K Number
K050706
Device Name
HARMONY PORT SYSTEM, MODEL 1907 SERIES
Date Cleared
2005-04-15

(28 days)

Product Code
Regulation Number
882.4800
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
To provide a self-locking mechanism to hold the edges of a wound open and allow for surgical exposure during general use and neurosurgical procedures.
Device Description
The Harmony Port System includes the Harmony Port, which provides surgical exposure during minimally invasive procedures, along with accessory instruments designed to facilitate the use of the Port and rigidly fix the system during use.
More Information

Not Found

No
The summary describes a mechanical surgical retractor system with no mention of software, data processing, or AI/ML terms.

No.
The device, the Harmony Port System, is a surgical retractor used to hold wound edges open for exposure; it does not directly treat a disease or condition.

No
Explanation: The device is described as providing a self-locking mechanism to hold wound edges open for surgical exposure, which is a surgical tool function, not a diagnostic one.

No

The device description clearly states it includes physical components like the "Harmony Port" and "accessory instruments," which are hardware.

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

Here's why:

  • Intended Use: The intended use is to "provide a self-locking mechanism to hold the edges of a wound open and allow for surgical exposure during general use and neurosurgical procedures." This describes a surgical instrument used during a procedure on a patient, not a test performed on a sample from a patient to diagnose or monitor a condition.
  • Device Description: The description confirms it's a "surgical exposure" system used during "minimally invasive procedures." This aligns with a surgical tool.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting analytes, or providing diagnostic information.

Therefore, the Harmony Port System is a surgical device, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

To provide a self-locking mechanism to hold the edges of a wound open and allow for surgical exposure during general use and neurosurgical procedures.

Product codes

GZT

Device Description

The Harmony Port System includes the Harmony Port, which provides surgical exposure during minimally invasive procedures, along with accessory instruments designed to facilitate the use of the Port and rigidly fix the system during use.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

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

The results of non-clinical testing and evaluation demonstrate that the device is safe and effective.

Key Metrics

Not Found

Predicate Device(s)

K992898

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 882.4800 Self-retaining retractor for neurosurgery.

(a)
Identification. A self-retaining retractor for neurosurgery is a self-locking device used to hold the edges of a wound open during neurosurgery.(b)
Classification. Class II (performance standards).

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K050706

Page 1 of 2

APR 1 5 2005

510(k) NOTIFICATION SUMMARY

THE HARMONY™ PORT SYSTEM

SUBMITTER:Spinal Concepts, Inc.
ESTABLISHMENT REGISTRATION
NUMBER:1649384
CONTACT PERSON:Noah Bartsch
Specialist, Regulatory Affairs
Telephone:
512.533.1840
Fax:
512.918.2784
DATE:March 16, 2005
TRADE NAME:The Harmony™ Port System
COMMON NAME:Surgical Retractor
CLASSIFICATION NAME:Self-Retaining Retractor for Neurosurgery
CLASSIFICATION REFERENCE:21 CFR § 882.4800
PREDICATE DEVICE:The Bright Medical Dilation Retractor System
manufactured by Bright Medical Instruments,
K992898, cleared October 21, 1999.
DEVICE DESCRIPTION:The Harmony Port System includes the Harmony
Port, which provides surgical exposure during
minimally invasive procedures, along with
accessory instruments designed to facilitate the use
of the Port and rigidly fix the system during use.
INDICATIONS:To provide a self-locking mechanism to hold the
edges of a wound open and allow for surgical
exposure during general use and neurosurgical
procedures.
COMPARISON TO PREDICATE DEVICE:The Harmony Port System has the same intended
use, is manufactured from similar materials using
similar processes, and is similar in design when
compared to the predicate device.

1

K050706

Page 2 of 2

PERFORMANCE DATA:

.

The results of non-clinical testing and evaluation demonstrate that the device is safe and effective.

.

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image is a circular seal or logo. The seal contains the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter of the circle. Inside the circle is a stylized symbol that resembles a bird in flight, composed of three curved lines.

Public Health Service

APR 1 5 2005

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Noah Bartsch Specialist, Regulatory Affairs Spinal Concepts, Inc. 5301 Riata Park Court, Building F Austin, Texas 78727

Re: K050706

Trade/Device Name: Harmony™ Port System Regulation Number: 21 CFR 882.4800 Regulation Name: Self-retaining retractor for neurosurgery Regulatory Class: II Product Code: GZT Dated: March 16, 2005 Received: March 18, 2005

Dear Mr. Bartsch:

We have reviewed your Section 510(k) premarket notification of intent to market the device we have reviewed your Section 910(t) premained is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in intersuate for use stated in the encrosule) to regars actment date of the Medical Device Amendments, or to commence proof to May 20, 1978, the eccordance with the provisions of the Federal Food, DNAA devices that have been recalismod in aber approval of a premarket approval application (PMA). and Cosment Act (Act) that do not require appt to the general controls provisions of the Act. The You may, incretore, market the do rec, solo, solo, so annual registration, listing of general controls provisions of the free measure reading, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), If your device is eassified (bee are ve) 2008 - 2) 2008 - 1000 - 1000 - 1000 - 100 - 100 - 100 il may be subject to such additional Segulations, Title 21, Parts 800 to 898. In addition, FDA Call be found in the Code of Feasts. East of the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination doss not mean Please be advised that IDA's issualled of a national with other requirements of the Act
that FDA has made a determination that your device complies with other made that FDA has made a decemmation in a your in the Federal agencies. You must or any receral statutes and regulations adminders, but not limited to: registration and listing (21 comply with an the Act 3 requirements) ments of the practice requirements as school in the Alastraliants as set CTK Part 807), labeling (21 CFR Part 820); and if applicable, the electronic
forth in the quality systems (QS) regulation (21 CFR Part 820); and 11 CFR 1800 (1950 lorin in the quality systems (Sections 531-542 of the Act); 21 CFR 1000-1050.

3

Page 2 – Mr. Noah Bartsch

This letter will allow you to begin marketing your device as described in your Section 510(k) This letter will anow you to begin makeemig your artial equivalence of your device to a legally
premarket notification. The FDA finding of substantial equivals and thus, nor premarket noutication. The PDA miding of backantal of an 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
s the results of the same of a comments of any and the reculation entitled If you desire specific advice for your act (240) 276-0120 . Also, please note the regulation entitled, contact the Office of Complance at (210) 276 of CFR Part 807.97). You may obtain "Misbranding by relevence to premanet noutheansment on the Act from the Division of Small other general informational and Consumer Assistance at its toll-free number (800) 638-204) or and Manufacturers, International and Consumer Fibersanter at Access of Act Carling Stry/Support/index.html.

Sincerely yours,

Miriam C. Provost, Ph.D.

Miriam C. Provost, Ph.D. Acting Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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K050706

Indications for Use

510(k) Number (if known):

Device Name:

Harmony™ Port System

Indications for Use:

To provide a self-locking mechanism to hold the edges of a wound open and allow for To provide a sen-locking meethallion to neeurosurgical procedures.

Prescription Use X (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

(Please do not write below this linc – Continue on another page if needed)

Concurrence of CDRH, Office of Device Evaluation (ODE)

R. E. Turner

30 Edive

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