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510(k) Data Aggregation

    K Number
    K180594
    Manufacturer
    Date Cleared
    2018-06-22

    (108 days)

    Product Code
    Regulation Number
    888.3030
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K120155, K171020, K101679

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

    The Knotless SutureTak Anchors are intended to be used for suture or tissue fixation in the foot, ankle, knee, hand, wrist, elbow, shoulder, and hip. Specific indications are listed below:

    Elbow: Biceps Tendon Reattachment, Ulnar or Radial Collateral Ligament Reconstruction, Lateral Epicondylitis Repair Shoulder: Rotator Cuff Repairs, Bankart Repair, SLAP Lesion Repair, Biceps Tenodesis, Acromio-Clavicular Separation Repair, Deltoid Repair, Capsular Shift or Capsulolabral Reconstruction Hand/Wrist: Scapholunate Ligament Reconstruction, Carpal Ligament Reconstructions, Repair/Reconstruction of collateral ligaments, Repair of Flexor and Extensor Tendons at the PIP, DIP, and MCP joints for all digits, Digital Tendon Transfers Foot/Ankle: Lateral Stabilization, Medial Stabilization, Achilles Tendon Repair, Metatarsal Ligament Repair, Hallux Valgus reconstruction, Digital Tendon Transfers, Mid-foot Reconstruction Knee: Medial Collateral Ligament Repair, Lateral Collateral Ligament Repair, Patellar Tendon Repair, Posterior Oblique Ligament Repair, Iliotibial Band Tenodesis, Joint Capsule Closure Hip: Capsular Repair, Acetabular Labral repair

    Device Description

    The Knotless SutureTak Anchors are "tap-in" suture anchors with a ribbed profile and a proximally placed external suture eyelet. The anchors are preloaded with Arthrex Suture and are offered preassembled on a driver/inserter, for single use. The Knotless SutureTak Anchors are manufactured from either PEEK or bioabsorbable materials. The PEEK anchor was originally cleared under K120155 for indications in the foot, ankle, knee, hand, wrist, elbow, shoulder, and hip. The indication for the PEEK anchor was expanded to include Joint Capsule Closure under K171020. The bioabsorbable version of the cleared Arthrex Knotless SutureTak Anchor is made of the same material as the Arthrex PushLock cleared under K101679.

    AI/ML Overview

    This document is a 510(k) Pre-market Notification for a medical device, not a study report for an AI/ML device. Therefore, it does not contain the information required to answer your prompt. The questions you posed—regarding acceptance criteria, study design, expert involvement, and ground truth for an AI/ML device—are not applicable to this submission, which is for physical surgical anchors.

    Specifically, the document pertains to:

    • Device Name: Knotless SutureTak Anchors
    • Device Type: Surgical anchors for suture or tissue fixation in orthopedic applications.
    • Purpose of Submission: To obtain additional indications for use (Lateral Epicondylitis Repair) and introduce a bioabsorbable version of an already cleared device, demonstrating substantial equivalence to predicate devices.

    There is no mention of any AI or machine learning component, diagnostic capabilities, or a study involving human readers or algorithm-only performance. The "Performance Data" section explicitly states that "Pull-out and degradation testing was conducted to demonstrate that the Knotless SutureTak Anchors perform statistically equivalent to the predicate device. Bacterial endotoxin per EP 2.6.14/USP was conducted to demonstrate that the device meets pyrogen limit specifications." This confirms that the performance evaluation was mechanical and material-based, not AI/ML model validation.

    Therefore, I cannot provide the requested information about acceptance criteria for an AI/ML device, study design, sample sizes for AI/ML validation, expert adjudication, or MRMC studies based on the provided text.

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    K Number
    K171020
    Manufacturer
    Date Cleared
    2017-05-16

    (41 days)

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

    K120155

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

    The Arthrex Knotless SutureTak Anchor is intended to be used for suture or tissue fixation in the foot, ankle, knee, hand, wrist, elbow, shoulder, and hip. Specific indications are listed below:
    • Elbow: Biceps Tendon Reattachment, Ulnar or Radial Collateral Ligament
    Reconstruction
    • Shoulder: Rotator Cuff Repairs, Bankart Repair, SLAP Lesion Repair,
    Biceps Tenodesis, Acromio-Clavicular Separation Repair, Deltoid Repair,
    Capsular Shift or Capsulolabral Reconstruction
    • Hand/Wrist: Scapholunate Ligament Reconstruction, Carpal Ligament
    Reconstructions, Repair/Reconstruction of collateral ligaments, Repair of
    Flexor and Extensor Tendons at the PIP, DIP, and MCP joints for all digits,
    Digital Tendon Transfers
    • Foot/Ankle: Lateral Stabilization, Medial Stabilization, Achilles Tendon
    Repair, Metatarsal Ligament Repair, Hallux Valgus reconstruction, Digital
    Tendon Transfers, Mid-foot Reconstruction
    • Knee: Medial Collateral Ligament Repair, Lateral Collateral Ligament
    Repair, Patellar Tendon Repair, Posterior Oblique Ligament Repair,
    Iliotibial Band Tenodesis, Joint Capsule Closure
    • Hip: Capsular Repair, Acetabular Labral repair

    Device Description

    The Arthrex Knotless SutureTak Anchor is a non-absorbable, "tap-in" suture anchor with a ribbed profile and a proximally placed external suture eyelet. The anchor is manufactured of Polyetheretherketone (PEEK) and is preloaded with Arthrex Suture and is offered preassembled on a driver. The anchor was originally cleared under K120155 for indications in the foot, ankle, knee, hand, wrist, elbow, shoulder, and hip.

    AI/ML Overview

    This document describes the Arthrex Knotless SutureTak Anchor, a medical device. Here's an analysis of its acceptance criteria and the supporting study:

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance CriteriaReported Device Performance
    Pull-out StrengthStatistically equivalent to the predicate device (DePUY Mitek VERSALOK Anchor).
    Pyrogenicity (Bacterial Endotoxin)Device meets pyrogen limit specifications (per EP 2.6.14/USP ).

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

    The document does not explicitly state the sample size used for the pull-out test.
    The provenance of the data (country of origin, retrospective/prospective) is also not specified. It is an in-vitro performance test.

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

    This information is not applicable. The study involves performance testing of the device's mechanical and biological properties, not a diagnostic or AI-driven evaluation that requires expert ground truth assessment.

    4. Adjudication Method

    This information is not applicable for this type of device performance study.

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

    No. This is a medical device (suture anchor) and not an AI-driven diagnostic tool. Therefore, an MRMC study is not relevant.

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

    No. This is a medical device, not an algorithm.

    7. Type of Ground Truth Used

    For the pull-out test, the "ground truth" is established by the performance of the chosen predicate device (DePUY Mitek VERSALOK Anchor), against which the Arthrex Knotless SutureTak Anchor is compared for statistical equivalence.

    For the pyrogenicity test, the "ground truth" is defined by the pyrogen limit specifications outlined in EP 2.6.14/USP .

    8. Sample Size for the Training Set

    This information is not applicable. This is a medical device, not an AI model that requires a training set.

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

    This information is not applicable as there is no training set for this device.

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    K Number
    K130458
    Manufacturer
    Date Cleared
    2013-05-03

    (70 days)

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

    K120155, K041553, K110145

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

    The Arthrex Knotless FiberTak Suture Anchor is intended for suture or tissue fixation in the foot, ankle, knee, hand, wrist, elbow, shoulder, and hip. Specific indications are listed below:

    Elbow: Biceps Tendon Reattachment, Ulnar or Radial Collateral Ligament Reconstruction

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

    Hand/Wrist: Scapholunate Ligament Reconstruction, Carpal Ligament Reconstructions, Repair/Reconstruction of collateral ligaments, Repair of Flexor and Extensor Tendons at the PIP, DIP, and MCP joints for all digits, Digital Tendon Transfers

    Foot/Ankle: Lateral Stabilization, Medial Stabilization, Achilles Tendon Repair, Metatarsal Ligament Repair, Hallux Valgus reconstruction, Digital Tendon Transfers, Mid-foot Reconstruction

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

    Hip: Acetabular Labral repair

    Device Description

    The Arthrex Knotless FiberTak Suture Anchor is an "all-suture" soft-tissue fixation device with an expandable push-in design. It is constructed from a hollow braid of polyester. An UHMWPE suture construct is assembled through the hollow braid coupled with a nitinol passing wire. The device comes preloaded on a disposable inserter.

    AI/ML Overview

    Here's an analysis of the provided text regarding the Arthrex Knotless FiberTak Suture Anchor, focusing on the acceptance criteria and the study that proves the device meets those criteria:

    Device: Arthrex Knotless FiberTak Suture Anchor


    1. Acceptance Criteria and Reported Device Performance

    The provided 510(k) summary indicates that the primary acceptance criterion is substantial equivalence to predicate devices. This means the new device must perform comparably to existing, legally marketed devices for its intended use.

    Specifically, the document states:

    Acceptance CriteriaReported Device Performance
    Basic Design Features are the same as predicate devices."The Arthrex Knotless FiberTak Suture Anchor is substantially equivalent to the predicate devices, in which the basic design features and intended uses are the same."
    Intended Uses are the same as predicate devices."The Arthrex Knotless FiberTak Suture Anchor is substantially equivalent to the predicate devices, in which the basic design features and intended uses are the same." (Specific intended uses for various anatomical locations are listed in detail for the device itself, implying they align with the uses of the predicate devices).
    Material Composition is substantially equivalent to predicate devices."The proposed devices are comprised of polyester and UHMWPE. These materials are substantially equivalent to the materials found in the predicate devices."
    Tensile Strength (pull-out) is substantially equivalent to predicate devices for the desired indications."The submitted mechanical testing data demonstrates that the tensile strength (pull-out) of the proposed devices are substantially equivalent to the predicates for the desired indications."
    Safety and Effectiveness are not compromised by any minor differences."Any differences between the Arthrex Knotless FiberTak and the predicates are considered minor and do not raise questions concerning safety and effectiveness." This is a general statement that encompasses the overall assessment of the device's performance relative to the predicates.

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

    The document explicitly mentions "mechanical testing data" to demonstrate tensile strength (pull-out). However, it does not specify the sample size used for this mechanical testing.

    The data provenance is implied to be from laboratory-based mechanical testing, likely conducted by Arthrex, Inc. No information is provided regarding the country of origin of the data or whether it was retrospective or prospective. Given the nature of mechanical testing for a medical device, it would inherently be prospective in its execution (i.e., tests were performed specifically for this submission).


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

    The concept of "ground truth" established by experts, as typically applied in AI/ML studies, is not applicable here. This document describes the premarket notification for a physical medical device (suture anchor), not a diagnostic algorithm or AI system. The "truth" or performance is established through direct mechanical testing, not through expert interpretation of data.


    4. Adjudication Method for the Test Set

    Since ground truth as per AI/ML context is not applicable, an adjudication method in that sense is not relevant for this mechanical device submission. The results of the mechanical tests themselves would be the "data" that are then compared against the predicate device's performance.


    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done

    No, a Multi-Reader Multi-Case (MRMC) comparative effectiveness study was not done. This type of study is relevant for evaluating the performance of diagnostic tools or AI systems, particularly how human readers perform with or without AI assistance. This submission is for a physical surgical anchor.


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

    No, a standalone performance study (in the context of an algorithm) was not done. This is not an AI/ML device. The "standalone performance" here would be the tensile strength and other mechanical properties of the device itself, which were indeed tested.


    7. The Type of Ground Truth Used

    The "ground truth" for this device's performance evaluation is based on objective mechanical testing data, specifically "tensile strength (pull-out)." This is a direct physical measurement, not expert consensus, pathology, or outcomes data. The comparison is made against documented performance characteristics of legally marketed predicate devices.


    8. The Sample Size for the Training Set

    The concept of a "training set" is not applicable here. This is not an AI/ML device that requires a training set for model development. The device itself is being tested, not an algorithm.


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

    As there is no training set for an AI/ML model, this question is not applicable.

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