K031576 · Surgitech, Inc. · IQI · Jul 31, 2003 · Physical Medicine
Device Facts
Record ID
K031576
Device Name
SPARTAN ORTHOPAEDIC WRIST BRACE, MODEL SCT-1
Applicant
Surgitech, Inc.
Product Code
IQI · Physical Medicine
Decision Date
Jul 31, 2003
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 890.3475
Device Class
Class 1
Attributes
Therapeutic
Indications for Use
An orthosis worn on the wrist for medical purposes: - to support and/or immobilize for functional improvement. . - . for conservative treatment of s mptoms affiliated with Carpal Tunnel Syndrome, repetitive motion type injuries, sprains, strains and similar injuries of the wrist. - to keep wrist motion to a minimum while worn allowing the body . to recover from the damage of repetitive motion or other injuries. - to provide temporary relief of associated symptoms of some . wrist conditions.
Device Story
Spartan Orthopaedic Wrist Brace (Model SCT-1) is a limb orthosis designed to support and immobilize the wrist. It functions by restricting wrist motion to facilitate recovery from repetitive motion injuries, sprains, strains, and Carpal Tunnel Syndrome. The device is intended for use in clinical or home settings to provide temporary symptom relief and functional improvement. It is a passive mechanical support device; no electronic or software components are involved.
Clinical Evidence
No clinical data provided; bench testing only.
Technological Characteristics
Limb orthosis (21 CFR 890.3475); passive mechanical support; no electronic components, software, or energy sources.
Indications for Use
Indicated for patients requiring wrist support or immobilization for conservative treatment of Carpal Tunnel Syndrome, repetitive motion injuries, sprains, strains, and similar wrist conditions to facilitate recovery and symptom relief.
Regulatory Classification
Identification
A limb orthosis (brace) is a device intended for medical purposes that is worn on the upper or lower extremities to support, to correct, or to prevent deformities or to align body structures for functional improvement. Examples of limb orthoses include the following: A whole limb and joint brace, a hand splint, an elastic stocking, a knee cage, and a corrective shoe.
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Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
JUL 3 1 2003
Mr. Christopher Crowell Quality Assurance Manager SurgiTech, Inc. 2424 Vista Way, Suite 300 Oceanside, CA 92054-6174
Re: K031576
Trade/Device Name: Spartan Orthopaedic Wrist Brace, Model SCT-1 Regulation Number: 21 CFR 890.3475 Regulation Name: Limb orthosis Regulatory Class: I Product Code: IQI Dated: June 30, 2003 Received: July 7, 2003
Dear Mr. Crowell:
We have reviewed vour 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.
If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such 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); good manufacturing practice requirements as set 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.
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## Page 2 - Mr. Christopher Crowell
This letter will allow you to begin marketing your device as described in your Section 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), please contact the Office of Compliance at (301) 594-4659. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). 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) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html
Sincerely vours.
Sincerely yours,
Mark N Milburn
Celia M. Witten, Ph.D., M.D. Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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## 3.0 Revised Statement of Indications for Use
## An orthosis worn on the wrist for medical purposes:
- to support and/or immobilize for functional improvement. .
- . for conservative treatment of s mptoms affiliated with Carpal Tunnel Syndrome, repetitive motion type injuries, sprains, strains and similar injuries of the wrist.
- to keep wrist motion to a minimum while worn allowing the body . to recover from the damage of repetitive motion or other injuries.
- to provide temporary relief of associated symptoms of some . wrist conditions.
Mark N. Milliken
(Division Sign-Off) Division of General, Restorative and Neurological Devices
510(k) Number K031576
K031576 mnm
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