K Number
K182609
Device Name
Delphos Implants Rigid Fixation System
Date Cleared
2019-03-29

(189 days)

Product Code
Regulation Number
872.4760
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Delphos Implants Rigid Fixation System is intended for fracture fixation in maxillofacial trauma reconstruction, mandibular reconstruction and orthognathic reconstruction. The Delphos Implants Rigid Fixation System implants are intended for single use only.
Device Description
The plates are manufactured in commercially pure titanium (ASTM F67 and ISO 5832-2) and the bone screws are manufactured from titanium alloy Ti-4Al-6V ELI (ASTM F136 and ISO 5832-3) and are available on different sizes, according with the site of the implantation and the extension of the fracture. The devices are for single use, provided non-sterile, must be properly cleaned, disinfected and sterilized before use, according the recommendations provided on the Instructions for Use provided by Delphos Implants. The devices must only be used by qualified surgeons mastering the surgical technique, having been trained and qualified in maxillofacial surgery and/or stomatology.
More Information

No
The device description and performance studies focus on the mechanical properties and biocompatibility of the implants, with no mention of AI or ML.

Yes
The device is described as a "Rigid Fixation System" intended for "fracture fixation" in various reconstructive surgeries, which directly addresses a health condition (fractures) and is therefore therapeutic.

No

This device is a rigid fixation system intended for fracture fixation and reconstruction, not for diagnosing medical conditions.

No

The device description explicitly details physical components (plates and screws made of titanium) and mentions manufacturing, cleaning, disinfection, sterilization, and mechanical testing, indicating it is a hardware-based medical device.

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

Here's why:

  • Intended Use: The intended use clearly states the device is for "fracture fixation in maxillofacial trauma reconstruction, mandibular reconstruction and orthognathic reconstruction." This is a surgical procedure performed directly on the patient's body.
  • Device Description: The description details plates and screws made of titanium, which are implants designed to be surgically placed within the body.
  • IVD Definition: In Vitro Diagnostics (IVDs) are medical devices used to perform tests on samples taken from the human body, such as blood, urine, or tissue, to provide information about a person's health. This device does not perform any such tests on samples.

The Delphos Implants Rigid Fixation System is a surgical implant, not an IVD.

N/A

Intended Use / Indications for Use

The Delphos Implants Rigid Fixation System is intended for fracture fixation in maxillofacial trauma reconstruction, mandibular reconstruction and orthognathic reconstruction.

The Delphos Implants Rigid Fixation System implants are intended for single use only.

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

JEY

Device Description

The plates are manufactured in commercially pure titanium (ASTM F67 and ISO 5832-2) and the bone screws are manufactured from titanium alloy Ti-4Al-6V ELI (ASTM F136 and ISO 5832-3) and are available on different sizes, according with the site of the implantation and the extension of the fracture.

The devices are for single use, provided non-sterile, must be properly cleaned, disinfected and sterilized before use, according the recommendations provided on the Instructions for Use provided by Delphos Implants.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

maxillofacial, mandibular

Indicated Patient Age Range

Not Found

Intended User / Care Setting

The devices must only be used by qualified surgeons mastering the surgical technique, having been trained and qualified in maxillofacial surgery and/or stomatology.

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 performance of the subject devices are demonstrated through mechanical testing of plates and screws according to ASTM F382 and ASTM F 543.

For the plates the critical points, flexural stiffness, elastic limit stress, bending moment, and structural stiffness was determined based on the requirements of ASTM F 382 - Bending test in 4 static points. It was also performed the Fatigue Test (Plate Fold) due to the need for conformation by the users. For the screws, torsion, screwing/unscrewing, pullout and screw thread testing were executed.

The tested subject devices exhibit a level of performance equivalent to that reviewed for the predicate devices. No clinical data were included in this submission.

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.

K080694

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.

K112457, K121589, K150965, K180204

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

§ 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.

0

Image /page/0/Picture/0 description: The image contains the logos of the Department of Health & Human Services - USA and the U.S. Food & Drug Administration (FDA). The Department of Health & Human Services logo is on the left, featuring a stylized human figure. To the right is the FDA logo, with the acronym "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG" and "ADMINISTRATION" in blue text.

Delphos Implants - Ind.Com. Importacao e Exportacao de Implantes Medicos S.A. March 29, 2019 % Mauro Malzyner US Agent Passarini Regulatory Affairs of America, LLC 201 S. Biscayne Blvd, Suite 1200 Miami, Florida 33131

Re: K182609

Trade/Device Name: Delphos Implants Rigid Fixation System Regulation Number: 21 CFR 872.4760 Regulation Name: Bone Plate Regulatory Class: Class II Product Code: JEY Dated: February 15, 2019 Received: February 25, 2019

Dear Mauro Malzyner:

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 mav, 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

1

requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 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.html; good manufacturing practice requirements as set forth in the quality systems (OS) 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 mediation-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.

Digitally signed by Mary S. Mary S. Runner -S3 Runner - S3 Date: 2019.03.29
14:59:31 -04'00'

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

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known) K182609

Device Name

Delphos Implants Rigid Fixation System

Indications for Use (Describe)

The Delphos Implants Rigid Fixation System is intended for fracture fixation in maxillofacial trauma reconstruction, mandibular reconstruction and orthognathic reconstruction.

The Delphos Implants Rigid Fixation System implants are intended for single use only.

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)Prescription Use (Part 21 CFR 801 Subpart D)Over-The-Counter Use (21 CFR 801 Subpart C)
Prescription Use (Part 21 CFR 801 Subpart D)Over-The-Counter Use (21 CFR 801 Subpart C)

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510(k) Summary

ADMINISTRATIVE INFORMATION

| Sponsor | Delphos Implants Industria, Comercio, Importacao e
Exportacao de Implantes Medicos S.A.
Estrada Manuel Correia Lopes, Parque Empresarial Progresso,
Armazem 5- Cascais - Sao Domingos de Rana - Portugal 2785-
126
Telephone +351 211 955 986 |
|--------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact Person | Mauro Malzyner, Mr.
US Agent
Passarini Regulatory Affairs of America, LLC
E-Mail: mauro@rapassarini.com.br
Telephone +1 760 936 2301 |
| Date Prepared | 27/Mar/2019 |
| Preparer / Alternate Contact | Janine Treter
Regulatory Affairs Specialist
Passarini Regulatory Affairs
janine@rapassarini.com.br
Telephone +55 47 3804 0075 |
| DEVICE NAME AND CLASSIFICATION | |
| Trade/ Proprietary Name
Common Name | Delphos Implants Rigid Fixation System
Bone Plate |
| Classification Regulations
Product Code | 21 CFR 872.4760, Class II
JEY |
| PREDICATE DEVICE INFORMATION | |
| Primary Predicate Device | K080694 - Osteomed Modular Locking Fixation System - Osteomed
L.P. |
| Reference Devices | K112457 - LeForte System Bone Plate & Screw - Jeil Medical
Corporation
K121589 - Biomet Microfixation Facial Plating System - Biomet
Microfixation
K150965 - LeForte System II - Jeil Medical Corporation
K180204 - CranioMaxillofacial Fixation (CMF) System - CMF Visionare

  • Visionare LLC |

4

510(k) Summary

ADMINISTRATIVE INFORMATION

| Sponsor | Delphos Implants Industria, Comercio, Importacao e
Exportacao de Implantes Medicos S.A.
Estrada Manuel Correia Lopes, Parque Empresarial Progresso,
Armazem 5- Cascais - Sao Domingos de Rana - Portugal 2785-
126
Telephone +351 211 955 986 |
|--------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact Person | Mauro Malzyner, Mr.
US Agent
Passarini Regulatory Affairs of America, LLC
E-Mail: mauro@rapassarini.com.br
Telephone +1 760 936 2301 |
| Date Prepared | 27/Mar/2019 |
| Preparer / Alternate Contact | Janine Treter
Regulatory Affairs Specialist
Passarini Regulatory Affairs
janine@rapassarini.com.br
Telephone +55 47 3804 0075 |
| DEVICE NAME AND CLASSIFICATION | |
| Trade/ Proprietary Name
Common Name | Delphos Implants Rigid Fixation System
Bone Plate |
| Classification Regulations
Product Code | 21 CFR 872.4760, Class II
JEY |
| PREDICATE DEVICE INFORMATION | |
| Primary Predicate Device | K080694 - Osteomed Modular Locking Fixation System - Osteomed
L.P. |
| Reference Devices | K112457 - LeForte System Bone Plate & Screw - Jeil Medical
Corporation
K121589 - Biomet Microfixation Facial Plating System - Biomet
Microfixation
K150965 - LeForte System II - Jeil Medical Corporation
K180204 - CranioMaxillofacial Fixation (CMF) System - CMF Visionare

  • Visionare LLC |

5

INDICATIONS FOR USE

The Delphos Implants Rigid Fixation System is intended for fracture fixation in maxillofacial trauma reconstruction, mandibular reconstruction and orthognathic reconstruction.

The Delphos Implants Rigid Fixation System implants are intended for single use only.

SUBJECT DEVICE DESCRIPTION

The plates are manufactured in commercially pure titanium (ASTM F67 and ISO 5832-2) and the bone screws are manufactured from titanium alloy Ti-4Al-6V ELI (ASTM F136 and ISO 5832-3) and are available on different sizes, according with the site of the implantation and the extension of the fracture.

The devices are for single use, provided non-sterile, must be properly cleaned, disinfected and sterilized before use, according the recommendations provided on the Instructions for Use provided by Delphos Implants.

The devices must only be used by qualified surgeons mastering the surgical technique, having been trained and qualified in maxillofacial surgery and/or stomatology.

TECHNOLOGICAL CHARACTERISTICS

The subject and predicate devices have a range of plates and screws with equivalent indication for fracture fixation in maxillofacial trauma reconstruction, mandibular reconstruction and orthognathic reconstruction.

Differences in the design features between the subject devices and the primary predicate device K080694 are addressed by comparison to the reference devices as listed in the tables below.

6

INDICATIONS FOR USE

The Delphos Implants Rigid Fixation System is intended for fracture fixation in maxillofacial trauma reconstruction, mandibular reconstruction and orthognathic reconstruction.

The Delphos Implants Rigid Fixation System implants are intended for single use only.

SUBJECT DEVICE DESCRIPTION

The plates are manufactured in commercially pure titanium (ASTM F67 and ISO 5832-2) and the bone screws are manufactured from titanium alloy Ti-4Al-6V ELI (ASTM F136 and ISO 5832-3) and are available on different sizes, according with the site of the implantation and the extension of the fracture.

The devices are for single use, provided non-sterile, must be properly cleaned, disinfected and sterilized before use, according the recommendations provided on the Instructions for Use provided by Delphos Implants.

The devices must only be used by qualified surgeons mastering the surgical technique, having been trained and qualified in maxillofacial surgery and/or stomatology.

TECHNOLOGICAL CHARACTERISTICS

The subject and predicate devices have a range of plates and screws with equivalent indication for fracture fixation in maxillofacial trauma reconstruction, mandibular reconstruction and orthognathic reconstruction.

Differences in the design features between the subject devices and the primary predicate device K080694 are addressed by comparison to the reference devices as listed in the tables below.

7

Table 5.1: Substantial Equivalence on Plates
SUBJECT DEVICESPRIMARY PREDICATE DEVICEREFERENCE DEVICE IREFERENCE DEVICE IIREFERENCE DEVICE III
Trade Name
InformationK182609 - Delphos Implants
Rigid Fixation SystemK080694 - Osteomed Modular
Locking SystemK112457 - LeForte System
Bone Plate & ScrewK121589 - Biomet Microfixation
Facial Plating SystemK180204 - Mini and Micro
Fragments Reconstruction
System -
CMF VisionareSubstantial Equivalence Discussion
Delphos Implants - Ind. Com.
Importação e Exportação de
Implantes Médicos S.A.OsteoMed L. P.Jeil Medical CorporationBiomet MicrofixationVisionare LLC
Equivalent
The subject device indication for use
is identical to primary predicate
device excepting for the reference to
drills and the reference to the term
"cranio-maxillofacial".
Drills are surgical instruments
developed to assist in the installation
of plates and screws and are not
subject of this submission. Therefore,
information on drills were
suppressed from Delphos Implants
indications for use Statement.
Indication for UseThe Delphos Implants Rigid
Fixation System is intended
for fracture fixation in
maxillofacial trauma
reconstruction, mandibular
reconstruction and
orthognathic reconstruction.The OsteoMed Modular
Locking Fixation System is
intended for fracture fixation
in cranio-maxillofacial trauma
reconstruction, mandibular
reconstruction and
orthognathic reconstruction.
The OsteoMed Modular
Locking Fixation System
implants and drills are
intended for single use only.Intended for use in Selective
trauma of the mid-face,
reconstruction procedures
and selective orthognathic
surgery of the maxilla and
chin.These devices are implantable
bone plates and bone screws
for facial procedures
including:
  1. Fractures
  2. Osteotomies
  3. Reconstructive procedures
  4. Revision procedures where
    other treatments or devices
    have failed | CranioMaxillofacial Fixation
    (CMF) System - CMF Visionare
    is intended for use in selective
    trauma of the midface,
    maxillofacial surgery,
    reconstructive procedures,
    and selective orthognathic
    surgery of the maxilla,
    mandible and chin. | In a previous submission from
    Delphos Implants (K172949), FDA
    informed that devices intended for
    Cranial/Neuro applications are to be
    reviewed by the Neurology Panel.
    Therefore, the words cranio-
    maxillofacial were replaced by
    maxillofacial. |
    | | The Delphos Implants Rigid
    Fixation System implants are
    intended for single use only. | | | | | The subject device indication for use
    are within the scope of the reference
    devices. |
    | | | | | | | Identical |
    | Product Code | JEY | JEY | JEY, DZL | JEY, HWC | JEY, DZL | to Primary Predicate Device and
    within the scope of Reference
    Devices. |
    | Class | II | II | II | II | II | Identical |
    | Trade Name
    Information | SUBJECT DEVICES
    K182609 - Delphos Implants
    Rigid Fixation System
    Delphos Implants - Ind. Com.
    Importação e Exportação de
    Implantes Médicos S.A. | PRIMARY PREDICATE DEVICE
    K080694 - Osteomed Modular
    Locking System
    OsteoMed L. P. | REFERENCE DEVICE I
    K112457 - LeForte System
    Bone Plate & Screw
    Jeil Medical Corporation | REFERENCE DEVICE II
    K121589 - Biomet Microfixation
    Facial Plating System
    Biomet Microfixation | REFERENCE DEVICE III
    K180204 - Mini and Micro
    Fragments Reconstruction
    System -
    CMF Visionare
    Visionare LLC | Substantial Equivalence Discussion |
    | Regulation Number | 21 CFR 872.4760 | 21 CFR 872.4760 | 21 CFR 872.4760
    21 CFR 872.4880 | 21 CFR 872.4760
    21 CFR 888.3040 | 21 CFR 872.4760
    21 CRF 872.4880 | Identical
    to Primary Predicate Device and
    within the scope of Reference
    Devices. |
    | Regulation Name | Bone Plate | Bone Plate | Bone Plate
    Intraosseus fixation screw or
    wire | Bone Plate
    Screw, Fixation, Bone | Bone Plate
    Intraosseus fixation screw or
    wire | Identical
    to Primary Predicate Device and
    within the scope of Reference
    Devices. |
    | Raw material | The plates are made from
    commercially pure titanium
    (ASTM F67) | The plates are made from
    Titanium Alloy (ASTM F136 or
    commercially pure titanium
    (ASTM F67) | The plates are made from
    commercially pure titanium
    (ASTM F67) | The plates are made from
    Titanium Alloy (ASTM F136 or
    commercially pure titanium
    (ASTM F67) | The plates are made from
    commercially pure titanium
    (ASTM F67) | Equivalent
    The subject device raw materials are
    within the scope of the predicates
    raw materials. |
    | Surface treatment | Anodization | Anodization | Anodization | Not informed | Not informed | Identical |
    | Use | Single use | Single use | Single use | Single use | Single use | Identical |
    | Sterilization | Non-sterile, Steam
    sterilization prior to use | Non-sterile, Steam
    sterilization prior to use | Non-sterile, Steam
    sterilization prior to use | Not informed | Non-sterile, Steam
    sterilization prior to use | Identical |
    | Plates thickness | 0.5, 0.6, 0.7, 0.8, 1.0, 1.3, 1.6,
    2.5 mm | 0.25mm ~ 2.5mm
    1.0mm ~2.5mm | 0.1mm, 0.2mm, 0.3mm,
    0.4mm, 0.5mm, 0.6mm,
    0.8mm, 1.0mm, 1.3mm,
    2.5mm | Various | 0.3mm, 0.7mm, 1.0mm,
    1.5mm, 2.0mm, 2.54mm. | Equivalent
    The plates thickness are within the
    range of the predicate devices. |
    | | | | | | | |
    | | SUBJECT DEVICES | PRIMARY PREDICATE DEVICE | REFERENCE DEVICE I | REFERENCE DEVICE II | REFERENCE DEVICE III | |
    | Trade Name
    Information | K182609 - Delphos Implants
    Rigid Fixation System | K080694 - Osteomed Modular
    Locking System | K112457 - LeForte System
    Bone Plate & Screw | K121589 - Biomet Microfixation
    Facial Plating System | K180204 - Mini and Micro
    Fragments Reconstruction
    System -
    CMF Visionare | Substantial Equivalence Discussion |
    | | Delphos Implants - Ind. Com.
    Importação e Exportação de
    Implantes Médicos S.A. | OsteoMed L. P. | Jeil Medical Corporation | Biomet Microfixation | Visionare LLC | |
    | Plates designs (shapes). | Orbital Type
    T Type
    Straight Type
    H Type
    X Type
    Z Type
    L Type
    Y Type
    Curved Type
    Rectangular Type
    Calvarium Plate
    Maxillary Type
    Square Type
    Fitting Adjustment Type
    Mentoplasty Type (Chin type)
    Double T Type
    BSSO Type
    L Adjustment Type
    Condylar Fracture Type | Curved Type
    Straight Type
    L Type
    Double Y Type
    X Type
    I Type
    Chin Type
    Mesh Type
    H Type
    Quad(Square) Type
    Y Type
    Z Type
    BSSO Type
    Orbital Type
    Angled Type
    Condyle Plate
    Comminution Type
    Strut Type
    Reconstruction Type | Curved Type
    Straight Type
    Square Type
    L Type
    Double Y Type
    X Type
    I Type
    Chin Type
    Calvarium Type
    Mesh Type
    H Type
    Hexagon Type
    Quad Type
    T Type
    Y Type
    Z Type
    Rigid Straight Type
    MG Type
    А Туре
    Angled Type
    Angled
    Reconstruction Type
    Multi Reconstruction Type
    Reconstruction -Type
    BSSO Type | Variations of:
    Straight
    Angled
    Curved
    L-shape
    T-shape
    Z-shape
    X-shape
    Y-shapes
    Double Y shapes
    H-shape
    Triangle
    Rectangle
    Matrix
    Mesh
    Orbital Floor
    LeFort
    Chin | Straight Plates
    Rectangular Plates
    T Plates
    Y Plates
    Double Y Plates
    L Plates
    L 110° Plates
    H Plates
    I Plates
    X Plates
    Z Plates
    Orbital Plates
    Orbital Floor Plates
    Straight Locking Plates
    Rectangular Locking Plates
    Orthognathic L Plates
    Orthognathic Y Plates
    Orthognathic Canine Pillar
    Plates
    Orthognathic Zygomatic Pillar
    Plates
    Orthognathic Le Fort Plates
    Orthognathic Chin Plates
    Orthognathic Paulus Plates
    Orthognathic Straight Sagittal
    Plates
    Orthognathic Straight
    Adjustable Sagittal Plates
    Orthognathic Y Adjustable
    Sagittal Plates
    Orthognathic Locking Straight
    Sagittal Plates
    Orthognathic Locking Straight
    Adjustable Sagittal Plates
    Orthognathic Locking Y
    Adjustable Sagittal Plates | Equivalent
    Most of the plates designs are within
    the scope of Primary Predicate
    Device and Reference Devices.
    There are some minor differences in
    design types that do not introduce
    significantly different designs and
    maintain the same intended use. All
    the subject plates designs were
    evaluated through mechanical
    testing on worst cases
    representatives not raising any issue
    in performance. |
    | 5.2: Substantial Equivalence on Screws | | | | | | |
    | | SUBJECT DEVICES | PRIMARY PREDICATE DEVICE | REFERENCE DEVICE I | REFERENCE DEVICE II | | |
    | Trade Name Information | K182609 - Delphos Implants Rigid
    Fixation System | K080694 - Osteomed Modular Locking
    System | K150965 - LeForte System II | K180204 - Mini and Micro Fragments
    Reconstruction System -
    CMF Visionare | Substantial Equivalence Discussion | |
    | | Delphos Implants - Ind. Com.
    Importação e Exportação de
    Implantes Médicos S.A. | OsteoMed L. P. | Jeil Medical Corporation | Visionare LLC | | |
    | Indication for Use | The Delphos Implants Rigid Fixation
    System is intended for fracture
    fixation in maxillofacial trauma
    reconstruction, mandibular
    reconstruction and orthognathic
    reconstruction.
    The Delphos Implants Rigid Fixation
    System implants are intended for
    single use only. | The OsteoMed Modular Locking
    Fixation System is intended for
    fracture fixation in cranio-
    maxillofacial trauma reconstruction,
    mandibular reconstruction and
    orthognathic reconstruction.
    The OsteoMed Modular Locking
    Fixation System implants and drills
    are intended for single use only. | The LeForte System II is intended for
    use in selective trauma of mid-face,
    reconstruction procedure and
    selective orthognathic surgery of the
    maxilla and chin. | CranioMaxillofacial Fixation (CMF)
    System - CMF Visionare is intended
    for use in selective trauma of the
    midface, maxillofacial surgery,
    reconstructive procedures, and
    selective orthognathic surgery of the
    maxilla, mandible and chin. | Equivalent
    Most of the plates designs are within
    the scope of Primary Predicate
    Device and Reference Devices.
    There are some minor differences in
    design types that do not introduce
    significantly different designs and
    maintain the same intended use. All
    the subject plates designs were
    evaluated through mechanical
    testing on worst cases
    representatives not raising any issue
    in performance. | |
    | Product Code | JEY | JEY | JEY | JEY, DZL | Identical
    to Primary Predicate Device and
    within the scope of Reference
    Devices. | |
    | Class | II | II | II | II | Identical | |
    | Regulation Number | 21 CFR 872.4760 | 21 CFR 872.4760 | 21 CFR 872.4760 | 21 CFR 872.4760
    21 CRF 872.4880 | Identical
    to Primary Predicate Device and
    within the scope of Reference
    Devices. | |
    | Regulation Name | Bone Plate | Bone Plate | Bone Plate | Bone Plate
    Intraosseus fixation screw or wire | Identical
    to Primary Predicate Device and
    within the scope of Reference
    Devices. | |
    | Raw material | Titanium Alloy
    (ASTM F136) | Titanium Alloy
    (ASTM F136) | Titanium Alloy
    (ASTM F136) | Titanium Alloy
    (ASTM F136) | Identical | |
    | Surface treatment | Anodization | Anodization | Anodization | Not informed | Identical | |
    | Use | Single use | Single use | Single use | Not informed | Identical | |
    | Trade Name Information | SUBJECT DEVICES | PRIMARY PREDICATE DEVICE | REFERENCE DEVICE I | REFERENCE DEVICE II | Substantial Equivalence Discussion | |
    | | K182609 - Delphos Implants Rigid
    Fixation System | K080694 - Osteomed Modular Locking
    System | K150965 - LeForte System II | K180204 - Mini and Micro Fragments
    Reconstruction System -
    CMF Visionare | | |
    | | Delphos Implants - Ind. Com.
    Importação e Exportação de
    Implantes Médicos S.A. | OsteoMed L. P. | Jeil Medical Corporation | Visionare LLC | | |
    | | Sterilization | Non-sterile, Steam sterilization prior
    to use | Non-sterile, Steam sterilization prior
    to use | Non-sterile, Steam sterilization prior
    to use | Non-sterile, Steam sterilization prior to
    use | |
    | Screw type/ diameter | Self-tapping Screw
    1.2mm, 1.6mm, 2.0mm, 2.4mm, 2.7 mm | Self-tapping Screw
    1.2mm, 1.5mm, 1.6mm, 1.9mm,
    2.0mm, 2.3mm, 2.4mm, 2.7mm | Self-tapping Screw
    1.3mm, 1.6mm, 2.0mm, 2.4mm | Self-tapping Screw
    1.5mm, 2.0mm, 2.4mm, 2.7mm | Equivalent
    The subject devices diameters are
    within the range of the predicate
    devices diameters. | |
    | | Self-drilling Screw
    2.0 mm | Self-drilling Screw
    1.2mm, 1.6mm, 2.0mm | Self-drilling Screw
    1.4mm, 1.6mm, 2.0mm | Self-drilling Screw
    1.5mm, 2.0mm | Performance testing were executed
    following worst case rationales; the
    subject devices are supported by
    mechanical testing. | |
    | | Emergency Screws
    1.6mm, 1.9mm, 2.3mm, 2.7 mm | | Emergency Screws
    1.5 mm, 1.8mm, 2.3mm, 2.7mm | Emergency Screws
    1.8mm, 2.3mm, 2.7mm | | |
    | | Screw Length | Self-tapping Screw
    3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14,
    15, 16, 18, 20 mm | Self-tapping Screw
    2 - 20mm | Self-tapping Screw
    2 - 20mm | Self-tapping Screw
    4-20mm | |
    | | | Self-drilling Screw
    3 - 8mm | Self-drilling Screw
    3 - 12mm | Self-drilling Screw
    4-11mm | The subject devices lengths are
    within the range of the predicate
    devices lengths. | |
    | Self-drilling Screw
    3, 4, 5, 6, 7, 8, 9, 10, 11, 12 mm | | | | | Performance testing were executed
    following worst case rationales; the
    subject devices are supported by
    mechanical testing | |
    | | | | | Emergency Screws
    4-18mm | | |
    | Emergency Screws
    4, 5, 6, 7, 8, 9, 10, 12, 14mm | | | | | | |

Tab

8

9

10

Table 5.2: Substantial Equivalen . C

11

12

The subject device plates are substantially equivalent to the primary predicate device K080964, or reference devices K112457, K121589 and K180204, in designs and range of dimensions. The reference devices K112457 is for substantial equivalence of the designs not encompassed by the primary predicate that are the Calvarium Type and T Type. The reference device K121589 is for substantial equivalence for the Rectangle plates. The reference device K180204 is for substantial equivalence for the Maxillary Plates (Orthognathic plates).

The subject plates thickness is substantially equivalent to the primary predicate and reference devices since fall in its range of thickness.

The subject device screws are substantially equivalent to the primary predicate device K080964, or reference devices K150965 and K180204, in designs and range of dimensions. The reference devices K150965 is for substantial equivalence of the Emergency Screws diameters and the reference device K180204 is for substantial equivalence of the Emergency Screws lengths.

The following performance data supports the substantial equivalence determination:

The plates are manufactured in commercially pure titanium conforming to ASTM F67 and ISO 5832-2. The plates types of titanium are the same to that used for fabrication of the predicate devices cleared under K080694, K112457, K121589 and K180204.

The screws are made of titanium alloy according to the requirements of ASTM F136 and ISO 5832-3. The screws alloy are the same to that used for fabrication of the predicate devices cleared under K080694, K150965 and K180204.

Biocompatibility of the subject device materials was supported by cytotoxicity, irritation and skin sensitization, and acute systemic toxicity testing according to ISO 10993-5, ISO 10993-10 and ISO 10993-11, respectively.

The performance of the subject devices are demonstrated through mechanical testing of plates and screws according to ASTM F382 and ASTM F 543.

For the plates the critical points, flexural stiffness, elastic limit stress, bending moment, and structural stiffness was determined based on the requirements of ASTM F 382 - Bending test in 4 static points. lt was also performed the Fatigue Test (Plate Fold) due to the need for conformation by the users. For the screws, torsion, screwing/unscrewing, pullout and screw thread testing were executed.

The tested subject devices exhibit a level of performance equivalent to that reviewed for the predicate devices. No clinical data were included in this submission.

The subject devices are provided non-sterile and have no expiration date defined. Steam sterilization validation was performed according to ISO 17665-1.

CONCLUSION

The documentation submitted in this premarket notification demonstrates that the subject devices have comparable features and performance and, therefore, are substantially equivalent to the identified predicate devices.