K Number
K162179
Device Name
osteo-WEDGE II ® Open Wedge Bone Locking Plate System
Date Cleared
2017-01-10

(159 days)

Product Code
Regulation Number
888.3030
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The osteo-WEDGE II ® Open Wedge Bone Locking Plate System is used for adult and transitional adolescent (18 to 21 years old) patients for the purpose of stabilization of angular deviations within an individual bone or in between two adjacent bones in the foot, such as opening wedge osteotomy for first metatarsal cuneiform joint deviations.
Device Description
The osteo-WEDGE II® Open Wedge Bone Locking Plate System consists of plates and screws and incorporates a screw-to-plate locking mechanism. The plate is attached to a prepared surface of the involved bone(s) of the foot using six (6) screws for fixation. The fully threaded screws are available in 2 diameters, with numerous lengths and previously cleared under K111326.
More Information

No
The device description and performance studies focus on mechanical properties and surgical fixation, with no mention of AI/ML or related concepts like image processing, training/test sets, or performance metrics typically associated with AI/ML algorithms.

Yes
The device is used for stabilization of angular deviations within bones in the foot, which is a therapeutic purpose.

No

This device is a bone plating system used for stabilization of angular deviations in bones, not for diagnosing conditions.

No

The device description explicitly states it consists of "plates and screws" and is a "Bone Locking Plate System," indicating it is a physical hardware device.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to examine specimens taken from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening.
  • Device Description: The osteo-WEDGE II® Open Wedge Bone Locking Plate System is a physical implant (plates and screws) used for the surgical stabilization of bones in the foot. It is used in the body, not to test samples from the body.
  • Intended Use: The intended use is for surgical stabilization of bone deviations, not for analyzing biological samples.

Therefore, based on the provided information, the osteo-WEDGE II® Open Wedge Bone Locking Plate System is a surgical implant, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The osteo-WEDGE II ® Open Wedge Bone Locking Plate System is used for adult and transitional adolescent (18 to 21 years old) patients for the purpose of stabilization of angular deviations within an individual bone or in between two adjacent bones in the foot, such as opening wedge osteotomy for first metatarsal cuneiform joint deviations.

Product codes

HRS

Device Description

The osteo-WEDGE II® Open Wedge Bone Locking Plate System consists of plates and screws and incorporates a screw-to-plate locking mechanism. The plate is attached to a prepared surface of the involved bone(s) of the foot using six (6) screws for fixation. The fully threaded screws are available in 2 diameters, with numerous lengths and previously cleared under K111326.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

foot

Indicated Patient Age Range

adult and transitional adolescent (18 to 21 years old)

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

Non-clinical testing was performed to demonstrate the change of the plate geometry is substantially equivalent to other predicate devices. The following tests were performed:
● Static and dynamic four-point bending testing per ASTM F382-99(2008)

Key Metrics

Not Found

Predicate Device(s)

K111326, K061808

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 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 a caduceus, a symbol often associated with healthcare, featuring a staff with a serpent entwined around it.

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

Graham Medical Technologies, L.L.C. dba GraMedica January 10, 2017 % Linda Braddon President/CEO Secure Biomed Evaluations 7828 Hickory Flat Highway Suite 120 Woodstock, Georgia 30188

Re: K162179 Trade/Device Name: Osteowedge II Open Wedge Bone Locking Plate 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 Dated: December 2, 2016 Received: December 5, 2016

Dear Ms. Braddon:

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

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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,

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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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: January 31, 2017 See PRA Statement on last page.

510(k) Number (if known) K162179

Device Name

OsteoWedge™ II Open Wedge Bone Locking Plate System

Indications for Use (Describe)

The osteo-WEDGE II ® Open Wedge Bone Locking Plate System is used for adult and transitional adolescent (18 to 21 years old) patients for the purpose of stabilization of angular deviations within an individual bone or in between two adjacent bones in the foot, such as opening wedge osteotomy for first metatarsal cuneiform joint deviations.

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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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 Drug 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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In accordance with 21 CFR 807.87 (h) and 21 CFR 807.92, the 510(k) summary for the GraMedica osteo-WEDGE® Opening Wedge Bone Locking Plate System is provided below.

Date Summary PreparedAugust 3, 2016
SponsorGraMedica
16137 Leone Drive
Macomb, MI 48042
586-677-9600 (office)
586-677-9615 (fax)
ARecchia@GraMedica.com (email)
510(k) ContactSecure BioMed Evaluations
Linda Braddon, Ph.D.
7828 Hickory Flat Highway
Suite 120
Woodstock, GA 30188
770-837-2681 (direct)
855-MED-DEV1 (office)
LGB@SecureBME.com
Trade Nameosteo-WEDGE II® Open Wedge Bone Locking Plate System
Common NamePlate, Fixation, Bone
Code -ClassificationHRS 21 CFR 888.3030 : Class II
Predicate DevicesK111326 Graham Medical Technologies LLC (dba GraMedica) osteo-WEDGE® Opening
Wedge Bone Locking Plate System
Additional Predicate
DevicesK061808 DARCO Locking Bone Plate System
Device DescriptionThe osteo-WEDGE II® Open Wedge Bone Locking Plate System consists of plates
and screws and incorporates a screw-to-plate locking mechanism. The plate is
attached to a prepared surface of the involved bone(s) of the foot using six (6)
screws for fixation. The fully threaded screws are available in 2 diameters, with
numerous lengths and previously cleared under K111326.
Intended UseThe osteo-WEDGE II® Open Wedge Bone Locking Plate System is used for adult and
transitional adolescent (18 to 21 years old) patients for the purpose of stabilization
and/or correction of angular deviations within an individual bone or in between
two adjacent bones in the foot, such as opening wedge osteotomy for first
metatarsal cuneiform joint deviations.
TechnologicalThe osteo-WEDGE II® Open Wedge Bone Locking Plate System is of similar sizes,
Characteristicsmaterial choices and configurations as compared to the predicate.
Non-Clinical
Performance Testing
ConclusionNon-clinical testing was performed to demonstrate the change of the plate
geometry is substantially equivalent to other predicate devices. The following
tests were performed:
● Static and dynamic four-point bending testing per ASTM F382-99(2008)
Substantial Equivalence
Summary (Conclusion)Based on the indications for use, technological characteristics, and comparison to
predicate devices, the osteo-WEDGE II® Open Wedge Bone Locking Plate System is
shown to be substantially equivalent to legally marketed predicate devices.