K Number
K192974
Device Name
Tyber Medical Trauma Screw
Manufacturer
Date Cleared
2020-01-08

(76 days)

Product Code
Regulation Number
888.3040
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Tyber Medical Trauma Screw is indicated for use in bone reconstruction, osteotomy, arthrodesis, joint fusion, fracture repair, and fracture fixation of bones appropriate for the device. Screws are intended for single use only.
Device Description
General trauma screw for compression and fixation of bone. The purpose of this submission is to add MR Conditional information to the device labeling for K133842. The intended use and technological characteristics of the device remain unchanged.
More Information

Not Found

No
The summary describes a mechanical trauma screw and testing related to its MR compatibility and mechanical properties. There is no mention of AI or ML technology.

Yes
The device is described for use in "bone reconstruction, osteotomy, arthrodesis, joint fusion, fracture repair, and fracture fixation," which are all therapeutic interventions for the body.

No

This device is a trauma screw used for bone reconstruction and fixation. Its purpose is therapeutic/interventional, not diagnostic.

No

The device description clearly states it is a "General trauma screw for compression and fixation of bone," which is a physical hardware device. The submission is for adding MR Conditional information to the labeling of this hardware device.

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

Here's why:

  • Intended Use: The intended use clearly states the device is for "bone reconstruction, osteotomy, arthrodesis, joint fusion, fracture repair, and fracture fixation of bones." This describes a surgical implant used directly on the patient's body.
  • Device Description: The description reinforces this by calling it a "General trauma screw for compression and fixation of bone."
  • 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 samples. This device is used in vivo (inside the body) as a surgical implant.

N/A

Intended Use / Indications for Use

The Tyber Medical Trauma Screw is indicated for use in bone reconstruction, osteotomy, arthrodesis, joint fusion, fracture repair, and fracture fixation of bones appropriate for the device. Screws are intended for single use only.

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

HWC

Device Description

General trauma screw for compression and fixation of bone.
The purpose of this submission is to add MR Conditional information to the device labeling for K133842. The intended use and technological characteristics of the device remain unchanged.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

bones appropriate for the size of the device

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Prescription Use

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)

MR Safety Testing
Non-clinical testing is provided to support the conditional safety of Tyber Medical Trauma Screw in the MR environment. The following MRI safety evaluations that were performed (in accordance with ASTM 2503-13) are listed below along with the associated ASTM standard test methods.
Magnetically induced displacement force: ASTM F2052-15
Magnetically induced torque: ASTM F2213-17
MR image artifact: ASTM F2119-07
RF-induced heating: ASTM F2182-11a
The non-clinical performance data demonstrate that when exposed to the MR environment under specific MR conditions of use, the Tyber Medical Trauma Screw raises no new questions of safety or effectiveness.

Mechanical Testing
The following mechanical testing has been conducted for the subject device and predicate device:
Driving Torque per ASTM F543-17 Annex A2
The driving torque performance of the subject device has been determined to be greater than or equivalent to the predicate device, and do does not raise any new issues of safety and effectiveness.

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.

Tyber Medical Trauma Screw - K133842

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.

Not Found

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

§ 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

January 8, 2020

Image /page/0/Picture/1 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: on the left, there is a seal with an abstract design, and on the right, there is the text "FDA U.S. FOOD & DRUG ADMINISTRATION" in blue. The text is arranged in three lines, with "FDA" being the largest and boldest, followed by "U.S. FOOD & DRUG" and then "ADMINISTRATION".

Tyber Medical LLC Jessica Stigliano Regulatory Affairs Specialist 83 South Commerce Way, Suite 310 Bethlehem, Pennsylvania 18017

Re: K192974

Trade/Device Name: Tyber Medical Trauma Screw Regulation Number: 21 CFR 888.3040 Regulation Name: Smooth Or Threaded Metallic Bone Fixation Fastener Regulatory Class: Class II Product Code: HWC Dated: November 8, 2019 Received: November 12, 2019

Dear Jessica Stigliano:

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

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/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 DHT6A: Division 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) K192974

Device Name Tyber Medical Trauma Screw

Indications for Use (Describe)

The Tyber Medical Trauma Screw is indicated for use in bone reconstruction, osteotomy, arthrodesis, joint fusion, fracture repair, and fracture fixation of bones appropriate for the device. Screws 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)

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Traditional 510(k) Summary

as required by section 807.92(c).

Tyber Medical Trauma Screw

K192974

Submitted10/23/2019
Submitter:Tyber Medical LLC
83 South Commerce Way, Suite 310
Bethlehem, PA 18017
Contact PersonPrimary Contact:
Jessica Stigliano
Regulatory Affairs Specialist
Phone: 866-761-0933 (ext. 424) Fax: (866) 889-9914
Email: jstigliano@tybermed.com
Secondary Contact:
Mark Schenk
V.P. Regulatory
Phone: 610-849-0645
Email: mschenk@tybermed.com
Trade NameTyber Medical Trauma Screw
Common NameBone Compression Screw
Device ClassClass II
Classification Name
and NumberSmooth or threaded metallic bone fixation fastener
21 CFR 888.3040
Classification Panel:Orthopedic
Product CodeHWC
Predicate DevicesTyber Medical Trauma Screw - K133842
Device DescriptionGeneral trauma screw for compression and fixation of bone.
The purpose of this submission is to add MR Conditional
information to the device labeling for K133842. The intended
use and technological characteristics of the device remain
unchanged.
Intended UseA trauma screw designed to apply compression and fixation
between two adjacent segments of cortical and/or cancellous
bone.
Indications for UseThe Tyber Medical Trauma Screws are indicated for use in bone
reconstruction, osteotomy, arthrodesis, joint fusion, fracture
repair, and fracture fixation of bones appropriate for the size of
the device. Screws are intended for single use only.

4

Statement ofThe purpose of this submission is to add MR Conditional
Technologicalinformation to the device labeling. Tyber Medical Trauma
Comparison andScrew and its predicate devices have the same indications
Fundamental Scientificfor use, similar design, same materials, and technology
Technologyprinciples of operation.

| Nonclinical Testing

SummaryMR Safety Testing
Non-clinical testing is provided to support the conditional safety
of Tyber Medical Trauma Screw in the MR environment. The
following MRI safety evaluations that were performed (in
accordance with ASTM 2503-13) are listed below along with the
associated ASTM standard test methods. Magnetically induced displacement force: ASTM F2052-15 Magnetically induced torque: ASTM F2213-17 MR image artifact: ASTM F2119-07 RF-induced heating: ASTM F2182-11a The non-clinical performance data demonstrate that when
exposed to the MR environment under specific MR conditions
of use, the Tyber Medical Trauma Screw raises no new
questions of safety or effectiveness.
Mechanical Testing
The following mechanical testing has been conducted for the
subject device and predicate device: Driving Torque per ASTM F543-17 Annex A2 The driving torque performance of the subject device has been
determined to be greater than or equivalent to the predicate
device, and do does not raise any new issues of safety and
effectiveness.
Clinical Test Summaryn/a

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ConclusionThe purpose of this submission is to add MR Conditional information to the device labeling. Tyber Medical Trauma Screw and its predicate device have the same indications for use, similar design, and technology principles of operation.
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