KNOTLESS SUTURE FIXATION SYSTEM

K111716 · Core Essence Orthopaedics · MBI · Nov 10, 2011 · Orthopedic

Device Facts

• Record ID: K111716
• Device Name: KNOTLESS SUTURE FIXATION SYSTEM
• Applicant: Core Essence Orthopaedics
• Product Code: MBI · Orthopedic
• Decision Date: Nov 10, 2011
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 888.3040
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The Knotless Suture Fixation System is intended to secure soft tissue to bone of: The Shoulder: Bankart Repair SLAP Lesion Repair Acromio-Clavicular Separation Rotator Cuff Repair Capsule Repair Biceps Tenodesis Deltoid Repair The Elbow: Ulnar or Radial Collateral Ligament Reconstruction Bicep Tendon Reconstruction Tennis Elbow Repair The Hand and Wrist: Scapholunate Ligament Reconstruction Ulnar / Radial Collateral Ligament Reconstruction Ankle/Foot Indications: Lateral Stabilization Medial Stabilization Achilles Tendon Repair / Reconstruction Hallux Valgus Reconstruction Mid and Rear Foot Reconstruction

Device Story

Knotless Suture Fixation System consists of threaded PEEK anchors designed to secure soft tissue to bone. Used by orthopedic surgeons in clinical settings for ligament, tendon, and soft tissue repairs in shoulder, elbow, hand, wrist, ankle, and foot. Implant facilitates knotless fixation, eliminating need for manual knot tying during surgery. Device provides mechanical stability for tissue healing. System includes implants and associated surgical instruments. Implants are sterilized via EtO; instruments are reusable and autoclaveable.

Clinical Evidence

No clinical tests were performed. Substantial equivalence supported by bench testing, including pullout force and suture retention studies, which met all acceptance criteria.

Technological Characteristics

Implant material: ASTM F2026 implant-grade PEEK (PEEK-OPTIMA). Design: Threaded, knotless suture anchor. Sterilization: EtO for implants (SAL 10^-6 per AAMI/ANSI/ISO 11135); autoclave for instruments (SAL 10^-6 per ISO 11134).

Indications for Use

Indicated for patients requiring soft tissue-to-bone fixation in shoulder, elbow, hand, wrist, ankle, and foot procedures, including ligament, tendon, and capsule repairs/reconstructions.

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

• Securus Suture Anchors (K090128)
• Opus® SpeedScrew™ (K100457)

Submission Summary (Full Text)

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Core Essence
Orthopaedics, Inc.

### 510(k) Summary

11 1716 # 15

NOV 1 0 2011

as required by section 807.92(c).

## Knotless Suture Fixation System K11716

Core Essence Orthopaedics, Inc. 575A Virginia Dr.

Ft. Washington, PA 19034

Jeff Miller

Vice President

Phone: [phone]

Fax: [phone]

Email: jeff.miller(@ceortho.com

Updated 11/10/11

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| Submitter: | Core Essence Orthopaedics, Inc.<br>575A Virginia Dr.<br>Ft. Washington, PA 19034 |
|----------------|------------------------------------------------------------------------------------------|
| Contact Person | Jeff Miller<br>Vice President<br>Phone: [phone]<br>Email: [e-mail] |

| Trade Name | Core Essence Orthopaedics, Inc., TAC-tite™ PEEK |
|-----------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Common Name | Knotless Suture Fixation System |
| Device Class | Class II |
| Classification Name<br>and Number | Fastener, Fixation, Non-degradable, Soft Tissue<br>21 CFR 888.3040 |
| Classification Panel: | Orthopedic |
| Product Code | MBI |
| Predicate Devices | Securus Suture Anchors (K090128)<br>Opus® SpeedScrew™ (K100457) |
| Device Description | Knotless Suture Fixation System includes threaded anchors used to<br>facilitate fixation of soft tissue to bone. This is a knotless suture<br>anchor for surgical treatment of ligament, tendon and soft tissue<br>pathologies of the shoulder and other joints.<br>The implant is constructed of Polyetheretherketone (PEEK) which is<br>widely used for products in the product code. |

ﺘﺴ

| Intended Use | The Knotless Suture Fixation System is intended to secure soft tissue<br>to bone of: |
|--------------|--------------------------------------------------------------------------------------|
| | The Shoulder: |
| | Bankart Repair |
| | SLAP Lesion Repair |
| | Acromio-Clavicular Separation |
| | Rotator Cuff Repair |
| | Capsule Repair |
| | Biceps Tenodesis |
| | Deltoid Repair |

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# KII 1716 *15

| The Elbow: | Ulnar or Radial Collateral Ligament Reconstruction |
|-------------------------|----------------------------------------------------|
| | Bicep Tendon Reconstruction |
| | Tennis Elbow Repair |
| The Hand and Wrist: | Scapholunate Ligament Reconstruction |
| | Ulnar / Radial Collateral Ligament Reconstruction |
| Ankle/Foot Indications: | Lateral Stabilization |
| | Medial Stabilization |
| | Achilles Tendon Repair / Reconstruction |
| | Hallux Valgus Reconstruction |
| | Mid and Rear Foot Reconstruction |

| Materials: | The implant is manufactured from ASTM2026 implant grade<br>Polyetheretherketone (PEEK)<br>Specifically PEEK-OPTIMA® manufactured by Invibio |
|------------|---------------------------------------------------------------------------------------------------------------------------------------------|
|------------|---------------------------------------------------------------------------------------------------------------------------------------------|

| Statement of<br>Technological<br>Comparison | The purpose of this submission is to obtain market clearance for the<br>proposed Core Essence Orthopaedics, Inc., Knotless Suture Fixation<br>System. Core Essence Orthopaedics, Inc., Knotless Suture Fixation<br>System and its predicate devices have the same indications for use, similar<br>design, and test results. The device and predicates are manufactured using<br>materials with a long history of use in orthopaedic implants. One of the<br>predicate anchors is made of Ti 6Al-4V ELI (Per ASTM F136 and ISO<br>5832-2). The new device and the other predicate are made of implant<br>grade Polyetheretherketone (PEEK) (Per ASTM2026). |
|---------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|---------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

Summary of Technological Comparison (Please see below)

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| Nonclinical Test<br>Summary | The following tests were performed to demonstrate that the Knotless Suture Fixation<br>System is substantially equivalent to other predicate devices.<br>Pullout force Suture retention The results of these studies showed that the Knotless Suture Fixation System met the<br>acceptance criteria. |
|-----------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Clinical Test<br>Summary | No clinical tests were performed. |

| Sterilization Information | |
|---------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Implants | The Knotless Suture Fixation System will be sterilized using EtO. Sterilization<br>validation testing of the process was conducted on equivalent devices to achieve a<br>Sterility Assurance Level (SAL) of 10-6, using the Half-cycle approach, per<br>AAMI/ANSI/ISO/11135. |
| Instruments and<br>Case | The Knotless Suture Fixation System instrument and case will be shipped non-sterile and<br>will be autoclaveable, validation testing of the process was conducted on equivalent<br>product to an Sterility Assurance Level (SAL) of 10-6 per ISO 11134. |

| Conclusion | The Knotless Suture Fixation System is substantially equivalent to its predicate devices.<br>This conclusion is based upon the fact the Knotless Suture Fixation System and its<br>predicate devices have the same indications for use, have a similar design, and similar<br>test results. |
|------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

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| Characteristic | Knotless Suture Fixation System | TAC-tite™ Suture Anchor<br>(Previously cleared Securus)<br>(K090128) | Opus® SpeedScrew™<br>(K100457) |
|--------------------|---------------------------------|----------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------|
| Intended Use | Same | Same | Both indicated for knotless fixation device for fixation of soft tissue to bone, and examples of procedures are similar. |
| Material | PEEK-OPTIMA® | Ti6Al4V | PEEK-OPTIMA® |
| Anchor Type | Screw Type | Screw Type<br>Cancellous Style Buttress Thread | Screw Type |
| Suture Lock | Knotless | Knotless | Knotless |
| Performance Specs. | Same | Same | Similar |

## K 11/17/14 21 5

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NOV 1 0 2011

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

Core Essence Orthopaedics % Mr. Jeff Miller Vice President 575A Virginia Drive Fort Washington, Pennsylvania 19034

Re: K111716

Trade/Device Name: Core Essence Orthopaedics, Inc., Knotless Suture Fixation System Regulation Number: 21 CFR 888.3040 Regulation Name: Smooth or threaded metallic bone fixation fastener Regulatory Class: Class II Product Code: MBI Dated: November 2, 2011 Received: November 3. 2011

Dear Mr. Miller:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to 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); medical device reporting (reporting of medical

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#### Page 2 - Mr. Jeff Miller

device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain 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/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours,

for Peter Dazlers D.O.

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

Enclosure

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### Indications for Use

11716

#### 510(k) Number K111716

Device Name: Core Essence Orthopaedics, Inc., Knotless Suture Fixation System

Indications for Use:

The Knotless Suture Fixation System is intended to secure soft tissue to bone of: The Shoulder,

Bankart Repair SLAP Lesion Repair Acromio-Clavicular Separation Rotator Cuff Repair Capsule Repair Biceps Tenodesis Deltoid Repair The Elbow: Ulnar or Radia! Collateral Ligament Reconstruction Bicep Tendon Reconstruction Tennis Elbow Repair The Hand and Wrist: Scapholunate Ligament Reconstruction Ulnar / Radial Collateral Ligament Reconstruction Ankle/Foot Indications: Lateral Stabilization Medial Stabilization Achilles Tendon Repair / Reconstruction Hallux Valgus Reconstruction

Mid and Rear Foot Reconstruction

Prescription Use X AND/OR Over-the-counter (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Oft) Division of Surgical, Orthopedic, and Restorative Devices

510(k) Number K111716