TOEGRIP, IMPLANT FOR PROXIMAL INTER-PHALANGEAL ARTHRODESIS
K133477 · Synchro Medical · HTY · Feb 10, 2014 · Orthopedic
Device Facts
Record ID
K133477
Device Name
TOEGRIP, IMPLANT FOR PROXIMAL INTER-PHALANGEAL ARTHRODESIS
Applicant
Synchro Medical
Product Code
HTY · Orthopedic
Decision Date
Feb 10, 2014
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 888.3040
Device Class
Class 2
Attributes
Therapeutic
Intended Use
The TOEGRIP® is intended for toes for general use in skeletally mature individuals undergoing surgery limited to interdigital fusion. The TOEGRIP® device is intended to be permanently implanted without any other additional device as an intramedullary bone fastener device for toes or fingers. The TOEGRIP® device is indicated for small bone reconstruction limited to interdigital fusion of toes in the following cases, listed in random order: • Rigid PIP joints deformities • Rigid hammertoes deformities • Claw toes deformities (PIP and DIP joints) • Revision hammertoes surgeries • Shortening osteotomies of the proximal phalanx
Device Story
TOEGRIP® is a monobloc intramedullary bone fixation implant for toes and fingers. Device features three flexible prongs linked by a T-shaped beam; design utilizes press-fit fixation via tapered shape and sharp macrostructures. Implanted by surgeons during interdigital fusion procedures. Device provides permanent bone fixation without additional hardware. Benefits include stabilization of small bone deformities and reconstruction of phalangeal joints.
Clinical Evidence
No clinical tests were performed. Substantial equivalence is supported by non-clinical bench testing, specifically static and dynamic four-point bending tests.
Technological Characteristics
Monobloc implant with three flexible prongs and T-shaped beam. Material: Zeniva® PEEK (Polyetheretherketone) per ASTM2026. Available in 5 sizes and 3 angles (0°, 10°, 20°). Fixation via press-fit intramedullary insertion. Single-use device.
Indications for Use
Indicated for skeletally mature individuals undergoing small bone reconstruction limited to interdigital fusion of toes or fingers for rigid PIP joint deformities, rigid hammertoes, claw toes (PIP and DIP joints), revision hammertoe surgeries, and shortening osteotomies of the proximal phalanx.
Regulatory Classification
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.
K150211 — EzFuze Implant System · Vilex IN Tennessee, Inc. · Nov 10, 2015
Submission Summary (Full Text)
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#### K133477
## Traditional 510(k) Summary
### FEB 1 0 2014
## Synchro-Medical Toe Grip Device
| Submitter: | Synchro Medical<br>21 rue des Merisiers<br>FR-68920 Wettolsheim les Erlen |
|----------------|-----------------------------------------------------------------------------------------------------------------------------|
| Contact Person | Danilo Campani<br>President<br>Phone: +33(0)3 89 23 75 64<br>Fax:+33(0)3 89 27 14 52<br>Email: dcampani@synchro-medical.com |
| Date Prepared | 2/10/14 |
| Device Class | Class II |
| Trade Name | TOEGRIP®. |
|-----------------------------------|-----------------------------------------------------------------------------------------------------------------------|
| Common Name | Synchro-Medical Toe Grip Device |
| Classification Name<br>and Number | Smooth or threaded metallic bone fixation fastener<br>21 CFR 888.3040 |
| Classification Panel: | Orthopedic |
| Product Code | HTY |
| Predicate Devices | Inion OTPS Biodegradable Pin (K031712), Memometal Inc™<br>Smart Toe & X-Fuse (K070598) & New Deal K-Wire<br>(K022599) |
| Previous Submissions | There are no previous submissions |
{1}------------------------------------------------
.
| Device Description | The TOEGRIP® device consists of a monobloc implant with<br>three flexible prongs inserted intramedullary into each part of<br>phalanx The prongs are linked by a T-shaped beam. The<br>fixation concept is based on a press-fit contact due to its tapered<br>shape and the sharp macrostructures once impacted.<br>The TOEGRIP® device is intended for single use only, and is<br>available in a range of 5 sizes with 3 possible degrees: 0°, 10°<br>or 20°.<br>The TOEGRIP® device is manufactured with material<br>according to the ISO-10993, ZENIVA® PEEK.<br>The feature design of the TOEGRIP® is substantially<br>equivalent to the design features of other devices previously<br>cleared for market. |
|--------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|--------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Intended Use | The TOEGRIP® is intended for toes for general use in<br>skeletally mature individuals undergoing surgery limited to<br>interdigital fusion.<br>The TOEGRIP® device is intended to be permanently<br>implanted without any other additional device as an<br>intramedullary bone fastener device for toes or fingers.<br>The TOEGRIP® device is indicated for small bone<br>reconstruction limited to interdigital fusion of toes in the<br>following cases, listed in random order:<br>• Rigid PIP joints deformities<br>• Rigid hammertoes deformities<br>• Claw toes deformities (PIP and DIP joints)<br>• Revision hammertoes surgeries<br>• Shortening osteotomies of the proximal phalanx |
|--------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Materials: | The implant is manufactured from ASTM2026 implant grade<br>Polyetheretherketone (PEEK) Solvay Zeniva ZA-500. |
| August March Auction Address Andrews And<br>and the commend of the comments of the comments of the comments of the comments of the comments of the comments of the comments of the comments of the comments of the comment | |
|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--|
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| Statement of | The purpose of this submission is to obtain market clearance for the |
|---------------|----------------------------------------------------------------------|
| Technological | proposed the Synchro-Medical Toe Grip Device. Synchro-Medical |
| Comparison | Toe Grip Device and its predicate devices have the similar |
| | indications for use, have a similar functionality. Both devices are |
| | manufactured using materials with a long history of use in |
| | orthopaedic implants. |
.
| Nonclinical Test<br>Summary | The following tests were performed to demonstrate that the<br>Synchro-Medical Toe Grip Device is substantially equivalent to<br>other predicate devices.<br>Static Four-point Bending Test Dynamic Four-point Bending Test The results of these studies showed that the Synchro-Medical<br>Toe Grip Device met the acceptance criteria. |
|-----------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Clinical Test Summary | No clinical tests were performed. |
| Conclusion | |
|------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | The Synchro-Medical Toe Grip Device is substantially<br>equivalent to its predicate devices. This conclusion is based<br>upon the fact the Synchro-Medical Toe Grip Device and its<br>predicate devices have the same indications for use and have a<br>similar design. |
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Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized caduceus symbol, which is a staff with two snakes entwined around it. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the symbol. The logo is black and white.
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
February 10, 2014
Synchro Medical % Mark F. Schenk Consulting Mr. Mark F. Schenk 505 Berks Place West Lawn, Pennsylvania 19609
Re: K133477
Trade/Device Name: Synchro-Medical Toe Grip Device Regulation Number: 21 CFR 888.3040 Regulation Name: Smooth or threaded metallic bone fixation fastener Regulatory Class: Class II Product Code: HTY Dated: November 12, 2013 Received: November 12, 2013
Dear Mr. Schenk:
We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate 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) that do not require approval of a premarket approval application (PMA). 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 against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.
If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.
Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set
{4}------------------------------------------------
#### Page 2 - Mr. Mark F. Schenk
forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Small Manufacturers, International and Consumer Assistance at its tollfree number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to
http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.
You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.
Sincerely yours,
Vincent J原因evlin -S
for
Mark N. Melkerson Director Division of Orthopedic Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
{5}------------------------------------------------
#### Indications for Use
510(k) Number K133477 Device Name: Synchro-Medical Toe Grip Device Indications for Use:
> The TOEGRIP® is intended for toes for general use in skeletally mature individuals undergoing surgery limited to interdigital fusion.
The TOEGRIP® device is intended to be permanently implanted without any other additional device as an intramedullary bone fastener device for toes or fingers.
The TOEGRIP® device is indicated for small bone reconstruction limited to interdigital fusion of toes in the following cases, listed in random order:
- . Rigid PIP joints deformities
- . Rigid hammertoes deformities
- . Claw toes deformities (PIP and DIP joints)
- Revision hammertoes surgeries .
- . Shortening osteotomies of the proximal phalanx
Prescription Use _____________________________________________________________________________________________________________________________________________________________ (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
# Elizabeth 詞版ank -S
Division of Orthopedic Devices
Panel 1
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