Zimmer Plates and Screws (ZPS), Forte Screws

K142836 · Zimmer, Inc. · HRS · Nov 12, 2014 · Orthopedic

Device Facts

• Record ID: K142836
• Device Name: Zimmer Plates and Screws (ZPS), Forte Screws
• Applicant: Zimmer, Inc.
• Product Code: HRS · Orthopedic
• Decision Date: Nov 12, 2014
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 888.3030
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

ZPS One-Third Tubular Plates, T-Plates, Semi-Tubular Plates, Symphyseal Bridge Plates, Reconstruction Plates, and Contourable Dual Compression Plates are indicated for temporary internal fixation and stabilization of osteotomies and fractures, such as: comminuted fractures supracondylar fractures extra-articular fractures fractures in osteopenic bone nonunions malunions Smaller-sized ZPS plates are used for small bones and small fragments of the hands and feet. ZPS Calcaneal plates are indicated for temporary internal fixation and stabilization of osteotomies and fractures of the calcaneus. ZPS and Forte Screws are temporary internal fixation devices designed to stabilize fractures during the normal healing process.

Device Story

Non-locking, stainless steel plate and screw system for temporary internal fixation of bone fractures and osteotomies. Plates feature spherical sliding slope hole design to achieve compression. Used by orthopedic surgeons in clinical settings to stabilize bone fragments during healing. System includes various plate geometries (tubular, T-plates, reconstruction, calcaneal) and Forte cancellous screws. Device provides mechanical stabilization to facilitate bone healing; output is physical fixation construct. No software or electronic components.

Clinical Evidence

No clinical data provided. Substantial equivalence supported by non-clinical bench testing, including biocompatibility testing per ISO 10993-1 and comparative mechanical testing (static and fatigue) against predicate devices.

Technological Characteristics

Non-locking, stainless steel bone fixation system. Features spherical sliding slope plate hole design for compression. Biocompatibility tested per ISO 10993-1. Mechanical performance validated via static and fatigue testing and beam bending cross-sectional analysis. Provided non-sterile.

Indications for Use

Indicated for temporary internal fixation and stabilization of osteotomies and fractures (comminuted, supracondylar, extra-articular, osteopenic bone, nonunions, malunions) in patients requiring bone stabilization. Smaller plates for small bones/fragments of hands and feet; calcaneal plates for calcaneal 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

• Synthes 2.0mm DCP Plate (K001941)
• Synthes 3.5mm Curved Recon (K042377)
• Zimmer ULS 2.7mm Straight Recon Plate (K063303)
• Zimmer ZPS 3.5mm T-Plate (K140508)
• Zimmer Forte Cancellous Screws (K112885)

Submission Summary (Full Text)

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

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized caduceus symbol, which features three human profiles in a row. The profiles are facing to the right. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the caduceus symbol.

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

November 12, 2014

Zimmer, Incorporated Stephen H. McKelvey, MA, RAC Senior Project Manager, Trauma Regulatory Affairs P.O. Box 708 Warsaw, Indiana 46581-0708

Re: K142836 Trade/Device Name: Non-sterile Zimmer Plates and Screws System (ZPS) Compression/Reconstruction/Symphyseal Plates and Forte Cancellous Screws 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 Dated: September 26, 2014 Received: September 30, 2014

Dear Mr. McKelvey:

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

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

Page 2 - Mr. Stephen H. McKelvey, MA. RAC

(21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting (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 contact the Division of Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm. 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 Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours, Lori A. Wiggins -S

for

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

Enclosure

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

#### DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

## Indications for Use

510(k) Number (if known) K142836

## K142836

### Device Name

Non-sterile Zimmer Plates and Screws System (ZPS) Compression/Reconstruction/Symphyseal Plates and Forte Cancellous Screws

#### Indications for Use (Describe)

ZPS One-Third Tubular Plates, T-Plates, Symphyseal Bridge Plates, Reconstruction Plates, and Contourable Dual Compression Plates are indicated for temporary internal fixation and stabilization of osteotomies and fractures, such as:

- comminuted fractures
- · supracondvlar fractures
- extra-articular fractures
- · fractures in osteopenic bone
- nonunions
- · malunions

Smaller-sized ZPS plates are used for small bones and small fragments of the hands and feet.

ZPS Calcaneal plates are indicated for temporary internal fixation of osteotomies and fractures of the calcaneus. ZPS and Forte Screws are temporary internal fixation devices designed to stabilize fractures during the normal healing process

Type of Use (Select one or both, as applicable)

2 Prescription Use (Part 21 CFR 801 Subpart D)

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

## PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.

## FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

This section applies only to requirements of the Paperwork Reduction Act of 1995.

## *DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.*

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

> Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

Form Approved: OMB No. 0910-0120 Expiration Date: January 31, 2017 See PRA Statement below.

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

Image /page/3/Picture/0 description: The image shows the logo for Zimmer Biomet. The logo features a large, blue letter "Z" inside of a blue circle. Below the circle is the word "zimmer" in lowercase, also in blue. The logo is simple and modern, with a clean design.

## 510(k) Summary

| Sponsor: | Zimmer, Inc.<br>P.O. Box 708<br>Warsaw, IN 46581-0708 |
|-----------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact Person: | Stephen H. McKelvey<br>Senior Project Manager, Trauma Regulatory Affairs<br>Telephone: [phone]<br>Fax: [phone] |
| Date: | September 26, 2014 |
| Trade Name: | Non-sterile Zimmer® Plates and Screws System (ZPS)<br>Compression/Reconstruction/Symphyseal Plates and Forte<br>Cancellous Screws |
| Common Name: | Temporary Internal Fixation Devices |
| Classification Names<br>and References: | Single/multiple component metallic bone fixation<br>appliances and accessories (21 CFR 888.3030, Product<br>Code HRS) and Smooth or threaded metallic bone fixation<br>fastener (21 CFR 888.3040, Product Code HWC) |
| Classification Panel: | Orthopedics/87 |
| Predicate Device(s): | Synthes 2.0mm DCP Plate (K001941, cleared September<br>22, 2000), Synthes 3.5mm Curved Recon (K042377,<br>cleared October 07, 2004), Zimmer ULS 2.7mm Straight<br>Recon Plate (K063303, cleared November 22, 2006)<br>Zimmer ZPS 3.5mm T-Plate (K140508, cleared August<br>14, 2014), Zimmer Forte Cancellous Screws (K112885,<br>cleared December 19, 2011) |
| Purpose and Device Description: | The ZPS System is a non-locking, stainless steel plate and<br>screw system. Plate shapes vary to address varying patient<br>bone sizes and injury fragment sizes. Plates incorporate a<br>spherical sliding slope plate hole design to achieve the<br>compression required to treat bone fractures. The plates<br>are used with a variety of screws for temporary fixation to<br>the bone. The Forte Cancellous Screws are used with the<br>ZPS Plates to form a fixation construct. |

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

| <b>Intended Use:</b> | ZPS One-Third Tubular Plates, T-Plates, Semi-Tubular Plates, Symphyseal Bridge Plates, Reconstruction Plates, and Contourable Dual Compression Plates are indicated for temporary internal fixation and stabilization of osteotomies and fractures, such as: |
|--------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | <ul><li>comminuted fractures</li><li>supracondylar fractures</li><li>extra-articular fractures</li><li>fractures in osteopenic bone</li><li>nonunions</li><li>malunions</li></ul> |
| | Smaller-sized ZPS plates are used for small bones and small fragments of the hands and feet. |
| | ZPS Calcaneal plates are indicated for temporary internal fixation and stabilization of osteotomies and fractures of the calcaneus. |
| | ZPS and Forte Screws are temporary internal fixation devices designed to stabilize fractures during the normal healing process. |
| <b>Comparison to Predicate Device:</b> | The subject ZPS Plates and subject Forte Screws are similar in intended use, basic shape, compatible diameters, materials and performance characteristics to their respective predicate devices. The subject devices are provided non-sterile. |
| <b>Performance Data (Nonclinical and/or Clinical):</b> | Non-Clinical Performance and Conclusions: |
| | <ul><li>Biocompatibility - Biocompatibility testing on the ZPS Plate and Forte Screw material was conducted per ISO 10993-1 and Good Laboratory Practices (21 CFR § 58). All testing passed.</li><li>Comparative static and fatigue testing along with beam bending cross sectional analyses of the ZPS Plates and their respective predicate devices, Synthes 2.0mm DCP Plate (K001941), Synthes 3.5mm Curved Recon (K042377), Zimmer ULS 2.7mm Straight Recon Plate (K063303), Zimmer ZPS 3.5mm T-Plate (K140508), resulted in similar mechanical properties. The subject and predicate devices are substantially equivalent.</li></ul> |

{5}------------------------------------------------

- . Except for the sterilization status, the subject nonsterile Forte screws are identical to the sterile Forte screws cleared in K112885.
# Clinical Performance and Conclusions:

- . Clinical data and conclusions were not needed for these devices.