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510(k) Data Aggregation
(88 days)
Synchro Medical
The TIGER TRACK® screw system is intended for small bone extremity and large/long bone reconstruction fixation/arthrodesis procedures for general use in skeletally mature individuals. The TIGER TRACK® screw system is intended to be permanently implanted without any other additional device and are delivered sterile.
The TIGER TRACK® screw system, diameters 3.5mm or smaller (1.8mm, 2.2mm, 2.5mm, 2.9mm, 3.0mm), is indicated for use in fixation small bone fractures or for small bone reconstruction including: mono or bicortical osteotomies in the foot or hand; distal or proximal metatarsal or metacarpal osteotomies; Weil osteotomy; fusion of the first metatarsalphalangeal joint and interphalangeal joint; fixation of osteotomies for Hallux Valgus treatment (such as Scarf, Chevron, etc.); Akin type osteotomy; distal radius fractures (articular fragments). ulnar styloid fractures, radial head fractures, capirellumn fractures, humeral head fractures, glenoid fractures, intercarpal distal and proximal fusions, malleolar fractures, patellar fractures, osteochondral fractures, talonavicular fusions, tibeo-talar fusions, and cuboid fusions.
The TIGER TRACK® screw system, for diameters 4.5mm and 7.0mm, is indicated for use for fractures, corrective osteotomies, pseudoarthrosis, degenerative transformations of long bones in the hind foot and large bone intra-articular fractures of the humerus, femur, and tibia.
The size of the chosen screw should be adapted to the specific indication.
The TIGER TRACK® screw system is not for spinal use.
The devices described in this manual must be accompanied with a form of immobilisation suited to the pathology being treated
The TIGER TRACK® screw system is intended for single use only, and is available in a range of different diameters, lengths and materials depending on the indication. The TIGER TRACK® screw system has two categories of screws: self-compressive screws and non-compressive screws.
The self-compressive screws have a distal and proximal thread, separated by a cylindrical shaft where the fracture or osteotomy line should be placed. The difference of pitch between the distal and proximal thread provides compression between both segments. The TIGER TRACK® snap-off Weil screw doesn't have a proximal thread, the compression is done by its head and the distal thread. The non-compressive screws have a full thread allowing surgeons to only link both segments without any compression.
All devices of the TIGER TRACK® screws system are monobloc components. The TIGER TRACK® screw system PEEK range is manufactured dry with grades of PEEK (Zeniva ZA-500) per ASTM F-2026 from Solvay Advanced Polymers released with predicate K133036, Titanium range is made of alloyed Titanium ISO 5832-3 / ASTM F-136 and released with predicate K131722, Snap-off threaded pin HV18XX range is made of Cobalt Chrome according to the ISO 5832-7 / ASTM F-1058 and released with predicate K120739.
The feature design of the TIGER TRACK® screw system is substantially equivalent to the design features of other devices previously cleared for market.
The provided document is a 510(k) premarket notification for the Synchro-Medical TIGER TRACK® Screw System. This type of submission focuses on demonstrating substantial equivalence to a legally marketed predicate device, rather than proving safety and effectiveness through clinical trials or detailed performance studies with acceptance criteria as might be seen for novel devices or software.
Therefore, the information you've requested regarding acceptance criteria and performance against those criteria, as well as details about ground truth, expert adjudication, MRMC studies, and training/test set sample sizes, is largely not applicable or not provided in this document as it pertains to a medical device where performance is proven through physical testing rather than AI accuracy.
However, I can extract the information that is present concerning the non-clinical tests performed:
1. A table of acceptance criteria and the reported device performance
Test Performed | Acceptance Criteria | Reported Device Performance |
---|---|---|
Pullout force | Not explicitly stated in the document | "met the acceptance criteria" |
Torsional Strength | Not explicitly stated in the document | "met the acceptance criteria" |
The document states, "The results of these studies showed the TIGER TRACK® Screw System met the acceptance criteria," but it does not specify what those criteria were (e.g., minimum pullout force in Newtons, minimum torsional strength in N-m).
2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)
- Sample Size: Not specified in the document for the non-clinical tests.
- Data Provenance: The document describes non-clinical laboratory testing (mechanical tests). This means the "data" is derived from physical test specimens. The manufacturer is Synchro Medical, located in France.
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)
This is not applicable. The device is a surgical screw system, and its performance is evaluated through mechanical testing, not by expert interpretation of images or other data that would require a "ground truth" established by experts in the context of diagnostic AI.
4. Adjudication method (e.g. 2+1, 3+1, none) for the test set
Not applicable, as this refers to expert review processes, which are not relevant for the mechanical testing of a surgical screw.
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 type of study is relevant for diagnostic AI or imaging systems, not for a surgical screw system. The document explicitly states: "No clinical tests were performed."
6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done
Not applicable, as this refers to AI algorithm performance.
7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)
Not applicable. The "ground truth" for mechanical tests would be the actual physical properties measured by scientific instruments, compared against established standards (e.g., ASTM F564-10 for pullout force, ASTM F-543 for torsional strength).
8. The sample size for the training set
Not applicable. There is no "training set" in the context of mechanical testing for a surgical implant device.
9. How the ground truth for the training set was established
Not applicable.
In summary, the document details a 510(k) submission for a physical medical device (surgical screw system) that relies on non-clinical mechanical testing for "substantial equivalence." The concepts of AI performance, ground truth, expert adjudication, and training/test sets as you've outlined are generally not relevant to this type of device and submission.
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(90 days)
SYNCHRO MEDICAL
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
The TOEGRIP® device consists of a monobloc implant with three flexible prongs inserted intramedullary into each part of phalanx The prongs are linked by a T-shaped beam. The fixation concept is based on a press-fit contact due to its tapered shape and the sharp macrostructures once impacted.
The TOEGRIP® device is intended for single use only, and is available in a range of 5 sizes with 3 possible degrees: 0°, 10° or 20°.
The TOEGRIP® device is manufactured with material according to the ISO-10993, ZENIVA® PEEK.
The feature design of the TOEGRIP® is substantially equivalent to the design features of other devices previously cleared for market.
The Synchro-Medical Toe Grip Device underwent nonclinical testing to demonstrate its substantial equivalence to predicate devices.
1. Acceptance Criteria and Device Performance:
The document states that the Synchro-Medical Toe Grip Device met the acceptance criteria for the tests performed. However, the specific quantitative acceptance criteria or the reported device performance metrics are not detailed in the provided text.
Acceptance Criteria | Reported Device Performance |
---|---|
Not explicitly stated (e.g., minimum bending strength, fatigue life cycles) | "The results of these studies showed that the Synchro-Medical Toe Grip Device met the acceptance criteria." (Specific numerical results are not provided). |
2. Sample Size and Data Provenance for Test Set:
- Sample Size: The document does not explicitly state the sample size used for the nonclinical tests (Static Four-point Bending Test and Dynamic Four-point Bending Test).
- Data Provenance: The tests were nonclinical (bench testing) and therefore do not have data provenance related to country of origin or retrospective/prospective human data.
3. Number of Experts and Qualifications for Ground Truth:
Not applicable. The study involved nonclinical mechanical testing, not human expert assessment for ground truth.
4. Adjudication Method for Test Set:
Not applicable. The study involved nonclinical mechanical testing, not human expert assessment requiring adjudication.
5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study:
No. The document explicitly states, "No clinical tests were performed." Therefore, an MRMC comparative effectiveness study was not conducted.
6. Standalone Performance Study:
Yes, a standalone study (nonclinical mechanical tests) was performed for the algorithm/device. The device's performance was evaluated through:
- Static Four-point Bending Test
- Dynamic Four-point Bending Test
7. Type of Ground Truth Used:
The "ground truth" for these nonclinical tests would be the established engineering standards and specifications for bone fixation devices, against which the device's mechanical properties (e.g., bending strength, fatigue resistance) were measured.
8. Sample Size for Training Set:
Not applicable. This device is a physical implant, not a software algorithm that requires a training set in the context of machine learning.
9. How Ground Truth for Training Set was Established:
Not applicable. This device is a physical implant, not a software algorithm that requires ground truth for a training set.
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