MultiFIX S Knotless Fixation System

K151660 · ArthroCare Corporation · MBI · Jul 16, 2015 · Orthopedic

Device Facts

• Record ID: K151660
• Device Name: MultiFIX S Knotless Fixation System
• Applicant: ArthroCare Corporation
• Product Code: MBI · Orthopedic
• Decision Date: Jul 16, 2015
• Decision: SESE
• Submission Type: Special
• Regulation: 21 CFR 888.3040
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The MultiFIX S Knotless Fixation Device is indicated for use in fixation of soft tissue to bone. Examples of such procedures include: Shoulder: Bankart Repair, SLAP lesion repair, acromio-clavicular separation, rotator cuff repair, capsule shift/capsule-labral reconstruction, biceps tenodesis, and deltoid repair Ankle: Lateral instability, medial instability, Achilles tendon repair/reconstruction, and midfoot reconstruction Foot: Hallux valgus reconstruction Elbow: Tennis elbow repair, biceps tendon reattachment Knee: Extra-capsular repairs; reattachment of: medial collateral ligament, posterior oblique ligament or joint capsule closure to anterior proximal tibia; extra capsular reconstruction. ITB tenodesis; patellar ligament and tendon avulsions

Device Story

Implantable bone anchor system for arthroscopic/orthopedic soft tissue-to-bone fixation; eliminates need for manual surgical knots. System comprises disposable inserter handle preloaded with PEEK anchor. Used by surgeons in clinical/OR settings. Surgeon inserts anchor into bone; interference fit (threaded screw) secures anchor; plug/cylinder compression locks suture. Enables secure tissue reattachment; benefits patient via reduced surgical complexity/time. Single-use device.

Clinical Evidence

No clinical or animal data included. Substantial equivalence supported by bench testing demonstrating that the device meets design, performance, and safety specifications.

Technological Characteristics

Anchor material: Invibio PEEK Optima. Delivery: Arthroscopic/limited access. Locking: Interference fit (threaded screw) for bone; plug/cylinder compression for suture. Sterilization: Irradiation. Packaging: Thermoform tray with Tyvek lid. Single-use.

Indications for Use

Indicated for soft tissue-to-bone fixation in orthopedic/arthroscopic procedures including shoulder, ankle, foot, elbow, and knee repairs. No specific age or gender contraindications stated.

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

• MultiFIX® S Knotless Fixation System (K140604)

Submission Summary (Full Text)

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Image /page/0/Picture/1 description: The image shows the seal of the Department of Health & Human Services - USA. The seal is circular and contains the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the seal is an abstract design featuring three stylized human profiles facing to the right, with flowing lines beneath them.

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

July 16, 2015

ArthroCare Corporation Ms. Laura Kasperowicz Principle Regulatory Affairs Specialist 15285 Alton Parkway, Suite 200 Irvine, California 92618

Re: K151660 Trade/Device Name: MultiFIX® S Knotless 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: June 18, 2015 Received: June 19, 2015

Dear Ms. Kasperowicz:

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 devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in

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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 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" (21 CFR 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. Wiggins -S

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

Enclosure

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# Indications for Use

510(k) Number (if known) K151660

Device Name MultiFIX® S Knotless Fixation System

Indications for Use (Describe)

The MultiFIX S Knotless Fixation Device is indicated for use in fixation of soft tissue to bone. Examples of such procedures include:

Shoulder: Bankart Repair, SLAP lesion repair, acromio-clavicular separation, rotator cuff repair, capsule shift/capsulelabral reconstruction, biceps tenodesis, and deltoid repair

Ankle: Lateral instability, medial instability, Achilles tendon repair/reconstruction, and midfoot reconstruction

Foot: Hallux valgus reconstruction

Elbow: Tennis elbow repair, biceps tendon reattachment

Knee: Exira-capsular repairs; reattachment of: medial collateral ligament, posterior oblique ligament or joint capsule closure to anterior proximal tibia; extra capsular reconstruction. ITB tenodesis; patellar ligament and tendon avulsions

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

> Prescription Use (Part 21 CFR 801 Subpart D)

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

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Image /page/3/Picture/0 description: The image shows the logo for ArthroCare. The logo consists of a circular design on the left, made up of several curved red lines. To the right of the design is the company name, "ArthroCare", in a dark gray sans-serif font. A registered trademark symbol is located to the upper right of the word "Care".

# 510(k) Summary

# ArthroCare® Corporation

MultiFIX® S Knotless Fixation System

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807.92.

#### General Information

| Submitter Name: | ArthroCare Corporation, a Smith & Nephew Company |
|-----------------|----------------------------------------------------------------------------------------------------------|
| Address | 15285 Alton Parkway, Suite 200<br>Irvine, CA. 92618 |
| Contact Person: | Laura Kasperowicz<br>Principle Regulatory Affairs Specialist<br>Phone: [phone]<br>Fax: [phone] |
| Date Prepared: | June 18, 2015 |

#### Device Name

MultiFIX® S Knotless Fixation System Proprietary Name:

| Common Name: | Bone Anchor |
|----------------------|----------------------------------------------------|
| Classification Name: | Smooth or threaded metallic bone fixation fastener |
| Device Class: | Class II |
| Product Code: | MBI |
| CFR Section: | 21 CFR 888.3040 |

#### Predicate Device

MultiFIX® S Knotless Fixation System: K140604 (cleared May 14, 2014)

#### Description

The MultiFIX S Knotless Fixation System (MultiFIX S) is an implantable bone anchor with inserter handle designed for use in arthroscopic and orthopedic procedures. The MultiFIX S is a knotless fixation device, meaning that manually tying surgical knots is not necessary for the fixation of suture to tissue.

The MultiFIX S consists of two primary parts: an implantable bone anchor inserter, which is preloaded with the anchor. The anchor inserter is a disposable tool.

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Image /page/4/Picture/0 description: The image shows the logo for ArthroCare. The logo consists of a red circular design on the left and the word "ArthroCare" in gray on the right. The circular design is made up of several curved lines that converge in the center. The word "ArthroCare" is written in a sans-serif font, and there is a registered trademark symbol after the word "Care".

The entire product is packaged in a tray with a Tyvek® Iid, and the finished product is sterilized by irradiation. Both the anchor and inserter are designed for single use only.

## Intended Use/Indications For Use

The MultiFIX S Knotless Fixation Device is indicated for use in fixation of soft tissue to bone.

Examples of such procedures include:

Shoulder: Bankart Repair, SLAP lesion repair, acromio-clavicular separation, rotator cuff repair, capsule shift/capsule-labral reconstruction, biceps tenodesis, and deltoid repair

Ankle: Lateral instability, medial instability, Achilles tendon repair/reconstruction, and midfoot reconstruction

Foot: Hallux valgus reconstruction

Elbow: Tennis elbow repair, biceps tendon reattachment

Knee: Extra-capsular repairs; reattachment of: medial collateral ligament, posterior oblique ligament or joint capsule closure to anterior proximal tibia; extra capsular reconstruction, ITB tenodesis; patellar ligament and tendon avulsions

## Non-Clinical Data

Bench testing was performed on both the proposed and predicate devices. The test results demonstrate that the proposed MultiFIX S meets its design, performance, and safety specifications. Based on the test results, the proposed device performs as intended and mechanical properties are substantially equivalent to the predicate device when used in accordance with labeling.

# Clinical Data

No clinical or animal data are included in this submission.

#### Summary

All testing demonstrates that the proposed MultiFIX S performs as intended and has acceptable mechanical properties when used in accordance with the labeling.

As the intended use, operating principle, materials and technological characteristics are comparable to the predicate device, the proposed MultiFIX S Knotless Fixation System is substantially equivalent. The minor differences between the proposed MultiFIX S and predicate device do not raise any new questions of safety or effectiveness.

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Image /page/5/Picture/0 description: The image shows the logo for ArthroCare. The logo consists of a stylized red circular design on the left and the word "ArthroCare" in gray on the right. The circular design is made up of several curved lines that converge in the center.

| Comparison of Technological Characteristics | | | | | |
|--------------------------------------------------|---------------------------------------------|------------------------------------------------------------------------------------------------|--|--|--|
| Characteristics | Predicate Device<br>MultiFIX S<br>(K140604) | Proposed Device<br>MultiFIX S | | | |
| Intended Use | Fixation of soft tissue to bone | Same | | | |
| Delivery Method | Arthroscopic and Limited Access | Same | | | |
| How Supplied | Sterile | Same | | | |
| Brand Name of Qualified<br>Suture | #2 UHMWPE MagnumWire® Suture<br>Thread | #2 UHMWPE MagnumWire® Suture<br>Thread and/or UltraBraid® Suture<br>Thread and/or UltraTape® | | | |
| # of Suture Legs<br>(volume of suture qualified) | 2, 3 or 4 Suture Thread Legs | 2, 3 or 4 Suture Thread Legs<br>or a maximum of 2 Suture Thread Legs<br>and 2 Suture Tape Legs | | | |
| Suture Snare | Single Loop | Same | | | |
| Anchor Material | Invibio PEEK Optima® with laser marking | Same | | | |
| Design Technology | Pound in Anchor with screw | Same | | | |
| Bone Locking Mechanism | Interference Fit<br>(threaded screw) | Same | | | |
| Suture Locking Mechanism | Plug/Cylinder Compression | Same | | | |
| Diameter of Cortical Lock | 5.5 mm & 6.5 mm | Same | | | |
| Anchor Deployed Length | 20 to 23 mm | Same | | | |
| Device Length | 291mm | Same | | | |
| Sterilization Method | Irradiation | Same | | | |
| Packaging | Sterile / Thermoform Tray with Tyvek Lid | Same | | | |