SYNTHES 4.0 MM ADJUSTABLE CLAMP FOR DISTAL RADIUS FIXATOR-MR SAFE

K031973 · Synthes (Usa) · LXT · Sep 5, 2003 · Orthopedic

Device Facts

• Record ID: K031973
• Device Name: SYNTHES 4.0 MM ADJUSTABLE CLAMP FOR DISTAL RADIUS FIXATOR-MR SAFE
• Applicant: Synthes (Usa)
• Product Code: LXT · Orthopedic
• Decision Date: Sep 5, 2003
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 888.3030
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

Synthes 4.0 Adjustable Clamp for Distal Radius Fixator -MR Safe is part of a construct intended for the stabilization of fractures of the distal radius.

Device Story

The Synthes 4.0 mm Adjustable Clamp for Distal Radius Fixator - MR Safe is a component of an external fixation system used to stabilize distal radius fractures. The system consists of pins (Schanz screws) inserted into the bone proximally and distally to the fracture site, connected by an external bridging frame. This frame includes two 4.0 mm adjustable clamps, a carbon fiber rod, and two protective end caps. The device is designed to be safe for use in the MR environment. It is intended for use by clinicians in a surgical or clinical setting to provide fracture stabilization, aiding in the healing process.

Clinical Evidence

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

Technological Characteristics

Materials include stainless steel, titanium alloy, and cobalt alloy. The device is a mechanical clamp used as part of an external fixation frame. It is designed for MR safety.

Indications for Use

Indicated for the stabilization of fractures of the distal radius.

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 4.0 mm Adjustable Clamp for Distal Radius Fixator

Submission Summary (Full Text)

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## SEP - 5 2003

Ko31973

## Page ____ 1 3.0 510(k) Summary Synthes (USA) Sponsor: 1690 Russell Road Paoli, PA 19301 [phone] Bonnie Smith Contact: Device Name: Synthes 4.0 mm Adjustable Clamp for Distal Radius Fixator - MR Safe Classification: Class II, 21 CFR 888.3030: "Single/multiple component bone fixation appliances and accessories." Predicate Device: Synthes 4.0 mm Adjustable Clamp for Distal Radius Fixator Synthes Distal Radius Fixator consists of frame elements that form a Device Description: construct intended to treat fractures of the distal radius. The Distal Radius Fixator provides stabilization of fractures via pins (Schanz screws) inserted proximally and distally to a fracture and connected by an external bridging frame consisting of two 4.0 mm Adjustable Clamps, a carbon fiber rod and two protective end caps. This device is intended for use in the MR environment. The Distal Radius Fixator is available as a complete sterile assembly or as individual, nonsterile components. Intended for the stabilization of fractures of the distal radius. Intended Use: Clamps - Stainless steel, titanium alloy and cobalt alloy Materials: Substantial Documentation is provided which demonstrates that the Synthes 4.0 mm Equivalence: Adjustable Clamp for Distal Radius Fixator -MR Safe is substantially equivalent to other legally marketed Synthes devices.

CONFIDENTIAL

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Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized image of an eagle with three stripes representing the agency's mission. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" are arranged in a circular pattern around the eagle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

SEP - 5 2003

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

Re: K031973

Trade/Device Name: Synthes 4.0 mm Adjustable Clamp for Distal Radius Fixator -- MR Safe

Regulation Number: 21 CFR 888.3030 Regulation Name: Single/multiple component metallic bone fixation appliances and accessories Regulatory Class: II Product Code: LXT Dated: June 25, 2003 Received: June 26, 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 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.

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Page 2 - Ms. Bonnie J. Smith

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 N. Milkersen

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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## 2.0 Indications for Use Statement

Page __ 1 ____ of ____________________________________________________________________________________________________________________________________________________________

K031973

510(k) Number (if known):

DEVICE NAME:-

Synthes 4.0 mm Adjustable Clamp for Distal Radius Fixator - MR Safe

INDICATIONS:

Synthes 4.0 Adjustable Clamp for Distal Radius Fixator -MR Safe is part of a construct intended for the stabilization of fractures of the distal radius.

Mark N Milliken

(Division Sign-Off) Division of General, Restorative and Neurological Devices

510(k) Number K031973

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Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use (Per 21 CFR 801.109) OR

CONFIDENTIAL

Over-the-Counter Use

Premarket Notification 510(k): Synthes (USA) 4.0 mm Adjustable Clamp for Distal Radius Fixator - MR Safe 0004