ORTHOPEDIATRICS BLADE PLATE SYSTEM

K110959 · OrthoPediatrics Corp. · HRS · Aug 5, 2011 · Orthopedic

Device Facts

• Record ID: K110959
• Device Name: ORTHOPEDIATRICS BLADE PLATE SYSTEM
• Applicant: OrthoPediatrics Corp.
• Product Code: HRS · Orthopedic
• Decision Date: Aug 5, 2011
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 888.3030
• Device Class: Class 2
• Attributes: Therapeutic, Pediatric

Intended Use

The OrthoPediatrics Blade Plate System is intended for fixation of long bone fractures and osteotomies in all pediatric subgroups (except neonates) and in small stature adults. Specific indications include: intertrochanteric derotation and varus osteotomies, femoral neck and pertrochanteric fractures, intertrochanteric valgus osteotomies, proximal and distal tibial osteotomies and humeral fractures and osteotomies.

Device Story

System comprises metallic bone plates and screws for orthopedic fixation; used for long bone fractures and osteotomies. Implants provide immediate stability and temporary fixation during bone healing. Cannulated instrumentation allows precise placement over guide wires. Used in clinical settings by surgeons. Device provides rotational stability and maintains bone stock. Benefits include precise fracture reduction and fixation in pediatric and small-stature adult populations.

Clinical Evidence

Bench testing only. Engineering calculations performed to compare strength and resistance to bending moments against predicate devices. No clinical data provided.

Technological Characteristics

Metallic bone fixation system; 316L stainless steel (ASTM-F138). Includes plates and cannulated screws. Design features include specific plate thicknesses, widths, and angles equivalent to predicates. Mechanical fixation principle.

Indications for Use

Indicated for fixation of long bone fractures and osteotomies in pediatric patients (excluding neonates) and small stature adults. Specific applications include intertrochanteric derotation/varus/valgus osteotomies, femoral neck/pertrochanteric fractures, proximal/distal tibial osteotomies, and humeral fractures/osteotomies.

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

• PediLoc Locking Plate System (K083286)
• PediLoc Tibial Plate System (K100240)
• OrthoPediatrics Bone Screws (K082949)
• Bone Plate System (TC-100 Plating System) Blade Plates (K993289)

Submission Summary (Full Text)

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# 510(K) Summary - K110959

# SUMMARY OF SAFETY AND EFFECTIVENESS

March 31, 2011 - Revised July 1, 2011

| NAME OF FIRM: | OrthoPediatrics, Corp.<br>2850 Frontier Drive<br>Warsaw, Indiana 46582<br>Establishment Registration No.: 9102640 |
|-----------------|-------------------------------------------------------------------------------------------------------------------|
| 510(K) CONTACT: | Mark Fox<br>Vice President of Regulatory Affairs<br>Tel: [phone]<br>Fax: [phone] |

#### OrthoPediatrics Blade Plate System TRADE NAME:

Bone Plates and Bone Screws COMMON NAME:

#### RECOMMENDED

## CLASSIFICATION:

21 CFR 888.3030: Single/Multiple components metallic bone fixation appliances and accessories. Class II per 21 CFR §888.3030

21 CFR 888.3040: Smooth or threaded metallic bone fixation fastener. Class II per 21 CFR §888.3040

#### Recommended Class: Il

DEVICE PRODUCT CODE(S): HRS, (Plate, Fixation, Bone) HWC, (Screw, Fixation, Bone)

#### SUBSTANTIALLY EQUIVALENT DEVICES:

K083286, PediLoc Locking Plate System, OrthoPediatrics

K100240, PediLoc Tibial Plate System, OrthoPediatrics

K082949, OrthoPediatrics Bone Screws, OrthoPediatrics

- K993289,Bone Plate System (TC-100 Plating System ) Blade Plates, Smith & Nephew
Pre Ammendment - Osteotomy / Blade Plates, Smith & Nephew

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## DEVICE DESCRIPTION:

The OrthoPediatrics Blade Plate System will combine implants and instruments in one convenient system. This system will offer the advantages of the osteotomy blade plates and cannulated instrumentation. Osteotomy plates provide ease of reduction and good rotational stability while maintaining bone stock. Cannulated instruments work over a guide wire for precise placement and safety.

#### INDICATIONS:

The OrthoPediatrics Blade Plate System is intended for fixation of long bone fractures and osteotomies in all pediatric subgroups (except neonates) and in small stature adults. Specific indications include: intertrochanteric derotation and varus osteotomies, femoral neck and pertrochanteric fractures, intertrochanteric valgus osteotomies, proximal and distal tibial osteotomies and humeral fractures and osteotomies.

#### MATERIALS:

The devices are manufactured from 316L stainless steel which meets the ASTM-F138 standard.

### TECHNOLOGIC CHARACTERISTICS:

The fundamental scientific principles and technological characteristics, including the intended use, material, sizes, and general design are the same as, or similar to, the predicate devices.

Summary of technological characteristics:

- 1. Plate thickness(s) and width(s) are substantially equivalent to predicates.
2. Identical materials to cited predicates.

3. Range of plate angles are substantially equivalent to predicates.

4. Range of screw sizes and threads are substantially equivalent to predicates.

5. Indications for Use is substantially equivalent to predicates.

The technological characteristics of the subject device and the predicates are substantially equivalent to the predicates.

KI10959693

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### PERFORMANCE ANALYSIS:

Subject device has similar configuration, sizes and design as the predicate device(s). Engineering calculations with worst case loading calculations of subject device and corresponding predicate device, confirmed that subject device has equivalent or better strength and resistance to bending moments. A review of the MAUDE complaint data base of similar predicate devices support the safety and effectiveness of the device.

# FUNCTION:

The system functions to provide immediate stability and temporary fixation during the natural healing process.

### EQUIVALENCY:

Therefore, since materials, intended use, and technological features used in the OrthoPediatrics Blade Plate System are similar to the predicate devices, safety and efficacy is expected to be equivalent.

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Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle or bird-like figure with three curved lines representing its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular fashion around the bird symbol.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

OrthoPediatrics, Corp. c/o Mr. Mark Fox Vice President of Regulatory Affairs 2850 Frontier Drive Warsaw. Indiana 46582

AUG - 5 2011

Re: K110959

Trade/Device Name: OrthoPediatrics Blade Plate System Regulation Number: 21 CFR 888.3030 Regulation Name: Single / multiple component metallic bone fixation appliance and accessories Regulatory Class: Class II Product Code: HRS. HWC Dated: August 3, 2011 Received: August 3, 2011

Dear Mr. Fox:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

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.

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); medical device reporting (reporting of medical

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Page 2 - Mr. Mark Fox

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); medical device reporting of medical device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled. "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportalProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours,

Mark A. Millken

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

Enclosure

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# Indications for Use Statement

510(k) Number: K110959

Device Name: OrthoPediatrics Blade Plate System

# INDICATIONS:

The OrthoPediatrics Blade Plate System is intended for fixation of long bone fractures and osteotomies in all pediatric subgroups (except neonates) and in small stature adults. Specific indications include: intertrochanteric derotation and varus osteotomies, femoral neck and pertrochanteric fractures, intertrochanteric valgus osteotomies, proximal and distal tibial osteotomies and humeral fractures and osteotomies.

Prescription Use × (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)

for M. Mellar

(Division Sign Oft) (Division Surgical, Orthopedic, and Restorative Devices

510(k) Number K110959