K Number
K120340
Device Name
VENUS FACET SCREW SYSTEM
Manufacturer
Date Cleared
2012-10-19

(259 days)

Product Code
Regulation Number
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Apollo Spine Venus Facet Screw System is intended to stabilize the spine as an aid to fusion through bilateral immobilization of the facet joints, with or without bone graft, at single or multiple levels, from C2 to S1 for 4.5mm and 5.5 mm screws. For transfacet fixation the screws are inserted posteriorly through the superior side of the facet, across the facet joint, and into the pedicle. For translaminar facet fixation, the screws are inserted posteriorly through the lateral aspect of the spinous process, through the lamina, through the superior side of the facet, across the facet joint, and into the pedicle. The Apollo Venus Facet System is indicated for treatment of any or all of the following: - Pseudoarthrosis and failed previous fusions which are symptomatic or which may cause secondary instability or deformity - Spondylolisthesis - Spondylolysis - Degenerative disk disease (DDD) as defined by neck and/or back pain of discogenic origin as confirmed by radiographic studies - Degeneration of the facets with instability - Trauma including spinal fractures and/or dislocations
Device Description
The Venus Facet Screw System consists of two separate diameter screws and is provided in variable lengths for cervical and lumbar use. The screws have small fenestration in the threaded portion. The system includes a cervical and lumbar facet screws. The system screws provide fixation and are designed to connect vertebral facets, resulting from such causes as degenerative disease and/or trauma. These screw kits are considered a 'family' product line with sizes based on the anatomical variations of the patient's facets. The materials contained in the device include implant grade titanium alloy, Ti-6AI-4V (ELI) per ASTM F-136. The device is sold non-sterile and is to be sterilized at the end use facility by steam sterilization. The Venus Facet Screw System is a single use device.
More Information

Not Found

No
The device description and performance studies focus on the mechanical properties and intended use of a physical implant (facet screws) for spinal stabilization. There is no mention of software, algorithms, data processing, or any characteristics typically associated with AI/ML.

Yes
The device is intended to stabilize the spine as an aid to fusion and is indicated for conditions such as pseudoarthrosis, spondylolisthesis, degenerative disk disease, and trauma, which are all medical conditions that this device aims to treat or manage.

No

Explanation: The device is a facet screw system intended to stabilize the spine as an aid to fusion through bilateral immobilization of the facet joints. Its purpose is treatment and stabilization, not diagnosis.

No

The device description explicitly states it consists of physical screws made of titanium alloy, which are hardware components.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body (like blood, urine, tissue) to provide information about a person's health. These tests are performed outside of the body.
  • Device Description: The Apollo Spine Venus Facet Screw System is a surgical implant made of titanium alloy. It is designed to be surgically inserted into the spine to stabilize facet joints.
  • Intended Use: The intended use is to stabilize the spine as an aid to fusion through bilateral immobilization of the facet joints. This is a surgical procedure performed inside the body.

The description clearly indicates a surgically implanted device used for structural support within the body, not a device used for testing biological samples in a laboratory setting.

N/A

Intended Use / Indications for Use

The Apollo Spine Venus Facet System is intended to stabilize the spine as an aid to fusion through bilateral immobilization of the facet joints, with or without bone graft, at single or multiple levels, from C2 to S1 for 4.5mm and 5.5 mm screws. For transfacet fixation the screws are inserted posteriorly through the superior side of the facet, across the facet joint, and into the pedicle. For translaminar facet fixation, the screws are inserted posteriorly through the lateral aspect of the spinous process, through the lamina, through the superior side of the facet, across the facet joint, and into the pedicle. The Apollo Venus Facet System is indicated for treatment of any or all of the following:

  • Pseudoarthrosis and failed previous fusions which are symptomatic or which may . cause secondary instability or deformity
  • Spondylolisthesis .
  • Spondylolysis
  • Degenerative disk disease (DDD) as defined by neck and/or back pain of discogenic . origin as confirmed by radiographic studies
  • . Degeneration of the facets with instability
  • Trauma including spinal fractures and/or dislocations .

Product codes (comma separated list FDA assigned to the subject device)

MRW

Device Description

The Venus Facet Screw System consists of two separate diameter screws and is provided in variable lengths for cervical and lumbar use. The screws have small fenestration in the threaded portion.

The Venus Facet Screw System is an implanted device. The materials contained in the device include implant grade titanium alloy, Ti-6AI-4V (ELI) per ASTM F-136. The device is sold non-sterile and is to be sterilized at the end use facility by steam sterilization. The Venus Facet Screw System is a single use device.

The system includes a cervical and lumbar facet screws. The system screws provide fixation and are designed to connect vertebral facets, resulting from such causes as degenerative disease and/or trauma. These screw kits are considered a 'family' product line with sizes based on the anatomical variations of the patient's facets.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

C2 to S1 (Spine, facet joints, pedicle, spinous process, lamina)

Indicated Patient Age Range

Not Found

Intended User / Care Setting

The Venus Facet Screw System is used during surgical procedures conducted at a healthcare facility/hospital.

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)

Performance testing and engineering analysis were conducted to characterize the performance of the Apollo Spine Venus Facet Screw System. Testing performed included dynamic and static three-point bend per ASTM F1264-03, cantilever bend per ASTM F2193, torsion and axial pull-out testing per ASTM F543. The device functioned as intended and the observed test results demonstrate substantial equivalence to the predicate devices.

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.

K052043, K092568, K100154

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

N/A

0

KI 20340

Page 114

Apollo Spine Premarket Notification 510(k) Venus Facet Screw System October 18, 2012

510(K) SUMMARY

OCT
19 2012

Submitter Information

Submitter's Name:Apollo Spine
Address:3700 Campus Dr. Suite 105
Newport Beach, CA 92660
Telephone:949-757-0406
Contact Person:Christine Santagate
Telephone :781-828-4400
Date Prepared:October 18, 2012
Device Trade Name:Venus Facet Screw System
Common/Usual Name:Facet Screw System
Classification:Unclassified
Product Code:MRW

Intended Use:

The Apollo Spine Venus Facet System is intended to stabilize the spine as an aid to fusion through bilateral immobilization of the facet joints, with or without bone graft, at single or multiple levels, from C2 to S1 for 4.5mm and 5.5 mm screws. For transfacet fixation the screws are inserted posteriorly through the superior side of the facet, across the facet joint, and into the pedicle. For translaminar facet fixation, the screws are inserted posteriorly through the lateral aspect of the spinous process, through the lamina, through the superior side of the facet, across the facet joint, and into the pedicle. The Apollo Venus Facet System is indicated for treatment of any or all of the following:

  • Pseudoarthrosis and failed previous fusions which are symptomatic or which may . cause secondary instability or deformity
  • Spondylolisthesis .
  • Spondylolysis �

1

K120340

Page 22 2 /4

Apollo Spine Premarket Notification 510(k) Venus Facet Screw System October 18, 2012

  • Degenerative disk disease (DDD) as defined by neck and/or back pain of discogenic . origin as confirmed by radiographic studies
  • . Degeneration of the facets with instability
  • Trauma including spinal fractures and/or dislocations .

Predicate Devices:

The Venus Facet System was shown to be substantially equivalent to 'previously cleared devices and has the same indications for use and is similar in terms of design, function, and materials used. Cleared devices include the Perpos Percutaneous Cervical Facet Screw Bone-Lok Implant® (Triage Medical K052043), the Amendia™ Inc. Spartan S2 Facet System (K092568), and the X-spine Fixcet Spinal Facet Screw System (K100154).

Device Description

Device Identification:

The Venus Facet Screw System consists of two separate diameter screws and is provided in variable lengths for cervical and lumbar use. The screws have small fenestration in the threaded portion. The product variants are provided in the following table:

Table 10-1
Venus Facet System Dimensional Specifications
DiameterLengthPart
NumberVertebral
Levels
4.5mm13mm50-10-203C2-S1
15mm50-10-204C2-S1
25mm50-10-205L1-S1
35mm50-10-206L1-S1
45mm50-10-207L1-S1
5.5mm13mm50-10-303C2-S1
15mm50-10-304C2-S1
25mm50-10-305L1-S1
35mm50-10-306L1-S1

2

KI20340

Page 24 3/4

Apollo Spine Premarket Notification 510(k) Venus Facet Screw System October 18, 2012

Table 10-1
Venus Facet System Dimensional Specifications
DiameterLengthPart
NumberVertebral
Levels
45mm50-10-307L1-S1

Device Characteristics:

The Venus Facet Screw System is an implanted device. The materials contained in the device include implant grade titanium alloy, Ti-6AI-4V (ELI) per ASTM F-136. The device is sold non-sterile and is to be sterilized at the end use facility by steam sterilization. The Venus Facet Screw System is a single use device.

Environment of Use:

The Venus Facet Screw System is used during surgical procedures conducted at a healthcare facility/hospital.

3

Apollo Spine Premarket Notification 510(k) Venus Facet Screw System October 18, 2012

Description:

The system includes a cervical and lumbar facet screws. The system screws provide fixation and are designed to connect vertebral facets, resulting from such causes as degenerative disease and/or trauma. These screw kits are considered a 'family' product line with sizes based on the anatomical variations of the patient's facets.

Materials of Use:

The facet screws are machined from implant grade titanium alloy, Ti-6AI-4V (ELI) per ASTM F-136. The device is in contact with soft tissue and posterior spinal elements.

Performance Standards:

Performance testing and engineering analysis were conducted to characterize the performance of the Apollo Spine Venus Facet Screw System. Testing performed included dynamic and static three-point bend per ASTM F1264-03, cantilever bend per ASTM F2193, torsion and axial pull-out testing per ASTM F543. The device functioned as intended and the observed test results demonstrate substantial equivalence to the predicate devices.

Performance and SE Determination:

The Apollo Spine Venus Facet Screw System has the same or similar intended use, indications, principals of operation, and technological characteristics as the predicate systems. Mechanical testing and engineering analysis demonstrated comparable mechanical properties to the predicate devices. Equivalency of this device to the predicate devices is based on similarities in intended use, materials and design in combination with acceptable mechanical performance properties. Thus, the Apollo Spine Facet Screw System is substantially equivalent to the predicate devices.

4

DEPARTMENT OF HEALTH & HUMAN SERVICES

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 stylized eagle with three wavy lines representing the three levels of government: federal, state, and local. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" are arranged in a circular pattern around the eagle.

Public Health Service

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

OCT 19 2012

Apollo Spine % STD Med Incorporated Ms. Christine Santagate 75 Mill Street Stoughton, Massachusetts 02072

Re: K120340

Trade/Device Name: Venus Facet Screw System Regulatory Class: Unclassified Product Code: MRW Dated: September 26, 2012 Received: September 27, 2012

Dear Ms. Santagate:

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 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.

5

Page 2 - Ms. Christine Santagate

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.

Sincerely yours,

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

Enclosure

6

Apollo Spine Premarket Notification 510(k) Venus Facet Screw System September 26, 2012

Indications for Use Statement

510(k) Number (if known): K / 20340

Device Name: Venus Facet Screw System

Indications for Use:

The Apollo Spine Venus Facet Screw System is intended to stabilize the spine as an aid to fusion through bilateral immobilization of the facet joints, with or without bone graft, at single or multiple levels, from C2 to S1 for 4.5mm and 5.5 mm screws. For transfacet fixation the screws are inserted posteriorly through the superior side of the facet, across the facet joint, and into the pedicle. For translaminar facet fixation, the screws are inserted posteriorly through the lateral aspect of the spinous process, through the lamina, through the superior side of the facet, across the facet joint, and into the pedicle. The Apollo Venus Facet Screw System is indicated for treatment of any or all of the following:

  • Pseudoarthrosis and failed previous fusions which are symptomatic or which may . cause secondary instability or deformity
  • Spondylolisthesis ●
  • Spondylolysis ●
  • Degenerative disk disease (DDD) as defined by neck and/or back pain of . discogenic origin as confirmed by radiographic studies
  • Degeneration of the facets with instability .
  • Trauma including spinal fractures and/or dislocations .

Prescription Use X (Part 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 ORH, Office of Device Evaluation (ODE)
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(Division Sign-Off) Division of Surgical, Orthopedic, and Restorative Devices

1120340 510(k) Number_