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510(k) Data Aggregation

    K Number
    K132632
    Manufacturer
    Date Cleared
    2013-09-19

    (28 days)

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

    TORNIER INSITE FT SUTURE ANCHOR WITH NEEDLES

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

    The Tornier Insite FT Suture Anchor is intended for fixation of soft tissue to bone. The Tornier Insite FT Suture Anchor is intended for use in the following applications: Shoulder: Rotator Cuff, Bankart and SLAP lesion repair, Biceps tenodesis, Acromio-Clavicular separation and Deltoid repair, Capsular shift and Capsulolabral reconstruction. Foot/Ankle: Lateral and Medial stabilization, Achilles tendon and Metatarsal ligament repair, Hallux Valgus and Midfoot Reconstruction. Knee: Medial collateral and Lateral collateral ligament repair, Patellar tendon and Posterior oblique ligament repair, Illiotibial band tenodesis. Hand/Wrist: Scapholunate ligament, Radial collateral ligament and Ulnar collateral ligament reconstruction. Elbow: Biceps tendon reattachment, Tennis elbow repair, Ulnar and Radial collateral ligament reconstruction.

    Device Description

    The Tornier Insite FT Titanium Suture Anchor w/ Needles consists of a bone implant device intended for the fixation of soft tissue to bone. The device is a fully threaded titanium suture anchor preloaded on a disposable inserter assembly, attached USP size#2-0 or USP size #0 UHMWPE suture and comes with needles attached to the ends of the suture. The Tornier Insite FT Titanium Suture Anchor w/ Needles is used as a means for securing soft tissue to bone. The implant is individually packaged and sterilized though ethylene oxide (EO) using appropriate standard and guidelines

    AI/ML Overview

    This is a medical device 510(k) summary for the Tornier Insite FT Suture Anchor with Needles, not an AI/ML device. Therefore, much of the requested information regarding AI/ML device performance, such as sample sizes for test and training sets, number and qualifications of experts, adjudication methods, MRMC studies, standalone performance, and ground truth establishment for training data, is not available or applicable.

    However, based on the provided document, I can extract information related to the acceptance criteria and study for this medical device.

    1. Table of Acceptance Criteria and Reported Device Performance

    Test TypeAcceptance Criteria (Pre-established)Reported Device Performance
    Cyclic TestingMet pre-established criteriaMet pre-established criteria
    Mechanical Insertion & Pullout TestingMet pre-established criteriaMet pre-established criteria
    Driver Torque TestingMet pre-established criteriaMet pre-established criteria
    Suture Needle Pull TestingMet pre-established criteriaMet pre-established criteria
    Cadaveric Laboratory Simulated Use TestingMet pre-established criteriaMet pre-established criteria

    Note: The document states "All tests met the pre-established acceptance criteria," but does not explicitly detail the quantitative values of these criteria. It implies that for each listed test, a specific performance benchmark was set, and the device successfully achieved or exceeded that benchmark.

    2. Sample Size Used for the Test Set and Data Provenance

    • Sample Size: Not explicitly stated. The document mentions "Non-clinical laboratory testing was performed" and "cadaveric laboratory simulated use testing," implying a physical testing methodology rather than a data-driven test set in the context of AI/ML. The number of physical units or cadavers used is not specified.
    • Data Provenance: The testing was "non-clinical laboratory testing" and "cadaveric laboratory simulated use testing." This indicates the data provenance is from laboratory experiments, likely conducted in a controlled environment. The country of origin for the cadavers or the testing facility is not specified.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts

    • This question is not applicable as this is a physical medical device, not an AI/ML diagnostic or predictive tool that requires expert-established ground truth for a test set. The "ground truth" for this device would be its physical and mechanical performance characteristics against engineering and safety standards.

    4. Adjudication Method for the Test Set

    • This question is not applicable for the same reasons as point 3. Adjudication methods like 2+1 or 3+1 are used for reconciling discrepancies in expert opinions on diagnostic images or data, which is not relevant here.

    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

    • This question is not applicable as this is a physical medical device (suture anchor), not an AI/ML system designed to assist human readers (e.g., radiologists).

    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

    • This question is not applicable as this is a physical medical device, not an algorithm. The "standalone performance" is simply the device's inherent mechanical and functional performance, which was evaluated through the non-clinical laboratory tests.

    7. The Type of Ground Truth Used (Expert Consensus, Pathology, Outcomes Data, etc.)

    • The "ground truth" for this medical device's performance is based on engineering specifications, biomechanical properties, and safety standards relevant to bone fixation devices. The document indicates that tests were performed "per design requirements and risk analysis." This would include metrics like failure strength, pullout strength, torque, and suture integrity, which are quantifiable engineering parameters.

    8. The Sample Size for the Training Set

    • This question is not applicable as this is a physical medical device and does not involve a "training set" in the context of AI/ML. Device design and manufacturing processes are refined through engineering, material science, and iterative testing, not by training an algorithm on a dataset.

    9. How the Ground Truth for the Training Set Was Established

    • This question is not applicable as there is no "training set" or corresponding "ground truth" in the AI/ML sense for this physical medical device. The "ground truth" for the device's development would be established through established engineering principles, material science knowledge, and clinical requirements for soft tissue-to-bone fixation.
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    K Number
    K110773
    Manufacturer
    Date Cleared
    2011-06-02

    (73 days)

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

    TORNIER INSITE FT SUTURE ANCHOR

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

    The Tornier Insite™ FT Suture Anchors are intended for fixation of soft tissue to bone.

    The Tornier Insite™ FT Suture Anchors are intended for use in the following applications:

    1. Shoulder: Rotator Cuff, Bankart and SLAP lesion repair, Biceps tenodesis. Acromio-Clavicular separation and Deltoid repair, Capsular shift and Capsulolabral reconstruction.
    2. Foot/Ankle: Lateral and Medial stabilization, Achilles tendon and Metatarsal ligament repair, Hallux Valgus and Midfoot Reconstruction.
    3. Knee: Medial collateral and Lateral collateral ligament repair, Patellar tendon and Posterior oblique ligament repair, Illiotibial band tenodesis.
    4. Hand/Wrist: Scapholunate ligament, Radial collateral ligament and Ulnar collateral ligament reconstruction.
    5. Elbow: Biceps tendon reattachment, Tennis elbow repair, Ulnar and Radial collateral ligament reconstruction.
    Device Description

    The Tornier Insite™ FT Suture Anchor consists of a bone implant device intended for the fixation of soft tissue to bone. This device is a fully threaded anchor that is available in three sizes (4.5mm, 5.5mm, and 6.5mm) and two materials (PEEK-OPTIMA® and Titanium) for use in a range of fixation applications. The device is assembled pre-loaded onto the insertion device with attached USP size #2 UHMWPE braided sutures.

    The Tornier Insite™ FT Suture Anchor is individually packaged and sterilized through ethylene oxide (EO) using appropriate standards and guidelines.

    AI/ML Overview

    The Tornier Insite™ FT Suture Anchor is a medical device for affixing soft tissue to bone. The information provided outlines the non-clinical testing performed to demonstrate substantial equivalence to legally marketed predicate devices.

    1. Acceptance Criteria and Reported Device Performance

    The acceptance criterion for the Tornier Insite™ FT Suture Anchors was that they should provide equivalent fixation strength to the cited predicate devices. The study report states that:

    Acceptance CriteriaReported Device Performance
    Equivalent fixation strength to predicate devices for specific indications for use."The test results indicate that the Tornier Insite™ FT Suture Anchors provide equivalent fixation strength to the above cited predicate devices and would be functional within their intended use."

    2. Sample Size Used for the Test Set and Data Provenance

    The provided text does not specify the exact sample size used for the mechanical insertion and pullout testing. It only states that "Non-clinical laboratory testing was performed" and that "The efficacy of the Tornier Insite™ FT Suture Anchors were compared to the above cited predicates device."

    Data provenance (country of origin, retrospective or prospective) is not explicitly mentioned. However, since this is a premarket notification (510(k)) for a medical device in the United States, the testing would typically be conducted to satisfy US regulatory requirements.

    3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications

    This information is not applicable. The study involved non-clinical laboratory testing (mechanical insertion and pullout tests) to evaluate fixation strength. This type of testing typically relies on engineering and biomechanical measurements rather than expert human interpretation.

    4. Adjudication Method for the Test Set

    This information is not applicable for the reasons stated in point 3.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    No MRMC comparative effectiveness study was mentioned. The study focused on non-clinical mechanical testing, not on human reader performance.

    6. Standalone (Algorithm Only Without Human-in-the-Loop Performance)

    This information is not applicable. The device is a physical suture anchor, not an algorithm or AI system.

    7. Type of Ground Truth Used

    The ground truth used in this study was mechanical and biomechanical measurements of fixation strength. This would involve quantifiable data obtained from pullout tests and insertion tests, comparing the new device's performance directly against the predicate devices.

    8. Sample Size for the Training Set

    This information is not applicable. There is no mention of a "training set" as this is a non-clinical mechanical test, not a machine learning or AI study.

    9. How the Ground Truth for the Training Set Was Established

    This information is not applicable for the reasons stated in point 8.

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