AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Field Orthopaedics BTES Screw Range is intended for use in the fixation of fractures, and arthrodesis, appropriate for the size of the device, in adults and in both, children (2-12 years) and adolescents (12- 21 years), in which growth plates have fused or in which growth plates will not be crossed by screw fixation. The FO Fenestrated Screws are not for the delivery of bone graft, bone cement or bone void filler.

The Field Orthopaedics BTES Plate Range and Plate Screws are intended for use in the fixation of fractures, osteotomies and arthrodesis of the hand and other small bones. The system may be used in both adults and paediatric patients.

Device Description

The Field Orthopaedics Bony Trauma Extremity System (BTES) is an extremity trauma system consisting of a range of screws and a range of plates.

The BTES screw range consists of a range of screws intended for standalone use, and a range of screws intended to be used with the BTES plate range. The standalone screw range consists of 1.2 mm solid, partially threaded screws of various lengths; 1.5 – 5.0 mm Cannulated, partially threaded screws in both headless and headed designs of various lengths; and 2.0 - 3.0 mm Cannulated, fenestrated, partially threaded screws in both headless and headed designs of various lengths. The range of screws intended to be used with the BTES plate range consists of 1.2, 1.5 and, 2.0 mm solid, fully-threaded screws of various lengths.

The BTES plate range consists of a variety of configurations including straight, L, T, and H frames. Key features of the plate range include anatomical contouring, locking screw, rotational correction, and compression holes. The plate thickness ranges from 0.6 – 1.2 mm with a number of holes ranging from 1 – 16 holes.

Materials: All screws in the screw range are made with Titanium ELI(as per ASTM F136).

All plates are available as identical configurations in both Titanium ELI (as per ASTM F136) and CP Titanium (ISO 5832-2).

The instrumentation is made from medical grades stainless steel, anodized aluminium, and marked with epoxy resin.

AI/ML Overview

The provided document is a 510(k) clearance letter from the FDA for a Bony Trauma Extremity System (BTES) manufactured by Field Orthopaedics Pty Ltd. This document primarily focuses on demonstrating substantial equivalence to predicate devices based on design, materials, and mechanical performance. It does not describe the development or validation of an AI/ML-based medical device.

Therefore, I cannot provide the information requested in your prompt regarding acceptance criteria and study details for an AI/ML device, as the document does not contain any such information.

The document discusses:

  • Device Name: Field Orthopaedics Bony Trauma Extremity System (BTES) Plate Range and Plate Screws; Field Orthopaedics Bony Trauma Extremity System (BTES) Screw Range.
  • Regulation Number/Name: 21 CFR 888.3030 (Single/multiple component metallic bone fixation appliances and accessories)
  • Classification: Class II
  • Predicate Devices: K051567 (Aptus Titanium Fixation System, Medartis) and K180348 (FO Micro Screw System, Field Orthopaedics Pty Ltd)
  • Performance Data: "ASTM F382 static four-point bend testing was performed against predicates. ASTM F543 torsion testing, pullout strength testing and insertion torque testing was performed against predicates. The results of mechanical and user testing, and theoretical analysis demonstrate the Field Orthopaedics Bony Trauma Extremity System to be substantially equivalent to the identified predicate devices. The acceptance criteria for the mechanical testing were all met, supporting the overall conclusion of substantial equivalence for the Bony Trauma Extremity System."

This indicates mechanical performance testing was conducted, not a clinical study involving AI/ML. The "acceptance criteria" mentioned refer to the parameters for these mechanical tests, not statistical performance metrics for an AI algorithm.

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March 23, 2020

Image /page/0/Picture/1 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 box, followed by the words "U.S. FOOD & DRUG" in blue, and the word "ADMINISTRATION" in a smaller font below that.

Field Orthopaedics Pty Ltd. Kieran Leacy Senior Regulatory Advisor 375 Wickham Terrace Spring Hill, 4000 Australia

Re: K200043

Trade/Device Name: Field Orthopaedics Bony Trauma Extremity System (BTES) Plate Range and Plate Screws.

Field Orthopaedics Bony Trauma Extremity System (BTES) Screw Range.

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: December 20, 2019 Received: January 8, 2020

Dear Kieran Leacy:

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.

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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,

Shumaya Ali, M.P.H. 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

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Indications for Use

510(k) Number (if known) K200043

Device Name

Field Orthopaedics Bony Trauma Extremity System (BTES) Screw Range

Indications for Use (Describe)

The Field Orthopaedics BTES Screw Range is intended for use in the fixation of fractures, and arthrodesis, appropriate for the size of the device, in adults and in both, children (2-12 years) and adolescents (12- 21 years), in which growth plates have fused or in which growth plates will not be crossed by screw fixation. The FO Fenestrated Screws are not for the delivery of bone graft, bone cement or bone void filler.

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov

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Indications for Use

510(k) Number (if known) K200043

Device Name

Field Orthopaedics Bony Trauma Extremity System (BTES) Plate Range and Plate Screws

Indications for Use (Describe)

The Field Orthopaedics BTES Plate Range and Plate Screws are in the fixation of fractures, osteotomies and arthrodesis of the hand and other small bones. The system may be used in both adults and paediatric patients.

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

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Image /page/4/Picture/1 description: The image shows the logo for FIELD ORTHOPAEDICS. The word "FIELD" is in blue, and the word "ORTHOPAEDICS" is in black. There is a graphic of a bone in the middle of the word "ORTHOPAEDICS". Below the logo is the phrase "Innovation Through Collaboration".

510(k) SUMMARY

Field Orthopaedics Bony Trauma Extremity System

In accordance with 21 CFR 807.92 of the Federal Code of Regulations, the following information is a summary of safety and effectiveness of the Field Orthopaedics Bony Trauma Extremity System.

A. SUBMITTERS INFORMATION

Submitter Name:Field Orthopaedics Pty. Ltd.
Submitter Address:375 Wickham Terrace Spring Hill, 4000 QLD, Australia
Contact Person:Kieran Leacy
Phone Number:+614 0269 3021
Fax Number:+1 514-901-0796 c/o Robert Poggie, Phd
Date of Submission:March 15, 2020

B. DEVICE IDENTIFICATION & MANUFACTURER

Manufacturer Name:Field Orthopaedics Pty. Ltd.
Manufacturer Address:375 Wickham Terrace Spring Hill, 4000 QLD, Australia
Registration Number:3015131017
Contact Name:Kieran Leacy
Title:Senior Regulatory Affairs Advisor
Device Trade Name:Field Orthopaedics Bony Trauma Extremity System (BTES) PlateRange and Plate Screws.Field Orthopaedics Bony Trauma Extremity System (BTES) ScrewRange.
Device Common Name:Plate, Fixation, BoneScrew, Fixation, Bone
Classification Name:Single/multiple component metallic bone fixation appliances andaccessories

HRS - Class II

HWC - Class II Orthopaedic

21 CFR section 888.3030

21 CFR section 888.3040

Classification Codes:

Classification Panel:

Regulation Number:

Smooth or threaded metallic bone fixation fastener

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Innovation Through Collaboration.

Predicates

Plating System Primary Predicate: K051567 - Aptus Titanium Fixation System, Medartis Screw system Primary Predicate: K180348 - FO Micro Screw System, Field Orthopaedics Pty Ltd

Additional Predicates

K083447, Anchorage Plating System, Stryker K090522, Hand Plating System, Osteomed K141527, variable Angle Locking Hand System, Depuy Synthes K161616, DePuy Synthes 2.4 mm Cannulated Screws, Depuy Synthes

D. DEVICE DESCRIPTION

The Field Orthopaedics Bony Trauma Extremity System (BTES) is an extremity trauma system consisting of a range of screws and a range of plates.

The BTES screw range consists of a range of screws intended for standalone use, and a range of screws intended to be used with the BTES plate range. The standalone screw range consists of 1.2 mm solid, partially threaded screws of various lengths; 1.5 – 5.0 mm Cannulated, partially threaded screws in both headless and headed designs of various lengths; and 2.0 - 3.0 mm Cannulated, fenestrated, partially threaded screws in both headless and headed designs of various lengths. The range of screws intended to be used with the BTES plate range consists of 1.2, 1.5 and, 2.0 mm solid, fully-threaded screws of various lengths.

The BTES plate range consists of a variety of configurations including straight, L, T, and H frames. Key features of the plate range include anatomical contouring, locking screw, rotational correction, and compression holes. The plate thickness ranges from 0.6 – 1.2 mm with a number of holes ranging from 1 – 16 holes.

Materials: All screws in the screw range are made with Titanium ELI(as per ASTM F136).

All plates are available as identical configurations in both Titanium ELI (as per ASTM F136) and CP Titanium (ISO 5832-2).

The instrumentation is made from medical grades stainless steel, anodized aluminium, and marked with epoxy resin.

E. INDICATIONS FOR USE

The Field Orthopaedics BTES Screw Range is intended for use in the fixation of fractures, and arthrodesis, appropriate for the size of the device, in adults and in both, children (2-12 years) and adolescents (12- 21 years), in which growth plates have fused or in which growth plates will not be crossed by screw fixation. The FO Fenestrated Screws are not for the delivery of bone graft, bone cement or bone void filler.

The Field Orthopaedics BTES Plate Range and Plate Screws are intended for use in the fixation of fractures, osteotomies and arthrodesis of the hand and other small bones. The system may be used in both adults and paediatric patients.

F. TECHNOLOGICAL CHARACTERISTICS AND SUBSTANTIAL EQUIVALENCE

The Field Orthopaedics Bony Trauma System is substantially equivalent to the predicate fracture fixation systems because they are manufactured from similar materials and have similar design features. The subject system differs because the components contain slightly different geometry.

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Innovation Through Collaboration.

The devices have the same indications, are available by prescription only, and are provided nonsterile for single-use only. In addition, the performance data, device description, and comparison to the predicate devices demonstrate that the subject device, the Field Orthopaedics Bony Trauma Extremity System, is substantially equivalent to the identified predicate devices.

G. PERFORMANCE DATA

ASTM F382 static four-point bend testing was performed against predicates. ASTM F543 torsion testing, pullout strength testing and insertion torque testing was performed against predicates. The results of mechanical and user testing, and theoretical analysis demonstrate the Field Orthopaedics Bony Trauma Extremity System to be substantially equivalent to the identified predicate devices. The acceptance criteria for the mechanical testing were all met, supporting the overall conclusion of substantial equivalence for the Bony Trauma Extremity System.

H. CONCLUSION

Based on the indications for use, materials, design similarities, and performance data presented in this 510(k) application, it can be concluded that the Field Orthopaedics Bony Trauma Extremity System is as safe and as effective device and the predicate devices and is substantially equivalent.

§ 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.