K Number
K992682
Device Name
MODUS 2.5 MANDIBULAR RECONSTRUCTION SET
Manufacturer
Date Cleared
1999-11-24

(106 days)

Product Code
Regulation Number
872.4760
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The indications for use of the MODUS® 2.5 Reconstruction Set include reconstruction surgery, including bone grafting and bridging defects in the mandible after tumor resection or severe infection. It is also indicated for use in mandibular trauma fractures, e.g. in unstable, comminuted mandibular fractures and bone loss.
Device Description
The MODUS® 2.5 Mandibular Reconstruction Set is a complete fracture fixation system that includes titanium plates, titanium screws, templates, and accompanying instruments and accessories.
More Information

Not Found

No
The summary describes a mechanical fracture fixation system with plates, screws, and instruments, with no mention of AI/ML or related concepts like image processing, training/test sets, or performance metrics typically associated with AI/ML devices.

Yes
The device is described as a "complete fracture fixation system" used for reconstruction surgery, bone grafting, and bridging defects in the mandible, which are all therapeutic interventions aimed at treating medical conditions.

No
The device is described as a "complete fracture fixation system" used for "reconstruction surgery" and "bridging defects" in the mandible, which indicates a therapeutic rather than a diagnostic purpose.

No

The device description explicitly states that the system includes titanium plates, screws, templates, instruments, and accessories, which are all hardware components.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Description and Intended Use: The description clearly states that the MODUS® 2.5 Reconstruction Set is a system of plates, screws, and instruments used for reconstruction surgery and fracture fixation in the mandible. This involves physically implanting devices into the body to repair bone structure.
  • Lack of Diagnostic Activity: There is no mention of analyzing biological samples or providing diagnostic information about a patient's health status.

Therefore, the MODUS® 2.5 Reconstruction Set is a surgical device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The indications for use of the MODUS® 2.5 Reconstruction Set include reconstruction surgery, including bone grafting and bridging defects in the mandible after tumor resection or severe infection. It is also indicated for use in mandibular trauma fractures, e.g. in unstable, comminuted mandibular fractures and bone loss.

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

JEY

Device Description

The MODUS® 2.5 Mandibular Reconstruction Set is a complete fracture fixation system that includes titanium plates, titanium screws, templates, and accompanying instruments and accessories.

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 (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.

K946165

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

§ 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

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Image /page/0/Picture/1 description: The image shows a series of handwritten characters. The characters appear to be a combination of numbers and symbols. The writing style is cursive and somewhat illegible. It is difficult to determine the exact sequence of characters without further context.

ATTACHMENT 7 - 510(k) Summary

1. Applicant's Name and Address

Straumann USA (on behalf of Medartis, GmbH) Reservoir Place 1601 Trapelo Road Waltham, MA 02451 781-890-0001 Telephone Number: Fax Number: 781-890-6464 Contact Person: Linda Jalbert, Director of Regulatory Affairs

2. Name of the Device

| Trade Name: | MODUS® 2.5 Mandibular Reconstruction
System |
|----------------------|------------------------------------------------------------------------------|
| Common Name: | Craniofacial fixation system |
| Classification Name: | Multiple component bone fixation metallic
appliances
(21 CFR 888.3030) |

3. Devices to which Equivalence is Claimed Legally Marketed (Predicate Devices)

MODUS® Titanium Osteosynthesis System (K946165) Stryker® Leibinger MARX™ TITANIUM Mandibular Bridging Plate System Synthes® Mandibular Modular Fixation System (K954385) Synthes - 2.4 Mandibular Fracture Set (K961421) Stryker® Leibinger TITANIUM Locking Screw Mandibular Reconstruction Plating System

4. Description of the Device

The MODUS® 2.5 Mandibular Reconstruction Set is a complete fracture fixation system that includes titanium plates, titanium screws, templates, and accompanying instruments and accessories.

റ്. Intended Use of the Device

The indications for use of the MODUS® 2.5 Reconstruction Set include reconstruction surgery, including bone grafting and bridging defects in the mandible after tumor resection or severe infection. It is also indicated for use in mandibular trauma fractures, e.g. in unstable, comminuted mandibular fractures and bone loss.

1

6. Basis for Substantial Equivalence

The MODUS® 2.5 Reconstruction Set is substantially equivalent to the MODUS® System previously cleared in K946165. The MODUS® 2.5 Reconstruction Set is also substantially equivalent to the Stryker® Leibinger MARX™ TITANIUM Mandibular Bridging Plate System, the Synthes® Mandibular Modular Fixation System and Universal Locking Plate System, and the Stryker® Leibinger TITANIUM Locking Screw Mandibular Reconstruction Plating System.

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized image of an eagle with three lines representing its wings and head.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Nov 2 4 1999

Medartis c/o Ms. Linda Jalbert Medartis Director, Requlatory Affairs Straumann USA 1601 Trapelo Road Reservoir Place Waltham, MA 02451

Re : K992682 MODUS 2.5 Mandibular Reconstruction Set Trade Name: Requlatory Class: II Product Code: JEY Dated: November 9, 1999 November 10, 1999 Received:

Dear Ms. Jalbert :

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 of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions aqainst 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 requlations 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 Good Manufacturing Practice for Medical Devices: General (GMP) regulation (21 CFR Part 820) and that, through periodic GMP 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

3

Page 2 - Ms. Jalbert

the Federal Register. Please note: this response to your ene relet notification submission does not affect any obligation you might have under sections 531 through 542 of obligation our mass under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

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 markees 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 ritro diagnostic devices), please contact the Office of Compliance at (301) 594-4692. 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 ene regaranotification" (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.fdaf.gov/cdrh/dsmamain.html".

Sincerely yours,

Timothy A. Ulatowski

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

Enclosure

4

Paqe

of

K992682 510(k) NUMBER (IF KNOWN): ____________________________________________________________________________________________________________________________________________________

MODUS® 2.5 Mandibular Reconstruction Set DEVICE NAME:

INDICATIONS FOR USE:

The indications for use of the MODUS® 2.5 Reconstruction Set include use in The indications for use of the MODOD & E.S. Resort bridging defects in the mandible after tumor resection or severe infection. It is also indicated for use in mandibular trauma, e.g. tunstable, comminuted mandibular fractures and bone loss.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use (Per 21 CFR 801.109)

OR

Over-The-Counter-Use (Optional Format 1-2-96)

Susan Runo

(Division Sign-Off) Division of Dental, Infection Control, and General Hospital Devices and 510(k) Number_