(121 days)
The RIGIDLOOP Titanium Button is intended for fixation of soft-tissue to bone for the following indications when used with PERMATAPE™ 2.5mm Suture, #2 ORTHOCORD® Suture, #2 DYNACORD™ Suture, or equivalent nonabsorbable or partially-absorbable high strength operative suture:
Shoulder:
Acromioclavicular repair
Pectoralis major / minor repair1
Biceps tenodesis
Elbow:
Ulnar or radial collateral ligament reconstruction
Biceps tendon reattachment
Knee:
Cruciate ligament reconstruction1
Extracapsular repair: MCL, LCL, and Posterior oblique ligament
Patellar tendon repair
Meniscal root repair2
1 PERMATAPE 2.5mm suture must be used for pectoralis major/minor repair and cruciate ligament reconstruction
2 Size 0 or size 2/0 ORTHOCORD Suture may be used for meniscal root repair.
RIGIDLOOP Cortical Fixation System XL Implant
When used in conjunction with the RIGIDLOOP Cortical Fixation System, the RIGIDLOOP Cortical Fixation System XL Implant is intended for fixation of soft tissue to bone in orthopedic procedures such as ACL repairs.
When used in conjunction with the RIGIDLOOP Titanium Button, the RIGIDLOOP Cortical Fixation System XL Implant is intended for fixation of soft-tissue to bone for the following indications:
Shoulder:
Pectoralis major / minor repair
Biceps tenodesis
Elbow:
Ulnar or radial collateral ligament reconstruction
Biceps tendon reattachment
Knee:
Cruciate ligament reconstruction
Extracapsular repair: MCL, LCL, and Posterior oblique ligament
Patellar tendon repair
Meniscal root repair
RIGIDLOOP Titanium Button
The proposed RIGIDLOOP Titanium Button is a cortical fixation device that provides a means of fixation of soft tissue to bone in orthopedic reconstructive surgery. The device consists of a titanium button implant that is provided with pre-attached leading and trailing sutures that are non-implantable. The white leading utility suture is composed of UHMWPE (device high molecular weight polyethylene) and the green trailing suture is composed of #5 Ethibond®. This device is provided sterile and is for single use only.
RIGIDLOOP Cortical Fixation System XL Implant
The RIGIDLOOP XL Implant is an extra-large titanium button implant that is currently intended for use with the already cleared RIGIDLOOP Cortical Fixation System devices (K130814). The RIGIDLOOP XL Implant can now also be used with the proposed RIGIDLOOP Titanium Button for the proposed indications. The RIGIDLOOP XL Implant is used in cases of cortical breaching. This device is provided sterile and is for single use only.
The provided text describes the regulatory clearance for the RIGIDLOOP™ Titanium Button and RIGIDLOOP™ Cortical Fixation System XL Implant. It does not contain information about a medical device involving AI, image analysis, or any study that would typically involve acceptance criteria related to accuracy, sensitivity, or specificity.
Specifically, the document focuses on:
- The FDA's 510(k) clearance for a surgical implant (bone fixation fastener).
- The device's indications for use (fixation of soft-tissue to bone for various orthopedic repairs).
- A comparison to predicate devices, emphasizing substantial equivalence based on material, design, and non-clinical performance testing (e.g., fixation strength, biological safety, sterility, packaging, shelf-life).
- A clear statement: "No animal or clinical studies were required."
Therefore, I cannot fulfill your request to describe acceptance criteria and a study proving device performance (including accuracy metrics, sample sizes, expert ground truth, etc.) because such information is not present in the provided text. The device described is a physical implant, not a software or AI-based diagnostic/assessment tool.
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Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left, there is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.
Medos International SARL % LeeAnn Walosin Regulatory Affairs Specialist DePuy Mitek, Inc. 325 Paramount Drive Raynham, Massachusetts 02767
Re: K190774
Trade/Device Name: RIGIDLOOP™ Titanium Button, RIGIDLOOP™ Cortical Fixation System XL Implant Regulation Number: 21 CFR 888.3040 Regulation Name: Smooth or threaded metallic bone fixation fastener Regulatory Class: Class II Product Code: MBI Dated: June 27, 2019 Received: June 28, 2019
Dear LeeAnn Walosin:
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 (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.
Laurence D. Coyne, Ph.D. Assistant Director DHT6C: Division of Restorative, Repair and Trauma Devices OHT6: Office of Orthopedic 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) K190774
Device Name RIGIDLOOP™ Titanium Button RIGIDLOOP™ Cortical Fixation System XL Implant
Indications for Use (Describe)
The RIGIDLOOP Titanium Button is intended for fixation of soft-tissue to bone for the following indications when used with PERMATAPE™ 2.5mm Suture, #2 ORTHOCORD® Suture, #2 DYNACORD™ Suture, or equivalent nonabsorbable or partially-absorbable high strength operative suture:
Shoulder: Acromioclavicular repair Pectoralis major / minor repair(1) Biceps tenodesis
Elbow: Ulnar or radial collateral ligament reconstruction Biceps tendon reattachment
Knee: Cruciate ligament reconstruction (1) Extracapsular repair: MCL, LCL, and Posterior oblique ligament Patellar tendon repair Meniscal root repair(2)
(1) PERMATAPE 2.5mm suture must be used for pectoralis major/minor repair and cruciate ligament reconstruction (2) Size 0 or size 2/0 ORTHOCORD Suture may be used for meniscal root repair.
RIGIDLOOPTM Cortical Fixation System XL Implant
When used in conjunction with the RIGIDLOOP Cortical Fixation System, the RIGIDLOOP Cortical Fixation System XL Implant is intended for fixation of soft tissue to bone in orthopaedic procedures such as ACL repairs.
When used in conjunction with the RIGIDLOOP Titanium Button, the RIGIDLOOP Cortical Fixation System XL Implant is intended for fixation of soft-tissue to bone for the following indications:
Shoulder: Pectoralis major / minor repair Biceps tenodesis
Elbow: Ulnar or radial collateral ligament reconstruction Biceps tendon reattachment
Knee: Cruciate ligament reconstruction Extracapsular repair: MCL, LCL, and Posterior oblique ligament Patellar tendon repair Meniscal root repair
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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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Image /page/4/Picture/0 description: The image shows the logo for DePuy Synthes Mitek Sports Medicine. The logo consists of a circular design with interconnected shapes in a gold color, followed by the text "DePuy Synthes" in a dark blue color. Below that, the text "MITEK SPORTS MEDICINE" is written in a smaller font size, also in dark blue. Finally, the text "COMPANIES OF Johnson & Johnson" is written in a smaller font size.
510(k) SUMMARY
RIGIDLOOP Titanium Button & RIGIDLOOP XL Implant
| Date SummaryPrepared | March 25, 2019 | |
|---|---|---|
| Submitter'sName andAddress | DePuy Miteka Johnson & Johnson company325 Paramount DriveRaynham, MA 02767 | |
| LegalManufacturer | Medos International SARLChemin-Blanc 38, Case PostaleCH 2400Le Locle, Switzerland | |
| ContactPerson | LeeAnn WalosinRegulatory Affairs SpecialistDePuy Miteka Johnson & Johnsoncompany325 Paramount DriveRaynham, MA 02767, USA | Telephone: 612-230-9909Facsimile: 508-977-6409e-mail: lswiftwa@its.jnj.com) |
| Name ofMedical Device | Proprietary Name:Common Name: | RIGIDLOOP™ Titanium Button;RIGIDLOOP™ Cortical FixationSystem XL ImplantFixation Device |
| DeviceClassification | Smooth or threaded metallic bone fixation fastener, classified as ClassII, product code MBI regulated per 21 CFR 888.3040. (Orthopedicpanel) | |
| SubstantialEquivalence | The proposed RIGIDLOOP Titanium Button and the RIGIDLOOPCortical Fixation System XL Implant (when used with the proposedRIGIDLOOP Titanium Button) are substantially equivalent to thefollowing predicate devices:PREDICATE DEVICES:ARTHREX PEC REPAIR BUTTON, LARGE PECBUTTON, BICEP BUTTON, PROXIMAL BICEPSBUTTON, (Arthrex: K123341) SWIVELOCK (Arthrex: K173845) REFERENCE DEVICE: RIGIDLOOP CORTICAL FIXATION SYSTEM, (DepuyMitek a Johnson & Johnson Company: K130814) | |
| RIGIDLOOP Titanium Button | ||
| Indications forUse | The RIGIDLOOP Titanium Button is intended for fixation of soft-tissue to bone for the following indications when used withPERMATAPE™ 2.5mm Suture, #2 ORTHOCORD® Suture, #2DYNACORD™ Suture, or equivalent nonabsorbable or partially-absorbable high strength operative suture:Shoulder:Acromioclavicular repairPectoralis major / minor repair1Biceps tenodesisElbow:Ulnar or radial collateral ligament reconstructionBiceps tendon reattachmentKnee:Cruciate ligament reconstruction1Extracapsular repair: MCL, LCL, and Posterior oblique ligamentPatellar tendon repairMeniscal root repair21 PERMATAPE 2.5mm suture must be used for pectoralis major/minorrepair and cruciate ligament reconstruction2 Size 0 or size 2/0 ORTHOCORD Suture may be used formeniscal root repair. | |
| RIGIDLOOP Cortical Fixation System XL ImplantWhen used in conjunction with the RIGIDLOOP Cortical FixationSystem, the RIGIDLOOP Cortical Fixation System XL Implant isintended for fixation of soft tissue to bone in orthopedic procedures suchas ACL repairs. | ||
| When used in conjunction with the RIGIDLOOP Titanium Button, theRIGIDLOOP Cortical Fixation System XL Implant is intended forfixation of soft-tissue to bone for the following indications: | ||
| Shoulder:Pectoralis major / minor repairBiceps tenodesis | ||
| Elbow:Ulnar or radial collateral ligament reconstructionBiceps tendon reattachment | ||
| Knee:Cruciate ligament reconstructionExtracapsular repair: MCL, LCL, and Posterior oblique ligamentPatellar tendon repairMeniscal root repair | ||
| DeviceDescription | RIGIDLOOP Titanium ButtonThe proposed RIGIDLOOP Titanium Button is a cortical fixation devicethat provides a means of fixation of soft tissue to bone in orthopedicreconstructive surgery. The device consists of a titanium button implantthat is provided with pre-attached leading and trailing sutures that arenon-implantable. The white leading utility suture is composed ofUHMWPE (device high molecular weight polyethylene) and the greentrailing suture is composed of #5 Ethibond®. This device is providedsterile and is for single use only. | |
| RIGIDLOOP Cortical Fixation System XL ImplantThe RIGIDLOOP XL Implant is an extra-large titanium button implantthat is currently intended for use with the already cleared RIGIDLOOPCortical Fixation System devices (K130814). The RIGIDLOOP XLImplant can now also be used with the proposed RIGIDLOOP TitaniumButton for the proposed indications. The RIGIDLOOP XL Implant isused in cases of cortical breaching. This device is provided sterile and isfor single use only. | ||
| TechnologicalCharacteristics | The proposed device, the RIGIDLOOP Titanium button (when used as astandalone system and when used in conjunction with the currently | |
| Although there are differences between the proposed device and thepredicate in the implant design, implant size, implant material, operativesutures, and principle in operation, performance testing hasdemonstrated that the proposed device is as safe and effective as thepredicates and that the differences do not raise any different questionsconcerning safety and efficacy. Based on this comparison with thepredicate devices, the proposed device is considered substantiallyequivalent to the predicate devices: ARTHREX PEC REPAIRBUTTON, LARGE PEC BUTTON, BICEP BUTTON, PROXIMALBICEPS BUTTON, (Arthrex: K123341) and SWIVELOCK (Arthrex:K173845).The implant design, implant materials, and implant materials areidentical to the reference device; the principle of operation is similarwhen compared to the reference device: RIGIDLOOP CORTICALFIXATION SYSTEM, (Depuy Mitek a Johnson & Johnson Company:K130814). | ||
| Non-clinicalTesting | Verification activities have been performed on the proposedRIGIDLOOP Titanium button, when used as a standalone device, whenused in conjunction with the currently marketed RIGIDLOOP CorticalFixation System XL Implant, and also on the chosen predicates.Performance testing included an evaluation of fixation strength. Thetesting demonstrated substantial equivalence of device performance.Safety evaluations were conducted to address biological, sterility,packaging and shelf-life testing. Bacterial Endotoxin Testing has beencompleted and results have demonstrated that the proposed devices meetthe endotoxin limits. No animal or clinical studies were required. Theproposed device has raised no new issues of safety and efficacy. | |
| Safety andPerformance | Results of the performance testing have demonstrated that the proposeddevices are suitable for their intended use.Based on similarities in the indications for use, technologicalcharacteristics, and performance in comparison to the predicate devices,the proposed device is considered substantially equivalent to thepredicate devices. |
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Image /page/5/Picture/1 description: The image displays the logo for DePuy Synthes Mitek Sports Medicine. The text "DePuy Synthes" is in a bold, sans-serif font, with "MITEK SPORTS MEDICINE" appearing in a smaller font size below it. Underneath this, the phrase "COMPANIES OF Johnson-Johnson" is present, with the Johnson & Johnson logo in a stylized script.
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Image /page/6/Picture/1 description: The image contains the logo for DePuy Synthes Mitek Sports Medicine. The logo consists of a circular graphic to the left of the text "DePuy Synthes" in a dark blue font. Below that, the text "MITEK SPORTS MEDICINE" is present. Underneath a thin line, the text "COMPANIES OF Johnson-Johnson" is written in a smaller font size.
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Image /page/7/Picture/1 description: The image contains the logo for DePuy Synthes Mitek Sports Medicine. The logo consists of a circular graphic to the left of the text "DePuy Synthes" in a dark blue font. Below that is the text "MITEK SPORTS MEDICINE" in a smaller, lighter blue font. Underneath that is the text "COMPANIES OF Johnson & Johnson" in a small font.
has the same intended use and indications as the predicate devices.
§ 888.3040 Smooth or threaded metallic bone fixation fastener.
(a)
Identification. A smooth or threaded metallic bone fixation fastener is a device intended to be implanted that consists of a stiff wire segment or rod made of alloys, such as cobalt-chromium-molybdenum and stainless steel, and that may be smooth on the outside, fully or partially threaded, straight or U-shaped; and may be either blunt pointed, sharp pointed, or have a formed, slotted head on the end. It may be used for fixation of bone fractures, for bone reconstructions, as a guide pin for insertion of other implants, or it may be implanted through the skin so that a pulling force (traction) may be applied to the skeletal system.(b)
Classification. Class II.