K Number
K131833
Device Name
CENTURION POCT SYSTEM
Manufacturer
Date Cleared
2014-01-30

(224 days)

Product Code
Regulation Number
888.3050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
When intended to promote fusion of the cervical spine and occipito-cervico-thoracic junction (Occiput - T3), the Centurion POCT System is indicated for the following : (a) degenerative disc disease (neck pain of discogenic origin with degeneration of the disc as confirmed by patient history and radiographic studies) (b) spondylolisthesis, (c) spinal stenosis (d) trauma (i.e., fracture or dislocation). (e) Atlanto-axial fracture with instability; (f) Occipito-cervical dislocation: (g) Tumors: (h) Revision of previous cervical spine surgery The occipital bone screws are limited to occipital fixation only. The use of the multi-axial screws is limited to placement in the upper thoracic spine (T1 - T3) for anchoring of the OCT construct only. They are not intended to be placed in the cervical spine. The lateral offset adapter is indicated for use in the upper thoracic spine (T1 - T3). The hooks are intended to be placed from C1 to T3. The cable (titanium) system to be used with the Centurion POCT System allows for wire/cable attachment to the posterior cervical spine. The Centurion POCT System can also be linked to the Orthofix Spinal Fixation System using the Axial or Parallel Rod Connector.
Device Description
The Centurion POCT System is a temporary, multiple component system comprised of a variety of non-sterile, single use components made of Titanium alloy or Cobalt Chrome alloy, that allow the surgeon to build a spinal implant construct. The Centurion POCT System consists of an assortment of rods, set screws, parallel axial connectors, and lateral offset adapters, multi-axial screws, hooks, occipital plates, bone screws, and cables.
More Information

No
The summary describes a mechanical spinal implant system and does not mention any software, algorithms, or AI/ML capabilities.

Yes

The device is designed to treat various spinal conditions, including degenerative disc disease, spondylolisthesis, spinal stenosis, trauma, and tumors, by promoting fusion or stabilization of the cervical spine, directly addressing health issues and improving patient outcomes.

No

The device is a system of components designed to be surgically implanted to promote fusion of the cervical spine and occipito-cervico-thoracic junction. It is an implantable medical device, not a diagnostic one.

No

The device description explicitly states it is a "multiple component system comprised of a variety of non-sterile, single use components made of Titanium alloy or Cobalt Chrome alloy," including rods, screws, connectors, hooks, plates, and cables. This clearly indicates a hardware-based medical device, not a software-only one.

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 system designed to promote fusion of the cervical spine and occipito-cervico-thoracic junction. This is a therapeutic intervention performed in vivo (within the body).
  • Device Description: The device is described as a "temporary, multiple component system comprised of a variety of non-sterile, single use components made of Titanium alloy or Cobalt Chrome alloy, that allow the surgeon to build a spinal implant construct." These are physical components implanted into the body.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, tissue, etc.) to provide information for diagnosis, monitoring, or compatibility testing.

IVD devices are used in vitro (outside the body) to analyze biological samples. This device is a surgical implant used in vivo.

N/A

Intended Use / Indications for Use

When intended to promote fusion of the cervical spine and occipito-cervico-thoracic junction (Occiput - T3), the Centurion POCT System is indicated for the following : (a) degenerative disc disease (neck pain of discogenic origin with degeneration of the disc as confirmed by patient history and radiographic studies) (b) spondylolisthesis, (c) spinal stenosis (d) trauma (i.e., fracture or dislocation). (e) Atlanto-axial fracture with instability; (f) Occipito-cervical dislocation: (g) Tumors: (h) Revision of previous cervical spine surgery The occipital bone screws are limited to occipital fixation only. The use of the multi-axial screws is limited to placement in the upper thoracic spine (T1 - T3) for anchoring of the OCT construct only. They are not intended to be placed in the cervical spine. The lateral offset adapter is indicated for use in the upper thoracic spine (T1 - T3). The hooks are intended to be placed from C1 to T3. The cable (titanium) system to be used with the Centurion POCT System allows for wire/cable attachment to the posterior cervical spine. The Centurion POCT System can also be linked to the Orthofix Spinal Fixation System using the Axial or Parallel Rod Connector.

Product codes

KWP

Device Description

The Centurion POCT System is a temporary, multiple component system comprised of a variety of non-sterile, single use components made of Titanium alloy or Cobalt Chrome alloy, that allow the surgeon to build a spinal implant construct. The Centurion POCT System consists of an assortment of rods, set screws, parallel axial connectors, and lateral offset adapters, multi-axial screws, hooks, occipital plates, bone screws, and cables.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

cervical spine and occipito-cervico-thoracic junction (Occiput - T3), upper thoracic spine (T1 - T3), C1 to T3, posterior cervical spine

Indicated Patient Age Range

Not Found

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)

Mechanical testing demonstrates substantial equivalence of the subject components to the predicate devise in regards to mechanical strength. In addition, the intended use, packaging, and sterilization of the predicate and subject components are identical. The subject and predicate devices are made from commercially purc titanium/ titanium alloy with the option of titanium/titanium alloy or cobalt chrome rods. Functional and mechanical testing demonstrates the comparable mechanical & functional propertics of the subject Centurion POCT System to the predicate devices. Testing conducted to support the substantial equivalence for the Centurion POCT System was aimed to assess static and dynamic axial compression bending and static torsion testing per: ASTM F2706-08, "Occipital-Cervical and Occipital-Cervical-Thoracic Spinal Implant Constructs in a Vertebrectomy Model". Additional testing of the Centurion POCT System was conducted per: ASTM F 1798 / Static Axial Gripping Capacity / Static Axial Torque Gripping Capacity / Dynamic Axial Gripping Capacity / Dynamic Axial Torque Gripping Capacity / Static Transverse (y) Mechanical Property Test / Guidance for Industry and FDA Staff Spinal System 510(k)s May 3, 2004 ASTM F1717, ASTM F2706 / Static Axial Compression / Static Torsion / Dynamic Axial Compression / Dynamic Torsion / Guidance for Industry and FDA Staff Spinal System 510(k)s May 3, 2004

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

Not Found

Predicate Device(s)

K030197, K111183, K091689, K122378

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 888.3050 Spinal interlaminal fixation orthosis.

(a)
Identification. A spinal interlaminal fixation orthosis is a device intended to be implanted made of an alloy, such as stainless steel, that consists of various hooks and a posteriorly placed compression or distraction rod. The device is implanted, usually across three adjacent vertebrae, to straighten and immobilize the spine to allow bone grafts to unite and fuse the vertebrae together. The device is used primarily in the treatment of scoliosis (a lateral curvature of the spine), but it also may be used in the treatment of fracture or dislocation of the spine, grades 3 and 4 of spondylolisthesis (a dislocation of the spinal column), and lower back syndrome.(b)
Classification. Class II.

0

.

Date Prepared:June 19, 2013
Purpose for Submission:New Product Offering
Sponsor:Orthofix Inc.
Jacki Geren
3451 Plano Parkway
Lewisville, TX 75056
214-937-2100
Device Name:Centurion POCT System
Product Code:KWP
Classification:Class II - 21 CFR §888.3050 - Spinal Interlaminal Fixation Orthosis
Predicate Device:Ascent POCT System (K030197)
Ascent POCT System (K111183
Synthes Synapse 4.0mm System (K091689)
Biomet Spine Nextgen Altius OCT System (K122378)
Device Description:The Centurion POCT System is a temporary, multiple component system
comprised of a variety of non-sterile, single use components made of
Titanium alloy or Cobalt Chrome alloy, that allow the surgeon to build a
spinal implant construct. The Centurion POCT System consists of an
assortment of rods, set screws, parallel axial connectors, and lateral offset
adapters, multi-axial screws, hooks, occipital plates, bone screws, and
cables.
Intended Use:When intended to promote fusion of the cervical spine and occipito-
cervico-thoracic junction (Occiput - T3), the Centurion POCT System is
indicated for the following :
(a) degenerative disc disease (neck pain of discogenic origin with
degeneration of the disc as confirmed by patient history and
radiographic studies)
(b) spondylolisthesis,
(c) spinal stenosis
(d) trauma (i.e., fracture or dislocation).
(e) Atlanto-axial fracture with instability;
(f) Occipito-cervical dislocation:
(g) Tumors:
(h) Revision of previous cervical spine surgery
The occipital bone screws are limited to occipital fixation only. The use of
the multi-axial screws is limited to placement in the upper thoracic spine
(T1 - T3) for anchoring of the OCT construct only. They are not intended
to be placed in the cervical spine. The lateral offset adapter is indicated
for use in the upper thoracic spine (T1 - T3). The hooks are intended to
be placed from C1 to T3. The cable (titanium) system to be used with the
Centurion POCT System allows for wire/cable attachment to the posterior
cervical spine.
The Centurion POCT System can also be linked to the Orthofix Spinal
Fixation System using the Axial or Parallel Rod Connector.
Substantial
Equivalence:The features of the subject components are substantially equivalent to the
predicate devices based on similarities in intended use and design.

:

1

Mechanical testing demonstrates substantial equivalence of the subject components to the predicate devise in regards to mechanical strength. In addition, the intended use, packaging, and sterilization of the predicate and subject components are identical.

The subject and predicate devices are made from commercially purc titanium/ titanium alloy with the option of titanium/titanium alloy or cobalt chrome rods. Functional and mechanical testing demonstrates the comparable mechanical & functional propertics of the subject Centurion POCT System to the predicate devices.

Testing conducted to support the substantial equivalence for the Centurion POCT System was aimed to assess static and dynamic axial compression bending and static torsion testing per:

ASTM F2706-08, "Occipital-Cervical and Occipital-Cervical-Thoracic Spinal Implant Constructs in a Vertebrectomy Model".

Additional testing of the Centurion POCT System was conducted per:

ASTM F 1798 / Static Axial Gripping Capacity / Static Axial Torque Gripping Capacity / Dynamic Axial Gripping Capacity / Dynamic Axial Torque Gripping Capacity / Static Transverse (y) Mechanical Property Test / Guidance for Industry and FDA Staff Spinal System 510(k)s May 3, 2004

ASTM F1717, ASTM F2706 / Static Axial Compression / Static Torsion / Dynamic Axial Compression / Dynamic Torsion / Guidance for Industry and FDA Staff Spinal System 510(k)s May 3, 2004

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features a stylized caduceus symbol, which is a staff with two snakes coiled around it. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the caduceus symbol. The logo is black and white.

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

January 30, 2014

Orthofix, Incorporated Ms. Jacki Geren Regulatory Affairs Specialist 3451 Plano Parkway Lewisville, Texas 75056

Re: K131833

Trade/Device Name: Centurion POCT System Regulation Number: 21 CFR 888.3050 Regulation Name: Spinal interlaminal fixation orthosis Regulatory Class: Class II Product Code: KWP Dated: December 11, 2013 Received: December 18, 2013

Dear Ms. Geren:

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. Ilisting 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

3

Page 2 - Ms. Jacki Geren

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 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/Resourcesfor You/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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.

Vincent Devlin -S

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

Enclosure

4

510(k) Number (if known): K131833

Centurion POCT System Device Name:

Indications for Use:


When intended to promote fusion of the cervical spine and occipito-cervico-thoracic junction (Occiput -T3), the Centurion POCT System is indicated for the following:

  • a) degenerative disc disease (neck pain of discogenic origin with degeneration of the disc as confirmed by patient history and radiographic studies);
  • spondylolisthesis; b)
  • spinal stenosis; c)
  • d) trauma (i.e., fracture or dislocation);
  • e) atlanto-axial fracture with instability;
  • occipito-cervical dislocation; ர்)
  • g) tumors;
  • h) revision of previous cervical spine surgery;

The occipital bone screws are limited to occipital fixation only. The use of the multi-axial screws is limited to placement in the upper thoracic spine (T1 - T3) for anchoring of the OCT construct only. They are not intended to be placed in the cervical spine. The lateral offset adapter is indicated for use in the upper thoracic spine (TI - T3). The hooks are intended to be placed from C1 to T3. The cable (titanium) system to be used with the Centurion POCT System allows for wire/cable attachment to the posterior cervical spine.

The Centurion POCT System can also be linked to the Orthofix Spinal Fixation System using the Axial or Parallel Rod Connector.

x_____________________________________________________________________________________________________________________________________________________________________________ Prescription Use (Per 21 CFR 801.109)

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

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

Concurrence of Center for Devices and Radiological Health (CDRH)

AND/OR

Zane W. Wyatt Division of Orthopedic Devices

· 510(k) Number: K131833