(151 days)
LOQTEQ® VA Distal Medial Tibia Plate 3.5:
Fixation of complex intra- and extra-articular fractures of the distal tibia; osteotomies of the distal tibia
LOQTEQ® VA Distal Anterolateral Tibia Plate 3.5:
Fractures, osteotomies, and non-unions of the distal tibia, especially in osteopenic bone
LOQTEQ® VA Distal Fibula Plate 2.7/3.5:
Fractures, osteotomies, and non-unions of the distal fibula, especially in osteopenic bone
The aap LOQTEQ® VA Distal Tibia Plate System consists of bone plates and bone screws, to be implanted by a surgeon in order to achieve an internal fixation of bone fragments typically after fractures, osteotomies or non-unions.
The system includes anatomically preformed and angle-stable small fragment plates, which are available as right and left versions as well as in different lengths. The geometrical shape of those plates is based on the anatomy and biomechanical stress of the distal tibia/distal fibula. A flat plate design, smooth transition of cross sections, chamfers and roundings preserve soft tissue irritation. The tapered tip of those shafts enable a minimal invasive surgery. For a minimization of the contact between bone (tibia) and plate, all holes of the shaft zone are tunneled and the bottom of the plates is structured.
All plate holes, with exception of the oblong hole, are compatible with unidirectional locking screws as well as cortical screws. The use of locking screws is state of the art and particularly important in osteoporotic bones or for stabilizing comminuted fractures. The elongated hole can be used to adjust the height as well as the initial fixation of the plate. The use as a conventional bone plate and screw osteosynthesis is also possible with standard cortical screws.
The System incorporates:
• LOQTEQ® VA Distal Anterolateral Tibia Plate 3.5, right/left
• LOQTEQ® VA Distal Medial Tibia Plate 3.5, right/left
• LOQTEQ® VA Distal Fibula Plate 2.7/3.5, right/left
• LOQTEQ® Cortical Screw 3.5, small head, T15, self-tapping
• Cortical Screw 2.5, small head, T8, self-tapping
• LOQTEQ® Cortical Screw 2.7, small head, T8, self-tapping
• Cortical Screw 3.5, T15, self-tapping
• LOQTEQ® Cortical Screw 3.5, T15, self-tapping
• LOQTEQ® Cortical Screw 3.5, small head, T15, self-tapping
The provided text is a 510(k) summary for the LOQTEQ® VA Distal Tibia Plate System, indicating that no acceptance criteria in the traditional sense of AI/algorithm performance are relevant here. This document is for a medical device (bone plates and screws) that is a physical implant, not an AI or software device.
Therefore, many of the requested categories in the prompt (e.g., sample size for test set, data provenance, number of experts, adjudication method, MRMC study, standalone performance, training set sample size, ground truth for training set) are not applicable to this type of device and submission.
However, I can extract and structure the information related to the device's performance and safety as described in the 510(k) summary.
Acceptance Criteria and Device Performance for LOQTEQ® VA Distal Tibia Plate System
The submission asserts "substantial equivalence" to predicate devices, meaning the new device is as safe and effective as legally marketed devices. The "acceptance criteria" here relate to meeting or exceeding the mechanical performance and biocompatibility standards demonstrated by the predicate devices.
1. Table of Acceptance Criteria and Reported Device Performance
| Acceptance Criteria Category | Description/Standard | Reported Device Performance (LOQTEQ® VA Distal Tibia Plate System) |
|---|---|---|
| Mechanical Performance | As good as or better than predicate devices | Success: Successfully passed tests, mechanically as good as or better than predicate devices. |
| Material Biocompatibility | Compliant with relevant standards (e.g., ISO 10993) | Success: Biocompatibility affirmed. |
| Functional Equivalence | Identical functionality to predicate devices | Success: Functionality is identical. |
| Indication for Use Statement Equivalence | Identical indications for use to predicate devices | Success: Indication for use statement is identical. |
| Components, Materials, Dimensions | Comparable to predicate devices | Success: Components, Materials, Dimensions of components are comparable. |
2. Sample Size Used for the Test Set and Data Provenance
- Test Set Sample Size: Not applicable. For physical medical devices, "test sets" typically refer to samples of the device undergoing mechanical and biocompatibility testing, not patient data sets. The documents refer to mechanical testing samples (e.g., plates and screws). The exact number of samples tested for each mechanical test is not specified in this summary but would be detailed in the full test reports.
- Data Provenance: Not applicable in the context of patient data. The tests are non-clinical, conducted in a laboratory setting.
3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications
- Not applicable. "Ground truth" in this context would refer to objective measurements from validated mechanical tests and material characterization, not expert clinical interpretations.
4. Adjudication Method for the Test Set
- Not applicable. This concept applies primarily to studies involving human interpretation or clinical outcomes, not to mechanical performance testing of a physical device.
5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done
- No, an MRMC comparative effectiveness study was not done. This type of study is relevant for AI or diagnostic imaging devices where human readers interpret cases. This device is a physical implant. The submission states, "Clinical data and conclusions were not needed for this device."
6. If a Standalone (i.e. algorithm only without human-in-the-loop performance) was done
- Not applicable. This device does not involve an algorithm or AI.
7. The Type of Ground Truth Used
- Mechanical Testing Results and Biocompatibility Assessment: The ground truth is established through objective, standardized mechanical tests (e.g., ASTM F 382-14) and material biocompatibility assessments, which measure physical properties and interactions to ensure safety and performance.
8. The Sample Size for the Training Set
- Not applicable. This device does not use a "training set" as it is not an AI or machine learning device.
9. How the Ground Truth for the Training Set was Established
- Not applicable. This device does not have a "training set."
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Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
November 22, 2016
aap Implantate AG Reni Schaller Manager Regulatory Affairs Lorenzweg 5 Berlin, D-12099 Germany
Re: K161747
Trade/Device Name: LOQTEQ® VA Distal Tibia Plate System: LOQTEQ® VA Distal Medial Tibia Plate 3.5: LOOTEO® VA Distal Anterolateral Tibia Plate 3.5; LOQTEQ® VA Distal Fibula Plate 2.7/3.5 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: October 17, 2016 Received: October 18, 2016
Dear Reni Schaller:
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
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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 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.
Image /page/1/Picture/8 description: The image shows the name "Mark N. Melkerson -S" in a simple, sans-serif font. The text is black against a white background. The letters are evenly spaced and of uniform size, creating a clean and legible appearance.
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) K161747
Device Name
LOQTEQ® VA Distal Tibia Plate System LOQTEQ® VA Distal Medial Tibia Plate 3.5; LOQTEQ® VA Distal Anterolateral Tibia Plate 3.5; LOQTEQ® VA Distal Fibula Plate 2.7/3.5
Indications for Use (Describe)
LOQTEQ® VA Distal Medial Tibia Plate 3.5
· Fixation of complex intra- and extra-articular fractures of the distal tibia; osteotomies of the distal tibia
LOQTEQ® VA Distal Anterolateral Tibia Plate 3.5
· fractures, osteotomies, and non-unions of the distal tibia, especially in osteopenic bone
LOQTEQ® VA Distal Fibula Plate 2.7/3.5
· fractures, osteotomies, and non-unions of the distal fibula, especially in osteopenic bone
X Prescription Use (Part 21 CFR 801 Subpart D)
| Over-The-Counter Use (21 CFR 801 Subpart C)
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510(k) Traditional Premarket Notification K161747
aap LOQTEQ® VA Distal Tibia Plate System
Section 5 510(k) Summary
- 510(k) Summary
(as required by section 807.92)
| (1) | |
|---|---|
| Sponsor: | aap Implantate AGLorenzweg 5D-12099 Berlin, Germany |
| Company Contact: | Reni SchallerEmail: r.schaller@aap.dePhone:+49-30-750-19 - 193Fax: +49-30-750-19 – 111 |
| Date(2) | November/08/2016 |
| Trade Name: | LOQTEQ® VA Distal Tibia Plate System |
| LOQTEQ® VA Distal Anterolateral Tibia Plate 3.5 LOQTEQ® VA Distal Medial Tibia Plate 3.5 LOQTEQ® VA Distal Fibula Plate 2.7/3.5 | |
| Common Name: | Distal Tibia / Fibula Plates and Screws |
| Classification Nameand Reference: | 21 CFR 888.3030: Single/multiple component metallic bone fixationappliances and accessories - Class II21 CFR 888.3040: Smooth or threaded metallic bone fixation fastener –Class II |
| Device Product Code andPanel Code: | Orthopedics/87/HRSOrthopedics/87/HWC |
| (3) | |
| Predicate devices | aap LOQTEQ 1/3 Tubular Plate 3.5 under the premarket notificationK113652 |
| Synthes (USA): LCP Distal Tibia Plates under the premarket notificationK013248 | |
| Synthes (USA): 2.7 mm/3.5 mm LCP Anterolateral Distal Tibia Platesunder the premarket notification K092812 | |
| (4) | |
| Device Description: | The aap LOQTEQ® VA Distal Tibia Plate System consists of bone platesand bone screws, to be implanted by a surgeon in order to achieve aninternal fixation of bone fragments typically after fractures,osteotomies or non-unions.The system includes anatomically preformed and angle-stable smallfragment plates, which are available as right and left versions as well asin different lengths. The geometrical shape of those plates is based onthe anatomy and biomechanical stress of the distal tibia/distal fibula. Aflat plate design, smooth transition of cross sections, chamfers and |
| roundings preserve soft tissue irritation. The tapered tip of those shaftsenable a minimal invasive surgery. For a minimization of the contactbetween bone (tibia) and plate, all holes of the shaft zone are tunneledand the bottom of the plates is structured.All plate holes, with exception of the oblong hole, are compatible withunidirectional locking screws as well as cortical screws. The use oflocking screws is state of the art and particularly important inosteoporotic bones or for stabilizing comminuted fractures. The | |
| elongated hole can be used to adjust the height as well as the initialfixation of the plate. The use as a conventional bone plate and screwosteosynthesis is also possible with standard cortical screws.The System incorporates: | |
| • LOQTEQ® VA Distal Anterolateral Tibia Plate 3.5, right/left• LOQTEQ® VA Distal Medial Tibia Plate 3.5, right/left• LOQTEQ® VA Distal Fibula Plate 2.7/3.5, right/left• LOQTEQ® Cortical Screw 3.5, small head, T15, self-tapping• Cortical Screw 2.5, small head, T8, self-tapping• LOQTEQ® Cortical Screw 2.7, small head, T8, self-tapping• Cortical Screw 3.5, T15, self-tapping• LOQTEQ® Cortical Screw 3.5, T15, self-tapping• LOQTEQ® Cortical Screw 3.5, small head, T15, self-tapping | |
| Material: | All Implants are made of: Ti6Al4V (ASTM F136 or ISO 5832-3) |
| Surface: | The surface of the plates is generated by an automatic slide finishing,the so-called "KeramoFinish". Those surfaces correspond to polishedsurfaces. The surface of the LOQTEQ® Cortical Screws 3.5 are slightlypolished and anodised. The surface of the Cortical Screws 3.5 andCancellous Screws 4.0 are fine blasted and anodised as well. |
| (5) | |
| Indications: | LOQTEQ® VA Distal Medial Tibia Plate 3.5:Fixation of complex intra- and extra-articular fractures of the distaltibia; osteotomies of the distal tibia |
| LOQTEQ® VA Distal Anterolateral Tibia Plate 3.5:Fractures, osteotomies, and non-unions of the distal tibia, especially inosteopenic bone | |
| LOQTEQ® VA Distal Fibula Plate 2.7/3.5:Fractures, osteotomies, and non-unions of the distal fibula, especially inosteopenic bone | |
| (6a) | The LOQTEQ® VA Tibia Plate System and the legally marketed |
| TechnologicalcharacteristicsComparison | predicated devices have similar indications, dimensions, geometry andmaterials.The LOQTEQ® VA Tibia Plate System is technologically substantially |
| equivalent to the predicate devices according to the Decision-MakingProcess for 510(k)s: | |
| 1. Predicate device is legally marketed2. The devices have the identical intended use | |
| 3. The devices have the similar technological characteristicsAll characteristics which are known and are relevant for the safety forboth devices are described and assessed mainly:1. Indication for use statement: identical2. Functionality: identical | |
| 3. Components, Materials, Dimensions of components: comparable4. Mechanical properties (ensured by benchmark tests) at leastcomparable | |
| Documentation including mechanical testing to show the substantialequivalence has been provided with this submission. |
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510(k) Traditional Premarket Notification K161747 aap LOQTEQ® VA Distal Tibia Plate System Section 5 510(k) Summary
(6b) Non-clinical tests have been performed and show the substantial Performance Data (Non-Clinical and/or equivalence of the device. Clinical): Clinical data and conclusions were not needed for this device. Summary of Non-clinical tests: Type of tests: "Mechanical Safety of aap Implantate AG – LOQTEQ" VA Distal Fibula Plate 2.7/3.5, Static and Dynamic 4-point-bending test of bone plates according to ASTM F 382-14" "Mechanical Safety of aap Implantate AG – LOQTEQ" VA Distal Anterolateral Tibia Plate 3.5 system, implant fatigue test with instable fracture gap model and progressive loadings" "Mechanical Safety of aap Implantate AG – LOQTEQ" VA Distal Medial Tibia Plate 3.5 system, implant fatigue test with instable fracture gap model and progressive loadings" "Biocompatibility of Implants and Instruments of aap LOQTEQ" VA Tibia Plate System" Assessment of test results: Substantial equivalence with respect to the mechanical performance of the aap system could be stated due to the test results gained. The implants have successfully passed the tests and have hereby been proven to be mechanically as good as or better than the predicate devices. Clinical Data were not needed for these devices to show substantial equivalence.
The LOQTEQ® VA Distal Tibia Plate System has passed all defined criteria, has performed as well or better than the predicate device and are therefore considered substantially equivalent to the cleared predicate device.
§ 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.