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This document provides guidance for the review of orthopedic external fixation devices, detailing the assessment process, comparison with predicate devices, device testing requirements, and a bibliography
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How to fill out REVIEWERS GUIDANCE CHECKLIST FOR ORTHOPEDIC EXTERNAL FIXATION DEVICES

01
Read the instructions provided with the checklist carefully.
02
Gather all necessary information about the orthopedic external fixation device being reviewed.
03
Begin filling out the checklist by entering the device's identification details.
04
Assess the device's design and functionality as per the criteria listed in the checklist.
05
Evaluate the safety and effectiveness of the device using clinical data and other supporting documentation.
06
Complete all sections of the checklist, ensuring that each point is addressed thoroughly.
07
Review the checklist for completeness and accuracy before submitting it.

Who needs REVIEWERS GUIDANCE CHECKLIST FOR ORTHOPEDIC EXTERNAL FIXATION DEVICES?

01
Healthcare professionals involved in the evaluation of orthopedic external fixation devices.
02
Regulatory bodies assessing device safety and compliance.
03
Manufacturers seeking to ensure their devices meet specific guidelines and standards.
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Introduction. External fixation entails the use of percutaneously placed transosseus pins and/or wires secured to external scaffolding to provide support to a limb. In this way, a bone or joint can be stabilized in the setting of trauma or limb reconstruction.
This unique feature is why pin tract infections (PTI) are considered the most common complication associated with external fixation. The key to treating and reducing the number of PTIs is understanding the etiology. A loose wire has a tendency to toggle, which irritates the bone and surrounding soft tissue.
Clean the pins once a day unless your orthopedic care team gives you other instructions. If germs from one pin site get onto another pin site, this can cause infection. So don't let anything that touches one pin touch another. This includes gloves, gauze, tweezers, cotton swabs, and anything else that touches the pins.
For the construction of the frame the following components are needed (shown for the large external fixator): Threaded pins (Schanz type pins, standard or self-drilling/self-tapping with radial preload; 5 or 6 mm) Carbon fiber rods or metal tubes (diameter of 11 mm) Rod-to-pin clamps (titanium, MRI safe)
During External Fixation During the procedure, the surgeon will insert metal pins or wires into the bone above or below the injury site. The pins are attached to a metal bar outside of the body. The external fixator frame will keep the injured bone stable and aligned.
Incise skin. Spread soft tissues. to bone. Triple sleeve first in. and last out. Irrigate while drilling. Place appropriate. pin using sleeve. Place pin bi-cortical.
Patients must also be educated about the restrictions enforced on them due to both their injury or surgery and the use of the external fixation device, for example, being non-weight bearing through the affected limb. It is also important to elevate the limb postoperatively and whenever the patient is not mobilising.
5.3 PRINCIPLE OF FIXATION Fixation results in denaturation and coagulation of protein in the tissues. The fixatives have a property of forming cross links between proteins, thereby forming a gel, keeping everything in their in vivo relation to each other.

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The REVIEWERS GUIDANCE CHECKLIST FOR ORTHOPEDIC EXTERNAL FIXATION DEVICES is a structured tool designed to help reviewers assess the safety and effectiveness of orthopedic external fixation devices. It outlines the necessary criteria and considerations for evaluating such devices.
Manufacturers and regulatory submission sponsors of orthopedic external fixation devices are required to file the REVIEWERS GUIDANCE CHECKLIST. This includes those seeking premarket approval or clearance from regulatory bodies.
To fill out the checklist, users should follow the prescribed format, ensuring that all applicable sections are completed with relevant data. This includes details on device design, materials, biocompatibility, clinical data, and intended use.
The purpose of the checklist is to standardize the review process for orthopedic external fixation devices, ensuring that they meet established safety and performance standards before receiving regulatory approval.
The checklist must report information regarding the device's design features, material specifications, performance testing results, indications for use, patient management strategies, and risk assessment findings.
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