SYNTHES (USA) CALVICLE HOOK PLATE

K031677 · Synthes (Usa) · HRS · Aug 21, 2003 · Orthopedic

Device Facts

• Record ID: K031677
• Device Name: SYNTHES (USA) CALVICLE HOOK PLATE
• Applicant: Synthes (Usa)
• Product Code: HRS · Orthopedic
• Decision Date: Aug 21, 2003
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 888.3030
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

Intended for fixation of lateral clavicle fractures and dislocations of the acromioclavicular joint.

Device Story

Synthes Clavicle Hook Plate is an anatomically designed L-shaped metallic bone fixation plate; features distal joint-bridging hook with rounded end. Shaft contains dynamic compression screw holes or LCP (locking compression plate) holes. Device accepts 3.5 mm cortex, 4.0 mm cancellous, and 3.5 mm locking screws. Used by surgeons in clinical settings for internal fixation of clavicle fractures and AC joint dislocations. Provides mechanical stabilization of bone segments to facilitate healing.

Clinical Evidence

No clinical data provided; substantial equivalence is based on design and material characteristics.

Technological Characteristics

Materials: 316L Stainless Steel and Titanium. Design: L-shaped plate with distal hook. Fixation: Accepts 3.5 mm cortex, 4.0 mm cancellous, and 3.5 mm locking screws. Mechanical bone fixation appliance.

Indications for Use

Indicated for patients requiring fixation of lateral clavicle fractures and acromioclavicular joint dislocations.

Regulatory Classification

Identification

Single/multiple component metallic bone fixation appliances and accessories are devices intended to be implanted consisting of one or more metallic components and their metallic fasteners. The devices contain a plate, a nail/plate combination, or a blade/plate combination that are made of alloys, such as cobalt-chromium-molybdenum, stainless steel, and titanium, that are intended to be held in position with fasteners, such as screws and nails, or bolts, nuts, and washers. These devices are used for fixation of fractures of the proximal or distal end of long bones, such as intracapsular, intertrochanteric, intercervical, supracondylar, or condylar fractures of the femur; for fusion of a joint; or for surgical procedures that involve cutting a bone. The devices may be implanted or attached through the skin so that a pulling force (traction) may be applied to the skeletal system.

Predicate Devices

• Synthes Small T-Plate
• Synthes LCP T-Plate
• Howmedica Bosworth Screw

Submission Summary (Full Text)

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AUG 2 1 2003

# 3. 510(k) Summary:

| Sponsor | Synthes (USA)<br>1690 Russell Road<br>Paoli, PA 19301<br>[phone] |
|-------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact | Bonnie Smith |
| Device Name | Synthes (USA) Clavicle Hook Plate |
| Device Classification | 21 CFR 888.3030 - Single/multiple component metallic bone<br>fixation appliance and accessories |
| Predicate Device | Synthes Small T- Plate, Synthes LCP T-Plate and Howmedica's<br>Bosworth Screw |
| Description of Device | Synthes Clavicle Hook Plate is an anatomically designed L-shaped<br>plate featuring a distal joint bridging hook with a rounded end.<br>The shaft of the plate contains either dynamic compression screw<br>holes or LCP plate holes. The plates accept 3.5 mm cortex, 4.0 mm<br>cancellous and 3.5 mm locking screws (LCP Clavicle Hook Plate<br>only). |
| Indications | Intended for fixation of lateral clavicle fractures and dislocations of<br>the acromioclavicular joint |
| Material | 316L Stainless Steel<br>Titanium |
| Substantial Equivalence | Documentation is provided which demonstrates that the Synthes<br>Clavicle Hook Plate is substantially equivalent* to other legally<br>marketed Synthes devices. |
| | * The term "substantial equivalence" as used in this 510(k)<br>notification is limited to the definition of substantial equivalence<br>found in the Food, Drug and Cosmetic Act, as amended and as<br>applied under 21 CFR 807, Subpart E, under which a device can be<br>marketed without pre-market approval or reclassification. A<br>determination of substantial equivalency under this notification is<br>not intended to have any bearing whatsoever on the resolution of<br>patent infringement suits or any other patent matters. No<br>statements related to, or in support of substantial equivalence<br>herein shall be construed as an admission against interest under the<br>US Patent Laws or their application by the courts. |

CONFIDENTIAL

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Image /page/1/Picture/1 description: The image is a seal for the Department of Health & Human Services - USA. The seal is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the seal is an abstract image of an eagle with its wings spread.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

# AUG 2 1 2003

Ms. Bonnie J. Smith Senior Regulatory Affairs Associate Synthes (USA) 1690 Russell Road P.O. Box 1766 Paoli, Pennsylvania 19301

Re: K031677

Trade/Device Name: Synthes Clavicle Hook Plate Regulation Numbers: 21 CFR 888.3030 Regulation Names: Single/multiple component metallic bone fixation appliances and accessories Regulatory Class: II Product Codes: HRS Dated: May 29, 2003 Received: May 30, 2003

Dear Ms. Smith:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set

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Page 2 – Ms. Bonnie J. Smith

forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

Mark A. Melleuson

Celia M. Witten, Ph.D., M.D. Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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#### 2. Indications for Use

Page 1 of 1

| 510(k) Number (if known): | K031677 |
|---------------------------|---------------------------------------------------------------------------------------------------------|
| Device Name: | Synthes Clavicle Hook Plate |
| Indications for Use: | Intended for fixation of lateral clavicle fractures and dislocations of<br>the acromioclavicular joint. |

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### Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use (Per 21 CFR 801.109)

OR Over-The-Counter Use
Mark n Millerm

(Division Sign-C I) Division of Gene al, Restorative and Neurological Devices

510(k) Number K031677
CONFIDENTIAL 90004

Premarket Notification 510(k) Synthes (USA) Clavicle Hook Plate