K Number
K200518
Device Name
Pitkar External Fixation System - Rail Mechanism
Date Cleared
2020-07-29

(149 days)

Product Code
Regulation Number
888.3030
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Pitkar External Fixation System- Rail Mechanism consist of Rail Fixation System and ALFA Fixator System. Their components are intended to be used on adult or pediatric patients as required. A. Rail fixation System 1.Fracture fixation 2.For correcting diaphyseal deformities. metaphyseal deformities with or without shortenings 3.Correction of bony or soft tissue deformities 4.Limb Lengthening 5.For treating non-union and mal-union 6.Bone transport application B. ALFA Fixator System 1.Open and closed fracture fixation 2. Fractures and disease which generally may result in joint contractures or loss of range of motion and fractures requiring distraction: 3.Pseudoarthrosis of long bones; 4.Limb lengthening; 5.Infected fractures or non-unions; and 6.Correction of long bone deformities. Note: For Rail Fixation System and ALFA Fixator System 1. For Adult Assembly: Population to be adult males and females for given indications 2. For Pediatric Assembly: Population to be between age of 5 to 10 for given indications 3. It is recommended to avoid operating on children under the age of five, in case of pediatric application
Device Description
Pitkar External Fixation System- Rail Mechanism. The subject application has two devices covered that fall under Rail fixation category. Both the systems have Adult & Pediatric apparatus. Both the systems have different Rail design & clamps design. They are designated as: 1. Rail Fixation System 2. Alfa Fixator System Thus, there will be two subject devices for approval under this heading as both these systems have same application, device description, Indications, material composition etc.
More Information

No
The document describes a mechanical external fixation system and does not mention any software, algorithms, or AI/ML capabilities.

Yes
The device is an external fixation system used for various orthopedic applications, including fracture fixation, deformity correction, and limb lengthening, which are therapeutic interventions.

No

The device is an external fixation system used for orthopedic procedures like fracture fixation, deformity correction, and limb lengthening. These are therapeutic interventions, not diagnostic ones.

No

The device description explicitly states "Pitkar External Fixation System- Rail Mechanism" and describes physical components like "Rail design & clamps design." The performance studies also detail mechanical tests like "Axial Load test," "Torsion Test," and "Fatique test," which are relevant to physical hardware. There is no mention of software as the primary or sole component.

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

Here's why:

  • Intended Use/Indications for Use: The intended uses clearly describe the device being used on the patient for surgical procedures related to bone fixation, deformity correction, and limb lengthening. These are all in vivo applications (within the living body).
  • Device Description: The description details a mechanical system (Rail Fixation System and ALFA Fixator System) designed to be applied externally to the body to stabilize and manipulate bones.
  • Performance Studies: The performance studies listed (Axial Load test, Torsion Test, Fatigue test, etc.) are mechanical tests evaluating the structural integrity and performance of the device itself, not tests on biological samples.
  • Biocompatibility: The mention of biocompatibility is relevant for devices that come into contact with the body, which is consistent with an in vivo device.

An In Vitro Diagnostic (IVD) device is used to examine specimens (like blood, urine, tissue) outside of the body to provide information about a person's health. The Pitkar External Fixation System does not perform this function.

N/A

Intended Use / Indications for Use

Pitkar External Fixation System- Rail Mechanism consist of Rail Fixation System and ALFA Fixator System. Their components are intended to be used on adult or pediatric patients as required.

A. Rail fixation System

  • 1.Fracture fixation
    2.For correcting diaphyseal deformities. metaphyseal deformities with or without shortenings
    3.Correction of bony or soft tissue deformities
    4.Limb Lengthening
    5.For treating non-union and mal-union
    6.Bone transport application

B. ALFA Fixator System
1.Open and closed fracture fixation
2. Fractures and disease which generally may result in joint contractures or loss of range of motion and fractures requiring distraction:
3.Pseudoarthrosis of long bones;
4.Limb lengthening;
5.Infected fractures or non-unions; and
6.Correction of long bone deformities.

Product codes

KTT, JDW

Device Description

Pitkar External Fixation System- Rail Mechanism. The subject application has two devices covered that fall under Rail fixation category. Both the systems have Adult & Pediatric apparatus. Both the systems have different Rail design & clamps design. They are designated as:

  1. Rail Fixation System
  2. Alfa Fixator System
    Thus, there will be two subject devices for approval under this heading as both these systems have same application, device description, Indications, material composition etc.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

  • For Adult Assembly: Population to be adult males and females for given indications
  • For Pediatric Assembly: Population to be between age of 5 to 10 for given indications
  • It is recommended to avoid operating on children under the age of five, in case of pediatric applications.

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

The device performance of Pitkar External Fixation System-Rail mechanism has been demonstrated against applicable standards ASTM F1541-02

  • . Axial Load test
  • . Torsion Test
  • . Fatique test
  • . Cantilever Bending Test
  • 4-Point Bending Test .

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K955848, K090926

Reference Device(s)

Not Found

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

July 29, 2020

Image /page/0/Picture/1 description: The image shows the logo for 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, with the letters "FDA" in a blue box. To the right of the box is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

S H Pitkar Orthotools Pvt Ltd Vivek Mangalwedhekar Head of Firm Plot No. EL 32, J Block, MIDC Bhosari Pune, Maharashtra 411026 INDIA

Re: K200518

Trade/Device Name: Pitkar External Fixation System - Rail Mechanism Regulation Number: 21 CFR 888.3030 Regulation Name: Single/Multiple Component Metallic Bone Fixation Appliances and Accessories Regulatory Class: Class II Product Code: KTT, JDW Dated: June 10, 2020 Received: June 16, 2020

Dear Vivek Mangalwedhekar:

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 requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part

1

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,

for Ting Song, Ph.D., R.A.C. Acting Assistant Director DHT6A: Division of Joint Arthroplasty Devices OHT6: Office of Orthopedic Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

2

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known)

K200518

Device Name

Pitkar External Fixation System- Rail Mechanism

Indications for Use (Describe)

Pitkar External Fixation System- Rail Mechanism consist of Rail Fixation System and ALFA Fixator System. Their components are intended to be used on adult or pediatric patients as required.

A. Rail fixation System

  • 1.Fracture fixation
    2.For correcting diaphyseal deformities. metaphyseal deformities with or without shortenings

3.Correction of bony or soft tissue deformities

4.Limb Lengthening

5.For treating non-union and mal-union

6.Bone transport application

B. ALFA Fixator System

1.Open and closed fracture fixation

  1. Fractures and disease which generally may result in joint contractures or loss of range of motion and fractures requiring distraction:

3.Pseudoarthrosis of long bones;

4.Limb lengthening;

5.Infected fractures or non-unions; and

6.Correction of long bone deformities.

Note: For Rail Fixation System and ALFA Fixator System

    1. For Adult Assembly: Population to be adult males and females for given indications
    1. For Pediatric Assembly: Population to be between age of 5 to 10 for given indications
    1. It is recommended to avoid operating on children under the age of five, in case of pediatric application

Type of Use (Select one or both, as applicable)

X Prescription Use (Part 21 CFR 801 Subpart D)

| | Over-The-Counter Use (21 CFR 801 Subpart C)

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3

510(k) Summary

In accordance with 21 CFR §807.92 and the Safe Medical Devices Act of 1990, the following information is provided for Pitkar External Fixation System -Rail mechanism 510(k) premarket notification. The submission was prepared in accordance with the FDA guidance document, `Format for Traditional and Abbreviated 510(k)s', issued on August 12, 2005.

| 1. Submitter: | S H Pitkar Orthotools Pvt Ltd.
Plot No. EL 32, J Block, MIDC Bhosari
Pune
Maharashtra 411026
India |
|-------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact Person: | Vivek Mangalwedhekar
Head of Firm
Telephone: +912040706464
Fax: +912046768107 |
| Date: | 10-July-2020 |
| 2. Device Name: | Pitkar External Fixation System- Rail Mechanism.
The subject application has two devices covered that
fall under Rail fixation category. Both the systems
have Adult & Pediatric apparatus. Both the systems
have different Rail design & clamps design. They are
designated as:

  1. Rail Fixation System
  2. Alfa Fixator System
    Thus, there will be two subject devices for approval
    under this heading as both these systems have same
    application, device description, Indications, material
    composition etc. |
    | Common or Usual Name: | Pitkar External Fixation System-Rail Mechanism |
    | Classification Name: | Plates, Fixation, Bone
    Screws, Fixation, Bone |
    | Product Code: | KTT- Single/multiple component metallic bone fixation
    appliances and accessories (21 CFR 888.3030)
    JDW -Smooth or threaded metallic bone fixation
    fastener (21 CFR 888.3040) |
    | Regulatory Class: | II |
    | 5. Indications for Use: | Pitkar External Fixation System- Rail Mechanism consists of
    Rail Fixation System and ALFA Fixation System. Their
    components are intended to be used on adult or pediatric
    patients as required. |
    | | A. Rail fixation System
    1.Fracture fixation
    2.For correcting diaphyseal deformities, metaphysical
    deformities with or without shortenings
    3.Correction of bony or soft tissue deformities
    4.Limb Lengthening
    5.For treating non-union and mal-union |

4

6.Bone transport application

B. ALFA Fixation System

1.Open and closed fracture fixation

2.Fractures and disease which generally may result in joint contractures or loss of range of motion and fractures requiring distraction;

3.Pseudoarthrosis of long bones;

4.Limb lengthening;

5.Infected fractures or non-unions; and

6.Correction of long bone deformities.

Note: For Rail Fixation System and ALFA Fixation System 1. For Adult Assembly: Population to be adult males and females for given indications

  1. For Pediatric Assembly: Population to be between age of 5 to 10 for given indications

  2. It is recommended to avoid operating on children under the age of five, in case of pediatric applications.

6. Summary of Technological Characteristics:

Design Features: The design features for Pitkar External Fixation System- Rail mechanism is similar to the primary predicate devices namely Orthofix Srl Orthofix Modulsystem – K955848 and secondary predicate device Smith & Nephew Rail System -K090926

Materials & Chemical Composition: Pitkar External Fixation System -Rail mechanism implants are single use and manufactured from implant grade stainless steels (per ASTM F138) which is commonly used materials in orthopedic implants. Appliances are single use and manufactured from Aluminium. Instruments are reusable and manufactured from Standard Specification For Wrought Stainless Steels For Surgical Instruments (ASTM F899 -2012) similar to the primary predicate devices namely Orthofix Srl Orthofix Modulsystem - K955848 and secondary predicate device Smith & Nephew Rail System -K090926

Sterilization: The implants, appliances and instruments are offered to the user in the non-sterile configuration. The non-sterile implants, appliances and instruments will be required to be steam sterilized by the user prior to use. The non- sterile packaging configuration is similar to the primary predicate devices namely Orthofix Srl Orthofix Modulsystem -K955848 and secondary predicate device Smith & Nephew Rail System - K090926

7. Summary of Performance Data: Non-Clinical Tests: (Nonclinical and/or Clinical)

5

The device performance of Pitkar External Fixation System-Rail mechanism has been demonstrated against applicable standards ASTM F1541-02

  • . Axial Load test
  • . Torsion Test
  • . Fatique test
  • . Cantilever Bending Test
  • 4-Point Bending Test .

Biocompatibility

Pitkar External Fixation System-Rail Mechanism is comprised of the same material and have the same manufacturing, body contact, and sterilization properties as other commercially available devices and materials with a long history of clinical use in orthopedic implants. Therefore, Pitkar External Fixation System-Rail Mechanism meets the ISO 10993-1 standard requirements for biocompatibility and no further characterization testing is required.

From the data available, we can justify that Pitkar 8. Conclusion: External Fixation System is-Rail mechanism safe as effective and perform as same indications for use as that of already marketed predicate devices identified in point 3 of 510(k) summary i.e Orthofix Srl-Orthofix Modulsystem- K955848 and Smith & Nephew Rall System – K090926

Hence Pitkar External Fixation System- Rail mechanism can be considered safe and effective for intended use.