Gamma3 System

K200869 · Stryker Trauma GmbH · HSB · Jul 22, 2020 · Orthopedic

Device Facts

• Record ID: K200869
• Device Name: Gamma3 System
• Applicant: Stryker Trauma GmbH
• Product Code: HSB · Orthopedic
• Decision Date: Jul 22, 2020
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 888.3020
• Device Class: Class 2
• Attributes: Therapeutic

Indications for Use

The Gamma3 System is indicated for the treatment of stable and unstable fractures as well as for stabilization of bones and correction of bone deformities in the intracapsular, trochanteric and shaft regions of the femur (including osteoporotic and osteopenic bone). The U-Blade Lag Screw is also indicated for rotationally unstable fractures.

Device Story

Gamma3 System is an intramedullary fixation system for femoral fractures. Components include trochanteric/long nails, lag screws, U-Blade lag screws, end caps, and distal locking screws. Implants are inserted surgically into the femur to provide mechanical stabilization. U-Blade lag screw expands at the tip to provide additional fixation in rotationally unstable fractures. Targeting instrumentation facilitates accurate placement of nails and screws. Device is used in clinical/surgical settings by orthopedic surgeons. Output is physical stabilization of bone segments, enabling healing. Benefits include fracture reduction and bone deformity correction. System updates include consolidated indications, MR labeling, and compatibility with Ø5mm IMN locking screws.

Clinical Evidence

No clinical data. Bench testing only, including construct fatigue, lag screw cut-out, and MR compatibility (displacement force, torque, RF heating, and image artifacts).

Technological Characteristics

Materials: Titanium alloy (Ti-6Al-4V ELI per ASTM F136) and stainless steel (ASTM F1586). Targeting devices: Stainless steel (AISI 431) and carbon fiber reinforced PEEK. Titanium implants feature type II anodized surface treatment. System is a passive intramedullary fixation rod. No software or energy source.

Indications for Use

Indicated for patients with stable/unstable fractures, bone deformities, or stabilization needs in the intracapsular, trochanteric, subtrochanteric, and femoral shaft regions, including those with osteoporotic or osteopenic bone. U-Blade Lag Screw indicated for rotationally unstable fractures.

Regulatory Classification

Identification

An intramedullary fixation rod is a device intended to be implanted that consists of a rod made of alloys such as cobalt-chromium-molybdenum and stainless steel. It is inserted into the medullary (bone marrow) canal of long bones for the fixation of fractures.

Predicate Devices

• Gamma3 and T2 Recon Targeting Devices (K123401)
• T2 Alpha Femur Antegrade GT/PF Nailing System, T2 Alpha Tibia Nailing System, IMN Screws System, IMN Instruments System (K191271)
• Zimmer Natural Nail System (K172114)
• Trigen InterTAN (K040212)
• Howmedica Gamma3 Nail System (K043431 and K034002)

Submission Summary (Full Text)

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July 22, 2020

Image /page/0/Picture/1 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

Stryker Trauma GmbH Sanja Jahr Staff Regulatory Affairs Specialist 325 Corporate Drive Mahwah, New Jersey 07430

Re: K200869

Trade/Device Name: Gamma3 System Regulation Number: 21 CFR 888.3020 Regulation Name: Intramedullary fixation rod Regulatory Class: Class II Product Code: HSB Dated: June 22, 2020 Received: June 23, 2020

# Dear Sanja Jahr:

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.

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

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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 mediation-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,

For Michael Owens, MS, RAC Acting Assistant Director DHT6A: Division of Joint Arthroplasty Devices OHT6: Office of Orthopedic Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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# Indications for Use

510(k) Number (if known)

#### K200869

Device Name Gamma3 System

Indications for Use (Describe)

The Gamma3 System is indicated for the treatment of stable and unstable fractures as well as for stabilization of bones and correction of bone deformities in the intracapsular, trochanteric and shaft regions of the femur (including osteoporotic and osteopenic bone).

The U-Blade Lag Screw is also indicated for rotationally unstable fractures.

| Type of Use (Select one or both, as applicable) | |
|----------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------|
| <span style="font-family: DejaVu Sans, sans-serif">❌</span> Prescription Use (Part 21 CFR 801 Subpart D) | <span style="font-family: DejaVu Sans, sans-serif">☐</span> Over-The-Counter Use (21 CFR 801 Subpart C) |

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| Proprietary Name: | Gamma3 System |
|-------------------------|----------------------------------------------------------------------------------------------------------------------------------------------|
| Common Name: | Rod, Fixation, Intramedullary And Accessories |
| Regulation Description: | Intramedullary fixation rod |
| Regulation Number: | 21 CFR 888.3020 |
| Product Code: | HSB |
| Device Class: | II |
| Sponsor: | Stryker Trauma GmbH<br>Prof.-Kuentscher-Str. 1-5<br>24232 Schoenkirchen / Germany |
| Contact Person: | Ms. Sanja Jahr<br>Staff Regulatory Affairs Specialist<br>325 Corporate Drive<br>Mahwah, NJ 07430<br>Phone: [phone]<br>Fax: [phone] |
| Date Prepared: | March 31, 2020 |
| Primary Predicate: | Gamma3 and T2 Recon Targeting Devices (K123401) |
| Additional Predicates: | T2 Alpha Femur Antegrade GT/PF Nailing System, T2 Alpha<br>Tibia Nailing System, IMN Screws System, IMN Instruments<br>System (K191271) |
| | Zimmer Natural Nail System (K172114) |
| | Trigen InterTAN (K040212) |
| | Howmedica Gamma3 Nail System (K043431 and K034002) |

# 510(k) Summary

# Description

The Gamma3 System consists of Trochanteric Nails, Long Nails, standard Lag Screws, U-Blade Lag Screws, end caps, set screws, distal locking screws, and instrumentation. The purpose of this traditional 510(k) is to update and consolidate system indications and intended use, update MR labeling to reflect new testing, update the mechanical testing analysis, and reference Ø5mm IMN Screws System Locking Screws as compatible components. Additional labeling changes were also made, including operative technique consolidation, safety information updates, and the addition of the MR Conditional symbol to package labels.

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# Gamma3 Trochanteric Nail:

The Gamma3 Trochanteric Nail is available in distal diameters ranging from 10 to 12mm and lengths of 170mm, 180mm, and 200mm. 170mm and 180mm nails have a single, oblong hole distally, while the 200mm nail has both an oblong hole and a round hole for distal fixation. The oblong hole allows for both static and dynamic locking configurations. All Trochanteric Nails are locked proximally with a Lag Screw or U-Blade Lag Screw. The set screw engages with the lag screw and allows translation while preventing rotation. End caps close off the nail and are available in 0mm, +5mm, and +10m lengths.

Nails, set screws, and end caps are available in titanium alloy (Ti-6Al-4V ELI) per ASTM F136 and stainless steel alloy per ASTM F1586. Stainless steel nails are offered in 11mm and 12mm diameters only. Titanium alloy implants have a type II anodized surface treatment.

#### Gamma3 Long Nail:

The Gamma3 Long Nail is available in lengths ranging from 240mm in both R1.5m and R2.0m antecurvatures. The proximal nail diameter is 15.5mm. Distal nail diameters include 10mm, l lmm, 13mm, and 15mm for R1.5m and 11mm, 13mm, and 15mm for R2.0. Distally, there is one round hole and one oblong hole, allowing both static and dynamic locking configurations. All Long Nails are locked proximally with a Lag Screw or U-Blade Lag Screws and end caps are identical to what's described for the Trochanteric nail. The Long Nail is available in titanium alloy (Ti-6Al-4V) per ASTM F136 and stainless steel alloy per ASTM F1586. The stainless steel long nail is only available in R2.0 and 11mm.

#### Lag Screw

Lag screws are cannulated with a major diameter of 10.5mm and lengths ranging from 70mm to 130mm. They are available in titanium alloy (Ti-6Al-4V ELI) per ASTM F136 and stainless steel alloy per ASTM F1586.

# U-Blade Lag Screw

The U-Blade Lag Screw is used in combination with a U-Blade Lag Screw has a major diameter of 10.5mm. The U-Blade slides over the U-Blade Lag Screw, resulting in the spreading of the U-Blade at the tip of the screw to 12.5mm. The construct is fixated by the dedicated end cap. The U-Blade Lag Screw and U-Blade are offered in the same lengths as the standard lag screws. They are available in Ti-6Al-4V.

# Distal Locking Screws

Distal locking screws are cannulated and fully threaded, with a diameter of 5.0mm and lengths ranging from 25mm to 120mm. They are available in titanium alloy (Ti-6AI-4V ELI) per ASTM F136 and stainless steel alloy per ASTM F1586.

# Gamma3 Instrumentation:

Gamma3 instrumentation consists of class II (implant-specific) targeting devices which help facilitate insertion of the nails, lag screws, and distal locking screws. Targeting devices are manufactured from stainless steel per AISI 431 and carbon fiber reinforced PEEK. They were cleared under K123401. Other instrumentation includes drills, drill guides, k-wires, and screw drivers.

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#### Indications for Use

#### Gamma3 System

The Gamma3 System is indicated for the treatment of stable and unstable fractures as well as for stabilization of bones and correction of bone deformities in the intracapsular, trochanteric, subtrochanteric and shaft regions of the femur (including osteoporotic and osteopenic bone).

The U-Blade Lag Screw is also indicated for rotationally unstable fractures.

#### Summary of Technologies

A comparison of the systems demonstrated that the subject Gamma3 System is substantially equivalent to the following predicates in regards to intended use, material, design, and operational principles:

- Gamma3 and T2 Recon Targeting Devices (K123401)
- T2 Alpha Femur Antegrade GT/PF Nailing System, T2 Alpha Tibia Nailing System, IMN Screws System, IMN Instruments System (K191271)
- Zimmer Natural Nail System (K172114)
- . Trigen InterTAN (K040212)
- Howmedica Gamma3 Nail System (K043431 and K034002) ●

# Non-Clinical Testing

The following non-clinical laboratory testing was performed to establishing equivalence to predicates, including:

- Construct Fatigue Testing
- Lag Screw Cut-Out testing
- MR Compatibility per FDA Guidance, "Establishing Safety and Compatibility of Passive ● Implants in the Magnetic Resonance (MR) Environment" (December 11, 2014) and the following standards:
- o Magnetically Induced Displacement Force per ASTM F2052
- o Magnetically Induced Torque per ASTM F2213
- o Heating by RF Fields per ASTM F2182
- Image Artifacts per ASTM F2119 O

Testing demonstrated that Gamma3 System is substantially equivalent in mechanical performance to the predicate device, Zimmer Natural Nail System (K172114).

# Clinical Testing

Clinical testing was not required for this submission.

# Conclusion

The subject Gamma3 System is substantially equivalent to the predicates listed above.