K Number
K973275
Device Name
KLS-MARTIN INTRAORAL DISTRACTOR
Manufacturer
Date Cleared
1997-11-20

(79 days)

Product Code
Regulation Number
872.4760
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The KLS-Martin Intraoral Distractor is intended to be used in the mandible for conditions such as mandibular deficiency or post-traumatic effects of the mandible, where gradual bone distraction is required. (Micrognathia, Hemifacial Microsomia, Congenital Craniofacial Syndromes)
Device Description
The KLS-Martin Intraoral Distractor is a subcutaneous bone distractor. It features two telescoping components activated by a jack screw, fixed to the bone via subcutaneous plates and secured with 1.5mm bone screws. A hex driver is used to activate the required distraction.
More Information

Not Found

No
The summary describes a mechanical bone distractor with no mention of software, algorithms, or any technology related to AI or ML.

Yes
The device is used to treat conditions such as mandibular deficiency and post-traumatic effects, which are health-related problems, indicating a therapeutic purpose.

No

Explanation: The device description indicates it is a surgical implant designed for bone distraction, which is a therapeutic treatment. There is no mention of it being used to diagnose conditions.

No

The device description clearly outlines physical components like telescoping components, a jack screw, subcutaneous plates, bone screws, and a hex driver, indicating it is a hardware device.

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

Here's why:

  • Intended Use: The intended use describes a surgical procedure involving the gradual distraction of bone in the mandible. This is a therapeutic intervention performed directly on the patient's body.
  • Device Description: The device is a subcutaneous bone distractor, a physical implant used to mechanically alter bone structure.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or compatibility testing.

IVD devices are used in vitro (outside the body) to analyze biological samples. This device is used in vivo (inside the body) for a surgical treatment.

N/A

Intended Use / Indications for Use

The KLS-Martin Intraoral Distractor is intended to be used in the mandible for conditions such as mandibular deficiency or post-traumatic effects of the mandible, where gradual bone distraction is required. (Micrognathia, Hemifacial Microsomia, Congenital Craniofacial Syndromes)

Product codes

MQN

Device Description

The KLS-Martin Intraoral Distractor is a subcutaneous bone distractor. It features two telescoping components activated by a jack screw, fixed to the bone via subcutaneous plates and secured with 1.5mm bone screws. A hex driver is used to activate the required distraction.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

mandible

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

Not Found

Key Metrics

Not Found

Predicate Device(s)

Synthes Mandible Distractor K962272

Reference Device(s)

Not Found

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

K 973275

NOV 20 1997

510(K) SUMMARY (as required by 807.92(c))

ﺎﺏ ﺍ

)

Submitter of 510(k):Regulatory & Marketing Services, Inc. (RMS) P.O. Box 1108 Elfers, FL 34680
Phone:813-376-4154Fax:813-376-7186Phone:813-376-4154Fax:813-376-7186
Phone:813-376-4154
Fax:813-376-7186
Contact Person:Ed Ransom
Date of Summary:August 26, 1997
Trade Name:KLS-Martin Intraoral Distractor
Classification Name:Mandible Distractor
Predicate Device:Synthes Mandible Distractor K962272
Device Description/Comparison:The KLS-Martin Intraoral Distractor is a subcutaneous bone distractor. It features two telescoping components activated by a jack screw, fixed to the bone via subcutaneous plates and secured with 1.5mm bone screws. A hex driver is used to activate the required distraction.
Intended Use:The KLS-Martin Intraoral Distractor is intended to be used in the mandible for conditions such as mandibular deficiency or post-traumatic effects of the mandible, where gradual bone distraction is required.

1

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

NOV 20 1997 Mr. Ed Ransom ·President KLS-Martin L.P. C/O Regulatory & Marketing Services, Incorporated 3234 Ella Lane New Port Richey, Florida 34655

Re : K973275 KLS-Martin Intraoral Distractor Trade Name: Requlatory Class: Uncalssified Product Code: MQN Dated: August 26, 1997 Received: September 2, 1997

Dear Mr. Ransom:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). You may, therefore, market the device, subject to the general controls provisions The general controls provisions of the Act of the Act. include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Requlations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirement, as set forth in the Quality System Regulation (QS) for Medical General requlation (21 CFR Part 820) and that, Devices: through periodic (QS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP requlation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531

.

2

Page 2 - Mr. Ransom

through 542 of the Act for devices under the Electronic enroagn sadiation Control provisions, or other Federal laws or requlations.

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4618. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to
premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,

Timothy A. Ulatowski

Timot Director Division of Dental, Infection Control and General Hospital Devices Office of Device Evaluation Center for Devices and Radiological Health

. Enclosure

3

510(k) Number (if known): K973275

KLS-Martin Intraoral Distractor Device Name:

Indications For Use:

The KLS-Martin Intraoral Distractor is intended to be used in the mandible for conditions such as mandibular deficiency or post-traumatic effects of the mandible, where gradual bone distraction is required. (Micrognathia, Hemifacial Microsomia, Congenital Craniofacial Syndromes)

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Om
Division of Dentel, Infection Control,
and General Hospital Devloge
510(k) Number K973275

Prescription Use (Per 21 CFR 801.109)

OR

Over-The-Counter Use_

(Optional Format 1-2-96)