K Number
K990019
Device Name
DRG MEDIUM SCREW SYSTEM
Date Cleared
1999-03-15

(70 days)

Product Code
Regulation Number
888.3040
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Dolphin Medical Technologies DRG Medium Screw™ System will be used on indications that care common with presently marketed devices. Specifically, malleolar, radius, ulna, olecranon, displaced fibula and humerus bone fractures. Aditionally, fixation/stabilization of the humeral shaft, distal and proximal humerus, distal and proximal radial and ulna shaft, distal tibia and ankle, talus-calcaneus-metatassi, fibular shaft, malleolus fractures where indicated, The DRG Medium Screw™ System is indicated for: Humeral Shaft Distal and proximal humerus Distal and proximal radius and ulna Radial and ulna shaft Distal tibia and ankle Talus-calcaneus-matatarsal Fibular shaft and Malleolus fractures Intermediate Bone Fractures
Device Description
The Dolphin Medical Technologies DRG Medium Screw™ System will be offered in Ti-6A1-V ELI. It will be available in common styles and assorted lengths for bone fixation and stabilization. A range of twenty six screw lengths will be made available in 4.5 mm diameter (16-72 mm) with four different distal thread length dimension (6.5mm, 16mm, 26mm). The screws are implantable using a standard (e.g. American Orthopedic) hexhead screwdriver, which is cannulated, on center axis.
More Information

Not Found

No
The summary describes a mechanical bone screw system and does not mention any software, algorithms, or AI/ML capabilities.

No.
The device is a bone screw system for fixation and stabilization of fractures, not a therapeutic device designed to cure or alleviate symptoms of a disease.

No
The device description indicates that the DRG Medium Screw™ System is a medical implant used for bone fixation and stabilization, which is a treatment, not a diagnostic, function.

No

The device description clearly states it is a "DRG Medium Screw™ System" made of Ti-6A1-V ELI and available in various lengths and diameters, indicating it is a physical implantable device, 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 perform tests on samples taken from the human body (like blood, urine, or tissue) to provide information about a person's health.
  • Device Description: The description clearly states that the Dolphin Medical Technologies DRG Medium Screw™ System is a system of screws made of Ti-6A1-V ELI, intended for bone fixation and stabilization in various fractures. These are implantable devices used directly within the body during surgery.
  • Intended Use: The intended use is to fix and stabilize bone fractures. This is a surgical procedure, not a diagnostic test performed on a sample outside the body.

The information provided describes a surgical implant, not a device used for in vitro diagnostic testing.

N/A

Intended Use / Indications for Use

The Dolphin Medical Technologies DRG Medium Screw™ System will be used on indications that are common with presently marketed devices. Specifically, malleolar, radius, ulna, olecranon, displaced fibula and humerus bone fractures. Aditionally, fixation/stabilization of the humeral shaft. distal and proximal humerus, distal and proximal radial and ulna shaft, distal tibia and ankle, talus-calcaneus-metatarsal, fibular shaft, malleolus fractures where indicated; The DRG Medium Screw™ System is indicated for:

Humeral Shaft

  • Distal and proximal humerus
  • Distal and proximal radius and ulna

Radial and ulna shaft

Distal tibia and ankle

Talus-calcaneus-matatarsal

Fibular shaft and Malleolus fractures

  • Intermediate Bone Fractures
    Fixation of these indications has been achieved in literally hundreds of thousands of cases with similar predicate devices.

Product codes (comma separated list FDA assigned to the subject device)

HWC

Device Description

The Dolphin Medical Technologies DRG Medium Screw™ System will be offered in Ti-6A1-V ELI. It will be available in common styles and assorted lengths for bone fixation and stabilization. A range of twenty six screw lengths will be made available in 4.5 mm diameter (16-72 mm) with four different distal thread length dimension (6.5mm, 16mm, 26mm). The screws are implantable using a standard (e.g. American Orthopedic) hexhead screwdriver, which is cannulated, on center axis.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

malleolar, radius, ulna, olecranon, displaced fibula, humerus bone, humeral shaft, distal and proximal humerus, distal and proximal radial and ulna shaft, distal tibia and ankle, talus, calcaneus, metatarsal, fibular shaft, malleolus

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)

Not Found

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K903810, K924022, K792022, K792291, K940207, K931524, K921622

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 888.3040 Smooth or threaded metallic bone fixation fastener.

(a)
Identification. A smooth or threaded metallic bone fixation fastener is a device intended to be implanted that consists of a stiff wire segment or rod made of alloys, such as cobalt-chromium-molybdenum and stainless steel, and that may be smooth on the outside, fully or partially threaded, straight or U-shaped; and may be either blunt pointed, sharp pointed, or have a formed, slotted head on the end. It may be used for fixation of bone fractures, for bone reconstructions, as a guide pin for insertion of other implants, or it may be implanted through the skin so that a pulling force (traction) may be applied to the skeletal system.(b)
Classification. Class II.

0

3/15/99

Image /page/0/Picture/1 description: The image shows a handwritten string of characters. The string appears to be "K990019". The characters are written in a dark ink on a white background. The handwriting is somewhat stylized, with rounded shapes.

FDA Notification of:

Summary of Safety and Effectiveness Information Product: DRG Medium Screw™ System

Summary of Safety and Effectiveness Information

For Release upon Request Only

Regulatory Authority:

Safe Medical Devices Act of 1990, 21 CFR 807.92

Company Name / Contact:

Company:

DMT (Dolphin Medical Technologies, Inc.) 5959 Cattlemen Lane Sarasota, FL 34232

Regulatory Affairs Department Contact: DMT 5959 Cattlemen Lane Sarasota, FL 34232 (941) 342-0414

Establishment Registration Number: 1063119

Classification Name:

Smooth or Threaded Bone Fixation Fastener

Common Used Name:

Bone Screw

DRG Medium Screw™ System Trade Proprietary Name:

The FDA has classified similar products as a Class II device by the Orthopedic Device Section of the Surgical and Rehabilitation Devices Panel at Section 888-304. The product code generally refereed to is HWC ( Product Code: HWC ) , and DMT submits this application under this designation.

1

FDA Notification of:

Summary of Safety and Effectiveness Information Product: DRG Medium Screw™ System

Performance Standards:

No performance standards applicable to the Bone Screw have been established by the FDA. However, the titanium alloy 6AL-4V ELI alloy used to manufacture the DMT screws meets the chemical and mechanical requirements in voluntary standards established by the American Society for Testing and Materials (ASTM F136-84).

Package and Labeling:

Package labeling has been developed to industry standards. Packaging is also standard commercially available type quality and is stored in a fashion, which prevents damage to the container or package the device is in.

System Description:

The Dolphin Medical Technologies DRG Medium Screw™ System will be offered in Ti-6A1-V ELI. It will be available in common styles and assorted lengths for bone fixation and stabilization. A range of twenty six screw lengths will be made available in 4.5 mm diameter (16-72 mm) with four different distal thread length dimension (6.5mm, 16mm, 26mm). The screws are implantable using a standard (e.g. American Orthopedic) hexhead screwdriver, which is cannulated, on center axis.

Indications for Use:

The Dolphin Medical Technologies DRG Medium Screw™ System will be used on indications that are common with presently marketed devices. Specifically, malleolar, radius, ulna, olecranon, displaced fibula and humerus bone fractures. Aditionally, fixation/stabilization of the humeral shaft. distal and proximal humerus, distal and proximal radial and ulna shaft, distal tibia and ankle, talus-calcaneus-metatarsal, fibular shaft, malleolus fractures where indicated; The DRG Medium Screw™ System is indicated for:

Humeral Shaft

  • Distal and proximal humerus
  • Distal and proximal radius and ulna

Radial and ulna shaft

Distal tibia and ankle

Talus-calcaneus-matatarsal

Fibular shaft and Malleolus fractures

  • Intermediate Bone Fractures
    Fixation of these indications has been achieved in literally hundreds of thousands of cases with similar predicate devices.

2

FDA Notification of:

. . . . .

.

Summary of Safety and Effectiveness Information Product: DRG Medium Screw™ System

Substantial Equivalent Devices:

This product is substantially equivalent in design, composition and function to other orthopedic screws manufactured and approved for market.

Ace Medical Company:K903810
Osteomed:K924018
Zimmer:K792022
A.O. SynthesK792291
Aesculap:K940207
Howmedica:K931524
Alphatec Medical:K921622

The DMT DRG Medium Screw™ System meet the ASTM standards (ASTM B348-83, F136-84, F67-88) for material and design for medical application. The bone screws are of the same thread configuration and length as offered by Synthes, Zimmer, Howmedica, Ace, Alphatec and many other orthopaedic companies. The minor and major diameters as well as the head size are comparable.

3

FDA Notification of:

Summary of Safety and Effectiveness Information Product: DRG Medium Screw™ System

Instrumentation:

DMT DRG Medium Screw™ System instrumentation used for the preparation and insertion of the DRG Medium Screws is considered to be general orthopaedic instrumentation. The system includes standard manual orthopaedic surgical instruments of the appropriate size and type. All DRG Medium Screw™M System instruments are manufactured from stainless steel meeting ASTM F899-84 standards.

Product Sterilization:

DMT will supply all instruments and implants Non-Sterile. Non-Sterile implants are packaged in "clean only" condition. The labeling of the implants and instruments clearly indicates their sterility status. The package insert contains a sterilization/re-sterilization guideline.

Summary:

Substantial Equivalence for the DRG Medium Screw™ may be found in comparison with devices from a number of manufactures. Bone Screw systems in general have been used for many years, and the clinical performance is well known and documented.

Another measure of the Safety and Effectiveness of a medical device is how it performs in long term use. The basic design concept of bone screws for use in the fixation and stabilization of fractures has had over 75 years of clinical evaluation. Uses, Indications, limitations and surgical techniques are well understood. Standardized manufacturing methods, design practices, material selections and testing techniques are known and represented within the guidelines of this submittal.

4

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/4/Picture/1 description: The image is a black and white circular logo for the U.S. Department of Health & Human Services. The logo features the department's name in a circular arrangement around the perimeter. In the center of the circle is a stylized emblem consisting of three abstract human profiles or faces, arranged in a row and connected by flowing lines. The emblem is meant to symbolize the department's focus on people and their well-being.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAR 1 5 1999

Mr. Mark G. Urbanski President and CEO Dolphin Medical Technologies, Inc. 5959 Cattleman Lane Sarasota, Florida 34232

Re: K990019 DRG Medium Screw™ System Trade Name: Requlatory Class: II Product Code: HWC December 30, 1998 Dated: January 4, 1999 Received:

Dear Mr. Urbanski:

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. ਜ substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirement, as set forth in the Quality System Regulation (QS) for Medical Devices: General requlation (21 CFR Part 820) and that, through periodic (QS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation 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 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

5

Page 2 - Mr. Mark G. Urbanski

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 diaqnostic devices), please contact the Office of Compliance at (301) 594-4659. 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,

Celia M. Whitton, Ph.D., M.D.

Celia M. Witten, Ph.D., M.D. Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

6

December 30, 1998

··

. .

Food and Drug Administration Center for Devices and Radiological Health Office of Evaluation Document Mail Center (HFZ-401) 1390 Piccard Drive Rockville, Maryland 20850

510(k) Application Product: DRG Medium Screwnd System

510 (k) No.#: K990019

Device Name: DRG Medium Screw™ System

Indications for Use: As listed in the cover letter for this 510(k) application, are as follows:

The Dolphin Medical Technologies DRG Medium Screw™ System will be used on indications that care common with presently marketed devices. Specifically, malleolar, radius, ulna, olecranon, displaced fibula and humerus bone fractures. Aditionally, fixation/stabilization of the humeral shaft, distal and proximal humerus, distal and proximal radial and ulna shaft, distal tibia and ankle, talus-calcaneus-metatassi, fibular shaft, malleolus fractures where indicated, The DRG Medium Screw™ System is indicated for:

Humeral Shaft Distal and proximal humerus Distal and proximal radius and ulna Radial and ulna shaft

Distal tibia and ankle Talus-calcaneus-matatarsal Fibular shaft and Malleolus fractures Intermediate Bone Fractures

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use ✗
(Per 21 CFR 801.109)

OR

(Division Sign-Off)
Division of General Restorative Devices
510(k) Number K990019

over-the-counter Use
(Optional Format 1-2-96)