K Number
K024125
Device Name
HALM ZIELKE INSTRUMENTATION SYSTEM
Manufacturer
Date Cleared
2003-09-22

(280 days)

Product Code
Regulation Number
888.3060
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Halm Zielke Instrumentation System is an anterior spinal fixation system indicated for spinal deformities in the thoracic and lumbar spine such as scoliosis, kyphosis, lordosis and thoracolumbar spinal instability caused by fracture.
Device Description
The principal components of the Micomed Halm Zielke Instrumentation System, which is a low profile spinal fixation system, are as follows: Halm and HC plates, screws, threaded rods, standard hex nuts for threaded rods, fluted rods, and vertebral clamps (double and single hole). Additional instrumentation includes: awls, wrenches, insertion instruments for rods and screws, vertebral and end vertebra screws, top loading screws and set screws, rod pushers and rod benders, grip and compression tongs, rod cutter and distraction instrument. The principal components of the Micomed Halm Zielke Instrumentation are used in the following manner: First, the most cranial and caudal Halm plates are each attached to the lateral aspect of the vertebral body with two screws (countersunk, Zielke), and then additional plates are attached as needed. The threaded rod is then connected to the top of the Zielke screws and anchored with the standard hex nuts. Once the threaded rod is properly connected to the Halm plates, partial correction of the scoliotic deformity is performed before attaching the pre-bent fluted rod by closing the lid of the Halm plate and securing with the head screws. The secured fluted rod can then be rotated around its longitudinal axis to achieve and appropriate level of derotation and relordosation. If this system is used in the thoracic spine, rod rotation is performed in reverse to produce or enhance physiological kyphosis. Additionally, segmental compression or distraction can be used to increase or decrease lordosis or kyphosis, as desired.
More Information

None

No
The device description details a mechanical spinal fixation system with no mention of software, algorithms, or any technology related to AI or ML. The performance studies are biomechanical, not related to algorithmic performance.

Yes
This device is a spinal fixation system used for correcting spinal deformities and instability, which falls under the definition of a therapeutic device as it treats or alleviates a medical condition.

No

The Halm Zielke Instrumentation System is an anterior spinal fixation system used for treating spinal deformities and instability. It is a surgical implant designed for correction and stabilization, not for diagnosing conditions.

No

The device description clearly outlines multiple hardware components including plates, screws, rods, nuts, clamps, and various surgical instruments.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is for spinal fixation in the thoracic and lumbar spine to treat deformities and instability. This is a surgical procedure performed directly on the patient's body.
  • Device Description: The device consists of implants (plates, screws, rods, nuts, clamps) and surgical instruments. These are used to physically stabilize the spine.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or compatibility testing.

IVD devices are used in vitro (outside the body) to analyze biological samples. This device is used in vivo (inside the body) for surgical treatment.

N/A

Intended Use / Indications for Use

The Halm Zielke Instrumentation System is an anterior spinal fixation system indicated for spinal deformities in the thoracic and lumbar spine such as scoliosis, kyphosis, and lordosis and thoracolumbar spinal instability caused by fracture.

Product codes

KWQ

Device Description

The principal components of the Micomed Halm Zielke Instrumentation System, which is a low profile spinal fixation system, are as follows: Halm and HC plates, screws, threaded rods, standard hex nuts for threaded rods, fluted rods, and vertebral clamps (double and single hole). Additional instrumentation includes: awls, wrenches, insertion instruments for rods and screws, vertebral and end vertebra screws, top loading screws and set screws, rod pushers and rod benders, grip and compression tongs, rod cutter and distraction instrument.
The principal components of the Micomed Halm Zielke Instrumentation are used in the following manner: First, the most cranial and caudal Halm plates are each attached to the lateral aspect of the vertebral body with two screws (countersunk, Zielke), and then additional plates are attached as needed. The threaded rod is then connected to the top of the Zielke screws and anchored with the standard hex nuts. Once the threaded rod is properly connected to the Halm plates, partial correction of the scoliotic deformity is performed before attaching the pre-bent fluted rod by closing the lid of the Halm plate and securing with the head screws. The secured fluted rod can then be rotated around its longitudinal axis to achieve and appropriate level of derotation and relordosation. If this system is used in the thoracic spine, rod rotation is performed in reverse to produce or enhance physiological kyphosis. Additionally, segmental compression or distraction can be used to increase or decrease lordosis or kyphosis, as desired.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

thoracic and lumbar spine

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies

Testing was conducted per ASTM F1717-96. The new components have been shown to have acceptable biomechanical performance and to function in an equivalent manner to the predicated device.

Key Metrics

Not Found

Predicate Device(s)

Micomed Halm Zielke Instrumentation System, 510(k) #K982006, Zielke V.D.S. System, 510(k) #K782061, DePuy AcroMed MOSS Miami Spinal System, 510(k) #K983583, Kaneda Anterior Scoliosis System, 510(k) #K974757

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 888.3060 Spinal intervertebral body fixation orthosis.

(a)
Identification. A spinal intervertebral body fixation orthosis is a device intended to be implanted made of titanium. It consists of various vertebral plates that are punched into each of a series of vertebral bodies. An eye-type screw is inserted in a hole in the center of each of the plates. A braided cable is threaded through each eye-type screw. The cable is tightened with a tension device and it is fastened or crimped at each eye-type screw. The device is used to apply force to a series of vertebrae to correct “sway back,” scoliosis (lateral curvature of the spine), or other conditions.(b)
Classification. Class II.

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K024125 p1/2

202

Premarket Notification for New Components for Micomed Halm Zielke Instrumentation System Reference 510(k) K982006 SEP 2 2 2003 December 12, 2002

ULT 22 LC

Attachment 12

MICOMED – HALM ZIELKE INSTRUMENTATION SYSTEM 510(K) SUMMARY

Tradename:Micomed Halm Zielke Instrumentation System
Generic Name:Spinal Intervertebral Body Fixation Orthosis
Classification:Class II (21 CFR 3060)
Company:Micomed Ortho GmbH & Co. KG
Schorndorfer Strasse 96
Schorndorf 73614
Germany
Phone: 011 49 71 81 48 99 85 87
Fax: 011 49 71 81 48 99 84
info@micomed.com
Contact:Corrine M. Bonfiglio, RAC
Tel: (858) 342-0344
Fax: (858) 481-2363
cbonfiglio@meister.net
Predicate
Devices:Micomed Halm Zielke Instrumentation System, 510(k) #K982006
Zielke V.D.S. System, 510(k) #K782061
DePuy AcroMed MOSS Miami Spinal System, 510(k) #K983583
Kaneda Anterior Scoliosis System, 510(k) #K974757
Description:The principal components of the Micomed Halm Zielke Instrumentation System,
which is a low profile spinal fixation system, are as follows: Halm and HC plates,
screws, threaded rods, standard hex nuts for threaded rods, fluted rods, and
vertebral clamps (double and single hole). Additional instrumentation includes:
awls, wrenches, insertion instruments for rods and screws, vertebral and end
vertebra screws, top loading screws and set screws, rod pushers and rod benders,
grip and compression tongs, rod cutter and distraction instrument.
The principal components of the Micomed Halm Zielke Instrumentation are used
in the following manner: First, the most cranial and caudal Halm plates are each
attached to the lateral aspect of the vertebral body with two screws (countersunk,
Zielke), and then additional plates are attached as needed. The threaded rod is
then connected to the top of the Zielke screws and anchored with the standard hex
nuts. Once the threaded rod is properly connected to the Halm plates, partial
correction of the scoliotic deformity is performed before attaching the pre-bent
fluted rod by closing the lid of the Halm plate and securing with the head screws.
The secured fluted rod can then be rotated around its longitudinal axis to achieve
and appropriate level of derotation and relordosation. If this system is used in the
thoracic spine, rod rotation is performed in reverse to produce or enhance
physiological kyphosis. Additionally, segmental compression or distraction can be
used to increase or decrease lordosis or kyphosis, as desired.
510(k) Summary - continued
Material:The components of the Micomed Halm Zielke Instrumentation are manufactured
from implant grade titanium (Ti 6AL 4V) conforming to ASTM F136 or implant
grade stainless steel (316 LS) conforming to ASTM F1314 specifications.
Indications:The Halm Zielke Instrumentation System is an anterior spinal fixation system
indicated for spinal deformities in the thoracic and lumbar spine such as scoliosis,
kyphosis, and lordosis and thoracolumbar spinal instability caused by fracture.
Performance:Testing was conducted per ASTM F1717-96. The new components have been
shown to have acceptable biomechanical performance and to function in an
equivalent manner to the predicated device.
Substantial
Equivalence:The new components for the Micomed Halm Zielke Instrumentation System are
substantially equivalent in function, performance and intended use to the predicate
Halm Zielke instrumentation cleared for market entry under 510(k) #K982006 on
January 20, 1999; the Zielke V.D.S System cleared for market entry on March 21,
1979; the DePuy AcroMed MOSS Miami Spinal System, cleared for market entry
under 510(k) #K983583 on December 3, 1998; and the Kaneda Anterior Scoliosis
System (KASS), cleared for market entry under 510(k) #K974757, on March 5,
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1

K024125 p2/2

Premarket Notification for New Components for Micomed Halm Zielke Instrumentation System Reference 510(k) K982006

December 12, 2002

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPARTMENT OF HEALTH & HUMAN SERVICES - USA

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

SEP 2 2 2003

Micromed Ortho GmbH & Co. KG c/o Ms. Corrine M. Bonfiglio, RAC 13195 Seagrove Street San Diego, California 92130

Re: K024125

Trade/Device Name: Halm Zielke Instrumentation System Regulatory Number: 21 CFR 888.3060 Regulation Name: Spinal intervertebral body fixation orthosis Regulatory Class: II Product Code: KWQ Dated: August 7, 2003 Received: August 11, 2003

Dear Ms. Bonfiglio:

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.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such 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); 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.

3

Page 2 - Ms. Corrine M. Bonfiglio, RAC

This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally 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), please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

e. Mark N Milliman

Celia M. Witten, Ph.D., M.D. Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

Premurket Notification for New Components for Micomed Halm Zielke Instrumentation System Reference 510(k) K982006 December 12, 2002

Attachment 11

Statement of Indication for Use

510(k) Number: KD24125

Device Name: Micomed Halm Zielke Instrumentation System

Indications for Use:

The Halm Zielke Instrumentation System is an anterior spinal fixation system indicated for spinal deformities in the thoracic and lumbar spine such as scoliosis, kyphosis, lordosis and thoracolumbar spinal instability caused by fracture.

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

for Mark A. Milliman
Division Sign Off

Di ision of General, Restorative and Neurological Devices

510(k) Number -

i(k) Number ___ KV24/23

Prescription Use (Per 21 CFR 801.109) OR

Over-The Counter Use

(Optional Format 1-2-96)

201