K Number
K990361
Device Name
HEADED BIO-ABSORBABLE CORKSCREW MODEL #AR-1921BU
Manufacturer
Date Cleared
1999-04-14

(68 days)

Product Code
Regulation Number
888.3030
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Headed Bio-Absorbable Corkscrew is intended for fixation of soft tissue to bone. This product is intended for the following indications: Shoulder: Rotator Cuff Repair, Bankart Repair, SLAP Lesion Repair, Biceps Tenodesis, Acromio-Clavicular Separation Repair, Deltoid Repair, Capsular Shift or Capsulolabral Reconstruction Foot/Ankle: Lateral Stabilization, Medial Stabilization, Achilles Tendon Repair, Hallux Valgus Reconstruction, Midfoot Reconstruction, Metatarsal Ligament Repair Knee: Medial Collateral Ligament Repair, Lateral Collateral Ligament Repair, Patellar Tendon Repair, Posterior Oblique Ligament Repair, Iliotibial Band Tenodesis Hand/Wrist: Scapholunate Ligament Reconstruction, Ulnar Collateral Ligament Reconstruction, Radial Collateral Ligament Reconstruction Elbow: Biceps Tendon Reattachment, Tennis Elbow Repair, Ulnar or Radial Collateral Ligamant Reconstruction
Device Description
The Headed Bio-Absorbable Corkscrew is manufactured using poly (L, DL-lactide). It is a threaded design with a rounded head which is slotted to accept the associated driver. Prior to driving in the anchor, it is necessary to prepare the bone using a tap.
More Information

Not Found

No
The device description and intended use are purely mechanical and material-based, with no mention of software, algorithms, or data processing that would indicate AI/ML. The performance studies focus on physical properties like pull-out strength.

No
A therapeutic device is one that treats, cures, mitigates, or prevents disease. This device is an implant for fixation of soft tissue to bone, which is a supportive rather than a therapeutic function.

No

The device is described as a "Headed Bio-Absorbable Corkscrew" intended for "fixation of soft tissue to bone." Its function is structural (repairing ligaments and tendons) rather than for diagnosis.

No

The device description clearly states it is a physical implantable device made of poly (L, DL-lactide) with a threaded design and rounded head, intended for surgical fixation. It is not software.

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. They are used outside of the body.
  • Device Description and Intended Use: The description and intended use of the Headed Bio-Absorbable Corkscrew clearly indicate it is an implantable surgical device used to fix soft tissue to bone within the body. It is used during surgical procedures, not for testing samples in a lab.

The information provided about the device's function, materials, and performance testing (pull-out strength) further confirms its nature as a surgical implant, not an IVD.

N/A

Intended Use / Indications for Use

The Headed Bio-Absorbable Corkscrew is intended for fixation of soft tissue to bone. This product is intended for the following indications:

Shoulder: Rotator Cuff Repair, Bankart Repair, SLAP Lesion Repair, Biceps Tenodesis, Acromio-Clavicular Separation Repair, Deltoid Repair, Capsular Shift or Capsulolabral Reconstruction

Foot/Ankle: Lateral Stabilization, Medial Stabilization, Achilles Tendon Repair, Hallux Valgus Reconstruction, Midfoot Reconstruction, Metatarsal Ligament Repair

Knee: Medial Collateral Ligament Repair, Lateral Ligament Repair, Patellar Tendon Repair, Posterior Oblique Ligament Repair, Iliotibial Band Tenodesis

Hand/Wrist: Scapholunate Ligament Reconstruction, Ulnar Collateral Ligament Reconstruction, Radial Collateral Ligament Reconstruction

Elbow: Biceps Tendon Reattachment, Tennis Elbow Repair, Ulnar or Radial Collateral Ligamant Reconstruction

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

MAI, HWC

Device Description

The Headed Bio-Absorbable Corkscrew is manufactured using poly (L, DL-lactide). It is a threaded design with a rounded head which is slotted to accept the associated driver. Prior to driving in the anchor, it is necessary to prepare the bone using a tap.

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

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)

Pull-out testing performed using a 20 lb. density foam block to simulate poor quality bone.
Arthrex Headed Bio-Absorbable Corkscrew: 79.3 lbs. pull-out.

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

Pull-out strength (lbs.)

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.

K971723

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

§ 888.3030 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

APR 1 4 1999

510(k) Summary

02/01/99

Company:Arthrex, Inc.
Address:2885 S. Horseshoe Drive, Naples, FL 34104-
Phone:(941) 643-5553
Fax:(941) 643-6218
Contact:Vernon C. Brown
Manager Regulatory Affairs (ext. 117)
Trade Name:Arthrex Headed Bio-Absorbable Corkscrew
Common Name:Bio-Absorbable Corkscrew Fastener
Classification:Fastener, Fixation, Biodegradable, Soft Tissue

Description:

The Headed Bio-Absorbable Corkscrew is manufactured using poly (L, DL-lactide). It is a threaded design with a rounded head which is slotted to accept the associated driver. Prior to driving in the anchor, it is necessary to prepare the bone using a tap.

Intended Use:

The Headed Bio-Absorbable Corkscrew is intended for fixation of soft tissue to bone. This product is intended for the following indications:

Shoulder: Rotator Cuff Repair, Bankart Repair, SLAP Lesion Repair, Biceps Tenodesis, Acromio-Clavicular Separation Repair, Deltoid Repair, Capsular Shift or Capsulolabral Reconstruction

Foot/Ankle: Lateral Stabilization, Medial Stabilization, Achilles Tendon Repair, Hallux Valgus Reconstruction. Midfoot Reconstruction, Metatarsal Ligament Repair

Knee: Medial Collateral Ligament Repair, Lateral Ligament Repair, Patellar Tendon Repair, Posterior Oblique Ligament Repair, Iliotibial Band Tenodesis

Hand/Wrist: Scapholunate Ligament Reconstruction, Ulnar Collateral Ligament Reconstruction, Radial Collateral Ligament Reconstruction

Elbow: Biceps Tendon Reattachment, Tennis Elbow Repair, Ulnar or Radial Collateral Ligamant Reconstruction

Substantial Equivalence:

Substantial equivalence is substantiated when a device has the same intended use and the same technological characteristics as the predicate device, or has the same intended use and different technological characteristics, but it can be demonstrated that the device is as safe and effective as the predicate device and does not raise different questions regarding safety and effectiveness

1

(121)

from the predicate device.

A substantial equivalence comparison is given in Table A.

In regards to the material. Poly (L.DL-Lactide), it is currently used in the Synthes Polypin which recently received FDA marketing clearance. This material has undergone extensive in-vitro and in-vivo testing by Synthes.

In addition to the testing performed by Synthes, an independent evaluation of the material was conducted by Claes et. al. ("New bioresorbable pin for the reduction of small bony fragments: design, mechanical properties and in vitro degradation" - Biomaterials, 1996, Vol. 17 No. 16).

None of the aforementioned differences make the Arthrex Headed Bio-Absorbable Corkscrew any less safe and effective than the predicate devices. Furthermore, they do not raise any different questions regarding safety and effectiveness from the predicate devices.

2

CompanyDeviceIntended UseMaterialSize(s)InsertionPull-Out
ArthrexHeaded Bio-
Absorbable
CorkscrewSoft tissue to bone
fixationPoly (L, DL-lactide)5.0mmScrew in79.3 lbs.*
ArthrexFASTakSoft tissue to bone
fixationTitanium Alloy2.4mm
#2 sutureScrew in55.40 lbs.*
As reported: K971723
ZimmerBio-Statak
(RSTA)Soft tissue to bone
fixationPoly (L-lactic) acid5.0mm
#2 sutureScrew inDiaphyseal: 69 lbs. **
Metaphyseal: 71 lbs.
Cancellous: 70 lbs.
LinvatecBio-AnchorSoft tissue to bone
fixationPoly (L-lactic) acid3.5mm
#0 to #2 sutureImpactDiaphyseal: 33 lbs. **
Metaphyseal: 49 lbs.
Cancellous: 29 lbs.
EthiconMitek 3.5mm
Panalok Wedge
Absorbable
Suture AnchorSoft tissue to bone
fixation.Poly (L(-)-lactide)
polymer3.5mmIn tunnel
fixationUnknown

Table A: Substantial Equivalence Comparison

  • Pull-out testing performed using a 20 lb. density foam block to simulate poor quality bone

ર્દ્ર

** "Suture Anchors Product Information Guide" – Orthopedic Special Edition: Winter/Spring 1997

990361
38f3

3

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of three human profiles facing right, stacked on top of each other, with flowing lines representing hair or clothing.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

APR 14 1999

Mr. Vernon C. Brown Requlatory Affairs Manager Arthrex, Inc. 2885 South Horseshoe Drive Naples, Florida 34104

Re: K990361 Headed Bio-Absorbable Corkscrew Trade Name: Regulatory Class: II Product Codes: MAI and HWC Dated: February 3, 1999 February 5, 1999 Received:

Dear Mr. Brown:

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 requlations affecting your device can be found in the Code of Federal Requlations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirement, as set forth in the Quality System Regulation (QS) for Medical 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 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. Vernon C. Brown

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 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 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,

Calia M. Whitten, Ph.D., M.

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

5

Indications for Use

: :

The Headed Bio-Absorbable Corkscrew is intended for fixation of soft tissue to bone. This product is intended for the following indications:

Shoulder: Rotator Cuff Repair, Bankart Repair, SLAP Lesion Repair, Biceps Tenodesis, Acromio-Clavicular Separation Repair, Deltoid Repair, Capsular Shift or Capsulolabral Reconstruction

Foot/Ankle: Lateral Stabilization, Medial Stabilization, Achilles Tendon Repair, Hallux Valgus Reconstruction, Midfoot Reconstruction, Metatarsal Ligament Repair

Knee: Medial Collateral Ligament Repair, Lateral Collateral Ligament Repair, Patellar Tendon Repair, Posterior Oblique Ligament Repair, Iliotibial Band Tenodesis

Hand/Wrist: Scapholunate Ligament Reconstruction, Ulnar Collateral Ligament Reconstruction, Radial Collateral Ligament Reconstruction

(.

Elbow: Biceps Tendon Reattachment, Tennis Elbow Repair, Ulnar or Radial Collateral Ligamant Reconstruction

(Divisi

Divis 510k; Number

Prescription Use
X
(Per 21 CFR 801.109)