K Number
K203523
Date Cleared
2021-12-25

(389 days)

Product Code
Regulation Number
888.3030
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Fixone Hybrid Knotless Anchor is intended for fixation of suture (soft tissue) to bone in the shoulder, foot/ankle, knee and elbow in the following procedures:

Shoulder: Rotor Cuff Repair, Bankart Repair, Biceps Tenodesis, Acromio-Clavicular Separation Repair, Deltoid Repair, Capsular Shift or Capsulolabral Reconstruction;

Foot/Ankle: Lateral Stabilization, Medial Stabilization, Achilles Tendon Repair;

Knee: Medial Collateral Ligament Repair, Lateral Collateral Ligament Repair, Posterior Oblique Ligament Repair, lliotibial Band Tenodesis;

Elbow: Biceps Tendon Reattachment, Ulnar or Radial Collateral Ligament Reconstruction

Device Description

The Fixone Hybrid Knotless Anchor is intended for reattaching soft tissue to bone with sutures. The anchor is manufactured from biodegradable materials (PLGA copolymer and β-TCP) and nonabsorbable PEEK tip. A nonabsorbable suture manufactured from cobraided UHMWPE and PET fibers is inserted into the anchor. The anchor is implanted using a provided driver.

This device is could used with instrument that manufactured by Aju Pharm Co.,Ltd. It is consist of 11 models. It provide non-sterile (user must sterilization before use).

AI/ML Overview

Here's a summary of the acceptance criteria and the study that proves the device meets them, based on the provided FDA 510(k) summary for the Fixone Hybrid Knotless Anchor.

1. Table of Acceptance Criteria and Reported Device Performance

Test ItemAcceptance CriteriaReported Performance
Mechanical Testing
External Surface (ASTM F2502, USP<28>)Not explicitly stated in table, but implied to meet standards.Pass
MeasurementWithin 5% of the dimensions specified in specifications.Pass
Insertion Torque (ASTM F1839)Not less than 0.15 Nm.Pass
Fixation StrengthNot less than 100 N.Pass
Tensile Strength (suture threads)Not less than 34.5 N.Pass
Torsional TestMaximum torque should not be less than insertion torque. Anchor should endure movement of tissues and bones (Arthrex pull-out and cyclic pull-out testing cited as supporting this).Pass
Extraction TestNot explicitly stated in table.Pass
pHDifference should be 1.5 and less.Pass
Potassium Permanganate Reducing SubstancesDifference of consumption of potassium permanganate should be 2.0 mL and less.Pass
Residue after EvaporationWeight of the residue should be 1.0 mg and less.Pass
Heavy MetalsAny brown color produced within 10 minutes in the tube containing the extract of the prepared sample does not exceed that in the tube containing the standard lead solution.Pass
UV Spectrum (250nm~350nm)Maximum absorbance between 250 to 350 nm should be 0.1 and less.Pass
Property (Visual inspection)Test solution should be clear and have no foreign particles.Pass
Biocompatibility (Anchor)
Cytotoxicity (ISO 10993-5)Meets ISO 10993-5 criteria.Pass
Maximization test for delayed hypersensitivity (ISO 10993-10)Meets ISO 10993-10 criteria.Pass
Intracutaneous reactivity (ISO 10993-10)Meets ISO 10993-10 criteria.Pass
Acute Systemic toxicity (ISO 10993-11)Meets ISO 10993-11 criteria.Pass
Material-mediated Pyrogen (ISO 10993-11, USP39<151>)Meets ISO 10993-11 criteria.Pass
Sub acute Systemic toxicity (ISO 10993-11)Meets ISO 10993-11 criteria.Pass
Bacterial reverse mutation test (ISO 10993-3, OECD 471)Meets ISO 10993-3 and OECD 471 criteria.Pass
Mammalian erythrocyte micronucleus test (ISO 10993-3, OECD 474)Meets ISO 10993-3 and OECD 474 criteria.Pass
Implantation test (ISO 10993-6, Annex D for bone)Meets ISO 10993-6 criteria for local effects after implantation in bone.Pass
Biocompatibility (Suture)
Cytotoxicity (ISO 10993-5)Meets ISO 10993-5 criteria.Pass
Maximization test for delayed hypersensitivity (ISO 10993-10)Meets ISO 10993-10 criteria.Pass
Intracutaneous reactivity (ISO 10993-10)Meets ISO 10993-10 criteria.Pass
Acute Systemic toxicity (ISO 10993-11)Meets ISO 10993-11 criteria.Pass
Material-mediated Pyrogen (ISO 10993-11)Meets ISO 10993-11 criteria.Pass
Sub acute Systemic toxicity (ISO 10993-11)Meets ISO 10993-11 criteria.Pass
Bacterial reverse mutation test (ISO 10993-3, OECD 471)Meets ISO 10993-3 and OECD 471 criteria.Pass
Mammalian erythrocyte micronucleus test (ISO 10993-3, OECD 474)Meets ISO 10993-3 and OECD 474 criteria.Pass
Implantation test (ISO 10993-6, 4 & 12 weeks)Meets ISO 10993-6 criteria for local effects after implantation.Pass
Biological risk assessmentAssessment according to ISO 10993-1, EN ISO 14971, FDA G95-1, EU Medical Device Directive. Examines components, literature, and history of safe use.-
Biocompatibility (Tip)
Cytotoxicity (ISO 10993-5)Meets ISO 10993-5 criteria.Pass
Maximization test for delayed hypersensitivity (ISO 10993-10)Meets ISO 10993-10 criteria.Pass
Intracutaneous reactivity (ISO 10993-10)Meets ISO 10993-10 criteria.Pass
Acute Systemic toxicity (ISO 10993-11)Meets ISO 10993-11 criteria.Pass
Material-mediated Pyrogen (ISO 10993-11)Meets ISO 10993-11 criteria.Pass
Sub acute Systemic toxicity (ISO 10993-11)Meets ISO 10993-11 criteria.Pass
Bacterial reverse mutation test (ISO 10993-3, OECD 471)Meets ISO 10993-3 and OECD 471 criteria.Pass
Mammalian erythrocyte micronucleus test (ISO 10993-3, OECD 474)Meets ISO 10993-3 and OECD 474 criteria.Pass
Implantation test (ISO 10993-6, Annex D for bone)Meets ISO 10993-6 criteria for local effects after implantation in bone.Pass
Biocompatibility (Colored Suture)
Cytotoxicity (ISO 10993-5)Meets ISO 10993-5 criteria.Pass
Maximization test for delayed hypersensitivity (ISO 10993-10)Meets ISO 10993-10 criteria.Pass
Intracutaneous reactivity (ISO 10993-10)Meets ISO 10993-10 criteria.Pass
Acute Systemic toxicity (ISO 10993-11)Meets ISO 10993-11 criteria.Pass
Material-mediated Pyrogen (ISO 10993-11)Meets ISO 10993-11 criteria.Pass
Sub chronic Systemic toxicity (ISO 10993-11)Meets ISO 10993-11 criteria.Pass
Bacterial reverse mutation test (ISO 10993-3, OECD 471)Meets ISO 10993-3 and OECD 471 criteria.Pass
Mammalian erythrocyte micronucleus test (ISO 10993-2, OECD 474)Meets ISO 10993-2 and OECD 474 criteria.Pass
Implantation test (ISO 10993-6, 4 & 12 weeks)Meets ISO 10993-6 criteria for local effects after implantation.Pass
Biocompatibility (Driver shaft - Stainless steel 304)
Cytotoxicity (ISO 10993-5)Meets ISO 10993-5 criteria.Pass
Intracutaneous reactivity test (ISO 10993-10)Meets ISO 10993-10 criteria.Pass
Maximization sensitization (ISO 10993-10)Meets ISO 10993-10 criteria.Pass
Sterilization & Shelf Life
Pyrogen (Material-mediated)Meets ISO10993-11, USP39<151> criteria.Pass
Shelf life testing (Accelerated aging)Real-time equivalent (RTE) and Accelerated aging temperature (Taa) as per AAMI TIR17 and ASTM F 1980-02 confirmed stability at 55±2°C for 229 days.Pass
Shelf life testing (Real-time)Physicochemical changes and packaging tested at 0, 1, 2, 3, 4, and 5 years for validity and safety per ISO 11607-1:2006, ISO 11607-2:2006. Valid for 5 years.Pass
EO sterilization Validation (EO residual test)ISO11135(2014) standards met.Pass
Endotoxin (USP 43 <85>, LAL)Endotoxin level conforms.Pass

2. Sample Size for the Test Set and Data Provenance

The document describes bench testing for mechanical and biocompatibility properties. It doesn't specify a "test set" in the context of patient data or clinical images. The tests were performed on the device components themselves.

  • Sample Size: Not explicitly stated as a single number across all tests. Each test (e.g., tensile strength, insertion torque, various biocompatibility tests) would have its own sample size, which is not detailed but assumed to be sufficient for the relevant standards (e.g., ASTM, ISO, USP). For tensile strength, it mentions "measuring 10 suture threads."
  • Data Provenance: The studies were bench tests conducted by the manufacturer, AJU Pharm Co., Ltd., which is located in Korea. The details provided do not indicate the use of retrospective or prospective patient data, as this is a physical device rather than a diagnostic or AI-driven system.

3. Number of Experts Used to Establish Ground Truth and Qualifications

This information is not applicable to this type of medical device submission. The Fixone Hybrid Knotless Anchor is a physical surgical implant, not a device that generates or interprets diagnostic images or data requiring expert review for ground truth. The "ground truth" here is established through adherence to recognized international and national standards (e.g., ISO, ASTM, USP) for mechanical properties, material properties, and biocompatibility.

4. Adjudication Method for the Test Set

This is not applicable as there is no "test set" in the clinical imaging or diagnostic sense requiring expert adjudication. The performance is assessed against predefined quantitative and qualitative criteria in bench testing.

5. Multi Reader Multi Case (MRMC) Comparative Effectiveness Study

This is not applicable. The device is a surgical anchor, not an AI-assisted diagnostic tool or a system that involves human readers interpreting output. Therefore, there is no concept of improving human reader performance with or without AI assistance in this context.

6. Standalone (Algorithm Only Without Human-in-the-Loop Performance) Study

This is not applicable. The Fixone Hybrid Knotless Anchor is a physical medical device, not a software algorithm or an AI system.

7. Type of Ground Truth Used

The "ground truth" in this submission is established through:

  • International Standards: Adherence to widely recognized standards from organizations like ISO (e.g., ISO 10993 for biocompatibility, ISO 11135 for sterilization, ISO 11607 for packaging), ASTM (e.g., ASTM F2502, F1839, F1980-02 for mechanical and aging tests), and USP (e.g., USP<28> for material properties, USP39<151> for pyrogen, USP 43 <85> for endotoxin).
  • Predicate Device Comparison: The primary method for proving substantial equivalence is demonstrating that the test results of the Fixone Hybrid Knotless Anchor are comparable to a legally marketed predicate device (Fixone Biocomposite Anchor, K192484) and meet relevant performance benchmarks. The new device is substantially similar, with the only noted difference being the material of the tip (PEEK in the new device versus PLGA + β-TCP in the predicate).

8. Sample Size for the Training Set

This is not applicable. There is no "training set" as this is not a machine learning or artificial intelligence device.

9. How the Ground Truth for the Training Set Was Established

This is not applicable for the reasons mentioned above.

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December 25, 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 and Human Services logo on the left and the FDA logo on the right. The FDA logo includes a blue square with the letters "FDA" in white, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue.

AJU Pharm Co., Ltd. % Peter Chung President Plus Global 300 Atwood Pittsburgh, Pennsylvania 15213

Re: K203523

Trade/Device Name: Fixone Hybrid Knotless Anchor Regulation Number: 21 CFR 888.3030 Regulation Name: Single/Multiple Component Metallic Bone Fixation Appliances And Accessories Regulatory Class: Class II Product Code: MAI Dated: November 19, 2021 Received: November 23, 2021

Dear Peter Chung:

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. 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

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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,

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

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Indications for Use

510(k) Number (if known) K203523

Device Name Fixone Hybrid Knotless Anchor

The Fixone Hybrid Knotless Anchor is intended for fixation of suture (soft tissue) to bone in the shoulder, foot/ankle, knee and elbow in the following procedures:

Shoulder: Rotor Cuff Repair, Bankart Repair, Biceps Tenodesis, Acromio-Clavicular Separation Repair, Deltoid Repair, Capsular Shift or Capsulolabral Reconstruction;

Foot/Ankle: Lateral Stabilization, Medial Stabilization, Achilles Tendon Repair;

Knee: Medial Collateral Ligament Repair, Lateral Collateral Ligament Repair, Posterior Oblique Ligament Repair, lliotibial Band Tenodesis;

Elbow: Biceps Tendon Reattachment, Ulnar or Radial Collateral Ligament Reconstruction

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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510(k) Summary

1. Applicant

  • Company : AJU Pharm Co.,Ltd. 1)
    1. Address : A-207, 697, Pangyo-ro, Seongnam-si, Gyeonggi-do, Korea
    1. Tel : 82-31-765-4420
    1. Fax : 82-31-602-7818
  • Prepared date : Nov. 09. 2020 5)
  • () Contact person : Peter Chung, 412-512-8802
    1. Contact person address : 300, Atwood Street, Pittsburgh, PA, 15213, USA
    1. Submission date : Dec. 22. 2021
  • ರು) Submission type : Traditional
    1. Prior related submissions : K192484 Kc type anchor

2. Device Information

  • Trade name : Fixone Hybrid knotless Anchor 1)
    1. Common name : Fastener, Fixation, Biodegradable, Soft tissue
  • Regulation name : Single/multiple component metallic bone fixation appliances and accessories 3)
    1. Product code : MAI, MBI
  • ട്) Regulation number : 888.3030
  • ୧) Class of device : Class II
    1. Panel : Orthopedic

3. The legally marketed device to which we are claiming equivalence

K192484, Aju Pharm Co., Ltd. / Fixone Biocomposite Anchor (Especially Kc Type)

4. Device description

The Fixone Hybrid Knotless Anchor is intended for reattaching soft tissue to bone with sutures. The anchor is manufactured from biodegradable materials (PLGA copolymer and β-TCP) and nonabsorbable PEEK tip. A nonabsorbable suture manufactured from cobraided UHMWPE and PET fibers is inserted into the anchor. The anchor is implanted using a provided driver.

This device is could used with instrument that manufactured by Aju Pharm Co.,Ltd. It is consist of 11 models. It provide non-sterile (user must sterilization before use).

Product nameInstrument / 11 model codes including
Intended useThe instrument of make the hole in the bone.
ManufacturerAJU Pharm Co.,Ltd. / Korea
CharacteristicThis device is provided as Non-sterile and Reusable device.This device is provided non-sterile. This device is user-sterilized.
Sterilization methodAutoclave / 132°C / 4min / 20 min dry

5. Intended Use :

The Fixone Hybrid Knotless Anchor is intended for fixation of suture (soft tissue) to bone in the shoulder, foot/ankle, knee and elbow in the following procedures:

Shoulder: Rotator Cuff Repair, Bankart Repair, SLAP Lesion Repair, Biceps Tenodesis, Acromio-Clavicular Separation Repair, Deltoid Repair, Capsular Shift or Capsulolabral Reconstruction;

Foot/Ankle: Lateral Stabilization, Medial Stabilization, Achilles Tendon Repair;

Knee: Medial Collateral Ligament Repair, Lateral Collateral Ligament Repair, Posterior Oblique Ligament Repair, lliotibial Band Tenodesis;

Elbow: Biceps Tendon Reattachment, Ulnar or Radial Collateral Ligament Reconstruction.

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6. Performance data:

  • Bench test were performed. Bench testing included biocompatibility, mechanical testing 1) including EO residues. The tests demonstrated that the device performs in a substantially equivalent manner to the predicate device. The following bench testing is performed to demonstrate the functionality is substantially equivalent.
Test itemRequirementsResults
External surfaceAccording to test methods of ASTM F2502 and USP<28>
MeasurementSurface and measurement : Using vernier caliper, micrometer or a tape measure, should be within 5% of the dimension specified in specifications.
Insertion torqueInsertion torque : Drive the specimen into the test block(ASTM F1839) at a rate of 1r/min. Should not be less than 0.15Nm.
Fixation strengthFixation : Apply a compressive load to the test specimen at a rate of 5mm/min. Should not be less than 100N.Pass
Tensile strengthTensile strength : measuring 10 suture threads with stretching. Should not be less than 34.5N
Torsional TestTorsional test : Apply torsional load to the test specimen at a rate of 5r/min. This maximum torque should not be less than insertion torque.Fixation anchor could endure movement of tissues and bones.Arthrex did pull out and cyclic pull-out testing to support device performance.
Extraction test
pHThe difference should be 1.5 and less.
Potassium permanganate reducing substancesThe difference of the consumption of potassium permanganate should be 2.0 mL and less.
Residue after evaporationRecord the weight of the residue should be 1.0mg and less.
Heavy metalsAny brown color produced within 10 minutes in the tube containing the extract of the prepared sample does not exceed that in the tube containing the standard lead solutionPass
UV spectrum(250nm~350nm)Maximum absorbance between 250 to 350 nm should be 0.1 and less.
PropertyWhen observing it with the naked eye, test solution should be clear and have no foreign particles.
PyrogenMaterial-mediated pyrogensISO10993-11, USP39<151>Pass
Shelf life testingTo make shelf life time, my company set Real-time equivalent (RTE) and Accelerated agingtemperature, Taa as per AAMI TIR17 and ASTM F 1980-02.Aging temperature: 55±2°C, aging time: 229 daysPass
Shelf life testing(Real-time)This aims to verify that this product is valid for 5 years (60 months) by testing physicochemicalchanges and packaging of the materials and the product at six times points before real time aging(0 year), middle real time aging (1 year, 2 years, 3 years, 4years) and after real time aging (5years) on the evaluation of validity and safety for medical appliances by ISO 11607-1:2006, ISO11607-2:2006.Pass
EO sterilization Validation(EO residual test in EOsterilization Validationreport)ISO11135(2014)Pass

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2) Biocompatibility

#Test itemTest method / Test criteriaTest result
1CytotoxicityISO 10993-5(2009) Biological evaluation of medical devices - Part 5: Tests for in vitro cytotoxicityPass
2Maximization test for delayed hypersensitivityISO 10993-10, Tests for irritation and skin sensitization, Maximization test for delayed hypersensitivityPass
3Intracutaneous reactivityISO 10993-10, Tests for irritation and skin sensitization, Intracutaneous(Intradermal)Reactivity TestPass
4Acute Systemic toxicityISO 10993-11 Test for systemic toxicity, Acute Systemic toxicityPass
5Material-mediated PyrogenISO 10993-11 Test for systemic toxicity, pyrogen testPass
6Sub acute Systemic toxicityISO 10993-11 Test for systemic toxicity, Systemic toxicityPass
7Bacterial reverse mutation testISO 10993-3, Genotoxicity test OECD 471, Bacterial reverse mutation testPass
8Mammalian erythrocyte micronucleus testISO 10993-3, Genotoxicity test OECD 474, Mammalian erythrocyte micronucleus testPass
9Implantation testISO 10993-6, Tests for local effects after implantation, Annex D test methods for implantation in bonePass

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Suture
#Test itemTest method / Test criteriaTest result
1CytotoxicityISO 10993-5, Biological evaluation of medical devices - Part 5: Tests for invitro cytotoxicityPass
2Maximization testfor delayedhypersensitivityISO 10993-10, Tests for irritation and skin sensitization, Maximizationtest for delayed hypersensitivityPass
3IntracutaneousreactivityISO 10993-10, Tests for irritation and skin sensitization, Intracutaneous(Intradermal)Reactivity TestPass
4Acute SystemictoxicityISO 10993-11 Test for systemic toxicity, Acute Systemic toxicityPass
5Material-mediatedPyrogenISO 10993-11 Test for systemic toxicity, pyrogen testPass
6Sub acute SystemictoxicityISO 10993-11 Test for systemic toxicity, Systemic toxicityPass
7Bacterial reversemutation testISO 10993-3, Genotoxicity test OECD 471, Bacterial reverse mutation testPass
8Mammalianerythrocytemicronucleus testISO 10993-3, Genotoxicity test OECD 474, Bacterial reverse mutation testPass
9Implantation testISO 10993-6, Tests for local effects after implantation(4weeks)Pass
ISO 10993-6, Tests for local effects after implantation(12weeks)Pass
10Biological riskassessmentThis assessment and evaluation plan focuses on the requirements of ISO10993-1:2009 - Biological evaluation of medical devices – Part 1:Evaluation and testing within a risk management process, EN ISO14971:2012 - Medical devices – Application of risk management tomedical devices, FDA General Program Memorandum #G95-1, Use ofInternational Standard ISO-10993, Biological Evaluation of MedicalDevices Part 1: Evaluation and Testing, and the European Union MedicalDevice Directive 93/42/EEC.1,2,3,4 It examines the components used inthe device, information on the device materials in the literature, and thehistory of safe and effective use of the device materials in humans.-
Tip
#Test itemTest method / Test criteriaTest result
1CytotoxicityISO 10993-5, Biological evaluation of medical devices - Part 5: Tests for invitro cytotoxicityPass

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2Maximization testfor delayedhypersensitivityISO 10993-10, Tests for irritation and skin sensitization, Maximizationtest for delayed hypersensitivityPass
3IntracutaneousreactivityISO 10993-10, Tests for irritation and skin sensitization,Intracutaneous(Intradermal)Reactivity TestPass
4Acute SystemictoxicityISO 10993-11 Test for systemic toxicity, Acute Systemic toxicityPass
5Material-mediatedPyrogenISO 10993-11 Test for systemic toxicity, pyrogen testPass
6Sub acute SystemictoxicityISO 10993-11 Test for systemic toxicity, Systemic toxicityPass
7Bacterial reversemutation testISO 10993-3, Genotoxicity test OECD 471, Bacterial reverse mutation testPass
8Mammalianerythrocytemicronucleus testISO 10993-3, Genotoxicity test OECD 474, Bacterial reverse mutation testPass
9Implantation testISO 10993-6, Tests for local effects after implantation, Annex D testmethods for implantation in bonePass

Suture(White(B), Black(90%)/White(10%), Black(50%)/White(50%), Black(10%)/White(90%), Black(100%)) (Newly added information)

#Test itemTest method / Test criteriaTest result
1CytotoxicityISO 10993-5, Biological evaluation of medical devices - Part 5: Tests for invitro cytotoxicityPass
2Maximization testfor delayedhypersensitivityISO 10993-10, Tests for irritation and skin sensitization, Maximizationtest for delayed hypersensitivityPass
3IntracutaneousreactivityISO 10993-10, Tests for irritation and skin sensitization, Intracutaneous(Intradermal)Reactivity TestPass
4Acute SystemictoxicityISO 10993-11 Test for systemic toxicity, Acute Systemic toxicityPass
5Material-mediatedPyrogenISO 10993-11 Test for systemic toxicity, pyrogen testPass
6Sub chronicSystemic toxicityISO 10993-11 Test for systemic toxicity, Sub chronic Systemic toxicityPass

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7Bacterial reversemutation testISO 10993-3, Genotoxicity test OECD 471, Bacterial reverse mutation testPass
8Mammalianerythrocytemicronucleus testISO 10993-2, Genotoxicity test OECD 474, Mammalian erythrocytemicronucleus testPass
9Implantation testISO 10993-6, Tests for local effects after implantation(4weeks)Pass
ISO 10993-6, Tests for local effects after implantation(12weeks)Pass

Driver shaft (Stainless steel 304)

#Test itemTest method / Test criteriaTest result
1CytotoxicityISO 10993-5, Biological evaluation of medical devices - Part 5: Tests for in vitro cytotoxicityPass
2Intracutaneousreactivity testISO 10993-10, Biological evaluation of medical devices - Part 10: Tests for irritation and skin sensitizationPass
3MaximizationsensitizationISO 10993-10, Test for irritation and skin sensitization, Maximization test for delayed hypersensitivityPass

Endotoxin test

#Test itemTest method / Test criteriaTest result
1EndotoxinUSP 43 <85>, Bacterial endotoxin test (LAL)Pass

Endotoxin level and EO sterilization will be monitored In an alternative plan to batch testing.

The performance tests demonstrated that Fixone Hybrid Knotless Anchor performs in a substantially equivalent manner to the predicate device.

7. Predicate device comparison table

ManufacturerAJU Pharm Co.,Ltd.AJU Pharm Co.,Ltd.Remark
510(k) No.K192484K203523N/A
Indication for useThe Fixone Biocomposite Anchors areintended for fixation of suture (softtissue) to bone in the shoulder,foot/ankle, knee and elbow in thefollowing procedures:Shoulder: Rotator Cuff Repair, BankartRepair, SLAP Lesion Repair, BicepsTenodesis, Acromio-Clavicular SeparationRepair, Deltoid Repair, Capsular Shift orCapsulolabral Reconstruction;Foot/Ankle: Lateral Stabilization, MedialStabilization, Achilles Tendon Repair;Knee: Medial Collateral Ligament Repair,Lateral Collateral Ligament Repair,Posterior Oblique Ligament Repair,Iliotibial Band Tenodesis;The Fixone Hybrid Knotless Anchors areintended for fixation of suture (softtissue) to bone in the shoulder,foot/ankle, knee and elbow in thefollowing procedures:Shoulder: Rotator Cuff Repair, BankartRepair, SLAP Lesion Repair, BicepsTenodesis, Acromio-Clavicular SeparationRepair, Deltoid Repair, Capsular Shift orCapsulolabral Reconstruction;Foot/Ankle: Lateral Stabilization, MedialStabilization, Achilles Tendon Repair;Knee: Medial Collateral Ligament Repair,Lateral Collateral Ligament Repair,Posterior Oblique Ligament Repair,Same
ManufacturerAJU Pharm Co.,Ltd.AJU Pharm Co.,Ltd.Remark
Iliotibial Band Tenodesis;Elbow: Biceps Tendon Reattachment,Ulnar or Radial Collateral LigamentReconstruction.Elbow: Biceps Tendon Reattachment,Ulnar or Radial Collateral LigamentReconstruction.
Classification nameFastener, Fixation, Biodegradable, Soft tissueFastener, Fixation, Biodegradable, Soft tissueSame
Trade nameFixone Biocomposite AnchorFixone Hybrid Knotless Anchor
Model/type161 model codes including BAB-45001a8 models include KAP-47501caN/A
ProductconfigurationDriverDriverSame
AnchorAnchor
SutureSuture
MaterialPLLA + β-TCPPLGA + β-TCPPEEKPEEK
PEEK
Anchor
Outside diameter3.0mm/4.5mm/4.75mm5.5mm/5.75mm/6.5mm4.75mm / 5.5mmSame(Included)
Length of anchor11.9mm/14.6mm/15mm/15.7mm16mm/16.5mm/16.8mm14.7mm / 15 mmSame(Included)
Length of tip10.5mm10.5mmSame
Suture
AbsorbableNon-absorbableNon-absorbableSame
Suture diameter0.50~0.599 (USP size 2)0.50~0.599 (USP size 2)Same
MaterialUHMWPEUHMWPE+PET (Colored suture)UHMWPE (Black, White)Similar
SterilizationEO Gas sterilizationAccording to ISO 11135: 2014EO Gas sterilizationAccording to ISO 11135: 2014Same
BiodegradableYesYesSame
Principle ofoperationManualManualSame
Shelf-life5 years5 yearsSame

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PEEK : This is the only different part between subject and predicate device.

8. Conclusion

The device is investigated for function to compare the operation of function between Fixone Hybrid Knotless Anchor

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and predicate devices.

The subject device was made very similarly with the kc type anchor in K192484. The material of tip is the only different thing. Biodegradable material, PLGA + β-TCP was used in the tip of KC type. Non-biodegradable material, PEEK was used in the tip of subject device. Other materials, mechanical properties, appearance and using methods are all same.

The tip of KP type of PEEK is non-biodegradable material that compared to PLGA + β-TCP.

Comparison results demonstrate that the specifications and performance of the device are substantially equivalent to the legally marketed predicate device.

Therefore, it is concluded that Fixone Hybrid Knotless Anchor is substantially equivalent to the legally marketed predicate device.

§ 888.3030 Single/multiple component metallic bone fixation appliances and accessories.

(a)
Identification. Single/multiple component metallic bone fixation appliances and accessories are devices intended to be implanted consisting of one or more metallic components and their metallic fasteners. The devices contain a plate, a nail/plate combination, or a blade/plate combination that are made of alloys, such as cobalt-chromium-molybdenum, stainless steel, and titanium, that are intended to be held in position with fasteners, such as screws and nails, or bolts, nuts, and washers. These devices are used for fixation of fractures of the proximal or distal end of long bones, such as intracapsular, intertrochanteric, intercervical, supracondylar, or condylar fractures of the femur; for fusion of a joint; or for surgical procedures that involve cutting a bone. The devices may be implanted or attached through the skin so that a pulling force (traction) may be applied to the skeletal system.(b)
Classification. Class II.