(187 days)
The Stryker ICONIX XBraid TT with Needles devices are intended to be used for soft-tissue to bone fixation in the foot, ankle, knee, hip, wrist, elbow, and shoulder. See indications below.
Elbow: Biceps Tendon Reattachment, Ulnar or Radial Collament Reconstruction
Shoulder: Rotator Cuff Repair, Bankart Repair, SLAP Lesion Repair, Biceps Tenodesis, Acromio-Clavicular Separation Repair, Deltoid Repair, Capsular Shift or Capsulolabral Repair
Hand/Wrist: Scaphulolunate Ligament Reconstruction, Carpal Ligament Reconstruction, Repair/Reconstruction of Collateral Ligaments, Repair of Flexor and Extensor Tendons at the PIP, DIP, and MCP Joint for All Digits, Digital Tendon Repair
Foot/Ankle: Lateral Stabilization, Medial Stabilization, Achilles Tendon Repair, Metatarsal Ligament Repair, Hallux Valgus Reconstruction, Digital Tendon Transfers, Mid-Foot Reconstruction
Knee: Medial Collateral Ligament Repair, Lateral Ligament Repair, Patellar Tendon Repair, Posterior Oblique Ligament Repair, Iliotibial Band Tenodesis
Hip: Capsular Repair, Acetabular Labral Repair, Gluteal Tendon Repair
The NanoTack TT Suture Anchor is intended for the fixation of soft tissue to bone in the hip, shoulder, foot/ankle, hand/ wrist, elbow, and knee in the following procedures:
Hip: Hip capsule repair, acetabular labrum reattachment
Shoulder: Capsular stabilization (Bankart repair, anterior shoulder instability, SLAP lesion repair, capsular shifts or capsulolabral reconstructions), acromioclavicular separation repair, deltoid repair, rotator cuff tear repair, biceps tenodesis
Foot and Ankle: Hallux valgus repair. Medial or lateral instability repair/reconstruction, Achilles tendon repair/reconstruction, midfoot reconstruction, Metatarsal ligament/tendon repair/reconstructions, bunionectomy
Elbow, Wrist, and Hand: Biceps tendon reattachment, ulnar or radial collateral ligament reconstruction, Lateral epicondylitis repair
Knee: Extra-capsular repair (medial collateral ligament, lateral collateral ligament, posterior oblique ligament), patellar realignment and tendon repairs (vastus medialis obliquous advancement), Iliotibial band tenodesis
The ICONIX XBraid TT with Needles devices are soft-tissue fixation devices consisting of an all suture anchor with a push-in design, preloaded on a disposable inserter. The anchors consist of a polyester sheath interwoven over non-absorbable working sutures. Fixation is achieved by the polyester sheath bunching when the anchor is deployed. The suture "tape" is composed of 100% ultra-high molecular weight polyethylene (UHMWPE). These devices include needles, which are housed in a compartment within the inserter handle. These needles are swaged to the free ends of all working sutures for use at the discretion of the surgeon. The devices are provided in a sterile state; the anchor and inserter assembly will be packaged in a single-use sterile barrier system (SBS) containing a disposable drill and drill guide to aid in bone hole creation and anchor implantation.
There are two proposed configurations of The ICONIX XBraid TT with Needles device:
- 1.4mm suture anchor with 1.2mm XBraid TT suture tape, and
- . 2.3mm suture anchor with 2.0mm XBraid TT suture tape.
The NanoTack TT Suture Anchor is a non-degradable implant device consisting of a suture anchor with attached non-degradable, flat suture tape preassembled on an insertion device. This device is provided sterile, and is intended for single use only. The anchor is manufactured from polyether ether ketone (PEEK), and the suture tape is composed of 100% ultra-high molecular weight polyethylene (UHMWPE). The anchor and inserter assembly will be packaged in a single-use sterile barrier system (SBS).
There is one proposed configuration of the NanoTack TT Suture Anchor:
- . 1.4mm anchor with 1.2mm XBraid TT suture tape.
The provided document is a 510(k) Premarket Notification from the FDA regarding two medical devices: the ICONIX XBraid TT with Needles and the NanoTack TT Suture Anchor. It primarily focuses on demonstrating substantial equivalence to predicate devices rather than proving a device meets specific acceptance criteria through a clinical study. Therefore, much of the requested information regarding acceptance criteria, study details, ground truth, and expert involvement is not applicable or present in this type of regulatory submission.
However, I can extract information related to the device performance testing conducted to support substantial equivalence.
Here's an analysis based on the provided document:
1. Table of Acceptance Criteria and Reported Device Performance
The document does not explicitly present a table of acceptance criteria with corresponding performance results in a standalone section. Instead, it describes various "non-clinical verification and validation testing" performed to assess the efficacy and substantial equivalence of the proposed devices to their predicate devices. The implicit acceptance criterion for these tests is that the new devices perform comparably to or better than the predicate devices, or that they meet established engineering or biological safety standards.
Below is a summary of the types of tests conducted and the general conclusion, as specific numerical acceptance criteria and performance metrics are not detailed in this high-level summary.
| Acceptance Criterion (Implicit) | Reported Device Performance (General Conclusion) |
|---|---|
| ICONIX XBraid TT with Needles: | "The results of all testing demonstrate that the proposed ICONIX XBraid TT with Needles and NanoTack TT Suture Anchor devices are substantially equivalent to the respective predicate devices." |
| Inserter removal effort meets specified limits | No specific limit or result provided, but implied to be acceptable for substantial equivalence. |
| Needle removal force meets specified limits | No specific limit or result provided, but implied to be acceptable for substantial equivalence. |
| Extension during cyclic loading within acceptable range | No specific range or result provided, but implied to be acceptable for substantial equivalence. |
| Ultimate tensile strength following cyclic loading meets specs | No specific spec or result provided, but implied to be acceptable for substantial equivalence. |
| Ultimate tensile strength meets specified requirements | No specific requirement or result provided, but implied to be acceptable for substantial equivalence. |
| Insertion effort meets specified limits | No specific limit or result provided, but implied to be acceptable for substantial equivalence. |
| Suture sliding force meets specified limits | No specific limit or result provided, but implied to be acceptable for substantial equivalence. |
| Design validation successful | Completed successfully. |
| Packaging validation successful | Completed successfully. |
| Sterilization validation successful | Completed successfully. |
| Biocompatibility evaluation acceptable | Performed and determined to be acceptable. "All materials used in the construction of the proposed devices have been shown to be biologically safe." |
| Pyrogen limits met | "This testing demonstrated that both of the proposed devices meet the recommended pyrogen limits." |
| NanoTack TT Suture Anchor: | |
| Deployment force meets specified limits | No specific limit or result provided, but implied to be acceptable for substantial equivalence. |
| Suture sliding force meets specified limits | No specific limit or result provided, but implied to be acceptable for substantial equivalence. |
| Ultimate tensile strength meets specified requirements | No specific requirement or result provided, but implied to be acceptable for substantial equivalence. |
| Insertion effort meets specified limits | No specific limit or result provided, but implied to be acceptable for substantial equivalence. |
| Suture snagging test successful | Completed successfully. |
| Design validation successful | Completed successfully. |
| Packaging validation successful | Completed successfully. |
| Sterilization validation successful | Completed successfully. |
| Biocompatibility evaluation acceptable | Performed and determined to be acceptable. "All materials used in the construction of the proposed devices have been shown to be biologically safe." |
| Pyrogen limits met | "This testing demonstrated that both of the proposed devices meet the recommended pyrogen limits." |
2. Sample Size Used for the Test Set and Data Provenance
- Sample Size: The document does not specify the exact sample sizes used for each of the non-clinical tests (e.g., how many devices were tested for tensile strength, how many were subjected to cyclic loading, etc.).
- Data Provenance: The tests are described as "non-clinical verification and validation testing." This implies laboratory-based or benchtop testing, not data derived from patients or clinical studies. Therefore, it's not applicable to discuss country of origin or retrospective/prospective nature in the typical sense of clinical data.
3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications of Those Experts
This information is not applicable. The evaluations described are "non-clinical verification and validation testing," which refers to product performance and safety testing (e.g., mechanical testing, biocompatibility). These types of tests do not involve human experts establishing "ground truth" in the way a clinical study would (e.g., radiologists interpreting images). The "ground truth" for these tests would be the measured physical properties or biological safety outcomes as defined by engineering standards or biological assessments.
4. Adjudication Method for the Test Set
This is not applicable as there is no "test set" in the context of expert review or clinical evaluation that would require adjudication. The testing described is objective, non-clinical performance data.
5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done, and the Effect Size of How Much Human Readers Improve with AI vs. Without AI Assistance
This is not applicable. The devices are surgical suture anchors used for soft-tissue to bone fixation. They are physical implants, not AI-powered diagnostic or assistive technologies. Therefore, an MRMC study related to AI assistance for human readers is irrelevant to these devices.
6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done
This is not applicable. As mentioned, these are physical medical devices, not algorithms or AI.
7. The Type of Ground Truth Used
The "ground truth" for these non-clinical tests is based on objective measurements against engineering specifications, material properties, and established biological safety standards. For example:
- Tensile Strength: Measured force at failure, compared against a predefined standard or predicate device performance.
- Biocompatibility: Results of biological assays (e.g., cytotoxicity, sensitization, irritation) compared against ISO 10993 standards.
- Sterilization Validation: Confirmation of sterility assurance levels (SAL) according to recognized standards.
- Pyrogen Testing: Measurement of pyrogen levels, compared against recommended limits.
8. The Sample Size for the Training Set
This is not applicable. There is no "training set" in the context of non-clinical device performance and safety testing for these physical implants. The testing performed is to validate the device's design and manufacturing, not to train an algorithm.
9. How the Ground Truth for the Training Set Was Established
This is not applicable as there is no training set for these devices.
In summary, the document details non-clinical verification and validation activities demonstrating that modifications to existing suture anchors (ICONIX XBraid TT with Needles and NanoTack TT Suture Anchor) result in devices that are substantially equivalent in performance and safety to their predicate devices. It does not contain information about clinical studies, AI algorithms, or expert ground-truthing as typically found in submissions for diagnostic or AI-based devices.
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Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). The FDA logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA acronym in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text. The Department of Health & Human Services logo is a stylized image of a human figure.
April 4, 2018
Stryker Jacob Scheenstra Senior Regulatory Affairs Specialist 5670 Greenwood Plaza Boulevard, Suite 200 Greenwood Village, Colorado 80111
Re: K173074
Trade/Device Name: ICONIX XBraid TT with Needles, NanoTack TT Suture Anchor Regulation Number: 21 CFR 888.3040 Regulation Name: Smooth or threaded metallic bone fixation fastener Regulatory Class: Class II Product Code: MBI Dated: March 5, 2018 Received: March 6, 2018
Dear Mr. Scheenstra:
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 of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820);
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and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
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.
For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely,
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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| 510(k) Number (if known) | K173074 |
|---|---|
| Device Name | ICONIX XBraid TT with Needles |
| Indications for Use (Describe) | The Stryker ICONIX XBraid TT with Needles devices are intended to be used for soft-tissue to bone fixation in the foot, ankle, knee, hip, wrist, elbow, and shoulder. See indications below. |
Elbow: Biceps Tendon Reattachment, Ulnar or Radial Collateral Ligament Reconstruction
Shoulder: Rotator Cuff Repair, Bankart Repair, SLAP Lesion Repair, Biceps Tenodesis, Acromio-Clavicular Separation Repair, Deltoid Repair, Capsular Shift or Capsulolabral Repair
Hand/Wrist: Scaphulolunate Ligament Reconstruction, Carpal Ligament Reconstruction, Repair Reconstruction of Collateral Ligaments, Repair of Flexor and Extensor Tendons at the PIP, DIP, and MCP Joint for All Digits, Digital Tendon Repair
Foot/Ankle: Lateral Stabilization, Medial Stabilization, Achilles Tendon Repair, Metatarsal Ligament Repair, Hallux Valgus Reconstruction, Digital Tendon Transfers, Mid-Foot Reconstruction
Knee: Medial Collateral Ligament Repair, Lateral Collateral Ligament Repair, Patellar Tendon Repair, Posterior Oblique Ligament Repair, Iliotibial Band Tenodesis
Hip: Capsular Repair, Acetabular Labral Repair, Gluteal Tendon Repair
| 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:
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"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."
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| DEPARTMENT OF HEALTH AND HUMAN SERVICES | |
|---|---|
| Food and Drug Administration | |
| Indications for Use | |
| 510(k) Number ( if known ) | K173074 |
| Device Name | NanoTack TT Suture Anchor |
| Indications for Use (Describe) | The NanoTack TT Suture Anchor is intended for the fixation of soft tissue to bone in the hip, shoulder, foot/ankle, hand/ wrist, elbow, and knee in the following procedures: |
| Hip: Hip capsule repair, acetabular labrum reattachment | |
| Shoulder: Capsular stabilization (Bankart repair, anterior shoulder instability, SLAP lesion repair, capsular shifts or capsulolabral reconstructions), acromioclavicular separation repair, deltoid repair, rotator cuff tear repair, biceps tenodesis | |
| Foot and Ankle: Hallux valgus repair, Medial or lateral instability repair/reconstruction, Achilles tendon repair/ reconstruction, midfoot reconstruction, Metatarsal ligament/tendon repair reconstructions, bunionectomy | |
| Elbow, Wrist, and Hand: Biceps tendon reattachment, ulnar or radial collateral ligament reconstruction, Lateral epicondylitis repair | |
| Knee: Extra-capsular repair (medial collateral ligament, lateral collateral ligament, posterior oblique ligament), patellar realignment and tendon repairs (vastus medialis obliquous advancement), Iliotibial band tenodesis | |
| 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
"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 FDA 3881 (7/17)
Page 1 of 1
Expiration Date: 06/30/2020
See PRA Statement below.
Form Approved: OMB No. 0910-0120
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510(k) Summary
I. SUBMITTER
Stryker Endoscopy 5900 Optical Ct San Jose, CA 95138
Contact Person: Jacob Scheenstra, Sr. Regulatory Affairs Specialist Phone: 303-357-7618 Email: jacob.scheenstra@stryker.com
Date Prepared: April 2, 2018
II. DEVICE
This is a bundled 510(k) submission including information regarding a change that is impacting two product lines, referred to as Proposed Device A and B.
| Proposed Device A: | Stryker ICONIX XBraid TT with NeedlesModel Numbers: 3910-500-212, 3910-500-222 |
|---|---|
| Common or Usual Name: | Suture, Fastener, Fixation, Nondegradable, Soft Tissue |
| Classification Name: | Smooth or threaded metallic bone fixation fastener(21 CFR 888.3040) |
| Regulatory Class: | II |
| Product Code: | MBI |
| Proposed Device B: | NanoTack TT Suture AnchorModel Number: 00CAT02969 |
| Common or Usual Name: | Suture, Fastener, Fixation, Nondegradable, Soft Tissue |
| Classification Name: | Smooth or threaded metallic bone fixation fastener(21 CFR 888.3040) |
| Regulatory Class: | II |
III. PREDICATE AND REFERENCE DEVICES
| Predicate Device A: Stryker ICONIX with Needles, K151201 |
|---|
| This predicate has not been subject to a design-related recall. |
- Predicate Device B: NanoTack Suture Anchor 1.4 mm, K131769 This predicate has not been subject to a design-related recall.
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Reference Device: XBraid TT Suture Tape, K162310 This device has not been subject to a design-related recall.
IV. DEVICE DESCRIPTION
Stryker ICONIX XBraid TT with Needles
The ICONIX XBraid TT with Needles devices are a line extension of the legally marketed Stryker ICONIX with Needles products. The ICONIX XBraid TT with Needles devices are soft-tissue fixation devices consisting of an all suture anchor with a push-in design, preloaded on a disposable inserter. The anchors consist of a polyester sheath interwoven over non-absorbable working sutures. Fixation is achieved by the polyester sheath bunching when the anchor is deployed. The suture "tape" is composed of 100% ultra-high molecular weight polyethylene (UHMWPE). These devices include needles, which are housed in a compartment within the inserter handle. These needles are swaged to the free ends of all working sutures for use at the discretion of the surgeon. The devices are provided in a sterile state; the anchor and inserter assembly will be packaged in a single-use sterile barrier system (SBS) containing a disposable drill and drill guide to aid in bone hole creation and anchor implantation.
There are two proposed configurations of The ICONIX XBraid TT with Needles device:
- 1.4mm suture anchor with 1.2mm XBraid TT suture tape, and
- . 2.3mm suture anchor with 2.0mm XBraid TT suture tape.
NanoTack TT Suture Anchor
The NanoTack TT Suture Anchor is a line extension of the legally marketed NanoTack Suture Anchor. The NanoTack TT Suture Anchor is a non-degradable implant device consisting of a suture anchor with attached non-degradable, flat suture tape preassembled on an insertion device. This device is provided sterile, and is intended for single use only. The anchor is manufactured from polyether ether ketone (PEEK), and the suture tape is composed of 100% ultra-high molecular weight polyethylene (UHMWPE). The anchor and inserter assembly will be packaged in a single-use sterile barrier system (SBS).
There is one proposed configuration of the NanoTack TT Suture Anchor:
- . 1.4mm anchor with 1.2mm XBraid TT suture tape.
V. INTENDED USE
The Stryker ICONIX XBraid TT with Needles
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The Stryker ICONIX XBraid TT with Needles devices are intended to be used for softtissue to bone fixation in the foot, ankle, knee, hip, wrist, elbow, and shoulder. See indications below.
Elbow: Biceps Tendon Reattachment, Ulnar or Radial Collateral Ligament Reconstruction
Shoulder: Rotator Cuff Repair, Bankart Repair, SLAP Lesion Repair, Biceps Tenodesis, Acromio-Clavicular Separation Repair, Deltoid Repair, Capsular Shift or Capsulolabral Repair
Hand/Wrist: Scaphulolunate Ligament Reconstruction, Carpal Ligament Reconstruction, Repair/Reconstruction of Collateral Ligaments, Repair of Flexor and Extensor Tendons at the PIP, DIP, and MCP Joint for All Digits, Digital Tendon Repair
Foot/Ankle: Lateral Stabilization, Medial Stabilization, Achilles Tendon Repair, Metatarsal Ligament Repair, Hallux Valgus Reconstruction, Digital Tendon Transfers, Mid-Foot Reconstruction
Knee: Medial Collateral Ligament Repair, Lateral Ligament Repair, Patellar Tendon Repair, Posterior Oblique Ligament Repair, Iliotibial Band Tenodesis
Hip: Capsular Repair, Acetabular Labral Repair, Gluteal Tendon Repair
NanoTack TT Suture Anchor
The NanoTack TT Suture Anchor is intended for the fixation of soft tissue to bone in the hip, shoulder, foot/ankle, hand/wrist, elbow, and knee in the following procedures:
Hip: Hip capsule repair, acetabular labrum reattachment
Shoulder: Capsular stabilization (Bankart repair, anterior shoulder instability, SLAP lesion repair, capsular shifts or capsulolabral reconstructions), acromioclavicular separation repair, deltoid repair, rotator cuff tear repair, biceps tenodesis
Foot and Ankle: Hallux valgus repair. Medial or lateral instability repair/reconstruction, Achilles tendon repair/reconstruction, midfoot reconstruction, Metatarsal ligament/tendon repair/reconstructions, bunionectomy
Elbow, Wrist, and Hand: Biceps tendon reattachment, ulnar or radial collateral ligament reconstruction, Lateral epicondylitis repair
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Knee: Extra-capsular repair (medial collateral ligament, lateral collateral ligament, posterior oblique ligament), patellar realignment and tendon repairs (vastus medialis obliquous advancement), Iliotibial band tenodesis
VI. COMPARISON OF TECHNOLOGICAL CHARACTERISTICS WITH THE PREDICATE DEVICE
The intent of this bundled premarket submission is to expand the ICONIX with Needles and NanoTack Suture Anchor product lines to include anchor devices that feature flat working sutures. Both product lines will undergo changes identical in nature. Each product line has its own respective predicate device for the purposes of this submission.
For both product lines, the dimensions and colorant of the sutures have been modified, and associated manufacturing processes have been modified relative to the respective predicate devices. All materials used in the construction of the proposed devices have been shown to be biologically safe. All device modifications have been assessed through thorough risk analysis, and where necessary, verification and validation activities were performed. These activities did not raise new questions of safety or effectiveness.
Given this, the proposed ICONIX XBraid TT with Needles devices are substantially equivalent to the respective legally marketed predicate device in regard to intended use, fundamental scientific technology, operational principles, and performance attributes. Similarly, the proposed NanoTack TT Suture Anchor product is substantially equivalent to the legally marketed predicate device in regard to intended use, fundamental scientific technology, operational principles, and performance attributes.
VII. PERFORMANCE DATA
A risk assessment was completed for the proposed device modifications, and non-clinical verification and validation testing was performed to assess the efficacy of the proposed Stryker ICONIX XBraid TT with Needles devices and NanoTack TT Suture Anchor devices as compared to the respective predicate devices.
The following evaluations were considered as part of the risk assessments for both devices:
- . For ICONIX XBraid TT with Needles, this testing included inserter removal effort, needle removal force, extension during cyclic loading, ultimate tensile strength following cyclic loading, ultimate tensile strength, insertion effort, suture sliding force, design validation, packaging validation, sterilization validation, and biocompatibility evaluation.
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- . For NanoTack TT Suture Anchor, the testing included deployment force, suture sliding force, ultimate tensile strength, insertion effort, a suture snagging test, design validation, packaging validation, sterilization validation, and a biocompatibility evaluation.
Pyrogen testing was also completed for the proposed ICONIX XBraid TT with Needles device and NanoTack TT Suture Anchor device. This testing demonstrated that both of the proposed devices meet the recommended pyrogen limits.
The results of all testing demonstrate that the proposed ICONIX XBraid TT with Needles and NanoTack TT Suture Anchor devices are substantially equivalent to the respective predicate devices. Clinical testing was not required to demonstrate substantial equivalence for this submission.
VIII. CONCLUSIONS
The information presented within this special premarket submission demonstrates that the Stryker ICONIX XBraid TT with Needles and the NanoTack TT Suture Anchor devices are substantially equivalent to the respective predicate devices.
§ 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.