G3¿ Active Plate® Large Fragment System

K152242 · Genesis Fracture Care, Inc. · HRS · Nov 24, 2015 · Orthopedic

Device Facts

• Record ID: K152242
• Device Name: G3¿ Active Plate® Large Fragment System
• Applicant: Genesis Fracture Care, Inc.
• Product Code: HRS · Orthopedic
• Decision Date: Nov 24, 2015
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 888.3030
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The G3™ Active Plate® Large Fragment system is intended for use in adult and pediatric (subpopulation: transitional adolescent B (18 years to <21 years) cases requiring stabilizations of mal-unions, non-unions, and osteotomies of long bones, as well as repair of closed, open and periprosthetic fractures. The system is indicated for the fixation of long bone fractures including but not limited to fractures of the humerus, tibia, and femur, particularly in osteopenic bone.

Device Story

System consists of straight metallic bone plates and locking screws for long bone fracture fixation; used in clinical settings by orthopedic surgeons. Plates feature internal sliding elements constrained by silicone elastomer sheaths; allows independent controlled axial translation of locking screws post-insertion. Provides mechanical stabilization of fractures; particularly beneficial for osteopenic bone. Surgeon selects appropriate plate/screw sizes based on patient anatomy/pathology; implants are secured to bone to facilitate healing. System provides structural support during bone repair process.

Clinical Evidence

Bench testing only. Mechanical performance evaluated via stiffness, fatigue, pullout, torsion, and torque testing per ASTM F543 and ASTM F382. Biocompatibility evaluation conducted to demonstrate equivalence to predicate devices. No clinical data provided.

Technological Characteristics

Materials: 316L stainless steel and Ti-6Al-4V-ELI titanium alloy. Components: Straight plates (6-14 holes) and 5.0mm locking screws. Mechanism: Sliding elements within plates constrained by silicone elastomer sheaths for controlled axial translation. Standards: ASTM F543 (screws), ASTM F382 (plates).

Indications for Use

Indicated for adult and transitional adolescent (18 to <21 years) patients requiring stabilization of mal-unions, non-unions, osteotomies, and repair of closed, open, or periprosthetic long bone fractures (humerus, tibia, femur), especially in osteopenic bone.

Regulatory Classification

Identification

Single/multiple component metallic bone fixation appliances and accessories are devices intended to be implanted consisting of one or more metallic components and their metallic fasteners. The devices contain a plate, a nail/plate combination, or a blade/plate combination that are made of alloys, such as cobalt-chromium-molybdenum, stainless steel, and titanium, that are intended to be held in position with fasteners, such as screws and nails, or bolts, nuts, and washers. These devices are used for fixation of fractures of the proximal or distal end of long bones, such as intracapsular, intertrochanteric, intercervical, supracondylar, or condylar fractures of the femur; for fusion of a joint; or for surgical procedures that involve cutting a bone. The devices may be implanted or attached through the skin so that a pulling force (traction) may be applied to the skeletal system.

Predicate Devices

• G3™ Active Plate Large Fragment System (K142938, K150649)
• Synthes 4.5mm LCP Reconstruction Plates (K051986)
• Zimmer Periarticular Locking Plate System (K040593, K042598)

Reference Devices

• Smith & Nephew Ilizarov External Fixation System (K962808)
• Orthofix Dynamic Axial Fixation System (K955848)

Submission Summary (Full Text)

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Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

November 24, 2015

Genesis Fracture Care, Incorporated % Ms. Christine Scifert Managing Partner Memphis Regulatory Consulting, LLC 3416 Roxee Run Bartlett, Tennessee 38133

Re: K152242 Trade/Device Name: G3™ Active Plate® Large Fragment System Regulation Number: 21 CFR 888.3030 Regulation Name: Single/multiple component metallic bone fixation appliances and accessories Regulatory Class: Class II Product Code: HRS, HWC Dated: October 7, 2015 Received: October 9, 2015

Dear Ms. Scifert:

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. 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 801); medical device reporting (reporting of medical devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in

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Page 2 - Ms. Christine Scifert

the quality systems (OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. 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 the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours.

# Lori A. Wiggins -S

for Mark N. Melkerson Director Division of Orthopedic 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)

### K152242

Device Name

G3TM Active Plate® Large Fragment System

#### Indications for Use (Describe)

The G3™ Active Plate® Large Fragment system is intended for use in adult and pediatric (subpopulation: transitional adolescent B (18 years to <21 years) cases requiring stabilizations of mal-unions, and osteotomies of long bones, as well as repair of closed, open and periprosthetic fractures. The system is indicated for the fixation of long bone fractures including but not limited to fractures of the humerus, tibia, and femur, particularly in osteopenic bone.

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)

### PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.

#### FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

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## 510(k) Summary

# G3™ Active Plate® Large Fragment System November 23, 2015

| Company: | Genesis Fracture Care, Inc.<br>13568 SE 97 ^th Ave<br>Suite 202<br>Clackamas, OR 97015<br>503-528-4048<br>503-413-5216 (fax) |
|--------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Primary Contact: | Christine Scifert |
| Company Contact: | Michael Bottlang |
| Trade Name: | G3 ^™ Active Plate ^® Large Fragment System |
| Common Name: | Plate, Fixation, Bone<br>Screw, Fixation, Bone |
| Classification: | II |
| Regulation Number: | 888.3030 - Single/multiple component metallic bone fixation appliances<br>and accessories<br>888.3040 - Smooth or threaded metallic bone fixation fastener |
| Panel: | 87-Orthopedic |
| Product Code(s): | HRS, HWC |

The subject G3™ Active Plate® Large Fragment System is a straight plate and Device Description: locking screw system comprised of a variety of sizes to accommodate various patient anatomy and pathology. The plates and screws are intended to be used for long bone fracture fixation. All implantable components are manufactured from stainless steel (316L) and medical grade titanium alloy (Ti-6Al-4V-ELI). The screws are 5.0 mm diameter and come in lengths ranging from 14 to 145 mm. The plates range in size from 6 holes to 14 holes. The plates incorporate sliding elements, which are constrained within the plate and embedded in an elastomer sheath made from silicone that is bonded to the sliding element. Once locking screws are inserted, the active elements allow for independent controlled axial translation of the screws. All instruments are made from stainless steel.

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The G3TM Active Plate® Large Fragment system is intended for use in adult and Indications for Use: pediatric (subpopulation: transitional adolescent B (18 years to <21 years) cases requiring stabilizations of mal-unions, non-unions, and osteotomies of long bones, as well as repair of closed, open and periprosthetic fractures. The system is indicated for the fixation of long bone fractures including but not limited to fractures of the humerus, tibia, and femur, particularly in osteopenic bone.

Substantial Equivalence: The subject components were demonstrated to be substantially equivalent to the following plate and screw systems previously cleared by the FDA:

- Primary Predicate
- o G3™ Active Plate Large Fragment System (K142938, S.E. 11/26/2014 & K150649, S.E. 04/30/2015)
- . Predicates:
- o Synthes 4.5mm LCP Reconstruction Plates (K051986, S.E. 09/08/2005)
- o Zimmer Periarticular Locking Plate System (K040593; S.E. 04/12/2004 & K042598, S.E. 10/29/2004)
- . Reference Devices:
- o Smith & Nephew Ilizarov External Fixation System (K962808, S.E. 8/19/1996)
- Orthofix Dynamic Axial Fixation System (K955848, S.E. 5/20/1996) o

In addition to being substantially equivalent in terms of intended use, geometry, and active feature the subject G3™ Active Plate® Large Fragment System has also demonstrated to be substantially equivalent in terms of construct stiffness performance when compared to the previously cleared reference devices K955848 and K962808. The subject G3™ Locking Screws have also demonstrated to be substantially equivalent to those in the previously cleared Zimmer Periarticular Locking Plate System (K042598; S.E. 10/29/2004) in terms of performance. Finally, the G3™ Active Plate® Large Fragment System has demonstrated to be substantially equivalent to the G3™ Active Plate Fragment System (K142938; S.E. 11/26/2014) in both fatigue and construct fatigue testing.

| | Subject of Present 510(k): | Predicate Devices |
|--------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------|
| | G3™ Active Plate™ | |
| Intended Use/ Indications<br>for Use | The G3™ Active Plate® Large Fragment<br>system is intended for use in adult and<br>pediatric (subpopulation: transitional<br>adolescent B (18 years to <21 years)<br>cases requiring stabilizations of mal-<br>unions, non-unions, and osteotomies<br>of long bones, as well as repair of<br>closed, open and periprosthetic<br>fractures. The system is indicated for | Inclusive |

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| | the fixation of long bone fractures<br>including but not limited to fractures<br>of the humerus, tibia, and femur, | |
|-------------------------|--------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------|
| | particularly in osteopenic bone. | |
| Primary Material | Titanium Alloy or Stainless Steel | Identical |
| Geometry and Dimensions | Plates: 6 - 14 holes; Lengths: 145 mm -<br>305 mm | Plates: 2 - 24 holes; Lengths:<br>56 mm - 444 mm |
| | Locking Screws: Diameter: 5.0 mm<br>Lengths: 14 mm - 145 mm | Locking Screws: Diameter:<br>4.0mm - 6.5 mm<br>Lengths: 10 mm - 130 mm |

Performance Testing: Mechanical testing, including stiffness, fatigue, pullout, torsion, torque, construct fatigue and wear have been performed per ASTM F543 and ASTM F382 on the subject G3™ Active Plate® Large Fragment System, as well as the G3™ locking screws used within the system, have shown them to be substantially equivalent to the predicate plate and screw systems. In addition, a biocompatibility evaluation was conducted to demonstrate substantial equivalence to the predicate device.