The Tandry CMF System is a Maxillofacial plate and screw system intended for osteotomy, stabilization and rigid fixation of maxillofacial/midface fractures and reconstruction including infraorbital area and maxillofacial, and mandibular and maxillary correction surgery. Each plate is indicated to be used in the following anatomic regions: 1.2mm upper-face plates Orbital floor region, zygomatic region, and dento-alveolar region 1.5mm mid-face plates Zygomatic region, orbital floor region, and maxilla 2.0 mm mini plates Orthognathics midface/mandible 2.0/2.3mm mandible plates Mandibular
Device Story
Tandry CMF Plate System comprises titanium plates and screws for maxillofacial surgical fixation; used for osteotomy, fracture stabilization, and reconstruction. Plates and screws fabricated from pure titanium (ASTM F67) and Ti-6Al-4V alloy (ASTM F136); surfaces are colored-anodized and type 2-anodized. System includes self-tapping, self-drilling, emergency self-tapping, and locking screws. Used by surgeons in clinical settings for midface/mandibular procedures. Device provides rigid fixation to bone to facilitate healing and structural correction. Not evaluated for MR environment safety.
Clinical Evidence
No clinical data. Substantial equivalence supported by non-clinical biomechanical testing (ASTM F543, F382), biocompatibility assessment (ISO 10993-1, ISO 10993-5, ISO 10993-12), and validated steam sterilization protocols (ANSI/AAMI/ISO 17665-1, ANSI/AAMI/ISO 14937).
Technological Characteristics
Materials: Pure titanium (ASTM F67) and titanium alloy (ASTM F136). Surface: Colored-anodized and type 2-anodized. Screw diameters: 1.2-2.7mm; Plate thickness: 0.4-2.8mm. Mechanical fixation via plates and screws. Single-use, non-sterile, steam-sterilizable.
Indications for Use
Indicated for patients requiring osteotomy, stabilization, and rigid fixation of maxillofacial/midface fractures, reconstruction (including infraorbital and zygomatic areas), and mandibular/maxillary correction surgery.
Regulatory Classification
Identification
A bone plate is a metal device intended to stabilize fractured bone structures in the oral cavity. The bone segments are attached to the plate with screws to prevent movement of the segments.
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11/10/22
Microware Precision Co., Ltd. Harrison Du General Manager No. 12, Keyuan 2nd Rd., Situn District Taichung, 40763 TAIWAN
Re: K220360
Trade/Device Name: Tandry CMF Plate System Regulation Number: 21 CFR 872.4760 Regulation Name: Bone Plate Regulatory Class: Class II Product Code: JEY, DZL Dated: October 11, 2022 Received: October 12, 2022
Dear Harrison Du:
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.
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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 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/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.
For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely.
Sherrill Lathrop Blitzer
for Andrew Steen Assistant Director DHT1B: Division of Dental and ENT Devices OHT1: Office of Ophthalmic, Anesthesia. Respiratory, ENT and Dental Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health
Enclosure
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## Indications for Use
510(k) Number (if known) K220360
Device Name Tandry CMF Plate System
The Tandry CMF System is a Maxillofacial plate and screw system intended for osteotomy, stabilization and rigid fixation of maxillofacial/midface fractures and reconstruction including infraorbital area and maxillofacial, and mandibular and maxillary correction surgery.
Each plate is indicated to be used in the following anatomic regions:
- · 1.2mm upper-face plates Orbital floor region, zygomatic region, and dento-alveolar region
- · 1.5mm mid-face plates Zygomatic region, orbital floor region, and maxilla
- · 2.0 mm mini plates Orthognathics midface/mandible
- · 2.0/2.3mm mandible plates Mandibular
| Type of Use (Select one or both, as applicable) | |
|-------------------------------------------------|--|
|-------------------------------------------------|--|
X Prescription Use (Part 21 CFR 801 Subpart D)
| Over-The-Counter Use (21 CFR 801 Subpart C)
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#### Microware
## K220360
# 510(K) Summary
Submitter's Name: Microware Precision Co., Ltd. Address: No. 12, Keyuan 2nd Rd., Situn District, Taichung City 40763, Taiwan Tel: +886-4-24636275 # 100 Fax: +886-4-24636276
Contact Name: Harrison Du
Preparation date: Nov. 10. 2022
Registration Number: 3007738812
Device Name: Tandry CMF Plate System
Common Name: Bone Plate and Bone Screw
Classification Name: Class II, 21 CFR 872.4760
Product Code: JEY and DZL
## Predicate Device Information:
Primary device: Stryker Leibinger Universal CMF System (K022185) Reference device: MCI - CMF System (K182758) Tandry Locking Plate System (K171904) Synthes Midfacial System (K953806)
## Device Description:
The Tandry CMF Plate System consists of various sized plates and screws. The plates and screws are fabricated from pure titanium and Ti-6Al-4V. The plates are designed to distribute for respective anatomical and indicated areas, besides, they can be used with self-tapping, self-drilling, emergency self-tapping and locking screws.
## Indication for use:
The Tandry CMF System is a Maxillofacial plate and screw system intended for osteotomy, stabilization and rigid fixation of maxillofacial/midface fractures and reconstruction including infraorbital area, zygomatic area and maxillofacial, and maxillary correction surgery.
Each plate is indicated to be used in the following anatomic regions:
- 1.2mm upper-face plates Orbital floor region, zygomatic region, and dento-alveolar region .
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#### Microware
- · 1.5mm mid-face plates Zygomatic region, orbital floor region, and maxilla
- · 2.0 mm mini plates Orthognathics midface/mandible
- 2.0/2.3mm mandible plates Mandibular
## Technological Characteristics:
The Tandry CMF Plate System is fabricated from titanium alloy per ASTM F136 and unalloyed titanium per ASTM F67. The screws are made of titanium alloy conforming to ASTM F136 and its surfaces are colored-anodized. The plates are manufactured in commercially pure titanium conforming to ASTM F67 and its surfaces are colored-anodized and type 2-anodized. The design feature for the Tandry CMF Plate System is similar to the predicate devices including dimensions, shape and sizes as following Table 1.
# Summary of Performance Data (Nonclinical and/or Clinical)
## Clinical Test
Clinical studies are not required to support substantially equivalent.
## Non-Clinical Test
- Biomechanical Test
The biomechanical tests ASTM F543 and F382 were performed to determine substantial equivalence for the Tandry CMF Plate System including the performance of plate and screw.
- Biocompatibility
Representative samples of each of the subject devices was subjected to the following: "Biocompatibility sample preparation was made according to ISO 10993-12. Biological Safety Assessment guided by ISO 10993-1. Cytotoxicity testing was performed per ISO 10993-5.
- Reprocessing and sterilization
Since the material, manufacturing process, geometry & physico-chemical, body/ fluid contact and sterilization process of the proposed device is the same as Tandry Locking Plate System K171904, the performance and testing result of the predicate can be utilized in the proposed device. The testing results support the proposed device to meet the validation requirement.
The steam sterilization instructions are validated to a sterility assurance level (SAL) of 10-6 using the biological indicator overkill method. The sterilization test is performed in accordance with ANSI/AAMI/ISO 17665-1 and ANSI/AAMI/ISO 14937. The subject device is a single-use device.
- The Tandry CMF Plate System has not been evaluated for safety and compatibility in the MR environment. It has not been tested for heating, migration, or image artifact in the MR environment. The safety of the Tandry CMF Plate System in the MR environment is unknown. Scanning a patient who has this device may result in patient injury.
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# Summary of Substantial Equivalence:
The Tandry CMF Plate System is substantially equivalent to the predicated devices. Result of non-clinical tests and the similarities with the legally marketed predicate device have demonstrated substantial equivalence.
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| Device<br>Item | Proposed device | Primary predicate device | Reference device 1 | Reference device 2 | Reference device 3 | SE<br>? |
|--------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Device Name | Tandry CMF Plate System | Stryker Leibinger<br>Universal CMF System | MCI - CMF System | Synthes Midfacial System | Tandry Locking Plate<br>System | NA |
| 510K Number | K220360 | K022185 | K182758 | K953806 | K171904 | NA |
| Trade Name | Tandry | Stryker | MCI | Synthes | Tandry | NA |
| Indication for Use | The Tandry CMF System is<br>a Maxillofacial plate and<br>screw system intended for<br>osteotomy, stabilization and<br>rigid fixation of<br>maxillofacial/midface<br>fractures and reconstruction<br>including infraorbital area,<br>zygomatic area and<br>maxillofacial,<br>mandibular and maxillary<br>correction surgery.<br>Each plate is indicated to<br>be used in the following<br>anatomic regions:<br>- 1.2mm upper-face<br>plates - Orbital floor<br>region, zygomatic<br>region, and<br>dento-alveolar region<br>- 1.5mm mid-face plates -<br>Zygomatic region, | The Stryker Leibinger<br>Universal CMF System is a<br>Cranio-maxillofacial<br>(CMF) plate and screw<br>system intended for<br>osteotomy, stabilization and<br>rigid fixation of CMF<br>fractures and<br>reconstruction. | MCI - CMF System is<br>intended for use in<br>selective trauma of the<br>midface, maxillofacial<br>surgery, reconstructive<br>procedures, and selective<br>orthognathic surgery of<br>the maxilla, mandible and<br>chin. | The Synthes Midfacial<br>System is a plate and<br>screw system,<br>manufactured from<br>commercially pure (CP)<br>titanium, and is intended<br>for use in selective trauma<br>of the midface and<br>craniofacial skeleton;<br>craniofacial surgery;<br>reconstructive procedures;<br>and selective orthognathic<br>surgery of the maxilla and<br>chin. The plates are<br>available in a variety of<br>configurations to<br>accommodate various<br>fracture sites, and attach to<br>bone via 1.3mm or 1.7mm<br>self-tapping screws, with a<br>low plate/screw profile. | Tandry Locking Plate<br>System is intended to<br>provide fixation during<br>fractures, fusions, and<br>osteotomies for bones<br>including the clavicle,<br>pelvis, scapula and<br>calcaneal, small bones<br>including the metacarpals,<br>wrist, metatarsals, tarsals<br>and phalanges; long bones<br>including the radius, ulna,<br>humerus, olecranon, fibula,<br>femur, and tibia. | No substantial<br>differences<br>between subject<br>and reference<br>device.<br>Reference<br>device 3 is only<br>for evaluation of<br>biocompatibility<br>, reprocessing<br>and sterilization. |
| | | | | | | |
| | orbital floor region, and<br>maxilla<br>- 2.0 mm mini plates -<br>Orthognathics<br>midface/mandible<br>- 2.0/2.3mm mandible<br>plates - Mandibular | | | | | |
| Materials | Pure titanium: ASTM F67<br>Titanium Alloy: ASTM<br>F136 | Pure titanium: ASTM F67<br>Titanium Alloy: ASTM<br>F136 | Pure titanium: ASTM F67<br>Titanium Alloy: ASTM<br>F136 | Pure titanium: ASTM F67 | Pure Titanium: ASTM F67<br>Titanium Alloy: ASTM<br>F136<br>Stainless steel: ASTM<br>F138 and F139 | No substantial<br>differences<br>between subject<br>and reference<br>device. |
| Dimensions | Screw<br>Diameter: 1.2 to 2.7mm<br>Length: 3 to 20mm<br>Plate<br>Thickness: 0.4 to 2.8mm<br>Holes: 4 to 39 Holes | Screw<br>Diameter: 1.2 to 2.7mm<br>Length: 3 to 42mm<br>Plate<br>Thickness: 0.1 to 2.8mm<br>Holes: 4 to 29 Holes | Screw<br>Diameter: 1.5 to 2.3mm<br>Length: 4 to 20mm<br>Plate<br>Thickness: 0.6 to 1.0mm<br>Holes: 4 to 20 Holes | Screw<br>Diameter: 1.3 to 1.7mm<br>Length: 3 to 18mm<br>Plate<br>Thickness: 0.2 to 0.8mm<br>Holes: 4 to 39 Holes | Screw<br>Diameter: 1.5 to 4.5mm<br>Length: 6 to 160mm<br>Plate<br>Thickness: 1.1 to 6.25mm<br>Holes: 2 to 22 holes | No substantial<br>differences<br>between subject<br>and reference<br>device. |
| Surface | Colored-anodized and<br>type2-anodized | Colored-anodized | Colored-anodized | Colored-anodized | Colored-anodized for<br>titanium<br>Electrolytic polishing for<br>Stainless steel | No substantial<br>differences<br>between subject<br>and reference<br>device. |
| Sterilization | Non-sterilize. Steam<br>sterilization before use. | Non-sterilize. Steam<br>sterilization before use. | Non-sterilize. Steam<br>sterilization before use. | Non-sterilize. Steam<br>sterilization before use. | Non-sterilize. Steam<br>sterilization before use. | No substantial<br>differences<br>between subject<br>and reference<br>device. |
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# Microware
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Part 1 — Search, results, and everyday workflows 16 min
Part 2 — Embeddings: the galaxy map 3 min
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.
Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
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).
2. The results table
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.
Where do you find a device's intended use without opening the PDF?
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.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
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Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
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.
What does the side-by-side PDF viewer mode do?
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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With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
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Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
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What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
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.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
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.