The VersaTap™ Suture Anchor is intended to be used for soft tissue fixation during general orthopedic surgery. The VersaTap™ Suture Anchor is intended for use in arthroscopic or open surgical approaches for fixation of soft tissue and ligaments to bone/healthy tissue during tendon and ligament repairs, during procedures such as:

Shoulder: Rotator cuff repair, biceps tenodesis, SLAP repair, Bankart repair
Foot/Ankle: Lateral Stabilization, Medial Stabilization, Achilles Tendon Repair, Hallux Valgus
Elbow: Tennis elbow repair
Knee: Medial and lateral collateral ligament repair.
Wrist: Scapholunate ligament reconstruction

The VersaLat™ Suture Anchor is intended to use for fixation of soft tissue and ligaments to bone/healthy tissue during tendon and ligament repairs, during procedures such as:

Shoulder: Rotator Cuff Repair, Biceps Tenodesis

Elbow: Biceps Tendon Reattachment, Ulnar/Radial Collateral Ligament Reconstruction.
Knee: Medial Collateral Ligament Repair, Lateral Collateral Ligament Repair, and Iliotibial Band Tenodesis

The DueLock™ Suture Anchor is intended to be used for soft tissue fixation during general orthopedic surgery. The DueLock™ Suture Anchor is intended for use in arthroscopic or open surgical approaches for fixation of soft tissue and ligaments to bone/healthy tissue during tendon and ligament repairs, during procedures such as:

Shoulder: Rotator Cuff Repair, Bankart Repair, Capsular Shift and Capsulolabral Reconstruction, Subscapularis Tendon Tears

Elbow: Ulnar/Radial Collateral Ligament Reconstruction, and Lateral Epicondylitis repair
Foot/Ankle: Lateral Stabilization, Medial Stabilization, Mid-foot Reconstruction, Hallux Valgus Reconstruction, Metatarsal Ligament Repair, Metatarsal Tendon Repair.

Hand/Wrist: Scapholunate Ligament Reconstruction and Ulnar/ Radial Collateral Ligament Reconstruction.
Hip: Acetabular labral repair.

The VersaTi™ Suture Anchor is intended for use in arthroscopic or open surgical approaches for fixation of soft tissue and ligaments to bone/healthy tissue during tendon and ligament repairs, during procedures such as:

The MiniTi™ Suture Anchor is intended to be used for soft tissue fixation during general orthopedic surgery. The MiniTTM Suture Anchor is intended for use in arthroscopic or open surgical approaches for fixsue and ligaments to bone/healthy tissue during tendon and ligament repairs, during procedures such as:

Elbow: Ulnar/Medial Collateral Ligament Repair

Foot/Ankle: Achilles Tendon Repair, Lateral Stabilization, Achilles Tendon Repair, Mid-foot Reconstruction, Hallux Valgus Reconstruction, Metatarsal Ligament Repair.

Hand/Wrist: Scapholunate Ligament Reconstruction and Ulnar/ Radial Collateral Ligament Reconstruction.

Device Description

The VersaTap™ Suture Anchor is a self-tapping suture anchor mostly used as a medial row anchor in rotator cuff repair surgery. This anchor is ingeniously designed to combine the advantage of both PEEK and Titanium. The titanium tip allows for self-tapping ability whilst the majority of the anchor is manufactured from PEEK which minimizes post-operative imaging effects.

The VersaLat™ Suture Anchor is an innovative knotless-/suture anchor inspired by a top orthopedic shoulder surgeon. This PEEK screw-in anchor can be combined with the VersaTap™ Suture Anchor in double rotator cuff repair surgery. Flexibility is what differs this anchor from its competitors with surgeons being able to fixate any number of sutures/tapes (K150438) by adjusting the size of the characteristic front loop. The extra suture provided by this anchor can also be used for the fixation of the biceps tendon or any ligament fragments

The DueLock™ Suture Anchor is a flexible anchor that combines the functional push-in anchors into one multi-purpose suture anchor can be used as a knotless suture anchor as well as a push-in, preloaded suture anchor used in both small and large-joint repairs.

The VersaTi™ Suture Anchor is a self-tapping suture anchor mostly used as a medial row anchor in rotator cuff repair surgery. The anchor is designed for ultimate mechanical properties (pull-out strength, etc.) and ease of use. VersaTi™ Suture Anchor is recommended for use in small and large-joint repairs without the need for tapping or drilling.

The MiniT™ Suture Anchor is a small screw-in suture anchor used in a variety of small-joint applications. Despite its small diameter, the specially engineered thread combines with cortical bone to provide tremendous pull-out strength.

AI/ML Overview

This document describes the acceptance criteria and study data for several Suture Anchors (VersaTap™, VersaLat™, DueLock™, VersaTi™, and MiniTi™). The device's performance is demonstrated through non-clinical testing to show substantial equivalence to predicate devices.

1. Table of Acceptance Criteria and Reported Device Performance

The acceptance criteria are generally implied by demonstrating "similar or improved" performance compared to predicate devices or established literature, and by meeting regulatory requirements.

Test Category	Acceptance Criteria (Implied)	Reported Device Performance
Mechanical Testing	Meet or exceed performance of predicate devices in static pull-out, insertion torque, fatigue, and corrosion testing, as per FDA Guidance Document: Bone Anchors—Premarket Notification (510(k)) Submissions.	All devices (VersaTap, VersaLat, DueLock, VersaTi, MiniTi) demonstrated "similar or improved pull out force compared to the primary predicate" and met requirements for insertion torque, fatigue, and corrosion. (Direct comparison data is not provided in this summary, but the conclusion states equivalence). The VersaTap™ is designed to combine the advantage of both PEEK and Titanium. The titanium tip allows for self-tapping ability whilst the majority of the anchor is manufactured from PEEK which minimizes post-operative imaging effects. The VersaTi™ had its thread designed for optimal pull-out strength and mechanical stability, and thread design for cancellous and cortical fixation while the MiniTi™'s specially engineered thread combines with cortical bone to provide tremendous pull-out strength.
Biocompatibility	Compatibility with human tissues, as demonstrated by materials previously cleared by FDA for reference devices and manufacturing processes conforming to ISO 9001/ISO 13485.	For all devices, the materials, processes, and cleaning agents used have been previously cleared by the FDA for reference devices manufactured by the same facility (Elite Surgical Supplies) under an OEM agreement with Ortho-Design, conforming to ISO 9001 (and ISO 13485 for DueLock™).
Sterility	Achieve a Sterility Assurance Level (SAL) of 10^-6.	The Overkill Method was successfully conducted to achieve a SAL of 10^-6, based on IQ, OQ, and PQ results and identified parameters and tolerances.
Shelf-Life	Maintain mechanical and functional integrity for a specified shelf-life (3 years).	All devices have a validated shelf-life of 3 years using accelerated aging techniques. Real-time aging is ongoing. Implant components are made from PEEK OPTIMA (ASTM F2026) and Titanium Alloy (ASTM F136), which are historically used in implants and not mechanically affected by aging within 3 years.
Packaging	Ensure sterility and safe transfer to operative field, including appropriate labeling.	All devices are boxed individually in EtO sterilized double peel pouches (60g/m² medical plastic film and paper) for sterile transfer. Each package includes external labeling, an instruction leaflet, and individual patient labels. Instruments are provided separately in non-sterile trays.
Endotoxin/Pyrogenicity	Non-pyrogenic.	All devices were tested and found to be non-pyrogenic.

2. Sample Size Used for the Test Set and Data Provenance

The document does not specify exact sample sizes for each mechanical test (static pull-out, insertion torque, fatigue, corrosion). It states that "This testing was done on the subject device and the primary predicate device" or "compared to the data found in literature". The data provenance is from non-clinical bench testing conducted by the manufacturer (Ortho-Design (Pty) Ltd in South Africa or their OEM, Elite Surgical Supplies). The comparison data for predicates sometimes comes from literature, implying retrospective use of published data.

3. Number of Experts Used to Establish the Ground Truth for the Test Set and Their Qualifications

Not applicable. This is a submission for medical devices that are primarily evaluated based on non-clinical (mechanical, material, sterilization) testing, not on diagnostic accuracy requiring expert interpretation of results or images. The "ground truth" for mechanical properties is established by standardized testing methods.

4. Adjudication Method for the Test Set

Not applicable, as this is related to human interpretation or diagnostic accuracy studies, which are not detailed in this submission. The "adjudication" for mechanical testing is based on objective measurements and comparison against established standards or predicate device performance.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done

No. This type of study (MRMC) is typically performed for diagnostic or AI-assisted devices that involve human interpretation of medical images or data. The submitted device is a physical medical implant (suture anchor).

6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) was done

Not applicable. The devices are physical implants, not algorithms or software.

7. The Type of Ground Truth Used

The "ground truth" for the performance claims (e.g., pull-out strength, biocompatibility, sterility) is based on objective measurement results from standardized non-clinical tests (mechanical testing, chemical analysis for biocompatibility, sterility validation methods) and comparison to established regulatory standards and predicate device data.

8. The Sample Size for the Training Set

Not applicable. This is not an AI/ML device that requires a training set. The term "training set" is typically used in the context of machine learning model development.

9. How the Ground Truth for the Training Set was Established

Not applicable. As this is not an AI/ML device, there is no training set for which to establish ground truth.

Summary

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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 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.

December 6, 2021

Ortho-Design (Pty) Ltd % Daniel Johnson Senior Design Engineer JALEX Medical 27865 Clemens Rd. Suite 3 Westlake, Ohio 44145

Re: K212381

Trade/Device Name: VersaTapTM Suture Anchor, VersaLat™ Suture Anchor, DueLock™ Suture Anchor, VersaTiTM Suture Anchor, MiniTiTM Suture Anchor Regulation Number: 21 CFR 888.3040 Regulation Name: Smooth Or Threaded Metallic Bone Fixation Fastener Regulatory Class: Class II Product Code: MBI Dated: July 23, 2021 Received: August 2, 2021

Dear Daniel Johnson:

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 mediation-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.

for

Laura C. Rose, Ph.D. Assistant Director DHT6C: Division of Restorative Repair and Trauma Devices OHT6: Office of Orthopedic Devices Office of Product Evaluation and Ouality Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K212381

Device Name

VersaTap™ Suture Anchor VersaTi™ Suture Anchor MiniTi™ Suture Anchor VersaLat™ Suture Anchor DueLock™ Suture Anchor

Indications for Use (Describe)

Shoulder: Rotator cuff repair, biceps tenodesis, SLAP repair, Bankart repair Foot/Ankle: Lateral Stabilization, Medial Stabilization, Achilles Tendon Repair, Hallux Valgus Elbow: Tennis elbow repair Knee: Medial and lateral collateral ligament repair. Wrist: Scapholunate ligament reconstruction

The VersaLat™ Suture Anchor is intended to use for fixation of soft tissue and ligaments to bone/healthy tissue during tendon and ligament repairs, during procedures such as:

Shoulder: Rotator Cuff Repair, Biceps Tenodesis

Elbow: Biceps Tendon Reattachment, Ulnar/Radial Collateral Ligament Reconstruction. Knee: Medial Collateral Ligament Repair, Lateral Collateral Ligament Repair, and Iliotibial Band Tenodesis

Shoulder: Rotator Cuff Repair, Bankart Repair, Capsular Shift and Capsulolabral Reconstruction, Subscapularis Tendon Tears

Elbow: Ulnar/Radial Collateral Ligament Reconstruction, and Lateral Epicondylitis repair Foot/Ankle: Lateral Stabilization, Medial Stabilization, Mid-foot Reconstruction, Hallux Valgus Reconstruction, Metatarsal Ligament Repair, Metatarsal Tendon Repair.

Hand/Wrist: Scapholunate Ligament Reconstruction and Ulnar/ Radial Collateral Ligament Reconstruction. Hip: Acetabular labral repair.

Shoulder: Rotator cuff repair, biceps tenodesis, SLAP repair, Bankart repair Foot/Ankle: Lateral Stabilization, Medial Stabilization, Achilles Tendon Repair, Hallux Valgus Elbow: Tennis elbow repair Knee: Medial and lateral collateral ligament repair, Joint capsule closure Wrist: Scapholunate ligament reconstruction Hip: Capsular Repair, acetabular labral repair

Form Approved: OMB No. 0910-0120 Expiration Date: 06/30/2020 See PRA Statement below.

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Elbow: Ulnar/Medial Collateral Ligament Repair

Foot/Ankle: Achilles Tendon Repair, Lateral Stabilization, Achilles Tendon Repair, Mid-foot Reconstruction, Hallux Valgus Reconstruction, Metatarsal Ligament Repair.

Hand/Wrist: Scapholunate Ligament Reconstruction and Ulnar/ Radial Collateral Ligament Reconstruction.

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

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"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

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Image /page/4/Picture/0 description: The image contains the logo for "Ortho-Design Orthopaedic Innovation". The logo consists of a blue circular icon with three white curved lines inside, followed by the text "ORTHO-DESIGN" in large, blue, sans-serif font. Below "ORTHO-DESIGN" is the text "ORTHOPAEDIC INNOVATION" in a smaller, lighter font.

510(k) Summary

The following information is provided in accordance with 21 CFR 807.92 for the Premarket 510(k) Summary:

Submitter Information:	Ortho-Design (Pty) Ltd472 Botterklapper StreetDie Wilgers, Pretoria, 0184South Africa
Date:	01/12/2021
Contact Person:	Dian Peach, Managing Director
Contact Person:	Dian Peach, Managing Director
Telephone:	(+27)128071902
Email:	dianpeach@ortho-design.co.za

DEVICE A

Device Trade Name:	VersaTap™ Suture Anchor
Regulation Description:	Smooth or threaded metallic bone fixation fastener
Classification Name:	21 CFR 888.3040: Smooth or threaded metallic bone fixationfastener
Regulation Number:	21 CFR 888.3040
Device Classification:	Class II
Product Code:	MBI
Primary Predicate Device:	Parcus Twist PEEK Suture Anchor (K120942)
Secondary Predicates:	Arthrex FT Suture Anchor (K061665)Arthrex 6.5mm x 14.7mm PEEK Corkscrew FT Suture Anchor (K173788)

K063453, K130274, K070758

Device description:

Reference Devices:

Indications for Use:

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Image /page/5/Picture/0 description: The image shows the logo for Ortho-Design Orthopaedic Innovation. The logo consists of a circular icon on the left and the company name on the right. The icon is a blue circle with three white lines that curve around the circle. The company name is written in blue, with "ORTHO-DESIGN" on the top line and "ORTHOPAEDIC INNOVATION" on the bottom line.

Shoulder: Rotator cuff repair, biceps tenodesis, SLAP repair, Bankart repair
Foot/Ankle: Lateral Stabilization, Medial Stabilization, Achilles Tendon Repair, Hallux Valgus
. Elbow: Tennis elbow repair
. Knee: Medial and lateral collateral ligament repair.
. Wrist: Scapholunate ligament reconstruction

Predicate device comparison:

Primary Predicate Device Manufacturer:	Parcus Medical, LLC6423 Parkland DriveSarasota, FL USA 34243
Relationship to the device:	Similar intended use, materials, design features, dimensions, andfunction as the VersaTap™ Suture Anchor
Technological Differences:	Proposed modifications consist of a smaller diameter, shorter length,additional material (self-tapping titanium tip), and minor dimensionalchanges.
Regulatory Status:	FDA Cleared - K120942
Clinical Characteristics:	Suture Anchors are intended to be used for soft tissue fixation during general orthopedic surgery.

Disclosure of performance and safety deviation:	None
-------------------------------------------------	------

Technical Equivalence:

Similar design:	Yes, except for the tip of the VersaTap being made of titanium
Similar deployment methods:	Yes
Similar principles of operation and critical performance requirements:	Yes
Disclosure of performance and safety deviation:	No characteristics
Similar materials or substances in contact with the same human tissues:	Yes
Disclosure of performance and safety deviation:	Yes

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Image /page/6/Picture/0 description: The image shows the logo for Ortho-Design. The logo consists of a blue circular icon with three curved lines inside, followed by the text "ORTHO-DESIGN" in a larger, bolder blue font. Below the company name, the words "ORTHOPAEDIC INNOVATION" are written in a smaller, lighter font.

Mechanical Testing:

Substantial equivalence is supported by the results of mechanical testing including static pull-out, insertion torque, fatigue, and corrosion testing as per FDA Guidance Document: Bone Anchors—Premarket Notification (510(k)) Submissions. This testing was done on the subject device and the primary predicate device. The comparison shows that the subject device has similar or improved pull out force compared to the primary predicate.

Biocompatibility:

The reference devices selected for biocompatibility evaluation (510(k) numbers) are manufactured by Elite Surgical Supplies, at the same manufacturing facility producing the subject devices, using the same manufacturing processes, chemicals, materials, and cleaning processes as the subject devices. An OEM manufacturing contract is in place between Elite Surgical Supplies and Ortho-Design, stating that all manufacturing done for Ortho-Design, by Elite Surgical Supplies, is done according to the processes defined by ISO 9001. All materials, processes, and cleaning agents used for the subject device have previously been cleared by the FDA for the reference device.

Sterility:

After reviewing the results of the IQ, OQ and PQ results, it can be concluded that the Overkill Method was successfully conducted in order to achieve a SAL of 10-6 based on the parameters and tolerances identified during the validation study.

Shelf-Life:

The VersaTap™ Suture Anchor has a shelf-life of 3 years, which has been validated with accelerated aging techniques listed above in 016 Sterilization and Shelf-Life Table 2. Real-time aging is being conducted and the design history file will be updated with this information when completed. The implant components are manufactured from PEEK OPTIMA conforming to ASTM F2026 and Titanium Alloy conforming to ASTM F136. All materials have been historically used in implant devices and have demonstrated not to be mechanically affected by aging within the 3 year shelf life , so no additional aging testing is required for the implants.

Packaging:

The VersaTap™ Suture Anchor will be boxed individually in EtO sterilized double peel pouches to allow for easy transfer into the sterile operative field. Both the inner and outer pouch is a 60g/m² medical plastic film and paper peel pouch. Each package includes external package labeling, an instruction leaflet, and individual patient labels. Instruments are provided non-sterilization trays separately from the implants.

Endotoxin/pyrogenicity:

The device has been tested to be non-pyrogenic.

Conclusion:

From the non-clinical testing results and summaries, it is clear that the VersaTap™ Suture Anchor demonstrates substantial equivalence and adheres to minimum requirements set out in the guidance document for Bone Anchors – Premarket Notification (510(k)) Submissions laid out by the FDA. This was demonstrated by non-clinical testing consisting of mechanical, biocompatibility, sterility, shelf-life, packaging and pyrogenicity tests.

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Image /page/7/Picture/0 description: The image shows the logo for "Ortho-Design Orthopaedic Innovation". The logo consists of a blue circular icon with three curved white lines inside, followed by the text "ORTHO-DESIGN" in a larger, bolder blue font. Below "ORTHO-DESIGN" is the text "ORTHOPAEDIC INNOVATION" in a smaller, thinner font.

DEVICE B

Device Trade Name:	VersaLat™ Suture Anchor
Regulation Description:	Smooth or threaded metallic bone fixation fastener
Classification Name:	21 CFR 888.3040: Smooth or threaded metallic bone fixation fastener
Regulation Number:	21 CFR 888.3040
Device Classification:	Class II
Product Code:	MBI
Primary Predicate Device:	DePuy Mitek Healix Advance Knotless BR Anchor (K130917)
Secondary Predicates:	Arthrex Swivelock (K190728)Arthrex Swivelock SP 5.5 x 24.5mm - AR-2323SLM (K203495)
Reference devices:	K130274, K070758

Device description:

Indications for Use:

The VersaLat™ Suture Anchor is intended to use for fixation of soft tissue and ligaments to bone/healthy tissue during tendon and ligament repairs, during procedures such as:

Shoulder: Rotator Cuff Repair, Biceps Tenodesis
Elbow: Biceps Tendon Reattachment, Ulnar/Radial Collateral Ligament Reconstruction.
Knee: Medial Collateral Ligament Repair, Lateral Collateral Ligament Repair, and Iliotibial Band Tenodesis

Predicate device comparison:

Primary Predicate Device Manufacturer:	DePuy325 Paramount DrRaynham, MA 02767
Relationship to the device:	Similar intended use, design features, dimensions, and function asthe VersaLat™ Suture Anchor
Technological Differences	Similar design, indications for use, and engineering principles with

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Image /page/8/Picture/0 description: The image shows the logo for "Ortho-Design Orthopaedic Innovation". The logo consists of a blue abstract symbol on the left, followed by the text "ORTHO-DESIGN" in a larger, bolder blue font. Below "ORTHO-DESIGN" is the text "ORTHOPAEDIC INNOVATION" in a smaller, lighter font.

addition of small titanium tip and sutures loop, instead of eyelid, for insertion of external sutures.

Regulatory Status:
--------------------

FDA cleared - K130917

Clinical Characteristics:

Suture Anchors are intended to be used for soft tissue fixation during general orthopedic surgery.

Disclosure of performance and safety deviation:	None
-------------------------------------------------	------

Technical Equivalence:

Similar design:	Yes
Similar deployment methods:	Yes
Similar principles of operation and critical performance requirements:	Yes

Disclosure of performance and safety deviation:	No characteristics
Similar materials or substances in contact with the same human tissues:	Yes
Disclosure of performance and safety deviation:	Yes

Mechanical Testing:

Substantial equivalence is supported by the results of mechanical testing including static pull-out, insertion torque, fatigue, and corrosion testing as per FDA Guidance Document: Bone Anchors—Premarket Notification (510(k)) Submissions. This testing was done on the subject device and compared to the data found in literature (Cyclic Biomechanical Testing of Biocomposite Lateral Row Knotless Anchors in a Human Cadaveric Model, A. Barberl et al, 2013, p3, Table 1). The comparison shows that the subject device has similar or improved pull out force compared to the primary predicate.

Biocompatibility:

Sterility:

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Image /page/9/Picture/0 description: The image shows the logo for "Ortho-Design." The logo consists of a circular graphic to the left of the text. The graphic is a blue circle with three white curved lines inside. Below the main text is the phrase "Orthopaedic Innovation" in a smaller font.

Shelf-Life:

The VersaLat™ Suture Anchor has a shelf-life of 3 years, which has been validated with accelerated aging techniques listed above in 016 Sterilization and Shelf-Life Table 2. Real-time aging is being conducted and the design history file will be updated with this information when completed. The implant components are manufactured from PEEK OPTIMA conforming to ASTM F2026 and Titanium Alloy conforming to ASTM F136. All materials have been historically used in implant devices and have demonstrated not to be mechanically affected by aging within the 3 year shelf life, so no additional aging testing is required for the implants.

Packaging:

The VersaLat™ Suture Anchor will be boxed individually in EtO sterilized double peel pouches to allow for easy transfer into the sterile operative field. Both the inner and outer pouch is a 60g/m² medical plastic film and paper peel pouch. Each package includes external package labeling, an individual patient labels. Instruments are provided non-sterilization trays separately from the implants.

Endotoxin/pyrogenicity:

The device has been tested to be non-pyrogenic.

Conclusion:

From the non-clinical testing results and summaries, it is clear that the VersaLat™ Suture Anchor demonstrates substantial equivalence and adheres to minimum requirements set out in the guidance document for Bone Anchors – Premarket Notification (510(k)) Submissions laid out by the FDA. This was demonstrated by non-clinical testing consisting of mechanical, biocompatibility, sterility, shelf-life, packaging and pyrogenicity tests.

DEVICE C

Device Trade Name:	DueLock™ Suture Anchor
Regulation Description:	Smooth or threaded metallic bone fixation fastener
Classification Name:	21 CFR 888.3040: Smooth or threaded metallic bone fixation fastener
Regulation Number:	21 CFR 888.3040
Device Classification:	Class II
Product Code:	MBI
Primary Predicate Device:	Arthrex PEEK Mini Pushlock Anchor (K201786)
Secondary Predicates:	Arthrex PEEK Pushlock (K101679)
	Parcus Knotless PEEK CF Push-in 3.5 x 10mm - 10313 (K193295)
	Smith and Nephew 2.9mm BioRaptor (K121018)

Reference Devices:

K130274, K070758

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Image /page/10/Picture/0 description: The image shows the logo for Ortho-Design. The logo consists of a blue circular icon with three white curved lines inside, followed by the text "ORTHO-DESIGN" in blue, and "ORTHOPAEDIC INNOVATION" in a smaller, thinner font below. The logo is clean and modern, suggesting innovation in the field of orthopedics.

Device description:

Indications for Use:

Shoulder: Rotator Cuff Repair, Bankart Repair, SLAP Lesion Repair, Capsular Shift and Capsulolabral Reconstruction, Subscapularis Tendon Tears
. Elbow: Ulnar/Radial Collateral Ligament Reconstruction, and Lateral Epicondylitis repair
Foot/Ankle: Lateral Stabilization, Mid-foot Reconstruction, Hallux Valgus Reconstruction, Metatarsal Ligament Repair, Metatarsal Tendon Repair.
Hand/Wrist: Scapholunate Ligament Reconstruction and Ulnar/ Radial Collateral Ligament Reconstruction.
Hip: Acetabular labral repair.

Predicate device comparison:

Primary Predicate Device Manufacturer:	Arthrex Inc.Orbison Street1370 Creekside BoulevardNaples, Florida 34108-1945
Relationship to the device:	Similar intended use, materials, design features, dimensions, andfunction as the DueLock Suture Anchor
Technological Differences:	Proposed modifications consist of a shorter length and minordimensional changes.
Regulatory Status:	FDA Cleared - K201786

Clinical Characteristics:

Suture Anchors are intended to be used for soft tissue fixation during general orthopedic surgery.

Disclosure of performance and safety deviation:

None

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Image /page/11/Picture/0 description: The image shows the logo for Ortho-Design. The logo consists of a blue circular icon with three white curved lines inside, followed by the text "ORTHO-DESIGN" in large, blue, serif font. Below the company name, the text "ORTHOPAEDIC INNOVATION" is written in a smaller, thinner, sans-serif font.

Technical Equivalence:

Similar design:	Yes
Similar deployment methods:	Yes
Similar principles of operation and critical performance requirements:	Yes
Disclosure of performance and safety deviation:	No characteristics
Similar materials or substances in contact with the same human tissues:	Yes
Disclosure of performance and safety deviation:	Yes

Mechanical Testing:

Substantial equivalence is supported by the results of mechanical testing including static pull-out, insertion torque, fatigue and corrosion testing as per FDA Guidance Document: Bone Anchors—Premarket Notification (510(k)) Submissions. This testing was done on the subject device and compared to the data found in literature (Pull-out Strength of Various Knotless Hip Suture Anchors (arthrex.com)). The comparison shows that the subject device has similar or improved pull out force compared to the primary predicate.

Biocompatibility:

The reference devices selected for biocompatibility evaluation (510(k) numbers) are manufactured by Elite Surgical Supplies, at the same manufacturing facility producing the same manufacturing processes, chemicals, materials, and cleaning processes as the subject devices. An OEM manufacturing contract is in place between Elite Surgical Supplies and Ortho-Design, stating that all manufacturing done for Ortho-Design, by Elite Surgical Supplies, is done according to the processes defined by ISO 13485 and ISO 9001. All materials, processes, and cleaning agents used for the subject device have previously been cleared by the FDA for the reference device.

Sterility:

Shelf-Life:

The DueLock™ Suture Anchor has a shelf-life of 3 years, which has been validated with accelerated aging techniques listed above in 016 Sterilization and Shelf-Life Table 2. Real-time aging is being conducted and the design history file will be updated with this information when completed. The implant components are manufactured from PEEK OPTIMA conforming to ASTM F2026 and Titanium Alloy conforming to ASTM F136. All materials have been historically used in implant devices and have demonstrated not to be mechanically affected by aging within the 3 year shelf life, so no additional aging testing is required for the implants.

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Image /page/12/Picture/0 description: The image shows the logo for "Ortho-Design Orthopaedic Innovation". The logo consists of a stylized blue symbol on the left, resembling three interconnected loops. To the right of the symbol, the words "ORTHO-DESIGN" are written in a bold, dark blue font. Below "ORTHO-DESIGN", the words "ORTHOPAEDIC INNOVATION" are written in a smaller, lighter blue font.

Packaging:

The DueLock™ Suture Anchor will be boxed individually in EtO sterilized double peel pouches to allow for easy transfer into the sterile operative field. Both the inner and outer pouch is a 60g/m² medical plastic film and paper peel pouch. Each package includes external package labeling, an instruction leaflet, and individual patient labels. Instruments are provided non-sterilization trays separately from the implants.

Endotoxin/pyrogenicity:

The device has been tested to be non-pyrogenic.

Conclusion:

From the non-clinical testing results and summaries, it is clear that the DueLock™ Suture Anchor demonstrates substantial equivalence and adheres to minimum requirements set out in the guidance document for Bone Anchors – Premarket Notification (510(k)) Submissions laid out by the FDA. This was demonstrated by non-clinical testing consisting of mechanical, biocompatibility, sterility, shelf-life, packaging and pyrogenicity tests.

DEVICE D

Device Trade Name:	VersaTi™ Suture Anchor
Regulation Description:	Smooth or threaded metallic bone fixation fastener
Classification Name:	21 CFR 888.3040: Smooth or threaded metallic bone fixation fastener
Regulation Number:	21 CFR 888.3040
Device Classification:	Class II
Product Code:	MBI
Primary Predicate Device:	Arthrex corkscrew™ FT II Anchor (K050358) =Parcus V-Lox 4.5 x 13.9mm – 10353T (K201083)
Reference Devices:	K063456, K130274

Device description:

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Image /page/13/Picture/0 description: The image shows the logo for Ortho-Design Orthopaedic Innovation. The logo consists of a blue circular icon with three curved white lines inside. To the right of the icon is the text "ORTHO-DESIGN" in a larger, bolder blue font, with the words "ORTHOPAEDIC INNOVATION" underneath in a smaller, thinner font.

Indications for Use:

. Shoulder: Rotator cuff repair, biceps tenodesis, SLAP repair, Bankart repair
. Foot/Ankle: Lateral Stabilization, Medial Stabilization, Achilles Tendon Repair, Hallux Valgus
Elbow: Tennis elbow repair
Knee: Medial and lateral collateral ligament repair, Joint capsule closure
Wrist: Scapholunate ligament reconstruction
Hip: Capsular Repair, acetabular labral repair

Predicate device comparison:

Primary Predicate Device Manufacturer:	Arthrex Inc.Orbison Street1370 Creekside BoulevardNaples, Florida 34108-1945
Relationship to the device:	Similar intended use, materials, design features, dimensions, andfunction as the VersaTi Suture Anchor
Technological Difference	The thread of the subject device is designed for optimal pull-outstrength and mechanical stability. Thread design for cancellous andcortical fixation.
Regulatory Status:	FDA cleared - K050358

Clinical Characteristics:

Suture Anchors are intended to be used for soft tissue fixation during general orthopedic surgery.

Disclosure of performance and safety deviation:	None
-------------------------------------------------	------

Technical Equivalence:

Similar design: Yes

Similar deployment methods: Yes

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Image /page/14/Picture/0 description: The image shows the logo for "Ortho-Design Orthopaedic Innovation". The logo consists of a blue circular symbol on the left, followed by the words "ORTHO-DESIGN" in a larger, bolder blue font. Below "ORTHO-DESIGN" is the text "ORTHOPAEDIC INNOVATION" in a smaller, thinner blue font. The overall design is clean and professional, conveying a sense of innovation and expertise in the field of orthopaedics.

Similar principles of operation and critical performance requirements: Yes

Disclosure of performance and safety deviation:	No characteristics
Similar materials or substances in contact with the same human tissues:	Yes
Disclosure of performance and safety deviation:	Yes

Mechanical Testing:

Substantial equivalence is supported by the results of mechanical testing including static pull-out, insertion torque, fatigue and corrosion testing as per FDA Guidance Document: Bone Anchors—Premarket Notification (510(k)) Submissions. This testing was done on the subject device and compared to the data found in literature (Suture Anchor Materials, Eyelets, and Designs: Update 2008, A. Barber et al, 2008, p6, Table 2). The comparison shows that the subject device has similar or improved pull out force compared to the primary predicate.

Biocompatibility:

Sterility:

Shelf-Life:

The VersaTi™ Suture Anchor has a shelf-life of 3 years, which has been validated with accelerated aging techniques listed above in 016_Sterilization and Shelf-Life Table 2. Real-time aging is being conducted and the design history file will be updated with this information when completed. The implant components are manufactured from PEEK OPTIMA conforming to ASTM F2026 and Titanium Alloy conforming to ASTM F136. All materials have been historically used in implant devices and have proven not to be mechanically affected by aging within the 3 years shelf life, so no additional aging testing is required for the implants.

Packaging:

The VersaTi™ Suture Anchor will be boxed individually in EtO sterilized double peel pouches to allow for easy transfer into the sterile operative field. Both the inner and outer pouch is a 60g/m² medical plastic film and paper peel pouch. Each package includes external package labeling, an instruction leaflet, and individual patient labels. Instruments are provided non-sterile in steam sterilization trays separately from the implants.

Endotoxin/pyrogenicity:

The device has been tested to be non-pyrogenic.

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Image /page/15/Picture/0 description: The image is a logo for "Ortho-Design Orthopaedic Innovation". The logo consists of a blue circular icon with three white curved lines inside, followed by the words "ORTHO-DESIGN" in large, blue, serif font. Below that, the words "ORTHOPAEDIC INNOVATION" are written in a smaller, thinner, sans-serif font.

Conclusion:

From the non-clinical testing results and summaries, it is clear that the VersaTi™ Suture Anchor demonstrates substantial equivalence and adheres to minimum requirements set out in the guidance document for Bone Anchors – Premarket Notification (510(k)) Submissions laid out by the FDA. This was demonstrated by non-clinical testing consisting of mechanical, biocompatibility, sterility, shelf-life, packaging and pyrogenicity tests.

DEVICE E

Device Trade Name:	MiniTi™ Suture Anchor
Regulation Description:	Smooth or threaded metallic bone fixation fastener
Classification Name:	21 CFR 888.3040: Smooth or threaded metallic bone fixation fastener
Regulation Number:	21 CFR 888.3040
Device Classification:	Class II
Product Code:	MBI
Primary Predicate Device:	De Puy Mitek MiniLok QuickAnchor (K071257)
Secondary Predicates:	Parcus Medical MiTi (K111000)Arthrex 2.2mm Micro Corkscrew FT Suture Anchor (K173788)Rejoin Medical 2mm Ti Anchor
Reference Devices:	K063453, K200523, K070758

Device description:

Indications for Use:

The MiniT™ Suture Anchor is intended to be used for soft tissue fixation during general orthopedic surgery. The MiniTT™ Suture Anchor is intended for use in arthroscopic or open surgical approaches for fixation of soft tissue and ligaments to bone/healthy tissue during tendon and ligament repairs, during procedures such as:

Elbow: Ulnar/Medial Collateral Ligament Repair
. Foot/Ankle: Achilles Tendon Repair, Lateral Stabilization, Achilles Tendon Repair, Midfoot Reconstruction, Hallux Valgus Reconstruction, Metatarsal Ligament Repair.
. Hand/Wrist: Scapholunate Ligament Reconstruction and Ulnar/ Radial Collateral Ligament Reconstruction.

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Image /page/16/Picture/0 description: The image shows the logo for "ORTHO-DESIGN ORTHOPAEDIC INNOVATION". The logo consists of a blue circular icon with three white curved lines inside, followed by the text "ORTHO-DESIGN" in a larger, bolder blue font. Below the text, "ORTHOPAEDIC INNOVATION" is written in a smaller, thinner font.

Predicate device comparison:

Primary Predicate Device Manufacturer:	DePuy325 Paramount DrRaynham, MA 02767
Relationship to the device:	Similar intended use, materials, design features, dimensions, and function as the MiniTi™ Suture Anchor
Technological Differences	Minor dimensional changes
Regulatory Status:	FDA cleared – K071257

Clinical Characteristics:

Suture Anchors are intended to be used for soft tissue fixation during general orthopedic surgery.

Disclosure of performance and safety deviation:	None
-------------------------------------------------	------

Technical Equivalence:

Similar design:	Yes
Similar deployment methods:	Yes
Similar principles of operation and critical performance requirements:	Yes
Disclosure of performance and safety deviation:	No characteristics
Similar materials or substances in contact with the same human tissues:	Yes
Disclosure of performance and safety deviation:	Yes

Mechanical Testing:

Substantial equivalence is supported by the results of mechanical testing including static pull-out, insertion torque, fatigue, and corrosion testing as per FDA Guidance Document: Bone Anchors—Premarket Notification (510(k)) Submissions. This testing was done on the subject device and compared to the data found in literature (https://www.smith-nephew.com/global/assets/odf/products/surgical/extremities hand%20wrist bro f.pdf). The comparison shows that the subject device has similar or improved pull out force compared to the primary predicate.

{17}------------------------------------------------

Image /page/17/Picture/0 description: The image shows the logo for "Ortho-Design Orthopaedic Innovation". The logo consists of a blue circular icon with three curved white lines inside, followed by the text "ORTHO-DESIGN" in a larger, bolder blue font. Below "ORTHO-DESIGN" is the text "ORTHOPAEDIC INNOVATION" in a smaller, lighter font.

Biocompatibility:

The reference devices selected for biocompatibility evaluation (510(k) numbers) are manufactured by Elite Surgical Supplies, at the same manufacturing the subject devices, using the same manufacturing processes, chemicals, materials, and cleaning processes as the subject devices. An OEM manufacturing contract is in place between Elite Surgical Supplies and Ortho-Design, stating that all manufacturing done for Ortho-Design, by Elite Surgical Supplies, is done according to the processes defined by ISO 9001. All materials, processes, and cleaning agents used for the subject device have previously been cleared by the FDA for the reference device.

Sterility:

Shelf-Life:

The MiniTi™ Suture Anchor has a shelf-life of 3 years, which has been validated with accelerated aging techniques listed above in 016_Sterilization and Shelf-Life Table 2. Real-time aging is being conducted and the design history file will be updated with this information when completed. The implant components are manufactured from PEEK OPTIMA conforming to ASTM F2026 and Titanium Alloy conforming to ASTM F136. All materials have been historically used in implant devices and have proven not to be mechanically affected by aging within the 3 years of shelf life, so no additional aging testing is required for the implants.

Packaging:

The MiniTT™ Suture Anchor will be boxed individually in EtO sterilized double peel pouches to allow for easy transfer into the sterile operative field. Both the inner and outer pouch is a 60g/m² medical plastic film and paper peel pouch. Each package includes external package labeling, an instruction leaflet, and individual patient labels. Instruments are provided non-sterile in steam sterilization trays separately from the implants.

Endotoxin/pyrogenicity:

The device has been tested to be non-pyrogenic.

Conclusion:

From the non-clinical testing results and summaries, it is clear that the MiniTi demonstrates substantial equivalence and adheres to minimum requirements set out in the guidance document for Bone Anchors – Premarket Notification (510(k)) Submissions laid out by the FDA. This was demonstrated by non-clinical testing consisting of mechanical, biocompatibility, sterility, shelf-life, packaging and pyrogenicity tests.

Regulation Number and Section

N/A