K Number
K200246
Device Name
JPS JuniOrtho Plating System
Manufacturer
Date Cleared
2020-05-22

(112 days)

Product Code
Regulation Number
888.3030
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The JPS JuniOrtho Plating System™ is internal fixation and stabilization of fractures, osteotomies, mal-unions and non-unions of long bones of the lower limb. The JPS JuniOrtho Plating System™ is indicated for internal fixation of femoral and tibial fractures, osteotomies, mal-unions and non-unions. Indications include: - Varus, valgus, rotational and/or shortening osteotomies - Femoral neck and/or pertrochanteric fractures - Proximal and distal metaphyseal fractures - Pathological and impeding pathological fractures Use of the JPS JuniOrtho Plating System™ is indicated in pediatric (excluding newborns) and small stature adult patients.
Device Description
The JPS JuniOrtho Plating System™ consists of plate's sizes and shapes ranges, designed to accept locking and cortical bone screws, which are available in a variety of diameters and lengths, in order to support internal fixation and stabilization of fractures, osteotomies, mal-unions and non-unions in long bones of lower limbs. The JPS JuniOrtho Plating System™ is designed according to the anatomic region of clinical application: femur and tibia. The implants would be offered both in sterile and non-sterile packaging configurations. The subject device implants, bone plates and bone screws, are made from Stainless steel AISI 316LVM, according to ASTM F138 "Standard Specification for Wrought 18Chromium-14Nickel-2.5Molybdenum Stainless Steel Bar and Wire for Surgical Implants (UNS S31673)". Surgical procedures with the use of the subject implants may be performed with the support of general orthopedic instrumentation, to facilitate their proper insertion and removal from the patient. The instruments and accessories offered by Orthofix are classified as class I devices exempt from 510(k), under the product code LXH, according to 21 CFR 888.4540 Orthopedic Manual Surgical Instrument, and product code FSM according to 21 CFR 878.4800 Manual surgical instrument for general use. These instruments are made by medical grade stainless steel (AISI 316LVM, AISI 630, AISI 420B, AISI 303, X15TN), Aluminum alloy (EN-AW 6082 T6), and plastic material (PP-H PROPILUX). JPS JuniOrtho Plating System™ is designed to be used in the operating theatre only.
More Information

No
The 510(k) summary describes a system of physical plates and screws for bone fixation and stabilization. There is no mention of software, algorithms, or any technology that would typically incorporate AI/ML. The focus is on the mechanical properties and materials of the implants and associated surgical instruments.

Yes
The device is described as an internal fixation and stabilization system for fractures, osteotomies, mal-unions, and non-unions of long bones, which are all therapeutic interventions.

No

Explanation: The JPS JuniOrtho Plating System is an internal fixation device used for stabilizing fractures, osteotomies, mal-unions, and non-unions of long bones. It is a treatment device, not a device used for diagnosis.

No

The device description explicitly states it consists of plates and screws made of stainless steel, which are physical hardware components for internal fixation.

Based on the provided text, the JPS JuniOrtho Plating System™ is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • IVD Definition: In vitro diagnostic devices are used to examine specimens (like blood, urine, or tissue) taken from the human body to provide information about a person's health. This information is used for diagnosis, monitoring, or screening.
  • JPS JuniOrtho Plating System™ Function: The description clearly states that the JPS JuniOrtho Plating System™ is an internal fixation and stabilization system for bones. It consists of plates and screws implanted directly into the patient's body during surgery.
  • Lack of Specimen Analysis: There is no mention of the device being used to analyze any biological specimens. Its function is purely mechanical support for bone healing.

Therefore, the JPS JuniOrtho Plating System™ falls under the category of implantable orthopedic devices, not in vitro diagnostics.

N/A

Intended Use / Indications for Use

The JPS JuniOrtho Plating System™ is internal fixation and stabilization of fractures, osteotomies, mal-unions and non-unions of long bones of the lower limb.

The JPS JuniOrtho Plating System™ is indicated for internal fixation of femoral and tibial fractures, osteotomies, mal-unions and non-unions.

Indications include:

  • Varus, valgus, rotational and/or shortening osteotomies
  • Femoral neck and/or pertrochanteric fractures
  • Proximal and distal metaphyseal fractures
  • Pathological and impeding pathological fractures

Use of the JPS JuniOrtho Plating System™ is indicated in pediatric (excluding newborns) and small stature adult patients.

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

HRS, HWC

Device Description

The JPS JuniOrtho Plating System™ consists of plate's sizes and shapes ranges, designed to accept locking and cortical bone screws, which are available in a variety of diameters and lengths, in order to support internal fixation and stabilization of fractures, osteotomies, mal-unions and non-unions in long bones of lower limbs. The JPS JuniOrtho Plating System™ is designed according to the anatomic region of clinical application: femur and tibia. The implants would be offered both in sterile and non-sterile packaging configurations.
The subject device implants, bone plates and bone screws, are made from Stainless steel AISI 316LVM, according to ASTM F138 "Standard Specification for Wrought 18Chromium-14Nickel-2.5Molybdenum Stainless Steel Bar and Wire for Surgical Implants (UNS S31673)".
Surgical procedures with the use of the subject implants may be performed with the support of general orthopedic instrumentation, to facilitate their proper insertion and removal from the patient. The instruments and accessories offered by Orthofix are classified as class I devices exempt from 510(k), under the product code LXH, according to 21 CFR 888.4540 Orthopedic Manual Surgical Instrument, and product code FSM according to 21 CFR 878.4800 Manual surgical instrument for general use.
These instruments are made by medical grade stainless steel (AISI 316LVM, AISI 630, AISI 420B, AISI 303, X15TN), Aluminum alloy (EN-AW 6082 T6), and plastic material (PP-H PROPILUX).
JPS JuniOrtho Plating System™ is designed to be used in the operating theatre only.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Long bones of the lower limb (femur and tibia)

Indicated Patient Age Range

pediatric (excluding newborns) and small stature adult patients.

Intended User / Care Setting

operating theatre only.

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)

Bench testing and engineering assessments on worst cases of subject device and corresponding predicate devices, confirm that subject devices have equivalent or better mechanical performances. Testing was done per consensus standards: ASTM F382-17, F384-17, F543-17, and F1264-16.
Any potential hazards have been evaluated and controlled through Risk Management activities.
The review of clinical literatures on similar devices still support the clinical data of the Subject devices with no additional clinical information.

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.

K112085, K100240

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.

K083286, K974186, K053261

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

§ 888.3030 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.

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May 22, 2020

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 and 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.

Orthofix Srl % Cheryl Wagoner Consultant Wagoner Consulting LLC PO Box 15729 Wilmington, North Carolina 24408

Re: K200246

Trade/Device Name: JPS JuniOrtho Plating 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: January 31, 2020 Received: January 31, 2020

Dear Cheryl Wagoner:

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 (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 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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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known)

K200246

Device Name

JPS JuniOrtho Plating System™

Indications for Use (Describe)

The JPS JuniOrtho Plating System™ is internal fixation and stabilization of fractures, osteotomies, mal-unions and non-unions of long bones of the lower limb.

The JPS JuniOrtho Plating System™ is indicated for internal fixation of femoral and tibial fractures, osteotomies, mal-unions and non-unions.

Indications include:

  • Varus, valgus, rotational and/or shortening osteotomies

  • Femoral neck and/or pertrochanteric fractures

  • Proximal and distal metaphyseal fractures

  • Pathological and impeding pathological fractures

Use of the JPS JuniOrtho Plating System™ is indicated in pediatric (excluding newborns) and small stature adult 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)

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Image /page/3/Picture/1 description: The image shows the Orthofix logo, which includes a blue abstract shape above the word "ORTHOFIX" in bold, black letters. Below the logo, the text "510(k) Summary" is displayed in a larger, bold font. Underneath that, the text "(21 CFR 807.92)" is shown in a smaller font, indicating the regulatory reference for the summary.

Submitter information

Submitter NameOrthofix Srl
AddressVia delle Nazioni, 9 37012 Bussolengo (VR) - Italy
Telephone+ 39 045 6719.000
Fax+ 39 045 6719.380

| Contact Person | Gianluca Ricadona
Sr. Quality & Regulatory Affairs Manager |
|--------------------|---------------------------------------------------------------|
| Address | Via delle Nazioni, 9
37012 Bussolengo (VR) - Italy |
| Telephone | + 39 045 6719 000 |
| Fax | + 39 045 6719 380 |
| Email address | GianlucaRicadona@orthofix.it |
| Date of submission | May 22, 2020 |

Trade Name, Common Name, Classification

Trade NameJPS JuniOrtho Plating System™
Common namePlating system
DevicePlate, fixation, bone
Screw, fixation, bone
Product codeHRS
HWC
Panel CodeOrthopedic
ClassificationClass II
Regulation Number21 CFR 888.3030
21 CFR 888.3040

Predicate devices and reference devices

| Predicate Device | 510(k)
Number | Manufacturer |
|-----------------------------------------------------------------------|------------------|----------------------------|
| Primary Predicate | | |
| Synthes Lcp Pediatric Plates | K112085 | Synthes (Usa) Products LLC |
| Additional Predicate | | |
| Orthopediatrics Pediloc™ Tibial Plate System | K100240 | Orthopediatrics, Corp. |
| Reference Device | | |
| Orthopediatrics Pediloc™ Locking Plate
System | K083286 | Orthopediatrics, Corp. |
| Orthofix External Fixation Screw (Pin) With
Hydroxyapatite Coating | K974186 | Orthofix Srl |
| Orthofix Titanium Nailing Systems | K053261 | Orthofix Srl |

Device descriptionThe JPS JuniOrtho Plating System™ consists of plate's sizes and shapes ranges, designed to accept locking and cortical bone screws, which are available in a variety of diameters and lengths, in order to support internal fixation and stabilization of fractures, osteotomies, mal-unions and non-unions in long bones of lower limbs. The JPS JuniOrtho Plating System™ is designed according to the anatomic region of clinical application: femur and tibia. The implants would be offered both in sterile and non-sterile packaging configurations.
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

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| | The subject device implants, bone plates and bone screws, are
made from Stainless steel AISI 316LVM, according to ASTM
F138 "Standard Specification for Wrought 18Chromium-
14Nickel-2.5Molybdenum Stainless Steel Bar and Wire for
Surgical Implants (UNS S31673)".
Surgical procedures with the use of the subject implants may
be performed with the support of general orthopedic
instrumentation, to facilitate their proper insertion and removal
from the patient. The instruments and accessories offered by
Orthofix are classified as class I devices exempt from 510(k),
under the product code LXH, according to 21 CFR 888.4540
Orthopedic Manual Surgical Instrument, and product code
FSM according to 21 CFR 878.4800 Manual surgical
instrument for general use.
These instruments are made by medical grade stainless steel
(AISI 316LVM, AISI 630, AISI 420B, AISI 303, X15TN),
Aluminum alloy (EN-AW 6082 T6), and plastic material (PP-H
PROPILUX).
JPS JuniOrtho Plating System™ is designed to be used in the
operating theatre only. |
|------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Indications for use | The JPS JuniOrtho Plating System™ is intended for internal
fixation and stabilization of fractures, osteotomies, mal-unions
and non-unions of long bones of the lower limb.
The JPS JuniOrtho Plating System™ is indicated for internal
fixation and stabilization of femoral and tibial fractures,
osteotomies, mal-unions and non-unions.
Indications include:

  • Varus, valgus, rotational and/or shortening osteotomies
  • Femoral neck and/or pertrochanteric fractures
  • Proximal and distal metaphyseal fractures
  • Pathological and impeding pathological fractures
    Use of the JPS JuniOrtho Plating System™ is indicated in
    pediatric (excluding newborns) and small stature adult
    patients. |
    | Technological
    Characteristics and
    Intended Use | The subject device fundamental scientific principles and
    technological characteristic, including: the intended use,
    material and general design, are the same as, or similar to, the
    chosen predicate devices.
    Summary of the technological characteristics and Intended
    Use:
    ✓ Intended use: identical.
    ✓ Indications for Use, Anatomical sites, operating principles
    and conditions of use: are substantially equivalent to
    predicates; no new risks associated to the subject device
    with combined indications for use compared to those of the
    predicates which have definite indications for use for
    anatomical site, having demonstrated substantially
    equivalent safety and effectiveness to the anatomical sites
    specific for each predicate device.
    ✓ Material are equivalent (Stainless Steel);
    ✓ Geometry and size: similar sizes and geometry of the bone
    plates; similar sizes and geometry of the bone screws.
    ✓ Sterilization, same method as the two predicates.
    The technological characteristics of the JPS JuniOrtho Plating
    System™ are substantially equivalent to the predicate devices. |
    | Performance
    Analysis | Subject device has similar configuration, material, sizes and
    design as the predicate devices.
    Bench testing and engineering assessments on worst cases of
    subject device and corresponding predicate devices, confirm
    that subject devices have equivalent or better mechanical
    performances. Testing was done per consensus standards:
    ASTM F382-17, F384-17, F543-17, and F1264-16.
    Any potential hazards have been evaluated and controlled
    through Risk Management activities.
    The review of clinical literatures on similar devices still support
    the clinical data of the Subject devices with no additional
    clinical information. |
    | Conclusion | Based upon equivalences in: intended use, site of application,
    conditions of use, operating principles, and the non-clinical
    performance data, the JPS JuniOrtho Plating System™ has
    been shown to be safe and effective, and performs as well as
    or better than the legally marketed predicate devices.
    Therefore, the Subject device is expected to be declared
    substantially equivalent to the legally marketed predicate
    devices. |

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