STRYKER UNIVERSAL NEURO 3 SYSTEM
K112557 · Stryker · GWO · Jan 5, 2012 · Neurology
Device Facts
| Record ID | K112557 |
| Device Name | STRYKER UNIVERSAL NEURO 3 SYSTEM |
| Applicant | Stryker |
| Product Code | GWO · Neurology |
| Decision Date | Jan 5, 2012 |
| Decision | SESE |
| Submission Type | Traditional |
| Regulation | 21 CFR 882.5320 |
| Device Class | Class 2 |
| Attributes | Therapeutic |
Intended Use
The Stryker Universal Neuro 3 System is intended for reconstruction, stabilization and/or rigid fixation of non load-bearing areas subsequent to craniotomy, craniectomy and cranial fractures in adults and adolescents (age 12 and higher).
Device Story
Stryker Universal Neuro 3 System provides cranial fixation solutions; includes implant module with various plates (straight, gap, 3D, shunt, box, burr hole covers) and screws. Plates are malleable for manual contouring; low-profile design reduces palpability. Used in clinical settings by surgeons for cranial reconstruction/stabilization. System components are made of titanium; screws feature self-drilling/self-tapping designs. Output is rigid fixation of cranial flaps. Benefits include stabilization of non-load-bearing cranial areas and decreased palpability post-surgery.
Clinical Evidence
Bench testing only. Biocompatibility confirmed per ISO 10993-1, 10993-12, and 10993-18. Mechanical testing included bending stability (ASTM F 382-99) for plates/covers and torque, depth, angle, and pull-out safety testing (ASTM F 543) for screws. All acceptance criteria met.
Technological Characteristics
Materials: Commercially Pure Titanium (Grade II, IV, and V). Design: Low-profile plates, burr hole covers, and screws. Standards: ASTM F 382-99 (plates), ASTM F 543 (screws), ISO 10993 (biocompatibility). Surface treatment: Type III Anodization. Connectivity: None (mechanical implant system).
Indications for Use
Indicated for reconstruction, stabilization, and rigid fixation of non-load-bearing bony areas following craniotomy, craniectomy, and cranial fractures in adults and adolescents (age 12+). Contraindicated in non-reducible/unstable fractures, active local infections, metal allergies/foreign body sensitivity, non-compliant patients, poor bone quality/blood supply, or cases where implants/screws contact dura mater or developing paranasal sinuses.
Regulatory Classification
Identification
A preformed alterable cranioplasty plate is a device that is implanted into a patient to repair a skull defect. It is constructed of a material, e.g., tantalum, that can be altered or reshaped at the time of surgery without changing the chemical behavior of the material.
Predicate Devices
- Stryker Universal Neuro 2 System (K031659)
- Stryker Micro Dynamic Mesh (K983528)
- Synthes Neuro Plate and Screw System (K022012)
- KLS-Martin Micro Osteosynthesis System (K944561/K944565)
Related Devices
- K131775 — UNIVERSAL NEURO 3 SYSTEM · Stryker · Oct 17, 2013
- K122049 — NEUROPRO LOW PROFILE CRANIAL PLATING SYSTEM · Kinamed, Inc. · Apr 5, 2013
- K141644 — INNOVASIS CRANIAL SYSTEM · Innovasis, Inc. · Nov 7, 2014
- K120352 — STRYKER QUIKFLAP STERILE PROCEDURE PACK · Stryker · Jun 11, 2012
- K161821 — Stryker Universal Mesh · Stryker · Dec 8, 2016
Submission Summary (Full Text)
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KII2557.
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JAN - 5 2012
# 510(k) Summary of Safety and Effectiveness
Stryker Universal Neuro 3 System Proprietary Name: Neuro Plating System Common Name: Classification Name and Reference: Preformed alterable cranioplasty plate 21 CFR §882.5320 Burr hole cover 21 CFR §882.5250 Cranioplasty plate fastener 21 CFR §882.5360 Class II Proposed Regulatory Class: GWO - Preformed alterable cranioplasty plate Product Codes: GXR - Burr hole cover HBW - Cranioplasty plate fastener Rob Yamashita For Information contact: Sr. Regulatory Compliance Analyst Stryker Craniomaxillofacial 750 Trade Centre Way, Suite 200 Portage, MI 49002 Phone: (269) 389-4258 / Fax: (269) 329-2235 rob. yamashita@stryker.com
Date Prepared:
September 1, 2011
### Indications for Use / Intended Use
The Stryker Universal Neuro 3 System is intended for reconstruction, stabilization and/or rigid fixation of non load-bearing areas subsequent to craniotomy, craniectomy and cranial fractures in adults and adolescents (age 12 and higher).
#### Contraindications
The Stryker Universal Neuro 3 System is contraindicated for the following:
- Use of plates in non-reducible and unstable fractures .
- Patients with active local infections .
- Patients with metal allergies and foreign body sensitivity .
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- . Potentially non-compliant patients with mental or neurological conditions who are unwilling or incapable of following postoperative care instructions
- . Patients with limited blood supply to, or insufficient quality of, bone
- . Use of products in cases where the fixation of the products could result in their peripheral edge coming into contact with the dura mater
- . Screws coming in contact with the dura mater
- . Use of implants adjacent to developing paranasal sinuses
#### Technological Characteristics
The Stryker Universal Neuro 3 System is designed for a wide selection of solutions for cranial fixation. It consists of an implant module (a storage module that contains various versions and shapes of plates and screws) for the respective anatomical and indicated areas.
The low profile plates of the Stryker Universal Neuro 3 System provide rigid fixation of cranial flaps with decreased palpability. There is a comprehensive selection of burr hole covers, straight plates, gap plates, 3D-plates, shunt plates, and box plates to provide many fixation options. The malleable plates can be easily contoured by hand without instruments. The pre-shaped skull-base plates provide covers for standard craniectomies, obviating the need to cut or trim mesh.
#### Performance Data
Materials used for the Stryker Universal Neuro 3 System are the same as the predicate devices. This includes all three product codes (GWO, GXR and HBW). The titanium materials used for manufacturing of the Stryker Universal Neuro 3 implants are rated to be biocompatible according to ISO 10993-1. Cytotoxicity testing was performed according to ISO 10993-1, 10993-12, and 10993-12, and 10993-18. The corrosion resistance of all Neuro 3 screws, plates and meshes were demonstrated.
The bending stability of the Universal Neuro 3 plates (product code GWO) and burr hole covers (product code GXR) were tested by following ASTM F 382-99. The Lerch test was passed by all plates.
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For the screws (product code HBW), the testing was performed via ASTM F 543 -Standard Specification and Test Methods for Metallic Medical Bone Screws, 2007. Torque, depth and angle were measured. The screws passed the automated insertion test.
Additionally, we tested the fixation stability of our screws with pull out safety testing and the retention force between the screw and the screwdriver blade also utilizing ASTM F 543. All acceptance criteria were met.
#### Substantial Equivalence
The Stryker Universal Neuro 3 System has been verified and validated according to Stryker procedures for product design and development. The validation proves the safety and effectiveness of the system. The information provided by Stryker in this 510(k) application was found to be substantially equivalent with these predicate devices:
- Stryker Universal Neuro 2 System (Stryker, K031659) .
- Stryker Micro Dynamic Mesh (Stryker, K983528) .
- Synthes Neuro Plate and Screw System (Synthes, K022012) .
- Osteosynthesis (KLS-Martin, . KLS-Martin Micro System K944561/K944565)
The Stryker Universal Neuro 3 System, as stated above, consists of devices with three product codes: GWO (plates), GXR (burr hole covers), and HBW (screws). It has the same material composition and operating principles as its predicates mentioned above. The intended use is similar to the predicate systems with the only difference being the inclusion of adolescent usc. Further, there may be slight differences in dimensions and shapes between the Stryker Universal Neuro 3 System and the predicate devices; however, the information provided in this 510(k) proves substantial equivalence to the predicate devices.
Specifically speaking, our Universal Neuro 3 burt hole covers and screws are substantially equivalent to Stryker Universal Neuro 2 System ( K031659) and
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Synthes Neuro Plate and Screw System (K022012). Our Universal Neuro 3 plates are substantially equivalent to the same two predicates named above (K031659 and K022012) plus Stryker Micro Dynamic Mesh (K983528). Also, we included the KLS-Martin Micro Osteosynthesis System (K944561/K944565) as a predicate because of its indicated pediatric use.
Below are three tables that outline our Universal Neuro 3 substantial equivalence.
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| Universal Neuro III | Universal Neuro II | Synthes Matrix Neuro | | |
|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 53-34164 STRAIGHT PLATE, 16 HOLE<br>53-34804 STRAIGHT PLATE, 8 HOLE<br>53-34406 STRAIGHT PLATE, 4 HOLE W/BAR<br>53-36212 2 HOLE, RIGID, 12mm BAR<br>53-34212 2 HOLE W/TAB, 12mm BAR<br>53-34216 2 HOLE, 16mm BAR<br>53-34228 BOX PLATE, SMALL<br>53-34230 BOX PLATE, LARGE, W/TAB<br>53-34240 BOX PLATE, LARGE<br>53-34300 RECTANGLE PLATE<br>53-34812 GAP PLATE, 5 HOLE, SMALL<br>53-34522 GAP PLATE, 8 HOLE, LARGE<br>53-34608 DOUBLE-Y PLATE, 6-HOLE, W/BAR<br>53-34630 X PLATE, 4 HOLE<br>53-00362 MESH PLATE ROUND, SMALL<br>53-00364 MESH PLATE ROUND, MEDIUM<br>53-00466 MESH PLATE ROUND, LARGE<br>53-00342 TRANSLABYRINTHINE PLATE, SMALL<br>53-00346 TRANSLABYRINTHINE PLATE, LARGE<br>53-00324 TEMPORAL PLATE, MEDIUM<br>53-00382 SUBOCCIPITAL PLATE, SMALL<br>53-00486 SUBOCCIPITAL PLATE, LARGE | 53-05164 STRAIGHT PLATE, 16 HOLE<br>53-05804 STRAIGHT PLATE, 8<br>53-05406 STRAIGHT PLATE, 4 HOLE W/BAR<br>53-06212 2 HOLE, RIGID, 12mm BAR<br>53-05212 2 HOLE, W/TAB, 12mm BAR<br>53-05216 2 HOLE, 16mm BAR<br>53-05228 BOX PLATE, SMALL<br>53-05230 BOX PLATE, LARGE, W/TAB<br>53-05240 BOX PLATE, LARGE<br>53-05812 GAP PLATE, 6 HOLE, SMALL<br>53-05622 GAP PLATE, 6 HOLE, LARGE<br>53-05608 DOUBLE-Y PLATE 6HOLE, W/BAR<br>53-05630 X PLATE, 4 HOLE<br>54-00344 Dynamic mesh 40x40x0.3mm<br>54-00346 Dynamic mesh 90x90x0.3mm<br>54-00345 Dynamic mesh 120x120x0.3mm<br>54-00645 Dynamic mesh 40x40x0.6mm<br>54-00646 Dynamic mesh 90x90x0.6mm<br>54-00647 Dynamic mesh 120x120x0.6mm | 04 503 072 Adaption Plate, 20 holes<br>04.503 071 Adaption Plate, 7 holes<br>04 503 070 Adaption Plate, 5 holes<br>04 503.062 Straight Plate 2 holes, 12mm<br>04 503 063 Craniel Plate, straight, with centre space, 12 mm, 4 holes<br>04 503 065 Frame Plate, square, 4 holes, 14x14 mm<br>04 503 068 Frame Plate, square, 4 holes, 16x16 mm<br>04 503 073 Frame Plate, rectangular, 4 holes, 10x16 mm<br>04 503 074 Strut Plate, 2x3 holes, 14x24 mm<br>04 503 075 Strut Plate, 2x4 holes, 14x34 mm<br>04 503 068 Double-Y-Plate, 6 holes, length 18 mm<br>04 503 069 Double-Y-Plate, 6 holes, length 21 mm<br>04 503 064 X-Plate 4 holes<br>04 503 090 Circular, 30x0.4mm, malleable<br>04 503 091 Circular, 70x0.4mm, malleable<br>04 503 092 Circular, 100x0.4mm, malleable<br>04 503 093 Circular, 30x0.4mm, rigid<br>04 503 094 Circular, 70x0.4mm, rigid<br>04 503 095 Circular, 100x0.4mm, rigid<br>04 503 096 Mastoid Plate small<br>04 503.097 Mastoid Plate, medium<br>04 503.098 Mastoid Plate large<br>04 503.057 Temporal Mesh Plate, contourable, 0.4mm<br>04 503 086 Crescent-shaped, small, 0.4mm, malleable<br>04 503 087 Crescent-shaped, large, 0.4mm, malleable<br>04 503 088 Crescent-shaped, small, 0.4mm, rigid<br>04 503 089 Crescent-shaped, large, 0.4mm, rigid | | |
| Stryker Leibinger GmbH & Co. KG, Facility in Joseph-Lang-<br>Str. 22, 78570 Muentherm an der Donau, GER<br>acc to new 510k number | Stryker Leibinger GmbH & Co KG Facility in Joseph-Lang-<br>Str. 22, 78570 Muehlheim an der Donau, GER<br>K031659, K983528 | Synthes (USA), 1101 Synthes Avenue, Monument, CO 80132<br>For Universal Neuro II: Equivalent manufacturer (Stryker/ Stetten) on the equivalent machines<br>using the equivalent machine environment<br>K022012 | | |
| The Stryker Universall Neuro III implant system is intended for<br>reconstruction, stabilization and/or rigid fixation of non load-<br>bearing bony areas subsequent to praniotomy, cranicectomy<br>and cranial fractures in adults and adolescents (age 12 and<br>higher) | The Stryker Leibinger Universal Neuro System is a low-profile<br>plate and screw system intended for osteotomy, craniotomy<br>stabilization and rigid fixation of craniofacial fractures and<br>reconstruction in non-load bearning areas. | The Synthes Matrox Neuro Plate and screw System is intended<br>for use in selective trauma of the midface and craniofacial<br>skeleton, craniofacial surgery reconstructive procedures, and<br>selective orthognatic surgery of the maxilla and chin. | | |
| Neuro (Cranial) | Craniotacial | Neuro (Cranial), Midface, Maxilla & Chin | | |
| Commercially Pure Titanium, Grade II and IV | Commercially Pure Titanium, Grade II and IV | Commercially Pure Titanium | | |
| | | | | |
| Size<br>Rectangular Plates<br>X & Y Plates | Size | | | |
| 53-34228 BOX PLATE, SMALL, 12x12mm<br>53-34230 BOX PLATE, LARGE, W/TAB, 16x16mm<br>53-34240 BOX PLATE LARGE, 16x16mm<br>53-34300 RECTANGLE PLATE, 12x16mm<br>53-34617 GAP PLATE, 6 HOLE SMALL, 14x26mm<br>53-34622 GAP PLATE, 6 HOLE, LARGE, 14x46mm | 53-05228 BOX PLATE, SMALL 12x12mm<br>53-05230 BOX PLATE, LARGE, W/TAB, 16x16mm<br>53-05240 BOX PLATE LARGE 16x16mm<br>53-05612 GAP PLATE, 6 HOLE, SMALL, 14x28mm<br>53-05612 GAP PLATE, 6 HOLE, SMALL, 14x28mm | 04 503.065 Frame Plate, square, 4 holes, 14x14 mm<br>04 503 066 Frame Plate, square, 4 holes, 16x16 mm<br>04 503 073 Frame Plate, rectangular, 4 holes, 10x16 mm<br>04 503.074 Strut Plate, 2x3 holes 14x24 mm<br>04 503 075 Strut Plate 2x4 holes 14x34 mm | | |
| 53-34608 DOUBLE-Y PLATE, 6-HOLE, W/BAR, 11x19mm<br>53-34630 X PLATE, 4 HOLE, 17x17mm | 53-05608 DOUBLE-Y PLATE, 6-HOLE, W/BAR, 10x18mm<br>53-05630 X PLATE, 4 HOLE, 17x17mm | 04.503 068 Double-Y-Plate, 6 holes length 18 mm<br>04.503.069 Double-Y-Plate, 6 holes, length 21 mm<br>04 503 084 X-Plate 4 holes | | |
| Countersunk | | | | |
| | | The shape of the countersunk is widened by means of the diameter at the lower opening. Due to<br>the Universal Neuro III screw head diameter of 2.7mm the screw is not endangered to fall through<br>the plate hole | | |
| Thickness | 0.6mm (1 "rigid" plate) and 0.4mm (all others) | 0.6mm (1 "rigid" plate) and 0.5mm (all others) | 0.4mm | The thickness of the 0.4mm subject devices is equivalent to the Synthe spredicate devices. The<br>0.6mm subject device is equivalent to the 0.6mm Universal Neuro II device |
| Surface treatment | Type III Anodization | Type III Anodization | n/a | Equivalent surface treatment of Universal Neuro II and III devices. |
| Round Mesh Plates<br>Round shaped | | | | |
| 53-00362, Ø41.5mmx0.3mm<br>53-00364, Ø46.6mmx0.3mm<br>53-00466, Ø57.6mmx0.4mm | 54-00344: Dynamic mesh 40x40x0.3mm<br>54-00346: Dynamic mesh 90x90x0.3mm<br>54-00345: Dynamic mesh 120x120x0.3mm<br>54-00645 Dynamic mesh 40x40x0.6mm<br>54-00646: Dynamic mesh 90x90x0.6mm<br>54-00647: Dynamic mesh 120x120x0.6mm | 04 503 090 Circular, 30x0.4mm, malleable<br>04 503 091 Circular, 70x0.4mm, malleable<br>04 503 092 Circular, 100x0.4mm, malleable<br>04 503 093 Circular, 30x0.4mm, rigid<br>04 503 094 Circular, 70x0.4mm, rigid<br>04 503 095 Circular, 100x0.4mm, rigid | | |
| Size<br>Translabyrinthine Plates<br>Triangular shaped | | | | |
| 53-00342: 54.3x51.9x0.3mm<br>53-00346: 60.3x59.9x0.3mm | | 04.503 096 Mastoid Plate, small<br>04 503.097 Mastoid Plate, medium<br>04.503.098 Mastoid Plate, large | | The shape of the Universal Neuro III Skull Base subject devices is equivalent to the ones offered<br>by the predicate devisee from Synthes |
| Internal Mesh Pattern<br>Temporal Plate<br>Bean shape | | | | The outer dimensions of the Universal Neuro III Skull Base subject devices is within the range<br>offered by both predicate devices |
| 53-00324 47x29x0.3mm | | 04 503.057 Temporal Mesh Plate,<br>contourable, 0.4mm | | |
| Suboccipital Plates<br>Trapecial shaped | | | | |
| 53-00382: 61.8x32.1x0.3mm<br>53-00486: 65.4x41.5x0.4mm…