K Number
K151078
Device Name
Arthrex RetroFusion Screw
Manufacturer
Date Cleared
2015-05-15

(23 days)

Product Code
Regulation Number
888.3040
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Arthrex RetroFusion Screw is intended to fix small bony or apical chondral fragments in the foot, ankle, upper extremities, hand, and wrist, where such fragments are not under tension or load-bearing. These devices are used in cases of osteochondritis dissecans and osteochondral fragments, fixation of fractures, 1st metatarsal (bunionectomy osteotomies), cuneiform bones, inherently stable osteotomies, and fusions of the phalanges, metatarsals, metacarpals, carpal bones, tarsal bones, ankle, and wrist. The devices can be used for inherently stable intramedullary stabilization of joint arthroplasty (resection) or fusion for the treatment of digital deformities of the foot or hand. This device is also used in inherently stable long bone fractures such as the femur, fibula, tibia, radius and ulna, including the diaphyseal, epiphyseal, and metaphyseal areas.
Device Description
The Arthrex RetroFusion Screw is an implant with a dual threaded design and ranges in size from 20 to 32mm in length. The RetroFusion screw is inserted between the proximal and middle phalanges, so the opposing threads fixate on the phalangeal canal of the toe and compress the joint.
More Information

Not Found

No
The description focuses on the mechanical properties and intended use of a surgical screw, with no mention of AI or ML technologies.

No.
The device is an implantable screw intended for fixation of bony or chondral fragments and fractures, which is a structural or supportive function rather than a therapeutic one that treats a disease or condition actively.

No
The provided text describes a medical implant (a screw) used for fixation of bones and fragments. Its function is therapeutic/restorative (to fix bones), not to diagnose a condition.

No

The device description clearly states it is an "implant" and describes its physical characteristics and how it is inserted, indicating it is a physical hardware device.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are devices used to examine specimens taken from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening.
  • Device Description and Intended Use: The provided information clearly describes the Arthrex RetroFusion Screw as a surgical implant intended to fix bones and bone fragments within the body. It is used in surgical procedures for orthopedic conditions.
  • Lack of Specimen Analysis: There is no mention of this device being used to analyze any biological specimens taken from a patient.

Therefore, based on the provided information, the Arthrex RetroFusion Screw is a surgical implant, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Arthrex RetroFusion Screw is intended to fix small bony or apical chondral fragments in the foot, ankle, upper extremities, hand, and wrist, where such fragments are not under tension or load-bearing. These devices are used in cases of osteochondritis dissecans and osteochondral fragments, fixation of fractures, 1st metatarsal (bunionectomy osteotomies), cuneiform bones, inherently stable osteotomies, and fusions of the phalanges, metacarpals, carpal bones, tarsal bones, ankle, and wrist. The devices can be used for inherently stable intramedullary stabilization of joint arthroplasty (resection) or fusion for the treatment of digital deformities of the foot or hand. This device is also used in inherently stable long bone fractures such as the femur, fibula, tibia, radius and ulna, including the diaphyseal, epiphyseal, and metaphyseal areas.

Product codes

HWC

Device Description

The Arthrex RetroFusion Screw is an implant with a dual threaded design and ranges in size from 20 to 32mm in length. The RetroFusion screw is inserted between the proximal and middle phalanges, so the opposing threads fixate on the phalangeal canal of the toe and compress the joint.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

foot, ankle, upper extremities, hand, wrist, phalanges, metatarsals, metacarpals, carpal bones, tarsal bones, femur, fibula, tibia, radius, ulna

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

Pull-out testing demonstrates that the pull-out strength of the Arthrex RetroFusion Screw is significantly greater than the predicate.

Key Metrics

Not Found

Predicate Device(s)

K050259

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.

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

May 15, 2015

Arthrex, Inc. Mr. David Rogers Regulatory Affairs Associate 1370 Creekside Boulevard Naples, Florida 34108-1945

Re: K151078

Trade/Device Name: Arthrex RetroFusion Screw Regulation Number: 21 CFR 888.3040 Regulation Name: Smooth or Threaded Metallic Bone Fixation Fastener Regulatory Class: Class II Product Code: HWC Dated: April 20, 2015 Received: April 22, 2015

Dear Mr. Rogers:

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 devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in

1

the quality systems (OS) 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" (21 CFR 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,

Mark N. Melkerson -S

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

Enclosure

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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known)

K151078

Device Name

Arthrex RetroFusion Screw

Indications for Use (Describe)

The Arthrex RetroFusion Screw is intended to fix small bony or apical chondral fragments in the foot, ankle, upper extremities, hand, and wrist, where such fragments are not under tension or load-bearing. These devices are used in cases of osteochondritis dissecans and osteochondral fragments, fixation of fractures, 1st metatarsal (bunionectomy osteotomies), cuneiform bones, inherently stable osteotomies, and fusions of the phalanges, metacarpals, carpal bones, tarsal bones, ankle, and wrist. The devices can be used for inherently stablization of ioint arthroplasty (resection) or fusion for the treatment of divital deformities of the foot or hand. This device is also used in inherently stable long bone fractures such as the femur, fibula, tibia, radius and ulna, including the diaphyseal, epiphyseal, and metaphyseal areas.

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)

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Date Summary PreparedApril 20, 2015
Manufacturer/Distributor/SponsorArthrex, Inc.
1370 Creekside Boulevard
Naples, FL 34108-1945 USA
510(k) ContactDavid L Rogers
Regulatory Affairs Associate
Arthrex, Inc.
1370 Creekside Boulevard
Naples, FL 34108-1945 USA
Telephone: 239/643.5553, ext. 71924
Fax: 239/598.5508
Email: david.rogers@Arthrex.com
Trade NameArthrex RetroFusion Screw
Common NameScrew
Product Code -Classification NameHWC - Screw, Fixation, Bone
CFR21 CFR 888.3040: Smooth or threaded metallic bone
fixation fastener
Predicate DeviceK050259: Arthrex Bio-Pin
Purpose of SubmissionThis special 510(k) premarket notification is submitted to
obtain FDA clearance for the Arthrex RetroFusion Screw.
Device DescriptionThe Arthrex RetroFusion Screw is an implant with a dual
threaded design and ranges in size from 20 to 32mm in
length. The RetroFusion screw is inserted between the
proximal and middle phalanges, so the opposing threads
fixate on the phalangeal canal of the toe and compress
the joint.
Intended UseThe Arthrex RetroFusion Screw is intended to fix small
bony or apical chondral fragments in the foot, ankle,
upper extremities, hand, and wrist, where such
fragments are not under tension or load-bearing. These
devices are used in cases of osteochondritis dissecans
and osteochondral fragments, fixation of fractures, 1st
metatarsal (bunionectomy osteotomies), cuneiform
bones, inherently stable osteotomies, and fusions of the
phalanges, metatarsals, metacarpals, carpal bones, tarsal
bones, ankle, and wrist. The devices can be used for
inherently stable intramedullary stabilization of joint
arthroplasty (resection) or fusion for the treatment of
digital deformities of the foot or hand. This device is also
used in inherently stable long bone fractures such as the
femur, fibula, tibia, radius and ulna, including the
diaphyseal, epiphyseal, and metaphyseal areas.
Substantial Equivalence SummaryThe Arthrex RetroFusion Screw is substantially equivalent
to the predicate devices in which the basic design
features and intended uses are the same.
Any
differences between the Arthrex RetroFusion Screw and
the predicate are considered minor and do not raise
questions concerning safety and effectiveness.
Pull-out testing demonstrates that the pull-out strength
of the Arthrex RetroFusion Screw is significantly greater
than the predicate.
Based on the indications for use, technological
characteristics, and the summary of data submitted,
Arthrex, Inc. has determined that the Arthrex
RetroFusion Screw is substantially equivalent to the
predicates.

2.6 510(K) SUMMARY OF SAFETY AND EFFECTIVENESS

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