K Number
K060346
Device Name
ULTRAZONIX SPINE MINIMAL-INVASIVE DISC SYSTEM
Manufacturer
Date Cleared
2006-12-22

(315 days)

Product Code
Regulation Number
878.4400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Ultrazonix Spine Minimal-Invasive Disc System is intended for use by professional medical personnel for coagulation and decompression of intervertebral disc material to treat symptomatic patients with annular disruption of contained herniated lumbar discs. The safety and efficacy of this device has not been established in the thoracic and cervical intervertebral regions of the spine and should not be used in those regions.
Device Description
The Ultrazonix Spine Minimal-Invasive Disc System is intended for use by professional medical personnel for coagulation and decompression of intervertebral disc material to treat symptomatic patients with annular disruption of contained herniated lumbar discs. The safety and efficacy of this device has not been established in the thoraci and cervical intervertebral regions of the spine and should not be used in those negions. The Ultrazonix Spine Minimal-Invasive Disc System is comprised of a non-disposable Control Unit, and a sterile, single-use Probe Kit. These two major component parts are described as follows: a) Non disposable Control Unit This contains a power supply, a high frequency-generator, an amplifier, an independent safety system and a user interface with an alphanumerical display and a key pad and a foot-operated switch. The probe and a foot-operated switch are connected to the Control Unit. High frequency induced ultrasound is emitted from the probe and controlled by means of the foot-operated switch. b) Sterile, single-use Probe Kit, consisting of A blunt 500 mm long stainless steel Guide Pin with a diameter of 2 mm. The Guide Pin is used as a pathfinder to navigate towards the spinal disk under fluoroscopic guidance. A 5.3 mm Dilator which is used to prepare a canal for the Introducer. It has a conical front which ensures as little harm as possible is done to adjacent tissue and blood vessels A 6 mm Introducer which is a thin walled, approximately 180 mm long tube with a handle to be used as a guide for the Probe. It is placed over the Dilator and when the desired position against the disk is reached the Guide Pin and the Dilator are removed and The ultrasonic Probe is inserted into the Introducer. It consists of a thin shaft with a piezo ceramic transducer placed at the front /tip.
More Information

Not Found

No
The device description focuses on the mechanical and electrical components of an ultrasonic system for disc treatment. There is no mention of AI, ML, or any data processing that would suggest the use of such technologies. The "Mentions AI, DNN, or ML" section explicitly states "Not Found".

Yes
The "Intended Use / Indications for Use" section explicitly states that the device is intended for "coagulation and decompression of intervertebral disc material to treat symptomatic patients with annular disruption of contained herniated lumbar discs," which describes a therapeutic purpose.

No.
The document describes a system for coagulation and decompression of intervertebral disc material, which is a therapeutic treatment. It mentions "fluoroscopic guidance" for navigation, but the device itself is not described as analyzing or interpreting images or other data to provide a diagnosis.

No

The device description explicitly details multiple hardware components, including a Control Unit, Probe Kit, Guide Pin, Dilator, Introducer, and ultrasonic Probe with a piezo ceramic transducer. This is not a software-only device.

Based on the provided information, the Ultrazonix Spine Minimal-Invasive Disc System is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening.
  • Device Function: The Ultrazonix Spine Minimal-Invasive Disc System is a surgical device used directly on the patient's intervertebral disc material for coagulation and decompression. It does not analyze samples taken from the body.
  • Intended Use: The intended use clearly states it's for treating symptomatic patients with annular disruption of contained herniated lumbar discs through a minimal-invasive procedure. This is a therapeutic intervention, not a diagnostic test performed on a sample.

Therefore, the Ultrazonix Spine Minimal-Invasive Disc System is a surgical device, not an IVD.

N/A

Intended Use / Indications for Use

The Ultrazonix Spine Minimal-Invasive Disc System is intended for use by professional medical personnel for coagulation and decompression of intervertebral disc material to treat symptomatic patients with annular disruption of contained herniated lumbar discs. The safety and efficacy of this device has not been established in the thoracic and cervical intervertebral regions of the spine and should not be used in those regions.

Product codes

NTB

Device Description

The Ultrazonix Spine Minimal-Invasive Disc System is intended for use by professional medical personnel for coagulation and decompression of intervertebral disc material to treat symptomatic patients with annular disruption of contained herniated lumbar discs. The safety and efficacy of this device has not been established in the thoraci and cervical intervertebral regions of the spine and should not be used in those negions. The Ultrazonix Spine Minimal-Invasive Disc System is comprised of a non-disposable Control Unit, and a sterile, single-use Probe Kit. These two major component parts are described as follows:

a) Non disposable Control Unit
This contains a power supply, a high frequency-generator, an amplifier, an independent safety system and a user interface with an alphanumerical display and a key pad and a foot-operated switch. The probe and a foot-operated switch are connected to the Control Unit. High frequency induced ultrasound is emitted from the probe and controlled by means of the foot-operated switch.

b) Sterile, single-use Probe Kit, consisting of
A blunt 500 mm long stainless steel Guide Pin with a diameter of 2 mm. The Guide Pin is used as a pathfinder to navigate towards the spinal disk under fluoroscopic guidance.
A 5.3 mm Dilator which is used to prepare a canal for the Introducer. It has a conical front which ensures as little harm as possible is done to adjacent tissue and blood vessels
A 6 mm Introducer which is a thin walled, approximately 180 mm long tube with a handle to be used as a guide for the Probe. It is placed over the Dilator and when the desired position against the disk is reached the Guide Pin and the Dilator are removed and
The ultrasonic Probe is inserted into the Introducer. It consists of a thin shaft with a piezo ceramic transducer placed at the front /tip.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

fluoroscopy

Anatomical Site

intervertebral disc material, lumbar discs

Indicated Patient Age Range

Not Found

Intended User / Care Setting

professional medical personnel

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)

Results of in vitro and animal study evaluations show that the Ultrazonix Spine Minimal-Invasive Disc System functions as intended. Sufficient pre-clinical data has been gathered to qualify that the system is safe and efficient in coagulation and decompression of disc tissue. Current clinical experiences also show that the product is safe in coagulation and decompression of lumbar discs.

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

Not Found

Predicate Device(s)

Oratec SpineCATH, K974464, Oratec ORA-50 S Auto Temp Electro Thermal Spine System & Accessories, K993854, Epicor Medical UltraCinch Tissue Ablation Device and Accessories, K040641

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 878.4400 Electrosurgical cutting and coagulation device and accessories.

(a)
Identification. An electrosurgical cutting and coagulation device and accessories is a device intended to remove tissue and control bleeding by use of high-frequency electrical current.(b)
Classification. Class II.

0

510(k) Notification Supplement K060346-Ultrazonix Spine Minimal-Invasive Disc System December 19, 2006

510(K) Notification SUMMARY

KOGO346

SUBMITTER:

Ultrazonix DNT AB Krossverksgatan 3 SE-216 16 Malmo Sweden

DEC 2 2 2006

DATE PREPARED:

December 19th , 2006

DEVICE NAME:

Ultrazonix Spine Minimal-Invasive Disc System

CLASSIFICATION NAME:

Electrosurgical cutting and coagulation device and accessories

PREDICATE DEVICES:

Oratec SpineCATH, Orateac ORA-50S Auto Temp Electro Thermal Spine System, and Epicor Medical UltraCinch Tissue Ablation Device & Accessories

Device Description:

The Ultrazonix Spine Minimal-Invasive Disc System is intended for use by professional medical personnel for coagulation and decompression of intervertebral disc material to treat symptomatic patients with annular disruption of contained herniated lumbar discs. The safety and efficacy of this device has not been established in the thoraci and cervical intervertebral regions of the spine and should not be used in those negions. The Ultrazonix Spine Minimal-Invasive Disc System is comprised of a non-disposable Control Unit, and a sterile, single-use Probe Kit. These two major component parts are described as follows:

a) Non disposable Control Unit

This contains a power supply, a high frequency-generator, an amplifier, an independent safety system and a user interface with an alphanumerical display and a key pad and a foot-operated switch. The probe and a foot-operated switch are connected to the Control Unit. High frequency induced ultrasound is emitted from the probe and controlled by means of the foot-operated switch.

b) Sterile, single-use Probe Kit, consisting of

A blunt 500 mm long stainless steel Guide Pin with a diameter of 2 mm. The Guide Pin is used as a pathfinder to navigate towards the spinal disk under fluoroscopic guidance.

1

A 5.3 mm Dilator which is used to prepare a canal for the Introducer. It has a conical front which ensures as little harm as possible is done to adjacent tissue and blood vessels

A 6 mm Introducer which is a thin walled, approximately 180 mm long tube with a handle to be used as a guide for the Probe. It is placed over the Dilator and when the desired position against the disk is reached the Guide Pin and the Dilator are removed and

The ultrasonic Probe is inserted into the Introducer. It consists of a thin shaft with a piezo ceramic transducer placed at the front /tip.

Predicate Devices:

There has been a device previously cleared by the FDA in the following 510(K) Notification indicated for use for the coagulation and decompression of disc material to treat symptomatic patients with annular disruption of contained herniated discs.

Device510(k) Document NumberDate ClearedIndications
Oratec SpineCATH
Intradiscal Catheter
&
Oratec ORA-50 S
Auto Temp Electro
Thermal Spine
System &
AccessoriesK974464
K9938543/19/1998
12/6/1999coagulation and
decompression of disc
material to treat
symptomatic patients
with annular
disruption of
contained herniated
discs
Epicor Medical
UltraCinch Tissue
Ablation Device and
AccessoriesK0406415/5/2004For the ablation of
cardiac tissue during
cardiac Surgery

Table 6. Predicate Device(s)

Technologically, both the proposed and predicate devices are substantially equivalent. Both proposed and predicate devices are electrosurgical devices which are indicated for use for the coagulation and decompression of disc material to treat symptomatic patients with annular disruption of contained lumbar herniated discs. Both the proposed and predicate devices utilize heat generated at the tip of the catheter / probe to deliver thermal

2

510(k) Notification Supplement K060346-Ultrazonix Spine Minimal-Invasive Disc System December 19, 2006

energy to the tissue. Both also utilize a radiopaque marking at the proximal end of the catheter/probe to position the catheter/probe under fluoroscopy. Any differences between the two devices do not raise new questions of safety and effectiveness.

Intended Use:

Ultrazonix Spine Minimal-Invasive Disc System Indications:

The Ultrazonix Spine Minimal-Invasive Disc System is intended for use by professional medical personnel for coagulation and decompression of intervertebral disc material to treat symptomatic patients with annular disruption of contained herniated lumbar discs. The safety and efficacy of this device has not been established in the thoracic and cervical intervertebral regions of the spine and should not be used in those regions.

Technological Characteristics:

Technologically, both the new device and the predicate device are the same (i.e. both are intended for use for the coagulation and decompression of lumbar disc material to treat symptomatic patients with annular disruption of contained lumbar herniated discs). Any differences between the two devices do not raise new questions of safety and effectiveness

Performance Data:

Results of in vitro and animal study evaluations show that the Ultrazonix Spine Minimal-Invasive Disc System functions as intended. Sufficient pre-clinical data has been gathered to qualify that the system is safe and efficient in coagulation and decompression of disc tissue. Current clinical experiences also show that the product is safe in coagulation and decompression of lumbar discs.

Conclusions:

Based on the 510(k) summaries and 510(k) statements (21 CFR 807) and the information provided herein, we conclude that the modified device is substantially equivalent to the existing legally marketed device under the Federal Food, Drug and Cosmetic Act.

3

Image /page/3/Picture/1 description: The image shows the seal of the Department of Health and Human Services (HHS) of the United States. The seal features an eagle with its wings spread, clutching a caduceus in its talons. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES · USA" are arranged in a circular pattern around the eagle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Ultrazonix DNT AB % International Medical Products Corp. Jeffrey R. Shideman, Ph.D. President 7307 Glouchester Drive Edina, Minnesota 55435

DEC 2 2 2 2006

Re: K060346

Trade/Device Name: Ultrazonix Spine Minimal-Invasive Disc System Regulation Number: 21 CFR 878.4400 Regulation Name: Electrosurgical cutting and coagulation device and accessories Regulatory Class: II Product Code: NTB Dated: October 18, 2006 Received: October 23, 2006

Dear Dr. Shideman:

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.

4

Page 2 - Jeffrey R. Shideman, Ph.D.

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 (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely vours.

Sincerely yours,

Barbara Buehrig

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): K060346

Device Name: Ultrazonix Spine Minimal-Invasive Disc System

Indications for Use:

The Ultrazonix Spine Minimal-Invasive Disc System is intended for use by professional medical personnel for coagulation and decompression of intervertebral disc material to treat symptomatic patients with annular disruption of contained herniated lumbar discs. The safety and efficacy of this device has not been established in the thoracic and cervical intervertebral regions of the spine and should not be used in those regions.

Prescription Use (Part 21 CFR 801 Subpart D)

AND/OR

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

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

000052

currence of CDRH, Office of Device Evaluation (ODE)

Boubare Bruelo

(Division Sign-Off) for My
Division of General, Restorative,
and Neurological Devices

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510(k) Number K060346