TENODESIS CROSS SCREW, INTERFERENCE SCREW, SUTURE BEAD

K081348 · TriMed, Inc. · MBI · Oct 17, 2008 · Orthopedic

Device Facts

• Record ID: K081348
• Device Name: TENODESIS CROSS SCREW, INTERFERENCE SCREW, SUTURE BEAD
• Applicant: TriMed, Inc.
• Product Code: MBI · Orthopedic
• Decision Date: Oct 17, 2008
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 888.3040
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The TriMed Tenodesis Cross Screw and Interference Screw are intended to be used as an aid for fixation of soft tissue grafts to bone. Specific indications for use include: Hand/Wrist: Scapholunate Ligament Reconstruction, Ulnar Collateral Ligament Reconstruction, Radial Collateral Ligament Reconstruction, Carpometacarpal joint arthroplasty (basal thumb joint arthroplasty), Carpal Ligament Reconstructions and repairs, tendon transfer in the hand and wrist. Foot/Ankle: Lateral Stabilization, Medial Stabilization, Achilles Tendon Repair, Hallux Valgus Reconstruction, Midfoot Reconstruction, Metatarsal Ligament Repair, Flexor Hallucis Longus for Achilles Tendon reconstruction, tendon transfers in the foot and ankle. The TriMed Suture Bead is indicated as an adjunct in fracture repair involving metaphyseal and periarticular small bone fragments where screws are not indicated. It may also be used as an adjunct to external and intramedullary fixation systems involving fixation plates and rods, with fracture braces and casting. The Suture Beads are also indicated in ligament and tendon repair and reconstruction associated with fractures and soft tissue reattachment. The TriMed Suture Bead is not indicated for use within intra-articular sites.

Device Story

Cannulated bone screws and suture beads; used for soft tissue graft fixation to bone and fracture repair adjunct. Screws secure grafts in hand, wrist, foot, and ankle; suture beads assist in small bone fragment fixation and soft tissue reattachment. Operated by surgeons in clinical/OR settings. Implants available in various sizes, diameters, and materials to accommodate patient anatomy and graft requirements. Provides mechanical fixation to stabilize tissues/fragments during healing.

Clinical Evidence

No clinical data provided; substantial equivalence based on design, material, and intended use comparisons.

Technological Characteristics

Cannulated bone screws and suture beads. Materials: implant-grade stainless steel, titanium, or PEEK. Single-use. Available sterile or non-sterile. Mechanical fixation principle.

Indications for Use

Indicated for patients requiring soft tissue graft-to-bone fixation in hand, wrist, foot, or ankle procedures; or fracture repair/soft tissue reattachment using suture beads in metaphyseal/periarticular small bone fragments. Suture beads contraindicated for intra-articular use.

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.

Predicate Devices

• Transet Fracture Fixation System (K033717)

Submission Summary (Full Text)

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## OCT 1 7 2008 510(K) Summary of Safety and Effectivenss TRIMED, INC. TENODESIS CROSS SCREW, INTERFERENCE SCREW AND SUTURE BEAD

| Submitted By: | TriMed, Inc. |
|-----------------------------|----------------------------------------------|
| | 25864 Tournament Road, Ste. A |
| | Valencia, CA 91355 |
| | [phone] |
| Registration #: | 2031009 |
| Prepared By/Contact Person: | Kelli Anderson |
| | Phone: [phone] |
| | Fax: [phone] |
| Proprietary Name: | TriMed Tenodesis Cross Screw, Interference |
| | Screw and Suture Bead |
| Classification: | Class II: Bone Fixation Screws |
| | HWC - Section 888.3040 |
| | Class II: Fastener, Fixation, Nondegradable, |
| | Soft Tissue |
| | MBI - Section 888.3040 |
| Summary Preparation Date: | October 10, 2008 |

#### I. Indications for Use:

The TriMed Tenodesis Cross Screw and Interference Screw are intended to be used as an aid for fixation of soft tissue grafts to bone. Specific indications for use include:

Hand/Wrist: Scapholunate Ligament Reconstruction, Ulnar Collateral Ligament Reconstruction, Radial Collateral Ligament Reconstruction, Carpometacarpal joint arthroplasty (basal thumb joint arthroplasty), Carpal Ligament Reconstructions and repairs, tendon transfer in the hand and wrist.

Foot/Ankle: Lateral Stabilization, Medial Stabilization, Achilles Tendon Repair, Hallux Valgus Reconstruction, Midfoot Reconstruction, Metatarsal Ligament Repair, Flexor Hallucis Longus for Achilles Tendon reconstruction, tendon transfers in the foot and ankle.

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The TriMed Suture Bead is indicated as an adjunct in fracture repair involving metaphyseal and periarticular small bone fragments where screws are not indicated. It may also be used as an adjunct to external and intramedullary fixation systems involving fixation plates and rods, with fracture braces and casting. The Suture Beads are also indicated in ligament and tendon repair and reconstruction associated with fractures and soft tissue reattachment.

The TriMed Suture Bead is not indicated for use within intra-articular sites.

### II. Device Description:

The TriMed Tenodesis Cross Screw and Interference Screw are cannulated single use bone screws. The screws are made of implant grade stainless steel, titanium or PEEK, the suture beads are made of implant grade stainless steel or titanium. All products will be available sterile and non-sterile. Variations in implant size, diameter, shape and materials for all components are intended to allow the implants to accommodate variations in patient size, graft size and sites of application.

#### Substantial Equivalence: III.

K033717 - Transet Fracture Fixation System

Lu Lu

Kelli Anderson, MS, RAC Regulatory Affairs Specialist

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Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features a stylized caduceus, a symbol often associated with medicine and healthcare. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the caduceus. The logo is black and white.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

### OCT 1 7 2008

TriMed, Inc. % Ms. Kelli Anderson Regulatory Affairs Specialist 25864 Tournament Road, Suite A Valencia, California 91355

Re: K081348

Trade/Device Name: Tenodesis Cross Screw, Interference Screw and Suture Bead Regulation Number: 21 CFR 888.3040 Regulation Name: Smooth or threaded metallic bone fixation fastener Regulatory Class: Class II Product Code: MBI, HWC, HTY Dated: October 10, 2008 Received: October 14, 2008

Dear Ms. Anderson:

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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### Page 2 –Ms. Kelli Anderson

This letter will allow you to begin marketing your device as described in your Section 510(k) I mis lotter will and in your e FDA finding of substantial equivalence of your device to a legally prematics notification. "The pro 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 rryou dente specific and Radiological Health's (CDRH's) Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to (210) 210 vification" (21CFR Part 807.97). For questions regarding postmarket surveillance, prematice nonneation (DRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at 240-276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at 240-(Moulear Device responsible other general information on your responsibilities under the Act 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/industry/support/index.html.

Sincerely yours,

Mark W. Wilkerson

Mark N. Melkerson Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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# Indications for Use

510(k) Number (if known): __ K081348

Device Name: TriMed Suture Bead

The TriMed Suture Bead is indicated as an adjunct in fracture repair involving metaphyseal and periarticular small bone fragments where screws are not indicated. It may also be used as an adjunct to external and intramedullary fixation systems involving fixation plates and rods, with fracture braces and casting. The Suture Beads are also indicated in ligament and tendon repair and reconstruction associated with fractures and soft tissue reattachment.

The TriMed Suture Bead is not indicated for use within intra-articular sites.

Prescription Use (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division (Division Sign of General, Restorative, and Neurological Devices

041348
Number

510(k) Number.

Page 1 of 2

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## Indications for Use

510(k) Number (if known): K081348

Device Name: TriMed Tenodesis Cross Screw and Interference Screw

The TriMed Tenodesis Cross Screw and Interference Screw are intended to be used as an aid for fixation of soft tissue grafts to bone. Specific indications for use include:

Hand/Wrist: Scapholunate Ligament Reconstruction, Ulnar Collateral Ligament Reconstruction, Radial Collateral Ligament Reconstruction, Carpometacarpal joint arthroplasty (basal thumb joint arthroplasty), Carpal Ligament Reconstructions and repairs, tendon transfer in the hand and wrist.

Foot/Ankle: Lateral Stabilization, Medial Stabilization, Achilles Tendon Repair, Hallux Valgus Reconstruction, Midfoot Reconstruction, Metatarsal Ligament Repair, Flexor Hallucis Longus for Achilles Tendon reconstruction, tendon transfers in the foot and ankle.

Prescription Use (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

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