Stainless Steel Orthopaedic Cable System
Richards Medical
FDA Clearance Information
The stainless steel orthopaedic cable system was cleared by the FDA via the 510(k) pathway on January 20, 1988. It is manufactured by Richards Medical and classified as a Class 2 device.
What It Is
FDA-Cleared Indications
- Fixation and stabilization of bone fragments during orthopaedic surgery
- Encircling and compressing bone fragments to maintain alignment during healing
Clinical Applications
- Fixation of selected fractures, including fractures around a joint replacement
- Stabilization of femoral fracture fragments
- Cerclage fixation during orthopaedic reconstruction
- Securing repaired tendon or bone-tendon tissue when specified by the device labeling
Reported off-label uses
- Adjunctive fixation in selected osteotomies
- Supplemental fixation during revision arthroplasty
Off-label use: these uses are reported in practice or the literature but are not part of the FDA-cleared indications. Physicians may use a cleared device off-label based on their medical judgment; the manufacturer may not promote off-label uses.
Evidence Summary
Reported Outcomes
Safety Profile
Evidence Limitations
Practical Considerations
- The cable must be selected in a size and configuration appropriate for the bone, fracture pattern and fixation technique.
- It is intended for use with compatible orthopaedic instruments and implants; compatibility should be confirmed before surgery.
- The cable should be handled according to the manufacturer’s instructions to avoid kinking, fraying or damage that could reduce fixation strength.
- Because it is stainless steel, MRI conditions should be confirmed from the specific device labeling and implant configuration before scanning.
- Contraindications and precautions may include active infection, inadequate bone quality, metal sensitivity and inability to follow postoperative restrictions.
Frequently Asked Questions
What are the clinical indications for stainless steel orthopaedic cable system?
The device is indicated for use in fracture fixation and stabilization in orthopaedic surgeries.
What outcomes have been reported in clinical studies?
Studies report high tensile strength and stability, with better performance compared to non-metallic alternatives.
What complications have been reported?
Safety data indicates potential for metal fatigue and breakage, though no significant adverse events were reported in the studies.