K Number
K121254
Device Name
CAMBER SPINE TECHNOLOGIES TLS 5.0 INERBODY CAGE
Date Cleared
2013-01-11

(261 days)

Product Code
Regulation Number
888.3080
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Camber Spine Technologies TLS 5.0 Interbody Cage is indicated for intervertebral body fusion procedures in skeletally mature patients with degenerative disc disease (DDD) of the lumbar spine at one or two contiguous levels from L2-S1. DDD is defined as discogenic pain with degeneration of the disc confirmed by history and radiographic studies. These DDD patients may also have up to Grade I spondylolisthesis or retrolisthesis at the involved level(s). Camber Spine Technologies TLS 5.0 Interbody Cage is to be used with autologous bone graft and implanted via an open transforaminal or posterior approach. Camber Spine Technologies TLS 5.0 Interbody Cage implants are to be used with supplemental fixation. Patients should have at least six (6) months of non-operative treatment prior to treatment with an intervertebral cage.
Device Description
Camber Spine Technologies, TLS 5.0 Interbody Cage is a device for interbody fusion of the anterior column of the spine. These cages are hollow so that bone can grow through the device, fusing the adjacent bony surfaces. Camber Spine Technologies, TLS 5.0 Interbody Cage is a hollow device with texture on two opposing convex sides, and is offered in various lengths, widths, heights and shapes. Camber Spine designed the Camber Spine Technologies, TLS 5.0 Interbody Cage to be placed through a transforaminal or posterior approach and to address vertebrae in the lumbosacral region of the spine.
More Information

K 073440, K093704, K113138

No
The summary describes a physical interbody cage for spinal fusion and does not mention any software, algorithms, or data processing that would indicate the use of AI or ML.

Yes
The device is indicated for intervertebral body fusion procedures to treat degenerative disc disease, which involves a therapeutic intervention to alleviate pain and promote spinal stability.

No

The Camber Spine Technologies TLS 5.0 Interbody Cage is an implantable medical device designed for intervertebral body fusion procedures, not for identifying a disease or condition. Its purpose is therapeutic, to facilitate bone growth and stabilize the spine.

No

The device description clearly states it is a physical interbody cage made of material for spinal fusion, which is a hardware device.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Description: The provided text describes a physical implantable device (an interbody cage) used in spinal fusion surgery. It is designed to be placed within the body to facilitate bone growth and stabilize the spine.
  • Intended Use: The intended use clearly states that the device is for "intervertebral body fusion procedures" in patients with degenerative disc disease. This is a surgical procedure, not a diagnostic test performed on a sample outside the body.

The information provided focuses on the mechanical properties and performance of the implant itself, not on analyzing biological samples for diagnostic purposes.

N/A

Intended Use / Indications for Use

The Camber Spine Technologies TLS 5.0 Interbody Cage is indicated for intervertebral body fusion procedures in skeletally mature patients with degenerative disc disease (DDD) of the lumbar spine at one or two contiguous levels from L2-S1. DDD is defined as discogenic pain with degeneration of the disc confirmed by history and radiographic studies. These DDD patients may also have up to Grade I spondylolisthesis or retrolisthesis at the involved level(s). Camber Spine Technologies TLS 5.0 Interbody Cage is to be used with autologous bone graft and implanted via an open transforaminal or posterior approach.

Camber Spine Technologies TLS 5.0 Interbody Cage implants are to be used with supplemental fixation. Patients should have at least six (6) months of non-operative treatment prior to treatment with an intervertebral cage.

Product codes

MAX

Device Description

Camber Spine Technologies, TLS 5.0 Interbody Cage is a device for interbody fusion of the anterior column of the spine. These cages are hollow so that bone can grow through the device, fusing the adjacent bony surfaces.

Camber Spine Technologies, TLS 5.0 Interbody Cage is a hollow device with texture on two opposing convex sides, and is offered in various lengths, widths, heights and shapes. Camber Spine designed the Camber Spine Technologies, TLS 5.0 Interbody Cage to be placed through a transforaminal or posterior approach and to address vertebrae in the lumbosacral region of the spine.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

lumbar spine at one or two contiguous levels from L2-S1

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

Nonclinical Test Summary: The following tests were performed to demonstrate that the Camber Spine Technologies TLS 5.0 Interbody Cage is substantially equivalent to other predicate devices. Static and Dynamic Compression Test per ASTM F2077 Static and Dynamic Compression Shear ASTM F2077 Subsidence Test per ASTM F2267 Wear Debris ASTM F2077 and ASTM F1877 Static Expulsion Test The results of these studies showed that the Camber Spine Technologies TLS 5.0 Interbody Cage met the acceptance criteria.
Clinical Test Summary: No clinical tests were performed.

Key Metrics

Not Found

Predicate Device(s)

K 073440, K093704, K113138

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

Image /page/0/Picture/1 description: The image shows the logo for Camber Spine Technologies. The logo consists of a stylized letter "C" in a square on the left, followed by the words "Camber Spine Technologies" on the right. The words "Camber" and "Spine" are stacked on top of each other, with "Technologies" below.

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JAN 1 1 2013

510(k) Summary

as required by section 807.92(c).

TLS 5.0 Interbody Cage

K121254

Camber Spine Technologies

401 Yankee Court

Newtown Square, PA 19073

Daniel A Pontecorvo

President

Phone: (484) 420-4671

Fax: 484 420-4928 ·

Email: delvalsyn@comcast.net

Submitted 1/7/13

1

·

. .

| Submitter: | Camber Spine Technology
401 Yankee Court
Newtown Square, PA 19073 |
|----------------|-------------------------------------------------------------------------------------------|
| Contact Person | Daniel A Pontecorvo
President
Phone: (484) 420-4671
Email: delvalsyn@comcast.net |

Trade NameCamber Spine Technologies TLS 5.0 Interbody Cage
Common NameTLS 5.0 Interbody Cage
Device ClassClass II
Classification Name
and NumberIntervertebral Fusion Device With Bone Graft, Lumbar
21 CFR 888.3080
Classification Panel:Orthopedic
Product CodeMAX
Reason for 510kNew Device
Predicate DevicesCorelink Foundation Cage (K 073440), Stryker AVS PL (K093704) &
K2M Aleutian (K113138)
Device DescriptionCamber Spine Technologies, TLS 5.0 Interbody Cage is a device for
interbody fusion of the anterior column of the spine. These cages are
hollow so that bone can grow through the device, fusing the adjacent
bony surfaces.

Camber Spine Technologies, TLS 5.0 Interbody Cage is a hollow device
with texture on two opposing convex sides, and is offered in various
lengths, widths, heights and shapes. Camber Spine designed the
Camber Spine Technologies, TLS 5.0 Interbody Cage to be placed
through a transforaminal or posterior approach and to address
vertebrae in the lumbosacral region of the spine. |

2

,

2

100 - 100 - 100

:

The Camber Spine Technologies TLS 5.0 Interbody Cage is indicated for
Intended Useintervertebral body fusion procedures in skeletally mature patients with
degenerative disc disease (DDD) of the lumbar spine at one or two
contiguous levels from L2-S1. DDD is defined as discogenic pain with
degeneration of the disc confirmed by history and radiographic studies.
These DDD patients may also have up to Grade I spondylolisthesis or
retrolisthesis at the involved level(s). Camber Spine Technologies TLS 5.0
Interbody Cage is to be used with autologous bone graft and implanted via
an open transforaminal or posterior approach.
Camber Spine Technologies TLS 5.0 Interbody Cage implants are to be used
with supplemental fixation. Patients should have at least six (6) months of
non-operative treatment prior to treatment with an intervertebral cage.
Materials:The implant is manufactured from ASTM2026 Solvay Zeniva
ZA-500 implant grade Polyetheretherketone (PEEK)
Statement ofCamber Spine Technologies TLS 5.0 Interbody Cage and its predicate devices have the same indications for use, similar design, and test results.
TechnologicalBoth devices are manufactured using materials with a long history of use
Comparisonin orthopaedic implants.

:

·

.

3

| Nonclinical Test
Summary | The following tests were performed to demonstrate that the Camber Spine
Technologies TLS 5.0 Interbody Cage is substantially equivalent to other predicate
devices.
Static and Dynamic Compression Test per ASTM F2077 Static and Dynamic Compression Shear ASTM F2077 Subsidence Test per ASTM F2267 Wear Debris ASTM F2077 and ASTM F1877 Static Expulsion Test The results of these studies showed that the Camber Spine Technologies TLS 5.0
Interbody Cage met the acceptance criteria. |
|-----------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Clinical Test
Summary | No clinical tests were performed. |

·

Sterilization Information
ImplantsThe Implant will be shipped non-sterile and will be autoclaveable, validation testing of
the process was conducted (using the half-cycle method) to a Sterility Assurance Level
(SAL) of 10-6 per ISO 17665.
Instruments and
CaseThe instrument and case will be shipped non-sterile and will be autoclaveable,
validation testing of the process was conducted (using the half-cycle method) to a
Sterility Assurance Level (SAL) of 10-6 per ISO 17665.
ConclusionThe TLS 5.0 Interbody Cage is substantially equivalent to its predicate devices. This
conclusion is based upon the fact the Lumbar Cage and its predicate devices have the
same indications for use, have a similar design, and similar test results.

4

4

Image /page/4/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with its wings spread, and the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the eagle. The logo is black and white.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

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

Letter dated: January 11, 2013

Camber Spine Technologies % Mr. Daniel A. Pontecorvo President 401 Yankee Court Newtown Square, Pennsylvania 19073

Re: K121254

Trade/Device Name: Camber Spine Technologies TLS 5.0 Interbody Cage Regulation Number: 21 CFR 888.3080 Regulation Name: Intervertebral body fusion device Regulatory Class: Class II Product Code: MAX Dated: November 26, 2012 Received: November 28, 2012

Dear Mr. Pontecorvo:

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

5

Page 2 - Mr. Daniel A. Pontecorvo

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 N. Melkerson

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

Enclosure

6

Indications for Use

K121254

Device Name:

510(k) Number:

Camber Spine Technologies TLS 5.0 Interbody Cage

Indications:

The Camber Spine Technologies TLS 5.0 Interbody Cage is indicated for intervertebral body fusion procedures in skeletally mature patients with degenerative disc disease (DDD) of the lumbar spine at one or two contiguous levels from L2-S1. DDD is defined as discogenic pain with degeneration of the disc confirmed by history and radiographic studies. These DDD patients may also have up to Grade I spondylolisthesis or retrolisthesis at the involved level(s). Camber Spine Technologies TLS 5.0 Interbody Cage is to be used with autologous bone graft and implanted via an open transforaminal or posterior approach.

Camber Spine Technologies TLS 5.0 Interbody Cage implants are to be used with supplemental fixation. Patients should have at least six (6) months of non-operative treatment prior to treatment with an intervertebral cage.

AND/OR Over-the-counter Prescription Use X {Part 21 CFR 801 Subpart D) (Please DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

AND NO

(Division Sign-Off) Division of Orthopedic Devices 510(k) Number: K121254