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510(k) Data Aggregation

    K Number
    K151708
    Date Cleared
    2016-03-02

    (252 days)

    Product Code
    Regulation Number
    888.3040
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    NORMED MEDIZIN-TECHNIK GMBH

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The implants are intended to support normal bone healing for osteotomies, non-unions and reconstructions.

    The RECON system consists of various system components and it is indicated for the treative fixation, nonunions, joint decompression and fusion, osteotomies, reconstruction or arthrodeses of bones. The system can be used in adult patients. Additional information is provided in the corresponding surgical techniques.

    Device Description

    The RECON system -compression screws are intended for internal fracture fixation. The system consists of the following screws:

    • Microcan 1.8/2.3 ●
    • . Maxican 4.5
    • CBS Micro Compression ●
    • CBS High Compression
    • CBS 4.5/7.5 ●
    • V-TEK Micro 2.0 ●
    • V-TEK Standard 3.0 ●

    screws of different sizes and designs.

    The screws and washers are made of titanium alloy Ti-6AI-4V (ASTM F136).

    The implants are offered in various sizes to accommodate the variations of bone size and geometry as well as plate sizes and configurations.

    The implants are provided non-sterile and single-use only. The instruments are non-sterile and reusable.

    AI/ML Overview

    This document is a 510(k) premarket notification for the RECON system - Compression Screws. It describes the device, its intended use, and argues for its substantial equivalence to previously marketed predicate devices.

    Here's an analysis of the acceptance criteria and supporting studies based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    For this type of medical device (bone fixation fasteners), acceptance criteria are typically related to mechanical performance and biocompatibility. The document does not provide a table with specific quantitative acceptance criteria or detailed reported device performance values. Instead, it states that the device's performance was found to be "similar" or "substantially equivalent" to predicate devices.

    Acceptance Criterion TypeReported Device Performance
    Mechanical PropertiesSimilar mechanical properties to predicate devices (demonstrated through self-tapping performance, driving and removal torque, torque to failure, and axial pullout).
    BiocompatibilityAll biocompatibility testing passed per ISO 10993-1.
    Intended UseSame intended use as predicate devices.
    MaterialManufactured from similar materials (Titanium Alloy Ti-6Al-4V (ASTM F136)) as predicate devices.
    DesignSimilar in design to predicate devices.

    2. Sample Size Used for the Test Set and Data Provenance

    The document does not explicitly state the sample sizes used for mechanical testing or biocompatibility. It only mentions "testing on screws, and washer material" and "self-tapping performance, driving and removal torque, torgue to failure and axial pullout of the RECON system- compression screws and the predicate devices."

    • Test Set Sample Size: Not explicitly provided.
    • Data Provenance: Not explicitly stated, but it can be inferred that the testing was conducted by or for Normed Medizin-Technik GmbH, likely in Germany (based on their address). The data is retrospective in the sense that it evaluates a completed device design against established benchmarks.

    3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications of Those Experts

    This type of information is generally not applicable to mechanical and biocompatibility testing for a bone fixation device. Ground truth, in this context, refers to a definitively correct answer, which for mechanical properties is determined by physical measurements and for biocompatibility by laboratory assays. The "experts" would be the engineers and scientists conducting and interpreting these tests, whose qualifications are implied by their role in such studies (e.g., biomedical engineers, materials scientists, toxicologists). No specific number or qualifications are given beyond the fact that the tests were performed according to recognized standards (ISO 10993-1).

    4. Adjudication Method for the Test Set

    Not applicable. Adjudication methods like 2+1 or 3+1 are typically used in clinical studies or image-based diagnostic studies where human interpretation of ambiguous data is involved to establish a consensus ground truth. For mechanical and biocompatibility tests, results are typically objective measurements against defined pass/fail criteria.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    No. An MRMC study is relevant for diagnostic devices that involve human interpretation of images or other data. This device is a surgical implant (bone fixation fastener), and its effectiveness is primarily assessed through mechanical performance and biocompatibility, not by human reader interpretation. Therefore, there is no mention of such a study or an effect size of human readers improving with or without AI assistance.

    6. Standalone (Algorithm Only Without Human-in-the-Loop) Performance

    Not applicable. This device is a physical surgical implant, not an algorithm or software. It does not have "standalone performance" in the context of an algorithm.

    7. Type of Ground Truth Used

    • Mechanical Testing: The ground truth for mechanical testing is based on objective physical measurements (e.g., torque values, pullout strength) compared against established performance characteristics of predicate devices and relevant engineering standards.
    • Biocompatibility: The ground truth for biocompatibility is based on laboratory test results (e.g., cytotoxicity, sensitization, irritation) evaluated against the criteria outlined in ISO 10993-1.

    8. Sample Size for the Training Set

    Not applicable. This device is a physical implant, not an AI or machine learning model. Therefore, there is no "training set" in the conventional sense. The design and manufacturing processes are likely informed by years of engineering knowledge and experience with similar devices, but not a data-driven training set for an algorithm.

    9. How the Ground Truth for the Training Set Was Established

    Not applicable, as there is no training set for this type of device.

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    K Number
    K151701
    Date Cleared
    2016-01-26

    (216 days)

    Product Code
    Regulation Number
    888.3040
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    NORMED MEDIZIN-TECHNIK GMBH

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Tenodesis screws are intended for soft tissue reattachment procedures in foot surgery.

    The system is indicated for soft tissue reattachment procedures in foot surgery, such as tendon reconstructions and tendon transfers.

    The system can be used in adult patients. Additional information is provided in the corresponding surgical techniques.

    Device Description

    The Tenodesis screw system is intended for soft tissue reattachment procedures in foot surgery. The screws are made of titanium alloy Ti-6AI-4V (ASTM F136). They are threaded, fully cannulated anchors.

    The implants are offered in various sizes. The implants are provided non-sterile and single-use only.

    The Tenodesis instruments are non-sterile and reusable.

    AI/ML Overview

    Based on the provided text, the device in question is a "Tenodesis screw system." This document is a 510(k) submission, which focuses on demonstrating substantial equivalence to pre-existing predicate devices rather than proving performance against specific acceptance criteria in a traditional clinical study format for a novel device. Therefore, many of the requested categories for a study proving acceptance criteria will not be directly applicable or available in this type of submission.

    Here's a breakdown of the available information:

    1. Table of Acceptance Criteria and Reported Device Performance

    As this is a 510(k) submission, formal "acceptance criteria" for a novel device performance study are not explicitly stated. Instead, the submission relies on demonstrating substantial equivalence to predicate devices through mechanical testing and biocompatibility.

    Acceptance Criteria CategoryReference/MethodReported Device Performance
    Intended UseComparison to predicate devices (G-Force Tenodesis Screw, Arthrex Tenodesis Screw Family, Arthrex Resorbable Interference Screw)The Tenodesis screw system has the same intended use for soft tissue reattachment procedures in foot surgery (tendon reconstructions and tendon transfers in adult patients).
    Technological CharacteristicsComparison to predicate devices regarding design, components, materials, and principles of operation.The system has similar performance characteristics, is manufactured from similar materials (titanium alloy Ti-6AI-4V), and is similar in design to the selected predicate devices.
    BiocompatibilityISO 10993-1Biocompatibility testing on the plates was conducted and evaluated per ISO 10993-1. All testing passed.
    Mechanical PropertiesSelf-tapping performance, driving, torsional properties, and axial pullout strength tests. (Implied comparison to predicate devices, though specific benchmarks are not provided).Self-tapping performance, driving, torsional properties, and axial pullout strength of the Tenodesis screw system and the predicate devices resulted in similar mechanical properties and performance. The subject and predicate devices are substantially equivalent.

    2. Sample size used for the test set and the data provenance

    The document does not specify the exact sample sizes for the mechanical and biocompatibility tests. It states that "Biocompatibility testing on the plates was conducted and evaluated per ISO 10993-1" and "Self-tapping performance, driving, torsional properties and axial pullout strength of the Tenodesis screw system and the predicate devices resulted in similar mechanical properties and performance." The data provenance is from the manufacturer's internal testing as part of the 510(k) submission. No information on country of origin of data or retrospective/prospective status is available for these non-clinical tests.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    This information is not applicable. The evaluations (biocompatibility and mechanical properties) rely on established international standards (ISO 10993-1) and direct physical measurements, not expert interpretation of data points that require a "ground truth" established by human experts in the sense of a clinical trial.

    4. Adjudication method for the test set

    Not applicable, as this is not a human-adjudicated clinical study. The evaluations are based on objective test results against established mechanical and biological performance parameters.

    5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

    Not applicable. This is a medical device (screw system), not an AI diagnostic or assistance tool. Therefore, an MRMC study and AI improvement metrics are not relevant.

    6. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done

    Not applicable. This is a physical medical device.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

    For biocompatibility, the ground truth is compliance with the requirements of ISO 10993-1. For mechanical properties, the "ground truth" is measured physical properties that are comparable to those of the predicate devices, implying that the established performance of the predicate serves as the benchmark. No clinical "ground truth" (pathology, outcomes data) was used or required for this 510(k) submission.

    8. The sample size for the training set

    Not applicable. There is no "training set" as this is not a machine learning or AI-driven device.

    9. How the ground truth for the training set was established

    Not applicable, for the same reason as point 8.

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    K Number
    K152256
    Date Cleared
    2015-11-05

    (87 days)

    Product Code
    Regulation Number
    888.3030
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    NORMED MEDIZIN-TECHNIK GMBH

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The implants are intended to support normal bone healing for osteotomies, fractures, and reconstructions.

    The RECON system consists of various system components and it is indicated for the treatment of fracture fixation, joint decompression and fusion, reconstruction or arthrodeses of small bones. The system can be used in both adult and pediatric patients. Additional information is provided in the corresponding surgical techniques.

    Gruber Lapidus

    The Gruber Lapidus Plates 2.7 combined with the Standard/Locking/ MiniCAN screws 2.7 are indicated for TMT I joint arthrodesis with cuneiforme transfixation for correction of hallux valgus deformity.

    Plantar Lapidus

    The Plantar Lapidus Plates 2.7 combined with the Standard/Locking Screws 2.7 and the MiniCAN screws 3.5 are indicated for TMT I joint arthrodesis.

    Tarsalis

    The Tarsalis Plates 2.7 combined with the Standard/Locking Screws 2.7 are indicated for Lisfranc fusions and fracture fixation of the forefoot and midfoot.

    Device Description

    The RECON system – Gruber Lapidus-, Plantar Lapidus-, Tarsalis Plates and Screws is a plate and screw system intended for internal fixation. The system consists of the following plates and screws:

    • Gruber Lapidus Plates 2.7, .
    • . Plantar Lapidus Plates 2.7,
    • Tarsalis Plates 2.7, ●
    • Locking Screws 2.7 ●
    • Standard Screws 2.7
    • Minican Screws 2.7/3.5

    of different sizes and designs.

    The plates and screws are either made of titanium alloy Ti-6AI-4V (ASTM F136) or commercially pure Titanium (C.P. Titanium; ASTM F67).

    The implants are offered in various sizes to accommodate the variations of bone size and geometry. The implants are provided non-sterile and single-use only. The instruments are non-sterile and reusable or for single use.

    AI/ML Overview

    This document describes a 510(k) premarket notification for the RECON system - Gruber Lapidus-, Plantar Lapidus-, Tarsalis Plates and Screws. As such, it focuses on demonstrating substantial equivalence to predicate devices rather than proving the device meets specific acceptance criteria through a standalone study with defined performance metrics. Therefore, many of the requested elements (like sample sizes for test/training sets, expert qualifications, adjudication methods, MRMC studies, and detailed ground truth establishment) are not applicable to this type of regulatory submission.

    However, based on the provided text, here's an attempt to address your request:

    Acceptance Criteria and Study for the RECON system - Gruber Lapidus-, Plantar Lapidus-, Tarsalis Plates and Screws

    1. Table of Acceptance Criteria and Reported Device Performance

    Since this is a 510(k) submission and not a standalone performance study with predefined clinical acceptance criteria, the "acceptance criteria" are implied by the performance characteristics demonstrated to be "similar" or "substantially equivalent" to legally marketed predicate devices. The "reported device performance" is characterized by meeting these similarity benchmarks.

    The non-clinical performance data aimed to demonstrate that the subject device's mechanical properties and biocompatibility are comparable to those of the predicate devices, thereby ensuring similar safety and effectiveness.

    Performance MetricAcceptance Criteria (Implied by Predicate Equivalence)Reported Device Performance (Summary)
    BiocompatibilityCompliance with ISO 10993-1All testing passed (per ISO 10993-1).
    Cross-sectional engineering analysis (Plates)Similar mechanical properties and performance to predicate devices (Modular Foot System – 2.7 mm Module (K010321), Zimmer Universal Locking System (ULS) Plates and Screws (K063303 and K060710), Zimmer Plates and Screws System (ZPS) (K143066)) in terms of proof load, bending strength, bending stiffness, equivalent bending stiffness, and fatigue strength.Resulted in similar mechanical properties and performance.
    Bending strength engineering analysis (MiniCAN Screws 2.7mm & 3.5mm)Similar mechanical properties and performance to predicate device (ZimmerBiomet Herbert Mini Bone screw (K143165)).Resulted in similar mechanical properties and performance.
    Screw Performance (Locking, Standard, MiniCAN Screws)Similar mechanical properties and performance to predicate devices (Zimmer ULS Plates and Screws (K063303 and K060710), Herbert/Whipple Bone Screw System, Herbert Bone Screw, Herbert Cannulated Bone Screw System, Herbert Mini Bone Screw (K143165)) in terms of self-tapping performance, driving and removal torque, to failure, and axial pullout.Resulted in similar mechanical properties and performance.

    2. Sample Size Used for the Test Set and Data Provenance

    This is a non-clinical (bench) testing study, not a clinical trial. Therefore, the concept of a "test set" for clinical performance, with associated data provenance, is not applicable. The non-clinical tests involved physical samples of the devices. The document does not specify the exact number of physical samples used for each mechanical test. Data provenance is internal to Normed Medizin-Technik GmbH in Germany, as described in the "Submission Sponsor and Correspondent" section. The data is prospective, generated specifically for this submission.

    3. Number of Experts Used to Establish Ground Truth for the Test Set and Their Qualifications

    Not applicable. Ground truth for non-clinical engineering tests is established by standardized testing methods and measurement instruments, not by expert consensus.

    4. Adjudication Method for the Test Set

    Not applicable, as it's a non-clinical bench testing study.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    No, a MRMC comparative effectiveness study was not done. This device is not an AI/software device that would typically undergo such a study.

    6. Standalone (Algorithm Only) Performance Study

    Not applicable. This is a physical medical device (plates and screws), not an algorithm or AI.

    7. Type of Ground Truth Used

    For non-clinical performance, the "ground truth" is defined by the physical properties of the materials and designs, measured through standardized mechanical tests. For biocompatibility, it's adherence to international standards (ISO 10993-1).

    8. Sample Size for the Training Set

    Not applicable. This is a physical medical device and does not involve AI or machine learning models that require a training set.

    9. How the Ground Truth for the Training Set Was Established

    Not applicable, as there is no training set for this type of device.

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    K Number
    K152312
    Date Cleared
    2015-10-30

    (74 days)

    Product Code
    Regulation Number
    888.3030
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    NORMED MEDIZIN-TECHNIK GMBH

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The implants are intended to support normal bone healing for osteotomies, fractures, non-unions and reconstructions.

    The RECON system consists of various system components and it is indicated for the treatment of fracture fixation, non-unions, joint decompression and fusion, osteotomies, reconstruction or arthrodeses of bones. The system can be used in both adult and pediatric patients.

    Device Description

    The RECON system – V-TEK-IVP Plates and Screws is a plate and screw system intended for internal fixation. The system consists of the following plates and screws:

    • V-TEK™ IVP Micro XS Plate 2.7, ●
    • V-TEK™ IVP S Plate 2.7, .
    • V-TEK™ IVP S. L-Plate 2.7 .
    • . V-TEK™ IVP M Plate 2.7
    • V-TEK™ IVP M Plate 3.5 .
    • . V-TEK™ IVP L Plate 2.7
    • V-TEK™ IVP L Plate 2.7 / 3.5
    • . Titanium Screw Fully Treaded 2.7/3.5

    of different sizes and designs.

    The plates and screws are made of titanium alloy Ti-6AI-4V (ASTM F136).

    The implants are offered in various sizes to accommodate the variations of bone size and geometry. The implants are provided non-sterile and single-use only. The instruments are non-sterile and reusable or for single use.

    AI/ML Overview

    This document is a 510(k) premarket notification for the RECON system - V-TEK-IVP Plates and Screws. It describes the device and its intended use, and argues for its substantial equivalence to several predicate devices.

    1. Table of Acceptance Criteria and Reported Device Performance:

    The document doesn't explicitly define "acceptance criteria" in a quantitative, pass/fail sense for device performance. Instead, it relies on comparison to predicate devices and established standards. The reported device "performance" is primarily described as having "similar mechanical properties and performance" to the predicate devices.

    Metric/CharacteristicAcceptance Criteria (Implied)Reported Device Performance
    BiocompatibilityCompliance with ISO 10993-1All testing passed.
    Mechanical Properties:
    Cross-sectional engineering analysis (plates)Similar to predicate devices (K010321, K063303, K060710, K143066)Resulted in similar mechanical properties and performance.
    Proof load (plates)Similar to predicate devices (K010321, K063303, K060710, K143066)Resulted in similar mechanical properties and performance.
    Bending strength (plates)Similar to predicate devices (K010321, K063303, K060710, K143066)Resulted in similar mechanical properties and performance.
    Bending stiffness (plates)Similar to predicate devices (K010321, K063303, K060710, K143066)Resulted in similar mechanical properties and performance.
    Equivalent bending stiffness (plates)Similar to predicate devices (K010321, K063303, K060710, K143066)Resulted in similar mechanical properties and performance.
    Fatigue strength (plates)Similar to predicate devices (K010321, K063303, K060710, K143066)Resulted in similar mechanical properties and performance.
    Self-tapping performance (screws)Similar to predicate devices (K063303, K060710, K143165)Resulted in similar mechanical properties and performance.
    Driving and removal torque (screws)Similar to predicate devices (K063303, K060710, K143165)Resulted in similar mechanical properties and performance.
    Torque to failure (screws)Similar to predicate devices (K063303, K060710, K143165)Resulted in similar mechanical properties and performance.
    Axial pullout (screws)Similar to predicate devices (K063303, K060710, K143165)Resulted in similar mechanical properties and performance.
    Intended UseSame as predicate devicesThe RECON system - V-TEK-IVP Plates and Screws have the same intended use.
    MaterialsSimilar to predicate devicesManufactured from similar materials (Titanium alloy Ti-6AI-4V (ASTM F136)).
    DesignSimilar to predicate devicesSimilar in design to the predicate devices.

    2. Sample Size for the Test Set and Data Provenance:

    The document describes non-clinical performance data which includes biocompatibility and mechanical testing.

    • Sample Size: The document does not specify the exact sample sizes used for the mechanical testing or biocompatibility studies. It only states that testing was "conducted and evaluated."
    • Data Provenance: The data is from non-clinical laboratory testing performed on the devices themselves, not from human or animal subjects. Thus, there is no country of origin of data or retrospective/prospective classification in the clinical sense.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of those Experts:

    This document does not involve a study with a "test set" requiring expert ground truth establishment in the context of diagnostic or interpretive performance. The studies are engineering and biocompatibility tests of a physical medical device (bone plates and screws).

    4. Adjudication Method for the Test Set:

    Not applicable, as there is no "test set" requiring expert adjudication for ground truth.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance:

    Not applicable. This is a submission for a physical orthopedic implant (bone plates and screws), not a diagnostic or AI-assisted device. Therefore, no MRMC study or AI performance evaluation was conducted or is relevant.

    6. If a Standalone (i.e. algorithm only without human-in-the-loop performance) was done:

    Not applicable. This is a physical medical device.

    7. The Type of Ground Truth Used (expert consensus, pathology, outcomes data, etc.):

    For the non-clinical performance data, the "ground truth" is based on:

    • Biocompatibility: Adherence to the Pass/Fail criteria defined within the ISO 10993-1 standard for biological evaluation of medical devices.
    • Mechanical Testing: Comparison of the measured mechanical properties (proof load, bending strength, fatigue strength, torque, pullout, etc.) of the subject device against those of the legally marketed predicate devices, with the aim of demonstrating "similar" performance. The implicit ground truth here is that the predicate devices have established safety and effectiveness.

    8. The Sample Size for the Training Set:

    Not applicable. This device does not involve machine learning or AI, and therefore has no "training set."

    9. How the Ground Truth for the Training Set was Established:

    Not applicable. There is no training set for this type of device submission.

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    K Number
    K152142
    Date Cleared
    2015-09-16

    (44 days)

    Product Code
    Regulation Number
    888.3030
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    NORMED MEDIZIN-TECHNIK GMBH

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The implants are intended to support normal bone healing for osteotomies, fractures, and reconstructions.

    The RECON system – MPJ Plates consists of various system components and it is indicated for the treatment of fracture fixation, joint decompression and fusion, reconstruction or arthrodeses of small bones. The system can be used for adult patients. Additional information is provided in the corresponding surgical techniques.

    MP-Joint Fusion Plates 2.7

    The MP-Joint Fusion Plates 2.7 combined with the Standard/Locking Screws 2.7 are indicated for the arthrodesis of the first metatarso-phalangeal joint.

    • Plate size S is indicated for standard MP-Joint fusions.
    • . Plate Sizes M/L are indicated for standard MP-Joint fusion and interpositioning / revision fusions with bone graft (f.e. for revision of Keller-Brandes).

    Universal Reconstruction Plates 2.7

    The Universal Reconstruction Plates 2.7 combined with Standard/Locking Screws 2.7 are indicated for revision of MP-joint fusion and for reconstruction procedures in forefoot and midfoot.

    docPrice Revision Plates 2.7/3.5

    The docPrice Revision Plates 2.7/3.5 combined with the Standard/Locking Screws 2.7/3.5 are indicated for MTP I lengthening osteotomy and/or arthrodesis, especially indicated for cases of Keller-Brandes revisions, revisions after MTP I prosthesis and lengthening of short first toe.

    Device Description

    The RECON system – MPJ plates is a plate system intended for internal fracture fixation. The system consists of the following plates:

    • MP - Joint Fusion Plates 2.7,
    • . Universal Reconstructions Plates 2.7,
    • . docPrice Revision Plates 2.7/3.5

    of different sizes and designs.

    The plates are either made of titanium alloy Ti-6Al-4V (ASTM F136) or commercially pure Titanium (C.P. Titanium; ASTM F67).

    The implants are offered in various sizes to accommodate the variations of bone size and geometry. The implants are provided non-sterile and single-use only. The instruments are non-sterile and reusable or for single use.

    AI/ML Overview

    The provided document is a 510(k) premarket notification for the RECON System - MPJ Plates, a metallic bone fixation appliance. This type of document focuses on demonstrating substantial equivalence to previously cleared devices rather than presenting a novel study with specific acceptance criteria and detailed performance metrics of a new AI/software device.

    Therefore, the information required to answer your questions about acceptance criteria, study details, sample sizes, expert involvement, and ground truth for an AI/software device is not present in this document.

    Specifically:

    1. A table of acceptance criteria and the reported device performance: Not applicable, as this is a medical device clearance based on substantial equivalence, not a performance study against predefined criteria for an AI/software. The document mentions "similar mechanical properties and performance" to predicate devices.
    2. Sample sized used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective): Not applicable. The "testing" referred to is biocompatibility and engineering analysis, not a clinical study with a test set in the context of AI performance.
    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable. Ground truth for an AI device is not relevant here.
    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set: Not applicable.
    5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance: Not applicable. This document pertains to a physical medical implant, not an AI-powered diagnostic or assistive tool.
    6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done: Not applicable.
    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc): Not applicable.
    8. The sample size for the training set: Not applicable.
    9. How the ground truth for the training set was established: Not applicable.

    The document states:

    • "Non-Clinical Performance Data: Biocompatibility testing on the plates was conducted and evaluated per ISO 10993-1. All testing passed. Cross sectional engineering analysis of the plates, proof load, bending strength, bending stiffness, equivalent bending stiffness and fatigue strength of the RECON System-MPJ plates and the predicate devices... resulted in similar mechanical properties and performance."
    • "Clinical Performance Data: There was no clinical testing required to support the medical device as the indications for use is equivalent to the predicate device."

    This indicates the device's acceptance was based on non-clinical (biocompatibility and mechanical) testing and demonstration of substantial equivalence to existing devices, not on a clinical performance study with AI-specific metrics.

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    K Number
    K151407
    Device Name
    RECON system
    Date Cleared
    2015-08-12

    (78 days)

    Product Code
    Regulation Number
    888.3030
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    NORMED MEDIZIN-TECHNIK GMBH

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The implants are intended to support normal bone healing for osteotomies, fractures, and reconstructions.

    The RECON system consists of various system components and it is indicated for the treatment of fracture fixation, joint decompression and fusion, reconstruction or arthrodeses of small bones. The system can be used in both adult and pediatric patients. Additional information is provided in the corresponding surgical techniques.

    Device Description

    The RECON system is a plate and screw system intended for internal fracture fixation. The system consists of the following plates:

    • Reconstruction Plates 3.5, ●
    • Medialis Plates 3.5, ●
    • Universal Plates 3.5
    • Universal Plates 3.5, H-shaped .
    • USG Plates 3.5 ●
    • Interpositioning Arthrodesis Plates ●
    • Lapidus Plates ●
    • . Dwyer Plates

    screws and washers of different sizes and designs.

    The plates, screws, and washers are either made of titanium alloy Ti-6AI-4V (ASTM F136) or commercially pure Titanium (C.P. Titanium; ASTM F67).

    The implants are offered in various sizes to accommodate the variations of bone size and geometry. The implants are provided non-sterile and single-use only. The instruments are non-sterile and reusable.

    AI/ML Overview

    The provided text describes the RECON system, a plate and screw system for internal fracture fixation, and its substantial equivalence to predicate devices, as reviewed by the FDA in a 510(k) submission. However, this document does not contain acceptance criteria or a study proving that the device meets specific acceptance criteria in the manner described in your request for a medical AI/software device evaluation.

    The information provided is typical for a 510(k) submission for a physical medical device (implants), which primarily focuses on demonstrating substantial equivalence to already legally marketed predicate devices through material testing and performance comparison, rather than human-in-the-loop or standalone algorithm performance for AI/software.

    Here's an breakdown of why the information you requested cannot be fully extracted and what can be said based on the provided text:

    1. Table of acceptance criteria and the reported device performance

    • Not Applicable in the provided text. The document describes a physical medical device (implants), not an AI/software device. Therefore, there are no "acceptance criteria" related to AI performance metrics (like accuracy, sensitivity, specificity, AUC) or "reported device performance" in that context.
    • Instead, the "performance" demonstrated is mechanical:
      • Biocompatibility: Passed all testing per ISO 10993-1.
      • Mechanical Properties (Plates): Cross sectional engineering analysis, proof load, bending strength, bending stiffness, equivalent bending stiffness, and fatigue strength were "similar" to predicate devices.
      • Mechanical Properties (Screws): Self-tapping performance, driving and removal torque, to failure, and axial pullout were "similar" to predicate devices.
      • Washers: Substantially equivalent to previously cleared washers.

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    • Not applicable. This document describes mechanical testing of physical implants, not a clinical study or a study involving a "test set" of patient data for an AI. The "samples" would be the physical plates, screws, and washers subjected to mechanical loads. The document does not specify the number of individual components tested but states "all testing passed" for biocompatibility and that analysis resulted in "similar mechanical properties and performance" for the other tests.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

    • Not applicable. There is no "ground truth" establishment by experts in the context of an AI/software evaluation for this device. The "ground truth" for mechanical testing would be the physical properties and performance measured by engineering standards.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

    • Not applicable. No adjudication method is described because there's no expert interpretation of data relevant to AI performance.

    5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

    • No, an MRMC study was not done. This is a physical implant, not an AI-powered diagnostic or assistive device.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

    • Not applicable. There is no algorithm to perform a standalone performance evaluation.

    7. The type of ground truth used (expert concensus, pathology, outcomes data, etc)

    • Mechanical testing standards and measurements. For a physical device, the "ground truth" is typically defined by established engineering and material science standards (e.g., ASTM, ISO). The results of the mechanical tests (e.g., tensile strength, fatigue life) are compared against these standards or against predicate device performance.

    8. The sample size for the training set

    • Not applicable. No AI "training set" is relevant to this device.

    9. How the ground truth for the training set was established

    • Not applicable. No AI "training set" or corresponding ground truth establishment is relevant to this device.

    Summary of what the document does provide regarding "performance":

    The study described is a non-clinical performance evaluation comparing the RECON System's mechanical properties and biocompatibility to predicate devices.

    • Tests Conducted:
      • Biocompatibility (ISO 10993-1)
      • Cross sectional engineering analysis of plates
      • Proof load, bending strength, bending stiffness, equivalent bending stiffness, fatigue strength of plates
      • Self-tapping performance, driving and removal torque, to failure, axial pullout of screws
    • Results: All tests indicated "similar mechanical properties and performance" or that the device "passed." This led to the conclusion of "substantial equivalence" to the predicate devices.
    • Clinical Data: No clinical testing was required as the device's indications for use are equivalent to predicate devices with a proven safety and efficacy record on the market for many years.

    In conclusion, your request focuses on criteria relevant to the evaluation of AI/software as a medical device. The provided FDA 510(k) document is for a physical orthopedic implant (RECON System) and thus addresses mechanical and biocompatibility testing, not AI performance metrics.

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    K Number
    K133035
    Date Cleared
    2013-12-13

    (77 days)

    Product Code
    Regulation Number
    888.3040
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    NORMED MEDIZIN-TECHNIK GMBH

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Normed® Pellegrin Calcaneus Stop Screw System is indicated for adult, children and adolescent patients. The screws are intended to block forward and medial displacement of the allowing normal subtalar joint motion but blocking excessive pronation and the resulting sequela. Adult - additive subtalar alignment for flat foot. Children - flexible flat foot treatment in children and adolescents

    Device Description

    The Normed Pellegrin Calcaneus Stop Screws are threaded, cannulated, tapered screws. They designed to be inserted into the calcaneus bone of the foot for subtalar arthoroereisis. They are made from CrNiMO Stainless Steel for Surgical Implants (ASTM F138. ISO 58321). The implant is offered in 3 lengths - 25mm, 30mm and 35mm. The implants are provided non-sterile and singleuse only. The instruments are non-sterile and reusable.

    AI/ML Overview

    Here's an analysis of the provided information regarding the acceptance criteria and study for the Normed Pellegrin Calcaneus Stop Screw:

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria (from Standard)Reported Device Performance (as tested)
    Torsional properties of metallic bone screws (ASTM F543-07)Device meets performance requirements as defined by Design Control activities and is substantially equivalent to predicate devices.
    Driving torque properties of metallic bone screws (ASTM F543-07)Device meets performance requirements as defined by Design Control activities and is substantially equivalent to predicate devices.
    Press-in bending characteristics of medical bone screw (Custom Test)Device meets performance requirements as defined by Design Control activities and is substantially equivalent to predicate devices.

    Explanation of the Acceptance Criteria and Performance:
    The document states that the "Normed Pellegrin Calcaneus Stop Screw System meets performance requirements as defined by Design Control activities and are substantially equivalent to the predicate devices in terms of safety and efficacy."
    While specific numerical acceptance values (e.g., minimum torque, maximum force) are not provided in this summary, the acceptance criteria are implicitly defined by compliance with the referenced ASTM standards (ASTM F543-07 for torsional and driving torque properties) and a "Custom Test" for press-in bending characteristics. The reported performance indicates that the device successfully met these criteria, establishing substantial equivalence to previously cleared devices.

    2. Sample Size Used for the Test Set and Data Provenance

    • Sample Size: Not explicitly stated. The document refers to "testing" and "non-clinical testing" but does not provide details on the number of screws or tests performed for each parameter.
    • Data Provenance: Not explicitly stated, but given it's non-clinical (mechanical) testing, it would have been conducted in a laboratory setting (likely in Germany where the company is located or by a contract testing lab). This is not patient data, so "retrospective or prospective" is not applicable.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts

    • This information is not applicable as the study described is non-clinical mechanical testing, not a clinical study involving human patients or expert interpretation of diagnostic data. Ground truth in this context would be the measurements obtained from the physical tests.

    4. Adjudication Method for the Test Set

    • This information is not applicable as the study described is non-clinical mechanical testing. Adjudication methods are typically relevant for clinical studies where expert consensus is needed to establish ground truth or resolve discrepancies in interpretations.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done

    • No, an MRMC comparative effectiveness study was not done. This is a non-clinical mechanical performance study for a bone screw, not a study evaluating human readers' performance with or without AI assistance.

    6. If a Standalone (i.e. algorithm only without human-in-the loop performance) was done

    • No, this is not an AI/algorithm-based device. It is a physical medical implant (a bone screw). Thus, "standalone performance" in the context of an algorithm is not relevant.

    7. The Type of Ground Truth Used

    • The ground truth used here consists of the measured physical properties of the screws (torsional strength, driving torque, bending characteristics) obtained through laboratory testing as per ASTM standards and a custom test.

    8. The Sample Size for the Training Set

    • This information is not applicable as this is not a machine learning or AI-based device that would require a "training set."

    9. How the Ground Truth for the Training Set was Established

    • This information is not applicable for the reason stated above (not an AI/ML device).
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    K Number
    K123347
    Date Cleared
    2013-08-02

    (275 days)

    Product Code
    Regulation Number
    888.3030
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    NORMED MEDIZIN-TECHNIK GMBH

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    ANKLE FIX and ANKLE FIX + Systems 4.0 are indicated for:

    • · skeletal osteosynthesis of small bone fragments, which were damaged due to trauma or require reconstruction or arthrodesis
    • · primary or revision tibio-talar and tibiotalo-calcaneal fusion especially in the presence of osteopenic bone, hindfoot deformity and bone loss
    • · post-traumatic surgery.
    Device Description

    The Normed ANKLE FIX and ANKLE FIX + Systems 4.0 are titanium plate and screw systems intended for internal fracture fixation of the ankle. The pre-contoured plates are anatomically designed for optimal screw positioning. This trauma system offers lateral plates for fusion of the tibiotalar (ANKLE FIX) and tibiotalo-calcaneal (ANGLE FIX +) bones as well as medial, posterior (hindfoot), posterior tibia and anterior plates as needed for the ankle for stability.

    AI/ML Overview

    Here is an analysis of the provided text regarding the acceptance criteria and study for the Normed® ANKLE FIX and ANKLE FIX + Systems 4.0:

    The provided text describes a medical device, the Normed® ANKLE FIX and ANKLE FIX + Systems 4.0, which are titanium plate and screw systems for internal fracture fixation of the ankle. The document, a 510(k) Premarket Notification summary, focuses on demonstrating substantial equivalence to predicate devices, primarily through non-clinical (mechanical) testing.

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria (Based on Standards)Reported Device Performance
    Plates:
    Static and dynamic 4-point bending tests as per ASTM F382-99Meets performance requirements as defined by Design Control activities; similar to predicate devices in safety and efficacy.
    Screws:
    Torsional properties as per ASTM F543-07Meets performance requirements as defined by Design Control activities; similar to predicate devices in safety and efficacy.
    Driving torque as per ASTM F543-07Meets performance requirements as defined by Design Control activities; similar to predicate devices in safety and efficacy.
    Axial pull-out strength as per ASTM F543-07Meets performance requirements as defined by Design Control activities; similar to predicate devices in safety and efficacy.

    Explanation: The "acceptance criteria" here are the performance requirements set by the specified ASTM standards for orthopedic implants. The "reported device performance" is a general statement that the device "meets performance requirements as defined by Design Control activities" and is "substantially equivalent to the predicate devices in terms of safety and efficacy." Specific numerical performance values are not provided in this summary.

    2. Sample Size Used for the Test Set and Data Provenance

    • Sample Size for Test Set: The document does not specify the exact number of plates or screws tested for each mechanical test. It mentions "worst case" testing for both plates and screws, implying a selection of configurations that would represent the most challenging scenarios.
    • Data Provenance (e.g., country of origin of the data, retrospective or prospective): The data provenance is from non-clinical (mechanical) testing performed by the manufacturer, Normed® Medizin-Technik GmbH, which is located in Tuttlingen, Germany. This is a prospective test design for device performance, not related to patient data.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and the Qualifications of Those Experts

    • Not Applicable. This is a non-clinical (mechanical) testing study of medical devices (plates and screws), not a study involving human subjects or interpretation of medical images. Therefore, clinical "ground truth" established by experts is not relevant to this specific type of study. The ground truth for mechanical testing is established by the specifications of the ASTM standards themselves and the objective measurements obtained.

    4. Adjudication Method for the Test Set

    • Not Applicable. As this is mechanical testing, there is no need for human adjudication of results in the way it would be for a clinical study involving subjective interpretation (e.g., radiological reads). The results are objective measurements against defined standards.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done, If So, What Was the Effect Size of How Much Human Readers Improve with AI vs Without AI Assistance

    • Not Applicable. This is a 510(k) premarket notification for a physical medical implant (bone plates and screws). It is a mechanical performance study, not an AI or imaging diagnostic device, and therefore, no MRMC study or AI assistance evaluation was conducted.

    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

    • Not Applicable. This is not an algorithm or AI-based device.

    7. The Type of Ground Truth Used

    • For the non-clinical (mechanical) testing, the "ground truth" is defined by the specifications and methodology of internationally recognized ASTM standards (ASTM F382-99 for plates and ASTM F543-07 for screws). The measurements obtained from the physical testing are then compared directly to the requirements outlined in these standards.

    8. The Sample Size for the Training Set

    • Not Applicable. This is not a study that involves machine learning or AI models with training sets.

    9. How the Ground Truth for the Training Set Was Established

    • Not Applicable. There is no training set for this type of device and study.
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