K Number
K182758
Device Name
MCI - CMF System
Date Cleared
2019-12-05

(433 days)

Product Code
Regulation Number
872.4760
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
MCI - CMF System is intended for use in selective trauma of the midface, maxillofacial surgery, reconstructive procedures, and selective orthognathic surgery of the maxilla, mandible and chin.
Device Description
The bone plates are made from commercially pure titanium (ASTM F67) and the bone screws are manufactured from titanium alloy - Ti-6AI-4V (ASTM F136) and are available in different sizes and shapes, according the site of the implantation and the extension of the fracture. The surface of plates and screws are colored-anodized. MCI - CMF System implant devices are for single use. The devices are provided non-sterile and must be properly cleaned, disinfected and sterilized before use, according the recommendations provided in the Instructions for Use.
More Information

No
The device description focuses on the materials and mechanical properties of bone plates and screws, with no mention of software, algorithms, or AI/ML capabilities.

Yes
The device is described as an "implant device" intended for "selective trauma," "maxillofacial surgery," "reconstructive procedures," and "orthognathic surgery," indicating it is used to treat or alleviate a condition.

No

This device is a fixation system (plates and screws) used in surgical procedures for trauma and reconstructive purposes, not for diagnosing conditions.

No

The device description explicitly states it consists of bone plates and screws made from titanium, which are physical hardware components.

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

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, tissue) to provide information about a person's health. This testing is done outside of the body (in vitro).
  • Device Description: The MCI - CMF System consists of bone plates and screws made of titanium. These are implants designed to be surgically placed inside the body to fix bones.
  • Intended Use: The intended use is for surgical procedures to fix bones in the midface, maxillofacial region, maxilla, mandible, and chin. This is a direct surgical intervention, not a diagnostic test performed on a specimen.

The description clearly indicates a surgical implant system, not a device used for laboratory testing of biological samples.

N/A

Intended Use / Indications for Use

MCI - CMF System is intended for use in selective trauma of the midface, maxillofacial surgery, reconstructive procedures, and selective orthognathic surgery of the maxilla, mandible and chin.

Product codes

JEY, DZL

Device Description

The bone plates are made from commercially pure titanium (ASTM F67) and the bone screws are manufactured from titanium alloy - Ti-6AI-4V (ASTM F136) and are available in different sizes and shapes, according the site of the implantation and the extension of the fracture. The surface of plates and screws are colored-anodized.

MCI - CMF System implant devices are for single use. The devices are provided non-sterile and must be properly cleaned, disinfected and sterilized before use, according the recommendations provided in the Instructions for Use.

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

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Midface, maxillofacial, maxilla, mandible, chin.

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Qualified surgeons mastering the surgical technique, having been trained and qualified in maxillofacial surgery.

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)

Biocompatibility testing
The plates are manufactured in commercially pure titanium conforming to ASTM F67 and its surfaces are colored-anodized. The plates types of titanium are the same to that used for fabrication of the primary predicate and reference devices.
The screws are made of titanium alloy conforming to ASTM F136 and its surfaces are coloredanodized. The screws alloy is the same to that used for fabrication of the primary predicate and reference devices.
Biocompatibility of the subject devices were supported by the following tests according to its contact profile: Cytotoxicity (ISO 10993-5), Sensitization (ISO 10993-10), Intracutaneous Reactivity (ISO 10993-10), Acute Systemic Toxicity (ISO 10993-11), Subchronic Systemic Toxicity (ISO 10993-11), Implantation (ISO 10993-6), Genotoxicity and Carcinogenicity (ISO 10993-3).

Mechanical testing
The performance of the subject devices are demonstrated through mechanical testing of plates and screws according to ASTM F382 and ASTM F543.
For the plates the 4 point bending fatigue test was performed. For the screws, pullout, torsion, and driving torque were executed. No clinical data were included in this submission.

Shelf life and Sterilization testing
The subject devices are provided non-sterile and have no expiration date defined. Steam sterilization validation was performed according to ISO 17665-1 and 17665-2.

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 primary predicate and reference devices.

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

Not Found

Predicate Device(s)

K180204

Reference Device(s)

K944565, K943347, K083388, K091233, K022185, K182609, K140037, K160363, K050934, K091679, K103778

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.

0

Image /page/0/Picture/0 description: The image contains 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, with the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG" in blue, and then the word "ADMINISTRATION" in a smaller font size, also in blue.

December 5, 2019

MCI Medical Concept Innovation Inc. % Janine Treter Regulatory Affairs Specialist Passarini Regulatory Affairs of America LLC 201 Biscayne Blvd, Suite 1200 Miami, Florida 33131

Re: K182758

Trade/Device Name: MCI - CMF System Regulation Number: 21 CFR 872.4760 Regulation Name: Bone Plate Regulatory Class: Class II Product Code: JEY, DZL Dated: November 4, 2019 Received: November 6, 2019

Dear Janine Treter:

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.

1

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 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/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

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/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Srinivas Nandkumar, Ph.D. for Director DHT1B: Division of Dental Devices OHT1: Office of Ophthalmic, Anesthesia, Respiratory, ENT and Dental Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K182758

Device Name

MCI - CMF System

Indications for Use (Describe)

MCI - CMF System is intended for use in selective trauma of the midface, maxillofacial surgery, reconstructive procedures, and selective orthognathic surgery of the maxilla, mandible and chin.

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

| Manufacturer Name | MCI Medical Concept Innovation Inc.
4592 North Hiatus Road
Sunrise, Florida, USA 33351 |
|--------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Official Contact | Carlos Lacerda, Mr.
Manager Director
MCI Medical Concept Innovation Inc.
E-Mail: carlos.lacerda@mci-medical.com
Telephone +01 (954) 306-2521 |
| Date Prepared | 05/Dec/2019 |
| Preparer / Alternate Contact | Janine Treter
Regulatory Affairs Specialist
Passarini Regulatory Affairs
janine@rapassarini.com.br |
| DEVICE NAME AND CLASSIFICATION | |
| Trade/ Proprietary Name | MCI - CMF System |
| Common Names | Bone Plate; Fixation Screws |
| Primary Classification Name | Bone Plate |
| Primary Classification Regulation | 21 CFR 872.4760, Class II |
| Primary Product Code | JEY |
| Subsequent Classification Name | Intraosseous Fixation Screw or Wire |
| Subsequent Classification Regulation | 21 CFR 872.4880, Class II |
| Subsequent Product Code | DZL |
| Classification Panel | Dental Products Panel |
| Reviewing Branch | Dental Devices Branch |
| PREDICATE DEVICE INFORMATION | |
| Primary Predicate Device | K180204 - CranioMaxillofacial Fixation (CMF) System - CMF Visionare

  • Visionare LLC |
    | Reference Devices | K944565 -KLS-MARTIN MICRO OSTEOSYTHESIS SYSTEM(1.5MM) - KLS-MARTIN L.P.
    K943347 - KLS Mini Osteosynthesis System - KLS-MARTIN L.P.
    K083388 - Synthes MatrixORTHOGNATHIC Plate System - Synthes (USA)
    K091233 - SYNTHES MATRIXMANDIBLE SUBCONDYLAR PLATES - SYNTHES (USA) |

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K022185 - Universal CMF System - Stryker Leibinger K182609 - Delphos Implants Rigid Fixation System - Delphos Implants - Ind. Com. Importação e Exportação K140037 & K160363 - Optimus CMF System - Osteonic Co., Ltd. K050934 - MODUS® Titanium Osteosynthesis System - Medartis Inc. K091679 & K103778 - LeForte Neuro System Bone Plate - Jeil Medical Corporation

INDICATIONS FOR USE

MCI - CMF System is intended for use in selective trauma of the midface, maxillofacial surgery, reconstructive procedures, and selective orthognathic surgery of the maxilla, mandible and chin.

SUBJECT DEVICE DESCRIPTION

The bone plates are made from commercially pure titanium (ASTM F67) and the bone screws are manufactured from titanium alloy - Ti-6AI-4V (ASTM F136) and are available in different sizes and shapes, according the site of the implantation and the extension of the fracture. The surface of plates and screws are colored-anodized.

MCI - CMF System implant devices are for single use. The devices are provided non-sterile and must be properly cleaned, disinfected and sterilized before use, according the recommendations provided in the Instructions for Use.

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

TECHNOLOGICAL CHARACTERISTICS COMPARISON TABLE

The subject and the predicate devices have a range of plates and screws with the same indication for reconstructive surgery, for fixation of maxillofacial and oral fractures, orthognathic reconstructions, mandibular reconstruction and any osteotomy surgery or trauma in maxillofacial.

The subject device is substantially equivalent to the primary predicate device K180204 in intended use, Indications for Use, designs, materials, and function.

The indication for use statement of the subject devices, primary predicate and reference devices is shown in Table 5.1. The indication for use statement of subject and primary predicate device is identical. A comparison between the design and features of the subject devices, primary predicate and reference devices is shown in tabular format for plates (Tables 5.2 and 5.3) and screws (Table 5.4).

The subject device plates are substantially equivalent to the primary predicate device K180204, or reference devices K944565, K943347, K08388, K091233, K022185, K182609, K140037 & K160363, K050934, K091679 & K103778, in designs and range of dimensions. Differences in the plates design features and dimensions between the subject device and the primary predicate device K180204 are addressed by comparison to the reference devices.

5

For System 1.5, the reference device K944565 is for substantial equivalence of part of the Straight Micro Plates, Straight Micro Plates Bridge, L Micro Plates Bridge, and Y Micro Plates Bridge. It is for substantial equivalence of the Orbital Micro Plate L Oblique Bridge, H Nasal Micro Plate, I Nasal Micro Plate, Orbital Floor Micro Mesh and 3D Micro Mesh of 83x83, 122x 122 and 200x200 mm. For System 2.0, the reference device K944565 is for substantial equivalence of part of the Mini Plate Double Pillar for Ment.

The reference device K943347 for System 1.5 is for substantial equivalence of T Micro Plate Bridge 4 holes in design only. For System 2.0, the reference device K943347 is for substantial equivalence of L Mini Plates and L Mini Plates Bridge of 6 holes. Both are reversible plates and are covered by two plates of the reference device in the same design (right/left). It is also for substantial equivalence of T Mini Plate Bridge of 4 holes, Straight Mini Plates Bridge Tab, Chin Mini Plates Bridge Tab and L Mini Plates Bridge Double Tab.

The reference device K083388 for System 1.5 is for substantial equivalence of part of the Micro Plate Bridge. It is for the substantial equivalence of the Micro Plates L Orbital Oblique Bridge. For system 2.0, this reference device is for substantial equivalence of the Straight Mini Plate of 20 holes, L Mini Plate Oblique Bridge, Sagittal Mini Plates Cut Bridge and Sagittal Mini Plates Cut Oblong Bridge.

The reference device K091233 for System 2.0 is for substantial equivalence of Lambda Mini Plates, Support Mini Plates, Trapezoidal Mini Plates and Trapezoidal Parallel Mini Plates.

The reference device K022185 for System 1.5 is for substantial equivalence of part of the T Micro Plate Bridge of 5 holes. It is for substantial equivalence of the Orbital Floor Plate. For System 2.0, K022185 is for substantial equivalence of T Mini Plate of 6 holes, T Orbital Mini Plate Bridge, and for the design features not emcopassed by K944595 for the Mini Plate Double Pillar for Ment.

The reference device K182609 for System 1.5 is for substantial equivalence of the Straight Micro Plate design features not encompassed by K944565, part of the 4 and 6 holes Straight Micro Plates Bridge and for the design features of the T Micro Plates Bridge 5 holes not completely emcopassed by K022185. The K182609 is also for the substantial equivalence of X Micro Plate Bridge and Support Zygomatic Micro Plates. For System 2.0, the reference device K182609 is for substantial equivalence of the Straight Mini Plate of 6 holes, Straight Mini Plate Bridge of 4 holes and for part of the Straight Mini Plate Bridge of 6 holes. It is for the substantial equivalence of the Orbital Mini Plates of 8 and 10 holes, Y Mini Plate, Mini Plates Double Line Bridge and for substantial equivalence of the Chin Mini Plates not encompassed by the primary predicate device.

The reference devices K140037 & K160363 for System 1.5 are for substantial equivalence of the Lefort Micro Plates. For System 2.0 are for substantial equivalence of Straight Mini Plates not emcopassed by K083388 and K182609 and for the Orbital Mini Plate not emcopassed by K182609. The reference devices K140037 & K160363 are also for the substantial equivalence of BSSO Dual Angled Mini Plates Bridge.

For System 1.5 the reference device K050934 is for substantial equivalence of the Straight Micro Plate Bridge features not emcopassed by K944565 and K182609, and of the L Micro Plates Bridge features not encompassed by K944565 and K083388. It is also for substantial equivalence of Y Micro Plate Bridge not emcompassed by K944565 and 3D Micro Mesh of 50x50 mm. For System 2.0 is for substantial equivalence of Straight Mini Plates Bridge not emcopassed by K182609 and L Mini Plates

6

Bridge not encompassed by K943347. It is also for the substantial equivalence of the Mini Plate Sagittal.

The reference devices K091679 & K103778 for System 1.5 are for substantial equivalence of Angled Micro Plates for Piriformis.

The subject device screws are substantially equivalent to the primary predicate device K180204, or reference devices K944565 and K022185, in designs and range of dimensions for all types of screws: Cortical Screw, Emergency Cortical Screw, Cortical Screw AP and Locking Screw AP. Differences in the screw design features and dimensions between the subject device and the primary predicate device K180204 are addressed by comparison to the reference devices.

For screws, the reference device K944565 is for substantial equivalence on the results of comparative performance testing. The reference device K022185 is for substantial equivalence of the length 20 mm for Cortical Screws of 2.0 mm diameter and Emergency Cortical Screw of 2.3 mm. The reference device K022185 is also for substantial equivalence of the Cortical Screws AP of 2.0 mm in diameter for the length of 4 mm.

7

Table 5.1: Comparison on indication for use statement
KNUMBER/ MANUFACTURERINDICATION FOR USE STATEMENTSUBSTANTIAL EQUIVALENCE
DISCUSSION
SUBJECT
DEVICEK182758 – MCI - CMF System

MCI Medical Concept Innovation Inc. | MCI - CMF System 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

The indication for use of subject and
primary predicate device is identical. |
| PRIMARY
PREDICATE
DEVICE | K180204 - CranioMaxillofacial Fixation (CMF) System

  • CMF Visionare

Visionare LLC | 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. | The subject device indication for use is
within the scope of indications of the
reference devices. |
| REFERENCE
DEVICES | K944565 -KLS-MARTIN MICRO OSTEOSYTHESIS
SYSTEM(1.5MM)

KLS Martin LP | No 510(k) summary available | Despite of the reference devices
"K091679 & K103778 - LeForte Neuro
System Bone Plate" citing the word
Neuro in their proprietary name, by the
indication for use itself is possible to
understand they remain in the scope
since are related to midface and
craniomaxillofacial applications.
Therefore, K091679 & K103778 are
suitable as reference predicates. |
| | K943347 - KLS Mini Osteosynthesis System

KLS-MARTIN L.P. | No 510(k) summary available | |
| | K083388- Synthes MatrixORTHOGNATHIC Plating
System | The Synthes MatrixORTHOGNATHIC Plating System is intended for use in selective
trauma of the midface and craniofacial skeleton; craniofacial surgery; | |
| KNUMBER/ MANUFACTURER | INDICATION FOR USE STATEMENT | SUBSTANTIAL EQUIVALENCE
DISCUSSION | |
| Synthes (USA) | reconstructive procedures; and selective orthognathic surgery of the maxilla,
mandible and chin in adolescents (greater than 12 to 21 years of age) and adults. | | |
| | Specific Indications for Use: | | |
| | • Fractures ofthe midface and craniofacial skeleton | | |
| | • LeFort I osteotomies, sagittal split osteotomies and genioplasties | | |
| | • Orthognathic surgery including reconstructive procedures | | |
| K091233 - SYNTHES MATRIXMANDIBLE
SUBCONDYLAR PLATES | The Synthes MatrixMANDIBLE Subcondylar Plates are intended for oral,
maxillofacial surgery; trauma and reconstructive surgery, specifically for fractures of
the subcondylar region of the mandible and fractures of the condylar basis region of
the mandible. | | |
| SYNTHES (USA) | | | |
| K022185 - Universal CMF System | The Stryker® Leibinger Universal CMF System is a Cranio-maxillofacial (CMF) plate
and screw system intended for osteotomy, stabilization and rigid fixation of CMF
fractures and reconstruction. | | |
| Stryker Leibinger | | | |
| REFERENCE
DEVICES | K182609 - Delphos Implants Rigid Fixation System
Delphos Implants - Ind. Com. Importação e
Exportação | The Delpos Implants Rigid Fixation System is intended for fracture fixation in
maxillofacial trauma reconstruction, mandibular reconstruction and orthognatic
reconstruction. | |
| KNUMBER/ MANUFACTURER | INDICATION FOR USE STATEMENT | SUBSTANTIAL EQUIVALENCE
DISCUSSION | |
| | The Delpos Implants Rigid Fixation System implants are intended for single use only. | | |
| K140037 & K160363 - Optimus CMF System
Osteonic Co., Ltd. | Optimus CMF System is implantable bone plates and bone screws for maxillofacial
and mandible surgery procedures including:

  1. Fractures
  2. Osteotomies
  3. Reconstructive procedures
  4. Revision procedures where other treatments or devices have failed. | | |
    | K050934 - MODUS® Titanium Osteosynthesis System
    Medartis, Inc. | The MODUS® Titanium Osteosynthesis System is intended for osteotomies and
    fractures involving any part ofthe craniofacial skeleton and requiring positional and
    functional stability. Indications include fixation in the nasoethmoidal, intraorbital,
    and frontal sinus areas; fixation of comminuted fractures of maxillo-facial and
    craniofacial areas; tumor surgery for defect bridging; reconstruction of bony
    structures by means of mesh materials; coverings for burr holes in the skull; trauma
    of nasal bones; surgical correction of dento facial deformations; and reconstruction
    after tumor surgery. | | |
    | K091679 & K103778 - LeForte Neuro System Bone
    Plate
    Jeil Medical Corporation | This device is intended for use in selective trauma of the mid-face and craniofacial
    skeleton; craniofacial surgery; reconstructive procedures; and selective orthognatic
    surgery of the maxilla and chin. | | |

MCI Medical Concept Innovation Inc.

8

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Table 5.2: Comparison between the subject, primary and reference K944565. K943347. K083388. K091233 devices for plates to be optived

COMPARISONSUBJECT DEVICEPRIMARY PREDICATE DEVICEREFERENCE DEVICES
K182758K180204K944565K943347K083388K091233
Product CodeJEY, DZLJEY, DZLJEYJEYJEY, DZLJEY
Raw MaterialCP TitaniumCP TitaniumCP TitaniumCP TitaniumCP TitaniumCP Titanium
Surface treatmentAnodizedAnodizedAnodizedAnodizedAnodizedAnodized
System 1.5
Design/FeaturesDescriptionHole nºThickness (mm)DescriptionHole nºThickness (mm)DescriptionHolesThickness (mm)DescriptionHolesThickness (mm)DescriptionHolesThickness (mm)DescriptionHolesThickness (mm)
Straight Micro Plate4, 6, 8, 10, 16, 200.6Straight Mini Plate Regular4, 6, 8, 16, 200.7Micro Plate4, 6, 8, 16, 200.6Mini Plate4, 6, 8, 160.6, 1.0
Straight Micro Plate Bridge4, 60.6Straight Mini Plate Medium4, 60.7Micro Plate4, 60.6
Orbital Micro Plate8, 100.6Orbital Mini Plate Regular8, 100.7Micro Plate8, 100.6Champy Plate8, 100.6
L Micro Plate Bridge40.6L Mini Plate Medium & Extra Long40.7Micro Plate40.6Mini Plate40.6, 1.090° L Plate Medium & Long40.5
L Micro Plate Oblique Bridge4, 50.6Micro Plate4, 50.6
L Micro Plate Orbital60.6, 0.7, 0.8Anatomical L Plate60.5, 0.7, 0.8
T Micro Plate Bridge4, 50.6T Mini Plate Medium & Extra Long50.7Champy Plate41.0
X Micro Plate Bridge60.6T Mini Plate Medium & Extra Long60.7Micro Plate60.6
Y Micro Plate Bridge50.6Micro Plate50.6
Lefort Micro Plate110.6Lindorf Micro Le Fort I Plate111.0
Angled Micro Plate Piriforms100.8Le Fort Mini Plate140.8
Support Zygomatic Micro Plate70.8
H Nasal Micro Plate120.6Micro Plate120.6Mini Plate120.6
I Nasal Micro Plate11, 120.6Micro Plate11, 120.6
COMPARISONSUBJECT DEVICEPRIMARY PREDICATE DEVICEREFERENCE DEVICES
K182758K180204K944565K943347K083388K091233
Design/FeaturesOrbital Floor
Micro MeshMicro Orbital
Mesh
---0.3, 0.5---0.3, 0.5
Orbital Floor
Plate---0.3
3D Micro Mesh3D-Mesh
50x50
83x83
122x122
200x2000.680x80
120x120
200x2000.6
System 2.0
Design/FeaturesDescriptionHole n°Thickness
(mm)DescriptionHole n°Thickness
(mm)DescriptionHolesThickness
(mm)DescriptionHolesThickness
(mm)DescriptionHolesThickness
(mm)DescriptionHolesThickness
(mm)
Straight Mini
PlateStraight Mini
Plate RegularAdaptation
Plate
4, 6, 12, 16,
200.94, 6, 12,
16, 201.0200.8
Straight Mini
Plate BridgeStraight Mini
Plate BridgeMini Plate
Bridge
4, 60.94, 61.041.0
Orbital Mini
PlateOrbital Mini PlateChampy Plate
Bridge
6, 8, 100.96, 8, 101.08, 100.6
L Mini PlateL Mini Plate
RegularMini Plate
4, 61.041.04, 51.0
L Mini Plate
BridgeL Mini Plate LongMini Plate
4, 61.041.061.0
L Mini Plate
Oblique BridgeOblique L Plate
61.060.8
T Mini PlateMini Plate
41.04, 61.0
60.9
T Orbital Mini
Plate
80.9
Y Mini Plate
50.9
S/Z Mini PlateZ Mini PlateMini Plate
41.041.040.6
BSSO Dual
Angled Mini
Plate BridgeBSSO Dual
Angled Mini
Plate Bridge
80.9, 1.080.9, 1.0
Straight Mini
Plate Bridge TabMini Plate
Mandibular Tab
4, 61.041.0
Chin Mini PlateChin Mini Plate
40.940.7Mini Plate
Mandibular Tab
Design/FeaturesChin Mini Plate
Tab
40.840.8

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Page 9 of 15

K182758 – MCI -CMF System

MCI Medical Concept Innovation Inc.

12

COMPARISONSUBJECT DEVICEPRIMARY PREDICATE DEVICEREFERENCE DEVICES
K182758K180204K944565K943347K083388K091233
L Mini Plate
Bridge Tab40.9Arnett
Orthognathic
System Maxilla40.8
L Mini Plate
Bridge Double
Tab40.9Arnett
Orthognathic
System Maxilla40.8
Sagittal Mini
Plate Cut Bridge61.0Sagittal Split
Plate Bar61.0
Sagittal Mini
Plate Cut
Oblong Bridge41.0Sagittal Split
Plate Oblong
Bar41.0
Mini Plate
Sagittal41.0
Lambda Mini
Plate71.0Subcondylar
Lamda Plate71.0
Support Mini
Plate51.0Subcondylar
Strut Plate51.0
Trapezoidal
Mini Plate41.0Subcondylar
Trapezoidal
Plate41.0
Mini Plate
Double Pillar for
Ment60.6Micro Plate60.6
SterilizationNon-sterile, Steam sterilized prior
to useNon-sterile, Steam sterilized prior
to use
Single UseYesYesYes

13

Table 5.3: Comparison between the subject and reference devices K022185, K160363, K050934, K091679 & K10378 for plates

COMPARISONSUBJECT DEVICEREFERENCE DEVICES
K182758K022185K182609K140037 & K160363K050934K091679 & K103778
Product CodeJEY, DZLJEY, HWCJEYJEY, DZLJEYJEY
Raw MaterialCP TitaniumNot informedCP TitaniumCP TitaniumCP TitaniumCP Titanium
Surface treatmentAnodizedAnodizedAnodizedAnodizedAnodizedAnodized
System 1.5
Design/FeaturesDescriptionHole n°Thickness
(mm)DescriptionHole n°Thickness
(mm)DescriptionHolesThickness
(mm)DescriptionHolesThickness
(mm)DescriptionHolesThickness
(mm)DescriptionHolesThickness
(mm)
Straight Micro
PlateStandard Plate
1.2 Upper FaceRegular Straight
PlateMini PlateCranial Plate
StraightStraight Mid
Plate
4, 6, 8, 10,
16, 200.68, 240.6100.64, 8, 12, 200.54, 160.54, 6, 100.6
6, 80.6
Straight Micro
Plate BridgeStraight Plate
BridgeCranial Plate
Straight BarStraight Mid
Plate Long
4,60.64, 60.64, 60.640.6
Orbital MicroCurved PlateOrbital Plate
CurvedOrbital Mid
Plate
Plate8, 100.6100.680.68, 100.6
L Micro Plate
BridgeL Plate BridgeMini PlateCranial Plate L
BarL Mid Plate 90°
40.640.640.540.640.6
L Micro Plate
Oblique BridgeCranial Plate L
100°L Mid Plate
100°
4, 50.64, 50.640.6
L Micro Plate
OrbitalAnatomical
Plate
60.6, 0.7, 0.860.8
T Micro Plate
BridgeT-PlateT-PlateT Micro Plate
4,50.650.650.6Mini PlateCranial Plate XDouble Y Mid
Plate50.5
X Micro Plate
BridgeX-Plate BridgeBar
60.660.660.560.660.6
Y Micro Plate
BridgeY-Plate BridgeCranial Plate Y
Bar
50.6Le Fort I Plate50.6Le Fort I Plate50.6
Lefort Micro
Plate
110.6110.9110.6, 1.0
Angled Micro
Plate PiriformsBifurcated
Anterior Maxillary
PlateSegmental Le
Fort I PlateRC Micro Plate
100.8120.8121.0120.8
Support
Zygomatic
Micro PlatePre-shaped
Posterior
Maxillary Plate
70.870.8
H Nasal Micro
PlateNasal Plate H
BarH Micro Plate
120.6120.6120.5
I Nasal Micro
PlateCranial Plate H
Bar
11, 12110.6
Orbital Floor
Micro MeshOrbital Floor
PlateOrbital Floor
Mid Plate
---0.3, 0.5---0.3, 0.4---0.3
Orbital Floor
PlateOrbital Floor
PlateOrbital Floor
PlateOrbital Floor
Mid Plate
---0.3---0.3---0.3---0.3
COMPARISONSUBJECT DEVICEREFERENCE DEVICES
K182758K022185K182609K140037 & K160363K050934K091679 & K103778
Design/Features3D Micro Mesh3D Standard PlateHexagonal MeshVario MeshMesh Mid Plate
Dimension:
50x50 mm
83x83 mm
122x122 mm
200x200 mm0.610x10 holes0.6 mmDimension:
50x490.2Dimension:
50x490.3Dimension:
48x33.60.6
System 2.0
Design/FeaturesDescriptionHole n°Thickness (mm)DescriptionHole n°Thickness (mm)DescriptionHolesThickness (mm)DescriptionHolesThickness (mm)DescriptionHolesThickness (mm)DescriptionHolesThickness (mm)
Straight Mini Plate4, 6, 12, 16, 200.9Straight Plate Regular4, 61.0Straight Plate60.8Straight Plate4, 6, 16, 200.8Cranial Plate Straight4, 6, 200.7Straight Mini Plate6, 160.8
160.8120.7161.0
Straight Mini Plate Bridge4, 60.9Straight Plate Bridge4, 60.8Straight Plate40.8Cranial Plate Straight Bar4, 61.0Straight Mini Plate40.8
Orbital Mini Plate6, 8, 100.9Curved Plate120.8Curved Plate8, 100.8Mini Plate6, 8, 100.5Orbital Plate Curved6, 81.0Orbital Mini Plate100.8
L Mini Plate4, 61.0L-Plate4, 51.0L Mini Plate 90° Regular41.0
L Mini Plate Bridge4, 61.0Cranial Plate L 90° Bar40.7L Mini Plate 90° Long41.0
L Mini Plate Oblique Bridge61.0
T Mini Plate41.0T-Plate61.0
60.9
T Orbital Mini Plate80.9T-Plate80.8
Y Mini Plate50.9Y-Plate51.0V-Plate50.8Cranial Plate L 90° Bar51.0
S/Z Mini Plate41.0Z-Plate40.8Z-D Plate40.8
BSSO Dual Angled Mini Plate Bridge80.9, 1.0BSSO Plate Double80.8OSS Plate Double81.0
Straight Mini Plate Bridge Tab4, 61.0
Chin Mini Plate40.9Mentoplasty Plate40.7Chin X-Plate41.0Chin Mini Plate40.6
Chin Mini Plate Tab40.8
L Mini Plate Bridge Tab40.9
Design/FeaturesL Mini Plate Bridge Double Tab40.9

14

MCI Medical Concept Innovation Inc.

15

COMPARISONSUBJECT DEVICEREFERENCE DEVICES
K182758K022185K182609K140037 & K160363K050934K091679 & K103778
Sagittal Mini Plate Cut Bridge61.0
Sagittal Mini Plate Cut Oblong Bridge41.0
Mini Plate Sagittal41.0Sagittal Split Plate Closed
61.0
Lambda Mini Plate71.0
Support Mini Plate51.0
Trapezoidal Mini Plate41.0T.C.P. Trapezoid Condyle PlateCondyle Plate
41.0
Mini Plate Double Pillar for Ment60.6Chin Plate Bar41.0
60.6
SterilizationNon-sterile, Steam sterilized prior to useNon-sterile, Steam sterilized prior to use
Single UseYesYesYesYesYesYes

16

COMPARISONSUBJECT DEVICEPRIMARY PREDICATE DEVICEREFERENCE DEVICES
K182758K180204K944565K022185
Product CodeJEY, DZLJEY, DZLJEY, HWC
Raw MaterialTitanium alloy (Ti-6Al-4V)Titanium alloy (Ti-6Al-4V)Not informed
Surface treatmentAnodizedAnodizedAnodizedAnodized
Systems 1.5 and 2.0
Design/FeaturesTypeDiameterLengthTypeDiameterLengthTypeDiameterLength
System 2.0Cortical Screw
(Self-tapping)1.54, 5, 6, 8, 9, 10, 11,
12, 14, 15Self-tapping Screw1.54, 5, 6, 8, 9, 10, 11,
12, 14, 15Self-retaining
Screw maxDrive1.54, 5, 6, 8, 9, 11,
15
2.04, 5, 6, 8, 10, 12,
14, 16, 18, 202.04, 5, 6, 8, 10, 12,
14, 16, 18Self-tapping
Screw2.04, 5, 6, 8, 10, 12,
14, 16, 18, 20
Cortical Screws
(Emergency Self-
tapping)1.75, 6, 8, 10, 12Emergency Self-
tapping Screw2.35, 6, 8, 10, 12, 14,
16, 18Self-tapping
Screw1.75, 6, 8, 10, 12
2.35, 6, 8, 10, 12, 14,
16, 18, 202.35, 6, 8, 10, 12,
14, 16, 18, 20
Cortical Screw AP
(Self-drilling)1.54, 5, 6, 7Self-drilling Screw1.54, 5, 6, 7Drill-Free Screw
maxDrive1.54, 5, 6, 7
2.04, 5, 62.05, 6MP Self-drilling2.04, 5, 6
Locking Screw AP
(Self-drilling
Blocking
Screw)2.06, 8, 10, 12Blocking Screw2.06, 8, 10, 12
SterilizationNon-sterile, Steam sterilized prior to useNon-sterile, Steam sterilized prior to useNon-sterile, Steam sterilized prior to use

Table 5.4: Comparison between the subject, primary and reference predicate devices for screws

17

PERFORMANCE DATA

The following performance data supports the substantial equivalence determination:

Biocompatibility testing

The plates are manufactured in commercially pure titanium conforming to ASTM F67 and its surfaces are colored-anodized. The plates types of titanium are the same to that used for fabrication of the primary predicate and reference devices.

The screws are made of titanium alloy conforming to ASTM F136 and its surfaces are coloredanodized. The screws alloy is the same to that used for fabrication of the primary predicate and reference devices.

Biocompatibility of the subject devices were supported by the following tests according to its contact profile: Cytotoxicity (ISO 10993-5), Sensitization (ISO 10993-10), Intracutaneous Reactivity (ISO 10993-10), Acute Systemic Toxicity (ISO 10993-11), Subchronic Systemic Toxicity (ISO 10993-11), Implantation (ISO 10993-6), Genotoxicity and Carcinogenicity (ISO 10993-3).

Mechanical testing

The performance of the subject devices are demonstrated through mechanical testing of plates and screws according to ASTM F382 and ASTM F543.

For the plates the 4 point bending fatigue test was performed. For the screws, pullout, torsion, and driving torque were executed. No clinical data were included in this submission.

Shelf life and Sterilization testing

The subject devices are provided non-sterile and have no expiration date defined. Steam sterilization validation was performed according to ISO 17665-1 and 17665-2.

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 primary predicate and reference devices.