Mini Cannulated Headed and Headless Screw Set

K183104 · Stryker GmbH · HWC · Jun 10, 2019 · Orthopedic

Device Facts

• Record ID: K183104
• Device Name: Mini Cannulated Headed and Headless Screw Set
• Applicant: Stryker GmbH
• Product Code: HWC · Orthopedic
• Decision Date: Jun 10, 2019
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 888.3040
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The Stryker Cannulated Titanium (Ti6AL4V) Headed & Headless Mini 2.5 mm, 3.0 mm, and 4.0 mm bone screws are indicated for use in the treatment of bone fractures, osteochondritis, and tendon reattachment in small bones and interfragmentary indications including specific long bone indications. The device is intended for, but not limited to, hand surgery, orthopedic surgery, plastic surgery, and podiatric surgery. These devices are not intended for use in the spine. The Stryker Cannulated Titanium Headed & Headless Mini Screw Set is intended for the following surgical indications: Scaphoid fractures Lunate fractures Capitate fractures Trapezial fractures Metacarpal fractures Metatarsal fractures Phalangeal fractures Radial head fractures Ulnar styloid fractures Small joint fusion Osteochondral fractures Humeral head fractures Glenoid fractures Carpometacarpal joint fractures Interphalangeal joint fractures Tarsal fusions Malleolar fractures Patellar fractures Metaphyseal fractures Interfragmentary radius fractures Interfragmentary ulnar fractures Small hand and wrist bone fractures Distal metatarsal osteotomies Forefoot interfragmentary fractures Midfoot interfragmentary fractures

Device Story

Cannulated bone screws (2.5 mm to 4.0 mm diameter) with torx head design; manufactured from anodized titanium alloy (Ti6AL4V). Used by surgeons (orthopedic, hand, plastic, podiatric) in clinical settings for internal bone fixation. Device provides mechanical stabilization of bone fragments, osteotomies, or fusions. Submission represents a labeling update for previously cleared device.

Clinical Evidence

No clinical data.

Technological Characteristics

Cannulated bone screws; diameters 2.5 mm to 4.0 mm; torx head design; material: anodized titanium alloy (Ti6AL4V).

Indications for Use

Indicated for patients requiring bone fixation for fractures, osteotomies, arthrodesis, osteochondritis, or tendon reattachment in small bones and specific long bone indications. Not for use in the spine.

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

• Mini Cannulated Titanium Headed and Headless Screw Set (K120493)

Submission Summary (Full Text)

{0}------------------------------------------------

Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food & Drug Administration (FDA). The logo consists of two parts: the Department of Health & 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.

June 10, 2019

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

Re: K183104

Trade/Device Name: Mini Cannulated Headed and Headless Screw Set Regulation Number: 21 CFR 888.3040 Regulation Name: Smooth Or Threaded Metallic Bone Fixation Fastner Regulatory Class: Class II Product Code: HWC Dated: November 7, 2018 Received: November 8, 2018

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

{1}------------------------------------------------

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/CombinationProducts/GuidanceRegulatoryInformation/ucm597488.htm); 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 http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). 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 (http://www.fda.gov/DICE) for more information or contact DICE by email ([e-mail]) or phone [phone] or 301-796-7100).

Sincerely,

for 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) K183104

### Device Name

Mini Cannulated Titanium Headed and Headless Screw Set

Indications for Use (Describe)

The Stryker Cannulated Titanium (Ti6AL4V) Headed & Headless Mini 2.5 mm, 3.0 mm, and 4.0 mm bone screws are indicated for use in the treatment of bone fractures, osteochondritis, and tendon reattachment in small bones and interfragmentary indications including specific long bone indications. The device is intended for, but not limited to, hand surgery, orthopedic surgery, plastic surgery, and podiatric surgery. These devices are not intended for use in the spine.

The Stryker Cannulated Titanium Headed & Headless Mini Screw Set is intended for the following surgical indications:

- Scaphoid fractures
- Lunate fractures
- Capitate fractures
- Trapezial fractures
- Metacarpal fractures
- Metatarsal fractures
- Phalangeal fractures
- Radial head fractures
- Ulnar styloid fractures
- Small joint fusion
- Osteochondral fractures
- Humeral head fractures
- Glenoid fractures
- Carpometacarpal joint fractures
- Interphalangeal joint fractures
- Tarsal fusions
- Malleolar fractures
- Patellar fractures
- Metaphyseal fractures
- Interfragmentary radius fractures
- Interfragmentary ulnar fractures
- Small hand and wrist bone fractures
- Distal metatarsal osteotomies
- Forefoot interfragmentary fractures
- Midfoot interfragmentary fractures

Type of Use (Select one or both, as applicable)

> Prescription Use (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 801 Subpart C)

## CONTINUE ON A SEPARATE PAGE IF NEEDED.

{3}------------------------------------------------

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 [e-mail]

"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."

{4}------------------------------------------------

## 510(k) Summary

| Proprietary Name: | Mini Cannulated Titanium Headed and Headless Screw Set |
|-------------------------|---------------------------------------------------------------------|
| Common Name: | Bone Screw |
| Regulation Description: | Smooth or threaded metallic bone fixation fastener |
| Regulation Number: | 21 CFR 888.3040 |
| Product Code: | HWC |
| Device Class: | Class II |
| Sponsor: | Stryker GMBH<br>Bohnackerweg 1 |
| | 2545 Selzach / Switzerland |
| Contact Person: | Sanja Jahr |
| | Senior Regulatory Affairs Specialist |
| | 325 Corporate Drive<br>Mahwah, NJ 07430 |
| | Phone: [phone] |
| | Fax: [phone] |
| Date Prepared: | November 7, 2018 |
| Primary Predicate: | Mini Cannulated Titanium Headed and Headless Screw Set<br>(K120493) |

## Description

The Mini Cannulated Titanium Headed and Headless Screw Set consists of cannulated screws with diameters ranging from 2.5 mm to 4.0 mm. The cannulated screws have a torx head design and are made from anodized titanium alloy. This submission seeks to update labeling.

## Indications for Use

The Stryker Cannulated Titanium (Ti6AL4V) Headed & Headless Mini 2.5 mm, 3.0 mm, and 4.0 mm bone screws are indicated for use in the treatment of bone fractures, osteotomies, arthrodesis, osteochondritis, and tendon reattachment in small bones and interfragmentary indications including specific long bone indications. The device is intended for, but not limited to, hand surgery, orthopedic surgery, plastic surgery, and podiatric surgery. These devices are not intended for use in the spine. The Stryker Cannulated Titanium Headed & Headless Mini Screw Set is intended for the following surgical indications:

- Scaphoid fractures

{5}------------------------------------------------

#### Stryker GmbH

Mini Cannulated Titanium Headed and Headless Screw Set

- Lunate fractures
- Capitate fractures
- Trapezial fractures
- Metacarpal fractures
- Metatarsal fractures
- Phalangeal fractures
- Radial head fractures
- Ulnar styloid fractures
- Small joint fusion
- Osteochondral fractures
- Humeral head fractures
- Glenoid fractures
- Carpometacarpal joint fractures
- Interphalangeal joint fractures
- Tarsal fusions
- Malleolar fractures
- Patellar fractures
- Metaphyseal fractures
- Interfragmentary radius fractures
- Interfragmentary ulnar fractures
- Small hand and wrist bone fractures
- Distal metatarsal osteotomies
- Forefoot interfragmentary fractures
- Midfoot interfragmentary fractures

## Summary of Technologies

A comparison of the systems demonstrated that the subject Mini Cannulated Titanium Headed and Headless Bone Screw Set is substantially equivalent to the previously cleared Mini Cannulated Titanium Headed and Headless Bone Screw Set (K120493) in regard to intended use, material, design, and operational principles.

#### Non-Clinical Testing

This submission does not require non-clinical testing.

## Clinical Testing

This submission does not require clinical testing.

#### Conclusion

The subject Mini Cannulated Titanium Headed and Headless Bone Screw Set is substantially equivalent to the predicate Mini Cannulated Titanium Headed and Headless Bone Set (K120493).