K Number
K964215
Date Cleared
1996-12-20

(59 days)

Product Code
Regulation Number
888.1100
Reference & Predicate Devices
N/A
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Acufex® MosaicPlasty™ Comprehensive System is indicated for arthroscopic (knee and ankle) and open osteochondral grafting for the treatment of osteochondral (cartilage) defects.

Device Description

The MosaicPlasty Comprehensive System is a kit composed of several orthopedic manual surgical instruments. These instruments include drill guides, drill guide plugs, drill bits, tubular chisels, trephines, tamps, transfer tubes, bone block compressor, drill bit adapters and a sterilizing tray. All instruments are composed of stainless steel. The instruments range in diameter from 2.7 mm to 10 mm.

AI/ML Overview

This 510(k) summary describes a surgical instrument system and, as such, does not contain the information required to answer your request. The provided text focuses on demonstrating substantial equivalence to existing predicate devices based on design, materials, and intended use for regulatory clearance, rather than presenting clinical study data with acceptance criteria and performance metrics typically associated with algorithms or diagnostic devices.

Therefore, I cannot provide:

  1. A table of acceptance criteria and reported device performance.
  2. Sample size and data provenance for a test set.
  3. Number and qualifications of experts for ground truth.
  4. Adjudication method.
  5. MRMC comparative effectiveness study results.
  6. Standalone algorithm performance.
  7. Type of ground truth used.
  8. Sample size for the training set.
  9. How ground truth for the training set was established.

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DEC 2 0 1996

/5964/215

510(K) SUMMARY

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR §807.92.

The assigned 510(k) number is : _K964215

This summary was prepared on December 16, 1996

A. Submitter

Smith & Nephew Endoscopy 130 Forbes Boulevard Mansfield, MA 02048

Establishment Registration Number: 1219602

B. Company Contact

Tedd Gosian Clinical / Regulatory Manager

C. Device Name

Trade Name:Acufex® MosaicPlasty™ Comprehensive System
Common Name:Drill Bits, Chisels, Trephines, Tamps, Drill Guide,Compression Instrument
Classification Name:Orthopedic Manual Surgical Instruments, TemplateSurgical Instruments Motors Accessories

Predicate/Legally Marketed Devices D.

All of the components in the MosaicPlasty Comprehensive System are Class I Exempt Devices, except drill bits and adapters which are Class I.

Predicate/Legally Marketed Devices include:

Drill GuideSynthes®
Drill BitsSynthes®
GougesSynthes®
Trephine DrillsSmith & Nephew Endoscopy
TampsZimmer®
Bone GrafterInstrument Makar®
Bone Compression ForcepsKMedic®

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E. Device Description

The MosaicPlasty Comprehensive System is a kit composed of several orthopedic manual surgical instruments. These instruments include drill guides, drill guide plugs, drill bits, tubular chisels, trephines, tamps, transfer tubes, bone block compressor, drill bit adapters and a sterilizing tray. All instruments are composed of stainless steel. The instruments range in diameter from 2.7 mm to 10 mm.

F. Indications For Use

The Acufex® MosaicPlasty™ Comprehensive System is indicated for arthroscopic (knee and ankle) and open osteochondral grafting for the treatment of osteochondral (cartilage) defects.

G. Substantial Equivalence

The components of the MosaicPlasty Comprehensive System are Class I exempt devices, except drill bits and adapters which are Class I. The components are similar in design, function, materials and intended use as other devices currently in commercial distribution. All devices are composed of stainless steel. The intended use and commercially available devices are presented in the table below.

Risks to health have been addressed through the specified materials, processing controls, quality assurance, and compliance to the Medical Device Good Manufacturing Practices regulations.

Intended UseCurrent ProductMosaicPlasty ComprehensiveSystem ComponentsSubstantially Equivalent Product
Drill TemplateDrill GuideArthroscopic Drill GuideDrill Guide(Synthes®)
Use with TemplateDrill PlugsGraft TemplateDrill Sleeves(Synthes)
Drilling in Bone2.4 mm Pilot Drill Bit2.7 mm Arthr. DrillArthr. Reamer DrillsDrill BitsDrill Bits(Synthes)
Harvesting Bone GraftsTubular ChiselsGouges(Synthes)
Cutting circular bonesectionTrephinesTrephine Drills(Smith & Nephew Endoscopy)
Tamping Graft into siteTampsTransfer PlungerSculpture StickTamps (Zimmer®)
Transferring bone graft torecipient siteTransfer TubesArthr. Transfer TubesChisel CollarBone Grafter(Instrument Makar®)

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Adapting drill bit ortrephine to orthopedic drillTrephine Adapters(Quick Coupling, Power)Quick Coupling Adapter(Synthes)
Compress bone blockBone Plug CompressorBone Compression Forceps(KMedic®)
For instrument access intojointMetal CannulaMetal Cannula(Smith & Nephew Endoscopy)

Applicant

Tedh L. Sozan

Date 12/17/96

§ 888.1100 Arthroscope.

(a)
Identification. An arthroscope is an electrically powered endoscope intended to make visible the interior of a joint. The arthroscope and accessories also is intended to perform surgery within a joint.(b)
Classification. (1) Class II (performance standards).(2) Class I for the following manual arthroscopic instruments: cannulas, currettes, drill guides, forceps, gouges, graspers, knives, obturators, osteotomes, probes, punches, rasps, retractors, rongeurs, suture passers, suture knotpushers, suture punches, switching rods, and trocars. The devices subject to this paragraph (b)(2) are exempt from the premarket notification procedures in subpart E of part 807 of this chapter, subject to the limitations in § 888.9.