K Number
K993373
Device Name
ROTORBLADE SUTURE ANCHOR
Date Cleared
1999-10-27

(20 days)

Product Code
Regulation Number
888.3030
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Shoulder: rotator cuff repair
Device Description
Made from surgical grade PLL (homopolymer poly (L(-)-lactide), the LM Anchor is designed as a propeller blade type anchor device through which suture is passed to provide a means for soft tissue to bone attachment.
More Information

Not Found

No
The device description and performance studies focus on the mechanical properties and surgical application of a physical anchor, with no mention of AI or ML.

No
The device is a surgical anchor used to attach soft tissue to bone during rotator cuff repair, which is a structural repair rather than a therapeutic treatment in itself. Its purpose is mechanical fixation, not direct therapy.

No
The device, the LM Anchor, is described as a propeller blade type anchor device through which suture is passed for soft tissue to bone attachment, indicating it is an implant or surgical fixation device, not a diagnostic one. Its "Intended Use / Indications for Use" is "Shoulder: rotator cuff repair", which is a treatment, not a diagnosis.

No

The device description explicitly states it is made from surgical grade PLL and is a physical anchor device, 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 "Shoulder: rotator cuff repair." This describes a surgical procedure performed in vivo (within the living body) to repair tissue.
  • Device Description: The device is a surgical anchor made from PLL, designed for soft tissue to bone attachment. This is a surgical implant used in vivo.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens (like blood, urine, or tissue) in vitro (outside the body) to provide information about a physiological state, health, or disease.

IVDs are used to perform tests on samples taken from the body to diagnose, monitor, or screen for conditions. This device is a surgical tool used directly in the body during a repair procedure.

N/A

Intended Use / Indications for Use

Shoulder - rotator cuff repair

Product codes

MAI, GAS

Device Description

Made from surgical grade PLL (homopolymer poly (L(-)-lactide), the LM Anchor is designed as a propeller blade type anchor device through which suture is passed to provide a means for soft tissue to bone attachment.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Shoulder

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)

Pre-clinical testing showed that the mean pullout strength of the LM Anchor was substantially equivalent to the mean pullout strength of the predicate device.

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

Not Found

Predicate Device(s)

K983435, K992938

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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

0CT 2 7 1999

:

K993373

510(K) SUMMARY

Device Sponsor:Li Medical, 4 Armstrong Road, Shelton, CT 06484,
Contact:
Date:Rhodemann Li, Vice President
September 30, 1999
Classification Name:
Common Name:
Proprietary Name:Unclassified
Bone anchor
Li Medical RotorBladeTM
Predicate Device:Li Medical RotorBladeTM (K983435 & K992938)
Device Description:Made from surgical grade PLL (homopolymer poly (L(-)-lactide), the LM Anchor is designed as a propeller blade
type anchor device through which suture is passed to
provide a means for soft tissue to bone attachment.
Intended Use:Shoulder - rotator cuff repair
Technical Comparison:The LM Anchor is identical to the predicate devicein its
intended use, and similar in safety and effectiveness. The
only difference between the new anchor and the predicate
device is that the gamma radiation has been added as a
potential sterilization method.
Performance Data:Pre-clinical testing showed that the mean pullout strength
of the LM Anchor was substantially equivalent to the mean
pullout strength of the predicate device.

1

Public Health Service

Image /page/1/Picture/2 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized eagle-like symbol with three curved lines representing the body and wings. The logo is surrounded by text that reads "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in a circular arrangement.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

OCT 2 7 1999

Mr. Rhodemann Li Vice President Li Medical Technologies, Inc. 4 Armstrong Road Shelton, Connecticut 06484

Re: K993373 RotorBlade™ Suture Anchor Trade Name: Regulatory Class: II Product Codes: MAI and GAS Dated: September 30, 1999 Received: October 7, 1999

Dear Mr. Li:

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 reqistration, 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. ਜੋ 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 requlatory 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.

2

Page 2 - Mr. Rhodemann Li

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

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 of 1

510(k) Number (if known):

Device Name:

LM Anchor

Indications For Use: Shoulder: rotator cuff repair

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Piolles B

(Division Sign-Off) Division of General Restorative I 510(k) Numbe

Prescription Use (Pcr 21 CFR 801.109)

OR

.

Over-The-Counter Use__________ (Optional Format 1-2-96)