K Number
K131820
Device Name
AVAMAX VERTEBRAL BALLOON SYSTEM, 8G, AVAMAX VERTEBRAL BALLOON SYSTEM, 10G, AVAMAX VERTEBRAL BALLOON SYSTEM, 11G
Manufacturer
Date Cleared
2013-10-04

(106 days)

Product Code
Regulation Number
888.1100
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Intended for the reduction and fixation of fractures and/or creation of a void in cancellous bone in the spine for kyphoplasty (for use with CareFusion Radiopaque Bone Cement).
Device Description
The Inflatable Bone Tamp (IBT) was designed for use in balloon kyphoplasty. The balloon serves to create a cavity in the vertebral body, thereby reducing the fracture and preventing cement leakage, while still allowing for cement interdigitation. The balloon catheter is the functional part of the device that creates a cavity and reduces the fracture. The balloon catheter provides a conduit through which the physician can inflate the balloon at the distal end of the catheter.
More Information

Not Found

No
The device description and performance studies focus on the mechanical properties and function of a balloon catheter for kyphoplasty, with no mention of AI or ML technologies.

Yes

The device is intended for the reduction and fixation of fractures in the spine for kyphoplasty, which is a therapeutic intervention to treat a medical condition (fractures).

No
Explanation: The device is intended for the reduction and fixation of fractures and/or creation of a void in cancellous bone in the spine using a balloon tamp. It is a tool for a medical procedure, not for identifying the presence, nature, or absence of a disease or condition.

No

The device description clearly describes a physical device, the "Inflatable Bone Tamp (IBT)," which includes a balloon catheter and is used for a physical procedure (kyphoplasty). The performance studies also focus on physical properties like burst pressure and volume.

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

Here's why:

  • Intended Use: The intended use is for the "reduction and fixation of fractures and/or creation of a void in cancellous bone in the spine for kyphoplasty." This describes a surgical procedure performed directly on a patient's body.
  • Device Description: The device is an "Inflatable Bone Tamp" used in balloon kyphoplasty. It's a physical tool used to create a cavity and reduce a fracture within the vertebral body.
  • IVD Definition: In Vitro Diagnostics (IVDs) are medical devices used to perform tests on samples taken from the human body (such as blood, urine, or tissue) to provide information about a person's health.

This device is a surgical instrument used in vivo (within the living body) during a medical procedure, not a device used to analyze samples in vitro (outside the living body).

N/A

Intended Use / Indications for Use

"Intended for the reduction and fixation of fractures and/or creation of a void in cancellous bone in the spine for kyphoplasty (for use with CareFusion Radiopaque Bone Cement)"

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

NDN, HRX

Device Description

"The Inflatable Bone Tamp (IBT) was designed for use in balloon kyphoplasty. The balloon serves to create a cavity in the vertebral body, thereby reducing the fracture and preventing cement leakage, while still allowing for cement interdigitation. The balloon catheter is the functional part of the device that creates a cavity and reduces the fracture. The balloon catheter provides a conduit through which the physician can inflate the balloon at the distal end of the catheter."

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Spine (vertebral body)

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Physician / 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)

SUMMARY OF NON-CLINICAL TESTS CONDUCTED FOR DETERMINATION OF SUBSTANTIAL EQUIVALENCE

  • Inflation pressure: Constrained burst test. Results: The balloon catheters exceeded the requirements for the minimum burst pressure in a constrained environment.
  • Inflation volume: Unconstrained burst test. Results: The balloon catheters exceeded the requirements for the minimum burst volume in an unconstrained environment.
  • Balloon double wall thickness: Calibrated measurement. Results: The double wall thickness of the balloons was substantially equivalent to that of the predicate devices.

SUMMARY OF CLINICAL TESTS CONDUCTED FOR DETERMINATION OF SUBSTANTIAL EQUIVALENCE AND/OR OF CLINICAL INFORMATION
N/A - No clinical tests were conducted for this submission.

CONCLUSIONS DRAWN FROM NON-CLINICAL AND CLINICAL DATA
The results of the non-clinical tests show that the CareFusion balloon catheters meet or exceed all performance requirements, and are substantially equivalent 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.

K103064, K093463, K090211, K043518

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

§ 888.1100 Arthroscope.

(a)
Identification. An arthroscope is an electrically powered endoscope intended to make visible the interior of a joint. The arthroscope and accessories also is intended to perform surgery within a joint.(b)
Classification. (1) Class II (performance standards).(2) Class I for the following manual arthroscopic instruments: cannulas, currettes, drill guides, forceps, gouges, graspers, knives, obturators, osteotomes, probes, punches, rasps, retractors, rongeurs, suture passers, suture knotpushers, suture punches, switching rods, and trocars. The devices subject to this paragraph (b)(2) are exempt from the premarket notification procedures in subpart E of part 807 of this chapter, subject to the limitations in § 888.9.

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K131820 Page 1 of 2

OCT 0 4 2013

510(k) SUMMARY

A summary of 510(k) safety and effectiveness information in accordance with 21 CFR 807.92.

SUBMITTER INFORMATION
NameCareFusion
Address1500 Waukegan Road MPWM, McGaw Park, IL 60085 USA
Phone number(847) 473-7404
Fax number(312) 949-0583
Establishment
Registration Number1423507
Name of contact personJoy Greidanus
Date preparedJune 1 , 2013
NAME OF DEVICE
Trade or proprietary
nameAVAmax Vertebral Balloon
Common or usual nameInflatable Bone Tamp
Classification nameArthroscope
Classification panelOrthopedic
RegulationClass Il per 21CFR §888.1100, Procode HRX:
Class II per 21CFR §888.3027, Procode NDN:
Product Code(s)VBT0810, VBT0815, VBT0820, VBT1010, VBT1015, VBT1020, VBT1115,
VBT1120
Legally marketed
device(s) to which
equivalence is claimedCareFusion Inflatable Bone Tamps, K103064, K093463, K090211,
Radiopaque Bone Cement, K043518
Reason for 510(k)
submissionModifications to Device
Device descriptionThe Inflatable Bone Tamp (IBT) was designed for use in balloon kyphoplasty.
The balloon serves to create a cavity in the vertebral body, thereby reducing
the fracture and preventing cement leakage, while still allowing for cement
interdigitation. The balloon catheter is the functional part of the device that
creates a cavity and reduces the fracture. The balloon catheter provides a
conduit through which the physician can inflate the balloon at the distal end of
the catheter.
Intended use of the
deviceIntended for the reduction and fixation of fractures and/or creation of a void in
cancellous bone in the spine for kyphoplasty (for use with CareFusion
Radiopaque Bone Cement)

.

1

| SUMMARY OF THE TECHNOLOGICAL CHARACTERISTICS OF THE DEVICE COMPARED

TO THE PREDICATE DEVICE
CharacteristicNew DevicePredicate
CareFusion Vertebral Balloons (K103064, K093463, K090211)
Compatible cannula size8G, 10G, 11G8G, 10G, 11G
Balloon inflation medium60% contrast recommended60% contrast recommended
Balloon and catheter materialsPolyurethanePolyurethane
Wire mandrel materialStainless steelStainless steel
Balloon shapeCylindricalCylindrical
Maximum recommended inflation pressure400 psi (27 ATM)400 psi (27 ATM)
Maximum recommended inflation volume4-6 mL4-6 mL
PERFORMANCE DATA
SUMMARY OF NON-CLINICAL TESTS CONDUCTED FOR DETERMINATION OF
SUBSTANTIAL EQUIVALENCE
Performance Test Summary-New Device
CharacteristicStandard/Test/FDA GuidanceResults Summary
Inflation pressureConstrained burst testThe balloon catheters exceeded the
requirements for the minimum burst pressure in a
constrained environment
Inflation volumeUnconstrained burst testThe balloon catheters exceeded the
requirements for the minimum burst volume in an
unconstrained environment
Balloon double wall thicknessCalibrated measurementThe double wall thickness of the balloons was
substantially equivalent to that of the predicate
devices
SUMMARY OF CLINICAL TESTS CONDUCTED FOR DETERMINATION OF SUBSTANTIAL
EQUIVALENCE AND/OR OF CLINICAL INFORMATION
N/A - No clinical tests were conducted for this submission
CONCLUSIONS DRAWN FROM NON-CLINICAL AND CLINICAL DATA
The results of the non-clinical tests show that the CareFusion balloon catheters meet or exceed all
performance requirements, and are substantially equivalent to the predicate devices.

SUMMARY OF THE TECHNOLOGICAL CHARACTERISTICS OF THE DEVICE COMPARED

2

Image /page/2/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized depiction of an eagle or bird-like figure with three wavy lines extending from its body, representing the flow of services to people. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular fashion around the emblem.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public I leath Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WD66-G609 Silver Spring, MID 20993-0002

October 4, 2013

CareFusion Ms. Joy Greidanus Manager, Regulatory Affairs 75 North Fairway Drive Vernon Hills. Illinois 6006 l

Re: K131820

Trade/Device Name: AVAmax Vertebral Balloon Regulation Number: 21 CFR 888.3027 Regulation Name: Polymethylmethacrylate (PMMA) bone cement Regulatory Class: Class II Product Code: NDN, HRX Dated: August 26, 2013 Received: August 28, 2013

Dear Ms. Greidanus:

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 10 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. Ilisting of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warrantics. 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

3

Page 2 - Ms. Joy Greidanus

forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 331-542 of the Act): 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Small Manufacturers. International and Consumer Assistance at its tollfree number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. 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/McdicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours.

Erin Keith

lior

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

Enclosure

4

CareFusion - June 2013 - Traditional 510(k): Inflatable Bone Tamps

Image /page/4/Picture/1 description: The image contains the logo for CareFusion. The logo consists of a circular graphic on the left and the word "CareFusion" on the right. The circular graphic appears to have a stylized design with concentric circles and a shape resembling a heart or shield in the center.

1500 Waukegan Road McGaw Park, Illinois 60085-6787 PH: (847) 473-7404 FAX: (312) 949-0583

510(k) Number (if known): K131820

Device Name:

AVAmax Vertebral Balloon

Indications For Use:

Intended for the reduction and fixation of fractures and/or creation of a void in cancellous bone in the spine for kyphoplasty (for use with CareFusion Radiopaque Bone Cement).

Prescription Use_X_ (Per 21 CFR 801 Subpart D) __ (Per 21 CFR 807 Subpart C) And/Or Over-The Counter Use_ (Please Do not WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Laurence D. Coyne -S

(Division Sign-Off) Division of Orthopedic Devices 510(k) Number: K131820