K Number
K983557
Device Name
STRYKER WEDGE SUTURE ANCHOR
Manufacturer
Date Cleared
1998-12-18

(66 days)

Product Code
Regulation Number
888.3040
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The intended use of the Stryker Wedge Suture Anchor System is for securing soft tissue to bone in such procedures as rotator cuff tear repair, bankart lesion repair, and SLAP lesion repair in the shoulder, as well as achilles tendon repair in the foot/ankle, medial collateral ligament repair in the knee, scapholunate ligament reconstruction in the hand/wrist, and biceps tendon reattachment in the elbow. The Stryker Wedge Suture Anchor system is intended for the fixation of surgical suture material to the pelvis only for the purpose of bladder neck suspension female urinary incontinence due to urethral hyper mobility or intrinsic sphincter deficiency. The suture anchor engages in bone so as to provide a stable bony attachment site for the soft tissue. This device is intended to be used primarily in arthroscopic repairs, but is suitable in open procedure as well, and is intended for single-use only. This device is intended for use only for the fixation of non-absorbable synthetic sutures.
Device Description
Stryker Wedge Suture Anchors are titanium alloy implants used to anchor suture within bone sites for firmly securing soft tissue to bone. The Anchors are self-drilling, self-tapping, threaded devices. The Anchor is supplied with non-absorbable braided polyester suture assembled to a disposable inserter. The sutures are color-coded white and green for visual identification of the individual strands during use.
More Information

Not Found

No
The description focuses on the mechanical properties and surgical application of a suture anchor, with no mention of AI or ML.

No.
The device is a suture anchor system used to secure soft tissue to bone, which is a structural component for repair rather than a device intended to treat or prevent a disease or condition for therapeutic benefit.

No

The device description and intended use clearly state that the Stryker Wedge Suture Anchor System is an implant used to secure soft tissue to bone, a therapeutic function, not a diagnostic one.

No

The device description clearly states it is a titanium alloy implant (hardware) used to anchor suture within bone.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are devices used to examine specimens taken from the human body (like blood, urine, tissue) to provide information for the diagnosis, monitoring, or treatment of diseases or conditions.
  • Stryker Wedge Suture Anchor System Function: The description clearly states that this device is a surgical implant used to physically secure soft tissue to bone. It is a mechanical device used during surgery, not a tool for analyzing biological samples outside the body.
  • Intended Use: The intended use describes surgical procedures and anatomical locations, not diagnostic testing.
  • Device Description: The device is described as a titanium alloy implant with sutures, designed for physical fixation.
  • Performance Studies: The performance studies focus on the mechanical strength of the anchor (pull-out strength), which is relevant to its function as a surgical implant, not a diagnostic test.

Therefore, based on the provided information, the Stryker Wedge Suture Anchor System is a surgical implant, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The intended use of the Stryker Wedge Suture Anchor System is for securing soft tissue to bone in such procedures as rotator cuff tear repair, bankart lesion repair, and SLAP lesion repair in the shoulder, as well as achilles tendon repair in the foot/ankle, medial collateral ligament repair in the knee, scapholunate ligament reconstruction in the hand/wrist, and biceps tendon reattachment in the elbow. The Stryker Wedge Suture Anchor system is intended for the fixation of surgical suture material to the pelvis only for the purpose of bladder neck suspension female urinary incontinence due to urethral hyper mobility or intrinsic sphincter deficiency. The suture anchor engages in bone so as to provide a stable bony attachment site for the soft tissue. This device is intended to be used primarily in arthroscopic repairs, but is suitable in open procedure as well, and is intended for single-use only. This device is infended for use only for the fixation of non-absorbable synthetic sutures.

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

MBI, GAT

Device Description

Stryker Wedge Suture Anchors are titanium alloy implants used to anchor suture within bone sites for firmly securing soft tissue to bone. The Anchors are self-drilling, self-tapping, threaded devices. The Anchor is supplied with non-absorbable braided polyester suture assembled to a disposable inserter. The sutures are color-coded white and green for visual identification of the individual strands during use.

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, pelvis

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)

Comparison of Anchor Pull-out Strength in Bone, Tested on various sizes from 1.9mm to 4.9mm (Stryker Wedge Suture Anchor) and 2.4mm (Arthrex FASTak K960516).
Key results:
Stryker Wedge Suture Anchor:
1.9mm - Diaphyseal: 43.5 lbf, Metaphyseal: 51.8 lbf, Cancellous: 40.7 lbf
2.7mm - Diaphyseal: 53.9 lbf, Metaphyseal: 47.6 lbf, Cancellous: 49.9 lbf
3.4mm - Diaphyseal: 73.7 lbf, Metaphyseal: 72.9 lbf, Cancellous: 74.7 lbf
4.5mm - Diaphyseal: 73.6 lbf, Metaphyseal: 72.8 lbf, Cancellous: 75.4 lbf
4.9mm - 18 pcf foam: 47.6 lbf

Arthrex FASTak K960516:
2.4mm - Diaphyseal: 38 lbf, Metaphyseal: 43 lbf, Cancellous: 43 lbf

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

Failure Strength (lbf)

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.

K960516

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/1 description: The image shows the logo for Stryker Endoscopy. The word "stryker" is written in a bold, sans-serif font, with the "s" and "t" connected. A registered trademark symbol is located to the right of the word "stryker". Below "stryker" is the word "ENDOSCOPY" in a smaller, sans-serif font.

2590 Walsh Avenue Santa Clara, CA 95054 Phone: (408) 567-9100 x2228 Fax: (408) 567-2507

Todd Miller

October 8, 1998

SUMMARY OF SAFETY AND EFFECTIVENESS

Device Name:

| Classification Name: | Smooth or Threaded Metallic Bone Fixation Fasteners:
CFR 888.3040, Class II |
|----------------------------|--------------------------------------------------------------------------------|
| Device Product Code: | Panel Code 87, Orthopedic Devices, MBI |
| Common and Usual Name: | Fastener, Fixation, Non-degradable, Soft Tissue
(87MBI) |
| Proprietary Name: | Stryker Wedge Suture Anchor System |
| Regulatory Classification: | Class II |

Safety and Effectiveness Summary:

This summary of 510(k) safety and effectiveness is being submitted in accordance with requirements of SMDA 1990.

Stryker Wedge Suture Anchors are titanium alloy implants used to anchor suture within bone sites for firmly securing soft tissue to bone. The Anchors are self-drilling, self-tapping, threaded devices. The Anchor is supplied with non-absorbable braided polyester suture assembled to a disposable inserter. The sutures are color-coded white and green for visual identification of the individual strands during use.

The Stryker Wedge Suture Anchor System is intended for use in securing soft tissue to bone in such procedures as rotator cuff tear repair, bankart lesion repair, and SLAP lesion repair in the shoulder, as well as achilles tendon repair in the foot/ankle, medial collateral ligament repair in the knee, scapholunate ligament reconstruction in the hand/wrist, and biceps tendon reattachment in the elbow. The Stryker Wedge Suture Anchor system is intended for the fixation of surgical suture material to the pelvis only for the purpose of bladder neck suspension female urinary incontinence due to urethral hyper mobility or intrinsic sphincter deficiency. The Stryker Wedge Suture Anchor System is equivalent in intended use, safety and effectiveness to other fixation devices in commercial distribution. The Stryker Wedge Suture Anchor System will be provided sterile for single-use applications (ASTM 4169). This device will be sterilized by Gamma irradiation and validated (AAMI ST32) to a sterility assurance level (SAL) of 10-6. The material of construction and its overall design are equivalent to currently marketed products. The device materials are biocompatible per ASTM F136 and ISO-10993.

1

The anchor system does not raise any new safety and efficacy concerns when compared to other devices currently on the market. Therefore, the Stryker Wedge Suture Anchor System is substantially equivalent to other suture anchor devices.

The Stryker Wedge Suture Anchor System is substantially equivalent to the Arthrex FASTak™ Suture Anchor, marketed under 510(k) K960516, in the following fields:

  • � Intended use
  • Material .

..

  • Geometry ◆
  • . Thread design
  • . Head design
  • Eyelet design �
  • . Operational principles
  • Indications & Contraindications ●

See Table 1 and Table 2 for comparison of anchor systems.

TABLE 1 Comparison of Stryker Wedge Suture Anchor System to Arthrex FASTak Suture Anchor

COMPANYStrykerArthrex
TRADE NAMEStryker Wedge Suture Anchor
SystemArthrex FASTak™ Suture
Anchor
INTENDED USESoft tissue fixation to boneSoft tissue fixation to bone
MATERIALTitanium
(Ti 6Al 4V)Titanium
(Ti 6Al 4V)
DESIGN:
1. Body geometryWedge shaped or taperedCylindrical then tapered
2. Thread designSpiralSpiral
3. Driving head
designStandard hexagonalStandard hexagonal
4. Suture eyelet
designLarge, round, smoothLarge, round, smooth
5. Diameters (mm)1.9
2.7
3.4
4.5
4.92.4
6. Lengths (mm)8
11
14
16
13.611.7
OPERATIONAL
PRINCIPLESProvide stable fixation of soft
tissue to bone; simple anchor
insertion techniqueProvide stable fixation of soft
tissue to bone; simple anchor
insertion technique
INDICATIONS &
CONTRAINDICATIONSSee Users Insert (Tab B)same
STERILIZATIONGamma RadiationEtO, Gamma Radiation

2

Company/DeviceSize (mm)InsertionFailure Strength (lbf)
Stryker Wedge
Suture Anchor1.9Screw inDiaphyseal: 43.5 *
Metaphyseal: 51.8
Cancellous: 40.7
Stryker Wedge
Suture Anchor2.7Screw inDiaphyseal: 53.9 *
Metaphyseal: 47.6
Cancellous: 49.9
Stryker Wedge
Suture Anchor3.4Screw inDiaphyseal: 73.7 *
Metaphyseal: 72.9
Cancellous: 74.7
Stryker Wedge
Suture Anchor4.5Screw inDiaphyseal: 73.6 *
Metaphyseal: 72.8
Cancellous: 75.4
Stryker Wedge
Suture Anchor4.9Screw in18 pcf foam: 47.6**
Arthrex FASTak
K9605162.4Screw inDiaphyseal: 38 ***
Metaphyseal: 43
Cancellous: 43

TABLE 2 Comparison of Anchor Pull-out Strength in Bone

Study performed by Barber and Lorang, Plano Orthopedic & Sports Medicine J t Center

Testing performed using 18 pcf density foam block to simulate cancellous bone **

*** Barber, M.D., "Suture Anchor Strength Revisited" Arthroscopy: The Journal of Arthroscopic and Related Surgery,
February, 1996.

Todd Miller Design Engineer

3

Image /page/3/Picture/2 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized caduceus symbol, which is a staff with two snakes coiled around it, and is often used as a symbol of medicine. The logo also includes the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged in a circular fashion around the caduceus symbol.

DEC 1 8 1998

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Todd Miller Design Engineer Stryker Endoscopy 2590 Walsh Avenue 95054 Santa Clara, California

Re: K983557 Styker Wedge Suture Anchor System Requlatory Class: II Product Codes: MBI and GAT Dated: October 8, 1998 Received: October 13, 1998

Dear Mr. Miller:

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 against 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. ದ substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirement, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic (QS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP requlation may result in regulatory In addition, FDA may publish further announcements action. 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 regulations.

4

Page 2 - Mr. Todd Miller

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA acberious in four alone of your device to a legally marketed predicate device results in a classification for your markets predicate and the your device to proceed to the market.

If you desire specific advice for your device on our labeling requlation (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 che promocron and (301) 594-4639. Also, please note the Orice Of Compiland. "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general premation on your responsibilities under the Act may be rhroimation 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

Enclosure

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Page 1

510(k) Number (if known): _ 9 8 3 5 5 7

Device Name: Stryker Wedge Suture Anchor System

Indications For Use:

The intended use of the Stryker Wedge Suture Anchor System is for securing soft tissue to bone in such procedures as rotator cuff tear repair, bankart lesion repair, and SLAP lesion repair in the shoulder, as well as achilles tendon repair in the foot/ankle, medial collateral ligament repair in the knee, scapholunate ligament reconstruction in the hand/wrist, and biceps tendon reattachment in the elbow. The Stryker Wedge Suture Anchor system is intended for the fixation of surgical suture material to the pelvis only for the purpose of bladder neck suspension female urinary incontinence due to urethral hyper mobility or intrinsic sphincter deficiency. The suture anchor engages in bone so as to provide a stable bony attachment site for the soft tissue. This device is intended to be used primarily in arthroscopic repairs, but is suitable in open procedure as well, and is intended for single-use only. This device is infended for use only for the fixation of non-absorbable synthetic sutures.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off)
Division of General Restorative Devices
510(k) Number. K983557

Prescription Use_X
(Per 21 CFR 801.109)

OR

Over-The-Counter Use