K Number
K053542
Device Name
SURGETICS ORTHO OSTEOLOGICS NAVIGATION SYSTEM
Manufacturer
Date Cleared
2006-04-10

(111 days)

Product Code
Regulation Number
882.4560
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Surgetics ORTHO OSTEOLOGICS navigation system is an optically based surgical navigation system. It is intended for use as an aid to the surgeon in tracking bone structures and instruments on a 3D model of the patient's bone which is generated through acquiring multiple landmarks. The system is indicated to assist a surgeon to control the lower limb axis during osteotomy procedures. Examples of orthopedic surgical procedures include, but are not limited to: Open wedge osteotomy for the lower limb Closed wedge osteotomy for the lower limb
Device Description
The Surgetics ORTHO OSTEOLOGICS Navigation System consists of the following major components and subsystems: - The Surgetics Station, consisting of a mobile computer system and an optical . localizer - Ancillary instruments and reflective markers used for reference and . calibration. - HTO Monitoring Software for, but not limited to open and closed wedge . osteotomy for the lower limb
More Information

K 031196, K 042513

K/DEN Number: K 031196, K 042513

No
The description focuses on optical tracking and 3D modeling based on landmarks, with no mention of AI or ML technologies.

No
The device is a surgical navigation system that aids the surgeon in tracking bone structures and instruments; it does not directly treat or cure a disease or condition.

No
The device is a surgical navigation system intended to aid surgeons in tracking bone structures and instruments during osteotomy procedures, not to diagnose medical conditions.

No

The device description explicitly lists hardware components such as a mobile computer system, an optical localizer, ancillary instruments, and reflective markers, in addition to the software.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Function: The Surgetics ORTHO OSTEOLOGICS navigation system is a surgical navigation system used during surgery to track bone structures and instruments on a 3D model. It assists the surgeon in controlling the lower limb axis during osteotomy procedures.
  • Lack of Biological Sample Analysis: The description does not mention the analysis of any biological samples from the patient. The system relies on optical tracking of physical objects (bone structures and instruments) in relation to a 3D model.

Therefore, the device's function and intended use clearly fall outside the scope of in vitro diagnostics.

N/A

Intended Use / Indications for Use

The Surgetics ORTHO OSTEOLOGICS navigation system is an optically based surgical navigation system. It is intended for use as an aid to the surgeon in tracking bone structures and instruments on a 3D model of the patient's bone which is generated through acquiring multiple landmarks. The system is indicated to assist a surgeon to control the lower limb axis during osteotomy procedures.

Examples of orthopedic surgical procedures include, but are not limited to: Open wedge osteotomy for the lower limb Closed wedge osteotomy for the lower limb

Product codes

HAW

Device Description

The Surgetics ORTHO OSTEOLOGICS Navigation System consists of the following major components and subsystems:

  • The Surgetics Station, consisting of a mobile computer system and an optical . localizer
  • Ancillary instruments and reflective markers used for reference and . calibration.
  • HTO Monitoring Software for, but not limited to open and closed wedge . osteotomy for the lower limb

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

lower limb

Indicated Patient Age Range

Not Found

Intended User / Care Setting

surgeon

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)

The Surgetics ORTHO OSTEOLOGICS Navigation System was tested for compliance with electrical safety and electromagnetic compatibility standards. In addition, summaries of accuracy testing using phantoms, specimen bench testing, and clinical experience with the system were provided.

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

Not Found

Predicate Device(s)

K 031196, K 042513

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 882.4560 Stereotaxic instrument.

(a)
Identification. A stereotaxic instrument is a device consisting of a rigid frame with a calibrated guide mechanism for precisely positioning probes or other devices within a patient's brain, spinal cord, or other part of the nervous system.(b)
Classification. Class II (performance standards).

0

APR 1 0 2006

053542

510(k) Summary

for Surgetics ORTHO OSTEOLOGICS navigation system

1. Submitter Name and Address

Praxim "Le Grand Sablon" 4, Avenue de l'Obiou 38 700 La Tronche France

Contact Name: Stéphane Lavallée Telephone: 33-4 76 54 95 03

Date Prepared: November 15th, 2005

2. Device Name

| Proprietary Name: | SURGETICS ORTHO OSTEOLOGICS NAVIGATION
SYSTEM |
|----------------------|---------------------------------------------------|
| Common/Usual Name: | Image guided surgical navigation system |
| Classification Name: | Stereotaxic Instrument: 21 CFR 882.4560, Class II |

3. Predicate Device

PRAXIM - Surgetics ORTHO KNEELOGICS navigation system (K 031196) BrainLab -- VectorVision® Osteotomy (K 042513)

1

4. Intended Use

The Surgetics ORTHO OSTEOLOGICS navigation system is an optically based surgical navigation system. It is intended for use as an aid to the surgeon in tracking bone structures and instruments on a 3D model of the patient's bone which is generated through acquiring multiple landmarks. The system is indicated to assist a surgeon to control the lower limb axis during osteotomy procedures.

Examples of orthopedic surgical procedures include, but are not limited to:

Open wedge osteotomy for the lower limb

Closed wedge osteotomy for the lower limb

5. Device Description

.

The Surgetics ORTHO OSTEOLOGICS Navigation System consists of the following major components and subsystems:

  • The Surgetics Station, consisting of a mobile computer system and an optical . localizer
  • Ancillary instruments and reflective markers used for reference and . calibration.
  • HTO Monitoring Software for, but not limited to open and closed wedge . osteotomy for the lower limb

6. Technological Characteristics and Substantial Equivalence

The Surgetics ORTHO OSTEOLOGICS Navigation System is substantially equivalent to other stereotaxic instruments that have been cleared for use in spine, orthopedic and traumatology surgery, including the BrainLab Vector Vision Osteotomy and the PRAXIM - Surgetics ORTHO KNEELOGICS navigation The ORTHO OSTEOLOGICS and the predicate systems all acquire system. positional data by tracking reflective markers and digitizing the relative locations of anatomical landmarks, to aid the surgeon in linear procedures. It allows the surgeon to locate surgical instruments' tip and direction (e.g. screwdriver, awl). The system uses an infrared camera for localization and guidance of surgical instruments during the procedure.

2

7. Performance Testing

The Surgetics ORTHO OSTEOLOGICS Navigation System was tested for compliance with electrical safety and electromagnetic compatibility standards. In addition, summaries of accuracy testing using phantoms, specimen bench testing, and clinical experience with the system were provided.

3

Image /page/3/Picture/1 description: The image shows the seal of the U.S. Department of Health and Human Services. The seal features a stylized caduceus, a symbol often associated with medicine and healthcare, consisting of a staff with two snakes coiled around it. The seal is encircled by the words "DEPARTMENT OF HEALTH AND HUMAN SERVICES - USA" in a circular arrangement. The text is in all caps and is evenly spaced around the circle.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

APR 1 0 2006

Praxim S.A. c/o Medical Device Consultants, Inc. Mr. Randy Veale 49 Plain Street North Attleboro, Massachusetts 02760

Re: K053542

Trade/Device Name: Ortho Osteologics navigation system Regulation Number: 21 CFR 882.4560 Regulation Name: Stereotaxic instrument Regulatory Class: II Product Code: HAW Dated: February 27, 2006 Received: March 6, 2006

Dear Mr. Veale:

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. Iisting 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

4

Page 2 - Mr. Randy Veale

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. 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 (240) 276-0115. 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 vours.

sincerely yours,

demee

Mark N. Melkerson Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

INDICATIONS FOR USE

510(k) Number (if known): K053542

Device Name: Surgetics ORTHO OSTEOLOGICS navigation system

Indications for Use:

The Surgetics ORTHO OSTEOLOGICS navigation system is an optically based surgical navigation system. It is intended for use as an aid to the surgeon in tracking bone structures and instruments on a 3D model of the patient's bone which is generated through acquiring multiple landmarks. The system is indicated to assist a surgeon to control the lower limb axis during osteotomy procedures.

Examples of orthopedic surgical procedures include, but are not limited to: Open wedge osteotomy for the lower limb Closed wedge osteotomy for the lower limb

Prescription Use (Part 21 CFR 801 Subpart D)

Surgetics ORTHO OSTEOLOGIOS ) Number

AND / OR

Over-The-Counter Use (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)
(Division Sign-Off)
Division of General, Restorative,
and Neurological Devices
Additional information K053542
February 27, 2006CONFIDENTIAL