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    Device Name :

    Conditional, DePuy Synthes Small Fragment Dynamic Compression Locking (DCL) System – MR Conditional, DePuy Synthes
    Modular Foot System – MR Conditional, DePuy Synthes T-Plates – MR Conditional, DePuy Synthes One-third

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

    The DePuy Synthes 4.0 mm and 5.0 mm Locking Screws are used for the static and dynamic interlocking of femoral, humeral and tibial nails.
    The DePuy Synthes Wrist Fusion Plates are intended for wrist arthrodesis and for fractures of other small long bones such as the clavicle and olecranon. Specific indications include post-traumatic arthritis of the wrist, rheumatoid wrist deformities requiring restoration; complex carpal instability; post-septic arthritis of the wrist; severe unremitting wrist pain related to motion; brachial plexus nerve palsies; tumor resection; and spastic deformities.
    The DePuy Synthes Large Fragment DCL is intended for fixation of various lones, such as the humerus, femur and tibia. It is also for use in fixation of osteopenic bone and fixation of non-unions or malunions.
    The DePuy Synthes Small Fragment DCL system is indicated for the fixation of fractures, and non-unions of the clavicle, scapula, olecranon, humerus, radius, ulna, pelvis, distal tibia, fibula, particularly in osteopenic bone.
    The DePuy Synthes Modular Foot System is intended for fractures, and replantations of small bones including the foot, ankle, and hand.
    The DePuy Synthes Locking Compression Plate (LCP) System - T Plate are intended to buttress of the proximal humerus, medial tibial plateau and distal tibia. Also for use in fixation of osteopenic bone and fixation of non-unions and malunions.
    The DePuy Synthes One-Third Tubular Plate is intended for fixation of fractures, and non-unions of the clavicle, scapula, olecranon, humerus, radius, ulna, pelvis, distal tibia, particularly in osteopenic bone as a part of the DePuy Synthes Small Fragment DCL System.
    The DePuy Synthes Stainless Steel Modular Hand System is in selective trauma, reconstructive procedures, and general surgery of the hand, wrist, and other small bones.
    The DePuy Synthes Ti-15 Mo Locking Distal Radius Plating System is intended for fixation of complex intra- and extraarticular fractures and osteotomies of the distal radius and other small bones.
    The DePuy Synthes LCP Proximal Femur Hook Plates are intended for fractures of the femur including: fractures of the trochanteric region, trochanteric, simple, cervicotrochanterodiaphyseal, multifragmentary pertrochanteric, intertrochanteric, intertrochanteric reversed, or transverse or with additional fracture of the proximal end of the femur combined with ispsilateral shaft fractures, metastatic fracture of the proximal femur and osteotomies of the proximal femur.
    The DePuy Synthes Titanium Cannulated Humeral Nail System is intended to aid in the alignment and stabilization of humeral fractures to include: Diaphyseal fractures of the humeral shaft, Fractures of the proximal humerus, Proximal humeral fractures with diaphyseal extension, Impending pathologic fractures, and Malunions.
    The DePuy Synthes Tibial Nail System Ex is intended to stabilize fractures of the proximal and the tibial shaft; open and closed tibial shaft fractures; certain pre- and tibial malunions and non-unions.
    The DePuy Synthes Curved Broad Plates are intended for fixation of various long bones, such as the humerus, femur, and tibia. They are also for use in fixation of peri-prosthetic fractures, osteopenic bone and non-unions or malunions. The DePuy Synthes Curved Condylar Plates are intended for buttressing multifragmentary distal femur fractures. including: supracondylar, intra-articular condylar fractures, peri-prosthetic fractures and fractures in normal or osteopenic bone, nonunions/malunions, and osteotomies of the femur.
    The DePuy Synthes Elastic Intramedullary Nail (EIN) System is indicated for fixation of diaphyseal fractures where the canal is narrow or flexibility of the implant. This includes upper extremity fractures in all patients and lower extremity fractures in pediatric or small-stature patients. This system is also intended to treat metaphyseal fractures, such as radial neck fractures and is intended for fixation of small as carpal and tarsal bones. In pediatric applications, the flexibility of the EIN allows it to be inserted at a point which avoids disruption to the bone growth plate.
    The DePuy Synthes LCP Wrist Fusion Plates are intended for wrist arthrodesis and fractures of other small bones. Specific indications include post-traumatic arthritis of the wrist; theumatoid wrist deformities requiring restoration; complex carpal instability; post-septic arthritis of the wrist, severe unremitting wrist pain related to motion; brachial plexus nerve palsies: tumor resection; and spastic deformities.
    The DePuy Synthes Spherical Washers are intended to prevent a screw head from breaking through the cortex of the bone by distributing the forces/load over a large area when used for fracture fixation of large (long) bone and bone fragments. In addition, the Spherical Washers are intended to prevent the projection of the screw head, when the screw must be inserted at an acute angle (e.g., in ankle arthrodesis).
    The DePuy Synthes Elastic Intramedullary Nail (EIN) System is indicated for fixation of diaphyseal fractures where the canal is narrow or flexibility of the implant. This includes upper extremity fractures in all patients and lower extremity fractures in pediatric or small-stature patients. This system is also intended to treat metaphyseal fractures, such as radial neck fractures and is intended for fixation of small long bones, such as carpal and tarsal bones. In pediatric applications, the flexibility of the EIN allows it to be inserted at a point which avoids disruption to the bone growth plate.
    The DePuy Synthes Modular Mini Fragment LCP System is intended for fixation of fractures, nonunions, replantations, and fusions of small bone fragments, particularly in osteopenic bone. Examples include, but are not limited to, the hand, wrist, foot, and ankle.
    The DePuy Synthes LCP Dia-Meta Volar Distal Radius Plates are indicated for fractures, and non-unions of the radius and other small bones.
    The DePuy Synthes VA-LCP Distal Radius System is intended for fixation of complex intra-and extra-articular fractures and osteotomies of the distal radius and other small bones.
    The DePuy Synthes Elastic Intramedullary Nail (EIN) System is indicated for fixation of diaphyseal fractures where the canal is narrow or flexibility of the implant. This includes upper extremity fractures in all patients and lower extremity fractures in pediatric or small-stature patients. This system is also intended to treat metaphyseal fractures, such as radial neck fractures and is intended for fixation of small as carpal and tarsal bones. In pediatric applications, the flexibility of the EIN allows it to be inserted at a point which avoids disruption to the bone growth plate.
    The DePuy Synthes Elastic Intramedullary Nail (EIN) System is indicated for fixation of diaphyseal fractures where the canal is narrow or flexibility of the implant. This includes upper extremity fractures in all patients and lower extremity fractures in pediatric or small-stature patients. This system is also intended to treat metaphyseal fractures, such as radial neck fractures and is intended for fixation of small long bones, such as carpal and tarsal bones. In pediatric applications, the flexibility of the EIN allows it to be inserted at a point which avoids disruption to the bone growth plate.
    The DePuy Synthes 3.5 mm Locking Compression Plate CLCP) System: The Synthes 3.5 mm LCP is indicated for fixation offractures, osteotomies and non-unions ofthe clavicle, scapula, olectranon, humerus, radius, distal tibia, fibula, particularly in osteopenic bone for adult patients. These plates are also indicated for fracture fixation of diaphyseal areas of long bones in pediatric patients. The DePuy Synthes 4.5 mm Locking Compression Plate CLCP) System: The Synthes 4.5 LCP is indicated for fixation ofvarious long bones, such as the humerus, femur and tibia and for use in fixation of peri-prosthetic fractures, osteopenic bone and fixation of non-unions or malunions in adult patients. These plates are also indicated for fracture flXation of diaphyseal areas of long bones in pediatric patients.
    The DePuy Synthes 2.4 mm VA-LCP Two-Column Volar Distal Radius Plates are intended for fixation of complex intraand extra-articular fractures and osteotomies of the distal radius and other small bones.
    The DePuy Synthes 1.5 mm Mini Fragment LCP System is indicated for fixation of small bones and small fragments, osteotomies, arthrodeses, replantations of small bones and small fragments, particularly in osteopenic bone.
    The DePuy Synthes 2.4 mm LCP Volar Column Distal Radius Plates are intended for fixation of complex intra- and extraarticular fractures of and osteotomies of the distal radius and other small bones.
    The DePuy Synthes Locking Hand Plates are intended for fixation of fractures, osteotomies, replantations and fusions of small bone fragments, particularly in osteopenic bone.
    The DePuy Synthes 2.4 mm VA-LCP Two-Column Narrow Volar Distal Radius Plates are intended for fixation of complex intra- and extra-articular fractures and osteotomies of the distal radius and other small bones.
    The DePuy Synthes 2.4 mm / 2.7 mm VA-LCP Forefoot / Midfoot System is indicated for fixation of osteotomies, fusions, fractures, non unions and replantations of small bones and small bone fragments in adult and adolescent (12-21 years) patients, including the foot and ankle, and particularly in osteopenic bone.
    The DePuy Synthes 2.4 mm LCP Distal Radius System is intended for fixation of complex intra- and extra-articular fractures and osteotomies of the distal radius and other small bones in adults, skeletally mature adolescents, and the following adolescent distal radius fractures exiting the epiphysis, intra-articular fractures exiting the metaphysis, physeal crush injuries, and any injuries which cause growth arrest to the distal radius. The 2.4 mm LCP Volar Distal Radius Plates are intended for fixation of complex intra- and extra-articular fractures and osteotomies of the distal radius and other small bones in adults, skeletally mature adolescents, and the following adolescent distal radius fractures: intra-articular fractures exiting the epiphysis, intra-articular fractures exiting the metaphysis, physeal crush injuries, and any injuries which cause growth arrest to the distal radius. The DePuy Synthes 2.4 mm Variable Angle LCP Two-Column Volar Distal Radius Plates are intended for fixation of complex intra- and extra-articular fractures and osteotomies of the distal radius and other small bones in adults, skeletally mature adolescents, and the following adolescent distal radius fractures exiting the epiphysis, intra-articular fractures exiting the metaphysis, physeal crush injuries which cause growth arrest to the distal radius. The DePuy Synthes 2.4mm Variable Angle LCP Two-Column Narrow Volar Distal Radius Plates are intended for fixation of complex intra- and extra-articular fractures and osteotomies of the small bones in adults, skeletally mature adolescents, and the following adolescent distal radius fractures: intra-articular fractures extiting the epiphysis, intra-articular fractures exiting the metaphysis, physeal crush injuries which cause growth arrest to the distal radius. The DePuy Synthes Variable Angle LCP Distal Radius System is intended for fixation of complex intra- and extra-articular fractures and osteotomies of the distal radius and other small bones in adults, skeletally mature adolescents, and the following adolescent distal radius fractures: intraarticular fractures exiting the epiphysis, intra-articular fractures exiting the metaphysis, physeal crush injuries which cause growth arrest to the distal radius. The DePuy Synthes Synthes Locking Distal Radius Plating System is intended for fixation of complex intra- and extra-articular fractures and osteotomies of the distal radius and other small bones in adults, skeletally mature adolescents, and the following adolescent distal radius fractures: intra-articular fractures exiting the epiphysis, intra-articular fractures exiting the metaphysis, physeal crush injuries, and any injuries which cause growth arrest to the distal radius. The DePuy Synthes Ti-15Mo Locking Distal Radius Plating System is intended for fixation of complex intra- and extra-articular fractures and osteotomies of the distal radius and other small bones in adults, skeletally mature adolescents, and the following adolescent distal radius fractures: intraarticular fractures exiting the epiphysis, intra-articular fractures exiting the metaphysis, physeal crush injuries, and any injuries which cause growth arrest to the distal radius.
    The DePuy Synthes MultiLoc Proximal Humeral Nailing System is indicated for fractures of the proximal humerus, including 2-part surgical neck fractures, 3-part fractures, and 4-part fractures.
    The DePuy Synthes 2.4 mm V A-LCP Intercarpal Fusion System is indicated for fusion of small bones of the hand including: hamate, capitate, lunate, and triquetrum, for the revision of failed partial wrist fusions, and is indicated for use in patients suffering pain and/or loss of function due to: Osteoarthritis, Rheumatoid arthritis, Post-traumatic or degenerative wrist arthritis. Carpal instability.
    The DePuy Synthes 2.4 mm Variable Angle LCP Volar Rim Distal Radius Plates are indicated for fixation of complex intra- and extra-articular fractures of the distal radius and other small bones in adults, skeletally mature adolescents, and the following adolescent distal radius fractures: intraarticular fractures exiting the epiphysis, intra-articular fractures exiting the metaphysis, physeal crush injuries which cause growth arrest to the distal radius.
    The DePuy Synthes 3.5 mm Low Profile Cortical Screws are intended for fixation of ITactures, osteotomies, and non-unions of the clavicle, scapula, olecranon, humerus, radius, ulna, pelvis, tibia, calcaneous, femur, and fibula in adults, and in both children (2-12 years) and adolescents (12-21 years) in which growth plates have fused or in which growth plates will not be crossed by the screw fixation.
    The DePuy Synthes Pediatric LCP Plate System is indicated for fixation of fractures (including pathologic and impending pathologic fractures) and osteotomies of the femur in infants, children, adolescents and small statured adults. Specific indications for the 100°, 120°, 130°, 140°, 150° plates include: Varus, valgus, rotational and/or shortening osteotomies, Femoral neck and/or pertrochanteric fractures, Proximal metaphyseal fractures, Diaphyseal fractures, Pathologic fractures, Prophylactic use for impending pathologic fractures. Specific indications for the 90° plates include: Varus, valgus, rotational and/or shortening osteotomies, Femoral neck and/or penrochanteric fractures, Proximal and distal metaphyseal fractures, Diaphyseal fractures, Pathologic fractures, Prophylactic usc for impending pathologic fractures.
    The DePuy Synthes 1.0 mm, 1.3 mm, 2.0 mm, and 2.4 mm Cortex Screws are intended for use in trauma procedures, reconstructive procedures, and general surgery of the hand, wrist, and other small bones and bone fragments in adults and in both children (2-12 years) and adolescents (12-21 years) in which growth plates have fused or in which growth plates will not be crossed by screw fixation. The DePuy Synthes 2.7 mm Cortex Screw is intended for fractures and osteotomies of small bone fragments, including the foot, ankle, and hand in both children (2-12 years) and adolescents (12-21 years) in which growth plates have fused or in which growth plates will not be crossed by screw fixation. The Synthes 2.7 mm Cortex Screw may also be used in fusion applications in adults and adolescents (12-21 years) when used with the Synthes 2.4 mm / 2.7 mm Variable Angle LCP Forefoot/Midfoot System (K100776) and in adults and pediatric patients (2-12 years) when used with the Synthes Ti Wrist Fusion Plate (K023879). The DePuy Synthes 3.5 mm and 4.0 mm Cortex Screws are intended for fixation of fractures, osteotomies and non-unions of the clavicle, scapula, olecranon, humerus, radius, ulna, pelvis, tibia, calcaneous, femur and fibula in adults and in both children (2-12 years) and adolescents (12-21 years) in which growth plates have fused or in which growth plates will not be crossed by screw fixation. The DePuy Synthes 4.5 mm Cortex Screw is intended for fixation of various long bones, such as the humerus, femur and tibia. It is also for use in fixation of non-unions in adults and in both children (2-12 years) and adolescents (12-21 years) in which growth plates have fused or in which growth plates will not be crossed by screw fixation.
    The DePuy Synthes 2.7 mm LCP Ulna Osteotomy System is indicated for fixation of fractures, nonunions, replantations, and fusions of small bone fragments, including osteopenic bone in the ulna. The 2.7 mm LCP Ulna Osteotomy System is indicated for use in both adults and adolescents (12-21 years) in which growth plates have fused or in which growth plates will not be crossed by screw fixation.
    The DePuy Synthes 3.5 mm VA-LCP Proximal Tibia Plates are intended to treat fractures of the proximal tibia in adults and adolescents in which the growth plates have fused including: simple, comminuted, lateral wedial wedge, bicondylar combination of lateral wedge and depression, periprosthetic, and fractures with associated shaft fractures. Plates can also be used for treatment of nonunions, tibial osteotomies and osteopenic bone.
    The DePuy Synthes MultiLoc Humeral Nailing System is indicated for fractures of the proximal humerus, including 2part surgical neck fractures, 3-part fractures, and 4-part fractures with diaphyseal extension, diaphyseal fractures of the humeral shaft, and impending pathologic humeral fractures.
    The DePuy Synthes Variable Angle LCP Ankle Trauma System is intended for fixation of the ankle in adults and adolescents (12-21) in which the growth plates have fused, and particularly in osteopenic bone. Specifically, • Medial and Anteromedial Distal Tibia Plates are intended for fixation of osteotomies, fractures, mal unions, and replantations of bones and bone fragments of the diaphyseal regions of the distal tibia, · Distal Tibia T Plates and Distal Tibia L Plates are intended to buttress partial articular fragments of the distal tibia, and · Lateral Distal Fibula Plates are intended for fixation of osteotomies, fractures, non unions, and replantations of bones and bone fragments of the diaphyseal and metaphyseal regions of the distal fibula.
    The DePuy Synthes 2.7/3.5 mm Variable Angle LCP Ankle Trauma System is intended Indications for Use for fixation of the ankle and is indicated in adults and adolescents ( 12-21) in which the growth plates have fused, and particularly in osteopenic bone. Specifically. • Anterolateral Distal Tibia Plates are intended for fixation of osteotomies, fractures, non unions, and replantations of bones and bone fragments of the diaphyseal regions of the distal tibia. · Medial and Anteromedial Distal Tibia Plates are intended for fixation of osteotomies, fractures, mal unions, and replantations of bones and bone fragments of the diaphyseal regions of the distal tibia, · Distal Tibia T Plates and Distal Tibia L Plates are intended to buttress partial articular fractures and bone fragments of the distal tibia, and · Lateral Distal Fibula Plates are intended for fixation of osteotomies, mal unions, mal unions, and replantations of bones and bone fragments of the diaphyseal and metaphyseal regions of the distal fibula.
    The DePuy Synthes 2.7 mm and 3.5 mm Variable Angle LCP Midfoot/Hindfoot System is indicated for fixation of osteotomie, fusions, fractures, nonunions and replantations of small bones and small one fragments in adult and adolescent (12 -21 years) patients, including the foot and ankle, and particularly in osteopenic bone. The DePuy Synthes 3.5 mm Low Profile Cortical Screws and the Synthes 3.5 mm Cortex Screws are intended to be used as stand-alone bone screws, or in a plate-screw system for internal bone fractures, fusions, osteotomies, and non-unions of the clavicle, scapula, olecranon, humerus, hand, radius, ulna, pelvis, tibia, femur, fibula, and foot in adults, and in both children (2-12 years) and adolescents (12-21 years) in which growth plates have fused or in which growth plates will not be crossed by the screw fixation.
    The DePuy Synthes 4.0 mm Cortex Screws are intended for fixation of fractures, fusions, osteotomies, non-unions, and malunions of the clavicle, scapula, olecranon, humerus, radius, ulna, calcaneus, femur, fibula, and the bones of the foot and hand in adults and in both children (2-12 years) and adolescents (12-21 years) in which growth plates have fused or in which growth plates will not be crossed by screw fixation. The DePuy Synthes 4.5 mm Cortex Screws are intended for fixation of fractures, fusion, osteotomies, non-unions, and malunions of various long bones, such as the humerus, femur and tibia; and the bones of the foot and in both children (2-12 years) and adolescents (12-21 years) in which growth plates have fused or in which growth plates will not be crossed by screw fixation. The DePuy Synthes 2.4 mm Cannulated Screws are intended for fixation of fractures, fusions, osteotomies, non-unions, and malunions of small bones in adults and in both children (2-12 years) and adolescents (12-21 years) in which growth plates have fused or in which growth plates will not be crossed by screw fixation. The DePuy Synthes 3.5 mm and 4.0 mm Cannulated Screws are intended for fixation of fractures, osteotomies, non-unions, and malunions of small bone fragments in adults and in both children (2-12 years) and adolescents (12-21 years) in which growth plates have fused or in which growth plates will not be crossed by screw fixation. The DePuy Synthes 4.5 mm Cannulated Screws are intended for fixation of fractures, fusions, osteotomies, non-unions, and malunions of long bones and long bone fragments; and the bones of the hand and foot, in adults and in both children (2-12 years) and adolescents (12-21 years) in which growth plates have fused or in which growth plates will not be crossed by screw fixation. The DePuy Synthes 6.5 mm Cannulated Screws are intended for fixation of fractures, fusions, osteotomies, non-unions, and malunions of long bones and long bone fragments, pelvis, sacrum, and the bones of the foot in adults and in both children (2-12 years) and adolescents (12-21 years) in which growth plates have fused or in which growth plates will not be crossed by screw fixation. These screws are also indicated for femoral neck fractures; slipped capital femoral epiphysis; an adjunct to DHS in basilar neck fractures; tibial plateau fractures; ankle arthrodesis; pediatric temoral neck fractures; intercondylar femur fractures; Sl joint disruptions; and subtalar arthrodesis. The DePuy Synthes 7.0 mm and 7.3 mm Cannulated Screws are intended for fixation of fractures, fusions, osteotomies, non-unions, and malunions of long bones and long bone fragments, pelvis, sacrum, and the bones of the foot in adults and in both children (2-12 years) and adolescents (12-21 years) in which growth plates have fused or in which growth plates will not be crossed by screw fixation. These screws are also indicated for slipped capital femoral epiphysis; ankle arthrodesis; and subtalar arthrodesis. The DePuy Synthes 1.5 mm Headless Compression Screws are intended for fixation of intraarticular and extra-articular fractures, avulsions, non-unions, and osteotomies of small bones and small bone fragments, as well as arthrodesis of small joints in adults and in both children (2-12 years) and adolescents (12-21 years) in which growth plates have fused or in which growth plates will not be crossed by screw fixation. The DePuy Synthes 2.4 mm Headless Compression Screws are intended for fixation of fractures, osteotomies, non-unions, and malunions of small bone arthrodesis in adults and in both children (2-12 years) and adolescents (12-21 years) in which growth plates have fused or in which growth plates will not be crossed by screw fixation. The DePuy Synthes 3.0 mm Headless Compression Screws are intended for fixation of intraarticular and extra-articular fractures, non-unions, malunions, and osteotomies of small bones and small bone fragments, as well as arthrodesis of small joints in adults and in both children (2-12 years) and adolescents (12-21 years) in which growth plates have fused or in which growth plates will not be crossed by screw fixation. The DePuy Synthes 4.5 mm and 6.5 mm Headless Compression Screws are indicated for fixation of fractures, fusions, osteotomies, non-unions, and malunions of various bones and bone fragments including bones of the foot, humerus, femur and tibia in adults and in both children (2-12 years) and adolescents (12-21 years) in which growth plates have fused or in which growth plates will not be crossed by screw fixation.
    The DePuy Synthes Variable Angle Positioning Pins are intended for use with cerclage multifilament cable to augment fracture stabilization with plates used in long bone fixation, when screw placement would be inhibited, as in the presence of intramedullary implant. The Variable Angle Positioning Pins are designed for use with Variable Angle LCP plate implants featuring variable angle locking holes that accept 5.0 mm variable angle bone screws.
    The DePuy Synthes Angled Blade Plate is intended for use in femoral fractures and osteotomies. More specifically, the primary intended uses are as follows: fractures of the distal and proximal femur, femoral neck and pertrochanteric fractures, intertrochanteric femoral osteotomies, repositioning osteotomy (femoral neck).
    The DePuy Synthes Unreamed Humeral Nail (URHN) is generally indicated for Humeral shaft fractures. Specifically, Acute humeral shaft fractures; Pathologic or impending pathologic fractures; Non and malunions of the humeral shaft.
    The DePuy Synthes EIN is intended for fixation of diaphyseal fractures of the long bones where the medullary canal is narrow or flexibility of the implant is paramount. This includes upper extremity fractures in all patients and lower extremity fractures in pediatric or small-statured patients. In pediations, the flexibility of the EIN allows it to be inserted at a point which avoids disruption to the bone growth plate.
    The DePuy Synthes Distal Radius Plate System is intended for fixation of fractures, osteotomies, including carpal fusions involving the distal radius applied to the volar and dorsal aspect.
    The DePuy Synthes Locking Calcaneal Plates are indicated for fractures and osteotomies of the calcaneus, including, but not limited to extra-articular, intra-articular, joint depression, tongue type and severely comminuted fractures.
    The DePuy Synthes Spiral Blade for Humeral Nail is intended to stabilize fractures of the humerus.
    The DePuy Synthes Kirschner (K-) Wires and Guide Wires are indicated for use in open and percutaneous fixation of bone fractures, for bone reconstructions, as guide pins for implants, for implantation through the skin, and as traction pins so that traction may be applied to the skeletal system.

    Device Description

    The DePuy Synthes 4.0 mm and 5.0 mm Locking Screws are an added option to the 3.9 mm and 4.9 mm Locking Bolts. The locking screws are used in conjunction with Synthes intramedullary nails to stabilize fractures of the tibia, humerus and femur. The Locking Screws are designed with a Synthes truncated cortex screw thread profile and a double lead thread to allow a progression through bone similar to the locking bolt. The tip of the 4.0 mm and 5.0 mm Locking Screws is trocar, selftapping and the core diameters are 3.3 mm and 4.3 mm, respectively. The locking screws are available in lengths ranging from 18 - 80 mm (4.0 mm) and 26 - 100 mm (5.0 mm).
    The DePuy Synthes Wrist Fusion Plate (WFP) feature a limited-contact profile and dynamic compression unit (DCU) screw holes which accept 3.5 mm cortex and 2.7 mm cortex screws. The plates are available in three designs (standard, short, and straight) to accommodate the anatomic needs of the patient. The standard plate accommodates average-sized individuals; the short bend plate fits small-statured individuals or patients with previous proximal row carpectomy; and the straight plate may be contoured to unusual anatomy or the severely deformed wrist joint. The straight plate also accommodates patients with severe bone loss requiring a corticocancellous strut from the iliac crest. The standard plate and short bend plates have a built-in fusion angle of 10° dorsiflexion, and are 112 mm in length. These plates feature a pre-contoured carpal bend. The straight plate is 110 mm in length without the carpal bend and built-in fusion angle.
    The DePuy Synthes Large Fragment DCL system consists of limited-contact profile plates in broad and narrow sizes, which include combination dynamic compression/locking screw holes. The plates accept 4.5 mm cortex, 6.5 mm cancellous, 4.5 mm cannulated, 7.0 mm cannulated, and 5.0 mm locking screws. This device is manufactured in either stainless steel or titanium.
    The DePuy Synthes Small Fragment DCL system consists of limited-contact profile plates in straight, reconstruction, Oblique T- and Small T- plates of various sizes and 3.5 mm locking screws. The plates in this system also accept 2.7 mm and 3.5 mm cortex, and 4.0 mm cancellous screws. The plates feature a combination dynamic compression/locking screw hole. The system is available in either stainless steel or titanium.
    The DePuy Synthes Modular Foot System is a series of plates and screws with plates of varying lengths and thicknesses and configurations including T-, LC-DCP, Condylar, and Cuboid Plates. These plates are attached to bone via 1.8 mm buttress pins and 2.0 mm and 2.4 mm selftapping cortex screws.
    The DePuy Synthes Locking Compression Plate (LCP) System - T Plate is a buttress plate and screw system. The primary feature of the plate is round holes combined with locking screw holes. The locking screws form a locked, fixed angle construct with the plate, while the standard screws facilitate reduction and create compression between the plate and bone. The plates accept 4.5 mm cortex, 6.5 mm cancellous, 4.5 mm cannulated, 7.0 mm cannulated, 7.3 mm cannulated, 4.0 mm and 5.0 mm locking screws.
    The DePuy Synthes One-Third Tubular DCL Plate line extension is a threaded version of the currently marketed Synthes Third Tubular Plate. The threaded plates will accept locking screws and therefore can be included as part of the The DePuy Synthes Small Fragment DCL System. The plates have the same intended use as other plates in the system and there is no change in safety or efficacy.
    The DePuy Synthes Stainless Steel Modular Hand System is a series of plates and screws of varying lengths and thic1mess, and configurations including straight, T-, Y-, and extended Hplates. These plates are attached to bone via 1.8 mm buttress pins and 1.0 mm, 1.5 mm, 2.0 mm, and 2.4 mm self-tapping cortex screws.
    The DePuy Synthes Ti-15Mo Locking Distal Radius Plating System consists of machined metallic plates and screws that offer screw to plate locking designed for various fracture modes of the distal end of the radius.
    The DePuy SynthesLCP Proximal Femur Hook Plates are contoured to match the anatomy of the proximal femur with a limited contact low profile design. The plate has dynamic compression holes combined with conical shaped threaded screw holes, which accept 4.5 mm cortex, 4.5 mm shaft screws, 4.0 mm or 5.0 mm locking screws, 5.0 mm cannulated screws, and 7.3 mm cannulated locking & cannulated conical screws. The plates are available in a various lengths
    The DePuy Synthes Titanium Cannulated Humeral Nail System consists of cannulated titanium intramedullary rods, and end caps in a variety of sizes designed for treatment of various humeral fractures. A 2.0 mm guide wire is used with the system.
    The DePuy Synthes Tibial Nail System Ex is composed of cannulated tibial nails, 5.0 mm dual core locking screws and end caps. The 5.0 mm dual core locking screws, end caps, and Synthes commercially available locking screws and locking bolts are used to secure the nail in the bone, preventing rotation and axial compression.
    The DePuy Synthes LCP® Curved Plates have a slight curve to better match the anatomy of the bone. The plates have a limited contact profile design and includes combination dynamic compression/locking screw holes.
    The DePuy Synthes EIN system consists of flexible intramedullary fixation devices that vary in diameters and lengths, which can be cut to size intraoperatively. The EIN has a curved tapered tip to facilitate insertion and manipulation. The EIN is manufactured from Titanium Alloy.
    The DePuy Synthes LCP Wrist Fusion Plates are pre-contoured with a limited contact design utilizing a short bend with a 3.3 mm thickness and a width of 11 mm. The plate uses a total of 10 combination holes which utilizes 2.7 mm and 3.5 mm cortex and locking screws. The plates are available in Titanium and Stainless Steel.
    The DePuy Synthes Spherical Washers are round or oval in design with a slotted center hole which allows for screw angulation up to 70 degrees. They are used with 4.5 - 7.3 mm diameter screws and manufactured from Stainless Steel and Titanium.
    The DePuy Synthes Elastic Intramedullary Nail (EIN) End Cap is used with the Synthes Elastic Intramedullary Nail (EIN) System. The Titanium Elastic Nail End Cap is inserted over the external portion of the nail and threaded into the cancellous bone in an oblique orientation. The threads are self-tapping with reverse cutting flutes to facilitate end cap removal. The back end of the cap is blunt to minimize soft tissue irritation.
    The DePuy Synthes Modular Mini Fragment LCP System includes 2.0 mm, 2.4 mm, and 2.7 mm size implants. The system incorporates a series of locking compression plates and screws of varying lengths, thicknesses, and configurations including straight, condylar, T-, Y-, adaption plates. These plates are attached to bone via 2.0 mm, and 2.7 mm cortex and locking screws.
    The DePuy Synthes LCP Dia-Meta Volar Distal Radius Plates provide stable fixation for radius fractures. The plates have threaded locking holes in the head of the plate that accept 2.4 mm locking screws, and dynamic compression holes combined with locking holes in the shaft of the plate which accept 3.5 mm cortex, 3.5 mm locking, or 4.0 mm cancellous screws. The plates are available in various lengths and are available in right and left versions to accommodate varying patient anatomy. The plates are manufactured in either titanium or stainless steel.
    The DePuy Synthes VA-LCP Distal Radius System consists of machined metallic plates and screws that offer screw to plate locking designed for various fracture modes of the distal portion of the radius. The DePuy Synthes VA-LCP Distal Radius System enhances fragment-specific fracture fixation by providing the flexibility to lock screws in trajectories that can diverge from the central axis of the plate hole.
    The DePuy Synthes Stainless Steel Elastic Intramedullary Nail System consists of intramedullary fixation devices that vary in diameters and lengths, which can be cut to size intra-operatively. The nails have a curved tip to facilitate insertion and manipUlation. The end cap is inserted over the external portion ofthe nail and threaded into the cancellous bone.
    The DePuy Synthes Elastic Intramedullary Nail (EIN) End Cap is used with the Synthes Elastic Intramedullary Nail (EIN) System. The end cap is inserted over the external portion of the nail and threaded into the cancellous bone in an oblique orientation.
    The DePuy Synthes 3.5 mm and 4.5 mm LCP Plates with Expanded Indications consist of 3.5 mm LCP plates, 4.5 mm Narrow LCP Plates, 4.5 mm Broad LCP plates and 4.5 mm Curved Broad LCP Plates for fracture fixation in adults and pediatric patients. These plates accept locking, cortex and cancellous screws.
    The DePuy Synthes 2.4 mm Variable Angle LCP (VA-LCP) Two-Column Volar Distal Radius Plate is a machined metal plate that is designed for fixation of various fracture modes of the distal portion of the radius. The 2.4 mm VA-LCP Two-Column Volar Distal Radius plate allows fragment-specific fracture fixation by providing the flexibility to lock screws in the head or shaft of the plate in trajectories that can diverge from the central axis of the plate hole. The DePuy Synthes variable angle locking technology enhances plate-screw construct stability. The plates are manufactured in either titanium or stainless steel.
    The DePuy Synthes 1.5 mm Mini Fragment LCP System consists of lowprofile plates of various shapes as well as locking and cortex screws which are intended to treat small bones and small fragments. The plates and screws of the 1.5 mm Mini Fragment LCP System are available in stainless steel and titanium.
    The DePuy Synthes 2.4 mm LCP Volar Column Distal Radius Plates are part of the Synthes Locking Distal Radius System which is a system consisting of metallic bone fixation plates designed to treat fractures and osteotomies of the distal radius.
    The DePuy Synthes Locking Hand plates consist of 2.0 mm LCP Distal Ulna Plates and 1.5 mm/2.0 mm and 2.0 mm Rotation Correction Plates which offer both stainless steel and titanium plating options merging locking screw technology with conventional techniques. Locking screws provide the ability to create a fixed angle construct while utilizing familiar AO plating techniques. A fixed-angle construct provides improved fixation in osteopenic bone or multi fragment fractures where traditional screw purchase is compromised.
    The DePuy Synthes 2.4 mm V A-LCP Two-Column Narrow Volar Distal Radius Plates are metallic plates intended for treatment of various fracture modes of the distal radius. The plates incorporate variableangle locking hole technology and are available in versions composed of stainless steel and titanium.
    The DePuy Synthes 2.4 / 2.7 mm Variable Angle LCP Forefoot / Midfoot System consists of anatomic and procedure specific plates, including 1st MTP Fusion, TMT Fusion, Opening Wedge Osteotomy, X and Straight Fusion, Navicular, Cuboid, and Mesh Plates, with variable angle locking screws and cortex screws to aid in reconstructive foot surgery. The system components are offered in versions composed of implant grade stainless steel and titanium alloy.
    The DePuy Synthes 2.4 mm Variable Angle LCP Distal Radius Plates are used with a range of 2.4 mm variable angle locking screws, 2.4 mm cortex screws, and 2.7 mm cortex screws. The dorsal plate has a pre-contoured design to fit along the dorsal radial column of the distal radius. These plates incorporated variable angle locking technology. There are a variety of plate types and they are available in 316L Stainless Steel and CP4 Titanium. The plates are offered in 5 basic shapes: 2-hole L-plate, a 3-hole L-plate, straight (radial column) plates, oblique plates and T plates. The L-plates, T -plates, and oblique plates come in 3- and 5-hole lengths. The straight (radial column) plates come in 5- and 6- hole lengths. The 2-Hole L-plate, a 3-hole L-plate, and oblique plates are also offered in left and right-angled configurations
    The DePuy Synthes MultiLoc Proximal Humeral Nailing System consists of metallic rods and accessories which are intended for implantation in the medullary canal of the proximal humerus for the fixation of fractures. The system features intramedullary nail devices, as well as 4.5 mm bone screw and end cap accessories. The nails are cannulated, are offered in 8.0 mm diameters, and 160 mm in overall length. The nail, screw, and end cap devices are composed of titanium alloy. The nails additionally feature a polymer inlay in the proximal end to enhance the stability of the 4.5 mm MultiLoc proximal locking screws. The 4.5 mm MultiLoc Screws which are used to facilitate the proximal locking of the nail construct can be interlocked with existing Synthes 3.5 mm Locking Screws to enhance the stability of the construct.
    The DePuy Synthes 2.4 mm VA-LCP Intercarpal Fusion System features low profile circular plates. The plates are available in two sizes: ø15 mm (6 holes) and ø17 mm (7 holes). The plates each feature variable angle locking technology. The plates also feature K-wire holes for positioning and temporary fixation.
    The DePuy Synthes 2.4 mm Variable Angle LCP Distal Radius Plates are used with a range of 2.4 mm variable angle locking screws, 2.4 mm cortex screws, and 2.7 mm cortex screws. These plates incorporate variable angle locking technology. The Variable Angle LCP Volar Rim Distal Radius Plates are designed as low profile plates, designed to minimize soft tissue irritation by featuring a low contoured plate profile with countersunk screws, rounded edges, and polished surfaces. The plates feature both variable angle locking screw holes in the head and shaft and elongated variable angle combination holes along the shaft only. The plates are offered in 6and 7-hole head configurations each with two additional contourable wing tabs with screws holes to provide even greater variability in screw placement for additional fracture reduction.
    The DePuy Synthes 3.5 mm Low Profile Cortical Screws are self-tapping, have either a stardrive or hex drive recess, are manufactured from stainless steel and titanium and offered both sterile and non sterile. The self-tapping screws are available in lengths ranging from 10 mm – 110 mm and may be used independently or with any Synthes plate which accepts Synthes 3.5 mm cortical screws. The low profile screw head is designed to minimize hardware prominence and the resultant potential for soft tissue irritation.
    The DePuy Synthes system is a collection of plates used to treat fractures and osteotomies of the femur in infants, children, adolescents, and small statured adults. The complete system includes the following: - 3.5mm and 5.0 mm plates with a 90° angle . - 2.7mm, 3.5mm and 5.0 mm plates with a 100° angle - . 2.7mm, 3.5mm and 5.0 mm plates with a 110° angle - . 3.5mm and 5.0 mm plates with a 120° angle - . 2.7mm, 3.5mm and 5.0 mm plates with a 130° angle - 3.5mm and 5.0 mm plates with a 140° angle - . 3.5mm and 5.0 mm plates with a 150° angle The system accepts existing cortical and locking screws, and features allows for both dynamic compression and locking through Combi holes. The plates are universally designed for both left and right use.
    The DePuy Synthes Cortical Screws have self-tapping features, stardrive, or cruciform head recesses, and are manufactured from stainless steel, commercially pure titanium, and/or titanium alloy. Cortex screws are offered both sterile and non sterile and are available in various lengths. Screws may be used independently or with any Synthes plate which accepts 1.0 mm, 1.3 mm, 2.0 mm, 2.4 mm, 2.7 mm, 4.0 mm, and 4.5 mm cortex screws. The subject screws, when used in pediatric applications, may be used independently or with compatible Synthes plates which are also indicated for pediatric populations.
    The DePuy Synthes 2.7 mm LCP Ulna Osteotomy System consists of two plates, 6-hole and 8hole which will be available in titanium alloy and stainless steel, to be offered sterile and nonsterile. This system also includes instrumentation which supports transverse and oblique osteotomy cuts as well as plate placement and fixation.
    The DePuy Synthes 3.5 mm VA-LCP Proximal Tibia Plate System consists of pre-contoured bone fixation plates intended for the treatment of fractures of the proximal tibia. Variable angle screws can be angled up to 15 degrees from the normal trajectory prior to locking the screw to the plate. Percutaneous instrumentation will allow the variable angle plates and screws to be applied through minimally invasive techniques.
    The DePuy Synthes MultiLoc Humeral Nailing System consists of metallic rods and accessories which are intended for implantation in the medullary canal of the humerus for fracture fixation. The system features intramedullary nail devices, as wen as bone screws and end cap accessories. The nails are cannulated, offered in 7.0 mm, 8.5 mm, and 10 mm diameters, and are available in 180 mm-315 mm in overall length. The nails additionally feature a polymer inlay in the proximal end to enhance the stability of the 4.5mm MultiLoc locking screws. Cleared 4.5 mm MultiLoc Screws, used to facilitate the proximal locking ofthe nail construct, can be interlocked with cleared Synthes 3.5 mm Locking Screws to enhance the stability of the construct.
    The DePuy Synthes Variable Angle LCP Ankle Trauma System contains plates that are intended to treat fractures of the ankle, and includes multiple plate types to accommodate different fracture patterns and patient anatomy. Two screw configurations are included in the Synthes Variable Angle LCP Ankle Trauma System; 2.7 mm metaphyseal screws and 3.5 mm VA Locking Screws. Specifically, the following plates and screws are included in the Synthes Variable Angle LCP Ankle Trauma System: - Medial and Anteromedial Distal Tibia Plates . - Distal Tibia T Plates and Distal Tibia L Plates . - Lateral Distal Fibula plate - 2.7mm Metaphyseal Screws - . 3.5mm VA Locking Screws All of the plates will be offered in both stainless steel and titanium alloy (TAN), and in both sterile and non-sterile configurations. All of the plate configurations (with the exception of the Distal Tibia T plate, which is symmetrical), will be offered in left and right designs. The system accepts existing cortical and locking screws (i.e. K000684 and K043185) as well as 3.5 mm VA Locking Screws and 2.7 mm Metaphyseal Screws, and allows for both dynamic compression and locking through Combi holes.
    The DePuy Synthes Anterolateral Distal Tibia Plates are intended to treat fractures of the distal tibia. The Anterolateral Distal Tibia Plates and 3.5 mm VA Locking Screws are offered in both stainless steel and titanium alloy (TAN), and in both sterile and non-sterile configurations. The Anterolateral Distal Tibia Plates will be offered in left and right configurations. The system accepts existing cortical screws, locking screws, dynamic locking screws, and metaphyseal screws as well as 3.5 mm VA Locking Screws, and allows for both dynamic compression and locking through Combi holes.
    The DePuy Synthes 2.7 mm and 3.5 mm Variable Angle LCP Midfoot/Hindfoot System is a collection of plates used for fixation of fractures of the foot and, ankle in adults and adolescents (12-21) in which the growth plates have fused or in which the growth plates will not be crossed by the plate system. The complete system includes the following plate types: - 2.4mm/2.7mm Variable Angle Locking Talus Plate - 2.7mm Variable Angle Locking Calcaneal Plate - 2.7mm Variable Angle Locking Anterolateral Calcaneal Plate - 3.5mm Variable Angle Locking Compression Medial Column Fusion Plate ● The system accepts various screw fixation options such as existing cortical, locking, variable angle locking, low profile, cannulated locking, cannulated conical and metaphyseal screws. The plates are low profile in design and offered in variations of Stainless Steel, Commercially Pure Titanium-Grade 4, and Titanium Alloy (TAN). When used in conjunction with a plate system, the system mdications apply to the entire construct. including the screws .
    The DePuy Synthes Cortex, Cannulated, and Headless Compression Screws are metallic bone screws manufactured from Stainless Steel (ASTM F138), Commercially Pure Titanium (ASTM F67), and/or Titanium Alloy (ASTM F1295). The screws are available in multiple lengths and diameters, and are intended to be used as stand-alone bone screws for internal bone fixation of fractures, fusions, osteotomies, non-unions, and malunions in adults and in both children (2-12 years) and adolescents (12-21 years) in which growth plates have fused or in which growth plates will not be crossed by the screw fixation. The DePuy Synthes Cannulated and Headless Compression screws are cannulated for use with guidewires for precise placement in bone with the exception of the 1.5 mm Headless Compression Screw, which is a solid screw and therefore does not allow for instrumentation with a guide wire. The Headless Compression Screws feature threaded heads that allow for purchase in the near cortex of bone during and after implantation, potentially reducing complications associated with countersinking of traditional cortex or cannulated screws.
    The DePuy Synthes 4.5 mm VA LCP Curved Condylar Plate System consists of anatomicallycontoured, stainless steel and titanium plates and screws featuring variable angle locking and combi-holes designed to provide stable fixation of the distal femur and system specific instrumentation. The current 510(k) introduces OPTILINK™ Technology stainless steel screws, positioning pins for cerclage cable, and system specific instrumentation as a line extension to the currently cleared Synthes 4.5 mm VA LCP Curved Condylar Plate System.
    The DePuy Synthes Angled Blade Plates are manufactured from 316L stainless steel. The plates are of various angles and offsets to accomodate specific surgical application, and are attached with stainless steel screws.
    The DePuy Synthes URHN is intended to stabilize fractures of the humerus. It is specifically indicated for acute humeral shaft fractures, pathologic or impending pathologic fractures of the humeral shaft, and non- and mal unions of the humeral shaft.
    The DePuy Synthes EIN is intended for fixation of diaphyseal fractures of the long bones where the medullary canal is narrow or flexibility of the implant is paramount. This includes upper extremity fractures in all patients and lower extremity fractures in pediatric or small-statured patients. In pediatric applications, the flexibility of the EIN allows it to be inserted at a point which avoids disruption to the bone growth plate.
    The DePuy Synthes Distal Radius Plate System consists of volar and dorsal plates, 2.4 mm cortex screws, and 1.8 mm threaded-head buttress pins. The volar plate is T-shaped, with the head 18° from perpendicular to the shaft; it is precontoured with a 20° bend near the head and has six threaded screw holes that are angled 10° proximally. The dorsal plate is shaped like the Greek letter Pi, with two proximal legs (shaft) and one distal arm (head); it is precontoured, and has six internally threaded screw holes in the head. The heads of both plates have a 30° ramp added to the proximal (volar plate) and distal (dorsal plate) sides. The shafts of both plates have a 45° chamfer and compression screw holes. Both plates are available in right and left versions; accept cortex screws (2.7 mm and 2.4 mm) and 1.8 mm threaded-head buttress pins; and can be cut to size.
    The DePuy Synthes LCPs are designed to address complex fractures of the calcaneus and are applied to the lateral side. The plate has 15 threaded screw holes, which accept 2.7 mm and 3.5 mm cortex screws, as well as 3.0 mm locking screws. The plates are available for right and left placements.
    The DePuy Synthes Spiral Blade for Humerus Nail is used in conjunction with Synthes Unreamed Humeral Nail to stabilize fractures of the humerus. The SBHN is available in lengths ranging from 34 mm to 54 mm in 2 mm increments. A Locking End Cap is used to lock the Spiral Blade in place. The Locking End Cap has a 5 mm extension.
    The DePuy Synthes K-Wires are used 1) with Synthes External Fixators and Lengthening Apparatus; 2) as an intraoperative reduction/stabilization tool; 3) for percutaneous fixation of fractures; and 4) as a guide for screws and drill bits. The K-wires are straight wires with a trocar tip on one or both ends and are available in various diameters and lengths. The DePuy Synthes Guide Wires are straight wires with a point on one or both ends and are available in various diameters and lengths. They are used to reduce and stabilize bone fractures. The wires can also be used as a guide for cannulated implants.

    AI/ML Overview

    Here's an analysis of the provided text regarding the acceptance criteria and study for the various DePuy Synthes devices to be labeled as "MR Conditional."

    Overview of the Submission:

    The document is a 510(k) premarket notification for a large number of DePuy Synthes bone fixation devices. The primary purpose of this submission is to add "MR Conditional" labeling to these devices. This means the manufacturer has performed testing to demonstrate that these devices are safe for use in specific Magnetic Resonance (MR) environments, under defined conditions.

    Key Information from the Document:

    The document consistently states:

    • The "purpose of this submission is to add MR Conditional information to the device labeling."
    • The "intended use and technological characteristics of the devices remains unchanged."
    • "Non-clinical testing is provided to support the conditional safety of the [Device Name] in the MR environment including assessment of magnetically induced displacement force (ASTM F2052-14) and torque (ASTM F2213-06), radio frequency (RF) heating (ASTM F2182-11a), and image artifacts (ASTM F2119-07)."
    • "The non-clinical performance data demonstrate that the subject devices, when exposed to the MR environment under specific MR conditions of use, raise no new questions of safety or efficacy."

    This indicates that the acceptance criteria and supporting studies are focused on the safety and performance of the devices within an MR environment based on established ASTM standards. It is not an effectiveness study for the primary function of the bone fixation devices themselves, nor is it related to AI performance.


    1. Table of Acceptance Criteria and Reported Device Performance

    Performance Metric (Acceptance Criteria Defined by ASTM Standard)Reported Device Performance (Summary from Document)
    Magnetically Induced Displacement Force (ASTM F2052-14)"Non-clinical testing is provided to support the conditional safety of the [Device Name] in the MR environment including assessment of magnetically induced displacement force (ASTM F2052-14)... The non-clinical performance data demonstrate that the subject devices... raise no new questions of safety or efficacy." (Implies the force experienced is within acceptable limits for the specified MR conditions, meaning the device will not pose a hazard due to magnetic attraction).
    Magnetically Induced Torque (ASTM F2213-06)"Non-clinical testing is provided to support the conditional safety of the [Device Name] in the MR environment including assessment of... torque (ASTM F2213-06)... The non-clinical performance data demonstrate that the subject devices... raise no new questions of safety or efficacy." (Implies the torque experienced is within acceptable limits for the specified MR conditions, meaning the device will not rotate or move excessively due to magnetic fields).
    Radiofrequency (RF) Heating (ASTM F2182-11a)"Non-clinical testing is provided to support the conditional safety of the [Device Name] in the MR environment including assessment of... radio frequency (RF) heating (ASTM F2182-11a)... The non-clinical performance data demonstrate that the subject devices... raise no new questions of safety or efficacy." (Implies the heating generated during MR scans is within safe limits for patients with the device).
    Image Artifacts (ASTM F2119-07)"Non-clinical testing is provided to support the conditional safety of the [Device Name] in the MR environment including assessment of... image artifacts (ASTM F2119-07). The non-clinical performance data demonstrate that the subject devices... raise no new questions of safety or efficacy." (Implies that while artifacts may be present (which is typical for metallic implants), they are characterized and deemed acceptable or do not interfere with diagnostic quality in a way that raises new safety or efficacy concerns).

    Note on Acceptance Criteria Interpretation: The document does not provide specific numerical values for the acceptance criteria (e.g., maximum displacement, temperature increase, or artifact size). Instead, it references the ASTM standards, which define the methodologies and acceptable limits for these parameters to classify a device as "MR Conditional." The overarching "reported device performance" is that the devices meet these standards such that they "raise no new questions of safety or efficacy" when exposed to specific MR conditions.


    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 individual devices tested for each metric. It refers to "non-clinical testing" conducted in accordance with ASTM standards. For this type of testing (MR safety of implants), typically a representative sample of each device type, geometry, and material is tested. The number would be determined by the requirements of the specific ASTM standard and often involves multiple samples per test condition.
    • Data Provenance: The data is "non-clinical testing" which implies laboratory testing, not human patient data. Therefore, there is no "country of origin of the data" or "retrospective or prospective" status in the typical clinical study sense. The testing is performed in a controlled laboratory environment.

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

    This section is not applicable to this submission. The "ground truth" for MR Conditional labeling is established by the results of standardized physical tests conducted according to ASTM International standards (ASTM F2052, F2213, F2182, F2119). These are objective measurements, not subjective evaluations requiring expert consensus or clinical "ground truth" labels. The tests are performed by qualified laboratory personnel following the specific test protocols.


    4. Adjudication Method for the Test Set

    This section is not applicable. As the testing involves objective physical measurements against defined standard limits, there is no need for an adjudication method by clinical experts. The results are compared directly to the pass/fail criteria of the ASTM 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 section is not applicable. This submission is for the "MR Conditional" labeling of bone fixation devices, which refers to their safety in a Magnetic Resonance environment. There is no mention or implication of any AI component or human-in-the-loop performance evaluation in the provided text.


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

    This section is not applicable. This submission concerns physical medical devices (bone fixation hardware) and their safety in MR environments, not an algorithm or AI system.


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

    As mentioned in point 3, the "ground truth" here is the objective, measurable physical properties of the devices under simulated MR conditions, determined by adherence to established ASTM International standards for MR safety (F2052, F2213, F2182, F2119). These standards define how to perform the tests and the limits for acceptance for "MR Conditional" labeling.


    8. The Sample Size for the Training Set

    This section is not applicable. There is no "training set" as this submission does not involve machine learning or AI models. The testing described is non-clinical performance testing of physical devices.


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

    This section is not applicable. As there is no training set, there is no ground truth established for one.

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    K Number
    K001941
    Manufacturer
    Date Cleared
    2000-09-22

    (88 days)

    Product Code
    Regulation Number
    888.3030
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Device Name :

    SYNTHES MODULAR FOOT SYSTEM

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use
    Device Description
    AI/ML Overview
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