K Number
K190970
Device Name
PROSTEP™ TBI™ (Tailors Bunion Implant) System
Date Cleared
2019-08-13

(123 days)

Product Code
Regulation Number
888.3040
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The PROSTEP™ TBI™ (Tailor's Bunion Implant) system is indicated for the fixation of 5th metatarsal osteotomies made in the correction of Tailor's Bunion.
Device Description
The PROSTEP™ TBI™ (Tailors Bunion Implant) System is intended for use in bone reconstruction and osteotomy of the fifth metatarsal. The implants are provided sterile and consist of one MIS Bunion implant and one ORTHOLOC 3Di screw. Based on patient anatomy and surgeon's needs, different component sizes can be selected.
More Information

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

No
The device is an implant system used for the fixation of bones after osteotomies, which is a surgical procedure, not a therapeutic device in itself.

No

The device is an implant system used for the fixation of 5th metatarsal osteotomies, which is a treatment/fixation purpose, not a diagnostic one.

No

The device description explicitly states it consists of physical implants (MIS Bunion implant and ORTHOLOC 3Di screw) and is intended for surgical fixation. This is a hardware device, not software only.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to examine specimens taken from the human body (like blood, urine, tissue) to provide information about a person's health.
  • Device Function: The PROSTEP™ TBI™ system is a surgical implant used for the physical fixation of bone after an osteotomy (bone cut) in the foot. It is directly implanted into the body.
  • Intended Use: The intended use clearly states it's for "fixation of 5th metatarsal osteotomies." This is a surgical procedure, not a diagnostic test performed on a specimen.

The description of the device, its intended use, and the performance studies all point to it being a surgical implant, not an IVD.

N/A

Intended Use / Indications for Use

The PROSTEP™ TBI™ (Tailor's Bunion Implant) system is indicated for the fixation of 5th metatarsal osteotomies made in the correction of Tailor's Bunion.

Product codes

HRS, HWC

Device Description

The PROSTEP™ TBI™ (Tailors Bunion Implant) System is intended for use in bone reconstruction and osteotomy of the fifth metatarsal. The implants are provided sterile and consist of one MIS Bunion implant and one ORTHOLOC 3Di screw. Based on patient anatomy and surgeon's needs, different component sizes can be selected.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

5th metatarsal

Indicated Patient Age Range

Not Found

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

The subject was evaluated to the predicate through construct fatigue testing to support the safety and effectiveness of the subject device system. Additionally, bacterial endotoxin testing was done on a representative part.

Key Metrics

Not Found

Predicate Device(s)

K082320, K132895, K163039

Reference Device(s)

K163039

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 888.3040 Smooth or threaded metallic bone fixation fastener.

(a)
Identification. A smooth or threaded metallic bone fixation fastener is a device intended to be implanted that consists of a stiff wire segment or rod made of alloys, such as cobalt-chromium-molybdenum and stainless steel, and that may be smooth on the outside, fully or partially threaded, straight or U-shaped; and may be either blunt pointed, sharp pointed, or have a formed, slotted head on the end. It may be used for fixation of bone fractures, for bone reconstructions, as a guide pin for insertion of other implants, or it may be implanted through the skin so that a pulling force (traction) may be applied to the skeletal system.(b)
Classification. Class II.

0

August 13, 2019

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Wright Medical Technology, Inc. Michael Mullins Regulatory Affairs Specialist 1023 Cherry Road Memphis, Tennessee 38117

Re: K190970

Trade/Device Name: PROSTEP TBI System Regulation Number: 21 CFR 888.3030 Regulation Name: Single/Multiple Component Metallic Bone Fixation Appliances And Accessories Regulatory Class: Class II Product Code: HRS, HWC Dated: July 11, 2019 Received: July 12, 2019

Dear Michael Mullins:

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

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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 (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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about mediation-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,

Shumaya Ali, MPH Assistant Director DHT6C: Division of Restorative, Repair and Trauma Devices OHT6: Office of Orthopedic 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) K190970

Device Name PROSTEP™ TBI™ (Tailors Bunion Implant) System

Indications for Use (Describe)

The PROSTEP™ TBT™ (Tailor's Bunion Implant) system is indicated for the fixation of 5th metatarsal osteotomies made in the correction of Tailor's Bunion.

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)

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Headquarters Wright Medical Technology, Inc.

1023 Cherry Road Memphis, TN 38117

901 867 9971 mt.com

510(k) SUMMARY

In accordance with the Food and Drug Administration rule to implement provisions of the Safe Medical Devices Act of 1990 and in conformance with 21 CFR 807.92, this information serves as a Summary of Safety and Effectiveness for the use of the PROSTEP™ TBI™ (Tailors Bunion Implant) System.

(a)(1) MANUFACTURER IDENTIFICATION

Submitted By:

Wright Medical Technology, Inc. 1023 Cherry Road Memphis, TN 38117

Date:

July 11, 2019

Contact Person:

Michael Mullins Regulatory Affairs Specialist II Office: (901) 867-4142 Fax: (901) 867-4190

(a)(2) SUBJECT DEVICE INFORMATION

Proprietary Name:PROSTEP™ TBI™ (Tailors Bunion Implant) System
Common Name:Plate, Fixation, Bone / Screw, Fixation, Bone
Classification Name & Reference:21 CFR 888.3030 / 21 CFR 888.3040 – Class II
Device Product Code & Panel:HRS / HWC - Orthopedic

(a)(3) PREDICATE DEVICE INFORMATION

Wright Compression Screw System (primary) WMT Implantable K-Wires (secondary) ORTHOLOC® 3Di Small Bones Plating System (secondary) K082320 K132895 K163039

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(a)(4) DEVICE DESCRIPTON

The PROSTEP™ TBI™ (Tailors Bunion Implant) System is intended for use in bone reconstruction and osteotomy of the fifth metatarsal. The implants are provided sterile and consist of one MIS Bunion implant and one ORTHOLOC 3Di screw. Based on patient anatomy and surgeon's needs, different component sizes can be selected.

(a)(5) INTENDED USE

The PROSTEP™ TBI™ (Tailor's Bunion Implant) system is indicated for the fixation of 5th metatarsal osteotomies made in the correction of Tailor's Bunion.

(a)(6) TECHNOLOGICAL CHARACTERISTICS COMPARISON

The subject device is a construct that uses cleared components and a new component to address first metatarsal hallux valgus. The subject devices intended use/indications for use is contained within the predicate. Table 1 below shows a comparison of technological characteristics. The principles of operation of the subject uses screw and intramedullary fixation where the predicate uses screw fixation. The subject and predicate have same materials and use similar internal fixation methods. Both subject and predicate use screws to achieve fixation in fifth metatarsal osteotomies.

SUBJECTPREDICATE (primary)
Tailor's Bunion SystemWright Compression Screws –
K082320
MaterialASTM F136 (Titanium Alloy)ASTM F136 (Titanium Alloy)
Tailor's Bunion: Small, Medium,
Large
ImplantORTHOLOC 3Di Screw (K163039-
reference predicate):Diameter: 2.0mm
Length: 10-24mm
Diameter: 2.4 mm
Length: 12mm

Table 1 Subject vs Predicate Technological Comparison

(b)(1) SUBSTANTIAL EQUIVALENCE - NON-CLINICAL EVIDENCE

The subject was evaluated to the predicate through construct fatigue testing to support the safety and effectiveness of the subject device system. Additionally, bacterial endotoxin testing was done on a representative part.

(b)(2) SUBSTANTIAL EQUIVALENCE - CLINICAL EVIDENCE N/A

(b)(3) SUBSTANTIAL EQUIVALENCE - CONCLUSIONS

The design characteristics of the subject device do not raise any new types of questions of safety or effectiveness and testing shows no new worst case. From the evidence submitted in this 510(k), the subject devices can be expected to perform at least as well as the predicate and are substantially equivalent.