K Number
K181504
Device Name
Stryker Pediatric Mandibular Distractor 2
Manufacturer
Date Cleared
2018-09-11

(96 days)

Product Code
Regulation Number
872.4760
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Stryker Pediatric Mandibular Distractor 2 is intended to be used for bone stabilization and lengthening of the mandibular body and ramus. The Stryker Pediatric Mandibular Distractor 2 is indicated to correct congenital or post traumatic defects in the body and ramus of the mandible of neonates and children up to 4 years old.
Device Description
The Stryker Pediatric Mandibular Distractor 2 (PMD 2) system is a distraction system consisting of the following major components: distractor with integrated footplates, integrated anti-reverse feature, removable activation rod, deactivation instrument, and a small activation handle/activation key. The distractor initially stabilizes and then gradually distracts the bone segments separated by osteotomy. The removable activation rod is connected to the distractor and provides the point of attachment for the external small activation handle/activation key used to initiate the distraction of the bone segments. The anti-reverse feature is deactivated with the corresponding deactivation instrument. The Stryker Pediatric Mandibular Distractor 2 (subject device) includes the distractor body. integrated footplates, a sliding footplate, integrated anti-reverse feature, and the activation joint (to attach the activation rod). It is available in eight variants with two different distraction lengths (20 and 30 mm) and right or left footplate configuration with footplate sizes having either a 2X2 or 3X3 hole pattern.
More Information

Not Found

No
The summary describes a mechanical device for bone distraction and does not mention any software, algorithms, or data processing that would indicate the use of AI/ML.

Yes
This device is a therapeutic device because its intended use is for bone stabilization and lengthening, and it is designed to correct congenital or post-traumatic defects in the mandible, which are all therapeutic actions.

No

The device is a surgical implant designed for bone stabilization and lengthening, not for diagnosing medical conditions. It performs a therapeutic function by gradually distracting bone segments.

No

The device description clearly outlines physical components like a distractor with integrated footplates, activation rod, and deactivation instrument, indicating it is a hardware device.

Based on the provided information, the Stryker Pediatric Mandibular Distractor 2 is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use is for "bone stabilization and lengthening of the mandibular body and ramus" to correct defects. This is a surgical procedure performed directly on the patient's body.
  • Device Description: The device is a mechanical system designed to be implanted and physically manipulate bone segments.
  • Lack of IVD Characteristics: IVD devices are used to examine specimens (like blood, urine, or tissue) outside the body to provide information for diagnosis, monitoring, or screening. This device does not interact with biological specimens in this way.

The device is clearly a surgical implant used for a therapeutic purpose within the patient's body, which falls outside the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Stryker Pediatric Mandibular Distractor 2 is intended to be used for bone stabilization and lengthening of the mandibular body and ramus. The Stryker Pediatric Mandibular Distractor 2 is indicated to correct congenital or post traumatic defects in the body and ramus of the mandible of neonates and children up to 4 years old.

Product codes

MQN

Device Description

The Stryker Pediatric Mandibular Distractor 2 (PMD 2) system is a distraction system consisting of the following major components: distractor with integrated footplates, integrated anti-reverse feature, removable activation rod, deactivation instrument, and a small activation handle/activation key. The distractor initially stabilizes and then gradually distracts the bone segments separated by osteotomy. The removable activation rod is connected to the distractor and provides the point of attachment for the external small activation handle/activation key used to initiate the distraction of the bone segments. The anti-reverse feature is deactivated with the corresponding deactivation instrument.

The Stryker Pediatric Mandibular Distractor 2 (subject device) includes the distractor body. integrated footplates, a sliding footplate, integrated anti-reverse feature, and the activation joint (to attach the activation rod). It is available in eight variants with two different distraction lengths (20 and 30 mm) and right or left footplate configuration with footplate sizes having either a 2X2 or 3X3 hole pattern.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Mandibular body and ramus

Indicated Patient Age Range

neonates and children up to 4 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 (study type, sample size, AUC, MRMC, standalone performance, key results)

The Stryker Pediatric Mandibular Distractor 2 was subjected to non-clinical testing including verification and validation testing of biocompatibility, manufacturing cleaning, gamma sterilization, corrosion resistance, dynamic compression-tensile force, distraction force, antireverse feature functionality and torque to failure, blood influence, design validation - end user test, and shelf life (aging and packaging). The system passed all tests.

Biocompatibility evaluation was conducted in accordance with the FDA Guidance "Use of International Standard ISO 10993-1, 'Biological evaluation of medical devices - Part 1 Evaluation and testing within a risk management process'", issued June 16, 2016, and International Standard ISO 10993-1. Tests supported the biocompatibility of the device, including cytotoxicity testing (DIN EN 10993-5:2009) and corrosion testing (internal instruction DQI 30-022).

Performance Bench Testing:

  • Cytotoxicity: Verify biocompatibility in regards to cytotoxicity through in vitro indirect extract tests per ISO-10993-5 and ISO 10993-12. Results: Acceptance criterion were met; tests were passed.
  • GC/MS Fingerprint: Verify biocompatibility in regards to GC/Fingerprint through in vitro indirect extract tests per ISO-10993-18 and ISO 10993-12. Results: Acceptance criterion were met; tests were passed.
  • Corrosion: Verify corrosion behavior of implant and instruments. Results: Corrosion resistance was proven; tests were passed.
  • Dynamic Compression and Tensile Force: Verify that unintended movement of the sliding footplate is properly prevented with an activated "anti-reverse" mechanism. Results: Acceptance criterion were met; tests were passed.
  • Distraction Force: Verify the distraction force and the ability of small activation handle to transmit sufficient torque. Results: Acceptance criterion were met; tests were passed.
  • Anti-Reverse Mechanism Functionality: Verify that activation and deactivation of the anti-reverse feature is possible within shelf life. Results: Acceptance criterion were met; tests were passed.
  • Torque to Failure of Anti-Reverse Mechanism: Verify that the torque to failure is high enough that the resistance caused by turning against the activated anti-reverse mechanism is recognizable by the user before breakage. Results: Acceptance criterion were met; tests were passed.
  • Deactivation Instrument Lifetime Usage: Verify that deactivation of "anti-reverse" feature is always possible with the deactivation instrument within its lifetime usage. Results: Acceptance criterion were met; tests were passed.
  • Effect of Blood Contact on Anti-Reverse Mechanism Functionality: Verify that the functionality of the anti-reverse feature is given after contact with blood. Results: Acceptance criterion were met; tests were passed.
  • End User Validation: Validate that the end user needs of the PMD 2 system are fulfilled. Results: Acceptance criterion were met; tests were passed.

Shelf Life Testing:

  • Aging: Verify that the device, including the anti-reverse feature, maintains properties and characteristics within shelf life. Results: Acceptance criterion were met; tests were passed.
  • Sterile Packaging: Simulation of handling and transportation from Stryker's stock to end customer and investigation of the integrity of the packaging system, following ISO 11607-1 and ASTM D4169. Results: Acceptance criterion were met; tests were passed.

Sterilization:

  • Gamma Sterilization Validation: VDmax25 Method for substantiation of 25 kGy as sterilization dose according to ISO 11137-1, -2 and -3 for multiple production batches for verifying compliance with EN 556 to achieve a SAL 10-6. Microbiological Testing Methods to verify the suitability of the microbiological test methods used for the bioburden determination and sterility testing for the subsequently planned verification experiment to validate gamma sterilization in accordance to ISO 11737-1 and -2. Results: Method Validated.

Overall, the results of the performance bench tests support the substantial equivalence of the subject device. Animal testing and clinical testing were not required as a basis for substantial equivalence.

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

Not Found

Predicate Device(s)

K133398

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.4760 Bone plate.

(a)
Identification. A bone plate is a metal device intended to stabilize fractured bone structures in the oral cavity. The bone segments are attached to the plate with screws to prevent movement of the segments.(b)
Classification. Class II.

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Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

September 11, 2018

Stryker Gregory Gohl Sr. Regulatory Affairs Specialist 750 Trade Centre Way - Suite 200 Portage, Michigan 49002

Re: K181504

Trade/Device Name: Stryker Pediatric Mandibular Distractor 2 Regulation Number: 21 CFR 872.4760 Regulation Name: Bone Plate Regulatory Class: Class II Product Code: MON Dated: August 9, 2018 Received: August 13, 2018

Dear Gregory Gohl:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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

1

801); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/CombinationProducts/GuidanceRegulatoryInformation/ucm597488.htm); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4. Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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 comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely.

Mary S. Runner -S

For Tina Kiang, Ph.D. Acting Director Division of Anesthesiology. General Hospital, Respiratory, Infection Control, and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known)

K181504

Device Name Stryker Pediatric Mandibular Distractor 2

Indications for Use (Describe)

The Stryker Pediatric Mandibular Distractor 2 is intended to be used for bone stabilization and lengthening of the mandibular body and ramus. The Stryker Pediatric Mandibular Distractor 2 is indicated to correct congenital or post traumatic defects in the body and ramus of the mandible of neonates and children up to 4 years old.

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

2 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/1 description: The image shows the word "stryker" in a bold, sans-serif font. The letters are all lowercase, and the word is slightly angled upwards from left to right. A small registered trademark symbol is located to the upper right of the letter 'r'.

Section 5. 510(k) Summary

This section provides a summary of 510(k) information in accordance with the requirements of 21 CFR 807.92.

  • SUBMITTER [§807.92(a)(1)] I.

| 510(k) Owner: | Stryker Leibinger GmbH & Co. KG
Boetzinger Strasse 41
79111 Freiburg, Germany |
|-------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Submitter/ Contact
Person: | Gregory Gohl
Sr. Regulatory Affairs Specialist
Stryker Craniomaxillofacial
750 Trade Centre Way
Portage, MI 49002
Phone: 269-389-4319
Fax: 877-648-7114 |

Date Prepared: August 9, 2018

II. DEVICE [§807.92(a)(2)]

Trade/Device Name:Stryker Pediatric Mandibular Distractor 2
Abbreviated Name:PMD 2
Classification Name:"Bone plate" per 21 CFR 872.4760
Common or Usual
Name:External Mandibular Fixator and/or Distractor
Regulatory Class:Class II
Product Code:MQN
Regulation Medical
Specialty and
Review PanelDental

4

PREDICATE DEVICE [§807.92(a)(3)] III.

Stryker Pediatric Mandible Distractor - K133398

IV. DEVICE DESCRIPTION [§807.92(a)(4)]

The Stryker Pediatric Mandibular Distractor 2 (PMD 2) system is a distraction system consisting of the following major components: distractor with integrated footplates, integrated anti-reverse feature, removable activation rod, deactivation instrument, and a small activation handle/activation key. The distractor initially stabilizes and then gradually distracts the bone segments separated by osteotomy. The removable activation rod is connected to the distractor and provides the point of attachment for the external small activation handle/activation key used to initiate the distraction of the bone segments. The anti-reverse feature is deactivated with the corresponding deactivation instrument.

The Stryker Pediatric Mandibular Distractor 2 (subject device) includes the distractor body. integrated footplates, a sliding footplate, integrated anti-reverse feature, and the activation joint (to attach the activation rod). It is available in eight variants with two different distraction lengths (20 and 30 mm) and right or left footplate configuration with footplate sizes having either a 2X2 or 3X3 hole pattern.

V. INDICATIONS FOR USE [§807.92(a)(5 )]

Subject DevicePredicate Device - K133398
Indications for
UseThe Stryker Pediatric Mandibular
Distractor 2 is intended to be used
for bone stabilization and
lengthening of the mandibular
body and ramus. The Stryker
Pediatric Mandibular Distractor 2
is indicated to correct congenital
or post traumatic defects in the
body and ramus of the mandible
of neonates and children up to 4
years old.The Stryker Pediatric Mandible
Distractor is intended to be used
for bone stabilization and
lengthening of the mandibular
body and ramus. The Stryker
Pediatric Mandible Distractor is
indicated to correct congenital or
post traumatic defects in the body
and ramus of the mandible of
neonates and children up to 4 years
old.

TABLE 5-1: COMPARISON OF INDICATIONS FOR USE

5

The subject device is indicated for use in the same anatomic areas as the predicate device and for the same surgical applications. There is no difference in the Indications for Use.

A. Intended Use

The Stryker Pediatric Mandibular Distractor 2 is intended to be used for bone stabilization and lengthening of the mandibular body and ramus.

COMPARISON OF TECHNOLOGICAL CHARACTERISTICS WITH THE VI. PREDICATE DEVICE [§807.92(a)(6)]

The Stryker Pediatric Mandibular Distractor 2 is compared to its predicate device for substantial equivalence based on the following criteria:

  • A. Principle of Operation
  • B. Technological and Operational Characteristics

A. Principle of Operation

The basic operational principle of the subject device, as well as, the predicate device is for bone stabilization and lengthening. The method of site preparation and fixation is the same for both the subject and predicate device. The subject device and predicate device are temporary implants.

B. Technological and Operational Characteristics

The Stryker Pediatric Mandibular Distractor 2 (PMD 2) is the second generation of the Stryker Pediatric Mandible Distractor (PMD) currently in the market. Hence, the PMD 2 is similar to its predicate device, PMD, having the following technological and operational characteristics:

  • Material: Both the subject device and predicate device are made of biocompatible titanium according to standards.
    • The subject device is made of commercially pure titanium (CP Ti), stainless O steel, nickel cobalt alloy, and aluminum oxide.
    • The predicate device is made of commercially pure titanium (CP Ti) and o stainless steel
  • Mode of Fixation: Implant fixation with screws is the same as the predicate device. -
  • Design: The design of the subject device is similar to the predicate device. They both have the same components: body, footplates, activation joint (for activation rod connection). In addition, the subject device uses the same components and interfaces (e.g. activation rod) for distraction activation as the predicate device. The

6

subject device and its predicate device offer various options of distraction lengths and footplate sizes. The footplates of the subject device and predicate device are fully integrated (i.e., non-welded). The subject device contains an integrated antireverse feature that uses a deactivation instrument to be deactivated compared to the predicate device, which does not.

  • Packaging: The subject device is sterile, and the predicate device is dispensed nonsterile.
    The table below compares the technological characteristics of the PMD 2 to the predicate device (Table 5-2).

7

| Feature | Subject Device | Predicate Device | Explanation of
Differences |
|----------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------|
| Principles of
Operation | Mandibular Distraction Osteogenesis | Mandibular Distraction Osteogenesis | Identical |
| Mechanism of
Action | The PMD 2 devices are fixated to the body or ramus of the
mandible for mandibular lengthening or advancement | The PMD devices are fixated to the body or ramus of the
mandible for mandibular lengthening or advancement | Identical |
| Mode of
Fixation | Implant fixation with screws | Implant fixation with screws | Identical |
| Exemplary
illustration of
device | Image: Stryker CE 62-02330 | Image: Stryker CE 62-01330 | Identical except for
the integrated anti-
reverse feature |
| Design | Components: Body, Integrated Footplates, Activation Joint, Integrated Anti-Reverse Feature Distraction Lengths Options: 20 & 30 mm Footplate Size Options: 2x2 & 3x3 Low Height Profile: 4.3 mm Screw Diameter: 1.7 & 1.9 mm Advancement: 1 turn = 0.5 mm | Components: Body, Integrated Footplates, Activation Joint Distraction Lengths Options: 20 & 30 mm Footplate Size Options: 2x2 & 3x3 Low Height Profile: 4.3 mm Screw Diameter: 1.7 & 1.9 mm Advancement: 1 turn = 0.5 mm | Identical except for
the integrated anti-
reverse feature |
| Material | Titanium (Commercially Pure Titanium acc. ASTM F67)
Stainless Steel
Nickel Cobalt Alloy
Aluminum Oxide | Titanium (Commercially Pure Titanium acc. ASTM F67)
Stainless Steel | Similar. The
additional materials
are due to the anti-
reverse feature |
| Packaging | Sterile | Non-sterile | Different due to the
need to fulfill sterile
product European
market requirements |

TABLE 5-2 – TECHNOLOGICAL CHARACTERISTICS COMPARISON MATRIX OF SUBJECT PMD 2 TO THE PREDICATE

Overall, any changes do not alter the subject device significantly, and do not represent a new worst case in design.

8

VII. PERFORMANCE DATA [§807.92(b)(1)]

The Stryker Pediatric Mandibular Distractor 2 was subjected to non-clinical testing including verification and validation testing of biocompatibility, manufacturing cleaning, gamma sterilization, corrosion resistance, dynamic compression-tensile force, distraction force, antireverse feature functionality and torque to failure, blood influence, design validation - end user test, and shelf life (aging and packaging). The system passed all tests.

Specifically, the following performance data were provided in support of the substantial equivalence determination.

Biocompatibility Testing

The biocompatibility evaluation for the PMD 2 system was conducted in accordance with the FDA Guidance "Use of International Standard ISO 10993-1, 'Biological evaluation of medical devices - Part 1 Evaluation and testing within a risk management process"", issued June 16, 2016, and International Standard ISO 10993-1 "Biological Evaluation of Medical Devices -Part 1: Evaluation and Testing Within a Risk Management Process," as recognized by the FDA. The tests supported the biocompatibility of the device.

The implant is mainly made from commercially pure titanium (CP Ti), which conforms to ASTM F67 for chemical composition, the same as the predicate device. Cytotoxicity testing was performed using DIN EN 10993-5:2009, Biological evaluation of medical devices Part 5: Tests for in vitro cytotoxicity. Corrosion testing was performed using internal instruction DQI 30-022, Implant Corrosion Testing, Stryker Trauma & Extremities, 2017. The tests supported the biocompatibility of the device.

9

Performance Bench Testing

The following performance bench tests were completed:

CharacteristicTestsTest MethodsResults
BiocompatibilityCytotoxicityVerify biocompatibility in regards to
cytotoxicity through in vitro indirect
extract tests per ISO-10993-5 and ISO
10993-12Acceptance
criterion were
met; tests were
passed.
GC/MS
FingerprintVerify biocompatibility in regards to
GC/Fingerprint through in vitro
indirect extract tests per ISO-10993-18
and ISO 10993-12Acceptance
criterion were
met; tests were
passed.
CorrosionVerify corrosion behavior of implant
and instrumentsCorrosion
resistance was
proven; tests
were passed.
PerformanceDynamic
Compression
and Tensile
ForceVerify that unintended movement of
the sliding footplate is properly
prevented with an activated "anti-
reverse" mechanism.Acceptance
criterion were
met; tests were
passed.
Distraction
ForceVerify the distraction force and the
ability of small activation handle to
transmit sufficient torque.Acceptance
criterion were
met; tests were
passed.
Anti-Reverse
Mechanism
FunctionalityVerify that activation and
deactivation of the anti-reverse
feature is possible within shelf life.Acceptance
criterion were
met; tests were
passed.
Torque to
Failure of
Anti-Reverse
MechanismVerify that the torque to failure is
high enough that the resistance caused
by turning against the activated anti-
reverse mechanism is recognizable by
the user before breakage.Acceptance
criterion were
met; tests were
passed.
Deactivation
Instrument
Lifetime
UsageVerify that deactivation of "anti-
reverse" feature is always possible
with the deactivation instrument
within its lifetime usage.Acceptance
criterion were
met; tests were
passed.
CharacteristicTestsTest MethodsResults
Effect of
Blood
Contact on
Anti-Reverse
Mechanism
FunctionalityVerify that the functionality of the
anti-reverse feature is given after
contact with bloodAcceptance
criterion were
met; tests were
passed.
End User
ValidationValidate that the end user needs of the
PMD 2 system are fulfilledAcceptance
criterion were
met; tests were
passed
Shelf LifeAgingVerify that the device, including the
anti-reverse feature, maintains
properties and characteristics within
shelf life.Acceptance
criterion were
met; tests were
passed.
Sterile
PackagingSimulation of handling and
transportation from Stryker's stock to
end customer and investigation of the
integrity of the packaging system,
following ISO 11607-1 and ASTM
D4169Acceptance
criterion were
met; tests were
passed.
SterilizationGamma
Sterilization
ValidationVDmax25 Method for substantiation of
25 kGy as sterilization dose according
to ISO 11137-1, -2 and -3 for multiple
production batches for verifying
compliance with EN 556 to achieve a
SAL 10-6.

Microbiological Testing Methods to
verify the suitability of of the
microbiological test methods used for
the bioburden determination and
sterility testing for the subsequently
planned verification experiment to
validate gamma sterilization in
accordance to ISO 11737-1 and -2. | Method
Validated |

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Image /page/10/Picture/0 description: The image shows the word "stryker" in a bold, sans-serif font. The word is all lowercase except for the first letter, which is uppercase. To the right of the word is the registered trademark symbol, a capital R inside a circle. The logo is simple and modern.

Overall, the results of the performance bench tests support the substantial equivalence of the subject device.

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Animal Testing

Animal testing was not required as a basis for substantial equivalence.

Clinical Testing [§807.92(b)(2)]

Clinical testing was not required as a basis for substantial equivalence.

VIII. CONCLUSIONS [§807.92(b)(3)]

The Stryker Pediatric Mandibular Distractor 2 is substantially equivalent to its predicate device with respect to its intended use, design, materials, and operational principle. The results of the non-clinical data demonstrate the Stryker Pediatric Mandibular Distractor 2 will perform as intended in the specified use conditions. Further, the performance testing confirms that the Stryker Pediatric Mandibular Distractor 2 is safe and effective for its intended use, and it performs as well as the predicate device. According to the comparison based on the requirements of 21 CFR 807.92 and the information provided herein, it is concluded that the information included in this submission supports substantial equivalence.