Delphos Implants Rigid Fixation System
K182609 · Delphos Implants - Ind.Com. Importacao E Exportacao DE · JEY · Mar 29, 2019 · Dental
Device Facts
| Record ID | K182609 |
| Device Name | Delphos Implants Rigid Fixation System |
| Applicant | Delphos Implants - Ind.Com. Importacao E Exportacao DE |
| Product Code | JEY · Dental |
| Decision Date | Mar 29, 2019 |
| Decision | SESE |
| Submission Type | Traditional |
| Regulation | 21 CFR 872.4760 |
| Device Class | Class 2 |
| Attributes | Therapeutic |
Intended Use
The Delphos Implants Rigid Fixation System is intended for fracture fixation in maxillofacial trauma reconstruction, mandibular reconstruction and orthognathic reconstruction. The Delphos Implants Rigid Fixation System implants are intended for single use only.
Device Story
Delphos Implants Rigid Fixation System consists of bone plates and screws for maxillofacial, mandibular, and orthognathic fracture fixation. Plates are manufactured from commercially pure titanium (ASTM F67/ISO 5832-2); screws from titanium alloy Ti-4Al-6V ELI (ASTM F136/ISO 5832-3). Devices are provided non-sterile; require cleaning, disinfection, and steam sterilization by the user prior to implantation. Intended for use by qualified surgeons trained in maxillofacial surgery or stomatology. System includes various plate shapes (e.g., orbital, T, straight, H, X, Z, L, Y, curved, rectangular, calvarium, maxillary, square, mentoplasty, BSSO) and screw types (self-tapping, self-drilling, emergency). Surgeons use the system to stabilize bone fractures or osteotomies; output is mechanical fixation of bone segments to facilitate healing. Benefit is restoration of skeletal structure and function in trauma or reconstructive cases.
Clinical Evidence
No clinical data. Evidence consists of bench testing: biocompatibility (cytotoxicity, irritation, sensitization, acute systemic toxicity per ISO 10993-5, -10, -11) and mechanical performance testing (flexural stiffness, elastic limit stress, bending moment, structural stiffness, fatigue, torsion, pullout, and thread testing per ASTM F382 and ASTM F543).
Technological Characteristics
Materials: Commercially pure titanium (ASTM F67, ISO 5832-2) for plates; titanium alloy Ti-4Al-6V ELI (ASTM F136, ISO 5832-3) for screws. Surface treatment: Anodization. Form factor: Various plate geometries and screw diameters (1.2mm-2.7mm). Sterilization: Steam sterilization (ISO 17665-1). Mechanical fixation principle. No software or electronics.
Indications for Use
Indicated for fracture fixation in maxillofacial trauma reconstruction, mandibular reconstruction, and orthognathic reconstruction in patients requiring surgical stabilization of bone segments.
Regulatory Classification
Identification
A bone plate is a metal device intended to stabilize fractured bone structures in the oral cavity. The bone segments are attached to the plate with screws to prevent movement of the segments.
Predicate Devices
- Osteomed Modular Locking Fixation System (K080694)
Reference Devices
- LeForte System Bone Plate & Screw (K112457)
- Biomet Microfixation Facial Plating System (K121589)
- LeForte System II (K150965)
- CranioMaxillofacial Fixation (CMF) System - CMF Visionare (K180204)
Related Devices
- K112457 — LEFORTE SYSTEM BONE PLATE & SCREW · Arkin Consulting Group · May 18, 2012
- K182758 — MCI - CMF System · Mci Medical Concept Innovation, Inc. · Dec 5, 2019
- K102641 — MINI AND MICRO FRAGMENTS RECONSTRUCTION SYSTEM-NEOFACE · Neoortho Produtos Ortopedicos S/A · Dec 20, 2010
- K091812 — FRONTIER DEVICES CRANIOMAXILLOFACIAL, CRANIO CLOSURE, ORTHOGNATHIC, MANDIBLE RECONSTRUCTION AND MESH SYSTEMS · Frontier Devices, Inc. · May 7, 2010
- K953806 — SYNTHES (USA) MIDFACIAL SYSTEM · Synthes (Usa) · Mar 8, 1996
Submission Summary (Full Text)
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Delphos Implants - Ind.Com. Importacao e Exportacao de Implantes Medicos S.A. March 29, 2019 % Mauro Malzyner US Agent Passarini Regulatory Affairs of America, LLC 201 S. Biscayne Blvd, Suite 1200 Miami, Florida 33131
Re: K182609
Trade/Device Name: Delphos Implants Rigid Fixation System Regulation Number: 21 CFR 872.4760 Regulation Name: Bone Plate Regulatory Class: Class II Product Code: JEY Dated: February 15, 2019 Received: February 25, 2019
Dear Mauro Malzyner:
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 mav, therefore, market the device, subject to the general controls provisions of the Act. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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
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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) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/CombinationProducts/GuidanceRegulatoryInformation/ucm597488.html; good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; 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 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 (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely.
Digitally signed by Mary S. Mary S. Runner -S3 Runner - S3 Date: 2019.03.29
14:59:31 -04'00'
For Tina Kiang, Ph.D. Acting Director Division of Anesthesiology. General Hospital, Respiratory, Infection Control, and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration
# Indications for Use
510(k) Number (if known) K182609
Device Name
Delphos Implants Rigid Fixation System
Indications for Use (Describe)
The Delphos Implants Rigid Fixation System is intended for fracture fixation in maxillofacial trauma reconstruction, mandibular reconstruction and orthognathic reconstruction.
The Delphos Implants Rigid Fixation System implants are intended for single use only.
| Type of Use (Select one or both, as applicable) | <table><tr><td><div> <span> <svg fill="none" height="16" viewbox="0 0 16 16" width="16" xmlns="http://www.w3.org/2000/svg"> <path d="M13.3333 2.66663H2.66667C1.2 2.66663 0 3.86663 0 5.33329V13.3333C0 14.8 1.2 16 2.66667 16H13.3333C14.8 16 16 14.8 16 13.3333V5.33329C16 3.86663 14.8 2.66663 13.3333 2.66663ZM13.3333 13.3333H2.66667V5.33329H13.3333V13.3333ZM5.33333 8.00004L7.33333 10L10.6667 6" fill="black"></path> </svg> </span> Prescription Use (Part 21 CFR 801 Subpart D) </div></td><td><div> <span> <svg fill="none" height="16" viewbox="0 0 16 16" width="16" xmlns="http://www.w3.org/2000/svg"> <rect height="15" rx="2.5" stroke="black" width="15" x="0.5" y="0.5"></rect> </svg> </span> Over-The-Counter Use (21 CFR 801 Subpart C) </div></td></tr></table> | <div> <span> <svg fill="none" height="16" viewbox="0 0 16 16" width="16" xmlns="http://www.w3.org/2000/svg"> <path d="M13.3333 2.66663H2.66667C1.2 2.66663 0 3.86663 0 5.33329V13.3333C0 14.8 1.2 16 2.66667 16H13.3333C14.8 16 16 14.8 16 13.3333V5.33329C16 3.86663 14.8 2.66663 13.3333 2.66663ZM13.3333 13.3333H2.66667V5.33329H13.3333V13.3333ZM5.33333 8.00004L7.33333 10L10.6667 6" fill="black"></path> </svg> </span> Prescription Use (Part 21 CFR 801 Subpart D) </div> | <div> <span> <svg fill="none" height="16" viewbox="0 0 16 16" width="16" xmlns="http://www.w3.org/2000/svg"> <rect height="15" rx="2.5" stroke="black" width="15" x="0.5" y="0.5"></rect> </svg> </span> Over-The-Counter Use (21 CFR 801 Subpart C) </div> |
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| <div> <span> <svg fill="none" height="16" viewbox="0 0 16 16" width="16" xmlns="http://www.w3.org/2000/svg"> <path d="M13.3333 2.66663H2.66667C1.2 2.66663 0 3.86663 0 5.33329V13.3333C0 14.8 1.2 16 2.66667 16H13.3333C14.8 16 16 14.8 16 13.3333V5.33329C16 3.86663 14.8 2.66663 13.3333 2.66663ZM13.3333 13.3333H2.66667V5.33329H13.3333V13.3333ZM5.33333 8.00004L7.33333 10L10.6667 6" fill="black"></path> </svg> </span> Prescription Use (Part 21 CFR 801 Subpart D) </div> | <div> <span> <svg fill="none" height="16" viewbox="0 0 16 16" width="16" xmlns="http://www.w3.org/2000/svg"> <rect height="15" rx="2.5" stroke="black" width="15" x="0.5" y="0.5"></rect> </svg> </span> Over-The-Counter Use (21 CFR 801 Subpart C) </div> | | |
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# 510(k) Summary
## ADMINISTRATIVE INFORMATION
| Sponsor | Delphos Implants Industria, Comercio, Importacao e<br>Exportacao de Implantes Medicos S.A.<br>Estrada Manuel Correia Lopes, Parque Empresarial Progresso,<br>Armazem 5- Cascais - Sao Domingos de Rana - Portugal 2785-<br>126<br>Telephone +351 211 955 986 |
|--------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact Person | Mauro Malzyner, Mr.<br>US Agent<br>Passarini Regulatory Affairs of America, LLC<br>E-Mail: mauro@rapassarini.com.br<br>Telephone +1 760 936 2301 |
| Date Prepared | 27/Mar/2019 |
| Preparer / Alternate Contact | Janine Treter<br>Regulatory Affairs Specialist<br>Passarini Regulatory Affairs<br>janine@rapassarini.com.br<br>Telephone +55 47 3804 0075 |
| DEVICE NAME AND CLASSIFICATION | |
| Trade/ Proprietary Name<br>Common Name | Delphos Implants Rigid Fixation System<br>Bone Plate |
| Classification Regulations<br>Product Code | 21 CFR 872.4760, Class II<br>JEY |
| PREDICATE DEVICE INFORMATION | |
| Primary Predicate Device | K080694 - Osteomed Modular Locking Fixation System - Osteomed<br>L.P. |
| Reference Devices | K112457 - LeForte System Bone Plate & Screw - Jeil Medical<br>Corporation<br>K121589 - Biomet Microfixation Facial Plating System - Biomet<br>Microfixation<br>K150965 - LeForte System II - Jeil Medical Corporation<br>K180204 - CranioMaxillofacial Fixation (CMF) System - CMF Visionare<br>- Visionare LLC |
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# 510(k) Summary
## ADMINISTRATIVE INFORMATION
| Sponsor | Delphos Implants Industria, Comercio, Importacao e<br>Exportacao de Implantes Medicos S.A.<br>Estrada Manuel Correia Lopes, Parque Empresarial Progresso,<br>Armazem 5- Cascais - Sao Domingos de Rana - Portugal 2785-<br>126<br>Telephone +351 211 955 986 |
|--------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact Person | Mauro Malzyner, Mr.<br>US Agent<br>Passarini Regulatory Affairs of America, LLC<br>E-Mail: mauro@rapassarini.com.br<br>Telephone +1 760 936 2301 |
| Date Prepared | 27/Mar/2019 |
| Preparer / Alternate Contact | Janine Treter<br>Regulatory Affairs Specialist<br>Passarini Regulatory Affairs<br>janine@rapassarini.com.br<br>Telephone +55 47 3804 0075 |
| DEVICE NAME AND CLASSIFICATION | |
| Trade/ Proprietary Name<br>Common Name | Delphos Implants Rigid Fixation System<br>Bone Plate |
| Classification Regulations<br>Product Code | 21 CFR 872.4760, Class II<br>JEY |
| PREDICATE DEVICE INFORMATION | |
| Primary Predicate Device | K080694 - Osteomed Modular Locking Fixation System - Osteomed<br>L.P. |
| Reference Devices | K112457 - LeForte System Bone Plate & Screw - Jeil Medical<br>Corporation<br>K121589 - Biomet Microfixation Facial Plating System - Biomet<br>Microfixation<br>K150965 - LeForte System II - Jeil Medical Corporation<br>K180204 - CranioMaxillofacial Fixation (CMF) System - CMF Visionare<br>- Visionare LLC |
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#### INDICATIONS FOR USE
The Delphos Implants Rigid Fixation System is intended for fracture fixation in maxillofacial trauma reconstruction, mandibular reconstruction and orthognathic reconstruction.
The Delphos Implants Rigid Fixation System implants are intended for single use only.
## SUBJECT DEVICE DESCRIPTION
The plates are manufactured in commercially pure titanium (ASTM F67 and ISO 5832-2) and the bone screws are manufactured from titanium alloy Ti-4Al-6V ELI (ASTM F136 and ISO 5832-3) and are available on different sizes, according with the site of the implantation and the extension of the fracture.
The devices are for single use, provided non-sterile, must be properly cleaned, disinfected and sterilized before use, according the recommendations provided on the Instructions for Use provided by Delphos Implants.
The devices must only be used by qualified surgeons mastering the surgical technique, having been trained and qualified in maxillofacial surgery and/or stomatology.
### TECHNOLOGICAL CHARACTERISTICS
The subject and predicate devices have a range of plates and screws with equivalent indication for fracture fixation in maxillofacial trauma reconstruction, mandibular reconstruction and orthognathic reconstruction.
Differences in the design features between the subject devices and the primary predicate device K080694 are addressed by comparison to the reference devices as listed in the tables below.
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#### INDICATIONS FOR USE
The Delphos Implants Rigid Fixation System is intended for fracture fixation in maxillofacial trauma reconstruction, mandibular reconstruction and orthognathic reconstruction.
The Delphos Implants Rigid Fixation System implants are intended for single use only.
## SUBJECT DEVICE DESCRIPTION
The plates are manufactured in commercially pure titanium (ASTM F67 and ISO 5832-2) and the bone screws are manufactured from titanium alloy Ti-4Al-6V ELI (ASTM F136 and ISO 5832-3) and are available on different sizes, according with the site of the implantation and the extension of the fracture.
The devices are for single use, provided non-sterile, must be properly cleaned, disinfected and sterilized before use, according the recommendations provided on the Instructions for Use provided by Delphos Implants.
The devices must only be used by qualified surgeons mastering the surgical technique, having been trained and qualified in maxillofacial surgery and/or stomatology.
### TECHNOLOGICAL CHARACTERISTICS
The subject and predicate devices have a range of plates and screws with equivalent indication for fracture fixation in maxillofacial trauma reconstruction, mandibular reconstruction and orthognathic reconstruction.
Differences in the design features between the subject devices and the primary predicate device K080694 are addressed by comparison to the reference devices as listed in the tables below.
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| Table 5.1: Substantial Equivalence on Plates | | | | | | |
|-----------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | SUBJECT DEVICES | PRIMARY PREDICATE DEVICE | REFERENCE DEVICE I | REFERENCE DEVICE II | REFERENCE DEVICE III | |
| Trade Name<br>Information | K182609 - Delphos Implants<br>Rigid Fixation System | K080694 - Osteomed Modular<br>Locking System | K112457 - LeForte System<br>Bone Plate & Screw | K121589 - Biomet Microfixation<br>Facial Plating System | K180204 - Mini and Micro<br>Fragments Reconstruction<br>System -<br>CMF Visionare | Substantial Equivalence Discussion |
| | Delphos Implants - Ind. Com.<br>Importação e Exportação de<br>Implantes Médicos S.A. | OsteoMed L. P. | Jeil Medical Corporation | Biomet Microfixation | Visionare LLC | |
| | | | | | | Equivalent<br>The subject device indication for use<br>is identical to primary predicate<br>device excepting for the reference to<br>drills and the reference to the term<br>"cranio-maxillofacial".<br>Drills are surgical instruments |
| | | | | | | developed to assist in the installation<br>of plates and screws and are not<br>subject of this submission. Therefore,<br>information on drills were<br>suppressed from Delphos Implants<br>indications for use Statement. |
| Indication for Use | The Delphos Implants Rigid<br>Fixation System is intended<br>for fracture fixation in<br>maxillofacial trauma<br>reconstruction, mandibular<br>reconstruction and<br>orthognathic reconstruction. | The OsteoMed Modular<br>Locking Fixation System is<br>intended for fracture fixation<br>in cranio-maxillofacial trauma<br>reconstruction, mandibular<br>reconstruction and<br>orthognathic reconstruction.<br>The OsteoMed Modular<br>Locking Fixation System<br>implants and drills are<br>intended for single use only. | Intended for use in Selective<br>trauma of the mid-face,<br>reconstruction procedures<br>and selective orthognathic<br>surgery of the maxilla and<br>chin. | These devices are implantable<br>bone plates and bone screws<br>for facial procedures<br>including:<br>1. Fractures<br>2. Osteotomies<br>3. Reconstructive procedures<br>4. Revision procedures where<br>other treatments or devices<br>have failed | CranioMaxillofacial Fixation<br>(CMF) System - CMF Visionare<br>is intended for use in selective<br>trauma of the midface,<br>maxillofacial surgery,<br>reconstructive procedures,<br>and selective orthognathic<br>surgery of the maxilla,<br>mandible and chin. | In a previous submission from<br>Delphos Implants (K172949), FDA<br>informed that devices intended for<br>Cranial/Neuro applications are to be<br>reviewed by the Neurology Panel.<br>Therefore, the words cranio-<br>maxillofacial were replaced by<br>maxillofacial. |
| | The Delphos Implants Rigid<br>Fixation System implants are<br>intended for single use only. | | | | | The subject device indication for use<br>are within the scope of the reference<br>devices. |
| | | | | | | Identical |
| Product Code | JEY | JEY | JEY, DZL | JEY, HWC | JEY, DZL | to Primary Predicate Device and<br>within the scope of Reference<br>Devices. |
| Class | II | II | II | II | II | Identical |
| Trade Name<br>Information | SUBJECT DEVICES<br>K182609 - Delphos Implants<br>Rigid Fixation System<br>Delphos Implants - Ind. Com.<br>Importação e Exportação de<br>Implantes Médicos S.A. | PRIMARY PREDICATE DEVICE<br>K080694 - Osteomed Modular<br>Locking System<br>OsteoMed L. P. | REFERENCE DEVICE I<br>K112457 - LeForte System<br>Bone Plate & Screw<br>Jeil Medical Corporation | REFERENCE DEVICE II<br>K121589 - Biomet Microfixation<br>Facial Plating System<br>Biomet Microfixation | REFERENCE DEVICE III<br>K180204 - Mini and Micro<br>Fragments Reconstruction<br>System -<br>CMF Visionare<br>Visionare LLC | Substantial Equivalence Discussion |
| Regulation Number | 21 CFR 872.4760 | 21 CFR 872.4760 | 21 CFR 872.4760<br>21 CFR 872.4880 | 21 CFR 872.4760<br>21 CFR 888.3040 | 21 CFR 872.4760<br>21 CRF 872.4880 | Identical<br>to Primary Predicate Device and<br>within the scope of Reference<br>Devices. |
| Regulation Name | Bone Plate | Bone Plate | Bone Plate<br>Intraosseus fixation screw or<br>wire | Bone Plate<br>Screw, Fixation, Bone | Bone Plate<br>Intraosseus fixation screw or<br>wire | Identical<br>to Primary Predicate Device and<br>within the scope of Reference<br>Devices. |
| Raw material | The plates are made from<br>commercially pure titanium<br>(ASTM F67) | The plates are made from<br>Titanium Alloy (ASTM F136 or<br>commercially pure titanium<br>(ASTM F67) | The plates are made from<br>commercially pure titanium<br>(ASTM F67) | The plates are made from<br>Titanium Alloy (ASTM F136 or<br>commercially pure titanium<br>(ASTM F67) | The plates are made from<br>commercially pure titanium<br>(ASTM F67) | Equivalent<br>The subject device raw materials are<br>within the scope of the predicates<br>raw materials. |
| Surface treatment | Anodization | Anodization | Anodization | Not informed | Not informed | Identical |
| Use | Single use | Single use | Single use | Single use | Single use | Identical |
| Sterilization | Non-sterile, Steam<br>sterilization prior to use | Non-sterile, Steam<br>sterilization prior to use | Non-sterile, Steam<br>sterilization prior to use | Not informed | Non-sterile, Steam<br>sterilization prior to use | Identical |
| Plates thickness | 0.5, 0.6, 0.7, 0.8, 1.0, 1.3, 1.6,<br>2.5 mm | 0.25mm ~ 2.5mm<br>1.0mm ~2.5mm | 0.1mm, 0.2mm, 0.3mm,<br>0.4mm, 0.5mm, 0.6mm,<br>0.8mm, 1.0mm, 1.3mm,<br>2.5mm | Various | 0.3mm, 0.7mm, 1.0mm,<br>1.5mm, 2.0mm, 2.54mm. | Equivalent<br>The plates thickness are within the<br>range of the predicate devices. |
| | | | | | | |
| | SUBJECT DEVICES | PRIMARY PREDICATE DEVICE | REFERENCE DEVICE I | REFERENCE DEVICE II | REFERENCE DEVICE III | |
| Trade Name<br>Information | K182609 - Delphos I…