Gridlock Ankle Plating System

K160177 · Trilliant Surgical, Ltd. · HRS · Apr 22, 2016 · Orthopedic

Device Facts

• Record ID: K160177
• Device Name: Gridlock Ankle Plating System
• Applicant: Trilliant Surgical, Ltd.
• Product Code: HRS · Orthopedic
• Decision Date: Apr 22, 2016
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 888.3030
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The Gridlock Ankle Plating System is intended for use in trauma and reconstructive procedures of the hand/foot, ankle, distal tibia, fibula, and other bones appropriate for the size of the device. The plates (implant), screws (implant), olive wires (instrument), and guide wires (instrument) are intended for single use only.

Device Story

Gridlock Ankle Plating System consists of metallic plates and screws for orthopedic osteotomies, reconstruction, and trauma management. Features include low-profile, limited-contact design; dynamic/manual compression capability; angulated-locking threaded screw holes. System includes various screw lengths/diameters and surgical instruments for implant placement. Used by orthopedic surgeons in clinical/OR settings to stabilize bone fractures or osteotomies. Implants provide mechanical fixation to facilitate bone healing. Single-use only.

Clinical Evidence

No clinical data. Bench testing only: Screw Torque to Failure (ASTM F543) and Plate 4-Point Bending (ASTM F382) performed to demonstrate mechanical equivalence.

Technological Characteristics

Materials: CP Titanium (ASTM F67), Titanium alloy Ti-6Al-4V (ASTM F136). Features: Low-profile, limited-contact plates, dynamic/manual compression, angulated-locking threaded screw holes. Mechanical testing per ASTM F543 and ASTM F382. Non-powered, manual surgical instrumentation.

Indications for Use

Indicated for trauma and reconstructive procedures of the hand, foot, ankle, distal tibia, fibula, and other bones appropriate for device size.

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

• Acumed Ankle Plating System (K143385)
• Wright ORTHOLOC® 3Di Ankle Fracture System (K102429)
• Gridlock Plating System (K121452)
• Integra Cannulated Screw System (K040860)

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 circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of three human profiles facing to the right, with a triple helix-like shape above them.

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

April 22, 2016

Trilliant Surgical, Limited % Mr. J.D. Webb President The Orthomedix Group, Incorporated 1001 Oakwood Boulevard Round Rock. Texas 78681

Re: K160177

Trade/Device Name: Gridlock Ankle 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, HWC Dated: January 23, 2016 Received: January 27, 2016

Dear Mr. Webb:

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 of medical device

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

Page 2 - Mr. J.D. Webb

related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (OS) 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/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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

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

Form Approved: OMB No. 0910-0120

Expiration Date: December 31, 2013

See PRA Statement on last page.

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

## Indications for Use

510(k) Number (if known)

K160177

Device Name

Gridlock Ankle Plating System

Indications for Use (Describe)

The Gridlock Ankle Plating System is intended for use in trauma and reconstructive procedures of the hand/foot, ankle, distal tibia, fibula, and other bones appropriate for the size of the device.

The plates (implant), screws (implant), olive wires (instrument), and guide wires (instrument) are intended for single use only.

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

X | 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)

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

# 510(k) Summary: Gridlock Ankle Plating System

| Date Prepared | April 19, 2016 |
|------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Submitted By | Trilliant Surgical LTD<br>6721 Portwest Dr, Suite 160<br>Houston, TX 77024<br>1-800-495-2919 Tele |
| Contact | J.D. Webb<br>1001 Oakwood Blvd<br>Round Rock, TX 78681<br>512-388-0199 Tele<br>512-692-3699 Fax<br>e-mail: [e-mail] |
| Trade Name | Gridlock Ankle Plating System |
| Common Name | bone plate & screws |
| Classification Name | Single/multiple component metallic bone fixation appliances and accessories<br>Smooth or threaded metallic bone fixation fastener |
| Class | II |
| Product Code | HRS / HWC |
| CFR Section | 21 CFR section 888.3030 / 888.3040 |
| Device Panel | Orthopedic |
| Primary Predicate<br>Device | Acumed Ankle Plating System (K143385) |
| Secondary Predicate<br>Devices | Wright ORTHOLOC® 3Di Ankle Fracture System (K102429)<br>Gridlock Plating System (K121452)<br>Integra Cannulated Screw System (K040860) |
| Device Description | Gridlock Ankle Plating System consists of various shape and size plates for the<br>management of orthopedic osteotomies, reconstruction, and trauma. Features<br>include a low profile, limited contact, capability of dynamic/manual compression,<br>and angulated-locking threaded screw holes. The system also consists of multiple<br>locking/standard screw lengths and diameters and the necessary instruments to<br>facilitate the placement of these implants. |
| Materials | CP Titanium per ASTM F67<br>Titanium alloy (Ti-6Al-4V) per ASTM F136 |
| Substantial<br>Equivalence Claimed<br>to Predicate Devices | The Gridlock Ankle Plating System is substantially equivalent to the predicate<br>devices in terms of intended use, design, materials used, mechanical safety and<br>performances. |
| Indications for Use | The Gridlock Ankle Plating System is intended for use in trauma and reconstructive<br>procedures of the small bones in the hand/foot, ankle, distal tibia, fibula, and other<br>bones appropriate for the size of the device.<br>The plates (implant), screws (implant), washers (implant), olive wires (instrument),<br>and guide wires (instrument) are intended for single use only. |
| Non-clinical Test<br>Summary | The following analyses were conducted:<br>Screw Torque to Failure (ASTM F543)<br>Plate 4-Point Bending (ASTM F382)<br>The results of these evaluations indicate that the Gridlock Ankle Plating System is<br>equivalent to predicate devices. |
| Clinical Test Summary | No clinical studies were performed |
| Conclusions: Non-<br>clinical and Clinical | Trilliant Medical LTD considers Gridlock Ankle Plating System to be equivalent to<br>the predicate devices listed above. This conclusion is based upon the devices'<br>similarities in principles of operation, technology, materials and indications for use. |

In accordance with 21 CFR 807.92 of the Federal Code of Regulations

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