The Stryker® Consolidated Operating Room Equipment (CORE™) Maestro Air Pneumatically operated surgical instrument system. The pneumatic motor provides power to operate removable rotating surgical cutting tools and their accessories intended for use in neurosurgery, including craniotomy and spinal surgery; as well as ear, nose and throat (ENT), orthopedic, and general surgical applications including maxillofacial and sternotomy surgeries.
Device Story
Stryker Maestro Air Motors are pneumatically powered surgical instruments used in OR settings. System consists of a pneumatic motor connected to a regulated gas source (compressed air or nitrogen) via tubing. Physician operates motor using a handswitch or footpedal to drive removable rotating surgical cutting tools. Device provides high-speed, high-torque rotation for bone cutting and drilling. Output is mechanical power for surgical tools; healthcare provider uses device to perform precise bone resection or drilling during procedures. Benefits include improved ergonomics (knurled grip, reduced weight) and enhanced cleaning capabilities (automated washing) compared to previous models. Device is intended for neurosurgical, ENT, orthopedic, and general surgical applications.
Clinical Evidence
No clinical data. Substantial equivalence supported by bench testing, including reliability testing (motor body, handswitch, router retention, hose assembly), automated washing validation, packaging, cleaning, and sterilization testing.
Technological Characteristics
Pneumatic vane motor powered by dry, filtered compressed air or nitrogen. Max operating pressure 150 psi; max speed 75,000 RPM. Materials: Stainless steel and aluminum. Hose assembly: Fluorosilicone with silicone jacket/Slick Sil coating (exhaust) and nitrile rubber/neoprene (inlet). Sterilization: Moist heat (steam). Connectivity: Pneumatic hose to regulated gas source; handswitch/footpedal control.
Indications for Use
Indicated for use in neurosurgery (craniotomy, spinal surgery), ENT, orthopedic, and general surgical applications (maxillofacial, craniofacial, sternotomy) in the general patient population. No known contraindications.
Regulatory Classification
Identification
A pneumatic cranial drill motor is a pneumatically operated power source used with removable rotating surgical cutting tools or drill bits on a patient's skull.
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Image /page/0/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features the department's symbol, which is a stylized caduceus with three intertwined snakes forming a human profile. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the symbol.
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
May 22, 2015
Stryker Instruments Mr. Deval Patel Senior Regulatory Affairs Specialist 4100 East Milham Avenue Kalamazoo, Michigan 49001
Re: K150801
Trade/Device Name: Stryker® Maestro™ Air Motors Regulation Number: 21 CFR 882.4370 Regulation Name: Pneumatic cranial drill motor Regulatory Class: Class II Product Code: HBB Dated: April 29, 2015 Received: April 30, 2015
Dear Mr. Patel:
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 device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set
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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.
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 (800) 638-2041 or (301) 796-7100 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" (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/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 (800) 638-2041 or (301) 796-7100 or at its Internet address
http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.
Sincerely yours.
# Jennifer R. Stevenson -S
For Binita S. Ashar, M.D., M.B.A., F.A.C.S. Director Division of Surgical Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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## Indications for Use
510(k) Number (if known)
K150801
Device Name Stryker Maestro Air Motors
### Indications for Use (Describe)
The Stryker® Consolidated Operating Room Equipment (CORE™) Maestro Air Pneumatically operated surgical instrument system. The pneumatic motor provides power to operate removable rotating surgical cutting. tools and their accessories intended for use in neurosurgery, including craniotomy and spinal surgery; as well as ear, nose and throat (ENT), orthopedic, and general surgical applications including maxillofacial and sternotomy surgeries.
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)
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4100 E. Milham Ave. Kalamazoo, MI 49001 t: 269 323 7700 f: 269 389 5412 www.stryker.com
Image /page/3/Picture/1 description: The image shows the word "stryker" in a bold, sans-serif font. The word is all lowercase except for the first letter, which is uppercase. There is a registered trademark symbol to the right of the word. The word is likely a company logo or brand name.
510(k) Summary
| Applicant | Stryker Instruments<br>4100 E. Milham Avenue<br>Kalamazoo, MI 49001<br>US |
|-----------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact | Deval Patel<br>Senior Regulatory Affairs Specialist<br>Phone: (269) 389- 5671<br>E-mail: Deval.Patel@stryker.com |
| Registration Number | 1811755 |
| Date Summary Prepared | March 25, 2015 |
| Trade Name | Stryker® Maestro Air™ Motors |
| Common Name | Pneumatic Cranial Drill Motor |
| Classification Data | 21 CFR 882.4370, Pneumatic Cranial Drill Motor,<br>Product Code HBB, Class II 510(k) |
| Predicate Device | Stryker Maestro Pneumatic System, K041754 |
| Indication for Use | The Stryker® Consolidated Operating Room<br>Equipment (CORE <sup>™</sup> ) Maestro Air Pneumatic<br>System is a pneumatically operated surgical<br>instrument system. The pneumatic motor provides<br>power to operate removable rotating surgical<br>cutting tools and their accessories intended for use<br>in neurosurgery, including craniotomy and spinal<br>surgery; as well as ear, nose and throat (ENT),<br>orthopedic, and general surgical applications<br>including maxillofacial, craniofacial and<br>sternotomy surgeries. |
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STRYKER® MAESTRO AIR™ MOTORS
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t: 269 323 7700 f: 269 389 5412 www.stryker.com The Stryker® Maestro Air™ Motor(s) is a pneumatic motor powered by a Device Description regulated gas source. When connected to a gas source via tubing, the pneumatic motor operates at a normal operating pressure up to 150-psi (per square inch). The motor speed is controlled by a handswitch or a footpedal that connects to the motor and to a regulated gas source. Performance Data The results of the performance testing demonstrate that the (Non-Clinical Tests) functionality, integrity and safety and effectiveness of the Stryker Maestro Air Motors are sufficient for their intended use and support a determination of substantial equivalence to the predicate device. The following verification tests were performed on the subject device to Summary of Performance demonstrate that the design outputs of the modified device meet the Testing design input requirements. ● Reliability Testing- Motor body, Handswitch mounting, Router Retention, Pneumatic Hose assembly and automated washing ● Packaging Testing ● Cleaning Testing ● Sterilization Testing Results of these tests demonstrate that the functionality, integrity, and safety and effectiveness of the Stryker Maestro Air Motors are sufficient for their intended use and support a determination of the substantial equivalence. No Clinical Test was deemed necessary for this 510(k). Clinical Test Predicate Comparison Please refer to Table 6-1: for the predicate comparison.
4100 E. Milham Ave. Kalamazoo, MI 49001
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## Table 6-1: Summary of Predicate Comparison
| DESCRIPTION | STRYKER MAESTRO PNEUMATIC<br>SYSTEM [PREDICATE]<br>K041754 | STRYKER® MAESTRO AIR™ MOTORS<br>[SUBJECT] |
|------------------------------------|------------------------------------------------------------|-------------------------------------------------------------------|
| Classification of Device | Class II | Class II |
| Regulation | 21 CFR 882.4370; Pneumatic<br>Cranial Drill Motor | 21 CFR 882.4370; Pneumatic Cranial<br>Drill Motor |
| Product Code | HBB | HBB |
| Power source | Dry, Filtered, Compressed air or<br>nitrogen | Dry, Filtered, Compressed air or<br>nitrogen |
| Patient Population | General | General |
| Contraindications | None known | None known |
| Motor Type | High Speed, High Torque,<br>Pneumatic Vane | High Speed, High Torque, Pneumatic<br>Vane |
| Mode of Action | Footpedal and Handswitch | Footpedal and Handswitch |
| Operating Speed | Up to 75,000 rotations per minute | Up to 75,000 rotations per minute |
| Stall Torque | 5.6 in-oz. @ 150 psi (per square<br>inch) | 6.7 in-oz. @ 150 psi (per square inch) |
| Maximum Operating<br>Pressure | 120 psi (per square inch) | Up to 150 psi (per square inch) |
| Grip Design | Smooth | Knurled |
| Router Retention<br>Mechanism | Friction | Spring Collar |
| Method of Sterilization | Moist Heat (Steam) | Moist Heat (Steam) |
| Sterility Assurance Level<br>(SAL) | 10-e | 10-e |
| Method of Packaging | Packaged in a polybag case<br>configuration | Packaged in a sealed air Korrvu<br>retention Insert configuration |
Image /page/5/Picture/5 description: The image shows the text "510(k) Summary". The text is in a simple, sans-serif font and is left-aligned. The background is plain white, providing a clean and clear presentation of the text.
stryker
# STRYKER® MAESTRO AIR™ MOTORS
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| Table 6-1: Summary of Predicate Comparison (Continued) | | | |
|--------------------------------------------------------|--|--|--|
|--------------------------------------------------------|--|--|--|
| DESCRIPTION | STRYKER MAESTRO PNEUMATIC<br>SYSTEM [PREDICATE]<br>K041754 | STRYKER® MAESTRO AIR™ MOTORS<br>[SUBJECT] |
|---------------------------------|------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|
| Cleaning Method | Manual | Manual and Mechanical (automated) |
| Weight of the Motor and<br>Hose | 2.05 lb. | 1.65 lb. |
| Housing Material | Stainless Steel | Stainless Steel and Aluminum |
| Pneumatic Hose<br>Assembly | Exhaust Hose: Flurosilicone<br>Inlet Hose: Nitrile rubber | Exhaust Hose: Flurosilicone with<br>silicone jacket and Slick Sil coating<br>Inlet Hose: Nitrile rubber and<br>neoprene |
## Conclusion/Substantial Equivalence Rationale
The Stryker Maestro Air Motors is substantially equivalent in intended use, technological characteristics, safety and effectiveness to the previously cleared Stryker Maestro Pneumatic System. The products have the same fundamental scientific technology, basic design, functional characteristics and applications. The modifications introduced raise no new issues of safety and effectiveness.
Therefore, the Stryker Maestro Air Motors is substantially equivalent to the existing predicate device.
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STRYKER® MAESTRO AIR™ MOTORS
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1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
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Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
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Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
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Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
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Reading rule for every project: how many summaries do you read in full?
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Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
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Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
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Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
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Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
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A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
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The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.