HUMERAL HEAD PLATE WITH ANGULAR STABILITY

K051412 · I.T.S. Implantat-Technologie-Systeme GmbH · HRS · Jul 11, 2005 · Orthopedic

Device Facts

• Record ID: K051412
• Device Name: HUMERAL HEAD PLATE WITH ANGULAR STABILITY
• Applicant: I.T.S. Implantat-Technologie-Systeme GmbH
• Product Code: HRS · Orthopedic
• Decision Date: Jul 11, 2005
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 888.3030
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The I.T.S. Humeral Head Plate with Angular Stability is used to stabilize fracture(s) of the proximal humerus bone in the shoulder.

Device Story

The I.T.S. Humeral Head Plate with Angular Stability is a bone fixation system designed for proximal humerus fractures. The device consists of a low-profile titanium plate (available in 4, 6, and 8-hole configurations) and cancellous self-tapping stabilization screws. It is intended for use by surgeons in a clinical or surgical setting to stabilize bone fragments, facilitating healing in cases of fractures, dislocations, osteotomies, or non-unions. The angular stability feature provides mechanical support to the bone, which is particularly beneficial in osteopenic bone where traditional fixation may be less effective. The surgeon implants the device to provide rigid internal fixation, allowing for anatomical alignment and stabilization of the proximal humerus.

Clinical Evidence

No clinical data provided; bench testing only.

Technological Characteristics

Materials: CP titanium (ASTM F 67-00) for plates; 6-4 alloyed titanium (ASTM F 136-02) for screws. Surface treatment: TIODIZE Type II. Design: Low-profile, universal left/right plate (4, 6, 8 holes) with angular stability mechanism. Energy source: None (mechanical). Sterilization: Not specified.

Indications for Use

Indicated for fracture fixation of the proximal humerus in the shoulder, including fracture dislocations, osteotomies, and non-unions, particularly in patients with osteopenic bone.

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 LCP Proximal Humerus Plates (K041860 & K011815)
• Hand Innovations Shoulder Fixation System (K042059)
• Arthrex Humeral Fracture Plates and Screws (K041965)
• DePuy ACE TIMAX® Meta Plate (K983853)
• ACE Humerus & Radius Plates (K955472)

Submission Summary (Full Text)

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K05/4/2

## JUL 1 1 2005

#### 510(k) Summary of Safety and Effectiveness Section XII:

### SAFE MEDICAL DEVICES ACT OF 1990 510(k) Summary

| NAME OF FIRM: | I.T.S. Impiantat-Technologie-Systeme GmbH.<br>Autal 28.<br>Lassnitzhoehe A-8301<br>AUSTRIA |
|-----------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 510(k) FIRM CONTACT: | Al Lippincott<br>Engineering Consulting Services, Inc.<br>3150 E. 200th St.<br>Prior Lake, MN 55372 |
| TRADE NAME: | Humeral Head Plate with Angular Stability |
| COMMON NAME: | Bone Plate System |
| CLASSIFICATION: | Plate, Fixation, Bone |
| | (see 21 CRF, Sec. 888.3030). |
| DEVICE PRODUCT CODE: HRS | |
| SUBSTANTIALLY<br>EQUIVALENT DEVICES | Synthes LCP Proximal Humerus Plates (K041860 & K011815)<br>Hand Innovations Shoulder Fixation System (K042059)<br>Arthrex Humeral Fracture Plates and Screws (K041965)<br>DePuy ACE TIMAX® Meta Plate (K983853)<br>ACE Humerus & Radius Plates (K955472) |
| DEVICE DESCRIPTION: | The I.T.S. Humeral Head Plate with Angular Stability is a low-<br>profile universal left and right titanium 4, 6, and 8 hole plate with<br>various length cancellous self-tapping stabilization screws. The<br>humeral head plate is made from CP titanium according to ASTM<br>F 67-00 and the screws are made from 6-4 alloyed titanium<br>according to ASTM F 136-02. The plate and screws are surface<br>conditioned with a TIODIZE, Type II preparation. |
| INTENDED USE: | The I.T.S. Humeral Head Plate with Angular Stability is used to<br>stabilize fracture(s) of the proximal humerus bone in the shoulder. |
| BASIS OF SUBSTANTIAL<br>EQUIVALENCE: | The I.T.S. Humeral Head Plate with Angular Stability is<br>substantially equivalent to the Synthes, Hand Innovations, Arthrex,<br>and DePuy ACE proximal humerus bone plate systems. |
| SUMMARY OF SAFETY<br>AND EFFECTIVENESS: | The I.T.S. Claviculplate with Angular Stability is shown to be safe<br>and effective for use in fracture fixation of the proximal humerus<br>in the shoulder. |

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Image /page/1/Picture/2 description: The image is a circular seal or logo. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged around the top half of the circle. Inside the circle is a stylized symbol consisting of three curved lines that resemble a person's profile or a wave-like design. The image is in black and white.

JUL 1 1 2005

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

I.T.S. Implantat-Technologie-Systeme GmbH C/o Mr. Al Lippincott U.S. Agent and Official Correspondent. Engineering Consulting Services Incorporated 3150 E. 200th Street Prior Lake, Minnesota 55372

Re: K051412

K031412
Trade/Device Name: Humeral Head Plate with Angular Stability Regulation Number: 21 CFR 888.3030 Regulation Name: Single/multiple component metallic bone fixation appliances and appliance Regulatory Class: II Product Code: HRS Dated: May 25, 2005 Received: May 31, 2005

Dear Mr. Lippincott:

We have reviewed your Section 510(k) premarket notification of intent to market the indicati We have reviewed your Section 910(tr) prematice is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate for use stated in the encrosule) to regally manated to fithe Medical Device Amendments, or to commerce prior to May 28, 1776, the enaounce with the provisions of the Federal Food. Drug, devices that have been reciassified in accordance will of a premarket approval application (PMA).
and Cosmetic Act (Act) that do not require approval of a premarket approval and Cosment Act (Act) that to not require approval controls provisions of the Act. The Act. The You may, therefore, market the device, salgoer to the general registration, listing of
general controls provisions of the Act include requirements for annual registration an general controls of the rice list. Increases of the start of the adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), If your device is classified (see above) into .. Existing major regulations affecting your device. EDA if may be subject to such additional controls: Extreman, Title 21, Parts 800 to 898. In addition, FDA can be found in the Code of Feasta. Rogerming your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean Please be advised that FDA s issualled of a succession complies with other requirements of the Act
that FDA has made a determination that your device complies of the May must that FDA has made a decemination and regulations administered by other Federal and light or any Federal statures and regulations daminities to: registration and listing (21 little comply with all the Act STEquilements, moradian and manufacturing practice requirements as set CFR Part 807), labeling (21 CFR Part 800); good manaxt 820); and if applicable, the electronic
forth in the quality systems (QS) regulation (21 CFR 1000) 11 CFR 1000 1050 forth in the quality systems (QD) regulation (Sections 531-542 of the Act); 21 CFR 1000-1050.
Product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-

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### Page 2 – Mr. Al Lippincott

This letter will allow you to begin marketing your device as described in your Section 510(k) I ms letter will anow you to oegin manieans your antial equivalence of your device to a legally premarket notification. "The PDT Inturing of booses on the spermits 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 If you desire specific advice for your act [phone] . Also, please note the regulation entitled, Comaci the Office of Compuner an (21 transmit (21CFR Part 807.97). You may obtain Misoraliung by relevelee to promanson ibilities under the Act from the Division of Small other general information on your responser Assistance at its toll-free number (800) 638-204, or Manufacturers, international and Oolisanhttp://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

A

Miriam C. Provost, Ph.D. Acting Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Implant-Technology-Systems GmbH

Geschäftsführende Gesellschafterin: Dr. Eva Ruprechter

Tel ++43 (0)316 211 21 0 Fax ++43 (0)316 211 21 20 [e-mail]

# Indications for Use

| 510(k) NUMBER: | ____________________________ |
|----------------------|------------------------------|
| DEVICE NAME: | HUMERAL HEAD PLATE |
| | WITH ANGULAR STABILITY |
| INDICATIONS FOR USE: | |

The I.T.S. Humeral Head Plate with Angular Stability is a titanium implant fracture fixation system for stabilizing fractures of the proximal humerus in the shoulder.

Indications for Use include fracture and fracture dislocations, osteotomies, and non-unions of the proximal humerus, particularly in osteopenic bone.

Prescription Use

AND/OR

Over-The-Counter-Use __

(Per 21 CFR 801 Subpart D)

(21 CFR 801 Subpart C)

(Please Do NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Stupt Churde

Divisions of Comerals Restitute Profitistion (ODE) and Neurological Devices

510(k) Numb