ENSPLINTCMX CLAVICLE PIN

K081832 · Sonoma Orthopedic Products, Inc. · HSB · Oct 10, 2008 · Orthopedic

Device Facts

• Record ID: K081832
• Device Name: ENSPLINTCMX CLAVICLE PIN
• Applicant: Sonoma Orthopedic Products, Inc.
• Product Code: HSB · Orthopedic
• Decision Date: Oct 10, 2008
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 888.3020
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The ENSPLINTCMx™ Clavicle Pin is intended to be used to repair an acute fracture, mal-union or non-union of the clavicle.

Device Story

The EnsplintCMx™ Clavicle Pin is an intramedullary fixation device designed for the repair of clavicle fractures, mal-unions, and non-unions. It is manufactured from 316 stainless steel and features specific configurations (gripper-wavy-gripper or gripper-gripper-wavy) to facilitate bone fixation. The device is intended for use by orthopedic surgeons in a clinical or surgical setting. It functions as an internal fixation rod to stabilize the clavicle, promoting healing of the fracture or union site. The device is implanted during surgery to provide mechanical support to the bone, potentially reducing recovery time and improving patient outcomes compared to non-surgical management.

Clinical Evidence

Bench testing only. Non-clinical bench top and cadaver laboratory testing were performed to demonstrate substantial equivalence. No clinical data was required.

Technological Characteristics

Material: 316 stainless steel. Form factor: Intramedullary fixation rod. Configurations: Gripper-wavy-gripper (GWG) and gripper-gripper-wavy (GGW). Mechanical fixation principle.

Indications for Use

Indicated for patients requiring repair of acute clavicle fractures, mal-unions, or non-unions.

Regulatory Classification

Identification

An intramedullary fixation rod is a device intended to be implanted that consists of a rod made of alloys such as cobalt-chromium-molybdenum and stainless steel. It is inserted into the medullary (bone marrow) canal of long bones for the fixation of fractures.

Predicate Devices

• DePuy Rockwood™ Clavicle Pin (K991649)

Submission Summary (Full Text)

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# OCT 1 0 2008

# 510(k) Summary

:

| Submitter's name | Sonoma Orthopedic Products, Inc. |
|---------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Address | 650 Larkfield Center, Suite C<br>Santa Rosa, CA 95403 |
| Phone Number | 707-526-1335 |
| Fax Number | 707-526-2022 |
| Name of contact person | Charles L. Nelson |
| Date summary was prepared | June 30, 2008 |
| Proprietary name/Trade name | EnsplintCMxTM GWG (gripper-wavy-gripper)<br>EnsplintCMxTM GGW (gripper-gripper-wavy) |
| Common Name | Clavicle Pin |
| Classification Name | Intramedullary rod, 21 CFR 888.3020<br>Pin, Fixation, Threaded 21 CFR 888.3040 |
| Predicate Device | DePuy RockwoodTM Clavicle Pin<br>K991649, cleared July 14, 1999 |
| Description of device | The EnsplintCMxTM configuration consists of<br>an implant made of 316 stainless steel. |
| Intended use of device | The EnsplintCMxTM is intended to be used to<br>repair an acute fracture, mal-union, or non-<br>union of the clavicle |
| Comparison to Predicate Device | The EnsplintCMxTM has similar intended<br>use, performance characteristics, and<br>materials to the predicate device. |
| Performance Data (Non clinical) | The results of the non-clinical (bench top<br>and cadaver) laboratory testing demonstrate<br>that the device is substantially equivalent.<br>Clinical evaluation of the device is not<br>required. |

#### Confidential Information

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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 consists of a stylized caduceus, a symbol often associated with medicine and healthcare, positioned to the right. To the left of the caduceus, the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the edge of the logo.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

### OCT 1 0 2008

Sonoma Orthopedic Products, Inc. % Mr. Charles L. Nelson 650 Larkfield Center, Suite C Santa Rosa, CA 95403

Re: K081832

It on 6-2 Regulation Number: 21 CFR 888.3020 Regulation Name: Intramedullary fixation rod Regulatory Class: II Product Code: HSB Dated: September 22, 2008 Received: September 22, 2008

Dear Mr. Nelson:

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 Forid, Or ug, 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, l'isting 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 - Mr. Charles L. Nelson

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 Center for Devices and Radiological Health's (CDRH's) Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at [phone]. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at [phone]. You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at toll-free number [phone] or [phone] or the Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Mark M. Mulhausen

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

Enclosure

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# Indications for Use

510(k) Number (if known): K081832

Device Name: ENSPLINTCMx™ Clavicle Pin GWG (gripper-wavy-gripper)

Indications for Use:

INDICATIONS

The ENSPLINTCMx™ Clavicle Pin is intended to be used to repair an acute fracture, mal-union or non-union of the clavicle.

Prescription Use X (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Mark A. Milkeison

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Sign-Off) Division of General, Restorative, Enti Notrological Devices

Number K081832