K Number
K222263
Device Name
Arthrex Self Punching SwiveLock Suture Anchors
Manufacturer
Date Cleared
2022-08-26

(29 days)

Product Code
Regulation Number
888.3030
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Arthrex Self Punching SwiveLock® Suture Anchors are intended to be used for suture (soft tissue) fixation to bone in the shoulder in skeletally mature pediatric and adult patients. Specifically, rotator cuff repair.
Device Description
The proposed Arthrex Self Punching SwiveLock® Suture Anchors are fully threaded suture anchors comprised of a PEEK eyelet and a hollow anchor body preassembled on a disposable inserter. The anchor body is manufactured from either PLLA/βTCP or PEEK. The Arthrex Self Punching SwiveLock® Suture Anchor is intended to be used for suture (soft tissue) fixation to the bone in the shoulder.
More Information

No
The device description and performance studies focus on the mechanical properties and fixation capabilities of a physical suture anchor, with no mention of software, algorithms, or data processing that would indicate AI/ML.

Yes
The device is described as "suture anchors intended to be used for suture (soft tissue) fixation to bone in the shoulder," specifically for "rotator cuff repair," which clearly defines a therapeutic purpose to treat a medical condition.

No
The device is a suture anchor used for soft tissue fixation to bone, specifically for rotator cuff repair. Its function is to physically attach tissue, not to diagnose medical conditions or provide diagnostic information.

No

The device description clearly describes a physical implant (suture anchors made of PEEK, PLLA/βTCP) and a disposable inserter, indicating it is a hardware medical device, not software-only.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body (like blood, urine, tissue) to provide information about a person's health.
  • Device Description and Intended Use: The description clearly states the device is a "suture anchor" intended for "suture (soft tissue) fixation to bone in the shoulder." This is a surgical implant used directly within the body to repair tissue.
  • Lack of Diagnostic Function: There is no mention of the device being used to analyze samples or provide diagnostic information. Its function is purely mechanical and structural.

Therefore, based on the provided information, the Arthrex Self Punching SwiveLock® Suture Anchor is a surgical implant, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Arthrex Self Punching SwiveLock® Suture Anchors are intended to be used for suture (soft tissue) fixation to bone in the shoulder in skeletally mature pediatric and adult patients. Specifically, rotator cuff repair.

Product codes (comma separated list FDA assigned to the subject device)

MAI, MBI

Device Description

The proposed Arthrex Self Punching SwiveLock® Suture Anchors are fully threaded suture anchors comprised of a PEEK eyelet and a hollow anchor body preassembled on a disposable inserter. The anchor body is manufactured from either PLLA/βTCP or PEEK. The Arthrex Self Punching SwiveLock® Suture Anchor is intended to be used for suture (soft tissue) fixation to the bone in the shoulder.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

shoulder

Indicated Patient Age Range

skeletally mature pediatric and adult patients

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Pull-out and insertion testing was performed on the proposed and predicate devices. The acceptance criteria were met for all samples, demonstrating substantial equivalence to the predicate.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K191226

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

K203495, K193503

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 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.

0

August 26, 2022

Image /page/0/Picture/1 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which consists of the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG" in blue, with the word "ADMINISTRATION" underneath.

Arthrex Inc. Tiffany Mentzel Principal Regulatory Affairs Specialist 1370 Creekside Boulevard Naples, Florida 34108

Re: K222263

Trade/Device Name: Arthrex Self Punching SwiveLock® Suture Anchors Regulation Number: 21 CFR 888.3030 Regulation Name: Single/Multiple Component Metallic Bone Fixation Appliances And Accessories Regulatory Class: Class II Product Code: MAI, MBI Dated: July 27, 2022 Received: July 28, 2022

Dear Tiffany Mentzel:

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 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

1

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 (QS) 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 medical devices and radiation-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,

Laura C. Rose, PhD 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)

K22263

Device Name

Arthrex Self Punching SwiveLock® Suture Anchors

Indications for Use (Describe)

The Arthrex Self Punching SwiveLock® Suture Anchors are intended to be used for suture (soft tissue) fixation to bone in the shoulder in skeletally mature pediatric and adult patients. Specifically, rotator cuff 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)

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Image /page/3/Picture/1 description: The image shows the Arthrex logo. The logo consists of the word "Arthrex" in a bold, sans-serif font, followed by a stylized image of a surgical instrument. The surgical instrument appears to be a type of clamp or forceps, with a handle and two circular ends. The logo is simple and modern, and it is likely used to represent a medical device company.

510(k) Summary

Date PreparedJuly 27, 2022
SubmitterArthrex Inc.
1370 Creekside Boulevard
Naples, FL 34108-1945
Contact PersonName: Tiffany Mentzel
Title: Principal Regulatory Affairs Specialist
Phone: 1 (239) 643-5553 x75833
Email: tiffany.mentzel@arthrex.com
Trade NameArthrex Self Punching SwiveLock® Suture Anchors
Common NameSuture Anchor
Product CodeMAI, MBI
Classification Name21 CFR 888.3030: Single/multiple component
metallic bone fixation appliances and accessories
21CFR 888.3040: Smooth or threaded metallic
bone fixation fastener
Regulatory ClassII
Primary Predicate DeviceK191226: Arthrex SwiveLock Suture Anchor
Reference DevicesK203495: Arthrex SwiveLock Anchor
K193503: Arthrex SwiveLock Suture Anchor
Purpose of SubmissionThis Special 510(k) premarket notification is
submitted to obtain clearance for the Arthrex Self
Punching SwiveLock Suture Anchors as a line
extension to the Arthrex SwiveLock Suture Anchors
cleared in K191226.
Device DescriptionThe proposed Arthrex Self Punching SwiveLock®
Suture Anchors are fully threaded suture anchors
comprised of a PEEK eyelet and a hollow anchor
body preassembled on a disposable inserter. The
anchor body is manufactured from either
PLLA/βTCP or PEEK. The Arthrex Self Punching
SwiveLock® Suture Anchor is intended to be used
for suture (soft tissue) fixation to the bone in the
shoulder.
Indications for UseThe Arthrex Self Punching SwiveLock® Suture
Anchors are intended to be used for suture (soft
tissue) fixation to bone in the shoulder in skeletally
mature pediatric and adult patients. Specifically,
rotator cuff repair.
Performance DataPull-out and insertion testing was performed on the
proposed and predicate devices. The acceptance
criteria were met for all samples, demonstrating
substantial equivalence to the predicate.
Technological
ComparisonThe proposed device has the same technological
characteristics (anchor design, material,
sterilization method and biocompatibility profile).
The proposed device modification consists of a
PEEK self punching eyelet. The Arthrex Self
Punching SwiveLock® Anchors are substantially
equivalent to the predicate device in which the
design features and intended uses are the same.
Any differences between the proposed device and
the predicate devices are considered minor and do
not result in new or different questions concerning
safety or effectiveness.
ConclusionThe Arthrex Self Punching SwiveLock® Anchors
are substantially equivalent to the predicate
devices in which the basic design features and
intended use are the same. Any differences
between the proposed device and the predicate
devices are considered minor and do not result in
new or different questions concerning safety or
effectiveness. Based on the indications for use,
technological characteristics, and the summary of
data submitted, Arthrex has determined that the
proposed device is substantially equivalent to the
currently marketed predicate device.

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Image /page/4/Picture/1 description: The image shows the logo for Arthrex, a medical device company. The logo consists of the word "Arthrex" in a bold, sans-serif font. To the right of the word "Arthrex" is an image of a surgical instrument, possibly scissors or forceps. The logo is simple and modern, and it is likely used on the company's products and marketing materials.