Parcus SLiK Fix Screw

K170877 · Parcus Medical · MBI · Jun 2, 2017 · Orthopedic

Device Facts

• Record ID: K170877
• Device Name: Parcus SLiK Fix Screw
• Applicant: Parcus Medical
• Product Code: MBI · Orthopedic
• Decision Date: Jun 2, 2017
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 888.3040
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The Parcus SLiK Fix Screws are intended for use in soft tissue to bone reattachment procedures. Specific indications are the following: Shoulder: Rotator Cuff Repair, Acromioclavicular Separation Repair, Bankart Lesion Repair, Biceps Tenodesis, Capsular Shift or Capsulolabral Reconstruction, Deltoid Repair, SLAP Lesion Repair. Knee: Medial Collateral Ligament Repair, Lateral Collateral Ligament Repair, Posterior Oblique Ligament Repair, Extra Capsular Reconstruction, Iliotibial Band Tenodesis, Patellar Ligament and Tendon Avulsion Repair. Foot/Ankle: Lateral Stabilization, Medial Stabilization, Midfoot Reconstruction, Achilles Tendon Repair, Hallux Valgus Reconstruction, Metatarsal Ligament Repair. Elbow: Tennis Elbow Repair, Biceps Tendon Reattachment. Hand/Wrist: Scapholunate Ligament Reconstruction, Ulnar or Radial Collateral Ligament Reconstruction, TFCC.

Device Story

Parcus SLiK Fix Screw is a bone fixation fastener for soft tissue-to-bone reattachment. Device consists of PEEK or Carbon Fiber Reinforced PEEK screw with PEEK washer for graft/suture positioning. Used by orthopedic surgeons in clinical settings for various orthopedic repairs (shoulder, knee, foot/ankle, elbow, hand/wrist). Device provides mechanical fixation of soft tissue to bone; surgeon inserts screw into bone to secure tissue. Benefits include stable fixation during healing. Device is provided sterile.

Clinical Evidence

Bench testing only. Evaluated worst-case configurations for strength and elongation under cyclic loading and ultimate failure conditions. Insertion and failure torque values determined to ensure necessary safety factors. Results demonstrated substantial equivalence to predicate devices.

Technological Characteristics

Materials: PEEK or Carbon Fiber Reinforced PEEK; PEEK washer. Form factor: Interference screw. Sterilization: Provided sterile. No software or electronic components.

Indications for Use

Indicated for soft tissue to bone reattachment in shoulder, knee, foot/ankle, elbow, and hand/wrist procedures. Applicable to patients requiring ligament, tendon, or capsular repair/reconstruction.

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

• Parcus PEEK CF Interference Screws (K091093)
• Parcus 35/45 Knotless PEEK CF Push-In Suture Anchors (K113730)
• Parcus Twist PEEK Suture Anchors (K120942)

Submission Summary (Full Text)

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Image /page/0/Picture/2 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized image of three human profiles facing to the right, stacked on top of each other.

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

Parcus Medical, LLC Mr. Paul Vagts Director of Regulatory Affairs/Quality Assurance 6423 Parkland Drive Sarasota, Florida 34243

June 2, 2017

Re: K170877

Trade/Device Name: Parcus SLiK Fix Screw Regulation Number: 21 CFR 888.3040 Regulation Name: Smooth or threaded metallic bone fixation fastener Regulatory Class: Class II Product Code: MBI Dated: March 21, 2017 Received: March 24, 2017

Dear Mr. Vagts:

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 of medical device

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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" (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,

# Mark N. Melkerson -S

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

Enclosure

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Form Approved: OMB No. 0910-0120

Expiration Date: January 31, 2017

See PRA Statement below.

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

### Indications for Use

510(k) Number (if known)

K170877

Device Name Parcus SLiK Fix Screw

Indications for Use (Describe)

The Parces SLIK Fix Screw is in soft tissue to bone reattachment procedures. Specific indications are the
following:

Shoulder: Rotator Cuff Repair, Acromioclavicular Separation Repair, Bicepair, Biceps Tenodesis, Capsular Shift or Capsulolabral Repair, Fictorial Sepairion Repair, SLAP Lesion Repair,

Knee: Medial Collateral Ligament Repair, Lateral Collateral Ligament Repair, Posterior Olique Ligament Repair, Extra Capsular Reconstruction, Lateral Conaleral Ligament Repar, Posterior Oblique Ligare
Capsular Reconstruction, Iliotibial Band Tenodesis, Patellar Ligament and Tendon Avulsion

Foot/Ankle: Lateral Stabilization, Medial Stabilization, Midfoot Reconstruction, Achilles Tendon Repair, Hallux Valgus Reconstruction, Metatarsal Ligament Repair.

Elbow: Tennis Elbow Repair, Biceps Tendon Reattachment.

Hand/Wrist: Scapholunate Ligament Reconstruction, Ulnar or Radial Collateral Ligament Reconstruction, TFCC.

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

2 Prescription Use (Part 21 CFR 801 Subpart D)

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

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K170877 Page 1 of 2

Image /page/3/Picture/1 description: The image shows the logo for PARCUS MEDICAL, LLC. The logo features a red square with a white curved line on the left side, followed by the word "PARCUS" in blue, block letters. Below "PARCUS" is the phrase "MEDICAL, LLC." also in blue.

# 510(k) Summary

| Submitter: | Parcus Medical, LLC<br>6423 Parkland Dr<br>Sarasota, FL 34243 |
|----------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Company Contact: | Joan Rubendall<br>Phone: [phone]<br>Fax: [phone] |
| Date Prepared: | May 30, 2017 |
| Device Trade Name: | Parcus SLiK Fix Screw |
| Common Name: | Interference Screw/Suture Anchor |
| Device Class: | Class II |
| Classification Name: | Fastener, Fixation, Non-Degradable, Soft Tissue 21 CFR<br>888.3040 - Product Code MBI |
| Predicate Device: | The predicate devices are the Parcus PEEK CF Interference<br>Screws (K091093, cleared 9/30/09), the Parcus 35/45<br>Knotless PEEK CF Push-In Suture Anchors (K113730,<br>cleared 1/17/12) and the Parcus Twist PEEK Suture Anchors<br>(K120942, cleared 4/20/12). |

### Device Description:

The Parcus SLiK Fix Screws are designed for use in the attachment of soft tissue to bone. The screws are made from either Polyetheretherketone (PEEK) or Carbon Fiber Reinforced Polyethersether only in Chiler Polyen Fiber PEEK) or Carbon Fiber Reinforced
Polyetheretherketone (PEEK CF) and utilize a PEEK washer for graft/suture positioning. The Parcus SLiK Fix Screws are provided sterile.

#### Intended Use:

The Parcus SLiK Fix Screws are intended for use in soft tissue to bone reattachment procedures.
Specific indications are the following: Specific indications are the following:

| Shoulder | Rotator Cuff Repair, Acromioclavicular Separation Repair, Bankart Lesion Repair, Biceps Tenodesis, Capsular Shift or Capsulolabral Reconstruction, Deltoid Repair, SLAP Lesion Repair. |
|------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Knee | Medial Collateral Ligament Repair, Lateral Collateral Ligament Repair, Posterior Oblique Ligament Repair, Extra Capsular Reconstruction, Iliotibial Band Tenodesis, Patellar Ligament and Tendon Avulsion Repair. |
| Foot/Ankle | Lateral Stabilization, Medial Stabilization, Midfoot Reconstruction, Achilles Tendon Repair, Hallux Valgus Reconstruction, Metatarsal Ligament Repair. |
| Elbow | Tennis Elbow Repair, Biceps Tendon Reattachment. |
| Hand/Wrist | Scapholunate Ligament Reconstruction, Ulnar or Radial Collateral Ligament Reconstruction, TFCC. |

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Image /page/4/Picture/0 description: The image shows the logo for PARCUS MEDICAL, LLC. The logo is in blue and red. The text "K170877 Page 2 of 2" is in the upper right corner of the image.

## Substantial Equivalence Summary:

The Parcus SLiK Fix Screws are very similar to the predicate Parcus Medical devices in that they are comprised of the same materials, are manufactured in comparable fashions, and are in they are
same indications. While the Slik Eix Screws are ebetashons, and are intended fo same indications. While the Science are shorter his comparable fashing Parcus I for the
and larger in diameter than existing Parcus Suture that the existing Parcus Interfer and larger in diameter than existing Parcus Suture Anchors, testing has shown that the combination of these features does not raise any concerns regarding the safety or efficacy of the device. List in the combination testing was conducted on a comparable device and it was concluded that the SLik .
raise any addition a comparable device and it was concluded that the SLiK Fix Screws do not raise any addition concerns regarding pyrogenicity.

### Summary Performance Data:

The SLiK Fix Screws were evaluated and testing was conducted on the worst case configurations. Devices were assembled and testing was conducted on the worst case configuration
strength and elongation under well be discussion in a test fixture. Devices were evaluated f strength and elongation under cycle loading and ultimate failure conditions. In addition, insertion torque and failure torque values were determined in order the necessary safety factor existen
during insertion of the device were determined in order the necessary safety fac during insertion of the device. Results were compared with the necessary safety factor exis
demonstrated substantial equivalency demonstrated substantial equivalency.

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