The SnapShot Fixation System is indicated for use in soft tissue reattachment procedures in the following shoulder procedures: Bankart repair. SLAP repair, acromio-clavicular separation, rotator cuff repair, capsulo labral reconstruction, biceps tenodesis, and deltoid repair. The SnapShot Fixation System is also indicated for supplementary fixation when used in conjunction with a primary fixation device in surgical procedures requiring graft fixation.
Device Story
SnapShot Fixation System is a soft tissue-to-bone fixation device used in orthopedic shoulder surgeries. The system comprises a PEEK rivet implant (cannulated body and bullet) and a deployment gun. The device is used by surgeons in an operating room setting to reattach soft tissue to bone or provide supplementary graft fixation. The surgeon inserts the implant into a pre-drilled bone hole using the deployment gun. The mechanical fixation provided by the rivet secures the tissue or graft, facilitating healing. The device is intended to provide fixation strength comparable to or exceeding existing predicate devices.
Clinical Evidence
No clinical data provided. Substantial equivalence is based on non-clinical bench testing, specifically mechanical pullout strength comparisons against the predicate device.
Technological Characteristics
Implant material: Polyetheretherketone (PEEK). Design: Two-component rivet (cannulated body and bullet). Deployment: Mechanical deployment gun (pre-loaded or reusable). Connectivity: None. Sterilization: Not specified.
Indications for Use
Indicated for soft tissue reattachment in shoulder procedures (Bankart, SLAP, acromio-clavicular, rotator cuff, capsulolabral, biceps tenodesis, deltoid) and supplementary graft fixation.
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.
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Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
January 20, 2015
Biomet Manufacturing Corporation Mr. Adam Cargill Regulatory Affairs Specialist 56 East Bell Drive P.O. Box 587 Warsaw, Indiana 46581
Re: K143037
Trade/Device Name: SnapShot Fixation System Regulation Number: 21 CFR 888.3030 Regulation Name: Single/multiple component metallic bone fixation appliances and accessories Regulatory Class: Class II Product Code: JDR Dated: October 20, 2014 Received: October 22, 2014
Dear Mr. Cargill:
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
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# Page 2 - Mr. Adam Cargill
(21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting of medical 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 contact the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 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 (800) 638-2041 or (301) 796-7100 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) K143037
Device Name SnapShot Fixation System
#### Indications for Use (Describe)
The SnapShot Fixation System is indicated for use in soft tissue reattachment procedures in the following shoulder procedures:
Bankart repair. SLAP repair, acromio-clavicular separation, rotator cuff repair, capsulo labral reconstruction, biceps tenodesis, and deltoid repair.
The SnapShot Fixation System is also indicated for supplementary fixation when used in conjunction with a primary fixation device in surgical procedures requiring graft fixation.
X Prescription Use (Part 21 CFR 801 Subpart D)
Over-The-Counter Use (21 CFR 801 Subpart C)
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# 510(k) Summary
In accordance with 21 CFR §807.92 and the Safe Medical Devices Act of 1990, the following information is provided for the SnapShot Fixation System 510(k) premarket notification. The submission was prepared in accordance with the FDA guidance document, 'Format for Traditional and Abbreviated 510(k)s', issued on August 12, 2005.
| Sponsor: | Biomet Inc.<br>56 East Bell Drive<br>PO Box 587<br>Warsaw, IN 46581<br>Office: 574-267-6639<br>Main Fax: 574-267-8137<br>Establishment Registration Number: 1825034 |
|-----------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact: | Adam Cargill<br>Regulatory Affairs Specialist, Sports Medicine |
| Date: | January 16, 2015 |
| Subject Device: | Trade Name: SnapShot Fixation System<br>Common Name: Soft Tissue Fixation Device<br>Classification Name: JDR - Staple, Fixation, Bone (21 CFR 888.3030) |
# Legally marketed devices to which substantial equivalence is claimed:
Biomet Lactosorb Pop Rivet (K981798) Biomet PEEK Knotless Anchor (K070389) – reference for materials
### Device Description
The SnapShot Fixation System consists of a SnapShot implant and deployment gun. The SnapShot implant is a PEEK rivet comprised of two components, a cannulated body and a bullet. The SnapShot deployment gun comes packaged pre-loaded with the SnapShot implant and is designed to ease insertion of the SnapShot implant into the bone hole. A reusable deployment gun and reusable drill are also available and can be used with the implant reloads.
### Intended Use and Indications for Use
The SnapShot Fixation System is indicated for use in soft tissue reattachment procedures in the following shoulder procedures:
Bankart repair, SLAP repair, acromio-clavicular separation, rotator cuff repair, capsule repair or capsulolabral reconstruction, biceps tenodesis, and deltoid repair.
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BIOMET
The SnapShot Fixation System is also indicated for supplementary fixation when used in conjunction with a primary fixation device in surgical procedures requiring graft fixation.
### Summary of Technological Characteristics
The technological characteristics (materials, design, sizing, and indications) of the SnapShot Fixation System are similar or identical to the predicate device or other previously cleared devices.
The rationale for substantial equivalence is based on consideration of the following characteristics:
- . Intended Use: The proposed SnapShot Fixation System has the same intended use as the predicate Lactosorb Pop Rivet (K981798) for soft tissue to bone fixation.
- Indications for Use: The proposed SnapShot Fixation System has similar indications for use as the predicate Lactosorb Pop Rivet (K981798), for soft tissue to bone fixation, with the addition of providing supplementary fixation in surgical procedures requiring graft fixation.
- Materials: The proposed SnapShot Fixation System utilizes the same implant material, polyetheretherketone (PEEK), as the PEEK Knotless Anchor (K070389).
- . Design Features: The proposed SnapShot Fixation System has the same design features and is dimensionally similar to the predicate Lactosorb Pop Rivet (K981798).
# Summary of Performance Data (Nonclinical and/or Clinical)
- Non-Clinical Tests
- о Non-clinical laboratory testing was performed to verify the fixation strength of the SnapShot Fixation System in mechanical pullout testing as compared to the predicate LactoSorb Pop Rivet (K981798) for specific indications for use. The average pullout strength of the SnapShot Fixation System implants was statistically equivalent to or greater than that of the Lactosorb Pop Rivet. When testing supplemental fixation using a resorbable interference screw for primary fixation, the average pullout strength of the construct utilizing the SnapShot Fixation System for supplementary fixation was statistically greater than the construct with no supplemental fixation.
- Clinical Tests
- None provided as a basis for substantial equivalence. o
# Substantial Equivalence Conclusion
The proposed SnapShot Fixation System has similar intended use, technological characteristics, and mechanical performance as the Lactosorb Pop Rivet (K981798). The performance testing data identified no new risks and substantial equivalence to the legally marketed predicate device.
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Part 2 — Embeddings: the galaxy map 3 min
1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
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Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
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Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
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Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
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With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
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Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
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What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
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Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.