← Product Code [MAI](/submissions/OR/subpart-d%E2%80%94prosthetic-devices/MAI) · K974876

# BIONX DISTAL RADIUS SCREW (K974876)

_Bionx Implants, Inc. · MAI · Mar 20, 1998 · Orthopedic · SESE_

**Canonical URL:** https://fda.innolitics.com/submissions/OR/subpart-d%E2%80%94prosthetic-devices/MAI/K974876

## Device Facts

- **Applicant:** Bionx Implants, Inc.
- **Product Code:** [MAI](/submissions/OR/subpart-d%E2%80%94prosthetic-devices/MAI.md)
- **Decision Date:** Mar 20, 1998
- **Decision:** SESE
- **Submission Type:** Traditional
- **Regulation:** 21 CFR 888.3030
- **Device Class:** Class 2
- **Review Panel:** Orthopedic
- **Attributes:** Therapeutic

## Intended Use

The Bionx Biodegradable, Threaded Distal Radius Screw is intended for use in the fixation of cancellous bone fractures in combination with appropriate postoperative cast immobilization. The device will specifically be indicated for use in open reduction and internal fixation of Frykman type I - IV dorsally displaced Colles fractures, osteotomies, and carpal fusions of the distal radius.

## Device Story

Bionx Distal Radius Screw is a 4.5 mm diameter, fully threaded, cylindrical, cannulated bone screw. Device is composed of biodegradable poly-L-lactide polymer. Intended for use in clinical settings by surgeons for open reduction and internal fixation of distal radius fractures, osteotomies, and carpal fusions. Screw threads provide mechanical fixation in cancellous bone during the healing period; device gradually degrades and is absorbed by the body, eliminating need for secondary removal surgery. Postoperative cast immobilization is required. Device provides stable fixation similar to metallic or other biodegradable implants, reducing patient morbidity associated with hardware removal.

## Clinical Evidence

Clinical and performance testing demonstrated safety and effectiveness for the intended use. No specific study metrics (e.g., p-values, sensitivity) provided in the summary.

## Technological Characteristics

4.5 mm outer diameter, fully threaded, cylindrical, cannulated screw. Material: biodegradable poly-L-lactide polymer. Fixation principle: threaded mechanical engagement in cancellous bone. Non-metallic, bioabsorbable.

## Regulatory 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

- Zimmer, Inc. Herbert Bone Screw ([K792022](/device/K792022.md))
- Synthes Dorsal Distal Radius Plate System ([K962616](/device/K962616.md))
- Synthes Volar Distal Radius Plate ([K953644](/device/K953644.md))
- Zimmer, Inc. Forte Distal Radius Plate ([K953714](/device/K953714.md))
- Synthes Polypin ([K961608](/device/K961608.md))

## Submission Summary (Full Text)

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# K974876

#### MAR 20 1998 510(K) SUMMARY FOR THE BIONX IMPLANTS, INC.

#### BIODEGRADABLE. THREADED DISTAL RADIUS SCREW

# Submitter's Name, Address, Telephone Number, And Contact Person

Bionx Implants, Inc. 1777 Sentry Parkway West Gwynedd Hall Suite 400 Bluebell, PA 19422

David W. Anderson. Contact: President and CEO Phone: (215) 648-5000 Facsimile: (215) 653-0984

#### Date Prepared

March 13, 1998

#### Name of the Device

Bionx Biodegradable. Threaded Distal Radius Screw

## Common or Usual Name

Bionx Distal Radius Screw

#### Classification Name

Bone Screw (87 HWC)

#### Predicate Devices

- 1) Zimmer, Inc. Herbert Bone Screw (K792022) ("Herbert Bone Screw")
- 2) Synthes Dorsal Distal Radius Plate System (K962616) ("Synthes Dorsal Plate")
- 3) Synthes Volar Distal Radius Plate (K953644) ("Synthes Volar Plate")
- 4) Zimmer, Inc. Forte Distal Radius Plate (K953714) ("Zimmer Forte Plate")

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#### 5) Synthes Polypin (K961608)

### Intended Use

The Bionx Distal Radius Screw is intended for use in the fixation of cancellous bone fractures in combination with appropriate postoperative cast immobilization. The device will specifically be indicated for use in open reduction and internal fixation of Frykman type I - IV dorsally displaced Colles fractures, osteotomies, and carpal fusions of the distal radius. All of the predicate devices are intended for use in the fixation of cancellous bone fractures, and all are specifically indicated for use in radial fractures.

# Principles of Operation

The Bionx Distal Radius Screw is a fully threaded, cylindrical, cannulated screw which is 4.5 mm in outer diameter. The screw threads secure the screw in the bone throughout the healing period, after which the screw gradually degrades and is completely absorbed by the body. Thus. there is no need to surgically remove the device.

#### Technical Characteristics

The Bionx Distal Radius Screw, the Herbert Bone Screw, the Synthes Dorsal Plate, the Synthes Volar Plate, the Zimmer Forte Plate, and the Synthes Polypin all possess similar technical characteristics. The Bionx Distal Radius Screw, the Herbert Bone Screw, and the Synthes Polypin are screw type devices. while the other predicates are plate type devices. However, this difference in configuration does not raise any new questions of safety or effectiveness because the

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devices incorporate similar features (i.e., threaded screws or concentric, ring-shaped ribs) to ensure that they remain fixed in the bone. In addition, although the Bionx Distal Radius Screw is made of biodegradable poly-Lrlactide polymer, while the Synthes Polypin is composed of poly-(L/DL)-lactide polymer, and the other predicate devices are composed of titanium or stainless steel, this difference in materials does not raise any new questions of safety or effectiveness. The poly-L-lactide polymer used in the Bionx Distal Radius Screw is the same material that has been used in other previously cleared implantable devices. Moreover, the biocompatibility all of these materials has been established in the medical literature, and all of the materials possess sufficient strength for distal radius fixation. Clinical testing and performance testing have also demonstrated the safety and effectiveness of the Bionx Distal Radius Screw for this intended use.

#### Summary Basis for the Finding of Substantial Equivalence

Like the previously cleared Herbert Bone Screw, the Synthes Dorsal Plate, Synthes Volar Plate, Zimmer Forte Plate, and Synthes Polypin, the Bionx Distal Radius Screw is intended for use in fixation of cancellous bone fractures, and specifically indicated for use in the fixation of radial fractures. Furthermore, all of the devices possess similar principles of operation and technical characteristics. The minor differences in the technical characteristics of the devices, such as differences in the configuration or materials, do not raise new questions of safety or effectiveness, as confirmed by clinical and mechanical testing. Thus, the devices are substantially equivalent.

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Image /page/3/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract image of an eagle with three human profiles incorporated into the design.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAR 20 1998

Jonathan S. Kahan, Esq. Hogan & Hartson L.L.P. Representing Bionx Implants, Inc. 555 Thirteenth Street, NW Washington, DC 20004-1109

K974876 Re: Biodegradable, Threaded Distal Radius Screw Trade Name: Regulatory Class: II Product Codes: MAI and HWC Dated: December 24, 1997 Received: December 29, 1997

Dear Mr. Kahan:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). You may, therefore, market the device, subject to the general controls provisions The general controls provisions of the Act 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 (Premarket Approval), 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 895. ਜੋ substantially equivalent determination assumes compliance with -the current Good Manufacturing Practice requirement, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic (QS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory In addition, FDA may publish further announcements action. concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

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Page 2 - Jonathan S. Kahan, Esq.

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate 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 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4659. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,

Russell D. Taylor

(m. Celia M. Witten, Ph.D., M.D. Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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510(k) Number (if known): 197 48 76

Device Name: Bionx Biodegradable Threaded Distal Radius Screw Indications For Use:

The Bionx Biodegradable, Threaded Distal Radius Screw is intended for use in the fixation of cancellous bone fractures in combination with appropriate postoperative cast immobilization. The device will specifically be indicated for use in open reduction and internal fixation of Frykman type I - IV dorsally displaced Colles fractures, osteotomies, and carpal fusions of the distal radius.

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Russell J. Tryon for cmw

Prescription Use X (Per 21 CFR 801.109) OR

Over-The-Counter Use

(Optional Format 1-2-96)

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**Source:** [https://fda.innolitics.com/submissions/OR/subpart-d%E2%80%94prosthetic-devices/MAI/K974876](https://fda.innolitics.com/submissions/OR/subpart-d%E2%80%94prosthetic-devices/MAI/K974876)

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