K Number
K122771
Device Name
SPINAL ELEMENTS CERVICAL INTERVERTEBRAL BODY FUSION SYSTEM
Date Cleared
2013-01-10

(122 days)

Product Code
Regulation Number
888.3080
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Spinal Elements Cervical Intervertebral Body Fusion System is a stand-alone interbody fusion device 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. These patients may have had a previous non-fusion spinal surgery at the involved spinal level(s). Patients must have undergone a regimen of at least six (6) weeks of non-operative treatment prior to being treated with these devices. The implant is designed to accommodate two screws. Two screws should be used to ensure adequate fixation of the implant.
Device Description
Spinal Elements' Cervical Intervertebral Body Fusion System is composed of an implant body and fixation screws. The implant body is a generally box-shaped device with holes through its body for the placement of graft material. Additionally, it has teeth located on its superior and inferior external surfaces to help keep the device from migrating once placed in its desired location. There are also screw holes located in the implant body. Each screw hole is lined in its internal surface with a titanium ring insert. Screws pass through screw holes of the implant body and affix to bone to help prevent implant migration. When fully seated, the screw head rests on the titanium insert of the screw hole. Device implant bodies are made from either titanium alloy (Ti-6A1-4V) conforming to ASTM F 136 or ISO 5832-3 or polyetheretherketone conforming to ASTM F 2026. Screws are made from Ti-6AI-4V per ASTM F 136 or ISO 5832-3 with certain subcomponents manufactured from nitinol conforming to ASTM F2063.
More Information

Not Found

No
The device description and performance studies focus on the mechanical properties and design of a physical implant and screws, with no mention of software, algorithms, or data processing that would indicate AI/ML.

Yes

The device is an interbody fusion device intended for spinal fusion procedures to treat degenerative disc disease, which clearly falls under the definition of a therapeutic intervention.

No

Explanation: The device is an interbody fusion system designed for spinal fusion procedures, not for diagnosing medical conditions. It is a therapeutic device.

No

The device description explicitly states it is composed of an implant body and fixation screws made from materials like titanium alloy and polyetheretherketone, 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, or tissue) to detect diseases, conditions, or infections.
  • Device Description: The provided text describes a physical implantable device (an interbody fusion system) designed to be surgically placed in the cervical spine. It is made of materials like titanium and PEEK and includes screws for fixation.
  • Intended Use: The intended use is for spinal fusion procedures to treat degenerative disc disease. This is a surgical intervention, not a diagnostic test performed on a sample.

The device is a surgical implant, not a diagnostic tool.

N/A

Intended Use / Indications for Use

The Spinal Elements Cervical Intervertebral Body Fusion System is a stand-alone interbody fusion device 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. These patients may have had a previous non-fusion spinal surgery at the involved spinal level(s).

Patients must have undergone a regimen of at least six (6) weeks of non-operative treatment prior to being treated with these devices.

The implant is designed to accommodate two screws. Two screws should be used to ensure adequate fixation of the implant.

Product codes

OVE

Device Description

Spinal Elements' Cervical Intervertebral Body Fusion System is composed of an implant body and fixation screws. The implant body is a generally box-shaped device with holes through its body for the placement of graft material. Additionally, it has teeth located on its superior and inferior external surfaces to help keep the device from migrating once placed in its desired location. There are also screw holes located in the implant body. Each screw hole is lined in its internal surface with a titanium ring insert.

Screws pass through screw holes of the implant body and affix to bone to help prevent implant migration. When fully seated, the screw head rests on the titanium insert of the screw hole.

Device implant bodies are made from either titanium alloy (Ti-6A1-4V) conforming to ASTM F 136 or ISO 5832-3 or polyetheretherketone conforming to ASTM F 2026.

Screws are made from Ti-6AI-4V per ASTM F 136 or ISO 5832-3 with certain subcomponents manufactured from nitinol conforming to ASTM F2063.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

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)

Non-clinical, mechanical testing was performed to determine the performance profile of the device. Testing included:

  • Static Compression testing as per ASTM F 2077-03 A
  • Static Torsion testing as per ASTM F 2077-03

  • Dynamic Compression testing as per ASTM F 2077-03

  • Dynamic Torsion testing as per ASTM F 2077-03

  • Subsidence Testing as per ASTM F 2267-04

All test results indicate the device will perform as intended based on a comparison to devices cleared for similar or identical indications for use.

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

Not Found

Predicate Device(s)

K071833, K083389

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

Spinal Elements, Inc. Premarket Notification - Cervical Intervertebral Body Fusion System

Page 1 of 2

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510(k) Summary Cervical Intervertebral Body Fusion System

510(k) Number K122771

JAN 1 0 2013

Manufacturer Identification Submitted by:

Spinal Elements, Inc. 2744 Loker Ave. W., Suite 100 Carlsbad, CA 92010 ) 760-607-0121

Contact Information:

Benjamin A. Kimball Regulatory Affairs Manager Spinal Elements, Inc. 2744 Loker Ave. W., Suite 100 Carlsbad, CA 92010 760-607-1816 Bkimball(@spinalelements.com

January 9, 2013 Date Prepared:

Proprietary Name Cervical Intervertebral Body Fusion System Intervertebral Body Fusion Device Common Name Device Classification 21 CFR 888.3080 (Intervertebral Body Fusion Device) Proposed Regulatory Class Class II Device Product Code OVE

Purpose of this Special 510(k)

This 510(k) seeks clearance for a new system.

Device Description

Spinal Elements' Cervical Intervertebral Body Fusion System is composed of an implant body and fixation screws. The implant body is a generally box-shaped device with holes through its body for the placement of graft material. Additionally, it has teeth located on its superior and inferior external surfaces to help keep the device from migrating once placed in its desired location. There are also screw holes located in the implant body. Each screw hole is lined in its internal surface with a titanium ring insert.

Screws pass through screw holes of the implant body and affix to bone to help prevent implant migration. When fully seated, the screw head rests on the titanium insert of the screw hole.

Device implant bodies are made from either titanium alloy (Ti-6A1-4V) conforming to ASTM F 136 or ISO 5832-3 or polyetheretherketone conforming to ASTM F 2026.

This 510(k) seeks clearance for a new system.

1

Screws are made from Ti-6AI-4V per ASTM F 136 or ISO 5832-3 with certain subcomponents manufactured from nitinol conforming to ASTM F2063.

Intended Use of the Device

The Spinal Elements Cervical Intervertebral Body Fusion System is a stand-alone interbody fusion device 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. These patients may have had a previous nonfusion spinal surgery at the involved spinal level(s).

Patients must have undergone a regimen of at least six (6) weeks of non-operative treatment prior to being treated with these devices.

The implant is designed to accommodate two screws. Two screws should be used to ensure adequate fixation of the implant.

Performance Data

Non-clinical, mechanical testing was performed to determine the performance profile of the device. Testing included:

  • Static Compression testing as per ASTM F 2077-03 A
  • Static Torsion testing as per ASTM F 2077-03

  • Dynamic Compression testing as per ASTM F 2077-03

  • Dynamic Torsion testing as per ASTM F 2077-03

  • Subsidence Testing as per ASTM F 2267-04

All test results indicate the device will perform as intended based on a comparison to devices cleared for similar or identical indications for use.

Substantial Equivalence

The device seeking clearance is substantially equivalent to the Spinal Elements Mosaic system cleared under K071833, and the Globus Coalition system cleared under K083389. The indications for use, intended use, surgical technique, materials, and technological characteristics are virtually the same.

2

Image /page/2/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized depiction of an eagle or bird-like figure with three curved lines representing its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES-USA" is arranged in a circular pattern around the bird symbol.

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 10, 2013

Spinal Elements, Incorporated % Mr. Benjamin A. Kimball Regulatory Affairs Manager 2744 Loker Avenue West, Suite 100 Carlsbad. California 92010

Re: K122771

Trade/Device Name: Cervical Intervertebral Body Fusion System Regulation Number: 21 CFR 888.3080 Regulation Name: Intervertebral body fusion device Regulatory Class: Class II Product Code: OVE Dated: December 3, 2012 Received: December 10, 2012

Dear Mr. Kimball:

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.

3

Page 2 - Mr. Benjamin A. Kimball

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/ReportalProblem/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 vours.

Mark N. Melkerson

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

Enclosure

4

Indications for Use

510(k) K:122771

Device Name: Cervical Intervertebral Body Fusion System

Indications for Use:

The Spinal Elements Cervical Intervertebral Body Fusion System is a stand-alone interbody fusion device 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. These patients may have had a previous non-fusion spinal surgery at the involved spinal level(s).

Patients must have undergone a regimen of at least six (6) weeks of non-operative treatment prior to being treated with these devices.

The implant is designed to accommodate two screws. Two screws should be used to ensure adequate fixation of the implant.

Prescription Use × (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Page 1 of _ 1_

Ronald P. Jean -S

(Division Sign-Off) Division of Orthopedic Devices 510(k) Number: K122771