(66 days)
The Facet Fixation System is indicated for the posterior surgical treatment of any or all of the following at the C2 to S1 (inclusive) spinal levels: 1) Trauma, including spinal fractures and/or dislocations; 2) Spondylolisthesis; 3) Spondylolysis; 4) Pseudoarthrosis or failed previous fusions which are symptomatic or which may cause secondary instability or deformity; 5) Degenerative diseases which include: (a) degenerative disc disease (ddd) as defined by neck and/or back pain of discogenic origin as confirmed by patient history with degeneration of the disc as confirmed by radiographic studies and/or (b) degenerative disease of the facets with instability.
When properly used, facet screws will provide temporary stabilization as an adjunct to spinal bone grafting processes.
The US Spine Facet Fixation System consists of two implantable components, the screw in various lengths and an optional washer. Both components are made from implant grade wrought Titanium 6-Aluminum 4-Vanadium (Ti6Al4V) alloy.
The provided text describes a medical device, the "US Spine Facet Fixation System," and its 510(k) submission. However, it does not include information about a study based on AI/ML.
Here's a breakdown of the requested information based on the provided text, with "N/A" indicating information not present:
Acceptance Criteria and Reported Device Performance
1. Table of Acceptance Criteria and Reported Device Performance
| Acceptance Criteria (What the device needed to achieve) | Reported Device Performance (What the device actually achieved) |
|---|---|
| Provide temporary stabilization as an adjunct to spinal bone grafting processes when properly used. | Biomechanical testing (static and fatigue 3-Point Bend Testing and Cantilever Testing) performed. The specific results of these tests showing that it meets the criteria are not detailed in the provided text. The text only states that testing was performed. This performance data was deemed sufficient for substantial equivalence to predicates. |
Missing Information: The specific quantitative acceptance criteria (e.g., "withstanding X N of force for Y cycles") and the actual quantitative results achieved by the device are not provided in this summary. It only states that testing was performed.
Study Details (Focusing on AI/ML, which is not present)
2. Sample size used for the test set and the data provenance
N/A - The document describes biomechanical testing, not a study involving a test set of data for an AI/ML device.
3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts
N/A - This is not an AI/ML study.
4. Adjudication method for the test set
N/A - This is not an AI/ML study.
5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance
N/A - This is not an AI/ML study.
6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done
N/A - This is not an AI/ML study.
7. The type of ground truth used
N/A - The performance data is based on biomechanical testing of the physical device. For a physical device, the "ground truth" would be objective measurements from these tests and observation of the device's physical integrity and stability under load.
8. The sample size for the training set
N/A - This is not an AI/ML study.
9. How the ground truth for the training set was established
N/A - This is not an AI/ML study.
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JUN 19 2006
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510(k) Summary
| Manufacturer: | US Spine3600 FAU Blvd., Suite 101Boca Raton, FL 33431 |
|---|---|
| Submitted By: | Richard Jansen, Pharm. D.Silver Pine Consulting13540 Guild Ave.Apple Valley, MN 55124Phone 952-431-5999Fax 952-432-3245richj@s-pineconsulting.com |
| Proprietary Name: | US Spine Facet Fixation System |
| Classification Name: | Appliance, Fixation, Spinal |
| Common/Usual Name: | Facet Screw Spinal Device System |
| Classification: | Class II |
| Predicate Devices: | DISCOVERY Facet Screw (K012773)Triad Facet Screw System (K020411)Oasys Bone Screw (K031657)Townley Transfacet/Intrapedicular Screw (K994308) |
| Device Description: | The US Spine Facet Fixation System consists of twoimplantable components, the screw in various lengths andan optional washer. Both components are made fromimplant grade wrought Titanium 6-Aluminum 4-Vanadium(Ti6Al4V) alloy. |
| Indications for Use: | The Facet Fixation System is indicated for the posteriorsurgical treatment of any or all of the following at the C2-S1 spinal levels: 1) Trauma, including spinal fracturesand/or dislocations; 2) Spondylolisthesis; 3) Spondylolysis;4) Pseudoarthrosis or failed previous fusions which aresymptomatic or which may cause secondary instability ordeformity; 5) Degenerative diseases which include: (a)degenerative disc disease (ddd) as defined by neck and/orback pain of discogenic origin as confirmed by patienthistory with degeneration of the disc as confirmed byradiographic studies and/or (b) degenerative disease of thefacets with instability. |
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When properly used, facet screws will provide temporary stabilization as an adjunct to spinal bone grafting processes.
Performance Data:
Biomechanical testing, including static and fatigue 3-Point Bend Testing and Cantilever Testing were performed.
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Image /page/2/Picture/1 description: The image shows the logo for the Department of Health and Human Services (HHS). The logo consists of a stylized eagle with three lines forming its body and wings. The eagle is facing to the right. The text "DEPARTMENT OF HEALTH AND HUMAN SERVICES - USA" is arranged in a circular pattern around the eagle.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
JUN 19 2006
US Spine % Silver Pine Consulting Rich Jansen, Pharm.D. 13540 Guild Avenue Apple Valley, Minnesota 55124
Re: K061041
Trade/Device Name: Facet Fixation System Regulation Number: N/A Regulation Name: N/A Regulatory Class: Class II Product Code: MRW Dated: May 24, 2006 Received: May 26, 2006
Dear Mr. Jansen:
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 (OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
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Page 2 - Rich Jansen, Pharm.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) 276-0120. 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 yours,
Helen Lewis
or Mark N. Melkerson Director Division of General, Restoration and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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Indications for Use
510(k) Number: K061041
Device Name: Facet Fixation System
Indications for Use:
The Facet Fixation System is indicated for the posterior surgical treatment of any or all of the following at the C2 to S1 (inclusive) spinal levels: 1) Trauma, including spinal fractures and/or dislocations; 2) Spondylolisthesis; 3) Spondylolysis; 4) Pseudoarthrosis or failed previous fusions which are symptomatic or which may cause secondary instability or deformity; 5) Degenerative diseases which include: (a) degenerative disc disease (ddd) as defined by neck and/or back pain of discogenic origin as confirmed by patient history with degeneration of the disc as confirmed by radiographic studies and/or (b) degenerative disease of the facets with instability.
When properly used, facet screws will provide temporary stabilization as an adjunct to spinal bone grafting processes.
Prescription Use V (Part 21 CFR 801 Subpart D) AND/OR
Over-The-Counter Use (21 CFR 807 Subpart C)
PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Hubert Lewin
Division of General, Restorative, and Neurological Devices
510(k) Number K061041
N/A