k) Number (if known) K153759

Device Name SIGN Compression Screw System

Indications for Use (Describe)

Indications for the SIGN Compression Screw System include intracapsular femoral neck fractures, with proper soft tissue management.

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)

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Image /page/3/Picture/0 description: The image contains the logo for SIGN Fracture Care International. The logo consists of two parts: a stylized figure of a person running in white against a green rectangle on the left, and the word "SIGN" in bold black letters on the right. Below "SIGN" are the words "FRACTURE CARE" in a smaller font size, followed by "INTERNATIONAL" in an even smaller font size.

510(k) Summary

| 510(k) Submitter: | SIGN Fracture Care International
451 Hills Street, Suite B
Richland, WA 99354 |
|----------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------|
| Establishment #: | 3034525 |
| Contact Person: | Robert Schmitt, Regulatory Affairs / Quality Assurance Manager
Phone: 509-371-1107
Fax: 509-371-1316
E-Mail: Bob.Schmitt@signfracturecare.org |
| Date Prepared: | February 8, 2016 |
| Regulatory Class: | Class II |
| Panel: | Orthopedic |
| Trade Name: | SIGN Compression Screw System |
| Common Name: | Orthopedic Bone Screw |
| Classification Name: | 21CFR 888.3040: Smooth or threaded metallic bone fixation fastener |
| Device Product Code: | HWC |

Predicate Device: The SIGN Compression Screw System is similar in design, function, and use to the following fixation devices.

    1. ASNIS III Cannulated Screw System (K000080) Primary Predicate
    1. SIGN Hip Construct (SHC) (K083582)

Device Description

The SIGN Compression Screw System consists of multiple components; self-tapping compression screws, and a set of surgical instruments. Each implant component is made from Stainless Steel, per requirements in ASTM F138. All implants are single use and provided nonsterile.

Intended Use

Indications for the SIGN Compression Screw System include intracapsular femoral neck fractures, with proper soft tissue management.

The Indications for Use statement is not identical to the predicate device; however, the differences do not alter the intended use of the device nor do they affect the safety and

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Image /page/4/Picture/0 description: The image shows the logo for SIGN Fracture Care International. The logo features a green rectangle on the left side with a white figure of a person running. To the right of the rectangle, the word "SIGN" is written in bold, black letters. Below "SIGN" are the words "FRACTURE CARE INTERNATIONAL" in smaller, gray letters.

effectiveness of the device relative to the predicate. Both the subject and predicate devices share the intended use of treating intracapsular femoral neck fractures.

Substantial Equivalence Comparison

The SIGN Compression Screw System is substantially equivalent to the predicate ASNIS III Cannulated Screw System (K000080), in design, performance, functions, and intended use.

The SIGN Hip Construct was included as a predicate because the instruments and implants were cleared under K083582.

Comparison of Technological Characteristics

The predicate and proposed devices have a similar intended use and basic fundamental scientific technology and share the following similarities.

  • Similar indications for use
  • Similar design features
  • Incorporate the same or similar materials
  • . Equivalent mechanical performance, based on intended use

The proposed SIGN Compression Screw System has an intended use largely similar to the predicate ASNIS III Cannulated Screw System (K000080). The technical features of the proposed device prompted non-clinical performance testing to ensure substantial equivalence.

Performance Data (non-clinical)

Mechanical testing was performed and three performance characteristics were evaluated:

Axial stiffness, load to failure, and cyclic fatigue. The results support substantial equivalence and did not raise any issues on the safety or effectiveness of the device.

Conclusion

The testing data and design information provided in this submission indicate that the proposed device is substantially equivalent, and performs as well or better than the predicates. This supports the conclusion that the SIGN Compression Screw is substantially equivalent to its predicate device.