ARTHREX TENODESIS SCREW FAMILY

K041356 · Arthrex, Inc. · HWC · Nov 4, 2004 · Orthopedic

Device Facts

• Record ID: K041356
• Device Name: ARTHREX TENODESIS SCREW FAMILY
• Applicant: Arthrex, Inc.
• Product Code: HWC · Orthopedic
• Decision Date: Nov 4, 2004
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 888.3040
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The Arthrex Tenodesis Family of Screws, made up of titanium or polylactide (PLLA), are intended to provide soft tissue reattachment, i.e., fixation of ligament and tendon graft tissue in surgeries of the shoulder, elbow, knee, foot/ankle, and hand/wrist. Specifically. Shoulder: Rotator Cuff Repairs, 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, Mid-foot Reconstruction, Metatarsal Ligament Repair, Flexor Hallucis Longus for Achilles Tendon reconstruction. Knee: Anterior Cruciate Ligament Repair, Medial Collateral Ligament Repair, Lateral Collateral Kigament Repair, Patellar Tendon Repair, Posterior Oblique Ligament Repair, and Iliotibial Band Tenodesis. Elbow: Biceps Tendon Reattachment, Ulnar or Radial Collateral Ligament Reconstruction. Hand/Wrist: Scapholunate Ligament Reconstruction, Uinar Collateral Ligament Reconstruction, Radial Collateral Ligament Reconstruction, Lateral Epicondylitis repair,

Device Story

Arthrex Tenodesis Family consists of fully cannulated, rounded-head screws manufactured from titanium or poly(L-lactide) (PLLA). Used by surgeons in clinical settings for soft tissue reattachment; specifically, fixation of ligament and tendon grafts during reconstructive procedures in shoulder, elbow, knee, foot/ankle, and hand/wrist. Screws are implanted using specific instrumentation to secure graft tissue to bone. Device provides mechanical fixation to facilitate healing and tissue reattachment. No software or electronic components involved.

Clinical Evidence

No clinical data provided; bench testing only.

Technological Characteristics

Fully cannulated screws with rounded heads. Materials: Titanium or poly(L-lactide) (PLLA). Mechanical fixation device. No software, electronics, or connectivity.

Indications for Use

Indicated for soft tissue reattachment and fixation of ligament and tendon graft tissue in orthopedic surgeries of the shoulder, elbow, knee, foot/ankle, and hand/wrist in patients requiring such repairs.

Regulatory Classification

Identification

A smooth or threaded metallic bone fixation fastener is a device intended to be implanted that consists of a stiff wire segment or rod made of alloys, such as cobalt-chromium-molybdenum and stainless steel, and that may be smooth on the outside, fully or partially threaded, straight or U-shaped; and may be either blunt pointed, sharp pointed, or have a formed, slotted head on the end. It may be used for fixation of bone fractures, for bone reconstructions, as a guide pin for insertion of other implants, or it may be implanted through the skin so that a pulling force (traction) may be applied to the skeletal system.

Submission Summary (Full Text)

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NOV - 4 2004

# 510(k) Summary

| 510(k) Number (if known): | K041356 |
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| Company: | Arthrex, Inc. |
| Address: | 1370 Creekside Blvd., Naples, FL 34108-1945 |
| Telephone: | [phone] |
| Facsimile: | [phone] |
| Contact | Ann Waterhouse |
| Trade Name: | Arthrex Tenodesis Screw Family |
| Common Name: | Suture Anchor |
| Classification: | Fastener, Fixation, Biodegradable, Soft Tissue |
| Product Code: | MAI, HWC |

#### Description:

Description:
The Arthrex Tenodesis Family of screws are manufactured using poly(L-lactide) or titanium The Anniox Tonedbel , fully cannulated anchors with a rounded head. The Tenodesis Screws are available with specific instrumentation to alde implantation.

#### Indications for Use:

The Arthrex Tenodesis Family of Screws, made up of titanium or polylactide (PLLA), are intended to provide soft tissue reattachment, i.e., fixation of ligament and tendon graft tissue in surgeries of the shoulder, elbow, knee, foot/ankle, and hand/wrist. Specifically.

Shoulder: Rotator Cuff Repairs, 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, Mid-foot Reconstruction, Metatarsal Ligament Repair, Flexor Hallucis Longus for Achilles Tendon reconstruction.

Knee: Anterior Cruciate Ligament Repair, Medial Collateral Ligament Repair, Lateral Collateral Kigament Repair, Patellar Tendon Repair, Posterior Oblique Ligament Repair, and Iliotibial Band Tenodesis.

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

Hand/Wrist: Scapholunate Ligament Reconstruction, Uinar Collateral Ligament Reconstruction, Radial Collateral Ligament Reconstruction, Lateral Epicondylitis repair,

By definition, substantial equivalence means that a device has the same intended use and technical characteristics as the predicate device, or has the same intended use and different technological characteristics, but can be demonstrated to be as safe and effective as the predicate device. The difference between the Arthrex Bio-Tenodesis Screws and the predicate devices with similar indications do not raise any questions regarding the safety and effectiveness of the implant. Furthermore, the materials are well characterized and have been used in predicate devises with similar indications. The devices, as designed, are as safe and effective as predicate devices.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the circle is an abstract symbol that resembles an eagle.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

NOV - 4 2004

Ms. Ann Waterhouse, RAC Regulatory Affairs Specialist Arthrex, Inc. 1370 Creekside Boulevard Naples, Florida 34108-1945

K041356 Re:

> Trade/Device Name: Arthrex Tenodesis Family Regulation Number: 21 CFR 888.3040 Regulation Name: Smooth or threaded metallic bone fixation fastener Regulatory Class: II Product Code: HWC, MAI Dated: August 5, 2004 Received: August 9, 2004

Dear Ms. Waterhouse:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate 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) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), 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 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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This letter will allow you to begin marketing your device as described in your Section 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), please contact the Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97) you may obtain. Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,
Mark A. Milkerson

Celia M. Witten, Ph.D., M.D. Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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### 510(k) Number (if known): K041356

## Device Name: Arthrex Tenodesis Family

### Indications for Use:

The Arthrex Tenodesis Family of Screws, made up of titanium or polylactide (PLLA), are intended to provide soft tissue reattachment, i.e., fixation of ligament and tendon graft tissue in surgeries of the shoulder, elbow, knee, foot/ankle, and hand/wrist. Specifically:

Shoulder: Rotator Cuff Repairs, 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 r Governine: Lateral Beconstruction, Metatarsal Ligament Repair, Flexor Hallucis Longus for Achilles Tendon reconstruction.

Knee: Anterior Cruciate Ligament Repair, Medial Collateral Ligament Repair, Lateral Collateral Kiles: Antonor Crusiato Ligarient Repair, Posterior Oblique Ligament Repair, and Illiotibial Band Tenodesis.

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

Hand/Wrist: Scapholunate Ligament Reconstruction, Ulinar Collateral Ligament Reconstruction, Radial Collateral Ligament Reconstruction, Lateral Epicondylitis repair,

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Prescription Use (Per 21 CFR 801 Subpart D)

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AND/OR

Over-The-Counter Use __ (21 CFR 801 Subpart C)

Concurrence of CDRH, Office of Device Evaluation (ODE)

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Mach A. Millers

510(k) Number K041356