ORTHOPEDIATRICS PEDIPLATES SYSTEM

K081407 · OrthoPediatrics Corp. · HRS · Jul 22, 2008 · Orthopedic

Device Facts

• Record ID: K081407
• Device Name: ORTHOPEDIATRICS PEDIPLATES SYSTEM
• Applicant: OrthoPediatrics Corp.
• Product Code: HRS · Orthopedic
• Decision Date: Jul 22, 2008
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 888.3030
• Device Class: Class 2
• Attributes: Therapeutic, Pediatric

Intended Use

The OrthoPediatrics PediPlate system is used for adult and pediatric patients as indicated for pelvic, small and long bone fractures. Indications for use include fractures of the tibia, fibula, femoral condyle, pelvis, acetabulum, metacarpals, metatarsals, humerous, ulna, middle hand and middle foot bones, treatment of the calcaneal; hip arthodesis, and provisional hole fixation; as well as for redirecting the angle of growth of long bones. This is useful for gradually correcting angular deformities in growing children. Specific pediatric conditions/diseases for which the devices will be indicated include: - Valgus, varus, or flexion, extension deformities of the knee (femur and/or tibia) . - Valgus, varus, or plantar flexion deformities of the ankle . - Valgus or varus deformities of the elbow (humerus) . - Radial or ulnar deviation, flexion or extension deformities of the wrist (radius) .

Device Story

System consists of contoured, low-profile metallic plates (O, I, and H-plates) and screws (cortical and cannulated) for pediatric and adult bone fixation. Plates feature central alignment marks for radiographic placement relative to growth plates. Used by surgeons in clinical settings to provide immediate stability and temporary fixation during bone healing or to redirect long bone growth in children. Output is physical stabilization of bone segments; clinical decision-making relies on surgeon assessment of fracture or deformity. Benefits include gradual correction of angular deformities and stabilization of fractures.

Clinical Evidence

No clinical data provided; bench testing only.

Technological Characteristics

Manufactured from 316L stainless steel meeting ASTM F138 or ASTM F139. System includes plates (O, I, H-profiles) and screws (cortical/cannulated). Mechanical fixation device; no software or electronic components.

Indications for Use

Indicated for adult and pediatric patients with pelvic, small, and long bone fractures (tibia, fibula, femoral condyle, pelvis, acetabulum, metacarpals, metatarsals, humerus, ulna, middle hand/foot bones, calcaneal), hip arthrodesis, provisional hole fixation, and angular deformity correction in growing children (knee, ankle, elbow, wrist).

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

• Guided Growth Plate (K031493)
• TC-100 Plating and Screw System (K993106)
• PediPlate TM Plating System (K073344)
• Distal Tibia T-Plates (K080522)

Submission Summary (Full Text)

{0}------------------------------------------------

## JUL 2 2 2008

### SUMMARY OF SAFETY AND EFFECTIVENESS

| NAME OF FIRM: | OrthoPediatrics, Corp.<br>210 N. Buffalo Street<br>Warsaw, Indiana 46580<br>Establishment Registration No.: 9102640 |
|-----------------|---------------------------------------------------------------------------------------------------------------------|
| 510(K) CONTACT: | Gary Barnett<br>VP-Regulatory, Engineering & Operations<br>Tel: [phone]<br>Fax: [phone] |
| TRADE NAME: | OrthoPediatrics PediPlatesTM System |
| COMMON NAME: | Plate, Fixation, Bone |
| CLASSIFICATION: | Single/multiple component metallic bone fixation<br>appliances and accessories: Class II per 21 CFR<br>§888.3030 |

DEVICE PRODUCT CODE(S): HRS and HWC

#### SUBSTANTIALLY EQUIVALENT DEVICES:

- Guided Growth Plate (K031493), Marketed by Orthofix .
- TC-100 Plating and Screw System (K993106), Smith & Nephew .
- PediPlate TM Plating System (K073344), OrthoPediatrics .
- Distal Tibia T-Plates (K080522), Synthes .

#### DEVICE DESCRIPTION:

The two and four-hole plates feature a contoured mid-section and low profile for pediatric use. There is an alignment mark in the center of the O and I-Plates to aid accurate placement of the device relative to the growth plate that is localized radiographically. The plates are available in various sizes to accommodate variations in bone size and geometry. The plate is transfixed to bone using two to four screws, depending on which plate is selected.

- Materials: The devices are manufactured from 316L stainless steel, which meet . ASTM F138 or ASTM F139.
- . Function: The system functions to provide immediate stability and temporary fixation during the natural healing process.

The OrthoPediatrics PediPlate ™ System is intended for use in the treatment of pelvic, small and long bone fractures, as well as deformity corrections of pediatric patients' long

{1}------------------------------------------------

bones, which includes osteotomies and redirecting the angle of growth of children's long bones. The system includes cortical and cannulated screws, and specialty plates, referred to as O, I, and H -Plates.

#### INDICATIONS FOR USE:

The OrthoPediatrics PediPlate system is used for adult and pediatric patients as indicated for pelvic, small and long bone fractures. Indications for use include fractures of the tibia, fibula, femoral condyle, pelvis, acetabulum, metacarpals, metatarsals, humerous, ulna, middle hand and middle foot bones, treatment of the calcaneal; hip arthodesis, and provisional hole fixation; as well as for redirecting the angle of growth of long bones. This is useful for gradually correcting angular deformities in growing children.

Specific pediatric conditions/diseases for which the devices will be indicated include:

- Valgus, varus, or flexion, extension deformities of the knee (femur and/or tibia) .
- Valgus, varus, or plantar flexion deformities of the ankle .
- Valgus or varus deformities of the elbow (humerus) .
- Radial or ulnar deviation, flexion or extension deformities of the wrist (radius) .

#### BASIS FOR SUBSTANTIAL EQUIVALENCE:

OrthoPediatrics believes that this system is substantially equivalent to the legally marketed predicate devices based on similarities in design, materials, and indications.

{2}------------------------------------------------

Image /page/2/Picture/2 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with its wings spread, and the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the eagle. The eagle is facing to the right, and its wings are composed of three thick lines. The text is in all capital letters and is evenly spaced around the circle.

# FEB 19 2009

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

OrthoPediatrics, Corporation % Mr. Gary Barnett Vice President, Regulatory, Engineering & Operations 210 N. Buffalo Street Warsaw, Indiana 46580

Re: K081407 Trade/Device Name: OrthoPediatrics PediPlates™ System Regulation Number: 21 CFR 888.3030 Regulation Name: Single/multiple component metallic bone fixation appliances and accessories Regulatory Class: Class II Product Code: HRS, HWC, OBT Dated: May 14, 2008 Received: May 19, 2008

Dear Mr. Barnett:

This letter corrects our substantially equivalent letter of July 22, 2008.

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 (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 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.

{3}------------------------------------------------

Page 2 - Mr. Gary Barnett

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.

This letter will allow you to continue 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 Milken

Mark N. Melkerson Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

{4}------------------------------------------------

## Indications for Use Statement

510(k) Number (if known): K081407

#### Device Name: OrthoPediatrics Plating System

The OrthoPediatrics PediPlate system is used for adult and pediatric patients as indicated for pelvic, small and long bone fractures. Indications for use include fractures of the tibia, fibula, femoral condyle, pelvis, acetabulum, metacarpals, metatarsals, humerous, ulna, middle hand and middle foot bones, treatment of the calcaneal; hip arthodesis, and provisional hole fixation; as well as for redirecting the angle of growth of long bones. This is useful for gradually correcting angular deformities in growing children.

Specific pediatric conditions/diseases for which the devices will be indicated include:

- . Valgus, varus, or flexion, extension deformities of the knee (femur and/or tibia)
- Valgus, varus, or plantar flexion deformities of the ankle .
- Valgus or varus deformities of the elbow (humerus) ●
- Radial or ulnar deviation, flexion or extension deformities of the wrist (radius) .

Prescription Use _____________________________________________________________________________________________________________________________________________________________

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Mark N. Milken

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

**510(k) Number** K081407

Page 1 of 1