OsteoMed ExtremiLOCK Wrist Plating System

K152145 · Osteomed · HRS · Dec 21, 2015 · Orthopedic

Device Facts

• Record ID: K152145
• Device Name: OsteoMed ExtremiLOCK Wrist Plating System
• Applicant: Osteomed
• Product Code: HRS · Orthopedic
• Decision Date: Dec 21, 2015
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 888.3030
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The OsteoMed ExtremiLOCK Wrist Plating System is indicated for fracture fixation, fusion and osteotomies of wrist and other bones appropriate for the size of the device. It is intended for use in trauma, general surgery and reconstructive procedures. OsteoMed ExtremiLOCK Wrist Plating System implants are intended for single use only.

Device Story

Rigid fixation and fusion system comprising anatomically pre-contoured plates, screws (variable angle locking/non-locking, solid/cannulated, dual lead technology), smooth variable angle locking pegs, and K-wires. Used by surgeons in trauma, general surgery, and reconstructive procedures to stabilize bone fractures, fusions, or osteotomies. Implants are implanted surgically; instrumentation facilitates modification and insertion. System provides mechanical stability to bone segments to promote healing. Benefits include restoration of skeletal alignment and structural support.

Clinical Evidence

No clinical data. Substantial equivalence supported by bench testing only. Mechanical strength verification testing compared subject plates and dual-lead screws against predicate devices to ensure performance criteria were met.

Technological Characteristics

Materials: CP Titanium (ASTM F-67), Titanium Alloy (ASTM F-136), Stainless Steel (ASTM F-138). Components: Plates, screws (dual lead technology), pegs, K-wires. Mechanical fixation system. Non-powered. Sterile packaging provided.

Indications for Use

Indicated for fracture fixation, fusion, and osteotomies of the wrist and other bones appropriate for device size; intended for trauma, general surgery, and reconstructive procedures.

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

• OsteoMed Wrist Plating System (K120015)
• Synthes 2.4mm VA-LCP Two Column Volar Distal Radius Plate (K083694)

Reference Devices

• OsteoMed Hand Plate and Screw Fixation System (K090522)
• OsteoMed Foot Plate and Screw Rigid Fixation System (K091614)
• OsteoMed Headless Cannulated Screw (K063298)

Submission Summary (Full Text)

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Image /page/0/Picture/1 description: The image is the logo for the U.S. Department of Health & Human Services. The logo features a stylized image of an eagle with three human profiles incorporated into its design. The profiles are facing right and are stacked on top of each other. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" is arranged in a circular pattern around the eagle.

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

OsteoMed Ms. Piedad Peña Manager, Regulatory Affairs 3885 Arapaho Road Addison, Texas 75001

Re: K152145 Trade/Device Name: OsteoMed ExtremiLOCK Wrist 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, KWC Dated: November 24, 2015 Received: November 25, 2015

Dear Ms. Peña:

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 Parts 801); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set

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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,

## Mark N. Melkerson -S

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

Enclosure

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### Indications for Use

510(k) Number (if known): _ Device Name: OsteoMed ExtremiLOCK Wrist Plating System

Indications for Use:

OsteoMed ExtremiLOCK Wrist Plating System is indicated for fracture fixation, fusion and osteotomies of wrist and other bones appropriate for the device. It is intended for use in trauma, general surgery, and reconstructive procedures.

OsteoMed ExtremiLOCK Wrist Plating System implants are intended for single use only.

Prescription Use __X Over-The-Counter Use __ AND/OR (Part 21 CFR 801 Subpart D) (21 CFR 801 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

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Image /page/3/Picture/0 description: The image shows the logo for OsteoMed. The logo is in blue and gray, with the word "OSTEOMED" in bold, sans-serif letters. The logo is surrounded by a gray and blue swoosh design. The logo is simple and modern, and it is likely used to represent the company's brand.

# 510(k) Summary

| Submitter Information | OsteoMed<br>3885 Arapaho Road<br>Addison, Texas 75001<br>Phone: [phone]<br>Fax: [phone] |
|-----------------------|-------------------------------------------------------------------------------------------------------|
| Contact Person | Mrs. Piedad Peña |
| Date Prepared | July 31, 2015 |
| Proprietary Name: | OSTEOMED EXTREMILOCK WRIST PLATING SYSTEM |
| Common Name: | Wrist Fixation System |
| Classification Name: | 21 CFR 888.3030, Single/multiple component metallic bone<br>fixation appliances and accessories |
| Product Code: | HRS, HWC |

#### Primary Predicate:

#### OsteoMed Wrist Plating System, K120015

Classification Name: 21 CFR 888.3030, Single/multiple component metallic bone fixation appliances and accessories; Product Code: HRS, HWC; Class: II

Secondary Predicate:

#### Synthes 2.4mm VA-LCP Two Column Volar Distal Radius Plate, K083694

Classification Name: 21CFR 888.3030 Single/multiple component metallic bone fixation appliances and accessories; Product Code: Product Code HRS, Class: II

3″d Reference Predicate:

#### OsteoMed Hand Plate and Screw Fixation System, K090522

Classification Name: 21 CFR 888.3030, Single/multiple component metallic bone fixation appliances and accessories; Product Code: HRS, HWC; Class: II

4th Reference Predicate:

#### OsteoMed Foot Plate and Screw Rigid Fixation System, K091614

Classification Name: 21 CFR 888.3030, Single/multiple component metallic bone fixation appliances and accessories; Product Code: HRS, HWC; Class: II

5th Reference Predicate:

#### OsteoMed Headless Cannulated Screw, K063298

Classification Name: 21 CFR 888.40, Smooth or threaded metallic bone fixation fastener; Product Code: HWC; Class: II

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| Device Description | The OsteoMed ExtremiLOCK Wrist Plating System is a rigid fixation<br>and fusion system consisting of plates and screws in various<br>configurations along with the appropriate instrumentation to facilitate<br>modification and implantation. Plates are anatomically pre-contoured<br>in various shapes and sizes. Screws are provided with variable angle<br>locking and non-locking heads and are either fully threaded or<br>partially threaded in various lengths. These screws are either solid<br>core or cannulated and can be used with or without plates. The<br>system also contains smooth variable angle locking pegs and K-wire<br>implants. |
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| Device Description | The implants of the OsteoMed ExtremiLOCK Wrist Plating System are<br>made from Titanium per ASTM F-67 (Plates), Titanium Alloy per ASTM<br>F-136 (plates, screws, pegs and washer), and Stainless Steel per ASTM<br>F-138( K-wires). The modifications to the plates include the new<br>material of CP Titanium per ASTM F-67 and the screw modifications<br>include the new dual lead technology. The rest of the system has<br>already been cleared through OsteoMed wrist predicate 510(k)<br>K120015. The modification also introduced new sterile packaging<br>configurations for the implants and disposable instruments.<br>The system instruments included facilitate modification and insertion<br>of the implants. |
| Indications for use/<br>Intended Use | The OsteoMed ExtremiLOCK Wrist Plating System is indicated for<br>fracture fixation, fusion and osteotomies of wrist and other bones<br>appropriate for the size of the device. It is intended for use in trauma,<br>general surgery and reconstructive procedures.<br>OsteoMed ExtremiLOCK Wrist Plating System implants are intended<br>for single use only. |
| Performance<br>Characteristics &<br>Testing & Clinical | Performance: Verification testing was conducted to ensure plates and<br>screws performed equal or better compared to the predicate devices.<br>The plates were tested against the Synthes Secondary Predicate<br>Device to ensure the design features and new material met the<br>required mechanical strength criteria for their intended use. The<br>screws with the dual lead technology underwent verification<br>evaluation to ensure the new design features met the mechanical<br>strength criteria for the intended use. The screws were compared to<br>their respective predicates. |

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Clinical Testing is not required to support substantial equivalence.

- Substantial Equivalence The basis of substantial equivalence for this device, OsteoMed ExtremiLOCK Wrist Plating System, is based on similarities in indications for use, intended use, material, function, performance, design, technology, sterilization, and operational principles to the OsteoMed predicates and Synthes predicate. Performance comparisons were performed which verified that the new plates and screws met required mechanical strength criteria for their intended use compared to the legally marketed predicate devices listed in this OsteoMed has shown that the non-clinical tests summary. demonstrate that the devices are as safe and effective as the predicate devices.