K Number
K211582
Device Name
LOQTEQ Proximal Humerus Plate 3.5 System
Manufacturer
Date Cleared
2021-10-18

(150 days)

Product Code
Regulation Number
888.3030
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The LOQTEQ® Proximal Humerus Plate 3.5 System is intended for fracture dislocations, osteotomies, and nonunions of the proximal humerus, particularly in osteopenic bone.
Device Description
The subject device includes a total of nine (9) bones plates for internal fixation of bone fragments. i.e., for treatment of bone fracture and other bone injuries. All LOOTEO® Proximal Humerus Plate 3.5 are available non-sterile. The subject device is provided in anatomic designs in overall lengths of 85 mm, 92 mm, 105 mm, 118 mm. 143 mm. 169 mm. 195 mm. 221 mm. and 247 mm. The plates are provided with 3, 4, 5, 6. 8, 10, 12, 14, and 16 holes, respectively, in plate. The lengths of 92 mm, 118 mm, 143 mm, 169 mm, and 195 mm are identical to the plates previously cleared in K121495. Subject device lengths of 85 mm, 221 mm, and 247 mm are identical to the plates previously cleared in K121495 except for the length and number of holes. The subject device plates include screw holes designed to accommodate appropriately sized locking and non-locking cortical and periprosthetic bone screws, previously cleared in K121495, and K-wires cleared in K131459, presented marked as part of the LOQTEQ® Proximal Humerus Plate 3.5 System. The compatible screws are 3.5 mm in diameter. The subject device plates are also compatible with the 1.6 mm diameter app K-Wires.
More Information

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

Yes
The device is described as a system for internal fixation of bone fragments for the treatment of bone fracture and other bone injuries, which is a therapeutic function.

No
Explanation: The device is an internal fixation plate used for treating fractures and nonunions of the proximal humerus, making it a therapeutic device, not a diagnostic one.

No

The device description clearly states it includes bone plates for internal fixation, which are physical hardware components.

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

Here's why:

  • Intended Use: The intended use is for "fracture dislocations, osteotomies, and nonunions of the proximal humerus," which are conditions treated directly within the body (in vivo).
  • Device Description: The device is described as "bone plates for internal fixation of bone fragments," which are implants used to stabilize bones during healing.
  • No mention of in vitro testing: The description focuses on the physical characteristics and function of the plates for surgical implantation. There is no mention of analyzing samples from the body (like blood, urine, or tissue) outside of the body.

IVD devices are used to examine specimens derived from the human body to provide information for diagnosis, monitoring, or screening. This device is a surgical implant used for structural support and fixation within the body.

N/A

Intended Use / Indications for Use

The LOQTEQ® Proximal Humerus Plate 3.5 System is intended for fracture dislocations, osteotomies, and nonunions of the proximal humerus, particularly in osteopenic bone.

Product codes

HRS

Device Description

The subject device includes a total of nine (9) bones plates for internal fixation of bone fragments. i.e., for treatment of bone fracture and other bone injuries. All LOOTEO® Proximal Humerus Plate 3.5 are available non-sterile.

The subject device is provided in anatomic designs in overall lengths of 85 mm, 92 mm, 105 mm, 118 mm. 143 mm. 169 mm. 195 mm. 221 mm. and 247 mm. The plates are provided with 3, 4, 5, 6. 8, 10, 12, 14, and 16 holes, respectively, in plate. The lengths of 92 mm, 118 mm, 143 mm, 169 mm, and 195 mm are identical to the plates previously cleared in K121495. Subject device lengths of 85 mm, 221 mm, and 247 mm are identical to the plates previously cleared in K121495 except for the length and number of holes.

The subject device plates include screw holes designed to accommodate appropriately sized locking and non-locking cortical and periprosthetic bone screws, previously cleared in K121495, and K-wires cleared in K131459, presented marked as part of the LOQTEQ® Proximal Humerus Plate 3.5 System. The compatible screws are 3.5 mm in diameter. The subject device plates are also compatible with the 1.6 mm diameter app K-Wires.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

proximal humerus

Indicated Patient Age Range

Not Found

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 data submitted, referenced, or relied upon to demonstrate substantial equivalence include biocompatibility referenced from K121495; validation of the recommended end-user moist heat sterilization cycle according to ANSI AAMI ISO 17665-1 Sterilization of health care products – Moist heat – Part 1: Requirements for the development, validation and routine control of a sterilization process for medical devices. An assessment of the biomechanical performance of the subject device to determine substantial equivalence was performed based on cross sectional analysis of the subject device as compared to the predicate device plates in submission K121495. Clinical data were not submitted in this premarket notification.

Key Metrics

Not Found

Predicate Device(s)

K121495, K041860

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.

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October 18, 2021

aap Implantate AG % Melissa Burbage Sr. Regulatory Specialist PaxMed International, LLC 12264 El Camino Real, Suite 400 San Diego, California 92130

Re: K211582

Trade/Device Name: LOQTEQ® Proximal Humerus Plate 3.5 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 Dated: May 19, 2021 Received: May 21, 2021

Dear Melissa Burbage:

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 (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)

K211582

Device Name

LOQTEQ® Proximal Humerus Plate 3.5 System

Indications for Use (Describe)

The LOQTEQ® Proximal Humerus Plate 3.5 System is intended for fracture dislocations, osteotomies, and nonunions of the proximal humerus, particularly in osteopenic bone.

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

K211582

LOQTEQ® Proximal Humerus Plate 3.5 System

aap Implantate AG

October 15, 2021

ADMINISTRATIVE INFORMATION

| Manufacturer Name | aap Implantate AG
Lorenzweg 5
12099 Berlin Germany
Telephone: +49 30 75019129
Fax: +49 30 75019111 | | |
|---------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--|--|
| Official Contact | Agnieszka Mierzejewska, Chief Operating Officer | | |
| Representative/Consultant | Melissa Burbage
Kevin A. Thomas, PhD; Floyd G. Larson, MS, MBA
PaxMed International, LLC
12264 El Camino Real, Suite 400
San Diego, CA 92130
Telephone: +1 858-792-1235
Fax: +1 858-792-1236
Email: mburbage@paxmed.com
kthomas@paxmed.com; flarson@paxmed.com | | |

DEVICE NAME AND CLASSIFICATION

Trade/Device NameLOQTEQ® Proximal Humerus Plate 3.5 System
Common NamePlate, Fixation, Bone
Regulation Number21 CFR 888.3030
Regulation NameSingle/multiple component metallic bone fixation appliances and
accessories
Regulatory ClassClass II
Product CodeHRS
Classification PanelOrthopedic
Reviewing DivisionOffice of Orthopedic Devices (OHT6)
Division of Restorative, Repair and Trauma Devices (DHT6C)
Stereotaxic, Bone Growth Stimulators and Fracture Fixation
Devices Team

PREDICATE DEVICE INFORMATION

Primary Predicate K121495, aap LOQTEQ® Proximal Humerus Plate 3.5 System Additional Predicate K041860, Synthes LCP Proximal Humerus Plate, Long

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INDICATIONS FOR USE STATEMENT

The LOQTEQ® Proximal Humerus Plate 3.5 System is intended for fractures and fracture dislocations, osteotomies, and nonunions of the proximal humerus, particularly in osteopenic bone.

SUBJECT DEVICE DESCRIPTION

The subject device includes a total of nine (9) bones plates for internal fixation of bone fragments. i.e., for treatment of bone fracture and other bone injuries. All LOOTEO® Proximal Humerus Plate 3.5 are available non-sterile.

The subject device is provided in anatomic designs in overall lengths of 85 mm, 92 mm, 105 mm, 118 mm. 143 mm. 169 mm. 195 mm. 221 mm. and 247 mm. The plates are provided with 3, 4, 5, 6. 8, 10, 12, 14, and 16 holes, respectively, in plate. The lengths of 92 mm, 118 mm, 143 mm, 169 mm, and 195 mm are identical to the plates previously cleared in K121495. Subject device lengths of 85 mm, 221 mm, and 247 mm are identical to the plates previously cleared in K121495 except for the length and number of holes.

The subject device plates include screw holes designed to accommodate appropriately sized locking and non-locking cortical and periprosthetic bone screws, previously cleared in K121495, and K-wires cleared in K131459, presented marked as part of the LOQTEQ® Proximal Humerus Plate 3.5 System. The compatible screws are 3.5 mm in diameter. The subject device plates are also compatible with the 1.6 mm diameter app K-Wires.

PERFORMANCE DATA

Non-clinical testing data submitted, referenced, or relied upon to demonstrate substantial equivalence include biocompatibility referenced from K121495; validation of the recommended end-user moist heat sterilization cycle according to ANSI AAMI ISO 17665-1 Sterilization of health care products – Moist heat – Part 1: Requirements for the development, validation and routine control of a sterilization process for medical devices. An assessment of the biomechanical performance of the subject device to determine substantial equivalence was performed based on cross sectional analysis of the subject device as compared to the predicate device plates in submission K121495. Clinical data were not submitted in this premarket notification.

COMPARISION OF TECHNOLOGICAL CHARACTERISTICS WITH PREDICATE DEVICES

The primary predicate device is the manufacture's own device K121495, aap LOQTEQ® Proximal Humerus Plate 3.5 System. The additional predicate device is K041860, Synthes LCP Proximal Humerus Plate, Long, Synthes (USA).

The subject device is substantially equivalent in indications and design principles to the predicate devices listed above. The subject device has similar Indications for Use Statements (IFUS) to those of devices previously cleared in K121495 and K041860. Differences between the subject device and primary predicate device K121495 include the statement "The aap LOQTEQ®

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Proximal Humerus Plate 3.5 System includes LOQTEQ® Proximal Humerus Plate 3.5 short and LOQTEQ® Proximal Humerus Plate 3.5 long. The plates accept 3.5 mm cortical locking screws and 3.5 mm cortical screws as well as 3.8 mm cancellous locking screws." The statement was removed from the subject device IFUS because the statement describes the device rather than defining "... the disease or condition the device will diagnose, treat, prevent, cure or mitigate, including a description of the patient population for which the device is intended" per 21 CFR §814.20(b)(3)(i). The compatibility of the subject device plates and previously cleared screws is described in the Instructions for Use and Surgical Technique. Differences between the subject device and the additional predicate device K041860 are limited to the device trade or proprietary name. These differences do not impact the substantial equivalence because all IFUS express the same intended use for fractures and fracture dislocations, osteotomies, and nonunions of the proximal humerus, particularly in osteopenic bone.

The subject device, the primary predicate device K121495, and the additional predicate device K041860 have the same technological characteristics and use the same operating principles for bone fixation. Furthermore, the subject device, the primary predicate device, and the additional predicate device include similar anatomic designs for placement on the proximal humerus, with screw holes to accommodate locking and non-locking screws. The subject device designs in lengths of 92 mm, 105 mm, 118 mm, 169 mm, and 195 mm with 4, 5, 6, 8,10, and 12 holes, respectively, are identical to the plates cleared in K121495. Subject device lengths of 85 mm, 221 mm, and 247 mm, with 3, 14 and 16 holes, respectively, have identical design characteristics as plates cleared in K121495, and encompass a similar range of dimensions as K041860 (secondary predicate). These two new lengths do not create a new worst case for mechanical testing.

The subject device and the primary predicate device K121495 are manufactured from the identical titanium alloy material conforming to ASTM F136. All subject device final finished components are manufactured in the same facilities using identical materials and identical manufacturing processes as used for the previously cleared aap device components (K121494). Similarly, the Class II device-specific accessories and Class I instruments are manufactured in the same facilities using identical materials and identical manufacturing processes as the Class II accessories and Class I instruments previously cleared in K121495. Therefore, the subject devices are substantially equivalent to K121495 regarding biocompatibility.

The subject device includes components provided non-sterile in the same packaging and are to be sterilized to a sterility assurance level (SAL) of 10 by the end user using the same sterilization method (moist heat) and parameters as devices previously cleared in K121495. The subject devices do not represent a new worst case for the sterilization validation.

FeatureSubject DevicePrimary Predicate DeviceAdditional Predicate Device
K211582K121495K041860
LOQTEQ Proximal Humerus
Plates 3.5LOQTEQ Proximal Humerus
Plates 3.5Synthes LCP Proximal Humerus
Plates, Long
aap Implantate AGaap Implantate AGSynthes USA
Product CodeHRSHRS, HWC
Indications for UseThe LOQTEQ Proximal Humerus
Plate 3.5 System is intended for
fractures and fracture dislocations,
osteotomies, and nonunions of the
proximal humerus, particularly in
osteopenic bone.The aap LOQTEQ Proximal Humerus
Plate 3.5 System includes LOQTEQ
Proximal Humerus Plate 3.5 short and
LOQTEQ Proximal Humerus Plate 3.5
long. The plates accept 3.5 mm cortical
locking screws and 3.5 mm corticalSynthes (USA) LCP Proximal
Humerus Plate, long is indicated for
fractures and fracture dislocations,
osteotomies, and nonunions of the
proximal humerus, particularly in
osteopenic bone.
FeatureSubject Device
K211582
LOQTEQ Proximal Humerus
Plates 3.5
aap Implantate AGPrimary Predicate Device
K121495
LOQTEQ Proximal Humerus
Plates 3.5
aap Implantate AGAdditional Predicate Device
K041860
Synthes LCP Proximal Humerus
Plates, Long
Synthes USA
screws as well as 3.8 mm cancellous
locking screws.
The LOQTEQ Proximal Humerus Plate
3.5 System is intended for fractures and
fracture dislocations, osteotomies, and
nonunions of the proximal humerus,
particularly in osteopenic bone.
Reason for
Predicate/Reference
DeviceNot applicablePlate designs, including use with
locking and non-locking screws;
Compatible screws;
Materials ASTM F136Plate length, plate designs,
including use with locking and
non-locking screws;
Reference devices for
comparison mechanical testing:
Plate MaterialsTi-6Al-4V alloy, ASTM F136Ti-6Al-4V alloy, ASTM F136Ti-6Al-4VNb alloy or Stainless
Steel 316L
Type of HolesGliding-holes
(locking/compression)
Round holes (locking only)Gliding-holes
(locking/compression)
Round holes (locking only)Gliding-holes
(locking/compression)
Round holes (locking only)
Plate LengthShort Plates
3 holes, 85 mm
4 holes, 92 mm
5 holes, 105 mm
6 holes 118 mm
Long Plates
8 holes, 143 mm
10 holes, 169 mm
12 holes, 195 mm
14 holes, 221 mm
16 holes, 247 mmShort Plates
4 holes, 92 mm
5 holes, 105 mm
6 holes 118 mm
Long Plates
8 holes, 143 mm
10 holes, 169 mm
12 holes, 195 mmShort Plates
3 holes, 90 mm
5 holes, 114 mm
Long Plates
5 holes 142 mm
6 holes, 160 mm
8 holes, 196 mm
10 holes, 232 mm
12 holes, 268 mm
Head & Shaft
DimensionsShort Plates
Head width: 23 mm
Head thickness: 3.5 mm
Shaft width: 12 mm
Shaft thickness: 3.5 mm
Long Plates
Head width: 23 mm
Head thickness: 3.5 mm
Shaft width: 13 mm
Shaft thickness: 4.5 mmShort Plates
Head width: 23 mm
Head thickness: 3.5 mm
Shaft width: 12 mm
Shaft thickness: 3.5 mm
Long Plates
Head width: 23 mm
Head thickness: 3.5 mm
Shaft width: 13 mm
Shaft thickness: 4.5 mmShort Plates
Head width: 20 mm
Head thickness: 2.5 mm
Shaft width: 12 mm
Shaft thickness: 2.5 mm
Long Plates
Head width: 20 mm
Head thickness: 3.0 mm
Shaft width: 12 mm
Shaft thickness: 3.7 mm
Surface TreatmentPolishedPolishedType III anodization
Screw DiametersNo new screws
Cancellous screws:
3.8 mm diameter, 28-60 mm
length
Cortical screws, self-tapping:
3.5 mm diameter, 18-38 mm
lengthCancellous screws:
3.8 mm diameter, 28-60 mm length
Cortical screws, self-tapping:
3.5 mm diameter, 18-38 mm lengthCancellous screws, fully
threaded:
4.0 mm diameter, 10-60 mm
length
Cancellous screws, partially
threaded:
4.0 mm diameter, 10-50 mm
length
Cortex screws:
3.5 mm diameter, 10-60 mm
length
4.0 mm diameter, 10-60 mm
length (SS material only)
Locking screws (SS material and
FeatureSubject Device
K211582
LOQTEQ Proximal Humerus
Plates 3.5
aap Implantate AGPrimary Predicate Device
K121495
LOQTEQ Proximal Humerus
Plates 3.5
aap Implantate AGAdditional Predicate Device
K041860
Synthes LCP Proximal Humerus
Plates, Long
Synthes USA
Ti-6Al-4VNb alloy only):
3.5 mm diameter, 10-60 length
Screw MaterialsTi-6Al-4V alloy, ASTM F136Ti-6Al-4V alloy, ASTM F136TiCP, Ti6Al7Nb, Ti-6Al-4V
alloy, SS 316L
Surface TreatmentAnodized Type III (locking
cancellous screw green)
Partially anodized Type III
(locking compression screw)
Anodized Type III (non-
locking screws gold)Anodized Type III (locking
cancellous screw green)
Partially anodized Type III (locking
compression screw)
Anodized Type III (non-locking
screws gold)Anodized Type III (all screws)
How Provided
SterilityProvided non-sterileProvided non-sterileProvided non-sterile and
Provided sterile
SterilizationNon-sterile: to be sterilized by
moist heatNon-sterile: to be sterilized by
moist heatNon-sterile: to be sterilized by
moist heat
Sterile: method not stated
UsageSingle-patient, single-useSingle-patient, single-useSingle-patient, single-use

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In summary, non-clinical testing data submitted, referenced, or relied upon to demonstrate substantial equivalence include: biocompatibility referenced from K121495; validation of the recommended end-user moist heat sterilization cycle according to ANSI AAMI ISO 17665-1 Sterilization of health care products – Moist heat – Part 1: Requirements for the development, validation and routine control of a sterilization process for medical devices. An assessment of the biomechanical performance of the subject device to determine substantial equivalence was performed based on cross sectional analysis of the subject device as compared to the predicate device plates in submission K121495. Clinical data were not submitted in this premarket notification.

Any differences in the technological characteristics among the subject and predicate devices do not raise different questions of safety and effectiveness. The data included in this submission demonstrate substantial equivalence to the predicate devices listed above.

CONCLUSION

The subject devices, the primary predicate device, and the additional predicate device have the same intended use and similar technological characteristics. They encompass a similar range of physical dimensions, are manufactured from the same materials, and are to be sterilized using identical methods. The data included in this submission demonstrate substantial equivalence to the predicate devices listed above.