K Number
K220360
Device Name
Tandry CMF Plate System
Date Cleared
2022-11-10

(275 days)

Product Code
Regulation Number
872.4760
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Tandry CMF System is a Maxillofacial plate and screw system intended for osteotomy, stabilization and rigid fixation of maxillofacial/midface fractures and reconstruction including infraorbital area and maxillofacial, and mandibular and maxillary correction surgery. Each plate is indicated to be used in the following anatomic regions: - · 1.2mm upper-face plates Orbital floor region, zygomatic region, and dento-alveolar region - · 1.5mm mid-face plates Zygomatic region, orbital floor region, and maxilla - · 2.0 mm mini plates Orthognathics midface/mandible - · 2.0/2.3mm mandible plates Mandibular
Device Description
The Tandry CMF Plate System consists of various sized plates and screws. The plates and screws are fabricated from pure titanium and Ti-6Al-4V. The plates are designed to distribute for respective anatomical and indicated areas, besides, they can be used with self-tapping, self-drilling, emergency self-tapping and locking screws.
More Information

No
The summary describes a traditional plate and screw system for maxillofacial fixation and reconstruction, with no mention of AI or ML capabilities in the intended use, device description, or performance studies.

No.
The device is a maxillofacial plate and screw system intended for osteotomy, stabilization, and rigid fixation of maxillofacial/midface fractures and reconstruction, which are surgical interventions rather than therapeutic treatments.

No
The device is described as a plate and screw system intended for osteotomy, stabilization, and rigid fixation of maxillofacial fractures and reconstruction. This indicates a therapeutic or surgical function rather than a diagnostic one.

No

The device description clearly states it consists of physical plates and screws made from titanium, which are hardware components.

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

Here's why:

  • Intended Use: The intended use clearly states that the device is a "Maxillofacial plate and screw system intended for osteotomy, stabilization and rigid fixation of maxillofacial/midface fractures and reconstruction". This describes a surgical implant used directly on the patient's body for structural support and repair.
  • Device Description: The description details physical components (plates and screws) made of titanium, designed for surgical implantation.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, tissue, or urine) to provide information for diagnosis, monitoring, or screening.

IVD devices are used outside the body to analyze samples and provide diagnostic information. The Tandry CMF System is an implantable medical device used inside the body for surgical treatment.

N/A

Intended Use / Indications for Use

The Tandry CMF System is a Maxillofacial plate and screw system intended for osteotomy, stabilization and rigid fixation of maxillofacial/midface fractures and reconstruction including infraorbital area and maxillofacial, and mandibular and maxillary correction surgery.

Each plate is indicated to be used in the following anatomic regions:

  • · 1.2mm upper-face plates Orbital floor region, zygomatic region, and dento-alveolar region
  • · 1.5mm mid-face plates Zygomatic region, orbital floor region, and maxilla
  • · 2.0 mm mini plates Orthognathics midface/mandible
  • · 2.0/2.3mm mandible plates Mandibular

Product codes

JEY, DZL

Device Description

The Tandry CMF Plate System consists of various sized plates and screws. The plates and screws are fabricated from pure titanium and Ti-6Al-4V. The plates are designed to distribute for respective anatomical and indicated areas, besides, they can be used with self-tapping, self-drilling, emergency self-tapping and locking screws.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

maxillofacial/midface, infraorbital area, zygomatic area, mandibular, maxillary, Orbital floor region, dento-alveolar region

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

  • Biomechanical Test
    The biomechanical tests ASTM F543 and F382 were performed to determine substantial equivalence for the Tandry CMF Plate System including the performance of plate and screw.

  • Biocompatibility
    Representative samples of each of the subject devices was subjected to the following: "Biocompatibility sample preparation was made according to ISO 10993-12. Biological Safety Assessment guided by ISO 10993-1. Cytotoxicity testing was performed per ISO 10993-5.

  • Reprocessing and sterilization
    Since the material, manufacturing process, geometry & physico-chemical, body/ fluid contact and sterilization process of the proposed device is the same as Tandry Locking Plate System K171904, the performance and testing result of the predicate can be utilized in the proposed device. The testing results support the proposed device to meet the validation requirement.

The steam sterilization instructions are validated to a sterility assurance level (SAL) of 10-6 using the biological indicator overkill method. The sterilization test is performed in accordance with ANSI/AAMI/ISO 17665-1 and ANSI/AAMI/ISO 14937. The subject device is a single-use device.

  • The Tandry CMF Plate System has not been evaluated for safety and compatibility in the MR environment. It has not been tested for heating, migration, or image artifact in the MR environment. The safety of the Tandry CMF Plate System in the MR environment is unknown. Scanning a patient who has this device may result in patient injury.

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

Not Found

Predicate Device(s)

K022185

Reference Device(s)

K182758, K171904, K953806

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.4760 Bone plate.

(a)
Identification. A bone plate is a metal device intended to stabilize fractured bone structures in the oral cavity. The bone segments are attached to the plate with screws to prevent movement of the segments.(b)
Classification. Class II.

0

Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health and Human Services logo on the left and the FDA logo on the right. The FDA logo is a blue square with the letters "FDA" in white, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue.

11/10/22

Microware Precision Co., Ltd. Harrison Du General Manager No. 12, Keyuan 2nd Rd., Situn District Taichung, 40763 TAIWAN

Re: K220360

Trade/Device Name: Tandry CMF Plate System Regulation Number: 21 CFR 872.4760 Regulation Name: Bone Plate Regulatory Class: Class II Product Code: JEY, DZL Dated: October 11, 2022 Received: October 12, 2022

Dear Harrison Du:

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.

Sherrill Lathrop Blitzer

for Andrew Steen Assistant Director DHT1B: Division of Dental and ENT Devices OHT1: Office of Ophthalmic, Anesthesia. Respiratory, ENT and Dental Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known) K220360

Device Name Tandry CMF Plate System

The Tandry CMF System is a Maxillofacial plate and screw system intended for osteotomy, stabilization and rigid fixation of maxillofacial/midface fractures and reconstruction including infraorbital area and maxillofacial, and mandibular and maxillary correction surgery.

Each plate is indicated to be used in the following anatomic regions:

  • · 1.2mm upper-face plates Orbital floor region, zygomatic region, and dento-alveolar region
  • · 1.5mm mid-face plates Zygomatic region, orbital floor region, and maxilla
  • · 2.0 mm mini plates Orthognathics midface/mandible
  • · 2.0/2.3mm mandible plates Mandibular
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

Microware

K220360

510(K) Summary

Submitter's Name: Microware Precision Co., Ltd. Address: No. 12, Keyuan 2nd Rd., Situn District, Taichung City 40763, Taiwan Tel: +886-4-24636275 # 100 Fax: +886-4-24636276

Contact Name: Harrison Du

Preparation date: Nov. 10. 2022

Registration Number: 3007738812

Device Name: Tandry CMF Plate System

Common Name: Bone Plate and Bone Screw

Classification Name: Class II, 21 CFR 872.4760

Product Code: JEY and DZL

Predicate Device Information:

Primary device: Stryker Leibinger Universal CMF System (K022185) Reference device: MCI - CMF System (K182758) Tandry Locking Plate System (K171904) Synthes Midfacial System (K953806)

Device Description:

The Tandry CMF Plate System consists of various sized plates and screws. The plates and screws are fabricated from pure titanium and Ti-6Al-4V. The plates are designed to distribute for respective anatomical and indicated areas, besides, they can be used with self-tapping, self-drilling, emergency self-tapping and locking screws.

Indication for use:

The Tandry CMF System is a Maxillofacial plate and screw system intended for osteotomy, stabilization and rigid fixation of maxillofacial/midface fractures and reconstruction including infraorbital area, zygomatic area and maxillofacial, and maxillary correction surgery.

Each plate is indicated to be used in the following anatomic regions:

  • 1.2mm upper-face plates Orbital floor region, zygomatic region, and dento-alveolar region .

4

Microware

  • · 1.5mm mid-face plates Zygomatic region, orbital floor region, and maxilla
  • · 2.0 mm mini plates Orthognathics midface/mandible
  • 2.0/2.3mm mandible plates Mandibular

Technological Characteristics:

The Tandry CMF Plate System is fabricated from titanium alloy per ASTM F136 and unalloyed titanium per ASTM F67. The screws are made of titanium alloy conforming to ASTM F136 and its surfaces are colored-anodized. The plates are manufactured in commercially pure titanium conforming to ASTM F67 and its surfaces are colored-anodized and type 2-anodized. The design feature for the Tandry CMF Plate System is similar to the predicate devices including dimensions, shape and sizes as following Table 1.

Summary of Performance Data (Nonclinical and/or Clinical)

Clinical Test

Clinical studies are not required to support substantially equivalent.

Non-Clinical Test

  • Biomechanical Test
    The biomechanical tests ASTM F543 and F382 were performed to determine substantial equivalence for the Tandry CMF Plate System including the performance of plate and screw.

  • Biocompatibility
    Representative samples of each of the subject devices was subjected to the following: "Biocompatibility sample preparation was made according to ISO 10993-12. Biological Safety Assessment guided by ISO 10993-1. Cytotoxicity testing was performed per ISO 10993-5.

  • Reprocessing and sterilization
    Since the material, manufacturing process, geometry & physico-chemical, body/ fluid contact and sterilization process of the proposed device is the same as Tandry Locking Plate System K171904, the performance and testing result of the predicate can be utilized in the proposed device. The testing results support the proposed device to meet the validation requirement.

The steam sterilization instructions are validated to a sterility assurance level (SAL) of 10-6 using the biological indicator overkill method. The sterilization test is performed in accordance with ANSI/AAMI/ISO 17665-1 and ANSI/AAMI/ISO 14937. The subject device is a single-use device.

  • The Tandry CMF Plate System has not been evaluated for safety and compatibility in the MR environment. It has not been tested for heating, migration, or image artifact in the MR environment. The safety of the Tandry CMF Plate System in the MR environment is unknown. Scanning a patient who has this device may result in patient injury.

5

Summary of Substantial Equivalence:

The Tandry CMF Plate System is substantially equivalent to the predicated devices. Result of non-clinical tests and the similarities with the legally marketed predicate device have demonstrated substantial equivalence.

6

| Device
Item | Proposed device | Primary predicate device | Reference device 1 | Reference device 2 | Reference device 3 | SE
? |
|--------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Device Name | Tandry CMF Plate System | Stryker Leibinger
Universal CMF System | MCI - CMF System | Synthes Midfacial System | Tandry Locking Plate
System | NA |
| 510K Number | K220360 | K022185 | K182758 | K953806 | K171904 | NA |
| Trade Name | Tandry | Stryker | MCI | Synthes | Tandry | NA |
| Indication for Use | The Tandry CMF System is
a Maxillofacial plate and
screw system intended for
osteotomy, stabilization and
rigid fixation of
maxillofacial/midface
fractures and reconstruction
including infraorbital area,
zygomatic area and
maxillofacial,
mandibular and maxillary
correction surgery.
Each plate is indicated to
be used in the following
anatomic regions:

  • 1.2mm upper-face
    plates - Orbital floor
    region, zygomatic
    region, and
    dento-alveolar region
  • 1.5mm mid-face plates -
    Zygomatic region, | The Stryker Leibinger
    Universal CMF System is a
    Cranio-maxillofacial
    (CMF) plate and screw
    system intended for
    osteotomy, stabilization and
    rigid fixation of CMF
    fractures and
    reconstruction. | MCI - CMF System is
    intended for use in
    selective trauma of the
    midface, maxillofacial
    surgery, reconstructive
    procedures, and selective
    orthognathic surgery of
    the maxilla, mandible and
    chin. | The Synthes Midfacial
    System is a plate and
    screw system,
    manufactured from
    commercially pure (CP)
    titanium, and is intended
    for use in selective trauma
    of the midface and
    craniofacial skeleton;
    craniofacial surgery;
    reconstructive procedures;
    and selective orthognathic
    surgery of the maxilla and
    chin. The plates are
    available in a variety of
    configurations to
    accommodate various
    fracture sites, and attach to
    bone via 1.3mm or 1.7mm
    self-tapping screws, with a
    low plate/screw profile. | Tandry Locking Plate
    System is intended to
    provide fixation during
    fractures, fusions, and
    osteotomies for bones
    including the clavicle,
    pelvis, scapula and
    calcaneal, small bones
    including the metacarpals,
    wrist, metatarsals, tarsals
    and phalanges; long bones
    including the radius, ulna,
    humerus, olecranon, fibula,
    femur, and tibia. | No substantial
    differences
    between subject
    and reference
    device.
    Reference
    device 3 is only
    for evaluation of
    biocompatibility
    , reprocessing
    and sterilization. |
    | | | | | | | |
    | | orbital floor region, and
    maxilla
  • 2.0 mm mini plates -
    Orthognathics
    midface/mandible
  • 2.0/2.3mm mandible
    plates - Mandibular | | | | | |
    | Materials | Pure titanium: ASTM F67
    Titanium Alloy: ASTM
    F136 | Pure titanium: ASTM F67
    Titanium Alloy: ASTM
    F136 | Pure titanium: ASTM F67
    Titanium Alloy: ASTM
    F136 | Pure titanium: ASTM F67 | Pure Titanium: ASTM F67
    Titanium Alloy: ASTM
    F136
    Stainless steel: ASTM
    F138 and F139 | No substantial
    differences
    between subject
    and reference
    device. |
    | Dimensions | Screw
    Diameter: 1.2 to 2.7mm
    Length: 3 to 20mm
    Plate
    Thickness: 0.4 to 2.8mm
    Holes: 4 to 39 Holes | Screw
    Diameter: 1.2 to 2.7mm
    Length: 3 to 42mm
    Plate
    Thickness: 0.1 to 2.8mm
    Holes: 4 to 29 Holes | Screw
    Diameter: 1.5 to 2.3mm
    Length: 4 to 20mm
    Plate
    Thickness: 0.6 to 1.0mm
    Holes: 4 to 20 Holes | Screw
    Diameter: 1.3 to 1.7mm
    Length: 3 to 18mm
    Plate
    Thickness: 0.2 to 0.8mm
    Holes: 4 to 39 Holes | Screw
    Diameter: 1.5 to 4.5mm
    Length: 6 to 160mm
    Plate
    Thickness: 1.1 to 6.25mm
    Holes: 2 to 22 holes | No substantial
    differences
    between subject
    and reference
    device. |
    | Surface | Colored-anodized and
    type2-anodized | Colored-anodized | Colored-anodized | Colored-anodized | Colored-anodized for
    titanium
    Electrolytic polishing for
    Stainless steel | No substantial
    differences
    between subject
    and reference
    device. |
    | Sterilization | Non-sterilize. Steam
    sterilization before use. | Non-sterilize. Steam
    sterilization before use. | Non-sterilize. Steam
    sterilization before use. | Non-sterilize. Steam
    sterilization before use. | Non-sterilize. Steam
    sterilization before use. | No substantial
    differences
    between subject
    and reference
    device. |

7

Microware