K Number
K081568
Device Name
ANTEGRA-T
Date Cleared
2008-09-02

(90 days)

Product Code
Regulation Number
888.3060
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Synthes Antegra-T System is indicated for use via the lateral or anterolateral surgical approach above the bifurcation of the great vessels or via the anterior surgical approach, below the bifurcation of the great vessels as an adjunct to fusion. This system is indicated in the treatment of lumbar and lumbosacral (LI - Sl) spine instability as a result of fracture (including dislocation and subluxation), tumor, degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies), pseudoarthrosis, spondylolysis, spondylolisthesis, scoliosis, lordotic deformities of the spine, spinal stenosis, or a failed previous spine surgery. Warning: This device is not intended for screw attachment or fixation to the posterior elements (pedicles) of the cervical, thoracic, or lumbar spine.
Device Description
The Synthes Antegra-T System consists of one-level titanium lumbar and sacral plates and cancellous screws with locking heads. The plates attach to the anterior portion of the lumbar and lumbosacral spine (L1-S1). These one-level plates are available in lengths ranging from 37 mm to 53 mm in 2mm increments. The sacral plates have a step on the underside that allows for precise sacral placement. The Antegra-T System uses the bone-screws from the Synthes Antegra System (K063158).
More Information

No
The summary describes a mechanical spinal implant system (plates and screws) and does not mention any software, algorithms, or data processing capabilities that would indicate the use of AI/ML.

Yes

The device is indicated for the treatment of various spinal instabilities, including those resulting from degenerative disc disease, fracture, and tumor, which aligns with the definition of a therapeutic device designed to treat or alleviate a medical condition.

No
The device description and indications for use clearly describe the Synthes Antegra-T System as an implantable device (plates and screws) used for stabilization and fusion in the lumbar and lumbosacral spine, which is a therapeutic function, not diagnostic.

No

The device description explicitly states that the system consists of "one-level titanium lumbar and sacral plates and cancellous screws with locking heads," which are physical hardware components.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are devices used to examine specimens taken from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening.
  • Device Description: The Synthes Antegra-T System is a system of plates and screws designed for surgical implantation to stabilize the lumbar and lumbosacral spine. It is a physical implant used in the body, not a device used to test samples from the body.
  • Intended Use: The intended use describes the surgical application of the device to treat spinal instability. It does not involve analyzing biological samples.

Therefore, based on the provided information, the Synthes Antegra-T System is a surgical implant, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Synthes Antegra-T System is indicated for use via the lateral or anterolateral surgical approach above the bifurcation of the great vessels or via the anterior surgical approach, below the bifurcation of the great vessels as an adjunct to fusion. This system is indicated in the treatment of lumbar and lumbosacral (LI - Sl) spine instability as a result of fracture (including dislocation and subluxation), tumor, degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies), pseudoarthrosis, spondylolysis, spondylolisthesis, scoliosis, lordotic deformities of the spine, spinal stenosis, or a failed previous spine surgery. Warning: This device is not intended for screw attachment or fixation to the posterior elements (pedicles) of the cervical, thoracic, or lumbar spine.

Product codes

KWQ, KWO

Device Description

The Synthes Antegra-T System consists of one-level titanium lumbar and sacral plates and cancellous screws with locking heads. The plates attach to the anterior portion of the lumbar and lumbosacral spine (L1-S1). These one-level plates are available in lengths ranging from 37 mm to 53 mm in 2mm increments. The sacral plates have a step on the underside that allows for precise sacral placement. The Antegra-T System uses the bone-screws from the Synthes Antegra System (K063158).

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

lumbar and lumbosacral (L1-S1) spine

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

Non-Clinical Performance and Conclusions: Bench testing results demonstrate that the Synthes Antegra-T System is substantially equivalent to the predicate devices.
Clinical Performance and Conclusions: Clinical data and conclusions were not needed for this device.

Key Metrics

Not Found

Predicate Device(s)

Synthes Anterior Tension Band (ATB) System (K022791), Synthes Antegra System (K063158), Synthes VentroFix MIS System (K031100), Synthes Small Stature USS System (K994121)

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

Section 5 - 510(k) Summary

510(k) Summary
Name of Firm:Synthes Spine
1302 Wrights Lane East
West Chester, PA 19380
510(k) Contact:Susan Lewandowski
Manager, Spine Regulatory Affairs
Telephone: 610-719-5712
Facsimile: 610-719-5102
Email: lewandowski.susan@synthes.com
Date Prepared:June 3, 2008
Trade Name:Synthes Antegra-T System
Classification:21 CFR 888.3060 - Spinal Intervertebral Body Fixation Orthosis
Class II
Orthopaedic and Rehabilitation Devices Panel
Product Code KWQ
Predicates:Synthes Anterior Tension Band (ATB) System (K022791)
Synthes Antegra System (K063158)
Synthes VentroFix MIS System (K031100)
Synthes Small Stature USS System (K994121)
Device
Description:The Synthes Antegra-T System consists of one-level titanium lumbar and
sacral plates and cancellous screws with locking heads. The plates attach to
the anterior portion of the lumbar and lumbosacral spine (L1-S1). These
one-level plates are available in lengths ranging from 37 mm to 53 mm in
2mm increments. The sacral plates have a step on the underside that allows
for precise sacral placement. The Antegra-T System uses the bone-screws
from the Synthes Antegra System (K063158).
Intended Use/The Synthes Antegra-T System is indicated for use via the lateral or
Indications foranterolateral surgical approach above the bifurcation of the great vessels or
Use:via the anterior surgical approach, below the bifurcation of the great vessels
as an adjunct to fusion. This system is indicated in the treatment of lumbar
and lumbosacral (LI - SI) spine instability as a result of fracture (including
dislocation and subluxation), tumor, degenerative disc disease (defined as
back pain of discogenic origin with degeneration of the disc confirmed by
patient history and radiographic studies), pseudoarthrosis, spondylolysis,
spondylolisthesis, scoliosis, lordotic deformities of the spine, spinal
stenosis, or a failed previous spine surgery. Warning: This device is not
intended for screw attachment or fixation to the posterior elements
(pedicles) of the cervical, thoracic, or lumbar spine.
Comparison of theThe Synthes Antegra-T System is a result of design modifications to the
device to predicatepredicate devices. It is substantially equivalent to the predicates in design,
device(s):function, material, and intended use.
Performance DateNon-Clinical Performance and Conclusions:
(Non-Clinical and/orBench testing results demonstrate that the Synthes Antegra-T System is
Clinical):substantially equivalent to the predicate devices.
Clinical Performance and Conclusions:
Clinical data and conclusions were not needed for this device.

Traditional 510(k)
Synthes Antegra-T System

1

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Image /page/1/Picture/2 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle-like bird with outstretched wings, positioned to the right of a circular arrangement of text. The text reads "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in a circular fashion around the bird. The logo is black and white.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Synthes Spine Company, LP % Ms. Susan Lewandowski Manager, Spine Regulatory Affairs 1302 Wrights Lane East West Chester, Pennsylvania 19380

SEP - 2 2008

Re: K081568

Trade/Device Name: Synthes Antegra-T System Regulation Number: 21 CFR 888.3060 Regulation Name: Spinal Intervertebral Body Fixation Orthosis Regulatory Class: Class II Product Code: KWO Dated: June 3, 2008 Received: June 4, 2008

Dear Ms. Lewandowski:

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.

2

Page 2 - Ms. Susan Lewandowski

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 Center for Devices and Radiological Health's (CDRH's) Office of Compliance at (240) 276-0120. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Presmarket, Surveillance at (240) 276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at (240) 276-3464. You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at toll-free number (800) 638-2041 or (240) 276-3150 or Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours.

Mark N. Millerson

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

Enclosure

3

Section 4 - Indications for Use Statement

510(k) Number: (if known)

KO81568

Device Name: Synthes Antegra-T System

Indications for Use:

The Synthes Antegra-T System is indicated for use via the lateral or anterolateral surgical approach above the bifurcation of the great vessels or via the anterior surgical approach, below the bifurcation of the great vessels as an adjunct to fusion. This system is indicated in the treatment of lumbar and lumbosacral (LI - Sl) spine instability as a result of fracture (including dislocation and subluxation), tumor, degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies), pseudoarthrosis, spondylolysis, spondylolisthesis, scoliosis, lordotic deformities of the spine, spinal stenosis, or a failed previous spine surgery.

Warning: This device is not intended for screw attachment or fixation to the posterior elements (pedicles) of the cervical, thoracic, or lumbar spine.

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

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

f

(PLEASE DO NOT WRITE BELOW THIS LINE – CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Ev

Vaubare Bneam
(Division Sign-Off)

Division of General, Restorative, and Neurological Devices

Traditional 510(k) Synthes Antegra-T System

510(k) Number K081568