K Number
K251296
Device Name
The Acumed Wrist Fixation System
Manufacturer
Date Cleared
2025-06-18

(54 days)

Product Code
Regulation Number
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The non-absorbable suture anchors are intended to reattach soft tissue to bone in orthopedic surgical procedures. The CONMED Argo Knotless® Anchor may be used in either arthroscopic or open surgical procedures. After the suture is anchored to the bone, it may be used to reattach soft tissue, such as ligaments, tendons, or joint capsules to the bone. The suture anchor system thereby stabilizes the damaged tissue, in conjunction with appropriate postoperative immobilization throughout the healing period.
Device Description
The CONMED Argo Knotless® Anchor is an implantable bone anchor, that is supplied single use, sterilized via ethylene oxide (ETO) to a SAL of 10-6. The threaded anchor and the suture eyelet are manufactured of PolyEtherEtherKetone (PEEK) material. Each size features a single use driver, a threaded anchor, suture eyelet, a 1.0mm UHMWPE Hi-FiTM, non-absorbable retention suture, and loader tab. The retention suture holds the PEEK eyelet in place on the driver and can be incorporated into the repair if desired. A maximum of six (6) Hi-Fi #2 suture, or 1.3mm Hi-Fi ribbon suture, or (2) two limbs of Hi-Fi tape, or one (1) bioresorbable reinforced implant can be threaded through the eyelet. The repair sutures are then tensioned and cleated on the driver cleat, if deemed necessary by the surgeon. These anchor configurations require a pre-prepared bone hole which can be created with Class I, Exempt instrumentation.
More Information

No.
The device description and its intended use do not mention any computational capabilities, data processing, or AI-related functions. It is a mechanical implant for surgical repair.

No
The device is an implantable bone anchor used to reattach soft tissue to bone, which is a structural or mechanical function, not a therapeutic mechanism of action.

No

Explanation: The device is a surgical implant (suture anchor) used to reattach soft tissue to bone. Its function is interventional/restorative, not to diagnose or detect medical conditions.

No

The device is a physical, implantable medical device made of PEEK material, designed for reattaching soft tissue to bone. It includes hardware components like the anchor, suture eyelet, and driver, and undergoes performance testing typical of physical implants (e.g., Insertion, Ultimate Pull Displacement Resistance, Biocompatibility). There is no mention of software being a component of the device itself.

No.
The device is an implantable bone anchor used for reattaching soft tissue to bone, which is a surgical procedure, not a diagnostic test performed on in vitro samples.

N/A

Intended Use / Indications for Use

The non-absorbable suture anchors are intended to reattach soft tissue to bone in orthopedic surgical procedures.

The CONMED Argo Knotless® Anchor may be used in either arthroscopic or open surgical procedures. After the suture is anchored to the bone, it may be used to reattach soft tissue, such as ligaments, tendons, or joint capsules to the bone. The suture anchor system thereby stabilizes the damaged tissue, in conjunction with appropriate postoperative immobilization throughout the healing period.

Product codes

MBI

Device Description

The CONMED Argo Knotless® Anchor is an implantable bone anchor, that is supplied single use, sterilized via ethylene oxide (ETO) to a SAL of 10-6. The threaded anchor and the suture eyelet are manufactured of PolyEtherEtherKetone (PEEK) material. Each size features a single use driver, a threaded anchor, suture eyelet, a 1.0mm UHMWPE Hi-FiTM, non-absorbable retention suture, and loader tab. The retention suture holds the PEEK eyelet in place on the driver and can be incorporated into the repair if desired. A maximum of six (6) Hi-Fi #2 suture, or 1.3mm Hi-Fi ribbon suture, or (2) two limbs of Hi-Fi tape, or one (1) bioresorbable reinforced implant can be threaded through the eyelet. The repair sutures are then tensioned and cleated on the driver cleat, if deemed necessary by the surgeon. These anchor configurations require a pre-prepared bone hole which can be created with Class I, Exempt instrumentation.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

bone

Indicated Patient Age Range

Not Found

Intended User / Care Setting

orthopedic surgical procedures

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)

Testing has been completed to demonstrate that CONMED Argo Knotless® Anchor performs as intended and is substantially equivalent to the predicate device. Completed testing includes the following:

Performance Testing

  • Insertion
  • Ultimate Pull Displacement Resistance
  • Cyclic

Validation

  • User Validation
  • Packaging (Transportation and Shelf-life)
  • Packaging and Labeling User Validation

Sterilization

  • Transportation

Well-established Method Testing

  • Pyrogen (Bacterial Endotoxin)
  • Biocompatibility
  • Shelf-life

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

Not Found

Predicate Device(s)

K220757

Reference Device(s)

K244025

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

N/A

FDA 510(k) Clearance Letter - Acumed Wrist Fixation System

Page 1

U.S. Food & Drug Administration
10903 New Hampshire Avenue
Silver Spring, MD 20993
www.fda.gov

Doc ID # 04017.07.05

June 18, 2025

Acumed LLC
Marina Bull
Regulatory Affairs Specialist
5885 NE Cornelius Pass Rd
Hillsboro, Oregon 97124

Re: K251296
Trade/Device Name: The Acumed Wrist Fixation System
Regulation Number: 21 CFR 888.3030
Regulation Name: Single/Multiple Component Metallic Bone Fixation Appliances And Accessories
Regulatory Class: Class II
Product Code: HRS, HWC, HTN,
Dated: April 25, 2025
Received: April 25, 2025

Dear Marina Bull:

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 (the 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 available 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.

Page 2

K251296 - Marina Bull Page 2

Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30, Design controls; 21 CFR 820.90, Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

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 (reporting of medical device-related adverse events) (21 CFR Part 803) for devices or postmarketing safety reporting (21 CFR Part 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reporting-combination-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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rule"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance/unique-device-identification-system-udi-system.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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-devices/medical-device-safety/medical-device-reporting-mdr-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/medical-devices/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-devices/device-advice-comprehensive-regulatory-

Page 3

K251296 - Marina Bull Page 3

assistance/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,

CHRISTOPHER FERREIRA -S

Christopher Ferreira, MS
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

Page 4

Indications for Use

Please type in the marketing application/submission number, if it is known. This textbox will be left blank for original applications/submissions.

K251296

Please provide the device trade name(s).

The Acumed Wrist Fixation System

Please provide your Indications for Use below.

The Indications for Use for The Acumed Wrist Fixation System is to provide fixation of fractures, fusions, osteotomies, and nonunions of the distal radius and ulna.

Please select the types of uses (select one or both, as applicable).

☑ Prescription Use (Part 21 CFR 801 Subpart D)
☐ Over-The-Counter Use (21 CFR 801 Subpart C)


The Acumed Wrist Fixation System Page 12 of 64
K251296

Page 5

K251530 510(k) SUMMARY

CONMED Corporation
CONMED Argo Knotless® Anchor

In accordance with the requirements of the Safe Medical Device Act of 1990 and 21 CFR 807.92, CONMED Corporation is hereby submitting the 510(k) Summary of Safety and Effectiveness for 510(k) Number K251530.

I. SUBMITTER

Manufacturer:
CONMED Corporation
525 French Road
Utica, NY 13502

Official Contact Person:
Mirela Gjini
525 French Road
Utica, NY 13502
(O) 727-509-6143

Date Prepared: May 16, 2025

II. DEVICE NAME

Device Name: CONMED Argo Knotless® Anchor
Common Name: Fastener, Fixation, Nondegradable, Soft tissue
Classification Name: Smooth Or Threaded Metallic Bone Fixation Fastener
Regulatory Class: Class II, per 21 CFR Part 888.3040
Product Codes: MBI

III. PRIMARY PREDICATE/ LEGALLY MARKETED DEVICE

Device Name: Argo KnotlessTM SP Anchor
Company Name: CONMED Corporation
510(k) #: K220757

REFERENCE DEVICE/ LEGALLY MARKETED DEVICE
Device Name: Argo Knotless® GENESYSTM Anchor
Company Name: CONMED Corporation
510(k) #: K244025

IV. DEVICE DESCRIPTION

The CONMED Argo Knotless® Anchor is an implantable bone anchor, that is supplied single use, sterilized via ethylene oxide (ETO) to a SAL of 10-6. The threaded anchor and the suture eyelet are manufactured of PolyEtherEtherKetone (PEEK) material. Each size features a single use driver, a threaded anchor, suture eyelet, a 1.0mm UHMWPE Hi-FiTM, non-absorbable retention suture, and loader tab. The retention suture holds the PEEK eyelet in place on the driver and can be incorporated into the repair if desired. A maximum of six (6) Hi-Fi #2 suture, or

Page 6

K251530 Page 2/5

1.3mm Hi-Fi ribbon suture, or (2) two limbs of Hi-Fi tape, or one (1) bioresorbable reinforced implant can be threaded through the eyelet. The repair sutures are then tensioned and cleated on the driver cleat, if deemed necessary by the surgeon. These anchor configurations require a pre-prepared bone hole which can be created with Class I, Exempt instrumentation.

V. INTENDED USE/ INDICATIONS FOR USE

The non-absorbable suture anchors are intended to reattach soft tissue to bone in orthopedic surgical procedures.

The CONMED Argo Knotless® Anchor may be used in either arthroscopic or open surgical procedures. After the suture is anchored to the bone, it may be used to reattach soft tissue, such as ligaments, tendons, or joint capsules to the bone. The suture anchor system thereby stabilizes the damaged tissue, in conjunction with appropriate postoperative immobilization throughout the healing period.

VI. COMPARISON OF THE TECHNOLOGICAL CHARACTERISTICS WITH THE PREDICATE DEVICE

The following table represents a summary of the technological characteristics between the proposed and the predicate device.

Proposed DevicePredicate Device
Device NameCONMED Argo Knotless® AnchorCONMED Argo KnotlessTM SP Anchor
510k NumberTBDK220757
Intended Use/Indications for UseThe non-absorbable suture anchors are intended to reattach soft tissue to bone in orthopedic surgical procedures.

The CONMED Argo Knotless® Anchor may be used in either arthroscopic or open surgical procedures. After the suture is anchored to the bone, it may be used to reattach soft tissue, such as ligaments, tendons, or joint capsules to the bone. The suture anchor system thereby stabilizes the damaged soft tissue, in conjunction with appropriate postoperative immobilization throughout the healing period. | The non-absorbable suture anchor is intended to reattach soft tissue to bone in orthopedic surgical procedures.

The Argo Knotless™ SP Anchor may be used in either arthroscopic or open surgical procedures. After the suture is anchored to the bone, it may be used to reattach soft tissue, such as ligaments, tendons, or joint capsules to the bone. The suture anchor system thereby stabilizes the damaged tissue, in conjunction with appropriate postoperative immobilization throughout the healing period. |
| Contraindications | 1. Pathological conditions of bone which would adversely affect the Argo Knotless anchors.
2. Pathological conditions in the soft tissue to be repaired or reconstructed | 1. Pathological conditions of bone which would adversely affect the Argo Knotless™ SP anchors.
2. Pathological conditions in the soft tissue to be repaired or reconstructed |

Page 7

K251530 Page 3/5

Proposed DevicePredicate Device
which would adversely affect suture fixation.
  1. Physical conditions that would eliminate, or tend to eliminate, adequate implant support or retard healing.
  2. Conditions which tend to limit the patient's ability or willingness to restrict activities or follow directions during the healing period.
  3. Direct attachment of artificial ligaments or other implants except for bioresorbable reinforced implants.
  4. Foreign body sensitivity, known or suspected allergies to implant and/or instrument materials.
  5. This device is not approved for screw attachment or fixation to the posterior elements (pedicles) of the cervical, thoracic or lumbar spine. | which would adversely affect suture fixation.
  6. Physical conditions that would eliminate, or tend to eliminate, adequate implant support or retard healing.
  7. Conditions which tend to limit the patient's ability or willingness to restrict activities or follow directions during the healing period.
  8. Direct Attachment of artificial ligaments or other implants.
  9. Foreign body sensitivity, known or suspected allergies to implant and/or instrument materials.
  10. This device is not approved for screw attachment or fixation to the posterior elements (pedicles) of the cervical, thoracic or lumbar spine. |
    | How Supplied | Same | Sterile Anchor w/Delivery System (1ea) |
    | Single Use/Reusable | Same | Single-Use Only |
    | Sterilization | Same | Device sterilized via Ethylene Oxide Sterilization - SAL (10-6) |
    | Shelf-Life | Same | 18-months |
    | Principle of Operation | Same | Non-absorbable suture anchors for soft tissue to bone fixation |
    | Biocompatibility | Same | In accordance with ISO 10993-1 and FDA# G95-1 |
    | Packaging | Same | Packaged as a single unit device |
    | Instrumentation | Same with the addition of a bone Tap, Smooth Punch, Tapered Broaching Punch, Reamer and Drill Guide | Reusable Bone Punch
    Sterile Disposable Bone Punch
    Drill Bit |
    | Suture | Same | White UHMWPE, with polyester dyed with D&C Blue #6 |
    | Materials | Same with a Peek tip | Anchor: Titanium Tip; PEEK
    Suture: White, UHMWPE with polyester dyed with D&C Blue #6
    Driver: Stainless Steel |

Page 8

K251530 Page 4/5

Proposed DevicePredicate Device
Driver Handle: Polycarbonate, ABS, Radel
Threader: ABS, nitinol, stainless steel
DesignNon-self-punching anchorSelf-punching anchor
MR CompatibilityMR SafeMR Conditional
Performance TestingSameReliability
Cyclic Loading
Insertion
Fixation
Use with resorbable implantYes-Specific SKUNot applicable

VII. PERFORMANCE DATA

Testing has been completed to demonstrate that CONMED Argo Knotless® Anchor performs as intended and is substantially equivalent to the predicate device. Completed testing includes the following:

Performance Testing

  • Insertion
  • Ultimate Pull Displacement Resistance
  • Cyclic

Validation

  • User Validation
  • Packaging (Transportation and Shelf-life)
  • Packaging and Labeling User Validation

Sterilization

  • Transportation

Well-established Method Testing

  • Pyrogen (Bacterial Endotoxin)
  • Biocompatibility
  • Shelf-life

Page 9

K251530 Page 5/5

VIII. CONCLUSION

The CONMED Argo Knotless® Anchor is either substantially equivalent or identical in intended use, principles of operation, performance testing results, materials, packaging, sterilization method, and biocompatibility as the predicate Argo KnotlessTM SP Anchor. Based upon the findings of our performance testing, the differences present no new issues of safety and effectiveness, and the CONMED Argo Knotless®Anchors are substantially equivalent to the predicate device, Argo KnotlessTM SP Anchors (K220757).