(29 days)
The MultiFIX S Knotless Fixation Device is indicated for use in fixation of soft tissue to bone.
Examples of such procedures include:
Shoulder: Bankart Repair, SLAP lesion repair, acromio-clavicular separation, rotator cuff repair, capsule shift/capsule-labral reconstruction, biceps tenodesis, and deltoid repair
Ankle: Lateral instability, medial instability, Achilles tendon repair/reconstruction, and midfoot reconstruction
Foot: Hallux valgus reconstruction
Elbow: Tennis elbow repair, biceps tendon reattachment
Knee: Extra-capsular repairs; reattachment of: medial collateral ligament, posterior oblique ligament or joint capsule closure to anterior proximal tibia; extra capsular reconstruction, ITB tenodesis; patellar ligament and tendon avulsions
The MultiFIX S Knotless Fixation System (MultiFIX S) is an implantable bone anchor with inserter handle designed for use in arthroscopic and orthopedic procedures. The MultiFIX S is a knotless fixation device, meaning that manually tying surgical knots is not necessary for the fixation of suture to tissue.
The MultiFIX S consists of two primary parts: an implantable bone anchor inserter, which is preloaded with the anchor. The anchor inserter is a disposable tool.
The entire product is packaged in a tray with a Tyvek® Iid, and the finished product is sterilized by irradiation. Both the anchor and inserter are designed for single use only.
The MultiFIX S Knotless Fixation System consists of the bone anchor and associated instruments for implanting the bone anchor.
The provided text describes the MultiFIX® S Knotless Fixation System and its substantial equivalence to a predicate device (K131182). The submission focuses on non-clinical data (bench testing) to demonstrate performance and safety, rather than clinical studies with human participants. Therefore, many of the requested categories related to clinical study design, expert evaluation, and ground truth in a medical imaging context are not applicable.
Here's an analysis based on the provided text:
1. Table of Acceptance Criteria and Reported Device Performance
The text states that "Bench testing was performed on both the proposed and predicate devices. The test results demonstrate that the MultiFIX S meets its design, performance, and safety specifications." However, specific quantitative acceptance criteria or detailed numerical performance results were not provided in the summary. The comparison table focuses on characteristics and features, not quantitative performance metrics.
| Acceptance Criteria (Explicitly Stated) | Reported Device Performance |
|---|---|
| Meets design specifications | "The test results demonstrate that the MultiFIX S meets its design, performance, and safety specifications." |
| Meets performance specifications | "The test results demonstrate that the MultiFIX S meets its design, performance, and safety specifications." |
| Meets safety specifications | "The test results demonstrate that the MultiFIX S meets its design, performance, and safety specifications." |
| Performs as intended | "Based on the test results, the proposed device performs as intended and mechanical properties are substantially equivalent to the predicate devices when used in accordance with labeling." |
| Mechanical properties substantially equivalent to predicate device | "Based on the test results, the proposed device performs as intended and mechanical properties are substantially equivalent to the predicate devices when used in accordance with labeling." |
2. Sample Size Used for the Test Set and Data Provenance
The study was bench testing of a medical device, not a human clinical study. The text does not specify the sample size (e.g., number of anchors tested) for the "bench testing" performed on the proposed and predicate devices.
- Sample Size for Test Set: Not specified for the bench testing.
- Data Provenance: The study was non-clinical bench testing. No country of origin or retrospective/prospective distinction applies in the context of human data.
3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts
Not applicable. This was bench testing of a mechanical device, not a study evaluating human data requiring expert interpretation.
4. Adjudication Method for the Test Set
Not applicable. This was bench testing of a mechanical device.
5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done
No. This was bench testing of a mechanical device, not a study involving human readers or cases.
6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done
Not applicable. This device is a bone anchor, not an algorithm. The assessment was of the device's mechanical properties.
7. The Type of Ground Truth Used
The "ground truth" for the bench testing would be the objective measurements of the device's mechanical properties (e.g., pull-out strength, fatigue life) compared against established engineering standards or the performance of the predicate device. The text implies comparison to "design, performance, and safety specifications" and "mechanical properties" of the predicate.
8. The Sample Size for the Training Set
Not applicable. This was bench testing, not a machine learning study involving a "training set."
9. How the Ground Truth for the Training Set Was Established
Not applicable. As above, no training set was involved in this non-clinical bench testing.
{0}------------------------------------------------
Image /page/0/Picture/0 description: The image shows the logo for ArthroCare. The logo consists of a stylized wave-like graphic on the left and the word "ArthroCare" in a bold, sans-serif font on the right. The wave-like graphic is made up of several curved lines that converge to form a circular shape.
K132590 (1/3)
510(k) Summary
ArthroCare® Corporation MultiFIX® S Knotless Fixation System
This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807.92.
General Information
| Submitter Name: | ArthroCare Corporation |
|---|---|
| Address | 7000 West William Cannon DriveAustin, TX 78735 |
| Contact Person: | Laura KasperowiczSr. Manager, Regulatory AffairsPhone: 949-585-2406Fax: 949-585-2401 |
| Date Prepared: | August 16, 2013 |
SEP 17 2013
Device Name
| Proprietary Name: | MultiFIX® S Knotless Fixation System | |
|---|---|---|
| Common Name: | Bone Anchor | |
| Classification Name: | Smooth or threaded metallic bone fixation fastener | |
| Device Class: | Class II | |
| Product Code: | MBI | |
| CFR Section: | 21 CFR 888.3040 |
Predicate Device
MultiFIX® S Knotless Fixation System: K131182 (cleared July 29, 2013)
Description
The MultiFIX S Knotless Fixation System (MultiFIX S) is an implantable bone anchor with inserter handle designed for use in arthroscopic and orthopedic procedures. The MultiFIX S is a knotless fixation device, meaning that manually tying surgical knots is not necessary for the fixation of suture to tissue.
The MultiFIX S consists of two primary parts: an implantable bone anchor inserter, which is preloaded with the anchor. The anchor inserter is a disposable tool.
{1}------------------------------------------------
ii
Image /page/1/Picture/1 description: The image shows the logo for ArthroCare. The logo consists of a stylized wave-like design on the left, followed by the word "ArthroCare" in a bold, sans-serif font. The wave design is made up of several curved lines that create a sense of motion. The overall design is simple and modern.
The entire product is packaged in a tray with a Tyvek® Iid, and the finished product is sterilized by irradiation. Both the anchor and inserter are designed for single use only.
The MultiFIX S Knotless Fixation System consists of the bone anchor and associated instruments for implanting the bone anchor. In accordance with the ArthroCare Product Development Process, testing was performed to demonstrate the proposed device is substantially equivalent to the predicate device.
Intended Use/Indications For Use
The MultiFIX S Knotless Fixation Device is indicated for use in fixation of soft tissue to bone.
Examples of such procedures include:
Shoulder: Bankart Repair, SLAP lesion repair, acromio-clavicular separation, rotator cuff repair, capsule shift/capsule-labral reconstruction, biceps tenodesis, and deltoid repair
Ankle: Lateral instability, medial instability, Achilles tendon repair/reconstruction, and midfoot reconstruction
Foot: Hallux valgus reconstruction
Elbow: Tennis elbow repair, biceps tendon reattachment
Knee: Extra-capsular repairs; reattachment of: medial collateral ligament, posterior oblique ligament or joint capsule closure to anterior proximal tibia; extra capsular reconstruction, ITB tenodesis; patellar ligament and tendon avulsions
Non-Clinical Data
Bench testing was performed on both the proposed and predicate devices. The test results demonstrate that the MultiFIX S meets its design, performance, and safety specifications. Based on the test results, the proposed device performs as intended and mechanical properties are substantially equivalent to the predicate devices when used in accordance with labeling.
Clinical Data
No clinical or animal data are included in this submission.
Summary
All testing demonstrates that the MultiF1X S performs as intended and has acceptable mechanical properties when used in accordance with its labeling.
As the intended use, operating principle, materials and technological characteristics are comparable to the predicate device, the MultiFIX S Knotless Fixation System is substantially equivalent. The minor differences between the proposed MultiFIX S and predicate device do not raise any new questions of safety or effectiveness.
{2}------------------------------------------------
Image /page/2/Picture/0 description: The image shows the logo for ArthroCare. The logo consists of a stylized wave-like design on the left, followed by the word "ArthroCare" in a bold, sans-serif font. A small trademark symbol is present to the upper right of the word "Care".
·
.
: : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : :
| Predicate DeviceMultiFIX S(K131182) | Proposed DeviceMultiFIX S | |
|---|---|---|
| Characteristics | ||
| Intended Use | Fixation of soft tissue to bone | Same |
| Delivery Method | Arthroscopic and Limited Access | Same |
| How Supplied | Sterile | Same |
| Suture Material | No. 2 UHMWPE Suture | Same |
| Anchor Material | Invibio PEEK Optima® | Same |
| Design Technology | Pound in Anchor with screw | Same |
| Bone Locking Mechanism | Interference Fit(threaded screw) | Same |
| Suture Locking Mechanism | Plug/Cylinder Compression | Same |
| # of Suture Legs | 2, 3 or 4 | Same |
| Diameter of Cortical Lock | 5.5 mm & 6.5 mm | Same |
| Anchor Deployed Length | 20 to 23 mm | Same |
| Device Length | 299mm | 291mm |
| Sterilization Method | Irradiation | Same |
| Packaging | Sterile / Thermoform Tray with Tyvek Lid | Same |
:
.
{3}------------------------------------------------
DEPARTMENT OF HEALTH & HUMAN SERVICES
Image /page/3/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. 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 graphic of three wavy lines, which is a common symbol associated with the department.
Public Health Service
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
September 17, 2013
ArthroCare Corporation Mr. Mitchell Dhority Vice President, Regulatory Affairs 7000 West William Cannon Drive Austin, Texas 78735
Re: K132590
Trade/Device Name: MultiFIX® S Knotless Fixation System Regulation Number: 21 CFR 888.3040 Regulation Name: Smooth or threaded metallic bone fixation fastener Regulatory Class: Class II Product Code: MBI Dated: August 16, 2013 Received: August 19, 2013
Dear Mr. Dhority:
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
{4}------------------------------------------------
Page 2 - Mr. Mitchell Dhority
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/Resourcesfor You/Industry/default.htm.
Sincerely yours,
Mark Nimelkerson -S
- Mark N. Melkerson Director Division of Orthopedic Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
{5}------------------------------------------------
Indications for Use
510(k) Number (if known): K_132590
Device Name: MultiFIX® S Knotless Fixation System
Indications for Use:
The MultiFIX S is indicated for use in fixation of soft tissue to bone.
Examples of such procedures include:
Shoulder: Bankart Repair, SLAP lesion repair, acromio-clavicular separation, rotator cuff repair, capsule shift/capsule-labral reconstruction, biceps tenodesis, and deltoid repair
Ankle: Lateral instability, medial instability, Achilles tendon repair/reconstruction, and midfoot reconstruction
Foot: Hallux valgus reconstruction
Elbow: Tennis elbow repair, biceps tendon reattachment
Knee: Extra-capsular repairs; reattachment of: medial collateral ligament, posterior oblique ligament or joint capsule closure to anterior proximal tibia; extra capsular reconstruction. ITB tenodesis; patellar ligament and tendon avulsions
Prescription Use (Part 21 CFR 801 Subpart D)
AND/OR
Over-The-Counter Use (21 CFR 801 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Casey L. Hanley, Ph.D.
Division of Orthopedic Devices
Page 1 of __ 1
§ 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.