K Number
K141011
Device Name
G-FORCE GEN 2 SUTURE ANCHOR SYSTEM
Date Cleared
2014-07-30

(103 days)

Product Code
Regulation Number
888.3040
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The G-FORCE® Gen 2 Suture Anchor System is indicated for use: - In the repair of shoulder instability secondary to Bankart lesion, rotator cuff tear, a slap lesion, acromioclavicular separation, biceps tenodesis, deltoid tear/separation, or capsular shift or capsulolabral reconstruction; - In the repair of elbow instability secondary to biceps tendon detachment, tennis elbow, or ulnar or radial collateral ligament tear/separation; - In the repair of hand/wrist instability secondary to tear or separation of the scapholunate ligament, ulnar collateral ligament, or radial collateral ligament; - In the repair of knee instability secondary to tear or separation of the medial collateral ligament, lateral collateral ligament, patellar tendon, or posterior oblique ligament, or secondary to iliotibial band tenodesis; - In the repair of foot/ankle instability secondary to tear or separation of the Achilles tendon. lateral lateral stabilization tendons/ligaments, stabilization tendons/ligaments, midfoot tendons/ligaments, or metatarsal tendons/ligaments, Tendon Transfers, tendon reattachments, and ligament reconstructions of the midfoot, forefoot, and hindfoot procedures associated with flatfoot reconstruction, hindfoot deformity, midfoot reconstruction, lateral/medial ankle reconstruction or instability, Hallux Valgus or Varus, and MTP instability including: - o Achilles reattachment/reconstruction - o Flexor Digitorum Longus Transfer - Flexor Hallucis Longus Transfer o - Extensor Hallucis Longus Transfer O - Brostrom Procedures 0 - Peroneal Tendon Relocation 0 - Capsule Repair o - Deltoid reconstruction / reattachment o - Plantar Plate Repair o - Spring Ligament Repair o
Device Description
The G-FORCE® Gen 2 Ti Suture Anchor is a sterile, single-use, hand-held device intended to aid in the attachment of soft tissue to bone. The G-FORCE® Gen 2 Ti Suture Anchor comes preloaded with non-absorbable polyethylene sutures, needles and titanium alloy anchors. The anchors are available in a variety of sizes with correspondingly sized sutures.
More Information

Not Found

No
The device description and intended use focus on a mechanical suture anchor system. There is no mention of AI, ML, image processing, or data sets typically associated with AI/ML technologies.

Yes
The device is described as a "Suture Anchor System" intended for the "repair" of various instabilities in joints, such as the shoulder, elbow, hand/wrist, knee, and foot/ankle. This indicates it is used for medical treatment or correction of a health condition, which aligns with the definition of a therapeutic device.

No

Explanation: The device description states that the G-FORCE® Gen 2 Ti Suture Anchor System is "intended to aid in the attachment of soft tissue to bone," indicating a therapeutic rather than diagnostic function. Its intended uses relate to repairing instabilities, not diagnosing them.

No

The device description explicitly states it is a "hand-held device" and includes "titanium alloy anchors," indicating it is a physical medical device, not software-only.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are devices intended for use in the collection, preparation, and examination of specimens taken from the human body (such as blood, urine, or tissue) to provide information for the diagnosis, treatment, or prevention of disease.
  • Device Description: The G-FORCE® Gen 2 Suture Anchor System is a surgical implant designed to attach soft tissue to bone. It is used directly within the body during a surgical procedure.
  • Intended Use: The intended use clearly describes surgical repairs of various anatomical structures (shoulder, elbow, hand/wrist, knee, foot/ankle) by anchoring soft tissue to bone. This is a therapeutic intervention, not a diagnostic test performed on a specimen outside the body.

The information provided about the device's function, intended use, and description all point to it being a surgical device, not an IVD.

N/A

Intended Use / Indications for Use

The G-FORCE® Gen 2 Suture Anchor System is indicated for use:

· In the repair of shoulder instability secondary to Bankart lesion, rotator cuff tear, a slap lesion, acromicelavicular separation, biceps tenodesis, deltoid tear/separation, or capsular shift or capsulolabral reconstruction;

· In the repair of elbow instability secondary to bicens tennis elbow, or ulnar or radial collateral ligament tearl separation;

• In the repair of hand/wrist instability secondary to tear or separation of the scapholunate ligament, or radial collateral ligament;

· In the repair of knee instability secondary to tear or separation of the medial collateral ligament, patellar tendon, or posterior oblique ligament, or secondary to iliotibial band tenodesis;

· In the repair of foot/ankle instability secondary of the Achiles tendon, lateral stabilization tendons/ligaments, medial stabilization tendons/ligaments, midfoot tendons/ligaments, or metatarsal tendon Transfers, tendon reattachments, and ligament reconstructions of the midfoot procedures associated with flaffoot reconstruction, hindfoot deformity, midfoot reconstruction, lateral/medial ankle reconstruction or instability, Hallux Valgus or Varus, and MTP instability including:

o Achilles reattachment/reconstruction

  • o Flexor Digitorum Longus Transfer
  • o Flexor Hallucis Longus Transfer
  • o Extensor Hallucis Longus Transfer
  • o Brostrom Procedures
  • o Peroneal Tendon Relocation
  • o Capsule Repair
  • o Deltoid reconstruction / reattachment
  • o Plantar Plate Repair
  • o Spring Ligament Repair

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

MBI, HWC

Device Description

The G-FORCE® Gen 2 Ti Suture Anchor is a sterile, single-use, hand-held device intended to aid in the attachment of soft tissue to bone. The G-FORCE® Gen 2 Ti Suture Anchor comes preloaded with non-absorbable polyethylene sutures, needles and titanium alloy anchors. The anchors are available in a variety of sizes with correspondingly sized sutures.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Shoulder, Elbow, Hand/Wrist, Knee, Foot/Ankle

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)

Bench testing was used to demonstrate that the pullout strength characteristics of the G-FORCE® Gen 2 Ti Suture Anchor System are substantially equivalent to the predicate. The safety and effectiveness of the G-FORCE® Gen 2 Ti Suture Anchor System is adequately supported by the pullout testing performed, substantial equivalence information, literature review, and comparison of design characteristics provided within this premarket notification.

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.

K100579

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.

Not Found

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

§ 888.3040 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.

0

JUL 30 2014

510(K) SUMMARY OF SAFETY AND EFFECTIVENESS

In accordance with the Food and Drug Administration Rule to implement provisions of the Safe Medical Devices Act of 1990 and in conformance with 21 CRF 807.92, this information serves as a Summary of Safety and Effectiveness for the use of the G-FORCE® Gen 2 Ti Suture Anchor System.

Submitted By:Wright Medical Technology, Inc.
Date:April 17, 2010
Contact Person:Dmitri Falkner
Regulatory Affairs Specialist I
Proprietary Name:G-FORCE® Gen 2 Ti Suture Anchor System
Common Name:Soft Tissue Anchor
Classification Name and Reference:21 CFR 888.3040 - Smooth or threaded metallic bone fixation fastener - Class II
Device Product Code and Panel Code:Orthopedics/87/MBI/HWC
Predicate Device:G-FORCE® Ti Suture Anchor System (K100579)

DEVICE INFORMATION

A. DEVICE DESCRIPTION

The G-FORCE® Gen 2 Ti Suture Anchor is a sterile, single-use, hand-held device intended to aid in the attachment of soft tissue to bone. The G-FORCE® Gen 2 Ti Suture Anchor comes preloaded with non-absorbable polyethylene sutures, needles and titanium alloy anchors. The anchors are available in a variety of sizes with correspondingly sized sutures.

B. INDICATIONS FOR USE

The G-FORCE® Gen 2 Suture Anchor System is indicated for use:

  • In the repair of shoulder instability secondary to Bankart lesion, rotator cuff tear, a ● slap lesion, acromioclavicular separation, biceps tenodesis, deltoid tear/separation, or capsular shift or capsulolabral reconstruction;
  • In the repair of elbow instability secondary to biceps tendon detachment, tennis . elbow, or ulnar or radial collateral ligament tear/separation;
  • . In the repair of hand/wrist instability secondary to tear or separation of the scapholunate ligament, ulnar collateral ligament, or radial collateral ligament;

1

  • . In the repair of knee instability secondary to tear or separation of the medial collateral ligament, lateral collateral ligament, patellar tendon, or posterior oblique ligament, or secondary to iliotibial band tenodesis;
  • In the repair of foot/ankle instability secondary to tear or separation of the Achilles . tendon. lateral lateral stabilization tendons/ligaments, stabilization tendons/ligaments, midfoot tendons/ligaments, or metatarsal tendons/ligaments, Tendon Transfers, tendon reattachments, and ligament reconstructions of the midfoot, forefoot, and hindfoot procedures associated with flatfoot reconstruction, hindfoot deformity, midfoot reconstruction, lateral/medial ankle reconstruction or instability, Hallux Valgus or Varus, and MTP instability including:
    • o Achilles reattachment/reconstruction
    • o Flexor Digitorum Longus Transfer
    • Flexor Hallucis Longus Transfer o
    • Extensor Hallucis Longus Transfer O
    • Brostrom Procedures 0
    • Peroneal Tendon Relocation 0
    • Capsule Repair o
    • Deltoid reconstruction / reattachment o
    • Plantar Plate Repair o
    • Spring Ligament Repair o

C. SUBSTANTIAL EQUIVALENCE INFORMATION

The indications for use of the G-FORCE® Gen 2 Ti Suture Anchor System have a larger scope when compared to that of the predicate. As the technological characteristics by which the intended use is achieved is the same for both the subject and predicate systems. As such, the inclusion of additional indications does not constitute a deviation from substantial equivalence.

The design characteristics of the subject device do not raise any new types of questions in terms of either safety or efficacy. Based on the evidence submitted in this 510(k), the subject device can be expected to perform in a manner equal or superior to the predicate device and is substantially equivalent.

D. PERFORMANCE DATA

Bench testing was used to demonstrate that the pullout strength characteristics of the G-FORCE® Gen 2 Ti Suture Anchor System are substantially equivalent to the predicate. The safety and effectiveness of the G-FORCE® Gen 2 Ti Suture Anchor System is adequately supported by the pullout testing performed, substantial equivalence information, literature review, and comparison of design characteristics provided within this premarket notification.

2

Public Health Service

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

July 30, 2014

Wright Medical Technology, Incorporated Mr. Dmitri Falkner Regulatory Affairs Specialist 1023 Cherry Road Memphis, Tennessee 38117

Re: K141011

Trade/Device Name: G-FORCE® Gen 2 Suture Anchor System Regulation Number: 21 CFR 888.3040 Regulation Name: Smooth or threaded metallic bone fixation fastener Regulatory Class: Class II Product Code: MBI, HWC Dated: July 2, 2014 Received: July 3, 2014

Dear Mr. Faikner:

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 - Mr. Dmitri Falkner

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 Industry and Consumer Education 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. 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 Industry and Consumer Education 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,

Lori A. Wiggins

for

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

Enclosure

4

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known) K141011

Device Name

G-FORCE® Gen 2 Suture Anchor System

Indications for Use (Describe)

The G-FORCE® Gen 2 Suture Anchor System is indicated for use:

· In the repair of shoulder instability secondary to Bankart lesion, rotator cuff tear, a slap lesion, acromicelavicular separation, biceps tenodesis, deltoid tear/separation, or capsular shift or capsulolabral reconstruction;

· In the repair of elbow instability secondary to bicens tennis elbow, or ulnar or radial collateral ligament tearl separation;

• In the repair of hand/wrist instability secondary to tear or separation of the scapholunate ligament, or radial collateral ligament;

· In the repair of knee instability secondary to tear or separation of the medial collateral ligament, patellar tendon, or posterior oblique ligament, or secondary to iliotibial band tenodesis;

· In the repair of foot/ankle instability secondary of the Achiles tendon, lateral stabilization tendons/ligaments, medial stabilization tendons/ligaments, midfoot tendons/ligaments, or metatarsal tendon Transfers, tendon reattachments, and ligament reconstructions of the midfoot procedures associated with flaffoot reconstruction, hindfoot deformity, midfoot reconstruction, lateral/medial ankle reconstruction or instability, Hallux Valgus or Varus, and MTP instability including:

o Achilles reattachment/reconstruction

  • o Flexor Digitorum Longus Transfer
  • o Flexor Hallucis Longus Transfer
  • o Extensor Hallucis Longus Transfer
  • o Brostrom Procedures
  • o Peroneal Tendon Relocation
  • o Capsule Repair
  • o Deltoid reconstruction / reattachment
  • o Plantar Plate Repair
  • o Spring Ligament Repair

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)

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.

FOR FDA USE ONLY . . : ﻟﻠﻤﻮﺿﻮﻉ ﺍﻟﻤﻮﺿﻮﻋﺎﺕ ﺍﻟﻤﺘﻮﺳﻂ ﺍﻟﻤﺘﻮﺳﻂ ﺍﻟﻤﺘﻮﺳﻂ ﺍﻟﻤﺘﻮﺳﻂ ﺍﻟﻤﺘﻮﺳﻂ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤ 12.000

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)