Who is the manufacturer of JuniOrtho Plating System?

Orthofix Srl filed the 510(k) submission for JuniOrtho Plating System (K213572).

What is the FDA product code for JuniOrtho Plating System?

HWC. It is classified under 21 CFR 888.3040 as a Class 2 device in the Orthopedic panel.

What is the regulatory pathway for JuniOrtho Plating System?

510(k) clearance (submission type: Traditional).

What are the predicate devices for JuniOrtho Plating System?

JPS JuniOrtho Plating System™ (K200246); Synthes Lcp Pediatric Plates (K112085).

Who can help prepare an FDA 510(k) submission like JuniOrtho Plating System?

Innolitics — a medical-device software consultancy — provides regulatory and engineering support for FDA 510(k) submissions. See https://innolitics.com/services/510ks/ or contact https://innolitics.com/contact.

JuniOrtho Plating System

K213572 · Orthofix Srl · HWC · Jan 18, 2022 · Orthopedic

Device Facts

Record ID	K213572
Device Name	JuniOrtho Plating System
Applicant	Orthofix Srl
Product Code	HWC · Orthopedic
Decision Date	Jan 18, 2022
Decision	SESE
Submission Type	Traditional
Regulation	21 CFR 888.3040
Device Class	Class 2
Attributes	Therapeutic, Pediatric

Intended Use

The JPS JuniOrtho Plating System™ is internal fixation and stabilization of fractures, osteotomies, malunions and non-unions of long bones of the lower limb. The JPS JuniOrtho Plating System™ is indicated for internal fixation of femoral and tibial fractures, osteotomies, mal-unions and non-unions. Indications include: - Varus, valgus, rotational and/or shortening osteotomies - Femoral neck and/or pertrochanteric fractures - Proximal and distal metaphyseal fractures - Pathological and impeding pathological fractures Use of the JPS JuniOrtho Plating System™ is indicated in pediatric (excluding newborns) and small statients.

Device Story

The JuniOrtho Plating System is a line extension of an existing orthopedic fixation system. It consists of locking and non-locking bone screws with modified geometry and new lengths. These implants are used by orthopedic surgeons in clinical settings to provide internal fixation and stabilization for fractures, osteotomies, malunions, and non-unions of the femur and tibia. The system is designed for pediatric and small-stature adult patients. The device functions as a mechanical fastener to hold bone segments in place during the healing process. The surgeon selects the appropriate screw size and length based on the patient's anatomy and the specific fracture or osteotomy site. The system is provided in sterile or non-sterile configurations.

Clinical Evidence

Bench testing only. Mechanical testing was performed according to ASTM F543-17 to validate the design changes. No clinical data was required or provided.

Technological Characteristics

Metallic bone screws made from Stainless steel AISI 316LVM (ASTM F138). Features locking and non-locking designs. Mechanical performance validated per ASTM F543-17. Sterilization and biocompatibility profiles are identical to the predicate device (K200246).

Indications for Use

Indicated for internal fixation and stabilization of fractures, osteotomies, malunions, and non-unions of lower limb long bones (femur/tibia) in pediatric (excluding newborns) and small stature adult patients.

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

JPS JuniOrtho Plating System™ (K200246)
Synthes Lcp Pediatric Plates (K112085)

Reference Devices

Orthopediatrics Pediloc™ Tibial Plate System (K100240)

Related Devices

K200246 — JPS JuniOrtho Plating System · Orthofix Srl · May 22, 2020
K162307 — OrthoPediatrics Locking Proximal Femur System Cortical Screws · OrthoPediatrics Corp. · Sep 27, 2016
K073344 — ORTHOPEDIATRICS PLATING SYSTEM · Orthopediatrics, LLC · Feb 19, 2008
K230527 — WishBone Medical Plate and Screw System · Wishbone Medical, Inc. · Mar 29, 2023
K172886 — Breakaway Screw System · Paragon 28 · Dec 20, 2017

Submission Summary (Full Text)

{0}------------------------------------------------ January 18, 2022 Image /page/0/Picture/1 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health and Human Services logo on the left and the FDA logo on the right. The FDA logo is a blue square with the letters "FDA" in white, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue. Orthofix Srl % Cheryl Wagoner Consultant Wagoner Consulting LLG PO Box 15729 Wilmington, North Carolina 28408 Re: K213572 Trade/Device Name: JuniOrtho Plating System™ Regulation Number: 21 CFR 888.3040 Regulation Name: Smooth Or Threaded Metallic Bone Fixation Fastener Regulatory Class: Class II Product Code: HWC Dated: November 8, 2021 Received: November 10, 2021 Dear Cheryl Wagoner: 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. {1}------------------------------------------------ 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 (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100). Sincerely. Shumaya Ali, MPH Assistant Director DHT6C: Division of Restorative, Repair and Trauma Devices OHT6: Office of Orthopedic Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health Enclosure {2}------------------------------------------------ # Indications for Use 510(k) Number (if known) K213572 Device Name JuniOrtho Plating System™ #### Indications for Use (Describe) The JPS JuniOrtho Plating System™ is internal fixation and stabilization of fractures, osteotomies, malunions and non-unions of long bones of the lower limb. The JPS JuniOrtho Plating System™ is indicated for internal fixation of femoral and tibial fractures, osteotomies, mal-unions and non-unions. Indications include: - Varus, valgus, rotational and/or shortening osteotomies - Femoral neck and/or pertrochanteric fractures - Proximal and distal metaphyseal fractures - Pathological and impeding pathological fractures Use of the JPS JuniOrtho Plating System™ is indicated in pediatric (excluding newborns) and small statients. | 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) ## CONTINUE ON A SEPARATE PAGE IF NEEDED. This section applies only to requirements of the Paperwork Reduction Act of 1995. # *DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.* The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to: > Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov "An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number." {3}------------------------------------------------ Image /page/3/Picture/2 description: The image shows the Orthofix logo, which is a stylized blue shape above the word "ORTHOFIX" in black, bold letters. Below the logo, the text "510(k) Summary for K213572" is written in a smaller, black font. The text indicates that the document is a summary related to a 510(k) premarket submission with the reference number K213572. (21 CFR 807.92) | Submitter information | | |-----------------------|------------------------------------------------------| | Submitter Name | Orthofix Srl | | Address | Via delle Nazioni, 9 37012 Bussolengo (VR) - Italy | | Telephone | + 39 045 6719.000 | | Fax | + 39 045 6719.380 | | Contact Person | Gianluca Ricadona Sr. Quality & Regulatory Affairs Manager | |-----------------|---------------------------------------------------------------| | Address | Via delle Nazioni, 9 37012 Bussolengo (VR) - Italy | | Telephone | + 39 045 6719 000 | | Fax | + 39 045 6719 380 | | Email address | GianlucaRicadona@orthofix.it | | Date of summary | January 18, 2022 | # Trade Name, Common Name, Classification | Trade Name | JPS JuniOrtho Plating System™ | |-------------------------------------|-------------------------------| | Device | Screw, fixation, bone | | Product code | HWC | | Panel Code | Orthopedic | | Class | Class II | | Classification Regulation Number | 21 CFR 888.3040 | # Predicate devices | Primary Predicate Device | 510(k) Number | Manufacturer | |-------------------------------|------------------|----------------------------| | JPS JuniOrtho Plating System™ | K200246 | Orthofix Srl | | Other Predicate Devices | | | | Synthes Lcp Pediatric Plates | K112085 | Synthes (USA) Products LLC | {4}------------------------------------------------ # Traditional 510(k) Premarket Notification JuniOrtho Plating System™ - Line extension | Orthopediatrics Pediloc™ Tibial Plate System | K100240 | Orthopediatrics, Corp. | |----------------------------------------------|---------|------------------------| |----------------------------------------------|---------|------------------------| | Device description | The Subject Device is a line extension of the existing locking and non- locking screws with same indications and intended use, diameters and new lengths, and with a modified geometry, to be used in addition to those already cleared for use (JPS JuniOrtho Plating System K200246). The predicate device, screws are offered both in sterile and non-sterile packaging configurations and are made from Stainless steel AISI 316LVM, according to ASTM F138 "Standard Specification for Wrought 18Chromium-14Nickel-2.5Molybdenum Stainless Steel Bar and Wire for Surgical Implants (UNS S31673)". | |------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | Indications for use | Being a Line Extension, the Indications for use of the Subject device are identical to the predicate's JPS JuniOrtho Plating SystemTM and are referred to the whole system as follows. JPS JuniOrtho Plating SystemTM is intended for internal fixation and stabilization of fractures, osteotomies, mal-unions and non-unions of long bones of the lower limb. The JPS JuniOrtho Plating SystemTM is indicated for internal fixation and stabilization of femoral and tibial fractures, osteotomies, mal- unions and non-unions. Indications include: - Varus, valgus, rotational and/or shortening osteotomies - Femoral neck and/or pertrochanteric fractures - Proximal and distal metaphyseal fractures - Pathological and impeding pathological fractures Use of the JPS JuniOrtho Plating SystemTM is indicated in pediatric (excluding newborns) and small stature adult patients. | | Technological Characteristics and Intended Use | Documentation was provided to demonstrate that the Subject device is substantially equivalent to the predicate JPS JuniOrtho Plating System (K200246) component(s), in the following fundamental aspects: Intended use, indications for use, intended population, sites of application, operating principles and method of fixation, material, conditions of use, mechanical performances, basic design, packaging configuration, sterilization method, biocompatibility and MRI compatibility. | | Performance Data | The design dimensional specification change of the Subject device has been managed by design control activity and Risk Management process. The potential identified risks have been measured and mitigated through mechanical testing, in order to demonstrate that the Subject Device does not introduce additional risks respect to the predicate (K200246). The testing activity results demonstrated to meet the established acceptance criteria. The following standards have been followed to perform mechanical test on the Subject device: ASTM F543 – 17 "Standard Specification and Test Methods for Metallic Medical Bone Screws". | | Biocompatibility data | The Subject device is equivalent in its final finished form of the predicate device, JPS JuniOrtho Plating System (K200246), concerning the: manufacturing, sterilization, processing, material, intended population, anatomical location and duration of exposure. Therefore, no additional biocompatibility assessment was required for the Subject device. | | Conclusion | The analysis on the performance data within this Premarket Notification supports the conclusion that the new Subject device is substantially equivalent to the predicate (K200246). | {5}------------------------------------------------