(322 days)
The Auxilock Titanium Interference Screw is in the fixation of ligaments and tendons in patients requiring ligament or tendon repair.
Auxein Brand Auxilock titanium Interference screw is cannulated, tapered fastener for use in Interference fixation of ligaments and tendons in patients requiring ligament or tendon-repair.
The device is made from a Titanium alloy, Ti-6AI-4V ELI (ASTM F136) and is available in sizes ranging from 7 to 12 mm in diameter and 20 to 35 mm in length.
Each variant of Auxilock Titanium Interference Screw are sold both in non-sterile and sterile (EO & Gamma Sterile) conditions.
Non-sterile version of Auxilock Titanium Interference Screw have to be sterilized before use.
The provided document is a 510(k) Premarket Notification for a medical device called "Auxilock Titanium Interference Screw." It focuses on demonstrating substantial equivalence to a predicate device rather than providing a detailed study of an AI/ML powered device.
Therefore, the requested information about acceptance criteria, study design for AI/ML performance, sample sizes for test/training sets, expert qualifications, ground truth establishment, MRMC studies, and standalone performance for an AI/ML device is not present in this document.
This document pertains to a traditional orthopedic implant, a titanium screw used for ligament and tendon fixation, whose acceptance is based on:
- Substantial Equivalence: Comparing its characteristics (indications for use, material, performance standards, sterilization, dimensions) to an already legally marketed predicate device (Parcus Titanium Interference Screw - K083619).
- Mechanical Testing: Demonstrating performance through pull-out strength, torsional strength, screw-in and screw-out, and pull-out based fatigue tests.
- Material Compliance: Adhering to relevant ASTM material standards (ASTM F 136 and ASTM F 899-12).
- Biocompatibility: Testing as per EN ISO 10993-1.
- Sterilization and Endotoxins: LAL testing for bacterial endotoxins and packaging/shelf-life studies (EN ISO 11607-1:2009).
Summary of Acceptance Criteria and Reported Device Performance (based on the provided document for a non-AI/ML device):
| Acceptance Criteria (for substantial equivalence) | Reported Device Performance (Auxilock Titanium Interference Screw) |
|---|---|
| Indications for Use | Similar intended use as predicate device. |
| Material Standards Compliance | Conforms to ASTM F 136 (Ti-6Al-4V ELI) and ASTM F 899-12. |
| Performance Standards Testing | Complies with ASTM F 543-17 and custom fatigue testing. Results of pull-out strength, torsional strength, screw-in and out, and pull-out based fatigue tests showed no significant differences compared to the predicate device (Parcus Medical Titanium Interference Screw). |
| Sterilization Method | Supplied in Non-Sterile, Gamma Sterile, and EO Sterile conditions. Demonstrated equivalent to predicate device. |
| Dimensional Verification | Same dimensions as predicate device found. |
| Biocompatibility | Testing conducted as per EN ISO 10993-1. |
| Bacterial Endotoxins | Determined using LAL testing to meet endotoxin limit specifications. |
| Shelf-life & Packaging | Performed accelerated and real-time studies as per EN ISO 11607-1:2009. Uses same packaging material as a previously approved reference device (K201457). |
Other requested information (not available for an AI/ML device in this document):
- Sample sizes used for the test set and the data provenance: Not applicable to this type of device. The mechanical tests used samples of the smallest diameter screw (7mm).
- Number of experts used to establish the ground truth...: Not applicable. Ground truth for an orthopedic screw is based on engineering specifications, material science, and mechanical testing results, not expert interpretation of AI outputs.
- Adjudication method...: Not applicable.
- If a multi-reader multi-case (MRMC) comparative effectiveness study was done...: Not applicable.
- If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable.
- The type of ground truth used: For this device, the "ground truth" is established through physical and mechanical property testing against defined engineering standards and comparison to a predicate device's established performance.
- The sample size for the training set: Not applicable.
- How the ground truth for the training set was established: Not applicable.
{0}------------------------------------------------
August 20, 2021
Image /page/0/Picture/1 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo is in blue and includes the letters "FDA" and the words "U.S. Food & Drug Administration".
Auxein Medical Private Limited Rahul Luthra Director Plot No. 168, 169, 170 Phase-IV, Sector 57, Kundli Industrial area Sonepat-131028, Haryana India
Re: K203029
Trade/Device Name: Auxilock Titanium Interference Screw Regulation Number: 21 CFR 888.3040 Regulation Name: Smooth Or Threaded Metallic Bone Fixation Fastener Regulatory Class: Class II Product Code: HWC, MBI Dated: July 14, 2021 Received: July 20, 2021
Dear Mr. Rahul Luthra:
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 mav, therefore, market the device, subject to the general controls provisions of the Act. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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
{1}------------------------------------------------
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) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.
For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely,
Pooja Panigrahi -S
for
Laura C. Rose, Ph.D. Assistant Director DHT6C: Division of Restorative, Repair and Trauma Devices OHT6: Office of Orthopedic Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health
Enclosure
{2}------------------------------------------------
Indications for Use
510(k) Number (if known) K203029
Device Name Auxilock Titanium Interference Screw
Indications for Use (Describe)
The Auxilock Titanium Interference Screw is in the fixation of ligaments and tendons in patients requiring ligament or 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:
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."
{3}------------------------------------------------
510(k) Number: K203029 Dated: August 21, 2021
7-A. Nirankari Colony
Delhi-110009, Indian
MANUFACTURING UNIT
Plot No. 169-170, Phase-IV
Sector-57, Kunda industrial Area
C. Sonepat-131028, Moryana, india
Page 1 of 5
+91 9910643658
6077 70197 (FAX)
Section 5.0: 510K Summary
Premarket Notification 510(k) Summary as required by Section 807.92 General Company Information as required by 807:92(a) (A.1) The submitter's name, address, telephone number, a contact person, and the date the summary was prepared.
| Submitter's Name: | Auxein Medical Private Limited |
|---|---|
| Address: | Auxein Medical Pvt. Ltd.Plot No. 168-169-170, Phase- IV, Kundli Industrial Area, HSIIDC,Sector-57, Sonepat-131028, Haryana. |
| Contact Person Name: | Mr. Rahul Luthra |
| Title: | Director |
| Phone Number: | +91-9811720999 |
| Dated: | 21/08/2021 |
Throughout the submission Auxilock Titanium Interference Screw is covered under 510(k) Submission.
(A.2) The name of the device, including the trade or proprietary name if applicable, thecommon or usual name, and the classification name, if known
Proprietary Name:
Auxilock Titanium Interference Screw
Common or Usual Name:
Interference Screws
Classification Name:
Fastener, Fixation, Non-Degradable, Soft tissue.
Product Code:
HWC, MBI
Device Class: II
Review Panel: Orthopaedic
Regulation Number: 21 CFR 888.3040
{4}------------------------------------------------
Image /page/4/Picture/0 description: The image contains the logo for Auxein. The logo consists of a stylized letter "A" enclosed in a circle, followed by the text "Auxein" in a bold, sans-serif font. The color of the logo and text is a shade of blue.
Delhi-110009, Ind
MANUFACTURING UNI
Plot No. 169-170, Phase-
Sector 57, Kunda industrial Are
OC, Sonepat-131028, Haryana, irid
Image /page/4/Picture/2 description: The image shows the text 'K203029 Page 2 of 5'. The text is black and is set against a white background. The text is likely part of a document or report, indicating a page number and potentially a document identifier.
.auxein.com
Variants/Types:
An Auxilock titanium Interference screw is a cannulated, tapered fastener for use in Interference fixation of ligaments and tendons in patients requiring ligament or tendonrepair.
The device is made from a Titanium alloy, Ti-6AI-4V ELI (ASTM F136) and is available in sizes ranging from 7 to 12 mm in diameter and 20 to 35 mm in length.
(A.3) Identification of the Predicate Device:
Following are the predicate device 510(k) with which we are declaring substantial equivalence:
The following is the range of variants covered with their corresponding predicate devices.
| S.No. | Item Description | Predicate Device |
|---|---|---|
| 1. | Auxilock Titanium Interference Screw | K083619, Parcus Titanium InterferenceScrew |
Reference Device: K201457, Auxien Brand Vertaux 5.5 mm Pedicle Screw System
(A.4). A description of the device that is the subject of the premarket notification submission, such as might be found in the labelling or promotional material for the device.
Device Description:
Auxein Brand Auxilock titanium Interference screw is cannulated, tapered fastener for use in Interference fixation of ligaments and tendons in patients requiring ligament or tendon-repair.
The device is made from a Titanium alloy, Ti-6AI-4V ELI (ASTM F136) and is available in sizes ranging from 7 to 12 mm in diameter and 20 to 35 mm in length.
Each variant of Auxilock Titanium Interference Screw are sold both in non-sterile and sterile (EO & Gamma Sterile) conditions.
Non-sterile version of Auxilock Titanium Interference Screw have to be sterilized before use.
(A.5) A statement of the intended use of the device.
Indications for Use:
Auxilock Titanium Interference Screw is indicated for use in the fixation of ligaments and tendons in patients requiring ligament or tendon repair.
(A.6). Summary of Technological Characteristics as compared to the predicate devices:
{5}------------------------------------------------
Image /page/5/Picture/0 description: The image shows the logo for Auxein. The logo consists of a stylized letter "A" inside of a circle, followed by the word "Auxein" in a sans-serif font. The logo is blue in color.
Delhi-110 009, Indi
MANUFACTURING UNI
Plot No. 169-170, Phase-IV
Sector-57. Kunda industrial Area
DC, Sonepat-131028, PHaryana, indu
UNIT
-IV,
Area,
India
Page 3 of 5
.auxein.com
Substantial equivalence including comparison with predicate devices.
A comparison between the Auxilock Titanium Interference screw and predicate devices has been performed which has resulted in demonstration of similarities in dimensional and performance criteria.
Following is the summary of parameters in which the comparison has been verified:
| S.No. | Characteristics | Predicate Device Versus NewDevice(Auxein Brand) | Remarks |
|---|---|---|---|
| 1. | Indications for use | Similar intended use in New Device andPredicate device. | Equivalent |
| 2. | Material | Conform to same material standard. | Equivalent |
| 3. | Performance Standards | Same performance standards used inboth New Device as well as predicatedevice. | Equivalent |
| 4. | Sterilization | Predicate device is supplied in Non-sterileand EO sterile but our device will besupplied in Non-Sterile, Gamma Sterileand EO Sterile. | Equivalent |
| 5. | Dimensional Verification | Same dimensions found in both NewDevice as well as Predicate device. | Equivalent |
(B.1). Discussion on the non-clinical testing performed
Following are the applicable product standards considered for non-clinical standards: A:
Material Standards
B: Performance Standards
A: Material Standards:
The material standards are the essential part to be complied with first, as it is the basis of manufacturing metallic surgical implants.
We have complied with the following material standards.
-
ASTM F 136: Standard specification for wrought Titanium - 6Aluminum - 4Vanadium ELI (Extra low interstitial) Alloy for surgical implant applications.
-
ASTM F 899-12: Standard Specification for Wrought Stainless Steels for surgical instruments.
We have verified the purchased material compliance to these standards and copies of the relevant test results are attached herewith.
{6}------------------------------------------------
Image /page/6/Picture/0 description: The image contains the logo for Auxein. The logo consists of a stylized letter "A" inside of a circle on the left, followed by the word "Auxein" in a sans-serif font. The color of the logo is blue.
Delhi-110 009, Ind
MANUFACTURING UN
Plot No. 169-170, Phase-I
Sector-57. Kundli Industrial Are
DC, Sonepat-131028, Haryana, Ind
1 86077 703197 (FAX)
www.auxein.com
B: Performance Standards:
The device performance of Auxilock Titanium Interference Screw system has been demonstrated against following applicable standards.
- . ASTM F 543-17
- Custom Fatigue Testing ●
(B.1). Summary of performance testing:
The pull out strength, Torsional Strength, Screw In and Out and Pull Out Based Fatique test were measured for the smallest dia. i.e. 7 mm Auxilock Titanium Interference Screws. The above test were also performed for the samples of Titanium Interference Screw of Parcus Medical and results of these test demonstrated that there were no significant differences between both the devices.
Bacterial endotoxins for the implantable components are determined using LAL testing to meet endotoxin limit specifications.
Biocompatibility testing of the samples has been conducted as per EN ISO 10993-1.
We have performed accelerated and real-time studies as per EN ISO 11607-1:2009.
Reference device for shelf-life and packaging is already approved by USFDA (K201457) and the scoped device (Auxilock Titanium Interference Screw) contains same packaging material as that of K201457.
Conclusion:
General, Safety and Performance conclusion:
| S.No. | Parameter ofConclusion | Proposed Device | Predicate Device |
|---|---|---|---|
| 1. | Product Code | MBI, HWC | Same |
| 2. | Regulation Number | 21 CFR 888.3040. | Same |
| 3. | Regulatory Class | Class II | Same |
| 4. | Intended Use | The Auxilock Titanium InterferenceScrew is indicated for use in the fixationof ligaments and tendons in patientsrequiring ligament or tendon repair. | Similar IntendedUse |
| 5. | Sterilization | Same method of sterilization used inboth New Device as well as Predicatedevice. | Same |
| 6. | Mechanical TestPerformance | Pull out strength, Torsional Strength,Screw In and Out and Pull Out BasedFatigue test. | Same |
{7}------------------------------------------------
Image /page/7/Picture/0 description: The image shows the word "Auxein" in blue font. To the left of the word is a blue logo that appears to be the letter "A" inside of a circle. The logo and the word are the only elements in the image. The background is white.
Image /page/7/Picture/1 description: The image shows contact information for a company. The corporate office is located at 7-A Nirankari Colony, Delhi-110 009, India. The manufacturing unit is located at Plot No. 169-170, Phase-IV, Sector 57, Kundli Industrial Area, HSIIDC, Sonepat-131028, Haryana, India. The phone number is +91 99106 43618 and the fax number is +91 86077 70197. The website is www.auxein.com.
| 7. | Material Standards | ASTM F 136 & ASTM F 899-12b. | Same |
|---|---|---|---|
| ----------- | -------------------- | ------------------------------ | ------ |
From the data available we can justify that the Auxilock Titanium Interference screw is as safe, and as effective and performs as same indications for use as that of already marketed predicate devices identified in A.3. of 510(k) summary.
N/A