← Product Code [HSB](/submissions/OR/subpart-d%E2%80%94prosthetic-devices/HSB) · K091425 # QUANTUM M COMPOSITE NAILING SYSTEM (K091425) _N.M.B. Medical Applications, Ltd. · HSB · Jan 21, 2010 · Orthopedic · SESE_ **Canonical URL:** https://fda.innolitics.com/submissions/OR/subpart-d%E2%80%94prosthetic-devices/HSB/K091425 ## Device Facts - **Applicant:** N.M.B. Medical Applications, Ltd. - **Product Code:** [HSB](/submissions/OR/subpart-d%E2%80%94prosthetic-devices/HSB.md) - **Decision Date:** Jan 21, 2010 - **Decision:** SESE - **Submission Type:** Traditional - **Regulation:** 21 CFR 888.3020 - **Device Class:** Class 2 - **Review Panel:** Orthopedic - **Attributes:** Therapeutic ## Intended Use Indications for the Quantum IM Composite Humeral Nail include simple humeral fractures; severely comminuted, spiral, large oblique and segmental fractures; nonunions and malunions; polytrauma and multiple fractures; prophylactic nailing of impending pathological fractures; reconstruction, following tumor resection and grafting. The Quantum IM Composite Humeral Nail is indicated for fixation of fractures that occur in and between the proximal and distal third of the humerus. ## Device Story Intramedullary nailing system for humeral fracture fixation; consists of carbon fiber reinforced polymer cylindrical solid rod and titanium-alloy self-tapping interlocking screws. Used by orthopedic surgeons in clinical/surgical settings to stabilize fractures between proximal and distal humerus. Provides mechanical support for bone healing; inserted via surgical procedure. Benefits include rigid fixation of complex humeral fractures. ## Clinical Evidence Bench testing only; performance characteristics evaluated per ASTM F 1264. ## Technological Characteristics Carbon fiber reinforced polymer cylindrical solid rod (7-8.5 mm diameter, 180-280 mm length); 3.5 mm self-tapping cortical titanium-alloy interlocking screws. Mechanical fixation device; non-electronic. ## Regulatory 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 - UHN Humeral Nailing System (Synthes: [K933518](/device/K933518.md)) - Fixion® Interlocking Intramedullary Nailing System (N.M.B. Medical Applications, Ltd.; [K002783](/device/K002783.md), [K013449](/device/K013449.md), [K032588](/device/K032588.md)) - Intramedullary Nail System (Smith & Nephew, Inc.; [K983942](/device/K983942.md)) ## Reference Devices - KIMBA™ Spinal Implant (SIGNUS Medizintechnik GmbH; [K052533](/device/K052533.md)) - Spine-Tech™ Cement Restrictor (Centerpulse, Spine-Tech Division; [K022615](/device/K022615.md)) - Stackable Cage System (DePuy Spine, Inc.; [K073649](/device/K073649.md)) - Fixion® DHS System (N.M.B. Medical Applications, Ltd.; [K031401](/device/K031401.md)) ## Submission Summary (Full Text) > This content was OCRed from public FDA records by [Innolitics](https://innolitics.com). If you use, quote, summarize, crawl, or train on this content, cite Innolitics at https://innolitics.com. > > Innolitics is a medical-device software consultancy. We help companies design, build, and clear FDA-regulated software and AI/ML devices, including [a 510(k)](https://innolitics.com/services/510ks/), [a De Novo](https://innolitics.com/services/regulatory/), [a SaMD](https://innolitics.com/services/end-to-end-samd/), [an AI/ML medical device](https://innolitics.com/services/medical-imaging-ai-development/), or [an FDA regulatory strategy](https://innolitics.com/services/regulatory/). {0}------------------------------------------------ # 510(K) Summary JAN 2 1 2010 # N.M.B. Medical Applications, Ltd. Quantum IM Composite Nailing System #### Applicant Name N.M.B. Medical Applications, Ltd. 11 Ha'hoshlim St., Herzeliya 46724, Israel #### Contact Person - 1. Yael Rubin N.M.B. Medical Applications, Ltd. 11 Ha'hoshlim St., Herzliya 46724, Israel Tel: +972 9 9511511, Fax: +972 9 9548939 - 2. Jonathan S. Kahan, Esq. Hogan & Hartson LLP 555 Thirteenth Street, NW, Washington, DC 20004, U.S.A. Tel: 202-637-5794, Fax: 202-637-5910 ## Date Prepared October 2009 #### Trade/Proprietary Name Quantum IM Composite Nailing System (Quantum Nailing System) Common Name Intramedullary Nailing System #### Classification Name Rod, Fixation, Intramedullary and Accessories (21 CFR §888.3020; Product Code HSB) Page 1. & 3 {1}------------------------------------------------ #### Predicate Devices # Intended Use/Design/Technology/Operation - 트 UHN Humeral Nailing System (Synthes: K933518) - 미 Fixion® Interlocking Intramedullary Nailing System (N.M.B. Medical Applications, Ltd .; K002783, K013449, K032588) (091425 - 다 Intramedullary Nail System (Smith & Nephew, Inc .; K983942) #### Material - KIMBA™ Spinal Implant (SIGNUS Medizintechnik GmbH; K052533) 대 - Spine-Tech™ Cement Restrictor (Centerpulse, Spine-Tech Division; K022615) . - 다 Stackable Cage System (DePuy Spine, Inc .; K073649) - Fixion® DHS System (N.M.B. Medical Applications, Ltd.; K031401) · #### Intended Use/Indications for Use Indications for the Quantum IM Composite Humeral Nail include simple humeral fractures; severely comminuted, spiral, large oblique and segmental fractures; nonunions and malunions; polytrauma and multiple fractures; prophylactic nailing of impending pathological fractures; reconstruction, following tumor resection and grafting. The Quantum IM Composite Humeral Nail is indicated for fixation of fractures that occur in and between the proximal and distal third of the humerus. #### System Description The Quantum IM Composite Nailing System includes nails, interlocking screws and a set of instruments. The Quantum IM Composite Nail is a cylindrical solid rod, made of carbon fiber reinforced polymer. Its diameter ranges from 7 to 8.5 mm, with lengths in the range of 180 to 280 mm. The nail provides for holes at its proximal and distal sections, designed for the insertion of the 3.5 mm self-tapping, cortical, titanium-alloy-made, interlocking screws. The nail has a closed, pointed distal end, and its proximal end incorporates a thread enabling connection of insertion/extraction instrumentation. Page 2 of 3 {2}------------------------------------------------ ### Substantial Equivalence The Quantum IM Composite Nailing System intended use, design, materials, technological characteristics, and principles of operation are substantially equivalent to those of the predicate devices, as applicable. Performance characteristics, evaluated per ASTM F 1264, are also comparable to those of predicate devices, thus demonstrating that the device is safe and effective for its intended use. Page . 3 of 3 {3}------------------------------------------------ #### DEPARTMENT OF HEALTH & HUMAN SERVICES Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circle with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract image of an eagle or bird-like figure. Public Health Service Food and Drug Administration 10903 New Hampshire Avenue Document Control Room W-O66-0609 Silver Spring, MD 20993-0002 N.M.B. Medical Applications, Ltd. % Mr. Jonathan S. Kahan, Esq. Hogan & Hartson LLP 555 Thirteenth Street, North West Washington, District of Columbia 20004 JAN 21 2010 Re: K091425 Trade/Device Name: Quantum IM Composite Nailing System Regulation Number: 21 CFR 888.3020 Regulation Name: Intramedullary fixation rod Regulatory Class: II Product Code: HSB Dated: November 30, 2009 Received: December 3, 2009 Dear Mr. Kahan: 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 todevices 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 device-related adverse events) (21 CFR 803); 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. {4}------------------------------------------------ #### Page 2 -- Mr. Jonathan S. Kahan If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR 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/ReportalProblem/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 Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. Sincerely yours. Barbara Buchu Mark N. Mel Director Division of Surgical, Orthopedic, and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health Enclosure {5}------------------------------------------------ # 1091425 #### Indications for Use #### 510(K) Number (if known): K091425 Device Name: Quantum IM Composite Nailing System (Quantum Nailing System) #### Indication for Use: Indications for the Quantum IM Composite Humeral Nail include simple humeral fractures; severely comminuted, spiral, large oblique and segmental fractures; nonunions and malunions; polytrauma and multiple fractures; prophylactic nailing of impending pathological fractures; reconstruction, following tumor resection and grafting. The Quantum IM Composite Humeral Nail is indicated for fixation of fractures that occur in and between the proximal and distal third of the humerus. Prescription Use V (Part 21 CFR 801 Subpart D) AND/OR Over-The-Counter Use (Part 21 CFR 801 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED) Concurrence of CDRH, Office of Device Evaluation (ODE) Quetta for mxm Sign Division of Surgical, Or nopedic. and Restorative Devices 510(k) Number K091425 --- **Source:** [https://fda.innolitics.com/submissions/OR/subpart-d%E2%80%94prosthetic-devices/HSB/K091425](https://fda.innolitics.com/submissions/OR/subpart-d%E2%80%94prosthetic-devices/HSB/K091425) **Published by [Innolitics](https://innolitics.com)** — a medical-device software consultancy. We help companies design, build, and clear FDA-regulated software and AI/ML devices. 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