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510(k) Data Aggregation

    K Number
    K193497
    Date Cleared
    2021-01-05

    (385 days)

    Product Code
    Regulation Number
    888.3040
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Fixone Biocomposite Interference Screw

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Fixone Biocomposite Interference Screws are indicated for fixation of bone or soft tissue grafts during Anterior and/or Posterior Cruciate Ligament (ACL/PCL) reconstruction.

    Device Description

    The Fixone Biocomposite Interference Screws are intended to be used for fixation of bone-tendon-bone or soft tissue grafts during anterior or posterior cruciate ligament reconstruction surgery. This device is could used with instrument that manufactured by Aju Pharm Co.,Ltd. It is consist of 6 models. It provide non-sterile (user must sterilization before use).

    AI/ML Overview

    The provided text describes a medical device called "Fixone Biocomposite Interference Screw" and outlines its clearance process with the FDA. It includes a 510(k) summary focusing on bench testing and biocompatibility.

    Here's an analysis of the acceptance criteria and study information, based on the provided document:

    1. A table of acceptance criteria and the reported device performance

    Test ItemAcceptance CriteriaReported Device Performance
    External surfaceASTM F2502 and USP (Implied: device meets these standards)Pass
    MeasurementWhen tested by vernier calipers, the tolerance should be within ±5%Pass
    Tensile strengthThe average strength of 10 stands is not less than 100N.Pass
    Extractable colorCompare with the matching solution: any color present is not more intense than of the appropriate matching solution.MD2014-00216 (Implied: Pass)
    Insertion torqueTested with ASTM F2502-Standard specification and test methods for bioabsorbable plates and screws for internal fixation implants (Implied: meets specified performance within this standard)Pass
    Fixation strength (Push-out test)Tested with ASTM F2502-Standard specification and test methods for bioabsorbable plates and screws for internal fixation implants; Tested subject and predicate device under same condition for the comparison (Implied: comparable to predicate)AJU-M20201006-01 (Implied: Pass or equivalent to predicate)
    Extraction test pHThe difference should be 1.5 and less.Pass
    Potassium permanganate reducing substancesThe difference of the consumption of potassium permanganate should be 2.0 mL and less.Pass
    Residue after evaporationRecord the weight of the residue should be 1.0mg and less.Pass
    Heavy metalsAny brown color produced within 10 minutes in the tube containing the extract of the prepared sample does not exceed that in the tube containing the standard lead solution.MD2014-00132 (Implied: Pass)
    UV spectrum (250nm~350nm)Maximum absorbance between 250 to 350 nm should be 0.1 and less.Pass
    Property (Visual inspection)When observing it with the naked eye, test solution should be clear and have no foreign particles.Pass
    Performance Testing of Fixone® Biocomposite Anchor (Pull-out test)Pull-out test by immersion time of saline solution to evaluate two bioabsorbable suture anchors. [Absorption time (soaking time) : 4 weeks, 6 weeks, 12 weeks and 26 weeks] (Implied: comparable to predicate, within acceptable limits)Ajum20170428-01 (Implied: Pass or equivalent to predicate)
    ASTM F1839-08 (Polyurethane Foam for Orthopaedic Devices)(Implied: Compliance with this standard for material properties)Pass
    Biocompatibility Tests:
    CytotoxicityISO 10993-5 Biological evaluation of medical devices - Part5: Tests for in vitro cytotoxicityPass
    Acute systemic toxicity testISO 10993-11 Biological evaluation of medical devices - Part 11: Tests for systemic toxicityPass
    Pyrogen TestISO 10993-11 Test for systemic toxicity, pyrogen testPass
    Intracutaneous (intradermal) reactivity testISO 10993-10 Biological evaluation of medical devices - Part 10: Tests for irritation and skin sensitizationPass
    Maximization test for delayed hypersensitivityISO 10993-10 Test for irritation and skin sensitization, Maximization test for delayed hypersensitivityPass
    Bacterial reversion mutation testISO 10993-3 Genotoxicity test OECE 471, Bacterial reverse mutation testPass
    Mammalian erythrocyte micronucleus testISO 10993-3 Genotoxicity test OECE 471, Bacterial reverse mutation testPass
    Implantation testISO 10993-6 Tests for local effects after implantation, Annex D test methods for implantation in bonePass
    Bioabsorbable screws testASTM F2502 Standard specification and test methods for bioabsorbable plates and screws for internal fixation implantsPass
    Subchronic toxicity testISO 10993-11 Biological Evaluation of Medical Devices Part 11- Test for systemic toxicityPass

    2. Sample sized used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    The document primarily details bench testing for mechanical, physical, and biocompatibility properties. It does not mention a clinical test set or human subject data.

    • Sample Size (for bench tests): The "Tensile strength" test mentions an "average strength of 10 stands," indicating a sample size of at least 10 for that specific test. Other tests, such as those related to "Extractable color" and "Residue after evaporation," refer to "a quantity of suture, equivalent to not less than 250mg" and standard protocols, but specific sample counts for each bench test are generally not provided.
    • Data Provenance: The bench tests were conducted by AJU Pharm Co., Ltd. in Korea (per the applicant information). These are laboratory tests, not clinical data from patients. They are inherently retrospective in the sense that they are conducted on manufactured devices in a controlled environment.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

    Not applicable. This device approval is based on bench testing and biocompatibility assessments, not on studies requiring human experts to establish "ground truth" for diagnostic or clinical performance. The "ground truth" for the tests performed are the defined standards and specifications (e.g., ASTM, ISO standards, quantified limits for chemical properties).

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

    Not applicable. As noted above, this is not a diagnostic or clinical performance study that would involve expert adjudication of results. The results are quantitative measurements against predefined criteria.

    5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

    Not applicable. This is a medical device (an interference screw for ACL/PCL reconstruction) and not an AI-powered diagnostic or assistive tool.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

    Not applicable. This is a physical medical device, not an algorithm.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

    The "ground truth" for the device's performance is established by:

    • Industry Standards: ASTM F2502, ASTM F1839-08, various ISO 10993 series for biocompatibility.
    • Pharmacopoeial Standards: USP (for external surface).
    • Defined Quantitative Limits: Specific values for pH difference, potassium permanganate consumption, residue after evaporation, maximum absorbance, and tensile strength (e.g., "not less than 100N").
    • Comparison to Predicate Device: The fixation strength (push-out test) directly compares the subject device to the predicate device under the same conditions. This implies the predicate device's established performance serves as a comparative ground truth.

    8. The sample size for the training set

    Not applicable. This is not a machine learning model, so there is no "training set."

    9. How the ground truth for the training set was established

    Not applicable, as there is no training set.

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