K Number
K221947
Device Name
Tyber Medical Staple Fixation System (various)
Date Cleared
2022-10-20

(107 days)

Product Code
Regulation Number
888.3030
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Tyber Medical Staple System is indicated for: - Fracture and osteotomy fixation, joint arthrodesis hand and foot. - Fixation of proximal tibial metaphysis osteotomy. - Hand and foot bone fragment and osteotomy fixation and joint arthrodesis. - Fixation of small bone fragments (i.e., small fragments of bone which are not comminuted to the extend to preclude staple placement). These fragments may be located in long bones such as the femur, fibula and tibia in the lower extremities; the humerus, ulna or radius in the upper extremities; the clavicle and in flat bone such as the pelvis and scapula.
Device Description
The Tyber Medical Staple Fixation System consists of sterile, single use orthopedic implants and instruments. The single use bone fixation compression staples are intended to be permanently implanted. The staples are made out of Nickel Titanium (Nitino) available in two or four legged designs with multiple combinations of bridge width, leg lengths, and cross sections to accommodate various anatomies. The staple implant applies compression across the bone segments when the staple implant legs are released from an insertion system that applies opposing forces to the staple legs to keep them parallel during implantation. The staple is provided preloaded on a disposable inserter. The sterile staple kit contains all the instruments necessary for a single-staple-implantation procedure. These instruments include an inserter with a preloaded staple implant, locating pin, a drill guide for creating appropriately spaced holes and drill bits to create appropriately sized holes in the bone for staple implantation. These components will be provided in a sterilized package to accommodate a range of anatomical sites and are discarded after the procedure is complete, removing the need for any facility reprocessing.
More Information

Not Found

No
The device description and performance studies focus on the mechanical properties and biocompatibility of a physical orthopedic staple and its insertion system. There is no mention of software, algorithms, or data processing that would indicate the use of AI/ML.

Yes
The device directly performs a therapeutic function by providing fixation and compression for bone fragments and osteotomies, which are treatments for bone injuries and conditions.

No

This device, the Tyber Medical Staple System, is an orthopedic implant and associated instruments used for fracture and osteotomy fixation, and joint arthrodesis. It is a treatment device, not one that gathers or interprets data for diagnosis.

No

The device description clearly states it consists of sterile, single-use orthopedic implants (staples made of Nickel Titanium) and instruments (inserter, locating pin, drill guide, drill bits). These are physical components, not software.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to examine specimens taken from the human body (like blood, urine, tissue) to provide information about a person's health. This information is used for diagnosis, monitoring, or screening.
  • Device Description: The Tyber Medical Staple System is a surgical implant used for fixing bones and joints. It is physically implanted into the body.
  • Intended Use: The intended use clearly states its purpose is for "Fracture and osteotomy fixation, joint arthrodesis hand and foot," and similar applications involving bone fixation. This is a surgical procedure, not a diagnostic test performed on a specimen outside the body.

The device is a surgical implant and associated instruments, not a diagnostic tool.

N/A

Intended Use / Indications for Use

The Tyber Medical Staple System is indicated for:

  • · Fracture and osteotomy fixation, joint arthrodesis hand and foot.
  • · Fixation of proximal tibial metaphysis osteotomy.
  • · Hand and foot bone fragment and osteotomy fixation and joint arthrodesis.
  • · Fixation of small bone fragments (i.e., small fragments of bone which are not comminuted to the extend to preclude staple placement). These fragments may be located in long bones such as the femur, fibula and tibia in the lower extremities; the humerus, ulna or radius in the upper extremities; the clavicle and in flat bone such as the pelvis and scapula.

Product codes

JDR

Device Description

The Tyber Medical Staple Fixation System consists of sterile, single use orthopedic implants and instruments. The single use bone fixation compression staples are intended to be permanently implanted. The staples are made out of Nickel Titanium (Nitino) available in two or four legged designs with multiple combinations of bridge width, leg lengths, and cross sections to accommodate various anatomies. The staple implant applies compression across the bone segments when the staple implant legs are released from an insertion system that applies opposing forces to the staple legs to keep them parallel during implantation. The staple is provided preloaded on a disposable inserter.

The sterile staple kit contains all the instruments necessary for a single-staple-implantation procedure. These instruments include an inserter with a preloaded staple implant, locating pin, a drill guide for creating appropriately spaced holes and drill bits to create appropriately sized holes in the bone for staple implantation. These components will be provided in a sterilized package to accommodate a range of anatomical sites and are discarded after the procedure is complete, removing the need for any facility reprocessing.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

hand and foot; proximal tibial metaphysis; small bone fragments (i.e., small fragments of bone which are not comminuted to the extend to preclude staple placement) in long bones such as the femur, fibula and tibia in the lower extremities; the humerus, ulna or radius in the upper extremities; the clavicle and in flat bone such as the pelvis and scapula.

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)

Corrosion testing per ASTM F2129 "Standard Test Method for Conducting Cyclic Potentiodynamic Polarization Measurements to Determine the Corrosion Susceptibility of Small Implant Devices" was performed on the implants. Test results demonstrated good corrosion resistance.

Pull-out testing per ASTM F564 "Standard Specification and Test Methods for Metallic Bone Staples" was performed. Test results demonstrated substantially equivalent results to predicates.

Four-point static and dynamic bend testing per ASTM F564 "Standard Specification and Test Methods for Metallic Bone Staples" was performed. Test results showed equivalent bend stiffness to the predicate.

MRI testing as listed below was performed. Results from the test are included in the Instructions for Use.

  1. Magnetically induced displacement force (ASTM F2052).
  2. Magnetically induced torque (ASTM F2213).
  3. MR image artifact (ASTM F2119).
  4. Radio frequency induced heating (ASTM F2182).

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

Not Found

Predicate Device(s)

K142292, K061798/K0772298, K150125

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

Image /page/0/Picture/0 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, with the letters "FDA" in a blue square. Next to that is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

October 20, 2022

Tyber Medical, LLC. Lisa Boyle Senior Manager, Regulatory Affairs 83 South Commerce Way Suite 310 Bethlehem, Pennsylvania 18017

Re: K221947

Trade/Device Name: Tyber Medical Staple Fixation System (various) Regulation Number: 21 CFR 888.3030 Regulation Name: Single/Multiple Component Metallic Bone Fixation Appliances And Accessories Regulatory Class: Class II Product Code: JDR Dated: September 21, 2022 Received: September 21, 2022

Dear Lisa Boyle:

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.

Limin Sun, Ph.D. 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

Submission Number (if known)

K221947

Device Name

Tyber Medical Staple Fixation System (various)

Indications for Use (Describe)

The Tyber Medical Staple System is indicated for:

  • · Fracture and osteotomy fixation, joint arthrodesis hand and foot.
  • · Fixation of proximal tibial metaphysis osteotomy.
  • · Hand and foot bone fragment and osteotomy fixation and joint arthrodesis.
  • · Fixation of small bone fragments (i.e., small fragments of bone which are not comminuted to the extend to preclude staple placement). These fragments may be located in long bones such as the femur, fibula and tibia in the lower extremities; the humerus, ulna or radius in the upper extremities; the clavicle and in flat bone such as the pelvis and scapula.

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

Prescription Use (Part 21 CFR 801 Subpart D)

ver-The-Counter Use (21 CFR 801 Subpart C)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

Expiration Date: 06/30/2023 See PRA Statement below.

Form Approved: OMB No. 0910-0120

3

510(k) #:K221947K221947 Page 1 of 2
510(k) SummaryPrepared on: 2022-10-19

21 CFR 807.92(a)(1)

Applicant NameTyber Medical, LLC.
Applicant Address83 South Commerce Way Suite 310 Bethlehem PA 18017 United States
Applicant Contact Telephone6102957984
Applicant ContactMs. Lisa Boyle
Applicant Contact Emaillboyle@tybermed.com

21 CFR 807.92(a)(2)

Device Trade NameTyber Medical Staple Fixation System (various)
Common NameStaple, Fixation, Bone
Classification NameSingle/multiple component metallic bone fixation appliances and accessories
Regulation Number888.3030
Product CodeJDR

Legally Marketed Predicate Devices
21 CFR 807.92(a)(3)

Predicate #Predicate Trade Name (Primary Predicate is listed first)Product Code
K142292DPS/BME Speed, Speed Shift, Speed Titanium, & Elite Nintinol SJDR
K061798/K0772298BioPro Memory StapleJDR
K150125DPS/BME Elite Nitinol Flxation SystemJDR

Device Description Summary
21 CFR 807.92(a)(4)# Device Description Summary

The Tyber Medical Staple Fixation System consists of sterile, single use orthopedic implants and instruments. The single use bone fixation compression staples are intended to be permanently implanted. The staples are made out of Nickel Titanium (Nitino) available in two or four legged designs with multiple combinations of bridge width, leg lengths, and cross sections to accommodate various anatomies. The staple implant applies compression across the bone segments when the staple implant legs are released from an insertion system that applies opposing forces to the staple legs to keep them parallel during implantation. The staple is provided preloaded on a disposable inserter.

The sterile staple kit contains all the instruments necessary for a single-staple-implantation procedure. These instruments include an inserter with a preloaded staple implant, locating pin, a drill guide for creating appropriately spaced holes and drill bits to create appropriately sized holes in the bone for staple implantation. These components will be provided in a sterilized package to accommodate a range of anatomical sites and are discarded after the procedure is complete, removing the need for any facility reprocessing.

Intended Use/Indications for Use

1 CFR 807.92(a)(5)

The Tyber Medical Staple System is indicated for:

4

· Fracture and osteotomy fixation, joint arthrodesis hand and foot.

· Fixation of proximal tibial metaphysis osteotomy.

· Hand and foot bone fragment and osteotomy fixation and joint arthrodesis.

· Fixation of small bone fragments (i.e., small fragments of bone which are not comminuted to the extend to precude staple placement). These fragments may be located in long bones such as the in the lower extremities; the humerus, ulna or radius in the upper extremities; the clavicle and in flat bone such as the pelvis and scapula.

Indications for Use Comparison

The indications for use are the same in both the subject and predicate devices.

Technological Comparison

The subject device has similar technological characteristics as the predicate device identified above. The subject staples compare to the predicates in indications for use, material (NTINOL), method of operation (pre-loaded on an inserter), method of sterilization (gamma irradiation) leg length, bridge width, and design (two and 4 legged staples with teeth).

Non-Clinical and/or Clinical Tests Summary & Conclusions 21 CFR 807.92(b)

Corrosion testing per ASTM F2129 "Standard Test Method for Conducting Cyclic Potentiodynamic Polarization Measurements to Determine the Corrosion Susceptibility of Small Implant Devices" was performed on the implants. Test results demonstrated good corrosion resistance.

Pull-out testing per ASTM F564 "Standard Specification and Test Methods for Metallic Bone Staples" was performed. Test results demonstrated substantially equivalent results to predicates.

Four-point static and dynamic bend testing per ASTM F564 "Standard Specification and Test Methods for Metallic Bone Staples" was performed. Test results showed equivalent bend stiffness to the predicate.

MRI testing as listed below was performed. Results from the test are included in the Instructions for Use.

    1. Magnetically induced displacement force (ASTM F2052).
    1. Magnetically induced torque (ASTM F2213).
    1. MR image artifact (ASTM F2119).
    1. Radio frequency induced heating (ASTM F2182).

The Tyber Medical Staple System is substantially equivalent to the predicate devices in material, basic design features, intended use, operation and performance. Any differences between the subject and predicate device are considered minor and do not raise different questions concerning safety, performance or effectiveness. From the evidence submitted in this 510(k), the subject devices are considered substantially equivalent to the predicate device.

21 CFR 807.92(a)(6)

21 CFR 807.92(a)(5)