MINI MAXLOCK EXTREME PLATING SYSTEM

K121437 · Orthohelix Surgical Designs, Inc. · HRS · Jun 13, 2012 · Orthopedic

Device Facts

• Record ID: K121437
• Device Name: MINI MAXLOCK EXTREME PLATING SYSTEM
• Applicant: Orthohelix Surgical Designs, Inc.
• Product Code: HRS · Orthopedic
• Decision Date: Jun 13, 2012
• Decision: SESE
• Submission Type: Special
• Regulation: 21 CFR 888.3030
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The Mini MaxLock Extreme® Plating System is intended to stabilize and aid in the repair of fractures, fusions, and osteotomies for small bones and bone fragments.

Device Story

The Mini MaxLock Extreme® Plating System consists of metallic bone fixation plates and screws used by surgeons to stabilize small bone fractures, fusions, and osteotomies. The system is a modification of an existing device, adding new plate styles to the product line. It functions as a mechanical fixation appliance to provide structural support during bone healing. The device is intended for clinical use by physicians in an orthopedic setting. No software or electronic components are involved.

Clinical Evidence

Bench testing only. No clinical data was provided. Substantial equivalence was established through finite element analysis and mechanical strength calculations.

Technological Characteristics

Materials: Titanium alloy and PEEK. Device type: Metallic bone fixation plates and screws. Form factor: Small bone fixation system. No software, energy source, or connectivity features.

Indications for Use

Indicated for stabilization and repair of fractures, fusions, and osteotomies of small bones and bone fragments.

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

• Mini MaxLock Extreme® Plating System (K120157)

Submission Summary (Full Text)

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

## K121437 (Vi

#### Submitter Information

Submitter's Name: Address:

Telephone Number: Fax Number: Prepared By: Contact Person: Date Prepared:

#### Device Information

Trade Name:

Common Name:

Classification Name:

Device Classification:

Material Composition:

Device Description:

Intended Use:

Substantial Equivalence:

#### 510(k) SUMMARY

JUN 1 3 2012

OrthoHelix Surgical Designs, Inc. 1065 Medina Rd, Suite S00 Medina, Ohio 44256 330-869-9562 330-247-1598 Brian Hockett, Liz Altenau Derek Lewis 5/7/12

Mini MaxLock Extreme® Plating System

Fixation Plates and Screws

Plate, Fixation, Bone

Single/multiple component metallic bone fixation appliances (Class II per 21 CFR 888.3030) Panel: Orthopedic, Product Code: HRS Smooth or threaded metallic bone fixation fastener (Class II per 21 CFR 888.3040) Panel: Orthopedic, Product Code: HWC

Titanium Alloy, PEEK

The submission is a modification to the Mini MaxLock Extreme® Plating System to add additional plate styles. No modifications were made to the existing plates or screws

The Mini MaxLock Extreme® Plating System is intended to stabilize and aid in the repair of fractures, fusions, and osteotomies for small bones and bone fragments.

The new Mini MaxLock Extreme® Plating System is substantially equivalent to the existing OrthoHelix Mini MaxLock Extreme® Plating System (K120157). Calculations and finite element analysis comparing the strength of the subject and predicate devices were performed and the results support substantial equivalence. Due to similarities in indications, design, and materials, no other testing was required. No new issues of safety and effectiveness have been raised.

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

#### DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/1/Picture/1 description: The image shows the seal of the Department of Health & Human Services - USA. The seal is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the seal is an abstract image of an eagle.

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

OrthoHelix Surgical Designs, Inc. % Mr. Derek Lewis Vice President of Research and Development 1065 Medina Road, Suite 500 Medina. Ohio 44256

JUN 1 3 2012

Re: K121437

Trade/Device Name: Mini MaxLock Extreme® Plating 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 Dated: May 9, 2012 Received: May 15, 2012

Dear Mr. Lewis:

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.

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 or my 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 Or ic rated adverse events) (21 CFR 803); good manufacturing practice requirements as set

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

Page 2 - Mr. Derek Lewis

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/ReportaProblem/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,
Erine Keith

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

Enclosure

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

# K12143

## Indications for Use

KIZI437 510(k) Number (if known):

### Device Name: Mini MaxLock Extreme® Plating System

Indications for Use:

The Mini MaxLock Extreme® Plating System is intended to stabilize and aid in the repair of fractures, fusions, and osteotomies for small bones and bone fragments.

× Prescription Use __

AND/OR

Over-The-Counter-Use

(21 CFR 801 Subpart C)

(Part 21 CFR 801 Subpart D)

(Please DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

A.Shtf

Page _1_ of _1_

(Division Sign-Off) Division of Surgical. Orthopedic, and Restorative Devices

510(k) Number K121437