K Number
K093762
Device Name
SYNTHES ZERO-P
Manufacturer
Date Cleared
2010-12-20

(378 days)

Product Code
Regulation Number
888.3080
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Synthes Zero-P is a stand-alone anterior cervical interbody fusion device indicated for use in skeletally mature patients with degenerative disc disease (DDD) with accompanying radicular symptoms at one level from C2-TI. DDD is defined as discogenic pain with degeneration of the disc confirmed by history and radiographic studies. These patients should have had six weeks of non-operative treatment. The interior of the spacer component of the Synthes Zero-P should be packed with autogenous bone graft and implanted via an anterior approach.
Device Description
The Synthes Zero-P is a radiolucent and radiopaque cervical intervertebral body fusion device. The Zero-P is composed of a PEEK (ASTM F2026) spacer with a radiopaque marker (ASTM F136-2a), a titanium alloy anterior plate and screws (ASTM F F1295). The screws are inserted through the plate into the adjacent vertebral bodies and lock securely to the plate using a tapered-thread locking mechanism. The Synthes Zero-P is available as assembled components in various heights and geometries to suit individual pathology and anatomical conditions. This line extension covers the addition of sterile screws.
More Information

No
The device description and intended use focus on a physical implant (interbody fusion device) and its materials, with no mention of software, algorithms, or data processing that would indicate AI/ML. The "Mentions AI, DNN, or ML" section explicitly states "Not Found".

Yes
The device is described as an "anterior cervical interbody fusion device" and is "indicated for use in skeletally mature patients with degenerative disc disease (DDD) with accompanying radicular symptoms." This directly implies it is used to treat a medical condition.

No
The device is described as an interbody fusion device, used for treatment (fusion) rather than diagnosis (identifying a disease or condition). Its use for DDD depends on prior diagnosis through history and radiographic studies.

No

The device description clearly states it is composed of physical components (PEEK spacer, titanium alloy plate and screws) and is an implantable device. It is a hardware medical device.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices intended for use in vitro for the examination of specimens, including blood, tissue, and urine, derived from the human body, solely or principally for the purpose of providing information concerning a physiological or pathological state, or a congenital abnormality, or to determine the safety and compatibility with potential recipients, or to monitor therapeutic measures.
  • Synthes Zero-P Function: The Synthes Zero-P is an implantable surgical device used to fuse vertebrae in the cervical spine. It is a physical device that is surgically placed within the body.
  • Lack of Specimen Examination: The description clearly states the device is an "anterior cervical interbody fusion device." It does not involve the examination of any bodily specimens outside of the body.
  • Purpose: Its purpose is to provide structural support and facilitate bone fusion, not to provide diagnostic information based on the analysis of biological samples.

The information provided about the device's intended use, description, and performance studies all point to it being a surgical implant, not a diagnostic tool.

N/A

Intended Use / Indications for Use

The Synthes Zero-P is a stand-alone anterior cervical interbody fusion device indicated for use in skeletally mature patients with degenerative disc disease (DDD) with accompanying radicular symptoms at one level from C2-TI. DDD is defined as discogenic pain with degeneration of the disc confirmed by history and radiographic studies. These patients should have had six weeks of non-operative treatment. The interior of the spacer component of the Synthes Zero-P should be packed with autogenous bone graft and implanted via an anterior approach.

Product codes

ODP, OVE

Device Description

The Synthes Zero-P is a radiolucent and radiopaque cervical intervertebral body fusion device. The Zero-P is composed of a PEEK (ASTM F2026) spacer with a radiopaque marker (ASTM F136-2a), a titanium alloy anterior plate and screws (ASTM F F1295). The screws are inserted through the plate into the adjacent vertebral bodies and lock securely to the plate using a tapered-thread locking mechanism.
The Synthes Zero-P is available as assembled components in various heights and geometries to suit individual pathology and anatomical conditions. This line extension covers the addition of sterile screws.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

cervical (C2-TI)

Indicated Patient Age Range

skeletally mature patients

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)

Mechanical and clinical data and conclusions were not needed for this device. The enclosed information demonstrates the subject device is as safe, effective and performs as well as the predicate.

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

Not Found

Predicate Device(s)

K072981

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 888.3080 Intervertebral body fusion device.

(a)
Identification. An intervertebral body fusion device is an implanted single or multiple component spinal device made from a variety of materials, including titanium and polymers. The device is inserted into the intervertebral body space of the cervical or lumbosacral spine, and is intended for intervertebral body fusion.(b)
Classification. (1) Class II (special controls) for intervertebral body fusion devices that contain bone grafting material. The special control is the FDA guidance document entitled “Class II Special Controls Guidance Document: Intervertebral Body Fusion Device.” See § 888.1(e) for the availability of this guidance document.(2) Class III (premarket approval) for intervertebral body fusion devices that include any therapeutic biologic (e.g., bone morphogenic protein). Intervertebral body fusion devices that contain any therapeutic biologic require premarket approval.
(c)
Date premarket approval application (PMA) or notice of product development protocol (PDP) is required. Devices described in paragraph (b)(2) of this section shall have an approved PMA or a declared completed PDP in effect before being placed in commercial distribution.

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K093762

Image /page/0/Picture/1 description: The image shows the Synthes Spine logo. The logo consists of the Synthes symbol, the word "SYNTHES" in bold, and the word "Spine" in a smaller, italicized font. The Synthes symbol is a circle with a stylized "S" inside.

DEC 2 0 2010

510(k) Summary
Name of Firm:Synthes Spine
1302 Wrights Lane East
West Chester, PA 19380
510(k) Contact:Amnon Talmor
Regulatory Affairs Specialist
Telephone: 610-719-5446
Facsimile: 610-719-5102
Email: talmor.amnon@synthes.com
Date Prepared:November 29, 2010
Trade Name:Synthes Zero-P
Common Name:Intervertebral fusion device
Classification:21 CFR 888.3080 Intervertebral fusion device
Class II (special controls)
Orthopaedic and Rehabilitation Devices Panel
Product Code: ODP
Predicate Device:Synthes Zero-P System is substantially equivalent to the Synthes
Zero-P System (K072981).
Device Description:The Synthes Zero-P is a radiolucent and radiopaque cervical
intervertebral body fusion device. The Zero-P is composed of a
PEEK (ASTM F2026) spacer with a radiopaque marker (ASTM
F136-2a), a titanium alloy anterior plate and screws (ASTM F
F1295). The screws are inserted through the plate into the
adjacent vertebral bodies and lock securely to the plate using a
tapered-thread locking mechanism.
The Synthes Zero-P is available as assembled components in
various heights and geometries to suit individual pathology and
anatomical conditions. This line extension covers the addition of
sterile screws.
Intended Use /
Indications for Use:The Synthes Zero-P is a stand-alone anterior cervical interbody
fusion device indicated for use in skeletally mature patients with
degenerative disc disease (DDD) with accompanying radicular
symptoms at one level from C2-TI. DDD is defined as discogenic
pain with degeneration of the disc confirmed by history and
radiographic studies. These patients should have had six weeks
of non-operative treatment. The interior of the spacer component
of the Synthes Zero-P should be packed with autogenous bone
graft and implanted via an anterior approach.
Comparison of the
technological
characteristics of
the device to theThe Synthes Zero-P device is substantially equivalent to its
predicates in indications, fundamental scientific technology,
material, mechanical performance, surgical technique, screw
fixation and design.
predicate device:
Performance Data
(Nonclinical and/or
Clinical)Mechanical and clinical data and conclusions were not needed for
this device. The enclosed information demonstrates the subject
device is as safe, effective and performs as well as the predicate.

Special 510(k) - Synthes Zero-P Line Extension

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K0937G2

Image /page/1/Picture/1 description: The image shows the logo for Synthes Spine. The logo consists of the Synthes symbol, which is a circle with a stylized "A" inside, followed by the word "SYNTHES" in bold, sans-serif font. Below the word "SYNTHES" is the word "Spine" in a smaller, italicized font.

Image /page/1/Picture/3 description: The image shows the text "Pg 2 of 2" written in a handwritten style. The text indicates that it is page 2 of a document with a total of 2 pages. The handwriting is clear and legible, with each character easily distinguishable.

Special 510(k) - Synthes Zero-P Line Extension

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Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

Synthes Spine % Mr. Amnon Talmor Spine Regulatory Affairs Specialist 1302 Wrights Lane East West Chester, PA 19380

Re: K093762

Trade/Device Name: Synthes Zero-P Regulation Number: 21 CFR 888.3080 Regulation Name: Intervertebral body fusion device Regulatory Class: Class II Product Code: OVE Dated: November 29, 2010 Received: November 30, 2010

Dear Mr. Talmor:

This letter corrects our substantially equivalent letter of December 20, 2010.

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 (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 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

3

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 yours,

Mark A. Milkensen

Mark N. Melkerson Director Division of Surgical. Orthopedic. and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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4 Indications for Use Statement

K 093762 510(k) Number: DEC 2 0 2010 (if known)

Device Name: Synthes Zero-P

The Synthes Zero-P is a stand-alone anterior cervical interbody fusion device indicated for use in skeletally mature patients with degenerative disc disease (DDD) with accompanying radicular symptoms at one level from C2-TI. DDD is defined as discogenic pain with degeneration of the disc confirmed by history and radiographic studies. These patients should have had six weeks of non-operative treatment. The interior of the spacer component of the Synthes Zero-P should be packed with autogenous bone graft and implanted via an anterior approach.

Prescription Use × (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 IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-C ) Division of Surgical, Orthopedic, ad Restorative Devices

510(k) Number___K093762

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