The Stryker Consolidated Operating Room Equipment (CORE) System is intended for use in the cutting, drilling, reaming, decorticating, and smoothing of bone, bone cement and other bone related tissue in a variety of surgical procedures, including but not limited to ENT. It is also usable in the placement or cutting of screws, metal, wires, pins, and other fixation devices.
Device Story
Stryker CORE System is a bench-top console for surgical power tools; used in OR settings by surgeons. System drives drills, shavers, saws, and wire drivers via handpiece connectors. Console features LCD screen for parameter adjustment and system status display; includes irrigation pump. Wireless tag technology identifies connected accessories. Window jog function allows precise cutter positioning. IEEE1394 Firewire interface enables data/control communication with other devices. Auxiliary control mechanism powers and retrieves data from handpiece-mounted subsystems. Non-volatile memory stores settings. Device assists surgeons in bone/tissue resection and fixation, potentially improving surgical efficiency and procedural outcomes.
Clinical Evidence
No clinical data provided. Substantial equivalence is based on technological comparison and bench testing of the console system.
Technological Characteristics
Bench-top console; microprocessor-controlled; 400W power output; electrical power source. Features LCD interface, three handpiece connectors, two footswitch connectors. Connectivity includes IEEE1394 Firewire and auxiliary control for handpiece subsystems. Includes wireless tag technology for accessory identification. Non-volatile memory for setting storage. System supports window jog functionality.
Indications for Use
Indicated for patients requiring surgical procedures involving cutting, drilling, reaming, decorticating, or smoothing of bone, bone cement, or bone-related tissue, including ENT procedures and the placement or cutting of fixation devices (screws, metal, wires, pins).
Regulatory Classification
Identification
An ear, nose, and throat electric or pneumatic surgical drill is a rotating drilling device, including the handpiece, that is intended to drive various accessories, such as an ear, nose, and throat bur (§ 874.4140), for the controlled incision or removal of bone in the ear, nose, and throat area.
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MAR - 3 2004
## 510(k) Summary
| Trade Name: | Stryker Consolidated Operating Room Equipment (CORE)<br>System |
|------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Common Name: | Console |
| Classification Names: | Bone Cutting Instruments and Accessories. (per 21 CFR section<br>872.4120)<br>Ear, Nose and Throat Electric or Pneumatic Surgical Drill. (per<br>21 CFR section 874.4250)<br>Powered Simple Cranial Drill, Burrs, Trephines and their<br>Accessories (per 21 CFR section 882.4310) |
| Equivalent to: | Stryker CORE Console (K032303), Stryker TPS Plus (K032117)<br>Stryker TPS (Dental-K943540, ENT-K943569, Neuro-<br>K943541), TPS Hermes (K991696), Stryker Navigation System<br>(K012380) and Dyonics (K771218). |
| Device Description: | The device description of the Stryker System includes drills,<br>shavers, shields, guards, motors, attachments, saws, wire drivers,<br>collets, console, irrigation pump, cords, footswitch, handswitch,<br>clips, tubing, cutting accessories, and sterilization cases.<br>The scope of this modification is limited to the console of the<br>system. |
| Intended Use: | The Stryker Consolidated Operating Room Equipment (CORE)<br>System is intended for use in the cutting, drilling, reaming,<br>decorticating, and smoothing of bone, bone cement and other<br>bone related tissue in a variety of surgical procedures, including<br>but not limited to ENT. It is also usable in the placement or<br>cutting of screws, metal, wires, pins, and other fixation devices. |
| Technological<br>Comparison: | Technological characteristics are the same as previously cleared<br>for the Stryker CORE Console (K032303), Stryker TPS Plus<br>(K032117), Stryker TPS System (K943540, K943569, K943541,<br>and K991696), Stryker Navigation System (K012380) and<br>Dyonics (K771218). |
| Submitted by: | Jean W. Sheppard<br>Regulatory Analyst<br>Stryker Instruments |
| Date: | February 19, 2004 |
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| ELEMENT OF<br>COMPARISON | SUBJECT DEVICE:<br>Stryker CORE ENT<br>System Console | CLAIMED SE<br>DEVICE # 1: TPS<br>Plus System | CLAIMED SE<br>DEVICE #2:<br>Stryker CORE<br>System Console | CLAIMED SE<br>DEVICE #3:<br>Stryker TPS Dental<br>System | CLAIMED SE<br>DEVICE #4: Stryker<br>TPS Hermes<br>System | CLAIMED SE<br>DEVICE #5: Stryker<br>Navigation System |
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| 510(k) | K040300 | K032117 | K0323003 | K943540 | K991696 | K012380 |
| Intended Use | Intended for use in the<br>cutting, drilling, reaming,<br>decorticating, and<br>smoothing of bone, bone<br>cement and other bone<br>related tissue in a variety<br>of surgical procedures,<br>including but not limited<br>to ENT. It is also usable<br>in the placement or<br>cutting of screws, metal,<br>wires, pins, and other<br>fixation devices. | Intended for use in the<br>cutting, drilling, reaming,<br>decorticating, and<br>smoothing of bone, teeth<br>and other bone related<br>tissue in a variety of<br>surgical procedures,<br>including but not limited<br>to Dental, ENT, Neuro<br>and Endoscopic. It is<br>also usable in the<br>placement or cutting of<br>screws, wires, pins, and<br>other fixation devices. It<br>can also be used to cut<br>metal. | Intended for use in the<br>cutting, drilling, reaming,<br>decorticating, and<br>smoothing of bone, bone<br>cement and teeth in a<br>variety of surgical<br>procedures, including<br>but not limited to Neuro<br>and Endoscopic. It is<br>also usable in the<br>placement or cutting of<br>screws, metal, wires,<br>pins, and other fixation<br>devices.<br>The endoscopic<br>applications with CORE<br>include use with the SE5<br>Small Joint Shaver in the<br>wrist for any need for<br>morselization of tissue<br>within the joint. Cutters w<br>be used to debride<br>synovitis, articular cartilag<br>flaps, or torn ligaments<br>when surgeons deem<br>resection appropriate.<br>Burs are indicated for<br>management of osseous<br>lesions such as eburnate<br>articular surfaces or<br>osteophytes. | Intended for use in the<br>cutting, drilling, reaming,<br>decorticating, and<br>smoothing of bone, teeth<br>and other bone related<br>tissue in a variety of<br>surgical procedures,<br>including but not limited<br>to Dental. It is also<br>usable in the placement<br>or cutting of screws,<br>wires, pins, and other<br>fixation devices. | Intended for use in the<br>cutting, drilling, reaming,<br>decorticating, and<br>smoothing of bone, teeth<br>and other bone related<br>tissue in a variety of<br>surgical procedures,<br>including but not limited<br>to Endoscopic. It is also<br>usable in the placement<br>of cutting of screws,<br>wires, pins, and other<br>fixation devices. It can<br>also be used to cut<br>metal.<br>The endoscopic<br>applications with TPS<br>include use with the SE5<br>Small Joint Shaver in the<br>wrist for any need for<br>morselization of tissue<br>within the joint. Cutters<br>will be used to debride<br>synovitis, articular<br>cartilage flaps, or torn<br>ligaments when<br>surgeons deem<br>resection appropriate.<br>Burs are indicated for<br>management of osseous<br>lesions such as<br>eburnated articular<br>surfaces or osteophytes. | Intended for use as a<br>planning and<br>intraoperative guidance<br>system to enable open<br>or percutaneous image<br>guided surgery. The<br>system is indicated for<br>any medical condition in<br>which the use of image<br>guided surgery may be<br>appropriate and where<br>reference to a rigid<br>anatomical structure<br>such as the skull or<br>vertebra can be<br>identified relative to<br>medical images. |
| Outer Profile | Bench-top style console with a liquid display screen and optional irrigation pump. | Bench-top style console with a liquid display screen and optional irrigation pump. | Bench-top style console with a liquid display screen and optional irrigation pump. | Bench-top style console with a liquid display screen and optional irrigation pump. | Bench-top style console with a liquid display screen and optional irrigation pump. | N/A |
| Handpiece<br>Connector | Three connectors allow for three handpiece cords to be connected with two handpieces capable of running simultaneously. | Three connectors allow for three handpiece cords to be connected. | Three connectors allow for three handpiece cords to be connected with two handpieces capable of running simultaneously. | Three connectors allow for three handpiece cords to be connected. | Three connectors allow for three handpiece cords to be connected. | N/A |
| Footswitch<br>Connector | Two connectors allow for two footswitches to run simultaneously | Yes | Two connectors allow for two footswitches to run simultaneously | Yes | Yes | N/A |
| Adjustable<br>Operating<br>Parameters | User used the LCD screen to set the desired operating parameters | User used the LCD screen to set the desired operating parameters | User used the LCD screen to set the desired operating parameters. | User used the LCD screen to set the desired operating parameters. | User used the LCD screen to set the desired operating parameters. | Speed Control on Handpiece |
| System Status<br>Display | Displayed on LCD screen. | Displayed on LCD screen. | Displayed on LCD screen. | Displayed on LCD screen. | Displayed on LCD screen. | N/A |
| Software | Microprocessor | Microprocessor | Microprocessor | Microprocessor | Microprocessor | N/A |
| Non-volatile<br>Memory | Yes- all current settings are stored when the power is down. | Yes- all current settings are stored when the power is down. | Yes- all current settings are stored when the power is down. | Yes- all current settings are stored when the power is down. | Yes- all current settings are stored when the power is down. | N/A |
| Power Source | Electricity | 12Volt Supply | Electricity | 12Volt Supply | Electricity | 12Volt Battery Power<br>Supply |
| Power Output | 400 Watts | 400 Watts | 400 Watts | 200 Watts | 200 Watts | 170 Watts |
| Wireless Tag<br>Technology | Accessories are recognized and identified on the console screen | N/A | Accessories are recognized and identified on the console screen | N/A | N/A | N/A |
| Window Jog<br>Capability | Window Jog allows the cutter to turn slowly which enables the user can stop the cutter in any position in the window. | Window Jog allows the cutter to turn slowly which enables the user can stop the cutter in any position in the window. | Window Jog allows the cutter to turn slowly which enables the user can stop the cutter in any position in the window. | N/A | N/A | N/A |
| Enhanced Serial<br>Interface<br>(IEEE1394<br>Firewire) | Serial communications<br>channel between the<br>console and other<br>devices allowing the<br>transfer of data and<br>control information | N/A | Serial communications<br>channel between the<br>console and other<br>devices allowing the<br>transfer of data and<br>control information | N/A | N/A | Instrument's position<br>information passed to<br>the host system through<br>a standard serial link |
| Auxiliary Control | Mechanism to provide<br>power and control to and<br>retrieve data from<br>handpiece mounted<br>subsystems | N/A | Mechanism to provide<br>power and control to and<br>retrieve data from<br>handpiece mounted<br>subsystems | N/A | N/A | Wireless software control<br>and active LED's are<br>battery driven, but<br>optional wire supplied<br>power available. |
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## TABLE 1-COMPARISON
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Image /page/4/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle or bird symbol, which is composed of three curved lines that suggest wings and a body. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the bird symbol.
Public Health Service
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
MAR - 3 2004
Stryker Instruments c/o Jean W. Sheppard Regulatory Analyst 4100 East Milham Ave. Kalamazoo, MI 49001
Rc: K040300
Trade/Device Name: The Stryker Consolidated Operating Room Equipment (CORE) System Regulation Number: 21 CFR 874.4250 Regulation Name: ENT electric or pneumatic surgical drill Regulatory Class: Class II Product Code: ERL Dated: February 5, 2004 Received: February 9, 2004
Dear Mr. Sheppard:
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.
If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such 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); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
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## Page 2 - Jean W. Sheppard
This letter will allow you to begin marketing your device as described in your Section 510(k) I mo loter natification. The FDA finding of substantial equivalence of your device to a legally marketed predicated device results in a classification for your device and thus, permits your device to proceed to the market.
If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of Compliance at (301) 594-4613. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html
Sincerely yours,
Akeryl Rosenthal
A. Ralph Rosenthal, M.D. Director Division of Ophthalmic and Ear, Nose and Throat Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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## Indications for Use Statement
510(k) Number (if known):
The Stryker Consolidated Operating Room Equipment (CORE) Device Name System
The Stryker Consolidated Operating Room Equipment (CORE)System is Indications ti yker Consondated operating, drilling, reaming, decorticating, and miching of bone, bone cement and other bone related tissue in a sinoounning of bono, come ares, including but not limited to ENT. It variety of surgical proceeded or cutting of screws, mctal, wires, pins, and other fixation devices.
Prescription Use X (Per 21 CFR 801Subpart D) AND/OR
Over-The-Counter Use (21 CFR 807 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE – CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Kacey A. Baker
Dohthalmic Ear, d Threat Devi
510(k) Number K040300
Two short videos show you everything — or skip straight to the written tutorial if you'd rather read. You can reopen this any time from the Tutorial button in the top bar.
Part 1 — Search, results, and everyday workflows 16 min
Part 2 — Embeddings: the galaxy map 3 min
1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
Where do you find a device's intended use without opening the PDF?
Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.