K Number
K221181
Device Name
Treace Medical Concepts (TMC) Plating System
Date Cleared
2023-01-05

(255 days)

Product Code
Regulation Number
888.3030
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The TMC Plating System is intended for use in stabilization of fresh fractures, joint fusion and reconstruction of the feet. The system can be used in both adult and pediatric patients aged >12 years. In the foot, the system can be used for the following specific examples: · Osteotomy of the 1st metatarsal for the treatment of deformity (e.g., hallux valgus) such as: - Opening base wedge osteotomy - Closing base wedge osteotomy - Crescentic osteotomy - Proximal Chevron osteotomy - Distal Chevron osteotomy (Austin) - Transverse osteotomy • Arthrodesis of the tarsometatarsal (TMT) joints or the 1st metatarsophalangeal (MTP) joint for the treatment of deformity (e.g., hallux valgus, hallux rigidus, metatarsus adductus) and/or arthritis - First metatarsal fracture fixation - · Flatfoot Osteotomies - Lateral Column Lengthening (Evans Osteotomy) - Plantar Flexion Opening Wedge Osteotomy of the Medial Cuneiform (Cotton Osteotomy) - · Mid / Flatfoot Fusions - LisFranc Arthrodesis and/or Stabilization - Intercuneiform Fusions - Navicular-Cuneiform (NC) Fusion - Talo-Navicular (TN) Fusion - Calcaneo-Cuboid (CC) Fusion - Medial Column Fusion
Device Description
The Treace Medical Concepts (TMC) Plating System includes straight, L-shaped, anatomically curved plates, and intramedullary plates. The system includes 2.5mm, 2.7mm, and 3.0mm diameter cannulated and non-cannulated. locking, and non-locking screws ranging in lengths from 10-32mm. The plates and screws are intended for use in stabilization and fixation of fractures, revision procedures, fusions, and reconstructions (osteotomy) of the foot. The purpose of this traditional 510(k) submission is to introduce additional plate and screw options within the Treace Medical Concepts (TMC) Plating System. All implantable components are manufactured from implant grade titanium alloy (Ti-6Al-4V-ELI) per ASTM F136 and are provided sterile by gamma irradiation.
More Information

Not Found

No
The summary describes a system of plates and screws for orthopedic fixation and does not mention any software, algorithms, or data processing capabilities that would suggest the use of AI/ML.

Yes
The device is intended for stabilization, fusion, and reconstruction, which are therapeutic interventions.

No
The device description and intended use clearly state that it is a plating system for stabilization and fixation of fractures, fusions, and reconstructions of the foot, which are therapeutic and reconstructive purposes, not diagnostic.

No

The device description explicitly states that the system includes physical components such as plates and screws made of titanium alloy, which are hardware.

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

Here's why:

  • Intended Use: The intended use clearly describes the device as being used for the stabilization of fresh fractures, joint fusion, and reconstruction of the feet. These are surgical procedures performed directly on the patient's body.
  • Device Description: The device is described as a plating system including plates and screws made of titanium alloy. These are physical implants used to fix bones.
  • Lack of IVD Characteristics: An IVD device is used in vitro (outside the body) to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening. The provided text does not mention any such use or interaction with biological specimens.

Therefore, the TMC Plating System is a surgical implant, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The TMC Plating System is intended for use in stabilization of fresh fractures, joint fusion and reconstruction of the feet. The system can be used in both adult and pediatric patients aged >12 years. In the foot, the system can be used for the following specific examples:

· Osteotomy of the 1st metatarsal for the treatment of deformity (e.g., hallux valgus) such as:

  • Opening base wedge osteotomy
  • Closing base wedge osteotomy
  • Crescentic osteotomy
  • Proximal Chevron osteotomy
  • Distal Chevron osteotomy (Austin)
  • Transverse osteotomy

• Arthrodesis of the tarsometatarsal (TMT) joints or the 1st metatarsophalangeal (MTP) joint for the treatment of deformity (e.g., hallux valgus, hallux rigidus, metatarsus adductus) and/or arthritis

  • First metatarsal fracture fixation

  • · Flatfoot Osteotomies

    • Lateral Column Lengthening (Evans Osteotomy)
  • Plantar Flexion Opening Wedge Osteotomy of the Medial Cuneiform (Cotton Osteotomy)

  • · Mid / Flatfoot Fusions

    • LisFranc Arthrodesis and/or Stabilization
    • Intercuneiform Fusions
    • Navicular-Cuneiform (NC) Fusion
    • Talo-Navicular (TN) Fusion
    • Calcaneo-Cuboid (CC) Fusion
  • Medial Column Fusion

Product codes

HRS, HWC

Device Description

The Treace Medical Concepts (TMC) Plating System includes straight, L-shaped, anatomically curved plates, and intramedullary plates. The system includes 2.5mm, 2.7mm, and 3.0mm diameter cannulated and non-cannulated. locking, and non-locking screws ranging in lengths from 10-32mm. The plates and screws are intended for use in stabilization and fixation of fractures, revision procedures, fusions, and reconstructions (osteotomy) of the foot.

The purpose of this traditional 510(k) submission is to introduce additional plate and screw options within the Treace Medical Concepts (TMC) Plating System.

All implantable components are manufactured from implant grade titanium alloy (Ti-6Al-4V-ELI) per ASTM F136 and are provided sterile by gamma irradiation.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Feet

Indicated Patient Age Range

Adult and pediatric patients aged >12 years.

Intended User / Care Setting

Prescription Use

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)

Mechanical testing including static and dynamic 4-point bend testing and static torsion, driving torque, removal torque, and axial pullout based on ASTM F382 and ASTM F543 were performed. Further, engineering analysis of the worst-case cross-sections and geometries on the subject and predicate devices were evaluated. The mechanical testing, cross-sectional, and geometrical analysis demonstrated the subject devices to be substantially equivalent to the predicate devices.

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

Not Found

Predicate Device(s)

K220136, K181872, K101962

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

January 5, 2023

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 & Human Services logo. To the right of that is the FDA logo, which consists of the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG" in blue, with the word "ADMINISTRATION" underneath.

Treace Medical Concepts Inc. Melissa Coloroso Principal Regulatory Affairs Specialist 203 Fort Wade Road, Suite 150 Ponte Vedra, Florida 32081

Re: K221181

Trade/Device Name: Treace Medical Concepts (TMC) 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: April 22, 2022 Received: April 25, 2022

Dear Melissa Coloroso:

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

1

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 mediation-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 -S

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

Enclosure

2

Indications for Use

510(k) Number (if known) K221181

Device Name

Treace Medical Concepts (TMC) Plating System

Indications for Use (Describe)

The TMC Plating System is intended for use in stabilization of fresh fractures, joint fusion and reconstruction of the feet. The system can be used in both adult and pediatric patients aged >12 years. In the foot, the system can be used for the following specific examples:

· Osteotomy of the 1st metatarsal for the treatment of deformity (e.g., hallux valgus) such as:

  • Opening base wedge osteotomy
  • Closing base wedge osteotomy
  • Crescentic osteotomy
  • Proximal Chevron osteotomy
  • Distal Chevron osteotomy (Austin)
  • Transverse osteotomy

• Arthrodesis of the tarsometatarsal (TMT) joints or the 1st metatarsophalangeal (MTP) joint for the treatment of deformity (e.g., hallux valgus, hallux rigidus, metatarsus adductus) and/or arthritis

  • First metatarsal fracture fixation

  • · Flatfoot Osteotomies

    • Lateral Column Lengthening (Evans Osteotomy)
  • Plantar Flexion Opening Wedge Osteotomy of the Medial Cuneiform (Cotton Osteotomy)

  • · Mid / Flatfoot Fusions

    • LisFranc Arthrodesis and/or Stabilization
    • Intercuneiform Fusions
    • Navicular-Cuneiform (NC) Fusion
    • Talo-Navicular (TN) Fusion
    • Calcaneo-Cuboid (CC) Fusion
  • Medial Column Fusion

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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510(k) Summary Treace Medical Concepts (TMC) Plating System April 21, 2022

| Company: | Treace Medical Concepts, Inc.
100 Palmetto Park Place
Ponte Vedra, FL 32081 |
|--------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Establishment
Registration: | 3011623994 |
| Primary Contact: | Melissa Coloroso, Principal Regulatory Affairs Specialist
Phone: 303-641-8592
Fax: 904-834-7169
Email: mcoloroso@treace.net |
| Secondary Contact: | Kristina Hall, Director, Regulatory Affairs
Phone: 904-373-5904 ext. 1321
Fax: 904-834-7169
Email: khall@treace.net |
| Trade Name: | Treace Medical Concepts (TMC) Plating System |
| Common Name: | Plate, fixation, bone
Screw, fixation, bone |
| Classification: | Class II |
| Regulation Number: | 21 CFR 888.3030 (Single/multiple component metallic bone fixation
appliance and accessories and accessories) (primary)
21 CFR 888.3040 (Smooth or threaded metallic bone fixation fastener |
| Panel: | 87- Orthopedic |
| Product Code(s): | HRS, HWC |

Predicate Device(s):

Primary Predicate:

  • K220136 Treace Medical Concepts (TMC) Plating System .
    Additional Predicates:

  • K181872 CrossRoads Extremity Systems, LLC. MIS Bunion System .

  • o K101962, OrthoHelix Surgical Designs Inc., Mini MaxLock Extreme Plating System

4

Device Description:

The Treace Medical Concepts (TMC) Plating System includes straight, L-shaped, anatomically curved plates, and intramedullary plates. The system includes 2.5mm, 2.7mm, and 3.0mm diameter cannulated and non-cannulated. locking, and non-locking screws ranging in lengths from 10-32mm. The plates and screws are intended for use in stabilization and fixation of fractures, revision procedures, fusions, and reconstructions (osteotomy) of the foot.

The purpose of this traditional 510(k) submission is to introduce additional plate and screw options within the Treace Medical Concepts (TMC) Plating System.

All implantable components are manufactured from implant grade titanium alloy (Ti-6Al-4V-ELI) per ASTM F136 and are provided sterile by gamma irradiation.

Indications for Use:

The TMC Plating System is intended for use in stabilization of fresh fractures, revision procedures, joint fusion and reconstruction of the feet. The system can be used in both and pediatric patients aged >12 years. In the foot, the system can be used for the following specific examples:

  • · Osteotomy of the 1st metatarsal for the treatment of deformity (e.g., hallux valgus) such as:
    • · Opening base wedge osteotomy
    • · Closing base wedge osteotomy
    • · Crescentic osteotomy
    • Proximal Chevron osteotomy
    • · Distal Chevron osteotomy (Austin)
    • Transverse osteotomy

• Arthrodesis of the tarsometatarsal (TMT) joints or the 1st metatarsophalangeal (MTP) joint for the treatment of deformity (e.g., hallux valgus, hallux rigidus, metatarsus adductus) and/or arthritis

  • First metatarsal fracture fixation
  • · Flatfoot Osteotomies
    • · Lateral Column Lengthening (Evans Osteotomy)
    • · Plantar Flexion Opening Wedge Osteotomy of the Medial Cuneiform (Cotton Osteotomy)
  • · Mid / Flatfoot Fusions
    • · LisFranc Arthrodesis and/or Stabilization
    • Intercuneiform Fusions
    • Navicular-Cuneiform (NC) Fusion
    • Talo-Navicular (TN) Fusion
    • Calcaneo-Cuboid (CC) Fusion
  • Medial Column Fusion

Substantial Equivalence:

The subject TMC Plating System is substantially equivalent to the following predicate devices:

Primary Predicate:

  • Treace Medical Concepts (TMC) Plating System, K220136 .

5

Additional Predicates:

  • CrossRoads Extremity Systems LLC., MIS Bunion System, K181872
  • OrthoHelix Surgical Designs Inc., Mini MaxLock Extreme Plating System, K101962 o

The subject TMC Plating System is manufactured from implant grade titanium alloy (Ti-6A1-4V-ELI) per ASTM F136 and is intended to be used in stabilization of fresh fractures, revision procedures, joint fusion and reconstruction of the feet, identical to the primary predicate device. The subject TMC Plating System shares similar materials, geometry, construction, and overall design with the predicate devices. Thus, it can be concluded that the subject devices do not raise new questions about safety and effectiveness and are substantially equivalent to the predicate devices.

Performance Testing:

Mechanical testing including static and dynamic 4-point bend testing and static torsion, driving torque, removal torque, and axial pullout based on ASTM F382 and ASTM F543 were performed. Further, engineering analysis of the worst-case cross-sections and geometries on the subject and predicate devices were evaluated. The mechanical testing, cross-sectional, and geometrical analysis demonstrated the subject devices to be substantially equivalent to the predicate devices.

Conclusion:

The Treace Medical Concepts (TMC) Plating System has similar intended use, overall design, materials, and mechanical properties to that of the predicate devices. Therefore, it can be concluded that the subject device is at least as safe and effective and are substantially equivalent to the predicate devices.