The InterFuse® DA Intervertebral Body Fusion Device is indicated for intervertebral spinal fusion procedures in skeletally mature patients with degenerative disc disease (DDD) at one or two contiguous levels from L2-S1. DDD is defined as discogenic back pain with degeneration of the disc confirmed by patient history and radiographic studies. These patients may also have up to Grade I spondylolisthesis at the involved level(s). The InterFuse DA device is to be used in patients who have had at least six (6) months of non-operative treatment. These patients may have had a previous non-fusion surgery at the involved spinal level(s). The InterFuse DA device is indicated for use with autogenous bone graft, and to be used with supplemental internal spinal fixation systems that have been cleared for use by the FDA in the lumbosacral spine.

Device Description

The implantable portion of VTI's InterFuse DA interbody fusion device (IFD) is made of implantable grade PEEK (Poly ether ether ketone), a polymer with a history of use in interbody fusion device designs, and which has a compressive modulus similar to bone. Each segment of the device has embedded tantalum beads that aid in visualizing the implanted device under x-ray and to aid in position retention when assembled in the disc space. Each segment has an integral rail and / or slot which slide through or over the rail or slot in the adjacent segment to complete the device (see photos below). Each segment incorporates a stop to help ensure that it is properly aligned with the adjacent segment. The exposed rail, with a stainless steel (Grade 304) tail, of each segment is removed after the adjacent segment is installed. The modular system allows for as few as three segments to be used, although most patients will require between four and six segments for optimum coverage of the vertebral endplate. Each segment has a vertical slot through the device for the surgeon to fill with autogenous bone that will provide a path for solid bone growth during the fusion process. The device is produced in four heights and two anterior-posterior dimensions to fit a range of potential disc spaces. The device will also be produced in flat and angled (lordotic) shapes to fit the angular geometry of the disc at each disc level.

AI/ML Overview

The provided text describes a 510(k) premarket notification for a medical device, specifically an Intervertebral Body Fusion Device. This type of submission focuses on demonstrating substantial equivalence to a legally marketed predicate device, rather than providing extensive clinical trial data that would be typical for proving novel device efficacy or diagnostic accuracy.

Therefore, the document does not contain information regarding the acceptance criteria, study details, or performance metrics typically requested for AI/ML-based devices in the format specified in your prompt.

Specifically, the following information is not available in the provided text:

Table of acceptance criteria and reported device performance: The document only mentions a minimum strength requirement in Newtons (8,500 N) for static compression testing but doesn't present a comprehensive table of acceptance criteria and reported performance across various metrics.
Sample size used for the test set and data provenance: The study mentioned is a non-clinical, static compression test. It does not involve a test set of patient data, nor is there any mention of human readers or AI performance.
Number of experts used to establish ground truth and qualifications: This is not applicable as the study described is a bench test, not an evaluation requiring expert interpretation of medical data.
Adjudication method for the test set: Not applicable for a non-clinical bench test.
Multi reader multi case (MRMC) comparative effectiveness study: No MRMC study was conducted or mentioned. The device is a physical implant, not an AI-assisted diagnostic tool.
Standalone (algorithm only without human-in-the-loop performance) study: Not applicable, as this is not an AI algorithm.
Type of ground truth used (expert consensus, pathology, outcomes data, etc.): The "ground truth" for the bench test was the physical measurement of load to failure as per ASTM F2077-03.
Sample size for the training set: Not applicable, as this is not an AI/ML device that requires a training set.
How the ground truth for the training set was established: Not applicable.

However, based on the provided text, I can infer the primary acceptance criterion and the study used to meet it:

Acceptance Criterion and Study Information (Based on provided text)

Category	Description
Device Name	InterFuse® DA Intervertebral Body Fusion Device
Device Type	Mechanical Intervertebral Body Fusion Device (implant)
Primary Acceptance Criterion	The device must exceed a minimum static compression strength of 8,500 Newtons (N). This criterion was established based on the original validation testing referenced in the predicate device (K091988).
Reported Device Performance	"All devices exceeded the minimum strength requirement of 8,500N." (Specific numerical values for the tested devices are not provided, only that they met/exceeded the threshold).
Study Name	Static Compression Testing (Report TR 582, referenced in Appendix 1)
Study Type	Non-clinical bench testing
Test Standard	ASTM F2077-03 - Test Methods for Intervertebral Body Fusion Devices
Sample Size (Test Set)	Not explicitly stated how many devices were tested, but the text says "All devices" implying a set was tested.
Data Provenance	Not applicable (bench test performed in a lab setting).
Number of Experts / Qualifications	Not applicable (bench test).
Adjudication Method	Not applicable (bench test).
MRMC Comparative Effectiveness Study	No.
Standalone Performance Study (AI)	No.
Type of Ground Truth	Engineering specifications/performance metrics (static compression load to failure).
Sample Size (Training Set)	Not applicable (not an AI/ML device).
Ground Truth for Training Set Establishment	Not applicable (not an AI/ML device).

Summary

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3. 510(k) SUMMARY

FEB - 3 2011

510(k) SUMMARY [as required by section 807.92(c)]

510(k) Owner's Name:

Address:

, · · · · ·

5909 Baker Road, Suite 550 Minnetonka. MN 55345

Vertebral Technologies. Inc.

Phone/Fax/Email:

Office: (952) 979-9357 Company Main Tel: (952) 912-5400 Fax: (952) 912-5410 Email: sghai@vti-spine.com

VP. Quality & Requlatory Affairs

Name of Contact Person:

Date prepared:

Trade or Proprietary Name:

Common or Usual Name:

Intervertebral Body Fusion Device

InterFuse® DA Intervertebral Body Fusion Device

Classification Name:

Intervertebral Fusion Device with Bone Graft. Lumbar 21 CFR § 888.3080 Product code: MAX Device Class: II

3.1 Legally Marketed Device to Which Your Firm is Claiming Equivalence

Suresh Ghai

10 December 2010

The modified device (InterFuse® DA Intervertebral Body Fusion Device) is substantially equivalent in performance, indication, design and material to VTI's own InterFuse® P Intervertebral Body Fusion Device cleared under Premarket notification # K091988.

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Image /page/1/Picture/0 description: The image contains a handwritten string of characters. The string appears to be "K110043". The characters are written in a cursive style, with some connections between the letters and numbers. The image is a close-up of the string, with a white background.

3.2 DEVICE DESCRIPTION

3.3 INTENDED USE OF THE DEVICE

The Intended Use and Indications for the modified device, as described in its labeling are the same as the Intended Use and Indications for the unmodified 510(k) cleared device (K091988).

The InterFuse® DA Intervertebral Body Fusion Device is indicated for intervertebral spinal fusion procedures in skeletally mature patients with degenerative disc disease (DDD) at one or two contiguous levels from L2-S1. DDD is defined as discogenic back pain with degeneration of the disc confirmed by patient history and radiographic studies. These patients may also have up to Grade I spondylolisthesis at the involved level(s). The InterFuse DA device is to be used in patients who have had at least six (6) months of non-operative treatment. These patients may have had a previous non-fusion surgery at the involved spinal level(s). The InterFuse DA device is indicated for use with autogenous bone graft and to be used with supplemental internal spinal fixation systems that have been cleared for use by the FDA in the lumbosacral spine.

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Image /page/2/Picture/0 description: The image contains a sequence of alphanumeric characters that appear to be handwritten. The sequence starts with the letters 'Kll' followed by the numbers '0045'. The characters are written in a dark ink or marker, which contrasts with the lighter background.

3.4 TECHNOLOGICAL CHARACTERISTICS COMPARED TO PREDICATE DEVICE

The modified device (InterFuse® DA Intervertebral Body Fusion Device) is substantially equivalent in performance, indication, design and materials to interFuse® P Intervertebral Body Fusion Device from our company (VTI), cleared under premarket notification # K091988. The implanted portion of both devices is exactly same in performance, indication, materials and design except that in case of devices with lordotic profile the lordosis (5°) is on the anterior end of each segment in the modified device.

The implantable portion of the modified device and the unmodified device (K091988) uses the same raw material (PEEK-OPTIMA and Tantalum beads) and has the same geometric design. Same (molded) segment blanks are machined to get finished segments of the modified device and the predicate device (K091988).

The packaging material, packaging configuration, sealing parameters (& the sealing equipment), method of sterilization and stertility assurance level (SAL) has remained unchanged in the modified device from that of the unmodified device. The modified device will be implanted by an ALIF (anterior lumbar Interbody fusion) technique compared with the predicate device (K091988) which is implanted by a PLIF [(unilateral) posterior lumbar Interbody fusion)] technique.

3.5 SUMMARY AND CONCLUSIONS FROM THE NONCLINICAL TESTS SUBMITTED

The substantial equivalence is supported by comparing the material of construction, manufacturing process, packaging and sterilization processes of the modified device and the un-modified (predicate) device (K091988).

The basic design of the implantable portion of the device has not changed from the 510(k) cleared device (K091988). There is no difference in the parallel profile devices for the modified device and the predicate device. The design changes of the modified device are limited to the lordosis of the segments in the devices with lordotic profile. The performance of the modified devices was tested for static compression in accordance with ASTM F2077-

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K110045

03 - Test methods for Intervertebral Body Fusion Devices to confirm that this change did not have an impact on the device.

The assembled devices were compressed axially from 0 lb; to failure using displacement control at 25 mm/min at ambient conditions. Load vs. displacement were plotted and peak load was computed. All devices exceeded the minimum strength requirement of 8,500N which was used in the original validation testing referenced in K091988. The static compression testing was done per ASTM 2077-03 - Test Methods for Intervertebral Body Fusion Devices (Report TR 582 is attached in Appendix 1).

On the basis of performance data it is concluded that the modified device is substantially equivalent to the unmodified device (K091988).

Page 4 of 4

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Image /page/4/Picture/1 description: The image shows the seal of the Department of Health & Human Services (HHS) of the United States. The seal features a circular design with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is an abstract emblem resembling an eagle or bird in flight, composed of three curved lines.

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

FEB -3 2011

Vertebral Technologies, Inc. % Suresh Ghai Vice President, Quality and Regulatory Affairs 5909 Baker Road, Suite 550 Minnetonka, Minnesota 55345

Re: K110045

Trade/Device Name: InterFuse® Intervertebral Body Fusion Device Regulation Number: 21 CFR 888.3080 Regulation Name: Intervertebral body fusion device Regulatory Class: Class II Product Code: MAX Dated: December 10, 2010 Received: January 06, 2011

Dear Suresh Ghai:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you; however, that device labeling must be truthful and not misleading.

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 the country of the been and the country of the country of the count

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Page 2 – Suresh Ghai

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/Resourcesfor You/Industry/default.htm.

http://www.fda.gov/MedicalDevices/ResourcesforYouIndustry/default.htm

Sincerely vours,

Aly B. Ruter
for

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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2. STATEMENT OF INDICATION FOR USE

Indication for Use

510(k) Number (if known): K1(0045

Device Name: InterFuse® Intervertebral Body Fusion Device

Indications for Use:

Prescription Use X Over-The-Counter Use AND/OR (Part 21 CFR 801 Subpart D) (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-Off)

Division of Surgical, Orthopedic, and Restorative Devices

510(k) Number_________________________________________________________________________________________________________________________________________________________________

Vertebral Technologies, Inc. InterFuse DA Intervertebral Body Fusion Device Special 510(k) Pre-market Notification

Regulation Number and Section

§ 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.