CrossRoads Screw System

K191342 · Crossroads Extemity Systems, LLC · HWC · Aug 19, 2019 · Orthopedic

Device Facts

• Record ID: K191342
• Device Name: CrossRoads Screw System
• Applicant: Crossroads Extemity Systems, LLC
• Product Code: HWC · Orthopedic
• Decision Date: Aug 19, 2019
• Decision: SESE
• Submission Type: Special
• Regulation: 21 CFR 888.3040
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The CrossRoads Screw System is indicated for fracture repair and fixation, osteotomy, joint fusion, reconstruction and arthrodesis of bones appropriate for the size of the device.

Device Story

Bone fixation system consisting of metallic screws in various diameters and lengths; used for fracture repair, osteotomy, joint fusion, and reconstruction. Modifications include updated thread designs, screw head/driver interfaces, and addition of reverse cutting threads. Intended for surgical use by orthopedic surgeons to stabilize bone segments. Provides mechanical fixation to facilitate bone healing and arthrodesis.

Clinical Evidence

Bench testing only. Engineering analysis of worst-case sizes demonstrated substantial equivalence to predicate devices; no additional mechanical testing required.

Technological Characteristics

Metallic bone fixation screws; various diameters (2.0mm, 2.5mm, 3.0mm, 4.0mm, 7.0mm) and lengths. Features include modified thread designs, screw head/driver interfaces, and reverse cutting threads. Class II device per 21 CFR 888.3040.

Indications for Use

Indicated for fracture repair, fixation, osteotomy, joint fusion, reconstruction, and arthrodesis of bones appropriate for device size.

Regulatory Classification

Identification

A smooth or threaded metallic bone fixation fastener is a device intended to be implanted that consists of a stiff wire segment or rod made of alloys, such as cobalt-chromium-molybdenum and stainless steel, and that may be smooth on the outside, fully or partially threaded, straight or U-shaped; and may be either blunt pointed, sharp pointed, or have a formed, slotted head on the end. It may be used for fixation of bone fractures, for bone reconstructions, as a guide pin for insertion of other implants, or it may be implanted through the skin so that a pulling force (traction) may be applied to the skeletal system.

Predicate Devices

• CrossRoads Screw System (K143039)
• CrossRoads Screw System (K152072)

Submission Summary (Full Text)

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August 19, 2019

CrossRoads Extemity Systems, LLC % Theresa Leister Senior Consultant MRC-x. LLC 6075 Poplar Ave Memphis. Tennessee 38119

Re: K191342

Trade/Device Name: CrossRoads Screw System Regulation Number: 21 CFR 888.3040 Regulation Name: Smooth Or Threaded Metallic Bone Fixation Fastener Regulatory Class: Class II Product Code: HWC Dated: July 24, 2019 Received: July 25, 2019

Dear Theresa Leister:

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. 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.

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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) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email ([e-mail]) or phone [phone] or 301-796-7100).

Sincerely.

Shumaya Ali, MPH Assistant Director DHT6C: Restorative, Repair and Trauma Devices OHT6: Office of Orthopedic Devices Office of Product Evaluation and Ouality Center for Devices and Radiological Health

Enclosure

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# Indications for Use

510(k) Number (if known)

### K191342

Device Name CrossRoads Screw System

Indications for Use (Describe)

The CrossRoads Screw System is indicated for fracture repair and fixation, osteotomy, joint fusion, reconstruction and arthrodesis of bones appropriate for the size of the device.

| 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)

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### 510(k) Summary

CrossRoads Screw System August 15, 2019

| Company: | CrossRoads Extremity Systems, LLC<br>6055 Primacy Parkway, Suite 140<br>Memphis, TN 38119 |
|--------------------------------|----------------------------------------------------------------------------------------------------------------|
| Establishment<br>Registration: | 3011421599 |
| Primary Contact: | Theresa Leister<br>Phone: [phone] |
| Company Contact: | Chad Hollis<br>Phone: [phone] |
| Trade Name: | CrossRoads Screw System |
| Common Name: | Screw, Fixation, Bone |
| Classification: | Class II |
| Regulation Number: | 21 CFR 888.3040 |
| Panel: | 87- Orthopedic |
| Product Code: | HWC |
| Predicate Devices: | Primary Predicate: CrossRoads Screw System (K143039)<br>Secondary Predicate: CrossRoads Screw System (K152072) |

### Device Description:

The CrossRoads Screw System was previously cleared under 510(k)s K143039 & K152072 and is comprised of bone screws having various features in a variety of diameters and lengths to accommodate differing patient anatomy. The screws that are the subject of this submission incorporate design modifications and additional lengths to the 2.0mm, 2.5mm, and 3.0mm screws as well as the addition of new 2.0mm, 4.0mm and 7.0mm Headless Screws. The design modifications include screw thread changes, screw head/driver interface changes, and the addition of reverse cutting threads.

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## Indications for Use:

The CrossRoads Screw System is indicated for fracture repair and fixation, osteotomy, joint fusion, reconstruction and arthrodesis of bones appropriate for the size of the device.

### Substantial Equivalence:

The subject CrossRoads Screw System components are substantially equivalent to the following predicate devices:

> CrossRoads Screw System (K152072) CrossRoads Screw System (K143039)

The subject components are similar to the predicate devices in terms of indications, geometry. and materials.

# Performance Testing:

Engineering analysis was performed utilizing the worst-case sizes the subject CrossRoads Screw System. This analysis showed the subject device to be substantially equivalent in terms of performance to the predicate CrossRoads Screw System (K152072 and K143039). Thus, it was determined that no additional mechanical testing is required.

# Conclusion:

There are no substantial differences between the CrossRoads Screw System and the predicate devices with respect to intended use and technological characteristics, including basic design, materials of manufacture, mechanical properties, and intended effect.

Therefore, the CrossRoads Screw System can be found substantially equivalent to the cited predicate, as it does not raise new questions of safety and effectiveness.