INNOVASIVE 2.8MM AND 3.5MM ROC EZ SUTURE BONE FASTENER

K971922 · Innovasive Devices, Inc. · MBI · Aug 7, 1997 · Orthopedic

Device Facts

• Record ID: K971922
• Device Name: INNOVASIVE 2.8MM AND 3.5MM ROC EZ SUTURE BONE FASTENER
• Applicant: Innovasive Devices, Inc.
• Product Code: MBI · Orthopedic
• Decision Date: Aug 7, 1997
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 888.3040
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The 2.8mm and 3.5mm ROC EZ Suture Bone Fasteners are intended for the reattachment of soft tissue to bone for the following indications: SHOULDER - 1. Repair of rotator cuff tears - 2. capsular instability - 3. slap lesion repair - 4. acromio-clavicular separation - 5. capsule shift/capsulolabral reconstruction - 6. biceps tenodesis - 7. deltoid repair KNEE 1. Extra-capsular repairs, and reattachment of medial collateral ligament, lateral collateral ligament, posterior oblique ligament, joint capsule closure. 2. Patellar ligament and tendon avulsion repairs. 3. Extra-capsular reconstruction, ITB tenodesis ANKLE - 1. Lateral instability - 2. Medial instability - 3. Achilles tendon reconstruction and repair - 4. Mid-foot reconstructions FOOT - 1. Hallux valgus reconstruction ELBOW - Tennis elbow repair 1. Biceps tendon reattachment 2. Medial and lateral repairs 3. BLADDER NECK SUSPENSION 1. Bladder neck suspension for female urinary incontinence due to urethral hypermobility.

Device Story

Bone fastener implant for soft tissue-to-bone reattachment; consists of shear pin, expander, and sleeve. Deployment: expander drawn into sleeve via shear pin pull; sleeve expands to create radial compression against bone hole; shear pin breaks off upon seating. Used in orthopedic/surgical procedures (shoulder, knee, ankle, foot, elbow, bladder neck suspension). Operated by surgeons. Instrumentation includes stainless steel drill, drill guide, obturator, deployment handle, and hole finder. Available in sterile, single-use versions (open/arthroscopic, sutured/sutureless). Benefits: secure fixation of soft tissue to bone.

Clinical Evidence

Bench testing only. Bone model testing compared ultimate holding strength of modified device to predicate device. Results confirmed equivalent holding strength.

Technological Characteristics

Materials: high density polyethylene and polysulfone. Principle: radial compression via mechanical expansion of sleeve. Dimensions: 2.8mm and 3.5mm. Connectivity: none. Sterilization: autoclave for reusable instrumentation; sterile for single-use fastener.

Indications for Use

Indicated for soft tissue-to-bone reattachment in shoulder (rotator cuff, instability, SLAP, AC separation, capsulolabral reconstruction, biceps tenodesis, deltoid repair), knee (ligament/tendon repairs, capsule closure, ITB tenodesis), ankle (instability, Achilles/mid-foot reconstruction), foot (hallux valgus), elbow (tennis elbow, biceps/medial/lateral repairs), and female urinary incontinence (bladder neck suspension).

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

• Innovasive Devices ROC EZ Suture Bone Fastener (K971922)

Submission Summary (Full Text)

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K971922 1 of 2

### 510(K) SUMMARY

AUG - 7 1997

### 1. SUBMITTER:

Innovasive Devices, Inc. 734 Forest St. Marlborough, MA 01752 Telephone: [phone]

Contact: Stephen M. Page, Manager of Regulatory Affairs Date Prepared: May 21, 1997

### 2. DEVICE:

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Innovasive 2.8mm and 3.5mm ROC EZ Suture Bone Fastener Classification Name: Single/multiple component bone fixation appliances and accessories. Trade Name: Innovasive Devices ROC EZ Suture Bone Fastener

#### 3. PREDICATE DEVICE:

The predicate device used to determine substantial equivalence for the modified Innovasive Devices ROC EZ Suture Bone Fastener was the 2.8mm and 3.5mm Innovasive Devices ROC EZ Suture Bone Fastener, marketed by Innovasive Devices, Marlborough, MA.

#### 4. DEVICE DESCRIPTION:

The ROC EZ suture bone fastener implant tip portion consists of a shear pin, expander and sleeve. The expander and sleeve is fitted onto the shear pin component such that the expander component is located below the sleeve on the shear pin. As the shear pin is pulled up during the device deployment, the expander engages the sleeve. The expander is tapered such that it will fit into the sleeve component as the deployment action progresses. As the expander is drawn into the sleeve, the sleeve expands to make contact with the surrounding bone. This expanding sleeve results in the final fixation properties of the device. Once the expander is completely seated inside the sleeve, the shearing pin shears from the fastener assembly resulting in the device being fixated into the bone hole.

In addition to the Fastener, a stainless steel drill and drill guide is available to establish the proper hole in the bone for the Fastener along with an obturator, deployment handle and hole finder. All of the instrumentation except the Fastener will be offered as reusable devices and can be autoclaved in the sterilization tray provided for this purpose.

The Fastener will be available as a sterile, single use device in both an open and arthroscopic version. Both sutured and sutureless versions will be marketed.

### 5. INTENDED USE:

The 2.8mm and 3.5mm ROC EZ Suture Bone Fasteners are intended for the reattachment of soft tissue to bone for the following indications:

C.P.I.A.

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K971922 2 af 2

### SHOULDER

- 1. Repair of rotator cuff tears
- 2. capsular instability
- 3. slap lesion repair
- 4. acromio-clavicular separation
- 5. capsule shift/capsulolabral reconstruction
- 6. biceps tenodesis
- 7. deltoid repair

### KNEE

1. Extra-capsular repairs, and reattachment of medial collateral ligament, lateral collateral ligament,

posterior oblique ligament, joint capsule closure.

2. Patellar ligament and tendon avulsion repairs.

3. Extra-capsular reconstruction, ITB tenodesis

### ANKLE

- 1. Lateral instability
- 2. Medial instability
- 3. Achilles tendon reconstruction and repair
- 4. Mid-foot reconstructions

### FOOT

- 1. Hallux valgus reconstruction
### ELBOW

、

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- Tennis elbow repair 1.
- Biceps tendon reattachment 2.
- Medial and lateral repairs 3.

#### BLADDER NECK SUSPENSION

1. Bladder neck suspension for female urinary incontinence due to urethral hypermobility.

### 6. COMPARISON OF CHARACTERISTICS:

The existing Innovasive Devices ROC EZ Suture Bone Fastener is comprised of two polymer components, high density polyethylene and acetyl plastic. This device is used to secure a suture in a predrilled hole in bone. It remains fixed in the bone through radial compression as the device is deployed. This remains true for all sizes of the device.

The modified ROC EZ device is comprised of high density polyethylene and polysulfone. As with the predicate device, the modified ROC EZ uses an expander fitted on a shear pin which is drawn up into an expandable sleeve. The sleeve expands as the expander is drawn up into it. The shear pin then shears resulting in the device being fixed into the bone site.

### 7. PERFORMANCE DATA:

The following performance data was provided in support of the substantial equivalence determination:

- 1. Bone model testing: Comparison of the ultimate holding strength in a bone model compared to the predicate device. The Innovasive ROC EZ Suture Bone Fastener holding strength was found to be equivalent to the strength of the predicate device.
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# DEPARTMENT OF HEALTH & HUMAN SERVICES

. -

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Stephen M. Page 'Manager of Regulatory Affairs Innovasive Devices, Inc. 734 Forest Street Marlborough, Massachusetts 01752

Re : K971922 Innovasive 2.8mm and 3.5mm ROC™ EZ Suture Bone Fastener Requlatory Class: II Product Codes: MBI and HRX Dated: May 21, 1997 Received: May 23, 1997

Dear Mr. Page:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). 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 (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Requlations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirement, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic (QS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

Image /page/2/Picture/8 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized depiction of an eagle with three heads, symbolizing service to the nation. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" is arranged around the eagle in a circular fashion.

AUG - 7 1997

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## Page 2 - Mr. Stephen M. Page

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA findinq of substantial equivalence of your device to a leqally marketed predicate device results 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 and additionally 809.10 for in vitro diaqnostic devices), please contact the Office of Compliance at [phone]. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to
premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number [phone] or [phone] or at its internet address "http://www.fda.qov/cdrh/dsmamain.html".

Sincerely yours,

Celia M. Witten, Ph.D. M.D.

Cella M. Witten, Ph.D., M.D. Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radioloqical Health

Enclosure

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## INDICATIONS FOR USE

### SHOULDER

Bankart repair Repair of rotator cuff tears capsular instability slap lesion repair acromio-clavicular separation capsule shift/capsulolabral reconstruction biceps tenodesis deltoid repair

### KNEE

Extra-capsular repairs reattachment of medial collateral ligament reattachment of lateral collateral ligament reattachment of posterior oblique ligament joint capsule closure patellar ligament and tendon avulsion repairs extra-capsular reconstruction ITB tenodesis.

### ANKLE

Lateral and medial instability : achilles tendon reconstruction and repair mid-foot reconstructions.

### FOOT

Hallux valgus reconstruction

### ELBOW

Tennis elbow repair Biceps tendon reattachment Medial and lateral repairs

## BLADDER NECK SUSPENSION

Bladder neck suspension for temale urinary incontinence due to urethral hypermobility.

bcoello

**Prescription Use**
(Per 21 CFR 801.109)

Division Sign-Off
Division of General Restorative Devices
510(k) Number K971922

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