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510(k) Data Aggregation

    K Number
    K190842
    Date Cleared
    2020-02-03

    (308 days)

    Product Code
    Regulation Number
    888.3030
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Comus Locking Plate systems can be used for adult patients with age above 21 as indicated for fixation of Bone fracture in ulna, radius, humerus, femur and tibia.

    Device Description

    The proposed device Comus Locking Plate systems are a combination of plates and screws, which can be used for adult patients with age above 21 as indicated for fixation of fractures. The plate is made of Titanium, which meet ASTM F67, and the screw is made of titanium allov (Ti-6A-14V ELI) which conforms to ASTM F136, which both are widely used for surgical implants with well-known biocompatibility and mechanical properties.

    AI/ML Overview

    The provided text describes a 510(k) premarket notification for the "Comus Locking Plate systems." This is a medical device for bone fixation, and the documentation focuses on demonstrating its substantial equivalence to previously cleared predicate devices, not on proving effectiveness through clinical trials with specified acceptance criteria as one might expect for a novel AI/software medical device.

    Therefore, many of the requested elements for acceptance criteria and study details (like sample size for test sets, expert qualifications, MRMC studies, training set details) are not applicable or not present in this type of submission.

    Here's a breakdown based on the provided information:

    1. A table of acceptance criteria and the reported device performance

    The acceptance criteria are implicitly defined by the chosen ASTM standards and the demonstration of "substantial equivalence" to predicate devices. The reported performance is that the subject device's mechanical testing results were "comparable" to the predicate device.

    Acceptance Criteria (Implicit)Reported Device Performance
    Meets ASTM F382-14 (Static four-point bending of plate)Subject device performance (Comus Locking Plates) comparable to predicate.
    Meets ASTM F382-14 (Dynamic four-point bending of plate)Subject device performance (Comus Locking Plates) comparable to predicate.
    Meets ASTM F543-17 (Torsional properties of screw)Subject device performance (Comus Locking Plates) comparable to predicate.
    Meets ASTM F543-17 (Driving torque of screw)Subject device performance (Comus Locking Plates) comparable to predicate.
    Meets ASTM F543-17 (Pull-out test of screw)Subject device performance (Comus Locking Plates) comparable to predicate.
    Biocompatibility of materials (Titanium, Ti-6A-4V ELI)Materials meet ASTM F67 and ASTM F136; widely used with known biocompatibility. Risk analysis and validation confirm production process does not affect biological performance.
    Same indications for use as predicate devicesComus Locking Plate systems have the same indications for use as predicates (adult patients > 21 for bone fracture fixation in ulna, radius, humerus, femur, tibia).
    Similar patient population as predicate devicesComus Locking Plate systems have similar patient population as predicates.
    Similar material as predicate devicesComus Locking Plate systems use similar materials as predicates.
    Similar sterilization method as predicate devicesComus Locking Plate systems use similar sterilization method as predicates.
    Similar design specifications (bone position, geometric shape)Similar bone positions (cortical/cancellous), similar plate geometric shape, similar number of holes, similar screw design structure, similar size/dimension ranges (though subject device has a smaller size dimension range).

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

    The document does not specify the exact sample sizes for the mechanical tests (e.g., how many plates/screws were tested for each criterion). The data provenance is from non-clinical comparative performance tests conducted by or for the manufacturer, Jiangsu Trauhui Medical Instrument Co., Ltd. The specifics of where the testing was physically conducted (e.g., in China) are not detailed but can be inferred to be related to the manufacturer's location. This is retrospective in the sense that it's comparing a new device to existing predicate devices based on established standards.

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

    This is not applicable. Ground truth, expert consensus, or clinical experts are not used for this type of mechanical and material comparative study. The "truth" is established by adherence to recognized ASTM standards and direct comparison of physical properties.

    4. Adjudication method for the test set

    This is not applicable. There is no adjudication in the context of mechanical performance testing. The results are quantitative measurements against predefined 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

    This is not applicable. This submission is for a physical medical device (locking plates and screws), not an AI-powered diagnostic or assistive tool. Therefore, MRMC studies are irrelevant.

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

    This is not applicable. This is not an algorithm or software device.

    7. The type of ground truth used

    The "ground truth" for this submission is based on:

    • Mechanical Testing Standards: Adherence to ASTM F382-14 and ASTM F543-17.
    • Material Standards: Adherence to ASTM F67 and ASTM F136 for biocompatibility and material properties.
    • Comparison to Predicate Devices: Demonstrating that the subject device's performance, materials, and design are substantially equivalent (comparable) to legally marketed predicate devices.

    8. The sample size for the training set

    This is not applicable. There is no "training set" in the context of mechanical device testing.

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

    This is not applicable.

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