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510(k) Data Aggregation

    Why did this record match?
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    DePuy Synthes MatrixWAVE MMF System (originally cleared per K141165)
    The DePuy Synthes MatrixWAVE MMF System is indicated for the temporary treatment of mandibular and maxillary fractures and osteotomies in adults and adolescents (age 12 and higher) in whom permanent teeth have erupted.

    DePuy Synthes MatrixMANDIBLE Plate and Screw System (originally cleared per K121574)
    The DePuy Synthes MatrixMANDIBLE Plate and Screw System is intended for oral, maxillofacial surgery:

    • Trauma
    • Reconstructive surgery
    • Orthognathic surgery (surgical correction of dentofacial deformities)

    DePuy Synthes MatrixMANDIBLE Plate and Screw System (originally cleared per K113567)
    The DePuy Synthes MatrixMANDIBLE Plate and Screw System is intended for oral, maxillofacial surgery:

    • Trauma
    • Reconstructive surgery
    • Orthognathic surgery (surgical correction of dentofacial deformities)

    DePuy Synthes Dentoalveolar Bone Fixation System (originally cleared per K102656)
    The DePuy Synthes Dentoalveolar Bone Fixation System is intended for use in non-load bearing applications for maintaining the relative position of and/or containing bony fragments, bone grafts (autograft or allograft), or bone graft substitutes in reconstruction of maxillary and/or mandibular areas, including the dentoalveolar ridge.

    DePuy Synthes MatrixMANDIBLE Subcondylar Plates (originally cleared per K091233)
    The DePuy Synthes MatrixMANDIBLE Subcondylar Plates are intended for oral, maxillofacial surgery; trauma and reconstructive surgery, specifically for fractures of the subcondylar region of the mandible and fractures of the condylar basis region of the mandible.

    DePuy Synthes MatrixMANDIBLE Preformed Reconstruction Plates (originally cleared per K091144)
    The DePuy Synthes MatrixMANDIBLE Preformed Reconstruction Plates are intended for use in oral and maxillofacial surgery, trauma and reconstructive surgery. This includes primary mandibular reconstruction, comminuted fractures and temporary bridging pending delayed secondary reconstruction, including fractures of edentulous and/or atrophic mandibles, as well as unstable fractures.

    DePuy Synthes MatrixORTHOGNATHIC Plating System (originally cleared per K083388)
    The DePuy Synthes MatrixORTHOGNATHIC Plating System is intended for use in selective trauma of the midface and maxillofacial skeleton; maxillofacial surgery; reconstructive procedures; and selective orthognathic surgery of the maxilla, mandible and chin in adolescents (greater than 12 to 21 years of age) and adults. Specific Indications for Use:

    • Fractures of the midface and maxillofacial skeleton
    • LeFort I osteotomies, sagittal split osteotomies and genioplasties
    • Orthognathic surgery including reconstructive procedures

    DePuy Synthes MatrixMANDIBLE Plate and Screw System (originally cleared per K082335)
    The DePuy Synthes MatrixMANDIBLE Plate and Screw System is intended for oral, maxillofacial surgery; trauma; reconstructive surgery; and orthognathic surgery (surgical correction of dentofacial deformities).

    DePuy Synthes Craniofacial Plate and Screw System (originally cleared per K080331)
    The DePuy Synthes Craniofacial Plate and Screw System is intended for use in selective trauma of the midface and maxillofacial skeleton, maxillofacial surgery, reconstructive procedures and selective orthognathic surgery of the maxilla and chin.

    DePuy Synthes MatrixMANDIBLE Plate and Screw System (originally cleared per K063790)
    The DePuy Synthes MatrixMANDIBLE Plate and Screw System is intended for oral, maxillofacial surgery; trauma; reconstructive surgery; and orthognathic surgery (surgical correction of dentofacial deformities).

    DePuy Synthes Craniofacial Plate and Screw System (originally cleared per K050608)
    The DePuy Synthes Craniofacial Plate and Screw System is intended for use in selective trauma of the midface and maxillofacial skeleton; maxillofacial surgery; reconstructive procedures; and selective orthognathic surgery of the maxilla and chin.

    DePuy Synthes Neuro Plate and Screw System (originally cleared per K042365)
    The DePuy Synthes Neuro Plate and Screw System is intended for use in selective trauma of the midface and maxillofacial skeleton; maxillofacial surgery; reconstructive procedures; and selective orthognathic surgery of the maxilla and chin.

    DePuy Synthes 1.3 & 1.5 mm Contourable Titanium (Ti.) Mesh Plates (originally cleared per K033121)
    The DePuy Synthes 1.3 & 1.5 mm Contourable Titanium (Ti.) Mesh Plates are intended for use in selective trauma of the midface and maxillofacial skeleton; maxillofacial surgery; reconstructive procedures; and selective orthognathic surgery of the maxilla and chin.

    DePuy Synthes Orbital Plates (originally cleared per K031761)
    The DePuy Synthes Orbital Plates are intended for use in selective trauma of the midface and maxillofacial skeleton; maxillofacial surgery; reconstructive procedures; and selective orthognathic surgery of the maxilla and chin.

    DePuy Synthes Low Profile Neuro System (originally cleared per K022012)
    The DePuy Synthes Low Profile Neuro System is intended for use in selective trauma of the midfacial skeleton; maxillofacial surgery; reconstructive procedures; and selective orthognathic surgery of the maxilla and chin.

    DePuy Synthes Midface Distractor (Originally cleared per K022005)
    The DePuy Synthes Midface Distractor is intended for use in adult and pediatic populations for the treatment of midface conditions for which reconstructive osteotomy and segment are indicated. This includes conditions such as midfacial retrusion. The device is intended to provide temporary stabilization and gradual lengthening of the midfacial bones.

    DePuy Synthes Translating Maxillary Distractor (Originally cleared per K020505)
    The DePuy Synthes Translating Maxillary Distractor is intended for use in maxillofacial surgery, reconstructive procedures, and selective orthognathic surgery of the maxilla. Specifically it is intended for distraction of the maxilla utilizing a LeFort I osteotomy in adult and pediatric populations.

    DePuy Synthes Midface Distractor (Originally cleared per K010499)
    The DePuy Synthes Midface Distractor is intended for use in adult and pediatic populations for the treatment of midface conditions for which reconstructive osteotomy and segment are indicated. This includes conditions such as midfacial retrusion. The device is intended to provide temporary stabilization and gradual lengthening of the midfacial bones.

    DePuy Synthes Maxillary Distractor (Originally cleared per K003393)
    The DePuy Synthes Maxillary Distractor is intended for use in maxillofacial surgery, reconstructive procedures, and selective orthognathic surgery of the maxilla. Specifically it is intended for distraction of the maxilla utilizing a LeFort I osteotomy in adult and pediatric populations.

    DePuy Synthes Orbital Mesh Plates (Originally cleared per K001311)
    The DePuy Synthes Orbital Mesh Plates for the Midfacial System are indicated for selective trauma of the midface and maxillofacial skeleton; maxillofacial surgery; reconstructive procedures; and selective orthognathic surgery of the maxilla and chin.

    DePuy Synthes 2.0 mm Locking Plate System (2.0 LPS) (originally cleared per K974555)
    The DePuy Synthes 2.0 LPS is intended for oral, maxillofacial surgery: trauma; reconstructive surgery; and orthognathic surgery (surgical correction of dentofacial deformities).

    DePuy Synthes 2.4 mm Universal Locking Plate System (originally cleared per K961421)
    The DePuy Synthes 2.4 mm Universal Locking Plate and screw system, that is intended for mandible trauma and reconstruction procedures.

    DePuy Synthes Mandibular Modular Fixation System (originally cleared per K954385)
    The DePuy Synthes Mandibular Modular Fixation System is a plate and screw system, manufactured from commercially pure titanium, and is intended for use in:

    • Oral, maxillofacial surgery: trauma; surgical correction of dentofacial deformities; reconstructive surgery; and maxillofacial surgery

    DePuy Synthes Maxillofacial Titanium Micro Set (originally cleared per K912932)
    General indications:

    • Maxillofacial surgery
    Device Description

    DePuy Synthes MatrixWAVE MMF is a bone-borne maxillomandibular fixation (MMF) system that consists of wave shaped plates (made from commercially pure Titanium) that are attached to the dental arches with self-drilling locking screws (made from Titanium alloy, Ti-6Al-7Nb). The system is intended for temporary stabilization of mandibular and maxillary fractures and osteotomies to maintain proper occlusion during intraoperative bone fixation and postoperative bone healing (approximately 6-8 weeks). The dental arches are brought into occlusion by wiring around the plate hooks and/or accessible screw heads.

    The DePuy Synthes MatrixMANDIBLE Plate and Screw System consists of a variety of plates offered in multiple shapes and a variety of screws offered in multiple diameters and lengths to meet the anatomical needs of the patient. System implants are manufactured in either titanium or titanium alloy and are intended for single use only. The DePuy Synthes MatrixMANDIBLE screws that are the subject of this premarket notification are made from titanium alloy (Ti-6A1-7Nb) and are available in a diameter of 2.0 mm and lengths ranging from 4 mm to 8 mm, and have a thread pitch of 0.5 mm. These screws work with all plates within the DePuy Synthes MatrixMANDIBLE Plate and Screw System. These devices are offered, non-sterile and must be sterilized prior to use. DePuy Synthes MatrixMANDLBLE screws are intended for single use.

    The DePuy Synthes MatrixMANDIBLE Plate and Screw System consists of a variety of plates offered in multiple shapes and a variety of screws offered in multiple diameters and lengths to meet the anatomical needs of the patient. This submission pertains to 1.5 mm thick MatrixMANDIBLE Reconstruction Plates, which are available as left and right single angle reconstruction plates and in three sizes of double angle reconstruction plates. These plates are made from pure titanium and may be offered sterile or non-sterile (non-sterile implants must be sterilized prior to use). DePuy Synthes MatrixMANDIBLE 1.5 mm thick reconstruction plates are intended for single use only.

    The DePuy Synthes Dentoalveolar Bone Fixation System is a plate, mesh, and screw system intended to be implanted intraorally for use in non-load bearing applications for maintaining the relative position of and/or containing bony fragments, bone grafts (autograft or allograft), or bone graft substitutes in reconstruction of maxillary and/or mandibular areas, including the dentoalveolar ridge. Screws: The System includes 1.3 mm, 1.5 mm, and 2.0 mm diameter cortex screws in lengths from 3 mm to 20 mm. Screws are offered with both self-tapping and self drilling tips. Screws are manufactured from titanium alloy (Ti-6A1-7Nb). Plates and Meshes: The System includes plates and meshes that come in a variety of configurations to accommodate various dentoalveolar defect sites. The plates attach to bone via titanium cortex screws. Plates and meshes are manufactured from commercially pure titanium.

    The DePuy Synthes MatrixMANDIBLE Subcondylar Plates are designed specifically to match the anatomy of the subcondylar region of the mandible. These plates are designed for use with DePuy Synthes MatrixMANDIBLE screws that come in multiple diameters and lengths to meet the anatomical needs of the patient. System components are manufactured in either titanium or titanium alloy and are intended for single use only.

    The DePuy Synthes MatrixMANDIBLE Preformed Reconstruction Plates are anatomically contoured to match the body and angle regions of the mandible in most patients. These plates are designed for use with DePuy Synthes MatrixMANDIBLE screws that come in multiple diameters and lengths to meet the anatomical needs of the patient. System components are manufactured in either titanium alloy and are intended for single use only.

    The DePuy Synthes MatrixORTHOGNATHIC Plating System consists of a variety of plates that come in a variety of shapes and sizes to meet the anatomical needs of the patient. This system is designed for use with DePuy Synthes Matrix screws. System components are manufactured in either titanium or titanium alloy and are intended for single use only.

    The DePuy Synthes MatrixMANDIBLE Plate and Screw System incorporates small, medium and large plates designed so all plates accept all system screws. The plates are available in various shapes and thicknesses and accept self-tapping and self-drilling cortex and locking screws. The implants are manufactured from titanium.

    The DePuy Synthes Orbital Plates, components of the Synthes Craniofacial Plate and Screw System, consist of anatomically shaped orbital plates that come in various sizes and configurations to fit the patient anatomy. These devices are designed for use with DePuy Synthes craniofacial bone screws commercially available in the U.S. System components are manufactured in titanium and are intended for single use only.

    The DePuy Synthes MatrixMANDIBLE Plate and Screw System is the next generation of Synthes (USA) fixation systems for the mandible. The system incorporates small, medium, and large plates designed so that all plates accept all system screws. The plates are available in various shapes and thicknesses, and accept self-tapping cortex and locking screws. The implants are manufactured from CP titanium and titanium alloy.

    The DePuy Synthes Craniofacial Plate and Screw System consist of plates and meshes that come in a variety of shapes and sizes to meet the anatomical needs of the patient. This system is designed for use with 1.8 mm screws and 2.1 mm emergency screws. The screws will be used with Synthes 1.8 mm hexagonal screwdriver blades. System components are manufactured in either titanium or titanium alloy and are intended for single use only.

    DePuy Synthes Neuro Plate and Screw System consists of plates, burr hole covers, and meshes that come in a variety of shapes and sizes to meet the anatomical needs of the patient. This system is designed for use with 1.8 mm screws and 2.1 mm emergency screws. The screws will be used with Synthes 1.8 mm hexagonal screwdriver blades. System components are manufactured in either titanium or titanium alloy and are intended for single use only.

    The DePuy Synthes 1.3 & 1.5 mm Contourable Ti. Mesh Plates come in a variety of shapes and sizes to meet the anatomical need of the patient. The plates are sterile and for single use only.

    The DePuy Synthes Orbital Plates come in a variety of shapes and sizes to meet the anatomical need of the patient. The plates are sterile/non-sterile and for single use only.

    The DePuy Synthes Low Profile Neuro System consists of titaniurn plates, meshes, and screws in a variety of shapes and sizes designed for various maxillofacial procedures.

    The DePuy Synthes Midface Distractor is a maxillofacial distraction device consisting of two telescoping components with attached footplates. The device is intended to be placed subcutaneously with an anterior footplate fastened to the lateral orbital rim, extending down to the maxilla and spanning the zygomaticomaxillary suture; and a posterior footplate fastened to the temporal region of the cranium. The plates are fixed to the bone through unthreaded screw holes using 1.5 mm or 2.0 mm Cortex screws.

    The DePuy Synthes Translating Maxillary Distractor is an intra-oral distraction device. It features a distractor body with two adjustable footplate components, each with contourable legs having screw holes that are fixed to the bone via 2.0 mm or 2.4 mm cortex screws.

    The DePuy Synthes Midface Distractor is a maxillofacial distraction device consisting of two telescoping components with attached footplates. The device is intended to be placed subcutaneously with an anterior footplate fastened to the lateral orbital rim, extending down to the maxilla and spanning the zygomaticomaxillary suture; and a posterior footplate fastened to the temporal region of the cranium. The plates are fixed to the bone through unthreaded screw holes using 1.5 mm or 2.0 mm Cortex screws.

    The DePuy Synthes Maxillary Distractor is an intra-oral distraction device. It features two telescoping components, with contourable legs having screw holes, that are fixed to the bone via 2.0 mm or 2.4 mm cortex screws.

    The DePuy Synthes Orbital Mesh Plates have a semi-circular shape with a radially designed mesh pattern. Orbital Mesh Plates are available in 0.2, 0.3 and 0.4 mm profile thickness. Standard 1.0 mm screw holes positioned along the outer arc of the Orbital Mesh Plate accept 1.0 mm selftapping bone screws and 1.2 mm emergency screws. Synthes Orbital Mesh Plates for the Midfacial System are provided nonsterile.

    The DePuy Synthes 2.0 Locking Plate System consists of five different types of plates and two screws, as follows: 2.0 Straight Locking Plates, 2.0 Crescent Locking Plates, 2.0 Atrophic Locking Plates, 2.0 Reconstruction Locking Plates, 2.0 Specialty Plates (Y- and 1.5 mm and 2.0 mm Self-drilling Locking Screws. The plates feature a threaded screw hole which accepts a locking screw with a mating external thread on the screw head. Engaging these screw threads fixes the screw to the plate thereby reducing the likelihood of screw loosening and improving the screw to plate stability of the implant system.

    The DePuy Synthes 2.4 mm Universal Locking Plate System plates are designed to accept the 2.4 mm – 3.0 mm diameter locking/non-locking screws.

    The DePuy Synthes Mandibular Fixation System is a plate and screw system manufactured from titanium. The plates are available in a variety of shapes and sizes, and attach to bone via 2.0 mm, 2.4 mm or 2.7 mm screws.

    The DePuy Synthes Maxillofacial Titanium Micro set consists of titanium bone plates (shapes include L,Y,H,T, Double-Y, Mesh and Straight) and self-tapping screws.

    AI/ML Overview

    The provided document, K192655, is a 510(k) Premarket Notification for DePuy Synthes Maxillofacial Portfolio - MR Conditional. This type of submission is a declaration from the manufacturer to the FDA that their device is substantially equivalent to a legally marketed predicate device, and it does not typically involve clinical performance studies with acceptance criteria as one would find for novel AI/ML medical devices.

    Instead, the provided document focuses on demonstrating MR Conditional safety for a portfolio of existing maxillofacial bone plates and screw systems that were previously cleared by the FDA. The "acceptance criteria" and "study" described herein relate to non-clinical electromagnetic compatibility (EMC) testing in an MR environment, not clinical performance for diagnostic or therapeutic accuracy of an AI/ML algorithm.

    Therefore, the requested information elements related to AI/ML device performance (e.g., sample size for test set, data provenance, number of experts for ground truth, adjudication methods, MRMC studies, standalone performance, training set details) are not applicable to this specific submission.

    Here's a breakdown of the information that is available and relevant to the document's purpose:


    Acceptance Criteria and Study for MR Conditional Safety (Non-Clinical)

    The submission aims to add "MR Conditional" labeling to a portfolio of maxillofacial devices. This requires demonstrating that the devices are safe for use in a specified MR environment under defined conditions. The "acceptance criteria" for this type of submission are typically based on recognized international consensus standards for testing the MR compatibility of medical devices.

    1. Table of Acceptance Criteria and Reported Device Performance

    The document consistently references the following ASTM standards for non-clinical testing to support MR Conditional safety across all listed devices:

    Acceptance Criteria (based on ASTM Standards)Reported Device Performance (Summary)
    Magnetically Induced Displacement Force: (ASTM F2052-14)Non-clinical testing was conducted to assess magnetically induced displacement force.
    Magnetically Induced Torque: (ASTM F2213-06)Non-clinical testing was conducted to assess magnetically induced torque.
    Radiofrequency (RF) Heating: (ASTM F2182-11a)Non-clinical testing was conducted to assess radio frequency (RF) heating. The DUKE model was used for clinically relevant anatomic positioning, and DUKE results will be used for labeling of RF heating.
    Image Artifacts: (ASTM F2119-07)Non-clinical testing was conducted to assess image artifacts.

    Note: The document states that "Non-clinical testing is provided to support the conditional safety..." for each of these parameters. While it doesn't provide specific quantitative results (e.g., exact temperature rise in °C, or N/A for displacement/torque if deemed safe), the acceptance of the 510(k) by the FDA implies that the results of these tests met the predefined safety thresholds for an MR Conditional designation as per the referenced ASTM standards. The specific numerical results (e.g., maximum temperature rises, displacement forces, etc.) would be detailed in the full test reports submitted to the FDA, which are not part of this public summary.

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

    • Sample Size: For non-clinical MR compatibility testing, the "sample size" refers to the number of device units tested. The document does not specify the exact number of physical devices or models tested for each parameter. However, standard practice for such assessments involves testing representative samples of each device type (plates, screws, meshes, distractors) and material compositions (titanium, titanium alloy) to ensure the portfolio's MR safety.
    • Data Provenance: The data is "non-clinical testing" conducted by the manufacturer (Synthes - DePuy Synthes). The country of origin for the testing itself is not explicitly stated in this summary, but it would typically be conducted in a laboratory setting compliant with relevant international standards. This is retrospective in the sense that the studies were performed specifically to characterize the existing devices for MR compatibility.

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

    • Not Applicable. This is a non-clinical evaluation of physical device properties in an MR environment, not a clinical study involving expert interpretation of medical images or patient outcomes. The "ground truth" for MR safety is established by adherence to recognized ASTM testing standards and the physical properties of the materials and device in situ within the MR scanner, not by human expert consensus or annotations on medical data.

    4. Adjudication Method for the Test Set

    • Not Applicable. As this is non-clinical testing of physical device characteristics, there is no "adjudication" in the sense of resolving discrepancies between human readers or AI outputs. The test results are objective measurements against standard-defined thresholds.

    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 submission is not for an AI-powered device.

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

    • Not Applicable. This submission is not for an AI-powered device.

    7. The Type of Ground Truth Used

    • Physical Measurements against ASTM Standard Thresholds: The "ground truth" for MR Conditional safety is determined by rigorous physical measurements (e.g., temperature changes, displacement forces, torque, observable image artifacts) obtained through standardized testing protocols (ASTM F2052-14, F2213-06, F2182-11a, F2119-07) and comparison against acceptance limits defined by these standards or applicable regulatory guidance. It's about validating the device's behavior in an MR field, not diagnosing a condition. The "DUKE model" for RF heating indicates a high-fidelity computational human body model used for simulating temperature distributions due to RF fields.

    8. The Sample Size for the Training Set

    • Not Applicable. This is not an AI/ML device. There is no "training set" in the context of machine learning.

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

    • Not Applicable. As there is no training set for AI/ML, this question doesn't apply.
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    K Number
    K173039
    Manufacturer
    Date Cleared
    2018-07-10

    (285 days)

    Product Code
    Regulation Number
    872.4760
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K133809, K063790, K080331, K083388, K042365, K053199

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

    The TruMatch CMF Titanium 3D Printed Implant is a patient specific implant and is intended for bone fixation and reconstruction, restoration of bone defects and intended to provide continuity in regions where the bone is missing and/or to augment the bone by means of an onlay device in the maxillofacial skeleton, midface and chin.

    Device Description

    The TruMatch CMF Titanium 3D Printed Implant is a patient specific implant and is intended for bone fixation and reconstruction, restoration of bone defects and intended to provide continuity in regions where the bone is missing and/or to augment the bone by means of an onlay device in the maxillofacial skeleton, midface and chin.

    The implants feature a mesh-like structure. The mesh-like structures are designed with the same elementary pattern. This pattern was designed to obtain implants with mechanical properties close to those of bone and to allow for osseointegration.

    The TruMatch CMF Titanium 3D Printed Implant can be used in combination with TruMatch CMF Titanium 3D Printed Accessories (patient-specific guides), cleared as SurgiCase guides (K103136) and TruMatch CMF Titanium 3D Printed Implant System (K170272). The guides are intended to aid with implant positioning.

    The TruMatch CMF Titanium 3D Printed Implant provides surgeons with a patient-specific implant solution for plastic and reconstructive surgery. The device is constructed based on the patient's CT imaging data.

    The TruMatch CMF Titanium 3D Printed Implant is designed to fit the patient's anatomy and is not contoured manually by the surgeon. The TruMatch CMF Titanium 3D Printed Implant is designed and manufactured with integrated screw holes to fixate the bone using: MatrixMIDFACE (K050608), MatrixMANDIBLE (K063790, K121574), MatrixORTHOGNATHIC (K083388), MatrixNEURO screws (K123723, K042365), and Synthes Craniofacial Screw System (K050608).

    The TruMatch CMF Titanium 3D Printed Implant contains the following applications:

    Reconstruction applications: Orbital
    Brand name: TruMatch CMF Ti 3D-Printed Implants
    Material: Commercially pure titanium
    Type of design: Patient Specific
    Type of application: Implant thickness: 0.4-1.5mm
    Patient specific associated instrument: Orbital guide

    Reconstruction applications: Mandible, midface
    Brand name: TruMatch CMF Ti 3D-Printed Implant
    Material: Commercially pure titanium
    Type of design: Patient Specific
    Range of length: 10-294mm
    Curvature: 0°-12°/mm length
    Type of application: Range of shapes:
    Midface reconstruction: Mesh-shaped, contoured to the patient's anatomy One/multi piece One/multi layered
    Implant thickness: 0.8-10mm
    Patient specific associated instrument: Midface guide
    Mandibular reconstruction: Mesh-shaped, contoured to patient's anatomy Single/double strut Straight Curved/crescent Subcondylar Plated extensions One/multi layered Combinations of the above
    Implant thickness: 1.2-10mm
    Patient specific associated instrument: Mandibular guide

    AI/ML Overview

    This is a 510(k) summary for a medical device called the "TruMatch CMF Titanium 3D Printed Implant" (K173039). The document focuses on demonstrating that this new device is substantially equivalent to existing, legally marketed predicate devices.

    Let's break down the information regarding acceptance criteria and the supporting study, based on the provided text.

    1. Table of Acceptance Criteria and Reported Device Performance

    Since this is a 510(k) submission, the "acceptance criteria" are primarily based on demonstrating performance equivalent to or non-inferior to predicate devices, rather than strict pre-defined numerical thresholds for a novel diagnostic accuracy claim. The performance data presented is focused on various engineering and biological tests.

    Test CategoryAcceptance Criteria (Implied / Stated Goal)Reported Device Performance
    Mechanical Testing (ASTM F382)Equivalent static bending properties and non-inferior fatigue bending properties compared to reference devices.The results indicate that the subject device has equivalent static bending properties and has non-inferior fatigue bending properties compared to the reference devices.
    Sterilization Testing (ISO 17665-1, ISO 14161, ISO 11737-2)Effective steam sterilization to a sterility assurance level (SAL) of 10^-6.The provided sterilization instructions effectively steam sterilize the subject device to a SAL of 10^-6.
    Environmental Conditioning & Simulated Shipping (ISTA 2A)Packaging adequate to protect the device from damage during shipment.The packaging specifications are found to be adequate to protect the device from damage during shipment.
    Compatibility TestingCompatibility with Synthes fixation systems.The subject device is compatible with the Synthes fixation systems.
    Biocompatibility Testing (ISO 10993-5, -10, -11, -17, -18)No cytotoxic effect, compliance with irritation and sensitization requirements, negative systemic toxicity, no toxicological concern from leachable substances.- Cytotoxicity: No cytotoxic effect.
    • Sensitization: In compliance with ISO 10993-10 guidelines.
    • Intra-cutaneous reactivity: In compliance with ISO 10993-10 guidelines.
    • Systemic toxicity: Test passed and considered negative.
    • Chemical characterization: As per report.
    • Leachable substances: No toxicological concern remains, further biological testing not justified. |

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

    The provided document describes testing for a physical implant, not an AI/ML device that would typically have a "test set" of data. Therefore, the concepts of "sample size used for the test set" and "data provenance (e.g., country of origin of the data, retrospective or prospective)" are not applicable in this context. The "test set" here refers to the physical devices (implants, packaging, materials) that were subjected to the various engineering and biological tests. The document does not specify the exact number of implants or material samples tested for each category (e.g., how many implants for mechanical testing).

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

    This section is not applicable as the document describes a physical medical device (implant) and its performance through engineering and biological testing, not a diagnostic or AI/ML device requiring expert-established ground truth. The "ground truth" for these types of tests is generally defined by the standards themselves (e.g., ASTM F382, ISO 10993 series), which specify acceptable performance limits.

    4. Adjudication Method for the Test Set

    This is not applicable for the same reasons as points 2 and 3. Adjudication methods like 2+1 or 3+1 are used in scenarios where multiple human readers assess a case and their interpretations need to be reconciled, typically in AI/ML performance studies.

    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

    An MRMC comparative effectiveness study is not applicable as this document describes a physical medical implant, not an AI medical device.

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

    A standalone performance study of an algorithm is not applicable as this document describes a physical medical implant, not an AI medical device.

    7. The Type of Ground Truth Used

    The "ground truth" for the tests performed on the TruMatch CMF Titanium 3D Printed Implant is based on:

    • Established Industry Standards and Specifications: For mechanical properties (ASTM F382) and biocompatibility (ISO 10993 series), the acceptance criteria are defined by these internationally recognized standards.
    • Sterility Assurance Levels (SAL): For sterilization, the ground truth is a demonstrated SAL of 10^-6, which is a standard regulatory requirement.
    • Functional Compatibility: For compatibility with fixation systems, the ground truth is that the device works with the specified Synthes systems.

    8. The Sample Size for the Training Set

    This is not applicable as the document describes a physical medical implant, not an AI medical device that requires a "training set." The implants are patient-specific and manufactured based on individual patient CT scan data, but this is a manufacturing process, not a machine learning training process.

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

    This is not applicable for the same reasons as point 8.

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    K Number
    K091686
    Date Cleared
    2009-11-13

    (157 days)

    Product Code
    Regulation Number
    888.3040
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K021850, K042365

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

    This device is intended for use in selective trauma of the mid-face and craniofacial skeleton; craniofacial surgery; reconstructive procedures; and selective orthognathic surgery of the maxilla and chin.

    Device Description

    The LeForte Neuro system bone screw is made of Titanium alloy (ASTM F136) and consists of common bone screw, self-drilling screw (auto screw & NS auto screw). The common bone screws are classified to 4 classes: Micro screw, Mini screw, Mini screw, Maxi screw. And the auto screws (self-drilling screws) are divided to 3 classes; Micro auto, Mini auto screws. Additionally, the NS auto screws are divided to 2 classes. This device is manufactured and intended for use in selective trauma of the mid-face and craniofacial skeleton; craniofacial surgery; reconstructive procedures; selective orthognathic surgery of the maxilla and chin.

    AI/ML Overview

    Here's an analysis of the provided text regarding the acceptance criteria and supporting study for the LeForte Neuro System Bone Screw.

    Based on the provided 510(k) summary, this document is a premarket notification for a new medical device, the LeForte Neuro System Bone Screw. For 510(k) submissions, the primary method for demonstrating safety and effectiveness is to show substantial equivalence to a predicate device already legally marketed. This typically does not involve conducting a new clinical study with acceptance criteria in the same way one might for a PMA (Pre-Market Approval) submission. Instead, the focus is on comparing the new device to existing ones based on design, materials, intended use, and performance characteristics.

    Therefore, the concept of "acceptance criteria" and a "study that proves the device meets the acceptance criteria" in the traditional sense of a clinical trial with specific performance endpoints is not directly applicable here. The "study" done is a comparative analysis demonstrating substantial equivalence.

    1. Table of Acceptance Criteria and Reported Device Performance

    Since this is a 510(k) for substantial equivalence, the "acceptance criteria" are not quantitative performance metrics in a clinical study but rather a demonstration that the new device is as safe and effective as the predicate devices. The performance is demonstrated by comparing its characteristics to those of the predicate devices.

    Acceptance Criteria (Demonstration of Substantial Equivalence)Reported Device Performance (LeForte Neuro System Bone Screw)
    Intended Use (Same as predicate)Intended for use in selective trauma of the mid-face and craniofacial skeleton; craniofacial surgery; reconstructive procedures; selective orthognathic surgery of the maxilla and chin.
    Technological Characteristics (Similar to predicate)Made of Titanium alloy (ASTM F136). Consists of common bone screws (Micro, Mini, Mini, Maxi) and self-drilling screws (Micro auto, Mini auto). Similar dimensions and characteristics to predicate.
    Material (Same as predicate)Titanium Alloy (ASTM F136)
    Safety and Effectiveness (As safe and effective as predicate)Potential adverse effects are identical to those of the predicate device. Manufactured using state-of-the-art technology, complying with MDD(93/42/EEC) and ISO 14630:1997.
    Classification (Same as predicate)Class II (21 CFR 872.4880) - Screw, Fixation, Intraosseous
    Single Use (Same as predicate)Single Use

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

    For a 510(k) submission based on substantial equivalence, there isn't a "test set" of clinical data in the traditional sense with a specific sample size. The evidence is primarily based on:

    • Engineering and Material Testing: While not explicitly detailed in the provided summary, such submissions typically include mechanical testing (e.g., tensile strength, fatigue testing, torque strength) of the device to ensure it meets relevant ASTM/ISO standards and performs comparably to or better than predicate devices. The "sample size" for these tests would refer to the number of devices tested, which isn't provided here.
    • Comparison to Predicate Devices: The "data" provenance is the information available about the predicate devices (Synthes (USA) 1.3mm Craniofacial Screws - K021850 and Synthes (USA) Neuro Plate & Screw System - K042365), which are already FDA-cleared and on the market. This is retrospective information from existing devices. The country of origin for the predicate devices (Synthes (USA)) indicates the US; the new device is from Jeil Medical Corporation in South Korea.

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

    This is not applicable to a 510(k) substantial equivalence submission. Ground truth (e.g., clinical outcomes, imaging interpretations) from experts is typically part of a clinical trial for novel devices where substantial equivalence cannot be established through non-clinical means.

    4. Adjudication Method for the Test Set

    Not applicable to a 510(k) substantial equivalence submission, as there is no clinical test set requiring adjudication in this context.

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

    No, an MRMC comparative effectiveness study was not done. These types of studies involve human readers evaluating cases, often with and without AI assistance, to measure diagnostic performance. This is typically relevant for diagnostic imaging devices, not for an intraosseous fixation screw.

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

    Not applicable. The device is a mechanical bone screw, not an algorithm or AI system.

    7. The Type of Ground Truth Used

    The "ground truth" in a 510(k) substantial equivalence submission is the established safety and effectiveness profile of the predicate devices. The new device's design, materials, and intended use are compared against these known, legally marketed predicates. This is implicitly based on:

    • Regulatory clearance: The predicate devices have already been found safe and effective by the FDA.
    • Material standards: Adherence to standards like ASTM F136 for titanium alloy.
    • Performance standards: Implicit mechanical performance expectations for bone screws.

    8. The Sample Size for the Training Set

    Not applicable. There is no concept of a "training set" for this type of medical device submission. This term is relevant for machine learning algorithms.

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

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

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