The Cable Button is intended for use in combination with the Zimmer Locking Bone Plating Systems and Cerclage Cables, to stabilize multiple fractures or butterfly fragments in long bones.

Device Description

The Cable-Ready Cable Grip System Cable Button is a temporary internal fixation component used in conjunction with Zimmer Locking Bone Plates and Cerclage Cables. The Cable Button is threaded into a vacant screw hole of Zimmer Locking Bone Plates and provides a positioning point for a Cerclage Cable. The Cable Button is available in Titanium (Ti-6AL-4V Alloy) and Stainless Steel (22-13-5 SST).

AI/ML Overview

This document describes the Zimmer Cable Ready® Cable Grip System Cable Button, a medical device for orthopedic use. Based on the provided text, the device's performance assessment is limited to non-clinical testing.

Here's the information extracted and organized:

1. Table of Acceptance Criteria and Reported Device Performance

Acceptance Criteria	Reported Device Performance
Performance Requirements	"Testing and Engineering Analysis demonstrates that the proposed devices meet performance requirements." (Specific criteria are not detailed in this document.)

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

Test Set Sample Size: Not applicable. The document states "Non-Clinical Performance and Conclusions: Testing and Engineering Analysis demonstrates that the proposed devices meet performance requirements." This implies bench testing or simulations, not a clinical test set with human or animal samples.
Data Provenance: Not applicable for a clinical test set. The testing was non-clinical.

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

Not applicable. As described, the evaluation was non-clinical and did not involve establishing ground truth from expert clinical assessment.

4. Adjudication Method for the Test Set

Not applicable. No expert-based adjudication was mentioned for non-clinical testing.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done

No. The document explicitly states: "Clinical Performance and Conclusions: Clinical data and conclusions were not needed for these devices." Therefore, an MRMC study was not performed.

6. If a Standalone (Algorithm Only Without Human-in-the-Loop Performance) Was Done

Not applicable. This device is a physical orthopedic implant, not an AI or algorithmic system.

7. The Type of Ground Truth Used

Not applicable in the sense of clinical ground truth (e.g., pathology, outcomes data). For the non-clinical performance, the "ground truth" would be established engineering specifications and benchmarks that the device had to meet through testing and analysis.

8. The Sample Size for the Training Set

Not applicable. This is a physical medical device, not an AI/machine learning model that requires a training set.

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

Not applicable. This is not an AI/machine learning model.

Summary

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Image /page/0/Picture/0 description: The image shows the logo for Zimmer Biomet. The logo consists of a circle with a stylized "Z" inside it. Below the logo, the word "zimmer" is written in lowercase letters. The image is black and white and appears to be a digital rendering.

SEP 1 1 2009

P.O. Box 708 Warsaw, IN 46581-0708 574 267-6131

KO91799

Summary of Safety and Effectiveness

Sponsor:

Contact Person:

Date:

Trade Name:

Common Name:

Classification Name and Reference:

Predicate Device:

Device Description:

Intended Use:

Comparison to Predicate Device:

Zimmer. Inc. P.O. Box 708 Warsaw, IN 46581-0708

Anthony Francalancia, RAC Senior Associate, Regulatory Affairs Telephone: (574) 372-4570 Fax: (574) 372-4605

September 9, 2009

Cable Ready® Cable Grip System Cable Button

Washer, Bolt, Nut, Orthopedic

HTN - Washer, Bolt, Nut, Orthopedic 21 CFR § 888.3030

Hex Button, manufactured by Pioneer Laboratories, K992617, cleared October 27, 1999. Cerclage Positioning Pin, manufactured by Synthes, K992891, cleared November 2, 1999.

The Cable Button is intended for use in combination with the Zimmer Locking Bone Plating Systems and Cerclage Cables, to stabilize multiple fractures or butterfly fragments in long bones.

The proposed devices, like the predicates, are used in conjunction with bone plates and cerclage devices to provide a positioning point for the

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K091799

Page 2 September 9, 2009

Performance Data (Nonclinical and/or Clinical):

cerclage device. The proposed devices are made of similar materials (Stainless Steel and Titanium Alloy) as the predicates.

Non-Clinical Performance and Conclusions:

Testing and Engineering Analysis demonstrates that the proposed devices meet performance requirements.

Clinical Performance and Conclusions:

Clinical data and conclusions were not needed for these devices.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" around the perimeter. Inside the circle is a stylized symbol that resembles an abstract human figure or a bird-like shape.

Food and Drug Administration 10903 New Hampshire Avenue Document Mail Center - WO66-G609 Silver Spring, MD 20993-0002

SEP 1 1 2009

Zimmer, Inc. % Anthony Francalancia, RAC Senior Associate, Regulatory Affairs P.O. Box 708 Warsaw. Indiana 46581-0708

Re: K091799

Trade/Device Name: Cable Ready® Cable Grip System Cable Button Regulation Number: 21 CFR 888.3030 Regulation Name: Single/multiple component metallic bone fixation appliances and accessories Regulatory Class: Class II Product Code: HTN Dated: August 19, 2009 Received: August 20, 2009

Dear Mr. Francalancia:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA), You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical) device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set

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Page 2 - Anthony Francalancia, RAC

forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), plcase go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours,

Carbare Buehl

Mark N. Melkers Director Division of Surgical, Orthopedic and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known): K091799

Device Name:

Cable-Ready® Cable Grip System Cable Button

Indications for Use:

The Cable Button is intended for use in combination with the Zimmer Locking Bone Plating Systems and Cerclage Cables, to stabilize multiple fractures or butterfly fragments in long bones.

Prescription Use _ X (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

(Please do not write below this line - Continue on another page if needed)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Jonita 2 for mxn
(Division Size: 262

vision of Surgical, Orthopedic, Restorative Devices

$10(k) Number K091799

Page 1 of 1

Regulation Number and Section

§ 888.3030 Single/multiple component metallic bone fixation appliances and accessories.

(a)
Identification. Single/multiple component metallic bone fixation appliances and accessories are devices intended to be implanted consisting of one or more metallic components and their metallic fasteners. The devices contain a plate, a nail/plate combination, or a blade/plate combination that are made of alloys, such as cobalt-chromium-molybdenum, stainless steel, and titanium, that are intended to be held in position with fasteners, such as screws and nails, or bolts, nuts, and washers. These devices are used for fixation of fractures of the proximal or distal end of long bones, such as intracapsular, intertrochanteric, intercervical, supracondylar, or condylar fractures of the femur; for fusion of a joint; or for surgical procedures that involve cutting a bone. The devices may be implanted or attached through the skin so that a pulling force (traction) may be applied to the skeletal system.(b)
Classification. Class II.