K Number
K191641
Device Name
AFFINITY – Variable Angle Distal Radius System, AFFINITY – Variable Angle Distal Radius Plates, AFFINITY – Variable Angle Distal Radius Screws
Date Cleared
2019-09-16

(89 days)

Product Code
Regulation Number
888.3030
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
AFFINITY - Variable Angle Distal Radius System is indicated for the fixation of simple and complex intra- articular and extra-articular fractures, and for osteotomies of the distal radius in adults. The device is indicated for fixation of Fractures AO types A2, A3, B1, B3, C1, C2, C3.
Device Description
The AFFINITY - Variable Angle Distal Radius System is contains a set of titanium plates and screws that are intended to be end-user sterilized. The AFFINITY - Variable Angle Distal Radius System plates are provided in different configurations and are intended to be used in combination with the variable angle drilling guide and the Styloid hole variable angle drill guide to provide the necessary angulation for optimal screw positioning. The system includes Extra-articular plates (intermediate, wide, and narrow), Distal dorso-ulnar and dorso-radial L-plates, Distal ulnar T-plates, and straight Radius styloid plates.
More Information

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

Yes
The device is indicated for the "fixation of simple and complex intra-articular and extra-articular fractures, and for osteotomies of the distal radius in adults," which are therapeutic interventions.

No

This device, the AFFINITY - Variable Angle Distal Radius System, is indicated for the fixation of fractures and osteotomies of the distal radius. It consists of plates and screws used for treatment (fixation), not for diagnosing conditions.

No

The device description explicitly states it contains a set of titanium plates and screws, which are hardware components.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is for the fixation of bone fractures and osteotomies of the distal radius. This is a surgical procedure performed directly on the patient's body.
  • Device Description: The device consists of plates and screws, which are implants used in surgery.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or treatment.

IVD devices are used in vitro (outside the body) to analyze biological samples. This device is used in vivo (inside the body) for surgical repair.

N/A

Intended Use / Indications for Use

AFFINITY - Variable Angle Distal Radius System is indicated for the fixation of simple and complex intra- articular and extra-articular fractures, and for osteotomies of the distal radius in adults.

The device is indicated for fixation of Fractures AO types A2, A3, B1, B3, C1, C2, C3.

Product codes

HRS, HWC

Device Description

The AFFINITY - Variable Angle Distal Radius System is contains a set of titanium plates and screws that are intended to be end-user sterilized. The AFFINITY - Variable Angle Distal Radius System plates are provided in different configurations and are intended to be used in combination with the variable angle drilling guide and the Styloid hole variable angle drill guide to provide the necessary angulation for optimal screw positioning. The system includes Extra-articular plates (intermediate, wide, and narrow), Distal dorso-ulnar and dorso-radial L-plates, Distal ulnar T-plates, and straight Radius styloid plates.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

distal radius

Indicated Patient Age Range

adults

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies

Non-clinical Testing:
Mechanical testing of the plates: ASTM F384-17 (Standard Specifications and Test Methods for Metallic Angled Orthopedic Fracture Fixation Devices) Annex 1 Static Bend Testing, Annex 2 Fatigue Bend Testing.
Mechanical testing of the screws: ASTM F543-17 (Standard Specification and Test Methods for Metallic Medical Bone Screws) Annex 1 Torsional Properties, Annex 2 Driving Torque, Annex 3 Axial Pullout.
Biocompatibility testing: Cytotoxicity (ISO 10993-5), Chemical characterization (ISO 10993-18), Film-forming contaminations (XPS investigation), Detection and Quantification of Bacterial Endotoxins.
Sterilization test overview: Validating steam sterilization method according to ISO 11737-2:2009, ISO 17665-1:2006, ISO 14161:2009.

Conclusion: The non-clinical tests and technological comparisons demonstrate that the subject device is substantially equivalent to the predicate.

Key Metrics

Not Found

Predicate Device(s)

K162841

Reference Device(s)

K050932

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 888.3030 Single/multiple component metallic bone fixation appliances and accessories.

(a)
Identification. Single/multiple component metallic bone fixation appliances and accessories are devices intended to be implanted consisting of one or more metallic components and their metallic fasteners. The devices contain a plate, a nail/plate combination, or a blade/plate combination that are made of alloys, such as cobalt-chromium-molybdenum, stainless steel, and titanium, that are intended to be held in position with fasteners, such as screws and nails, or bolts, nuts, and washers. These devices are used for fixation of fractures of the proximal or distal end of long bones, such as intracapsular, intertrochanteric, intercervical, supracondylar, or condylar fractures of the femur; for fusion of a joint; or for surgical procedures that involve cutting a bone. The devices may be implanted or attached through the skin so that a pulling force (traction) may be applied to the skeletal system.(b)
Classification. Class II.

0

September 16, 2019

Image /page/0/Picture/1 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.

Industrias Medicas Sampedro S.A.S Liliana Zuluaga-Idarraga Technical Director Carrera 47 No. 100 Sur 40 La Estrella, 055468 CO

Re: K191641

Trade/Device Name: AFFINITY - Variable Angle Distal Radius System, AFFINITY - Variable Angle Distal Radius Plates, AFFINITY - Variable Angle Distal Radius Screws 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: June 14, 2019 Received: June 19, 2019

Dear Liliana Zuluaga-Idarraga:

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

1

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,

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) K191641

Device Name

AFFINITY - Variable Angle Distal Radius System

Indications for Use (Describe)

AFFINITY - Variable Angle Distal Radius System is indicated for the fixation of simple and complex intra- articular and extra-articular fractures, and for osteotomies of the distal radius in adults.

The device is indicated for fixation of Fractures AO types A2, A3, B1, B3, C1, C2, C3.

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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510(k) Summary

The following section is included as required by the Safe Medical Devices Act (SMDA) of 1990 and 21CFR 807.92.

Submission date

Date of the Traditional 510(k) submission is 28th August 2019.

Submitter information

Company nameIndustrias Médicas Sampedro S.A.S
Establishment registration numberN/A
Street AddressCarrera 47 No. 100 Sur 40
CityLa Estrella
Zip code055468
CountryColombia
Phone number+5743223375
Fax number+574 338 3013
Principal contact personLiliana Zuluaga-Idárraga
Contact titleTechnical Director
Contact e-mail addressliliana.zuluaga@imsampedro.com
Additional contact personDaniela Villa-Moreno
Contact titleRegulatory Affairs Coordinator
Contact e-mail addressdaniela.villa@imsampedro.com

Submission information

Trade nameAFFINITY - Variable Angle Distal Radius System
Common or Usual namePlate, Fixation, Bone
Screw, Fixation, Bone
Classification name21 CFR 888.3030; Single/multiple component metallic bone
fixation appliances and accessories
21 CFR 888.3040; Smooth or threaded metallic bone fixation
fastener
Product code (classification regulation)HRS
HWC
Classification PanelOrthopedic
Device classClass II

4

Predicate device

The predicate device to which substantial equivalence is claimed to:

Trade or proprietary or model nameVariAx Distal Radius Plating System, VariAx 2 System
510(k) numberK162841
Decision date02/21/2017
Product codeHRS
HWC
ManufacturerStryker GmbH
Review PanelOrthopedic

Reference device

Trade or proprietary or model name 510(k) number Decision date Product code Manufacturer Review Panel

Distal Volar Radius Anatomical plate system K050932 04/26/2005 LXT Hand Innovations, Inc Orthopedic

Device Description

The AFFINITY - Variable Angle Distal Radius System is contains a set of titanium plates and screws that are intended to be end-user sterilized. The AFFINITY - Variable Angle Distal Radius System plates are provided in different configurations and are intended to be used in combination with the variable angle drilling guide and the Styloid hole variable angle drill guide to provide the necessary angulation for optimal screw positioning. The system includes Extra-articular plates (intermediate, wide, and narrow), Distal dorso-ulnar and dorso-radial L-plates, Distal ulnar T-plates, and straight Radius styloid plates.

Indications for Use

AFFINITY - Variable Angle Distal Radius System is indicated for the fixation of simple and complex intraarticular and extra-articular fractures, and for osteotomies of the distal radius in adults.

The device is indicated for fixation of Fractures AO types A2, A3, B1, B3, C1, C2, C3.

5

CharacteristicSubject device:Predicate device:Reference device: Distal Vola
AFFINITY - Variable Angle
Distal Radius System (Plates
and Screws)VariAx Distal Radius Plating
System, VariAx 2 System
(K162841)Radius Anatomical plate
system (K050932)
Product codeHRS, HWCHRS, HWCLXT
ClassificationClass II. 21 CFR 888.3030;
Single/multiple
component metallic bone
fixation appliances and
accessories
21 CFR 888.3040; Smooth
or threaded metallic bone
fixation fastenerClass II. 21 CFR 888.3030;
Single/multiple component
metallic bone fixation
appliances and accessories
21 CFR 888.3040; Smooth or
threaded metallic bone
fixation fastenerClass II. 21 CFR 888.3030;
Single/multiple
component metallic bone
fixation appliances and
accessories
Intended UseFixation of simple and complex
intra-articular and extra-
articular fractures, and for
osteotomies of the distal
radius in adults. Fractures AO
types A2, A3, B1, B3, C1, C2,
C3.VariAx Distal Radius Plating
System is intended for internal
fixation of small bone fracture,
primarily including distal
radius fractures. The VariAx 2
System is intended for internal
fixation.Distal Volar Radius Anatomical
plate system is intended for
the fixation of fractures and
osteotomies involving the
distal radius.
Fixation methodScrewScrewScrew
Material(s)Plates: biocompatible
commercially pure
titanium grade 4 (ASTM F67)
Screws: biocompatible
titanium alloy (Ti6Al4V) (ASTM
F136)Plates: commercially pure
titanium grade 2 (ASTM F67)
Screws: titanium alloy (ASTM
F136)Plates and Screws:
titanium alloy (ASTM F136)
ManufacturingIndustrias Médicas SampedroStryker Trauma GmbHHAND INNOVATIONS, INC
SterilizationSteam SterilizationSteam SterilizationSteam Sterilization
Patient-specificNONONO
Patient-specific
accessories?NONONO

Comparison to the predicate and reference devices

6

Non-clinical Testing

The following non-clinical testing was conducted as a basis for the determination of substantial equivalence:

NameTest methodConclusion
Mechanical testing of the platesASTM F384-17 (Standard Specifications and Test Methods for Metallic Angled Orthopedic Fracture Fixation Devices)

Annex 1 Static Bend Testing
Annex 2 Fatigue Bend Testing | Substantial equivalence |
| Mechanical testing of the screws | ASTM F543-17 (Standard Specification and Test Methods for Metallic Medical Bone Screws)

Annex 1 Torsional Properties
Annex 2 Driving Torque
Annex 3 Axial Pullout | Substantial equivalence |
| Biocompatibility test overview | | |
| Test / assessment description | Test report conclusion | |
| Cytotoxicity:
ISO 10993-5: Tests for in-vitro cytotoxicity | no cytotoxic effect | |
| Chemical characterization:
ISO 10993-18: Biological Evaluation of Medical Devices - Part 18: Chemical Characterization of Materials. | chemical characterization as per the report | |
| Film-forming contaminations: XPS investigation | appropriate surface cleanliness | |
| Detection and Quantification of Bacterial Endotoxins | no risk of bacterial pyrogenicity | |
| Sterilization test overview | | |
| Test / assessment description | Test report conclusion | |
| Validating steam sterilization method according to ISO 11737-2:2009, ISO 17665-1:2006, ISO 14161:2009. | The results of the validating steam sterilization method show that the implants, accessories, and models can be sterilized to a SAL of 10-6 using the recommended steam sterilization instructions | |

Conclusion

The non-clinical tests and technological comparisons demonstrate that the subject device is substantially equivalent to the predicate.