Activmotion Range

K173746 · Newclip Technics · HRS · Feb 27, 2018 · Orthopedic

Device Facts

• Record ID: K173746
• Device Name: Activmotion Range
• Applicant: Newclip Technics
• Product Code: HRS · Orthopedic
• Decision Date: Feb 27, 2018
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 888.3030
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The Activmotion range is intended for knee osteotomy in adults.

Device Story

Activmotion range consists of pre-contoured titanium alloy tibial and femoral plates and screws; used for knee osteotomy in adults. Implants provided either non-sterile for healthcare professional sterilization or sterile via gamma sterilization. Instruments provided non-sterile for professional sterilization. Device functions as bone fixation appliance to stabilize bone during osteotomy procedures. Clinical benefit derived from mechanical stabilization of bone segments.

Clinical Evidence

No clinical studies were performed. Evidence is based on non-clinical bench testing, including engineering analysis of bending strength/stiffness, axial pull-out strength, and ASTM F543 torsional testing, plus endotoxin testing.

Technological Characteristics

Titanium alloy Ti-6Al-4V ELI (ASTM F136, ISO 5832-3). Pre-contoured tibial and femoral plates and screws. Color anodized. Sterilization via gamma or professional steam sterilization. Mechanical fixation.

Indications for Use

Indicated for knee osteotomy in adults.

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

• Depuy Synthes Tomofix Osteotomy System of Synthes (K141796)
• High Tibial Osteotomy System of Newclip Technics (K141548)
• Anthem™ Fracture System of Globus Medical Inc (K163361)

Reference Devices

• Alians Elbow Locking Plating System of Newclip Technics (K152289)

Submission Summary (Full Text)

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Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). The FDA logo is composed of two parts: the Department of Health and Human Services logo on the left and the FDA acronym followed by the words "U.S. Food & Drug Administration" on the right. The Department of Health and Human Services logo is a stylized human figure, while the FDA text is in blue.

February 27, 2018

Newclip Technics % J.D. Webb Official Correspondent The OrthoMedix Group, Inc. 1001 Oakwood Blvd Round Rock, Texas 78681

Re: K173746

Trade/Device Name: Activmotion Range 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: December 5, 2017 Received: December 8, 2017

Dear J.D. 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-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820);

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and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email ([e-mail]) or phone [phone] or 301-796-7100).

Sincerely,

# Katherine D. Kavlock -S

for 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) K173746

Device Name

Activmotion Range

Indications for Use (Describe)

The Activmotion range is intended for knee osteotomy in adults.

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

| <div> <span> <span style="font-size: 16px;">☑</span> Prescription Use (Part 21 CFR 801 Subpart D) </span> </div> |
|------------------------------------------------------------------------------------------------------------------------------------------------------|
| <div> <span> <span style="font-size: 16px;">☐</span> Over-The-Counter Use (21 CFR 801 Subpart C) </span> </div> |

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Image /page/3/Picture/1 description: The image shows a logo for "NEWCLIP-TECHNICS". The logo consists of a circle with the letters "nc" inside. The "t" in "nc" is stylized as an upward-pointing arrow and is colored in pink. Below the circle, the words "NEWCLIP-TECHNICS" are written in a sans-serif font.

#### 510(k) Summary for the ACTIVMOTION range 4.

In accordance with 21 CFR 807.92 of the Federal Code of Regulations, the following 510(k) summary is submitted for the Activmotion range.

Summary preparation date: December 01, 2017

| 1. Submitter: | Contact Person: |
|-------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| NEWCLIP TECHNICS<br>P.A. de la Lande Saint Martin<br>45 rue des Garottières<br>F-44115 Haute-Goulaine - France<br>Telephone: [phone] | J.D. Webb<br>The OrthoMedix Group, Inc.<br>1001 Oakwood Blvd<br>Round Rock, TX 78681<br>Telephone: [phone] |
| 2. Trade name: | Activmotion range |
| Common Name: | Plate, Fixation, Bone / Screw, Fixation,<br>bone |
| Product code: | HRS - Plate, Fixation, Bone<br>HWC - Screw, Fixation, Bone |
| Classification Name: | Single/multiple component metallic bone<br>fixation appliances and accessories.<br>(21 CFR part. 888.3030)<br>Smooth or threaded metallic bone fixation<br>fastener.(21 CFR part. 888.3040) |

#### 3. Primary predicate or legally marketed devices which are substantially equivalent:

- Depuy Synthes Tomofix Osteotomy System of Synthes (K141796) .
#### Secondary predicate or legally marketed devices which are substantially equivalent:

- High Tibial Osteotomy System of Newclip Technics (K141548) •
- Anthem™ Fracture System of Globus Medical Inc (K163361) .

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Page 2/3 K173746

Image /page/4/Picture/1 description: The image shows the logo for NEWCLIP-TECHNICS. The logo features the letters 'nct' in a circle, with a red arrow pointing upwards above the 't'. Below the circle, the words 'NEWCLIP - TECHNICS' are written in a sans-serif font. The logo is simple and modern, with a clear emphasis on the company name.

#### Reference predicate :

- Alians Elbow Locking Plating System of Newclip Technics (K152289) .

| 4. Description of the device: | The Activmotion range consists of pre-<br>contoured tibial and femoral plates and<br>screws in various sizes designed for knee<br>osteotomy in adults. |
|-------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | The plates and screws are manufactured<br>from titanium alloy and color anodized. |
| | The implants of the Activmotion range will<br>be provided non sterile for sterilization by<br>health care professionals prior to use or<br>provided sterile by gamma sterilization.<br>The instruments of the Activmotion range<br>will be provided non sterile for sterilization<br>by health care professionals prior to use. |
| Materials: | Titanium alloy Ti-6Al-4V ELI (conform to<br>ASTM F136 and ISO 5832-3). |
| Function: | The implants of Activmotion range are<br>intended for knee osteotomy in adults. |

#### 5. Substantial equivalence claimed to predicate devices:

The Activmotion range is substantially equivalent to the predicate devices in terms of intended use, design, materials used, mechanical safety and performance.

#### 6. Indications for use:

The Activmotion range is intended for knee osteotomy in adults.

### 7. Non-clinical Test Summary:

The following tests were conducted:

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Image /page/5/Picture/1 description: The image shows the logo for Newclip Technics. The logo consists of a circle with the letters "nct" inside. The "t" is colored in red and has an arrow pointing upwards. Below the circle, the words "NEWCLIP-TECHNICS" are written in a sans-serif font.

1. Engineering analysis was conducted to compare the bending strength and bending stiffness of the subject device plates to the predicates.

2. ASTM F543 torsional testing was performed on the subject screws.

Engineering analysis was conducted to compare the axial pull-out strength.

3. Endotoxin testing is performed using LAL quantitative kinetic chromogenic method.

The analysis showed that the Activmotion range is as safe and as effective as the predicates.

#### 8. Clinical Test Summary:

No clinical studies were performed.

#### 9. Conclusions Non-clinical and Clinical:

Newclip considers the Activmotion range to be equivalent to the predicate devices listed above. This conclusion is based upon the device's similarities in principles of operation, technology, materials, and indications for use.