(127 days)
Not Found
No
The summary describes a set of surgical instruments and does not mention any software, algorithms, or data processing that would indicate the use of AI or ML.
Yes
The device is described as "specialized surgical instruments intended to be used to perform lumbar decompressive procedures for the treatment of various spinal conditions," directly indicating a therapeutic purpose.
No
The device is described as a set of specialized surgical instruments for performing lumbar decompressive procedures, which are treatments, not diagnoses. There is no mention of the device being used to identify or analyze a condition.
No
The device description explicitly states it is a "set of specialized surgical instruments," which are physical hardware components.
Based on the provided information, this device is not an IVD (In Vitro Diagnostic).
Here's why:
- Intended Use: The intended use clearly states that the device is a set of surgical instruments used to perform lumbar decompressive procedures. This is a surgical intervention performed directly on the patient, not a test performed on a sample of bodily fluid or tissue in vitro (outside the body).
- Device Description: The description confirms it's a set of surgical instruments.
- Lack of IVD Characteristics: There is no mention of analyzing samples, detecting substances, or providing diagnostic information based on laboratory tests.
IVD devices are used to examine specimens from the human body (like blood, urine, or tissue) to provide information for diagnosis, monitoring, or screening. This device is a surgical tool used for treatment.
N/A
Intended Use / Indications for Use
The Vertos Medical mild® Device Kit is a set of specialized surgical instruments intended to be used to perform lumbar decompressive procedures for the treatment of various spinal conditions.
Product codes (comma separated list FDA assigned to the subject device)
HRX, HAE
Device Description
The Vertos Medical mild® Device Kit is a set of specialized arthroscopic surgical instruments. They are supplied sterile, for single use only.
Mentions image processing
Not Found
Mentions AI, DNN, or ML
Not Found
Input Imaging Modality
Not Found
Anatomical Site
lumbar
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 (study type, sample size, AUC, MRMC, standalone performance, key results)
Biocompatibility evaluation demonstrates that the devices are in compliance with ISO 10993.
Bench testing has demonstrated that the devices are in compliance with pertinent standards, the expectations of the medical community and the product labeling.
Cadaveric testing demonstrated that the devices in Vertos Medical mild® Device Kit can be used in accordance with the Indications for Use.
Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)
Not Found
Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.
Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.
Not Found
Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).
Not Found
§ 888.1100 Arthroscope.
(a)
Identification. An arthroscope is an electrically powered endoscope intended to make visible the interior of a joint. The arthroscope and accessories also is intended to perform surgery within a joint.(b)
Classification. (1) Class II (performance standards).(2) Class I for the following manual arthroscopic instruments: cannulas, currettes, drill guides, forceps, gouges, graspers, knives, obturators, osteotomes, probes, punches, rasps, retractors, rongeurs, suture passers, suture knotpushers, suture punches, switching rods, and trocars. The devices subject to this paragraph (b)(2) are exempt from the premarket notification procedures in subpart E of part 807 of this chapter, subject to the limitations in § 888.9.
0
Image /page/0/Picture/1 description: The image shows the logo for Vertos Medical, Inc. The word "Vertos" is written in a bold, sans-serif font, with a stylized spine symbol inside the "o". Below the word "Vertos" is the text "MEDICAL, INC." in a smaller, sans-serif font. The logo is black and white.
Vertos Medical mild® Device Kit Modification Premarket Notification
| Device Information: | |
|---|---|
| Category | Comments |
| Sponsor: | Vertos Medical, Inc. |
| 2362 Qume Drive, Suite D | |
| San Jose, CA 95131 | |
| Tel: 408-437-3101 | |
| Fax: 408-437-3108 | |
| Correspondent Contact | |
| Information: | Craig Coombs |
| Coombs Medical Device Consulting | |
| 1193 Sherman Street | |
| Alameda, CA 94501 | |
| Tel: 510-337-0140 | |
| Fax: 510-337-0416 | |
| Device Common Name: | Arthroscopic Accessories |
| Device Classification Number: | 21 CFR 888.1100 |
| Device Classification & | |
| Product Code: | Class II, |
| HRX |
Section 5: 510(k) Summary
FEB - 4 2010
Predicate Device Information:
Device Proprietary Name:
| Predicate Device: | X-Sten MILD Tool Kit |
|---|---|
| Predicate Device Manufacturer: | X-Sten (renamed as Vertos Medical, Inc.) |
| Predicate Device Common Name: | Arthroscopic Accessories |
| Predicate Device Premarket Notification # | K062038 |
| Predicate Device Classification: | 21 CFR 888.1100 |
| Predicate Device Classification & | Class II, |
| Product Code: | HRX |
| Predicate Device: | Ultra Low Profile Rongeur & Access |
| Tools | |
| Predicate Device Manufacturer: | Baxano, Inc |
| Predicate Device Common Name: | Manual Rongeur |
| Predicate Device Premarket Notification # | K062711 |
| Predicate Device Classification: | 21 CFR 882.4840 |
| Predicate Device Classification & | |
| Product Code: | Class II, |
| HAE |
Vertos Medical mild® Device Kit
b. Date Summary Prepared
4 February 2010
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c. Description of Device
The Vertos Medical mild® Device Kit is a set of specialized arthroscopic surgical instruments. They are supplied sterile, for single use only.
d. Indications for Use
The Vertos Medical mild® Device Kit is a set of specialized surgical instruments intended to be used to perform lumbar decompressive procedures for the treatment of various spinal conditions.
e. Comparison to Predicate Device
The Vertos Medical mild® Device Kit is substantially equivalent to the X-Sten MILD Tool Kit (K062038) and the Baxano Ultra Low Profile Rongeur and Access Tools (K062711) in intended use, technology, design and patient contacting materials
The testing described below demonstrates that the differences in the devices do not raise any unresolved issues of safety or efficacy.
Company concludes that the devices are substantially equivalent.
f. Summary of Supporting Data
Biocompatibility evaluation demonstrates that the devices are in compliance with ISO 10993.
Bench testing has demonstrated that the devices are in compliance with pertinent standards, the expectations of the medical community and the product labeling.
Cadaveric testing demonstrated that the devices in Vertos Medical mild® Device Kit can be used in accordance with the Indications for Use.
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Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of a human figure with three arms or extensions, resembling a bird in flight.
Food and Drug Administration 10903 New Hampshire Avenue Document Control Room W-066-0609 Silver Spring, MD 20993-0002
Vertos Medical, Inc. % Coombs Medical Device Consulting Mr. Craig Coombs President 1193 Sherman Street Alameda, California 94501
Re: K093062
Trade/Device Name: Vertos Medical mild® Device Kit Regulation Number: 21 CFR 888.1100 Regulation Name: Arthroscope Regulatory Class: Class II Product Code: HRX, HAE Dated: January 29, 2010 Received: February 01, 2010
Dear Mr. Coombs:
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 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). You may, therefore, market the device, subject to the general controls provisions of the Act. However, you are responsible to determine that the medical devices you use as components in the [kit/tray] have either been determined as substantially equivalent under the premarket notification process (Section 510(k) of the act), or were legally on the market prior to May 28, 1976, the enactment date of the Medical Device Amendments. Please note: If you purchase your device components in bulk (i.e., unfinished) and further process (e.g., sterilize) you must submit a new 510(k) before including these components in your kit/tray. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, and labeling, and prohibitions against misbranding and adulteration.
FEB - 4 2010
If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to 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
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Page 2 - Mr. Craig Coombs
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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.
If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to
http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.
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) 796-7100 or at its Internet address
http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.
Sincerely vours.
fin Cart
Mark N. Melkerson Director Division of Surgical, Orthopedic and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health
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Image /page/4/Picture/0 description: The image shows the logo for Vertos Medical, Inc. The logo consists of the word "Vertos" in a bold, sans-serif font, with a stylized image of a spine within a circle to the right of the word. Below the word "Vertos" is the text "MEDICAL, INC." in a smaller, sans-serif font.
Section 4: Indications for Use Statement
510(k) Number (if known): K 093062
Vertos Medical mild® Device Kit Device Name:
Indications For Use:
The Vertos Medical mild® Device Kit is a set of specialized surgical instruments intended to be used to perform lumbar decompressive procedures for the treatment of various spinal conditions.
Prescription Use × (Part 21 CFR 801 Subpart D) Over-The-Counter Use (21 CFR 807 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
AND/OR
Concurrence of CDRH, Office of Device Evaluation (ODE)
Page 1 of
M.R. Kumar
(Division Sign-Off) (Division Sign-Q1)
Division of Surgical, Orthopedic, Division of Surg.
and Restorative Devices
Restorative Devices
/K093062
510(k) Number