K Number
K032102
Device Name
VERTELINK KOBRA SPINAL FIXATION SYSTEM
Date Cleared
2003-12-12

(157 days)

Product Code
Regulation Number
888.3060
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
1) Degenerative disc disease (as defined by back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies), 2) Spinal stenosis, 3) Spondylolisthesis, 4) Spinal deformities, 5) Fractures, 6) Pseudarthrosis,7) Tumor resection, 8) Failed previous Fusion. When used as Fixation system the multiaxial screw components are also indicated for skeletally mature patients: a. Having severe spondylolisthesis (grade 3 or 4) of the L5-S1 vertebral joint, b. Who are receiving fusion using authogeneous bone graft only, c. Who are having the device fixed or attached to the lumbar or sacral spine (L.3 and below), d. Who are having the device removed after the development of solid fusion mass.
Device Description
The Vertelink KOBRA™ Spinal Fixation System is designed to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the treatment of the acute and pationic instabilities or deformities of the lumbar spine, spinal tumor and failed previous fusions. It can be used in either percutaneous or open surgery procedures. The system is composed of titanium pedicle screws and rods that are implanted in posterior manner either during an open surgical procedure or percutaneously using minimally invasive techniques.
More Information

Not Found

No
The device description and intended use focus on mechanical fixation components (screws and rods) for spinal fusion. There is no mention of AI/ML terms, image processing for analysis, or data sets for training/testing.

Yes
The device is a spinal fixation system used as an adjunct to fusion for treating various spinal conditions and instabilities, which directly aims to provide a therapeutic benefit by immobilizing and stabilizing spinal segments.

No

The device description clearly states its purpose is to "provide immobilization and stabilization of spinal segments as an adjunct to fusion," indicating a therapeutic rather than diagnostic function. It is a spinal fixation system, used in surgical procedures.

No

The device description explicitly states the system is composed of "titanium pedicle screws and rods that are implanted". This indicates a hardware-based medical device, not a software-only one.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body (like blood, urine, tissue) to provide information about a person's health.
  • Device Description: The Vertelink KOBRA™ Spinal Fixation System is described as a system of titanium pedicle screws and rods that are implanted in the body to provide immobilization and stabilization of spinal segments.
  • Intended Use: The intended use is for treating various spinal conditions by providing fixation and stabilization within the body.
  • Lack of IVD Characteristics: There is no mention of testing samples, analyzing biological markers, or providing diagnostic information based on in vitro analysis.

This device is a surgical implant used for structural support and stabilization within the spine, which falls under the category of a surgical device or implant, not an IVD.

N/A

Intended Use / Indications for Use

  • Degenerative disc disease (as defined by back pain of discogenic 1) origin with degeneration of the disc confirmed by patient history and radiographic studies)
  • Spinal stenosis 2)
    1. Spondylolisthesis
  • Spinal deformities 4)
    1. Fractures
  • Pseudarthrosis ର)
  • Tumor resection 7)
  • Failed previous Fusion 8)

When used as Fixation system the multiaxial screw components are also indicated for skeletally mature patients:

  • a) Having severe spondylolisthesis (grade 3 or 4) of the L5-S1 vertebral joint.
  • b) Who are receiving fusion using authogeneous bone graft only
  • c) Who are having the device fixed or attached to the lumbar or sacral spine (L3 and bellow)
  • d) Who are having the device removed after the development of solid fusion mass.

Product codes

KWQ, MNH, MNH, MNI

Device Description

The Vertelink KOBRA™ Spinal Fixation System is designed to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the treatment of the acute and pationic instabilities or deformities of the lumbar spine, spinal tumor and failed previous fusions. It can be used in either percutaneous or open surgery procedures. The system is composed of titanium pedicle screws and rods that are implanted in posterior manner either during an open surgical procedure or percutaneously using minimally invasive techniques.

In both open and percuataneous techniques the pedicle screws are placed under fluoroscopic guidance and in the percutaneous technique the pathway between the screw portals is cannulated using minimally invasive techniques. In the percutaneous fixation technique, six (6) small holes (no greater than 1.2cm) are used to introduce the construct.

Both open and percutaneous techniques use accessories and tools to provide effective placement.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

fluoroscopic guidance

Anatomical Site

lumbar spine, sacral spine (L3 and bellow), L5-S1 vertebral joint

Indicated Patient Age Range

skeletally mature patients

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

Not Found

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K030932

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.

0

2 SI 1-y

Premarket Notification - Vertelink KOBRA

DEC 1 2 2003

Image /page/0/Picture/3 description: The image shows a close-up of a document with the word "ertelink" prominently displayed. The text is in a bold, sans-serif font and appears to be part of a larger title or heading. The background is dark, contrasting with the white text, and there are some blurred or obscured areas around the edges of the text.

30 Hughes, Suite 206 Irvine, CA 92618 Phone 949-455-1128 WWW.vertelink com

SUMMARY

Submitter's name: Address:

Name of contact person:

Phone: Fax number: Vertelink corporation 30 Hughes, Suite 206 Irvine, CA 92618 949-455-1128 949-455-1158

Grea Holland Requlatory Specialists, Inc 3722 Ave. Sausalito Irvine, CA 92606 Phone: 949-262-0411 fax: 949-552-2821

Date the summary was prepared: July 2, 2003

Name of the device: Trade or proprietary name: Common or usual name: Classification name:

Vertelink KOBRA™ Fixation System Vertelink KOBRA™ Fixation System Spinal Fixation System Spinal Intervertebral Body Fixation Orthosis (per 21 CFR section 888.3060) Spondylolisthesis Spinal Fixation Device System (per 21 CFR section 888.3070) Pedicle Screw Spinal System (per 21 CFR section 888.3070)

The legally marketed device to which we are claiming equivalence [807.92(a)(3)]:

CD HORIZON® Spinal System, manufactured by Medtronic Sofamor Danek, Inc. USA. The clearance number is K030932.

Description of the device:

The Vertelink KOBRA™ Spinal Fixation System is designed to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the treatment of the acute and pationic instabilities or deformities of the lumbar spine, spinal tumor and failed previous fusions. It can be used in either percutaneous or open surgery procedures.

1

The system is composed of titanium pedicle screws and rods that are implanted in posterior manner either during an open surgical procedure or percutaneously using minimally invasive techniques.

In both open and percuataneous techniques the pedicle screws are placed under fluoroscopic guidance and in the percutaneous technique the pathway between the screw portals is cannulated using minimally invasive techniques. In the percutaneous fixation technique, six (6) small holes (no greater than 1.2cm) are used to introduce the construct.

Both open and percutaneous techniques use accessories and tools to provide effective placement.

Indications:

  • Degenerative disc disease (as defined by back pain of discogenic 1) origin with degeneration of the disc confirmed by patient history and radiographic studies)
  • Spinal stenosis 2)
    1. Spondylolisthesis
  • Spinal deformities 4)
    1. Fractures
  • Pseudarthrosis ର)
  • Tumor resection 7)
  • Failed previous Fusion 8)

When used as Fixation system the multiaxial screw components are also indicated for skeletally mature patients:

  • a) Having severe spondylolisthesis (grade 3 or 4) of the L5-S1 vertebral joint.
  • b) Who are receiving fusion using authogeneous bone graft only
  • c) Who are having the device fixed or attached to the lumbar or sacral spine (L3 and bellow)
  • d) Who are having the device removed after the development of solid fusion mass.

Summary of the technological characteristics of our device compared to the predicate device:

As can be seen in the Comparison section, the Vertelink KOBRA™ Fixation System and CD HORIZON® Spinal System have similar technological characteristics and are equivalent.

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized image of an eagle with its wings spread, representing the department's mission to protect the health of all Americans.

Public Health Service

DEC 1 2 2003

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Vertelink Corporation C/o Mr. Greg Holland Regulatory Specialists, Inc. 3722 Avenue Sausalito Irvine, California 92606

Re: K032102

Trade/Device Name: Vertelink KOBRA" Spinal Fixation System Regulation Number: 21 CFR 888.3060, 21 CFR 888.3070 Regulation Name: Spinal intervertebral body fixation orthosis, Pedicle screw spinal system Regulatory Class: II Product Code: KWQ, MNH, MNH, MNI Dated: October 14, 2003 Received: October 15, 2003

Dear Mr. Holland:

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 I'DA'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 - Mr. Greg Holland

This letter will allow you to begin marketing your device as described in your Scction 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) 594-4659. 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,

Mark N. Millman

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

Page

koszloz si 510(k) Number (if known):_____________________________________________________________________________________________________________________________________________________

Device Name: Vertelink KOBRA™ Fixation System

Indications For Use:

  1. Degenerative disc disease (as defined by back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies), 2) Spinal stenosis, 3) Spondylolisthesis, 4) Spinal deformities, 5) Fractures, 6) Pseudarthrosis,7) Tumor resection, 8) Failed previous Fusion. When used as Fixation system the multiaxial screw components are also indicated for skeletally mature patients: a. Having severe spondylolisthesis (grade 3 or 4) of the L5-S1 vertebral joint, b. Who are receiving fusion using authogeneous bone graft only, c. Who are having the device fixed or attached to the lumbar or sacral spine (L.3 and below), d. Who are having the device removed after the development of solid fusion mass.
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
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Concurrence of CDRH, Office of Device Evaluation (ODE)

for Mark A Milkus
Division m-Off)
Division c eral, Restorative
and Neuro gical Devices

) Nu K032102

Prescription Use
(Per 21 CFR 801.109)
OR
Over-The-Counter Use
(Optional Format 1-2-96)