K Number
K963932
Device Name
PRELOADED SOFT TISSUE ANCHOR
Manufacturer
Date Cleared
1997-06-20

(262 days)

Product Code
Regulation Number
888.3040
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Bladder Neck Suspension The Linvatec Preloaded Soft Tissue Anchor is indicated for bladder neck suspension for femine urinary incontinence due to urethral hypermobility.
Device Description
The Preloaded Soft Tissue Anchor has an attached non-absorbable braided polyester suture through the eyelet. The suture is attached to a threading wire by a shrink tubing sleeve. Once the anchor is securely seated in the driver, the suture is cut on the device side of the shrink tubing and implantation can proceed. The material used for this device is: Anchor: Titanium Alloy Suture: Non-absorbable braided polyester Sleeve: Shrink tubing Threading Wire: 316 Stainless Steel
More Information

Not Found

No
The device description and intended use are purely mechanical and do not mention any computational or data-driven components. The "Mentions AI, DNN, or ML" section explicitly states "Not Found".

Yes
The device is indicated for bladder neck suspension for female urinary incontinence, which is a treatment for a medical condition.

No
The device, a Linvatec Preloaded Soft Tissue Anchor, is indicated for bladder neck suspension to treat feminine urinary incontinence. It is an implantable device used for treatment, not for diagnosing a condition.

No

The device description clearly outlines physical components made of titanium alloy, polyester, and stainless steel, indicating it is a hardware medical device, not software-only.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is "Bladder Neck Suspension for feminine urinary incontinence due to urethral hypermobility." This describes a surgical procedure performed on a patient's body to treat a physical condition.
  • Device Description: The device is a physical implant (anchor, suture, etc.) used during a surgical procedure.
  • Lack of IVD Characteristics: IVD devices are used to examine specimens (like blood, urine, tissue) in vitro (outside the body) to provide information for diagnosis, monitoring, or screening. This device does not perform any such function.

The device is a surgical implant used for a therapeutic purpose, not a diagnostic test performed on a sample.

N/A

Intended Use / Indications for Use

The Preloaded Soft Tissue Anchor is a device used to attach soft tissue to bone fixation except anterior or posterior cruciate ligament repair or reconstruction. This device is indicated for bladder neck suspension for female urinary incontinence due to urethral hypermobility.
The Linvatec Preloaded Soft Tissue Anchor is indicated for bladder neck suspension for femine urinary incontinence due to urethral hypermobility.

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

MBI

Device Description

The Preloaded Soft Tissue Anchor has an attached non-absorbable braided polyester suture through the eyelet. The suture is attached to a threading wire by a shrink tubing sleeve. Once the anchor is securely seated in the driver, the suture is cut on the device side of the shrink tubing and implantation can proceed.

The material used for this device is:

Anchor: Titanium Alloy Suture: Non-absorbable braided polyester Sleeve: Shrink tubing Threading Wire: 316 Stainless Steel

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

bone, bladder neck (for female urinary incontinence due to urethral hypermobility)

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)

Not Found

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.

K892126, K926384

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.

Not Found

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

§ 888.3040 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

Image /page/0/Picture/0 description: The image shows the logo for Linvatec, along with the number K963932 written above it in cursive. The Linvatec logo consists of a stylized geometric shape to the left of the company name. The geometric shape is made up of three black squares, each with a white chevron inside. The company name "Linvatec" is written in bold, black letters to the right of the geometric shape.

JUN 20 1997

11311 Concept Boulevard Largo, Florida 33773 813 399-5334 Fax 813 399-5264

Carol A. Weideman, Ph.D.

Manager, Regulatory and Chineal Alfans

March 21, 1997

510(k) SUMMARY OF SAFETY AND EFFECTIVENESS

In accordance with the requirements of the Safe Medical Device Act of 1990 and 21 CFR 807.92, Linvatec Corporation is hereby submitting the 510(k) Summary of Safety and Effectiveness for the Preloaded Soft Tissue Anchor, 510(k) Number # K963932.

A. Submitter

Linvatec Corporation 11311 Concept Boulevard Largo, Florida 33773-4908

Company Contact B.

Carol A. Weideman, Ph.D. Manager, Regulatory and Clinical Affairs

C. Device Name

Revo®/Mini-Revo® Trade Name: Bone Screw Common Name: Soft tissue to bone fixation device Classification Name:

D. Predicate/Legally Marketed Devices

Mitek Gil Anchor Zimmer Statak Device

Image /page/0/Picture/17 description: The image shows a geometric design to the left of the text "A Bris". The geometric design is a hexagon made up of smaller triangles. Each of the smaller triangles has an arrow pointing towards the center of the hexagon.

1

Summary of Safety and Effectiveness Preloaded Soft Tissue Anchor 510(k) # K963932 Page 2 of 3

E. Device Description

The Preloaded Soft Tissue Anchor has an attached non-absorbable braided polyester suture through the eyelet. The suture is attached to a threading wire by a shrink tubing sleeve. Once the anchor is securely seated in the driver, the suture is cut on the device side of the shrink tubing and implantation can proceed.

The material used for this device is:

Anchor: Titanium Alloy Suture: Non-absorbable braided polyester Sleeve: Shrink tubing Threading Wire: 316 Stainless Steel

F. Intended Use

The Preloaded Soft Tissue Anchor is a device used to attach soft tissue to bone fixation except anterior or posterior cruciate ligament repair or reconstruction. This device is indicated for bladder neck suspension for female urinary incontinence due to urethral hypermobility.

The Preloaded Soft Tissue Anchor is available in sizes ranging from 2.5mm to 5.2mm diameter.

G. Substantial Equivalence

The Preloaded Soft Tissue Anchor is substantially equivalent in function and intended use to the Mitek GII Anchor and the Zimmer Statak device. The anchors are all made of metal/metal alloy materials. Testing supports the equivalency to the predicate devices. The similarities/dissimilarities to the predicates are shown in the attached table.

2

Summary of Safety and Effectiveness Preloaded Soft Tissue Anchor 510(k) # K963932 Page 3 of 3

SUBSTANTIAL EQUIVALENCE INFORMATION:


(

..............................................................................................................................................................................

The similarities/dissimilarities to the predicate device/material are shown in the following table.

CHART OF SIMILARITIES AND DISSIMILARITIES

| Company Name | Device Name | Intended Use | Material | Single-Use
Reusable | Sizes |
|---------------------------------------------------------------------|-----------------------|------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------------------------------|
| New Product
Linvatec:
Preloaded Soft Tissue
Anchors | Revo/
Mini- Revo | Soft tissue to bone
fixation
Bladder neck suspension
for female urinary
incontinence due to
urethral hypermobility. | Titanium Alloy
6Al-4V-ELI
Suture: Non-absorbable
Braided Polyester | Single-use
Gamma
Sterilization
Shipped sterile | Suture Anchor with Preloaded Suture
Anchors: 2.5mm - 5.2mm
Suture: USP Sizes #0 to #2 |
| Predicate
Mitek:
Mitek GII Anchor
510(k) Number
K892126 | Mitek | Soft tissue to bone
fixation - Bladder Neck
Suspension | Titanium Alloy | Single-use
Sterilization
Method
Unknown
Shipped sterile | 2.4mm X 14mm |
| Predicate
Zimmer:
Statak Device
510(k) Number
K926384 | Statak/Mini
Statak | Soft tissue to bone
fixation - Bladder Neck
Suspension | Titanium
TI-6Al-4V Alloy
Suture: Non-absorbable
Braided Suture | Single-use
Gamma
Sterilization
Shipped sterile | 2.5mm - 5.2mm diameter
Suture USP Sizes #0 to #2 |

3

Image /page/3/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized human figure with outstretched arms, symbolizing care and protection. The figure is positioned within a circle, with the text "DEPARTMENT OF HEALTH & HUM SERVICES - USA" encircling the top and left portions of the circle. The overall design is simple and conveys a sense of government service and public health.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUN 20 1997

Carol A. Weideman, Ph.D. Manager, Requlatory and Clinical Affairs Linvatec Corporation …………… 11311 Concept Boulevard Largo, Florida 33773

K963932 Re: Trade Name: Revo® and Mini-Revo® Preloaded Soft Tissue Anchor Requlatory Class: II Product Code: MBI Dated: March 21, 1997 Received: March 24, 1997

Dear Dr. Weideman:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). You may, therefore, market the device, subject to the general controls provisions The general controls provisions of the Act of the Act. include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions aqainst misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirements, as set forth in the Quality System Requlation (QS) for Medical

4

Page 2 - Carol A. Weideman, Ph.D.

General regulation (21 CFR Part 820) and that, Devices: through periodic (QS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements ----concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or requlations.

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4659. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,

Celia M. Witten, Ph.D., M.D. Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

5

Image /page/5/Picture/0 description: The image shows the word "Linvatec" in bold, black font, with a geometric logo to the left. The logo consists of three nested, angled shapes that resemble chevrons or arrowheads, also in black. The overall impression is a clean and professional brand representation.

11311 Concept Boulevard Targo, H - 34643-813-392-6464

March 21, 1997

: 上一篇:

of the Freedom of information Act

utemation is exempt from , se pues cueer Exemplions 3 ano d

510(k) Number (if known): K963932_ --------

Device Name: PRELOADED SOFT TISSUE ANCHOR

Indications for Use:

Bladder Neck Suspension

The Linvatec Preloaded Soft Tissue Anchor is indicated for bladder neck suspension for femine urinary incontinence due to urethral hypermobility.

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use_X (Per 21 CFR 801.109) Over-the-Counter Use_

Mihail Rauk

ivision of General Restorative Devices

OR

(Optional Format 1-2-96)

q:\510k.97[K963932](https://510k.innolitics.com/search/K963932).fda

Image /page/5/Picture/17 description: The image shows the logo for Bristol-Myers Squibb Company. The logo consists of a geometric design on the left and the text "A Bristol-Myers Squibb Company" on the right. The geometric design is a complex pattern of lines and shapes, while the text is in a simple, sans-serif font. The logo is likely used to represent the company's brand identity.