K Number
K130917
Device Name
HEALIX ADVANCE KNOTLESS BR ANCHOR
Date Cleared
2013-05-24

(51 days)

Product Code
Regulation Number
888.3030
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The HEALIX ADVANCE KNOTLESS BR Anchors are indicated for use in the following procedures for reattachment of soft tissue to bone: Shoulder Rotator Cuff Biceps Tenodesis
Device Description
The proposed HEALIX ADVANCE KNOTLESS BR ANCHOR is a cannulated, threaded knotless anchor designed to secure soft tissue to bone. The proposed anchor is manufactured from the absorbable material "Biocryl® Rapide™" (15/85% B - TCP/PLA PGA copolymer) loaded on a disposable inserter driver with #2 ORTHOCORD® suture (K040004, K043928). The anchors are offered in two sizes (4.75 mm and 5.5 mm).
More Information

No
The device description and performance studies focus on the mechanical properties and biocompatibility of a surgical anchor, with no mention of AI or ML.

No
The device is described as a "knotless anchor designed to secure soft tissue to bone," which falls under the category of a surgical implant used for anatomical repair, not a device primarily intended for therapy or treatment.

No

Explanation: The device description states its purpose is to secure soft tissue to bone, which is a therapeutic function, not a diagnostic one.

No

The device description clearly states it is a physical anchor made of absorbable material, loaded on a disposable inserter driver with suture. This is a hardware medical device.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is for "reattachment of soft tissue to bone" in surgical procedures like rotator cuff repair and biceps tenodesis. This is a therapeutic/surgical intervention, not a diagnostic test performed on samples from the body.
  • Device Description: The device is a surgical anchor designed to physically secure tissue. It's not designed to analyze biological samples (like blood, urine, or tissue) to provide diagnostic information.
  • Lack of IVD Characteristics: The description doesn't mention any components or functions related to analyzing biological samples, detecting biomarkers, or providing diagnostic results.

IVD devices are used to examine specimens derived from the human body to provide information for the diagnosis, prevention, monitoring, treatment, or alleviation of disease. This device clearly falls outside of that definition.

N/A

Intended Use / Indications for Use

The HEALIX ADVANCE KNOTLESS BR Anchors are indicated for use in the following procedures for reattachment of soft tissue to bone: Shoulder
Rotator Cuff
Biceps Tenodesis.

Product codes (comma separated list FDA assigned to the subject device)

MAI

Device Description

The proposed HEALIX ADVANCE KNOTLESS BR ANCHOR is a cannulated, threaded knotless anchor designed to secure soft tissue to bone. The proposed anchor is manufactured from the absorbable material "Biocryl® Rapide™" (15/85% B - TCP/PLA PGA copolymer) loaded on a disposable inserter driver with #2 ORTHOCORD® suture (K040004, K043928). The anchors are offered in two sizes (4.75 mm and 5.5 mm).

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Shoulder

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Non-clinical Testing
Performance requirement of the proposed device is to secure soft tissue to bone during soft tissue healing period. Fixation force testing was performed under in vitro condition throughout two times of healing period. The data shows that the proposed device performs similarly to the predicate devices. Material biocompatibility has been also confirmed. Thus, the proposed device does not raise any new issue of safety and efficacy.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K112249

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

K040004, K043928

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 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.

0

·

.

MAY 2 4 2013

SECTION 2 - 510(k) SUMMARY

HEALTA ADVANCE '''' KNOTLESS BR ANCHOR
Submitter:DePuy Mitek
a Johnson & Johnson company
325 Paramount Drive
Raynham. MA 02767
Contact PersonYayoi Fujimaki
Regulatory Affairs Senior Associate
DePuy Mitek
Telephone: 508-828-3541
a Johnson & Johnson company
Facsimile:
508-977-6911
325 Paramount Drive
e-mail: yfujima1@its.jnj.com
Raynham, MA 02767. USA
Name of
Medical DeviceProprietary Name:
HEALIX ADVANCE KNOTLESS BR ANCHOR
Classification Name:
Fastener, Fixation, Biodegradable, Soft tissue
Common Name:
Bone Anchor
Substantial
EquivalenceThe HEALIX ADVANCE KNOTLESS BR ANCHOR is substantially equivalent to:
K112249 Mitek Healix Knotless BR Anchor
Device
ClassificationSingle/multiple component metallic bone fixation appliances and accessories.
classified as Class II, product code MAI regulated under 21 CFR 888.3030.
Device
DescriptionThe proposed HEALIX ADVANCE KNOTLESS BR ANCHOR is a cannulated,
threaded knotless anchor designed to secure soft tissue to bone. The proposed anchor
is manufactured from the absorbable material "Biocryl® Rapide™" (15/85% B -
TCP/PLA PGA copolymer) loaded on a disposable inserter driver with #2
ORTHOCORD® suture (K040004, K043928). The anchors are offered in two sizes
(4.75 mm and 5.5 mm).
Indications for
UseThe HEALIX ADVANCE KNOTLESS BR Anchors are indicated for use in the
following procedures for reattachment of soft tissue to bone:
Shoulder
Rotator Cuff
Biceps Tenodesis
Comparison of
Technological
CharacteristicsSubstantial equivalence to the predicate device has been justified by similarity
analysis of indications, design, material, operation principle and device performance
data. Performance testing ensured that the feature does not raise any new issues of
safety and efficacy.
Safety and
PerformanceNon-clinical Testing
Performance requirement of the proposed device is to secure soft tissue to bone
during soft tissue healing period. Fixation force testing was performed under in vitro
condition throughout two times of healing period. The data shows that the proposed
device performs similarly to the predicate devices. Material biocompatibility has been
also confirmed. Thus, the proposed device does not raise any new issue of safety and
efficacy.

HEALIX ADVANCE™ KNOTLESS BR ANCHOR

1

2

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" arranged around the perimeter. Inside the circle is a stylized symbol representing a human figure, composed of three abstract shapes that suggest a person with arms outstretched.

Public Health Service

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

May 24, 2013

DePuy Mitek, A Johnson & Johnson Company % Yavoi Fujimaki Regulatory Affairs Senior Associate 325 Paramount Drive Raynham, Massachusetts 02767

Re: K130917

Trade/Device Name: HEALIX ADVANCE™ Knotless BR Anchor Regulation Number: 21 CFR 888.3030 Regulation Name: Single/multiple component metallic bone fixation appliances and accessories Regulatory Class: Class II Product Code: MAI

Dated: May 16, 2013 Received: May 17, 2013

Dear Yayoi Fujimaki:

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. 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.

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

3

Page 2 -- Yayoi Fujimaki

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), please contact the Division of Small Manufacturers, International and Consumer Assistance at its tollfree number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. 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/ResourcesforYou/Industry/default.htm.

Sincerely yours.

Erin Eith

For

· Mark N. Melkerson Director Division of Orthopedic Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

MITEK SPORTS MEDICINE

Indications for Use

510(k) Number (if known): K130917

Device Name: HEALIX ADVANCE™ KNOTLESS BR Anchor

Indications for Use:

The HEALIX ADVANCE KNOTLESS BR Anchors are indicated for use in the following procedures for reattachment of soft tissue to bone: Shoulder

  • Rotator Cuff ●
  • Biceps Tenodesis .

Prescription Use _____________________________________________________________________________________________________________________________________________________________

. AND/OR

Over-The-Counter Use

(Part 21 CFR 801 Subpart D)

(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)

Casey E. Hanley, Ph.D.
Division of Orthopedic Devices

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DePuy Mitek Traditional 510(k)

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