K Number
K990804
Device Name
STAYFUSE
Date Cleared
1999-04-29

(50 days)

Product Code
Regulation Number
888.3040
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The StayFuse is a screw device designed for small bone fusion and fractures. It is indicated for fractures, and inter-digital fusion of the fingers, toes and small bones.
Device Description
The StayFuse is a device consisting of two components. The male half possesses a protruding connection feature and the female half an internal connection feature. The bone-mating portion has a cancellous type thread with a self-drilling and tapping tip. Distal to the screw tip is an external hex that is engaged with a hex driver. The hex driver is dual purpose: one end shaped for pre-drilling the bone and the other end features an internal hex for inserting the implant. The hex driver is designed to interface with a chuck of a standard cannulated drill. The implant will be offered in a number of diameters, lengths and hex drives to accommodate the variability in bone sizes.
More Information

K-Wire

Not Found

No
The summary describes a mechanical screw device and its associated tools, with no mention of software, algorithms, or any technology related to AI or ML.

Yes
The device is described as a screw designed for "small bone fusion and fractures," which implies it is used to treat or alleviate a medical condition.

No
The device is described as a screw device for bone fusion and fractures, and its function is to physically connect bone parts, not to diagnose medical conditions.

No

The device description clearly describes a physical screw device with hardware components (male and female halves, threads, hex, driver) intended for surgical implantation.

Based on the provided information, the StayFuse 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 for diagnosis, monitoring, or screening.
  • StayFuse Function: The description clearly states the StayFuse is a "screw device designed for small bone fusion and fractures." It is a physical implant used within the body to stabilize and fuse bones.
  • Lack of Specimen Analysis: There is no mention of the StayFuse interacting with or analyzing any biological specimens.

The StayFuse is a surgical implant, not a diagnostic tool that analyzes samples.

N/A

Intended Use / Indications for Use

The StayFuse is a screw device designed for small bone fusion and fractures. It is indicated for fractures, and inter-digital fusion of the fingers, toes and small bones.

Product codes

HWC

Device Description

The StayFuse is a device consisting of two components. The male half possesses a protruding connection feature and the female half an internal connection feature. The bone-mating portion has a cancellous type thread with a self-drilling and tapping tip. Distal to the screw tip is an external hex that is engaged with a hex driver. The hex driver is dual purpose: one end shaped for pre-drilling the bone and the other end features an internal hex for inserting the implant. The hex driver is designed to interface with a chuck of a standard cannulated drill. The implant will be offered in a number of diameters, lengths and hex drives to accommodate the variability in bone sizes.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

fingers, toes and small bones

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

The Pioneer StayFuse Implant was predicated on the use of K-Wires.

Key Metrics

Not Found

Predicate Device(s)

K-Wire

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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

Image /page/0/Picture/0 description: The image shows the text "5. 510(K) Summary". The text is black and is on a white background. The text is underlined with a black line.

Pioneer Surgical Technology

K990804

510(K) Notification Summary For StayFuse

Administrative Information

Manufacturer Identification and Sponsor:

Pioneer Surgical Technology 375 River Park Circle Marquette, MI 49855-1781 906-226-9909 Telephone: FAX: 906-226-4443

Official Contact:

Burns Severson Vice President, Regulatory Affairs/Quality Assurance

Date Prepared:March 4, 1999

Device Identification

Proprietary Name:

StayFuse

Common Name:

Intramedullary Bone Screw

Classification Name and Reference:

Fixation Screw Regulation Number: 888.3040, Class II Classification Number: 87HWC

Device on which substantial equivalence is claimed: K-Wire

Not intended for spinal use.

1

Device Description

The StayFuse is a device consisting of two components. The male half possesses a protruding connection feature and the female half an internal connection feature. The bone-mating portion has a cancellous type thread with a self-drilling and tapping tip. Distal to the screw tip is an external hex that is engaged with a hex driver. The hex driver is dual purpose: one end shaped for pre-drilling the bone and the other end features an internal hex for inserting the implant. The hex driver is designed to interface with a chuck of a standard cannulated drill. The implant will be offered in a number of diameters, lengths and hex drives to accommodate the variability in bone sizes.

Intended Use

The StayFuse is a screw device designed for small bone fusion and fractures. It is indicated for fractures, and inter-digital fusion of the fingers, toes and small bones.

Performance Data

The Pioneer StayFuse Implant was predicated on the use of K-Wires.

2

Image /page/2/Picture/1 description: The image is a black and white seal for the Department of Health & Human Services - USA. The seal is circular with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the seal is an abstract symbol that resembles three human profiles connected together.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

APR 2 9 1999

Mr. Burns Severson Vice President, Regulatory Affairs/Quality Assurance Pioneer Surgical Technology 375 River Park Circle Marquette, Michigan 49855-1781

Re: K990804 Trade Name: StayFuse Regulatory Class: II Product Code: HWC Dated: March 5, 1999 Received: March 10, 1999

Dear Mr. Severson:

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, Druq, 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. ਸੇ 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 regulation (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 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 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

3

Page 2 - Mr. Burns Severson

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 requlation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic 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. Witten, Ph.D., M.D. Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

Pioneer Surgical Technology

StayFuse

Indications for Use

The StayFuse is a screw device designed for small bone fusion and fractures. It is indicated for fractures, and inter-digital fusion of the fingers, toes and small bones.

Páez

(Division an-Off Division o General Re 11990854 510(k) Number

Prescription Use
(Per 21 CFR 801.109)