K Number
K230433
Device Name
Arthrex Knotless FiberTak Suture Anchor
Manufacturer
Date Cleared
2023-03-10

(21 days)

Product Code
Regulation Number
888.3040
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Arthrex Double Loaded Knotless FiberTak® Suture Anchor is intended to be used for suture (soft tissue) fixation to bone in the shoulder, foot/ankle, knee, hand/wrist, elbow, and hip in the following procedures: · 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 Reconstruction • Hand/Wrist: Scapholunate Ligament Reconstruction of collateral ligaments, Repair of Flexor and Extensor Tendons at the PIP, DIP and MCP joints for all digits, digital tendon transfers, Carpal Ligament Reconstruction and Carpometacarpal joint arthroplasty (basal thumb joint arthroplasty) • 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, Joint Capsule Closure (Except Canada) · Hip: Capsular Repair, Acetabular Labral Repair, Gluteal Tendon Repair (Except Canada)
Device Description
The Arthrex Double Loaded Knotless FiberTak Suture Anchor is an all-suture knotless anchor intended to be used for fixation of suture (soft tissue) to bone in the shoulder, foot/ankle, knee, hand/wrist, elbow and hip. The Arthrex Double Loaded Knotless FiberTak Suture Anchor is a sterile, single use implant device constructed from a hollow braid of polyester (sheath) preloaded on an inserter with a double loaded suture component composed of UHMWPE and polyester.
More Information

No
The device description and performance studies focus on the mechanical properties and biological safety of a suture anchor, with no mention of AI or ML capabilities.

Yes
The device is described as an implant used for "fixation of suture (soft tissue) to bone" in various joints, indicating it is used to treat or manage a medical condition (e.g., repairing ligaments, tendons) and restore normal function.

No

The device is an anchor used for fixing suture (soft tissue) to bone. It is an implant used in surgical procedures and does not perform any diagnostic function.

No

The device description clearly states it is an "all-suture knotless anchor" and a "sterile, single use implant device constructed from a hollow braid of polyester... preloaded on an inserter with a double loaded suture component composed of UHMWPE and polyester." This describes a physical implant and delivery system, not software.

Based on the provided text, 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, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Description and Intended Use: The description clearly states that the Arthrex Double Loaded Knotless FiberTak® Suture Anchor is an implant device used for "suture (soft tissue) fixation to bone" in various anatomical locations. This is a surgical procedure performed directly on the patient's body, not a test performed on a sample outside the body.
  • Lack of IVD Characteristics: The text does not mention any of the typical characteristics of an IVD, such as:
    • Testing of biological samples.
    • Detection of analytes (substances being measured).
    • Use of reagents or assays.
    • Diagnostic purposes based on laboratory results.

Therefore, the Arthrex Double Loaded Knotless FiberTak® Suture Anchor is a surgical implant device, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Arthrex Double Loaded Knotless FiberTak Suture Anchor is intended to be used for suture (soft tissue) fixation to bone in the shoulder, foot/ankle, knee, hand/wrist, elbow, and hip in the following procedures:

· 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 Reconstruction

• Hand/Wrist: Scapholunate Ligament Reconstruction of collateral ligaments, Repair of Flexor and Extensor Tendons at the PIP, DIP and MCP joints for all digits, digital tendon transfers, Carpal Ligament Reconstruction and Carpometacarpal joint arthroplasty (basal thumb joint arthroplasty)

• 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, Joint Capsule Closure (Except Canada)

· Hip: Capsular Repair, Acetabular Labral Repair, Gluteal Tendon Repair (Except Canada)

Product codes

MBI

Device Description

The Arthrex Double Loaded Knotless FiberTak Suture Anchor is an all-suture knotless anchor intended to be used for fixation of suture (soft tissue) to bone in the shoulder, foot/ankle, knee, hand/wrist, elbow and hip. The Arthrex Double Loaded Knotless FiberTak Suture Anchor is a sterile, single use implant device constructed from a hollow braid of polyester (sheath) preloaded on an inserter with a double loaded suture component composed of UHMWPE and polyester.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

shoulder, foot/ankle, knee, hand/wrist, elbow, and hip

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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

Not Found

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

Not Found

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

Cyclic pull-out testing was conducted on the proposed devices submitted in this Special 510(k). The test data demonstrates that the proposed devices perform statistically equivalent to the predicate device.

Bacterial endotoxin per EP 2.6.14/USP was conducted to demonstrate that the device meets pyrogen limit specifications.

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

Not Found

Predicate Device(s)

K221396

Reference Device(s)

K203268, K223284, K193503, K193575, K122374, K041553, K032245, K021434

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 888.3040 Smooth or threaded metallic bone fixation fastener.

(a)
Identification. A smooth or threaded metallic bone fixation fastener is a device intended to be implanted that consists of a stiff wire segment or rod made of alloys, such as cobalt-chromium-molybdenum and stainless steel, and that may be smooth on the outside, fully or partially threaded, straight or U-shaped; and may be either blunt pointed, sharp pointed, or have a formed, slotted head on the end. It may be used for fixation of bone fractures, for bone reconstructions, as a guide pin for insertion of other implants, or it may be implanted through the skin so that a pulling force (traction) may be applied to the skeletal system.(b)
Classification. Class II.

0

March 10, 2023

Image /page/0/Picture/1 description: The image contains 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 features the letters 'FDA' in a blue square, followed by the words 'U.S. FOOD & DRUG ADMINISTRATION' in blue text.

Arthrex Inc. Kelsey Roberts Sr. Regulatory Affairs Specialist 1370 Creekside Blvd Naples, Florida 34108

Re: K230433

Trade/Device Name: Arthrex Double Loaded Knotless FiberTak® 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: February 17, 2023 Received: February 17, 2023

Dear Kelsey Roberts:

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

1

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 (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 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,

Sara S. Thompson -S

For

Laurence D. Coyne, Ph.D. 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) K230433

Device Name

Arthrex Double Loaded Knotless FiberTak® Suture Anchor

Indications for Use (Describe)

The Arthrex Double Loaded Knotless FiberTak Suture Anchor is intended to be used for suture (soft tissue) fixation to bone in the shoulder, foot/ankle, knee, hand/wrist, elbow, and hip in the following procedures:

· 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 Reconstruction

• Hand/Wrist: Scapholunate Ligament Reconstruction of collateral ligaments, Repair of Flexor and Extensor Tendons at the PIP, DIP and MCP joints for all digits, digital tendon transfers, Carpal Ligament Reconstruction and Carpometacarpal joint arthroplasty (basal thumb joint arthroplasty)

• 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, Joint Capsule Closure (Except Canada)

· Hip: Capsular Repair, Acetabular Labral Repair, Gluteal Tendon Repair (Except Canada)

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) Summary

Date PreparedMarch 7, 2023
510(k) NumberK230433
SubmitterArthrex Inc.
1370 Creekside Boulevard
Naples, FL 34108-1945
Contact PersonKelsey Roberts
Sr. Regulatory Affairs Specialist
(239) 598-4302 x 72257
Kelsey.Roberts@Arthrex.com
Trade NameArthrex Double Loaded Knotless FiberTak® Suture Anchor
Common NameSmooth or threaded metallic bone fixation fastener
Product CodeMBI
Classification Name21 CFR 888.3040: Smooth or threaded metallic bone fixation
fastener
Regulatory ClassClass II
Predicate DeviceK221396: Arthrex FiberTak Suture Anchor
Reference DevicesK203268: Arthrex FiberTak Suture Anchor
K223284: SutureLoc™ Implant
K193503: Arthrex SwiveLock Suture Anchor
K193575: Arthrex SutureTape
K122374: Arthrex Suture
K041553: Arthrex Suture Grafting Kit
K032245: Arthrex FiberTape™ Family
K021434: Arthrex FiberWire™ USP Suture Family
Purpose of SubmissionThis Special 510(k) premarket notification is submitted as a line
extension to the Arthrex FiberTak Suture Anchors cleared via
K221396.
Device DescriptionThe Arthrex Double Loaded Knotless FiberTak Suture Anchor is
an all-suture knotless anchor intended to be used for fixation of
suture (soft tissue) to bone in the shoulder, foot/ankle, knee,
hand/wrist, elbow and hip. The Arthrex Double Loaded Knotless
FiberTak Suture Anchor is a sterile, single use implant device
constructed from a hollow braid of polyester (sheath) preloaded
on an inserter with a double loaded suture component
composed of UHMWPE and polyester.
Indications for UseThe Arthrex Double Loaded Knotless FiberTak Suture Anchor is
intended to be used for suture (soft tissue) fixation to bone in
the shoulder, foot/ankle, knee, hand/wrist, elbow, and hip in the
following procedures:
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 Reconstruction Hand/Wrist: Scapholunate Ligament Reconstruction,
Repair/Reconstruction of collateral ligaments, Repair of
Flexor and Extensor Tendons at the PIP, DIP and MCP
joints for all digits, digital tendon transfers, Carpal
Ligament Reconstruction and Carpometacarpal joint
arthroplasty (basal thumb joint arthroplasty) 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, Joint Capsule Closure (Except Canada) Hip: Capsular Repair, Acetabular Labral Repair, Gluteal
Tendon Repair (Except Canada)
Performance DataCyclic pull-out testing was conducted on the proposed devices
submitted in this Special 510(k). The test data demonstrates that
the proposed devices perform statistically equivalent to the
predicate device.

Bacterial endotoxin per EP 2.6.14/USP was conducted to
demonstrate that the device meets pyrogen limit specifications. |
| Technological
Comparison | The proposed devices are a line extension to the predicate device
K221396. The proposed and predicate devices have the same
basic design, indications for use, intended use, packaging, shelf-
life, biocompatibility profile, manufacturing, and sterilization
processes. In comparison to the predicate device, the proposed
modifications include minor dimensional changes to the sheath
and repair suture. Any differences between the proposed and
predicate devices are considered minor and do not raise
questions concerning safety or effectiveness. |
| Conclusion | The Arthrex Double Loaded Knotless FiberTak Suture Anchor devices are substantially equivalent to the predicate device in which the basic design features, indications for use, intended use, materials, manufacturing, and sterilization processes are identical. Any differences between the proposed and predicate devices are considered minor and do not raise questions concerning safety or effectiveness. |
| | Based on the intended use, technological characteristics, and the test data submitted, Arthrex Inc. has determined that the proposed devices are substantially equivalent to the currently marketed predicate device. |

4

5