GRYPHON BR ANCHOR W/PROKNOT TECHNOLOGY,GRYPHON PEEK ANCHOR W/ PROKNOT TECHNOLOGY

K140643 · Depuy Mitek, A Johnson and Johnson Company · MAI · Jul 8, 2014 · Orthopedic

Device Facts

• Record ID: K140643
• Device Name: GRYPHON BR ANCHOR W/PROKNOT TECHNOLOGY,GRYPHON PEEK ANCHOR W/ PROKNOT TECHNOLOGY
• Applicant: Depuy Mitek, A Johnson and Johnson Company
• Product Code: MAI · Orthopedic
• Decision Date: Jul 8, 2014
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 888.3030
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

Shoulder: Bankart Repair, SLAP Lesion Repair, Capsular Shift or Capsulolabral Reconstruction Hip: Capsular Repair, Acetabular Labral Repair

Device Story

Gryphon Anchor w/ProKnot Technology is a suture-anchor system for soft tissue-to-bone fixation. Device consists of a cannulated, ribbed anchor made of non-absorbable PEEK or absorbable Biocryl Rapide (β-TCP/PLGA composite), preloaded with size #1 blue Permacord (UHMWPE) suture. Suture features a pre-tied sliding knot (ProKnot). Used by surgeons in clinical settings for orthopedic repairs in shoulder and hip. Anchor is implanted into bone to secure soft tissue via the pre-tied suture. Benefits include simplified knot-tying and secure fixation during reconstructive procedures.

Clinical Evidence

Bench testing only. Performance evaluation included fixation strength testing, suture knot strength testing, and suture fray testing compared against predicate devices. Permacord suture testing was conducted per USP standards. Data demonstrated substantial equivalence in product performance.

Technological Characteristics

Cannulated, ribbed anchor. Materials: PEEK or Biocryl Rapide (β-TCP/PLGA). Suture: Size #1 blue Permacord (UHMWPE). Sterile, single-use. Mechanical fixation principle.

Indications for Use

Indicated for patients requiring soft tissue-to-bone fixation in the shoulder (Bankart repair, SLAP lesion repair, capsular shift, capsulolabral reconstruction) or hip (capsular repair, acetabular labral repair).

Regulatory Classification

Identification

Single/multiple component metallic bone fixation appliances and accessories are devices intended to be implanted consisting of one or more metallic components and their metallic fasteners. The devices contain a plate, a nail/plate combination, or a blade/plate combination that are made of alloys, such as cobalt-chromium-molybdenum, stainless steel, and titanium, that are intended to be held in position with fasteners, such as screws and nails, or bolts, nuts, and washers. These devices are used for fixation of fractures of the proximal or distal end of long bones, such as intracapsular, intertrochanteric, intercervical, supracondylar, or condylar fractures of the femur; for fusion of a joint; or for surgical procedures that involve cutting a bone. The devices may be implanted or attached through the skin so that a pulling force (traction) may be applied to the skeletal system.

Predicate Devices

• GRYPHON™ Anchor w/PROKNOTT™ Technology (K132241)
• GRYPHON BR Anchor (K100012, K090124)
• GRYPHON PEEK Anchor (K103712)

Reference Devices

• Healix Advance Anchor w/Permacord suture (K133794)
• Force Fiber Blue Polyethylene Non-Absorbable Surgical Suture (K092533)

Submission Summary (Full Text)

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K140643 Page 1/2

## 0 DePuv Synthes

MITEK SPORTS MEDICINE PANIES OF Goknomagehauen

JUI 0882014

### 510(k) SUMMARY GRYPHON™ ANCHOR w/PROKNOT™ TECHNOLOGY

| Date Summary<br>Prepared | May 2, 2014 |
|---------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Submitter's<br>Name and<br>Address | DePuy Mitek<br>a Johnson & Johnson company<br>325 Paramount Drive<br>Raynham, MA 02767 |
| Contact Person | Yayoi Fujimaki<br>Regulatory Affairs Senior Associate<br>DePuy Mitek<br>a Johnson & Johnson company<br>325 Paramount Drive<br>Raynham, MA 02767, USA<br>Telephone: [phone]<br>Facsimile: 508-977-6911<br>e-mail: [e-mail] |
| Name of the<br>Device | Trade Name: GRYPHON™ Anchor w/PROKNOTT™ Technology<br>Common Name: fastener, fixation, biodegradable, soft tissue |
| Device<br>Classification | MAI - Single/multiple component metallic bone fixation appliances and<br>accessories, classified as Class II, regulated per 21 CFR 888.3030.<br>MBI - Smooth or threaded metallic bone fixation fastener, classified as Class<br>II, regulated per 21 CFR 888.3040.<br>Orthopedic panel |
| Predicate<br>Device | The proposed device is substantially equivalent to:<br>GRYPHON™ Anchor w/PROKNOTT™ Technology (K132241);<br>GRYPHON BR Anchor (K100012, K090124);<br>GRYPHON PEEK Anchor (K103712).<br>The following predicate devices were referenced:<br>Healix Advance Anchor w/Permacord suture (K133794);<br>Force Fiber Blue Polyethylene Non-Absorbable Surgical Suture (K092533,<br>Teleflex Medical Incorporated) |
| Indications for<br>Use | Shoulder: Bankart Repair, SLAP Lesion Repair, Capsular Shift or Capsulolabral<br>Reconstruction<br>Hip: Capsular Repair, Acetabular Labral Repair |
| Device<br>Description | The proposed device is a suture-anchor to be used for soft tissue fixation to<br>bone. The Gryphon Anchor is a cannulated, ribbed anchor, made of either non-<br>absorbable PEEK (Polyetheretherketone) or absorbable Biocryl® RapideTM<br>(composite of β-TCP and PLGA copolymer). Size #1 blue Permacord™ suture<br>(UHMWPE braided suture) is preloaded on the anchor. The suture incorporates<br>a pre-tied sliding knot (ProKnot knot). The Permacord suture is a non-<br>absorbable suture that conforms to USP except for oversized diameter. The<br>device is provided as sterile; the device is for single patient use only. |
| Comparison of<br>Technological<br>Characteristics | The anchors are existing Gryphon anchors. The blue #1 Permacord suture is<br>made from the same materials as the blue #2 Permacord suture that is used for<br>the Healix Advance Anchor w/Permacord suture. No other new technological<br>characteristics are introduced to the proposed device compared with the<br>predicate device. Fixation strength testing ensured substantial equivalence of<br>device performance. No new issue of safety and efficacy has been raised. |
| Safety and<br>Performance | Non-clinical Testing<br>Fixation strength testing, suture knot strength testing and suture fray testing were<br>conducted and the data were compared with the data of the predicate devices.<br>The data demonstrated substantial equivalence of product performance. The<br>proposed device has raised no new issue of safety and efficacy. Suture testing on<br>the Permacord suture was also conducted per USP. |
| Substantial<br>Equivalence | Based on technological characteristics comparison and performance evaluation,<br>the proposed device is concluded to be substantially equivalent to the predicate<br>device. |

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# (0) DePuy Synthes

mitek sports medicine COMPRMICS OF Specifican Coknova

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Public Health Service

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

July 8, 2014

DePuy Mitek Ms. Yayoi Fujimaki Senior Regulatory Affairs Associate 325 Paramount Drive Raynham, Massachusetts 02767

Re: K140643

Trade/Device Name: Gryphon Anchor w/ProKnot Technology Regulation Number: 21 CFR 888.3030 Regulation Name: Single/multiple component metallic bone fixation appliances and Accessories Regulatory Class: Class II Product Code: MAI, MBI Dated: June 3, 2014 Received: June 5, 2014

Dear Ms. Fujimaki:

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 - Ms. Yayoi Fujimaki

device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. 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 Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours, Lori A. Wigqins

for

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

Enclosure

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#### DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

### Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: January 31, 2017 See PRA Statement on last page.

510(k) Number (if known)

K140643

Device Name Gryphon Anchor w/ProKnot Technology

Indications for Use (Describe)

Gryphon Anchor w/ProKnot Technology is indicated for followings.

Shoulder: Bankart Repair, SLAP Lesion Repair, Capsular Shift or Capsulolabral Reconstruction Hip: Capsular Repair, Acetabular Labral Repair

Type of Use (Select one or both, as applicable)

[x] Prescription Use (Part 21 CFR 801 Subpart D)

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

#### PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.

: FOR FDA USE ONLY ----------

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

Casey L. Hanley, Ph.D.

Division of Orthopedic Devices

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