K Number
K151037
Device Name
GraftMax Button, ALB with Cradle, GraftMax Button, BTB with Cradle
Manufacturer
Date Cleared
2015-07-09

(80 days)

Product Code
Regulation Number
888.3040
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The device is intended to provide suspension fixation for soft tissue to bone in the repair of the natural ligament or tendon disruption or reconstruction of a ligament using soft tissue grafts. Examples of such procedures include anterior cruciate ligament, posterior cruciate ligament, lateral collateral ligament, distal biceps tendon rupture, and separations due to coracoclavicular ligament disruptions.
Device Description
The GraftMax™ Button, ALB (Adjustable Loop Button) with Button Cradle and GraftMax™ Button, BTB (Bone-Tendon-Bone) with Button Cradle are sterile, single use devices. The button and cradle used together measure 21mm in length and 6mm in width. The devices are oval shaped and manufactured of titanium alloy. The devices are designed with five (5) holes that sutures can be threaded through.
More Information

No
The summary describes a mechanical fixation device and does not mention any software, algorithms, or AI/ML related terms.

No.
The device is described as providing "suspension fixation for soft tissue to bone" and is used in surgical repair and reconstruction, rather than directly treating a disease or condition with a therapeutic effect.

No

The device is described as an implantable medical device used for surgical fixation of soft tissue to bone, not for diagnosis. Its intended use and device description clearly indicate it is a therapeutic device for repair and reconstruction.

No

The device description explicitly states it is a sterile, single-use device made of titanium alloy, describing physical hardware components (button, cradle, holes for sutures). This is not a software-only device.

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

Here's why:

  • Intended Use: The intended use clearly describes a surgical device used for suspension fixation of soft tissue to bone during ligament and tendon repair or reconstruction. This is a direct surgical intervention on the body.
  • Device Description: The device is a physical implant (button and cradle) made of titanium alloy, designed to be threaded with sutures and used in a surgical procedure.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens (blood, tissue, etc.) outside of the body to provide information about a physiological state, health, or disease.

IVD devices are used to perform tests on samples taken from the body (like blood tests, urine tests, genetic tests, etc.) to diagnose, monitor, or screen for conditions. This device is a surgical implant used for mechanical support within the body.

N/A

Intended Use / Indications for Use

The device is intended to provide suspension fixation for soft tissue to bone in the repair of the natural ligament or tendon disruption or reconstruction of a ligament using soft tissue grafts. Examples of such procedures include anterior cruciate ligament, posterior cruciate ligament, lateral collateral ligament, distal biceps tendon rupture, and separations due to coracoclavicular ligament disruptions.

Product codes

MBI

Device Description

The GraftMax™ Button, ALB (Adjustable Loop Button) with Button Cradle and GraftMax™ Button, BTB (Bone-Tendon-Bone) with Button Cradle are sterile, single use devices. The button and cradle used together measure 21mm in length and 6mm in width. The devices are oval shaped and manufactured of titanium alloy. The devices are designed with five (5) holes that sutures can be threaded through.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

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)

The following performance data were provided in support of the substantial equivalence determination.
Completed testing includes the following:

  • Reliability ●
  • Packaging ●
  • Ultimate Fixation Strength ●
  • Cyclic ●
  • Sterilization
  • Verification Testing ●
  • . Transportation
  • Biocompatibility ●
  • User Validation ●
  • Shelf-life

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

Not Found

Predicate Device(s)

K070780

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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

Image /page/0/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 image of three human profiles facing to the right, stacked on top of each other.

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

July 9, 2015

CONMED Corporation Ms. Nyrobia Freeman Regulatory Affairs Specialist 525 French Road Utica, New York 11502

Re: K151037

Trade/Device Name: GraftMax™ Button, ALB with Cradle and GraftMax™ Button, BTB with Cradle Regulation Number: 21 CFR 888.3040 Regulation Name: Smooth or threaded metallic bone fixation fastener Class: Class II Product Code: MBI Dated: June 5, 2015 Received: June 10, 2015

Dear Ms. Freeman:

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

1

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/Resourcesfor You/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 -S

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

Enclosure

2

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known)

K151037

Device Name

GraftMax™ Button, ALB with Cradle GraftMax™ Button, BTB with Cradle

Indications for Use (Describe)

The device is intended to provide suspension fixation for soft tissue to bone in the repair of the natural ligament or tendon disruption or reconstruction of a ligament using soft tissue grafts. Examples of such procedures include anterior cruciate ligament, posterior cruciate ligament, lateral collateral ligament, distal biceps tendon rupture, and separations due to coracoclavicular ligament disruptions.

Type of Use (Select one or both, as applicable)Prescription Use (Part 21 CFR 801 Subpart D) Over-The-Counter Use (21 CFR 801 Subpart C)
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

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:

Department of Health and Human Services

Food and Drug Administration

Office of Chief Information Officer

Paperwork Reduction Act (PRA) Staff

PRAStaff@fda.hhs.gov

"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."

Form Approved: OMB No. 0910-0120 Expiration Date: January 31, 2017 See PRA Statement below.

3

Image /page/3/Picture/0 description: The image shows the logo for Conmed Corporation. The logo features a blue square with a white abstract shape on the left. To the right of the square is the word "Conmed" in black, with the word "Corporation" in smaller blue letters underneath. The logo is simple and modern, and the colors are clean and professional.

510(k) SUMMARY

I. SUBMITTER

CONMED Corporation 525 French Road Utica, New York Phone: 727-399-5416 Fax: 727-399-5264 Date Prepared: June 26, 2015

Company Contact

Nyrobia Freeman Regulatory Affairs Specialist Telephone (727) 399-5416 Fax (727) 399-5264

II. DEVICE

| Trade of Device: | GraftMax™ Button, ALB (Adjustable Loop Button) with
Cradle and GraftMax™ Button, BTB (Bone-Tendon-Bone)
with Cradle |
|----------------------|---------------------------------------------------------------------------------------------------------------------------|
| Common Name: | Titanium Fixation Device |
| Classification Name: | Fastener, Fixation, Non-degradable, Soft-Tissue |
| Regulatory Class: | Class II |
| Product Codes: | MBI |
| Regulation: | 21 CFR Part 888. 3040 |

III. PREDICATE DEVICE

| Device Name: | GraftMax™ Button, ALB (Adjustable Loop Button) and
GraftMax™ Button, BTB (Bone-Tendon-Bone) |
|---------------|------------------------------------------------------------------------------------------------|
| Company Name: | CONMED Corporation |
| 510(k) #: | K070780 |

IV. DEVICE DESCRIPTION

The GraftMax™ Button, ALB (Adjustable Loop Button) with Button Cradle and GraftMax™ Button, BTB (Bone-Tendon-Bone) with Button Cradle are sterile, single use devices. The button and cradle used together measure 21mm in length and 6mm in width. The devices are oval shaped and manufactured of titanium alloy. The devices are designed with five (5) holes that sutures can be threaded through.

4

Image /page/4/Picture/0 description: The image shows the logo for Conmed Corporation. The logo consists of a blue square with a white curved shape inside, followed by the word "CONMED" in black, with a blue line underneath. Below the line is the word "CORPORATION" in smaller, black letters.

V. INDICATIONS FOR USE

The device is intended to provide suspension fixation for soft tissue to bone in the repair of the natural ligament or tendon disruption or reconstruction of a ligament using soft tissue grafts or bone tendon grafts. Examples of such procedures include anterior cruciate ligament, posterior cruciate ligament, medial collateral ligament, lateral collateral ligament, distal biceps tendon rupture, and separations due to coracoclavicular ligament disruptions.

VI. COMPARISON OF TECHNOLOGICAL CHARACTERISTICS WITH THE PREDICATE DEVICE

The GraftMax™ Button ALB with Cradle, and the GraftMax™ Button BTB, with Cradle are identical in intended use and principles of operation to the predicate device with exceptions of dimensions, sterilization and packaging.

Proposed DevicePredicate Device
Dimensions21mm x 6mm14mm x 4.5mm
SterilizationImplant- Gamma
Cradle- EtOImplant - Gamma
PackagingImplant - Sterile, single use
package
Cradle – Sterile, single use
package , packaged
separatelyImplant- Sterile, single use
package

VII. PERFORMANCE DATA

The following performance data were provided in support of the substantial equivalence determination.

Completed testing includes the following:

  • Reliability ●
  • Packaging ●
  • Ultimate Fixation Strength ●
  • Cyclic ●
  • Sterilization
  • Verification Testing ●
  • . Transportation
  • Biocompatibility ●
  • User Validation ●
  • Shelf-life

5

Image /page/5/Picture/0 description: The image shows the logo for Conmed Corporation. The logo features a blue square on the left side with a white, curved shape inside. To the right of the square is the word "Conmed" in black, sans-serif font. Below the word "Conmed" is the word "Corporation" in a smaller, sans-serif font, also in black.

VIII. CONCLUSION

The GraftMax™ Button ALB with Cradle, and the GraftMax™ Button BTB, with Cradle are substantially equivalent in design, manufacturing materials, intended use, principles of operation to the predicate GraftMax™ Button ALB, and GraftMax™ Button, BTB and raises no new issues of safety or effectiveness.