VANGUARD REPROCESSED EXTERNAL FIXATION DEVICES

K051180 · Vanguard Medical Concepts, Inc. · KTT · Jul 22, 2005 · Orthopedic

Device Facts

• Record ID: K051180
• Device Name: VANGUARD REPROCESSED EXTERNAL FIXATION DEVICES
• Applicant: Vanguard Medical Concepts, Inc.
• Product Code: KTT · Orthopedic
• Decision Date: Jul 22, 2005
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 888.3030
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

Reprocessed External Fixation Devices are intended for the treatment of bone conditions that can be corrected or improved by external skeletal traction or fixation, including osteotomy, arthrodesis, fracture and reconstructive surgery.

Device Story

Reprocessed external fixation devices; previously used non-invasive orthopedic components cleaned, inspected, tested, and packaged for reuse. System comprises rods, couplings, clamps, rings, and ring segments; forms bridge constructs for bone stabilization. Surgeon attaches anchoring screws, pins, or wires to construct to immobilize bone fractures where soft tissue injury precludes internal fixation. Used in clinical settings for fracture management and reconstructive surgery. Benefits include rigid structural support for bone healing. Devices are non-sterile; require steam sterilization by healthcare facility prior to use.

Clinical Evidence

Bench testing only. Cleaning, packaging, and performance testing were conducted to demonstrate that reprocessed devices perform as intended and are safe and effective.

Technological Characteristics

Components include rods, rod-to-rod/pin couplings, rings, ring segments, and clamps. Materials: stainless steel, carbon fiber, aluminum, anodized aluminum alloys, and titanium alloys. Form factor: modular external fixation system. Connectivity: none. Sterilization: steam sterilization by healthcare facility. Software: none.

Indications for Use

Indicated for patients requiring external skeletal traction or fixation for bone conditions including osteotomy, arthrodesis, fracture, and reconstructive surgery. Contraindicated in patients with mental or neurologic impairment interfering with cooperative postoperative care; not for spinal screw attachment.

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

• Smith & Nephew Ilizarov External Fixator
• Smith & Nephew Taylor Spatial Frame Fixator
• Vanguard Medical Concepts Reprocessed External Fixation Devices

Submission Summary (Full Text)

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K051180 p 1/4

# JUL 2 2 2 2005 510(k) Summary of Safety & Effectiveness

| Submitter | Vanguard Medical Concepts, Inc.<br>5307 Great Oak Drive<br>Lakeland, FL 33815 | | | | | | | | |
|---------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--|--|--|--|--|--|--|--|
| Contact | Mark Waddell<br>Project Manager, Research & Development<br>863-683-8680 ext. 263 [voice]<br>863-904-1604 [facsimile]<br>[e-mail] [email] | | | | | | | | |
| Date | April 6, 2005 | | | | | | | | |
| Device | Trade Name: Vanguard Reprocessed External Fixation Devices<br>Ilizarov System Taylor Spatial Frame Common Name: Reprocessed External Fixation Devices<br>Classification: 21 CFR, 888.3030<br>Classification Name: Appliance, Fixation, Nail/Blade/Plate Combination, Multiple Component<br>Device Class: Class II<br>Product Code: KTT | | | | | | | | |
| Predicate Devices | External Fixation Devices legally marketed by the following original equipment manufacturers (OEM) and third party reprocessor:<br>OEM / Reprocessor Trade Name Smith & Nephew®, Inc. Ilizarov External Fixator® Smith & Nephew®, Inc. Taylor Spatial Frame® Fixator Vanguard Medical Concepts, Inc. Reprocessed External Fixation Devices | | | | | | | | |
| Indications for Use | Reprocessed External Fixation Devices are intended for the treatment of bone conditions that can be corrected or improved by external skeletal traction or fixation, including osteotomy, arthrodesis, fracture and reconstructive surgery. | | | | | | | | |
| Contra-indications | External fixation devices are contraindicated in patients with mental or neurologic impairment that would interfere with cooperative postoperative care. These devices are not intended for attachment or fixation of screws to the spine. | | | | | | | | |

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#### 510(k) Summary of Safety & Effectiveness, continued

Vanguard Reprocessed External Fixation Devices are previously used non-Device invasive orthopedic devices that have been cleaned, inspected, tested, and Description packaged by Vanguard Medical Concepts, Inc. External fixation device systems are comprised of various elements that, when used in conjunction with one another, form bridge constructs to which anchoring screws, wires and/or pins may be attached. Bridge elements are designed to provide a framework for stabilization of bone fractures where soft tissue injury may preclude the use of other fracture treatments such as IM rods, casting or other means of internal fixation.

> External fixation elements consist of components such as straight and curved rods, rod-to-rod, and rod-to-pin couplings and clamps, rings and ring segments, ring-to-rod, and ring-to-pin clamps. These components are provided in bulk, packaged in nylon pouches, non-sterile, with instructions for steam sterilization by the health care facility.

- Rods and Telescoping Rods ~ Straight rods are external fixation devices of varying lengths (adjustable lengths in the case telescoping rods) and diameters that are used with rod-to-rod and pin-to-rod clamps by the surgeon to connect anchoring pins, screws and wires together to form a rigid structure that immobilizes the affected bone or structures. Differences in length and diameter of the rods allow accommodation of a broad range of fracture scenarios and applied loads. All rods have a straight, solid, round design. Rods and telescoping rods are typically constructed of stainless steel, carbon fiber, or aluminum or a combination of materials.
Curved rods are multilateral devices bent in shapes useful for some constructs where straight rods are less suitable. These rods allow the surgeon to connect pins in various locations in the limb together to form a rigid structure. Curved rods are manufactured from either aluminum or stainless steel.

- Rod-to-Rod Couplings ~ These are multi-element components used to 체 connect one rod to another in a range of positions defined by the individual clamp configuration. They are designed to interconnect a specific size or range of sizes of rods. The devices are typically constructed from one or more of the following materials: anodized aluminum alloys, steel or stainless steel alloys and titanium alloys.
Continued on next page

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### 510(k) Summary of Safety & Effectiveness, continued

Device Description (continued)

- . Rod-to-Pin Couplings ~ These are multi-element components used to connect one rod to a pin or group of pins in a range of positions defined by the individual clamp configuration. They are designed to interconnect a specific size or range of sizes of rods to specific sizes or ranges of sizes of pins. The devices are typically constructed from one or more of the following materials: Anodized aluminum alloys, steel and/or stainless steel alloys and titanium alloys.
- I Rings and Ring Segments ~ These are circular or semicircular segments manufactured to surround the area of attachment to bone located centrally in the ring. Various attachments are made to the rings or ring segments to stabilize bone fractures or to reduce or extend the length of bones. Tensioned wires or pins are commonly attached to rings and ring segments using clamps designed for this purpose. Multiple ring or ring segment constructs are used to stabilize and structurally support the anatomical structures being treated using a range of configurations and attachments and connectors. The rings and ring segments are manufactured in a range of diameters to allow selection of a size most appropriate to the anatomy and application needed. Rings and ring segments are typically manufactured from one or more of the following materials: anodized aluminum alloys, steel and stainless steel alloys or carbon fiber composites.
- I Ring-to-Rod Clamps ~ Ring-to-rod clamps are utilized to connect a ring or ring segment to a rod. These attachments are made to form an external fixator frame construct as required for the particular biomechanical needs of the procedure. Ring to rod clamps are typically constructed from one or more of the following materials: anodized aluminum alloys, steel and/or stainless steel alloys and titanium alloys.
- . Ring-to-Pin or Ring-to-Wire Clamps ~ Ring-to-pin or ring-to-wire clamps are utilized to connect an external fixation ring or ring segment to a pin or wire that is normally affixed to the bone passing centrally through the ring. Wires are normally attached on one side of the ring, passed through the bone, and continue to an attachment point on the opposite side of the ring where they are affixed under tension to another ring to wire clamp. Ring-to-pin clamps are used to secure the ring to a pin or set of pins that are anchored in the bone passing centrally through the external fixation ring. Ring-to-pin and ring-to-wire clamps are typically constructed from one or more of the following materials: anodized aluminum alloys, steel and/or stainless steel alloys and titanium alloys.

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# 510(k) Summary of Safety & Effectiveness, continued

| Technological<br>Characteristics | Vanguard Reprocessed External Fixation Devices are essentially identical to<br>the Original Equipment Manufacturer (OEM) devices. No changes are made<br>to the currently marketed OEM device specifications and the Reprocessed<br>External Fixation Devices possess identical technological characteristics. |
|----------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Test Data | Cleaning, packaging, and performance testing demonstrate that the<br>reprocessed devices perform as intended and are safe and effective. |
| Conclusion | Based upon the information provided herein and the 510(k) "Substantial<br>Equivalence" Decision Making Process Chart, we conclude that Vanguard<br>Reprocessed External Fixation Devices are substantially equivalent to their<br>predicate devices under the Federal Food, Drug and Cosmetic Act. |

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Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mark Waddell Project Manager, Research and Development Vanguard Medical Concepts, Inc. . . . . . 5307 Great Oak Drive Lakeland, Florida 33815

Re: K051180

K031160
Trade/Device Name: Vanguard Reprocessed External Fixation Devices (see enclosed list) Regulation Number: 21 CFR 888.3030 Regulation Name: Single/multiple component metallic bone fixation appliances and accessories Regulatory Class: KTT Product Code: II Dated: May 6, 2005 Received: May 9, 2005

Dear Mr. Waddell:

We have reviewed your Section 510(k) premarket notification of intent to market the device we nave reviewed your Section 9 rotty premainer is substantially equivalent (for the indications felerenced above and nave determined in a are and cate devices marketed in interstate for use stated in the encrosure/to regars actment date of the Medical Device Amendments, or to commerce production to May 20, 1976, the encordance with the provisions of the Federal Food, Drug, devices that have been receassined in accera approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The You may, therefore, market the devices, bacjes, be courements for annual registration, listing of general controls provisions of the revy 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 If your device is classified (500 above) also Existing major regulations affecting your device EDA may thay be subject to suell additions, Title 21, Parts 800 to 898. In addition, FDA may be found in the Oous overning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not meant Please be advised that I Dri 3 issualited or a baces and other requirements of the Act
that FDA has made a determination that your device complies with other requirements of that IDA has made a determination administered by other Federal agencies. You must of any I cuchares and regaranents, including, but not limited to: registration and listing (21 comply with an the 70c 31equirements, while and of CTN in the quality systems (DS) regulation (21 CFR Part 820); and if applicable, the electronic forth in the quality Systems (Sections 531-542 of the Act); 21 CFR 1000-1050.

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#### Page 2 -- Ms. Heather Crawford, RAC

This letter will allow you to begin marketing your device as described in your Section 510(k) I his letter will anow you to begin maneting your and equivalence of your device to a legally premarket notification. THC PDF mailing of basis.ification 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 If you desire spocitie at no 10-10-10-10-12-0120. Also, please note the regulation entitled, Colliation of Compulance an (21 the entification" (21CFR Part 807.97). You may obtain Misoranding of Icrerchee to premainsvillities under the Act from the Division of Small other general informational and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Misiam C. Purvat

Miriam C. Provost, Ph.D. Acting Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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## Indications for Use

510(k) Number (if known):

Device Name: Vanguard Reprocessed External Fixation Devices

. .

. .. .

Indications for Use:

Reprocessed External Fixation Devices are intended for the treatment of bone Neprocessed Extornal Pixation - or improved by external skeletal traction or conditions that out be comes arthrodesis, fracture and reconstructive surgery.

Prescription Use × (Part 21 CFR 801 Subpart D)

AND/OR

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

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Miriam C. Provost

(Division Sign-Off) Division of General, Restorative and Neurological Devices

510(k) Number K051180

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