K Number
K161371
Device Name
Sonoma Fifth Metatarsal Repair System
Date Cleared
2017-02-24

(283 days)

Product Code
Regulation Number
888.3020
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Sonoma Fifth Metatarsal Repair System is intended for use in the fixation of fractures of the fifth metatarsal, including Jones, avulsion and shaft fractures.
Device Description
The Sonoma Fifth Metatarsal Repair System is intended for use in the fixation of fractures and osteotomies of the fifth metatarsal, including Jones, avulsion, and shaft fractures. The Fifth Metatarsal Repair System includes the Sonoma Fifth Metatarsal Nail, End Caps and related instruments. Sonoma's Fifth Metatarsal Nail differs from traditional nails or rods as it utilizes Sonoma's ActivLoc® fixation gripper system at the distal end of the rod to supplement distal fixation without the use of screws, threads or K-wires. The implants are composed of 316 stainless steel per ASTM F138.
More Information

Not Found

No
The description focuses on mechanical fixation and material properties, with no mention of AI/ML terms or functionalities.

Yes.
The device is used for the fixation of bone fractures, which is a therapeutic intervention.

No
The device description states its intended use is for "fixation of fractures and osteotomies of the fifth metatarsal," which is a treatment function, not a diagnostic one.

No

The device description explicitly states that the system includes a nail, end caps, and related instruments, which are physical hardware components.

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

Here's why:

  • Intended Use: The intended use is for the "fixation of fractures of the fifth metatarsal." This is a surgical procedure performed on the body, not a test performed on a sample taken from the body.
  • Device Description: The device is described as a "Fifth Metatarsal Nail, End Caps and related instruments." These are implants and surgical tools, not reagents or instruments used to analyze biological samples.
  • Lack of IVD Characteristics: The document does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring substances in biological samples
    • Providing information for diagnosis, monitoring, or screening of diseases or conditions

This device is clearly a surgical implant system used for orthopedic repair.

N/A

Intended Use / Indications for Use

The Sonoma Fifth Metatarsal Repair System is intended for use in the fixation of fractures of the fifth metatarsal, including Jones, avulsion and shaft fractures.

Product codes

HSB

Device Description

The Sonoma Fifth Metatarsal Repair System is intended for use in the fixation of fractures and osteotomies of the fifth metatarsal, including Jones, avulsion, and shaft fractures. The Fifth Metatarsal Repair System includes the Sonoma Fifth Metatarsal Nail, End Caps and related instruments. Sonoma's Fifth Metatarsal Nail differs from traditional nails or rods as it utilizes Sonoma's ActivLoc® fixation gripper system at the distal end of the rod to supplement distal fixation without the use of screws, threads or K-wires. The implants are composed of 316 stainless steel per ASTM F138.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

fifth metatarsal

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

Engineering analysis and mechanical testing in a clinically relevant fracture model confirmed that the subject rods are equivalent to the predicate device in cyclic and static fatigue testing. Additional testing was performed demonstrating adequate fixation both during insertion and over time. The Sonoma Fifth Metatarsal Repair System meets the pyrogen limit specifications.

Key Metrics

Not Found

Predicate Device(s)

K032548

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 888.3020 Intramedullary fixation rod.

(a)
Identification. An intramedullary fixation rod is a device intended to be implanted that consists of a rod made of alloys such as cobalt-chromium-molybdenum and stainless steel. It is inserted into the medullary (bone marrow) canal of long bones for the fixation of fractures.(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" arranged around the perimeter. Inside the circle is a stylized image of three human profiles facing right, with flowing lines beneath them that resemble water or fabric.

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

February 24, 2017

Sonoma Orthopedic Products, Inc. % Dawn Norman Executive Vice President MRC-X, LLC 6075 Poplar Avenue Suite 500 Memphis, Tennessee 38119

Re: K161371

Trade/Device Name: Sonoma Fifth Metatarsal Repair System Regulation Number: 21 CFR 888.3020 Regulation Name: Intramedullary fixation rod Regulatory Class: Class II Product Code: HSB Dated: January 26, 2017 Received: January 27, 2017

Dear Ms. Norman:

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,

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) K161371

Device Name

Sonoma Fifth Metatarsal Repair System

Indications for Use (Describe)

The Sonoma Fifth Metatarsal Repair System is intended for use in the fixation of fractures of the fifth metatarsal, including Jones, avulsion and shaft fractures.

Type of Use (Select one or both, as applicable)
-------------------------------------------------

X Prescription Use (Part 21 CFR 801 Subpart D)

| Over-The-Counter Use (21 CFR 801 Subpart C)

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K161371

510(k) Summary

Sonoma Fifth Metatarsal Repair System February 24, 2017

| Company: | Sonoma Orthopedics Products, Inc.
1388 Busch Parkway
Buffalo Grove, IL 60089
Phone: 707-526-1335
Fax: 707-526-2022 | |
|-----------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------|--|
| Establishment Registration: | 3007038372 | |
| Primary Contact: | Dawn Norman, MS
Exec. Vice President
MRC-X, LLC
6075 Poplar Avenue, Suite 500
Memphis, TN, 38119, USA
Phone: 618-604-3064
Fax: 707-526-2022 | |
| Company/Secondary Contact: | Kyle Lappin
Sonoma Orthopedics Products, Inc.
1388 Busch Parkway
Buffalo Grove, IL 60089
Phone: 707-526-1335
Fax: 707-526-2022 | |
| Trade Name: | Sonoma Fifth Metatarsal Repair System | |
| Common Name: | Rod, Fixation, Intramedullary and Accessories | |
| Classification: | Class II | |
| Classification Name: | Intramedullary fixation rod | |

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Panel:87 - Orthopedic
Product Code:HSB
Predicate Device:K032548 IP-XS Compression Nail
Device Description:The Sonoma Fifth Metatarsal Repair System is intended for use in the fixation of fractures and osteotomies of the fifth metatarsal, including Jones, avulsion, and shaft fractures. The Fifth Metatarsal Repair System includes the Sonoma Fifth Metatarsal Nail, End Caps and related instruments. Sonoma's Fifth Metatarsal Nail differs from traditional nails or rods as it utilizes Sonoma's ActivLoc® fixation gripper system at the distal end of the rod to supplement distal fixation without the use of screws, threads or K-wires. The implants are composed of 316 stainless steel per ASTM F138.
Indications for Use:The Sonoma Fifth Metatarsal Repair System is intended for use in the fixation of fractures and osteotomies of the fifth metatarsal, including Jones, avulsion and shaft fractures.
Substantial Equivalence:The intended use of the subject device is substantially equivalent to the predicate device. The indications for use for the subject
  • device are limited to the fifth metatarsal as opposed to additional anatomic locations indicated for the predicate device. The material of the subject device is the same as the IP-XS Nails (K032548). The dimensions of the subject device are within the range of the predicate device. The subject device utilizes a compressive end cap similar to the predicate IP-XS nail. Thus, the subject device is substantially equivalent to the predicate device.
  • Performance Testing: Engineering analysis and mechanical testing in a clinically relevant fracture model confirmed that the subject rods are equivalent to the predicate device in cyclic and static fatigue testing. Additional testing was performed demonstrating adequate fixation both during insertion and over time. The Sonoma Fifth Metatarsal Repair System meets the pyrogen limit specifications.