K Number
K112036
Device Name
CALIX PC SPINAL IMPLANT SYSTEM
Date Cleared
2011-11-08

(113 days)

Product Code
Regulation Number
888.3080
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
When used as a vertebral body replacement, the X-spine Calix PC System is intended for use in the thoracic and/or thoracolumbar spine (T1-L5) to replace a collapsed, damaged, or unstable vertebral body resected or excised (i.e., partial or total vertebrectomy procedures) due to tumor or trauma (i.e., fracture). The Calix device, when used as a vertebral body replacement, can be packed with either allograft or autograft. When used as an intervertebral body fusion device, the X-spine Calix PC System is intended for spinal fusion procedures at one level (C3-C7) in skeletally mature patients with degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies) of the cervical spine. Implanted via an open, anterior approach and packed with autogenous bone. Patients should receive 6 weeks non-operative treatment prior to treatment with the Calix intervertebral body fusion device. For all indications, this device is intended to be used with supplemental spinal fixation systems that have been cleared for use in the cervical, thoracic or lumbar spine (i.e., posterior pedicle screw and rod systems, anterior plate systems, and anterior screw and rod systems).
Device Description
The X-spine Calix PC System is a generally box-shaped device with various holes located throughout its geometry and teeth on the superior and inferior surfaces. The device is made from polyetheretherketone (Invibio PEEK-Optima LT1). The devices contain radiographic markers made from tantalum per ASTM F560. The technological difference between this system and the current Calix Spinal Implant System is the addition of a commercially pure titanium (CP Ti) coating per ASTM F1580 applied to the superior and inferior surfaces of each device.
More Information

P980048/S3, K073351, K083637

No
The summary describes a physical implant device and its mechanical properties, with no mention of software, algorithms, or data processing that would indicate AI/ML.

Yes
The "Intended Use / Indications for Use" section explicitly states that the device is intended for use in spinal fusion procedures to replace collapsed, damaged, or unstable vertebral bodies due to tumor or trauma, and for degenerative disc disease. These are medical conditions, and the device is designed to treat them.

No

The device is described as an implantable vertebral body replacement and intervertebral body fusion device, not a tool for diagnosing medical conditions. Its purpose is to physically replace or fuse spinal structures, not to detect or identify diseases.

No

The device description clearly states it is a physical implant made from PEEK and tantalum, with a titanium coating. It also describes biomechanical testing of the physical device.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly describes a surgical implant used to replace or fuse vertebral bodies in the spine. This is a therapeutic device, not a diagnostic one.
  • Device Description: The description details the physical characteristics and materials of a surgical implant.
  • Performance Studies: The performance studies focus on biomechanical testing of the implant's structural integrity and coating characteristics, which are relevant to a surgical device.
  • Lack of Diagnostic Elements: There is no mention of analyzing samples from the human body (like blood, tissue, etc.) to provide diagnostic information.

IVD devices are used to examine specimens derived from the human body to provide information for the diagnosis, prevention, or treatment of a disease or condition. This device does not fit that description.

N/A

Intended Use / Indications for Use

When used as a vertebral body replacement, the X-spine Calix PC System is intended for use in the thoracic and/or thoracolumbar spine (T1-L5) to replace a collapsed, damaged, or unstable vertebral body resected or excised (i.e., partial or total vertebrectomy procedures) due to tumor or trauma (i.e., fracture). The Calix device, when used as a vertebral body replacement, can be packed with either allograft or autograft.

When used as an intervertebral body fusion device, the X-spine Calix PC System is intended for spinal fusion procedures at one level (C3-C7) in skeletally mature patients with degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies) of the cervical spine. Implants are to be implanted via an open, anterior approach and packed with autogenous bone. Patients should receive 6 weeks non-operative treatment prior to treatment with the Calix intervertebral body fusion device.

For all indications, this device is intended to be used with supplemental spinal fixation systems that have been cleared for use in the cervical, thoracic or lumbar spine (i.e., posterior pedicle screw and rod systems, anterior plate systems, and anterior screw and rod systems).

Product codes

ODP, MQP

Device Description

The X-spine Calix PC System is a generally box-shaped device with various holes located throughout its geometry and teeth on the superior and inferior surfaces. The device is made from polyetheretherketone (Invibio PEEK-Optima LT1). The devices contain radiographic markers made from tantalum per ASTM F560. The technological difference between this system and the current Calix Spinal Implant System is the addition of a commercially pure titanium (CP Ti) coating per ASTM F1580 applied to the superior and inferior surfaces of each device.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

radiographic studies

Anatomical Site

thoracic and/or thoracolumbar spine (T1-L5), cervical spine (C3-C7)

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)

To establish device performance, the following standardized tests were conducted on full device constructs:
ASTM F2077 – Test Methods for Intervertebral Body Fusion Devices

  • . Static and dynamic axial compression
  • . Static torsion

Expulsion testing as suggested by FDA Guidance - Class II Special Controls Guidance Document: Intervertebral Body Fusion Device

To establish coating characterization, the following standardized tests were conducted test coupons:
ASTM F1044 - Standard Test Method for Shear Testing of Calcium Phosphate and Metallic Coatings

  • . Static and dynamic shear
    ASTM F1147 - Standard Test Method for Tension Testing of Calcium Phosphate and Metallic Coatings
  • . Static tension
    Abrasion testing as suggested by FDA Guidance - Testing Orthopedic Implants with Modified Metallic Surfaces Apposing Bone or Bone Cement

Key Results: In summary, biomechanical testing results indicate that the Calix PC Spinal Implant System is substantially equivalent to predicate device performance and is as effective, and performs at least as safely and effectively as the cited predicate devices.

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

Not Found

Predicate Device(s)

BAK/Cervical Interbody Fusion System (P980048/S3), Spinal Elements Crystal (K073351), Calix Spinal Implant System K083637

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.

0

K112036

510(k) Summary

ADMINISTRATIVE INFORMATION

Manufacturer Name:X-spine Systems, Inc.
452 Alexandersville Rd.
Miamisburg, OH 45342
Telephone(937) 847-8400
FAX(937) 847-8410
Official Contact:David Kirschman, MD
Chief Medical Officer
Date Prepared:July 15, 2011

DEVICE NAME

Trade/Proprietary Name:Calix ™ PC Spinal Implant System
Common Name(s):Intervertebral Body Fusion Device
Vertebral Body Replacement Device
Classification Name(s):Intervertebral Fusion Device with Bone Graft, Cervical
Spinal Vertebral Body Replacement Device
Device Class:Class II
Classification(s):§888.3080, §888.3060
Product Codes(s):ODP, MQP

ESTABLISHMENT REGISTRATION NUMBER

X-spine Systems, Inc. has submitted an Establishment Registration to FDA. The Establishment Registration number is 3005031160. The owner/operator number for X-spine Systems, Inc. is 9063903.

PREDICATE DEVICES

  • . BAK/Cervical Interbody Fusion System (P980048/S3)
  • . Spinal Elements Crystal (K073351)
  • Calix Spinal Implant System K083637)

INTENDED USE

When used as a vertebral body replacement, the X-spine Calix PC System is intended for use in the thoracic and/or thoracolumbar spine (T1-L5) to replace a collapsed, damaged, or unstable vertebral

1

body resected or excised (i.e., partial or total vertebrectomy procedures) due to tumor or trauma (i.e., fracture). The Calix device, when used as a vertebral body replacement, can be packed with either allograft or autograft.

When used as an intervertebral body fusion device, the X-spine Calix PC System is intended for spinal fusion procedures at one level (C3-C7) in skeletally mature patients with degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies) of the cervical spine. Implanted via an open, anterior approach and packed with autogenous bone. Patients should receive 6 weeks non-operative treatment prior to treatment with the Calix intervertebral body fusion device.

For all indications, this device is intended to be used with supplemental spinal fixation systems that have been cleared for use in the cervical, thoracic or lumbar spine (i.e., posterior pedicle screw and rod systems, anterior plate systems, and anterior screw and rod systems).

DEVICE DESCRIPTION

The X-spine Calix PC System is a generally box-shaped device with various holes located throughout its geometry and teeth on the superior and inferior surfaces. The device is made from polyetheretherketone (Invibio PEEK-Optima LT1). The devices contain radiographic markers made from tantalum per ASTM F560. The technological difference between this system and the current Calix Spinal Implant System is the addition of a commercially pure titanium (CP Ti) coating per ASTM F1580 applied to the superior and inferior surfaces of each device.

NONCLINICAL TESTING TO SUPPORT SUBSTANTIAL EQUIVALENCE

To establish device performance, the following standardized tests were conducted on full device constructs:

ASTM F2077 – Test Methods for Intervertebral Body Fusion Devices

  • . Static and dynamic axial compression
  • . Static torsion

Expulsion testing as suggested by FDA Guidance - Class II Special Controls Guidance Document: Intervertebral Body Fusion Device

To establish coating characterization, the following standardized tests were conducted test coupons:

ASTM F1044 - Standard Test Method for Shear Testing of Calcium Phosphate and Metallic Coatings

  • . Static and dynamic shear
    ﺎ ﻳﺘﻮﻓ

2

ASTM F1147 - Standard Test Method for Tension Testing of Calcium Phosphate and Metallic Coatings

  • . Static tension
    Abrasion testing as suggested by FDA Guidance - Testing Orthopedic Implants with Modified Metallic Surfaces Apposing Bone or Bone Cement

BASIS OF SUBSTANTIAL EQUIVALENCE

In summary, biomechanical testing results indicate that the Calix PC Spinal Implant System is substantially equivalent to predicate device performance and is as effective, and performs at least as safely and effectively as the cited predicate devices.

3

Image /page/3/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized depiction of an eagle or bird, with its wings spread and head facing left. The bird is enclosed within a circular border, and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged around the upper half of the circle. The text is in a sans-serif font and is oriented to follow the curve of the circle.

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

NOV -8 2011

X-Spine Systems, Inc. % David Kirschman, MD Chief Medical Officer 452 Alexandersville Road Miamisburg, Ohio 45342

Re: K112036

Trade/Device Name: Calix™ PC Spinal Implant System Regulation Number: 21 CFR 888.3080 Regulation Name: Intervertebral body fusion device Regulatory Class: Class II Product Code: ODP, MQP Dated: October 25, 2011 Received: October 27, 2011

Dear Dr. Kirschman:

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

4

Page 2 - David Kirschman, MD

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/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Mark N. Melkerson

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

Enclosure

5

Indications for Use

510(k) Number (if known): K112036

Device Name: Calix PC™ Spinal Implant System

Indications for Use:

When used as a vertebral body replacement, the X-spine Calix PC System is intended for use in the thoracic and/or thoracolumbar spine (T1-L5) to replace a collapsed, damaged, or unstable vertebral body resected or excised (i.e., partial or total vertebrectomy procedures) due to tumor or trauma (i.e., fracture). The Calix device, when used as a vertebral body replacement, can be packed with either allograft or autograft.

When used as an intervertebral body fusion device, the X-spine Calix PC System is intended for spinal fusion procedures at one level (C3-C7) in skeletally mature patients with degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies) of the cervical spine. Implants are to be implanted via an open, anterior approach and packed with autogenous bone. Patients should receive 6 weeks non-operative treatment prior to treatment with the Calix intervertebral body fusion device.

For all indications, this device is intended to be used with supplemental spinal fixation systems that have been cleared for use in the cervical, thoracic or lumbar spine (i.e., posterior pedicle screw and rod systems, anterior plate systems, and anterior screw and rod systems).

Prescription Use × (Part 21 CFR 801 Subpart D)

Over-The-Counter Use AND/OR (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)

ivision of Surgical, Orthopedic, and Restorative Devices

KIL 2036 510(k) Number.