K Number
K132620
Device Name
INTER V KYPHOPLASTY CATHETER (BALLOON LENGTH: 0 MM), INTERV KYPHOPLASTY CATHETER (BALLOON LENGHT: 15 MM), INTERV KYPHOPL
Manufacturer
Date Cleared
2014-04-16

(238 days)

Product Code
Regulation Number
888.3027
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
InterV Kyphoplasty Catheter is intended to be used for reduction and fixation of fractures and/or creation of a void in cancellous bone in the spine during balloon kyphoplasty (for use with cleared spinal polymethymethacrylate (PMMA) bone cements).
Device Description
InterV Kyphoplasty Catheter is designed for use in balloon kyphoplasty; it comes as a single-use double lumen catheter with a low profile balloon mounted on the distal tip. The balloon is designed to compress cancellous bone and/or move cortical bone as it inflates. The balloon is designed to withstand bone resistance leading to an a internal pressure of up to 400 psi (27 ATM). The key components are the balloon, shaft, Y-connector and two radiopaque marker bands positioned on the inner tubing/lumen at the proximal and distal ends of the inflatable component
More Information

Not Found

No
The 510(k) summary describes a mechanical device (a catheter with an inflatable balloon) used in a surgical procedure. There is no mention of any software, algorithms, or data processing that would suggest the use of AI or ML. The performance studies are non-clinical and focus on the mechanical properties of the device.

Yes
The device is intended for the "reduction and fixation of fractures" and "creation of a void in cancellous bone in the spine during balloon kyphoplasty," which are therapeutic interventions.

No

The InterV Kyphoplasty Catheter is intended for reduction and fixation of fractures and/or creation of a void in cancellous bone, which are therapeutic actions, not diagnostic ones. It is a surgical tool used in a procedure, not for identifying disease or conditions.

No

The device description clearly outlines physical components like a catheter, balloon, shaft, Y-connector, and radiopaque marker bands, indicating it is a hardware device, not software-only.

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

Here's why:

  • Intended Use: The intended use clearly states that the device is used for a surgical procedure (reduction and fixation of fractures, creation of a void in bone) within the spine. This is a therapeutic intervention performed directly on the patient's body.
  • Device Description: The description details a physical device (catheter with a balloon) designed for mechanical action within 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, urine, tissue, etc.) to provide information for diagnosis, monitoring, or screening.

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

N/A

Intended Use / Indications for Use

InterV Kyphoplasty Catheter is intended to be used for reduction and fixation of fractures and/or creation of a void in cancellous bone in the spine during balloon kyphoplasty (for use with cleared spinal polymethymethacrylate (PMMA) bone cements).

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

NDN, HRX

Device Description

InterV Kyphoplasty Catheter is designed for use in balloon kyphoplasty; it comes as a single-use double lumen catheter with a low profile balloon mounted on the distal tip. The balloon is designed to compress cancellous bone and/or move cortical bone as it inflates. The balloon is designed to withstand bone resistance leading to an a internal pressure of up to 400 psi (27 ATM). The key components are the balloon, shaft, Y-connector and two radiopaque marker bands positioned on the inner tubing/lumen at the proximal and distal ends of the inflatable component

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

cancellous bone in the 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)

SUMMARY OF NON-CLINICAL TESTS

CharacteristicTest MethodResults Summary
Inflation pressureConstrained Burst TestThe balloon catheter exceeded the requirements for the minimum burst pressure in a constrained environment
Inflation VolumeUnconstrained Burst TestThe balloon catheter exceeded the requirements for the minimum burst volume in a constrained environment
Inflated Balloon DimensionsBalloon Inflation TestThe inflated balloon dimensions were substantially equivalent to those of the predicate devices
Balloon Double Wall ThicknessCalibrated MeasurementThe double wall thickness of the balloons was substantially equivalent to those of the predicate devices

CONCLUSION DRAWN FROM NON-CLINICAL DATA
The results of the non-clinical tests show that the InterV Kyphoplasty Catheter meets or exceeds all performance requirements, and are substantially equivalent to the predicate devices.

SUMMARY OF CLINICAL TESTS
N/A- No clinical tests were conducted for this submission

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.

Kyphon Inflatable Bone Tamp, K981251, Kyphx® Xpander Inflatable Bone Tamps, K041454

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

§ 888.3027 Polymethylmethacrylate (PMMA) bone cement.

(a)
Identification. Polymethylmethacrylate (PMMA) bone cement is a device intended to be implanted that is made from methylmethacrylate, polymethylmethacrylate, esters of methacrylic acid, or copolymers containing polymethylmethacrylate and polystyrene. The device is intended for use in arthroplastic procedures of the hip, knee, and other joints for the fixation of polymer or metallic prosthetic implants to living bone.(b)
Classification. Class II (special controls). The special control for this device is the FDA guidance document entitled “Class II Special Controls Guidance Document: Polymethylmethacrylate (PMMA) Bone Cement.”

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APR 1 6 2014

K132620 - Page 1 of 3

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InterV Kyphoplasty Catheter Premarket Notification [510(k)] Submission

Premarket Notification [510(k)] Summary

.

SUBMITTER INFORMATION

Manufacturer's Name:Pan Medical Ltd
Manufacturer's Address:Barnett Way, Barnwood, Gloucester, GL4 3RT UK
Telephone (DDI):+44 1452 621621
Fax:+44 1452 372140
Establishment Registration:3005146147
Contact Person:· Jennie Budding (Director of R&D/Production)
Date Prepared:16-April-2014

DEVICE INFORMATION

Trade Name:InterV Kyphoplasty Catheter
Common Name:Inflatable Bone Tamp
Device Class:II
Classification Name:Polymethylmethacrylate (PMMA) Bone Cement
Arthroscope
Classification Panel:Orthopedic Devices
Classification Regulation:21 CFR 888.3027
21 CFR 888.1100
Product Code(s):NDN
HRX
Predicate Device:Kyphon Inflatable Bone Tamp, K981251
Kyphx® Xpander Inflatable Bone Tamps, K041454
Reason for 510(k) submission:New Device

1

Pan Medical Ltd.

InterV Kyphoplasty Catheter Premarket Notification [510(k)] Submission

Device Description:

InterV Kyphoplasty Catheter is designed for use in balloon kyphoplasty; it comes as a single-use double lumen catheter with a low profile balloon mounted on the distal tip. The balloon is designed to compress cancellous bone and/or move cortical bone as it inflates. The balloon is designed to withstand bone resistance leading to an a internal pressure of up to 400 psi (27 ATM). The key components are the balloon, shaft, Y-connector and two radiopaque marker bands positioned on the inner tubing/lumen at the proximal and distal ends of the inflatable component

Intended use:

InterV Kyphoplasty Catheter is intended to be used for reduction and fixation of fractures and/or creation of a void in cancellous bone in the spine during balloon kyphoplasty (for use with cleared spinal polymethymethacrylate (PMMA) bone cements).

SUMMARY OF TECHNOLOGICAL CHARACTERISTICS OF THE DEVICE COMPARED TO THE PREDICATE DEVICES

CharacteristicNew devicePredicate Device
Trade nameInterV Kyphoplasty
catheterKyphon Inflatable Bone Tamp,
K981251
Kyphx® Xpander Inflatable Bone
Tamps, K041454
Compatible Cannula Size8 G / 4.2 mm8 G / 4.2 mm
Balloon Inflation Medium60% Contrast60% Contrast
Balloon MaterialPolyurethanePolyurethane
Balloon Size (Deflated Length)10, 15 and 20 mm10, 15 and 20 mm
Guide wire (Stylet)Stainless SteelStainless Steel
Balloon ShapeCylindricalCylindrical
Maximum Recommended Inflation
Pressure400 psi (27 ATM)400 psi (27 ATM)
Maximum Recommended Inflation
Volume (10 mm and 15 mm)4 ml4 ml
Maximum Recommended Inflation
Volume (20 mm)6 ml6 ml

2

InterV Kyphoplasty Catheter Premarket Notification [510(k)] Submission

CharacteristicTest MethodResults Summary
Inflation
pressureConstrained Burst
TestThe balloon catheter exceeded the requirements for the
minimum burst pressure in a constrained environment
Inflation
VolumeUnconstrained Burst
TestThe balloon catheter exceeded the requirements for the
minimum burst volume in a constrained environment
Inflated Balloon
DimensionsBalloon Inflation
TestThe inflated balloon dimensions were substantially
equivalent to those of the predicate devices
Balloon Double
Wall ThicknessCalibrated
MeasurementThe double wall thickness of the balloons was substantially
equivalent to those of the predicate devices

SUMMARY OF NON-CLINICAL TESTS

SUMMARY OF CLINICAL TESTS

N/A- No clinical tests were conducted for this submission

CONCLUSION DRAWN FROM NON-CLINICAL DATA

The results of the non-clinical tests show that the InterV Kyphoplasty Catheter meets or exceeds all performance requirements, and are substantially equivalent to the predicate devices.

.

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image shows the seal of the U.S. Department of Health & Human Services. The seal is circular and contains the department's name around the perimeter. In the center of the seal is a stylized caduceus, a symbol often associated with medicine and healthcare. The caduceus consists of a staff with two snakes coiled around it.

Public Health Service

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

April 16, 2014

Pan Medical Ltd. Ms. Jennie Budding Director of R&D/Production Barnett Way, Barnwood Gloucester GL4 3RT United Kingdom

Re: K132620

Trade/Device Name: InterV Kyphoplasty Catheter Regulation Number: 21 CFR 888.3027 Regulation Name: Polymethylmethacrylate (PMMA) bone cement Regulatory Class: Class II Product Code: NDN, HRX Dated: February 28, 2014 Received: March 4, 2014

Dear Ms. Budding:

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

4

Page 2 - Ms. Jennie Budding

(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.

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 Industry and Consumer Education 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,

Lori A. Wiggins

for

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

Enclosure

5

Pan Medical Ltd.

InterV Kyphoplasty Catheter Premarket Notification [510(k)] Submission

Indications for Use

510(k) Number (if known): K132620

Device Name: InterV Kyphoplasty Catheter

Indications for Use:

InterV Kyphoplasty Catheter is intended to be used for reduction and fixation of fractures and/or creation of a void in cancellous bone in the spine during balloon kyphoplasty (for use with cleared spinal polymethymethacrylate (PMMA) bone cements).

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 OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Laurence D. Coyne -S

(Division Sign-Off) Division of Orthopedic Devices 510(k) Number: K132620

Indications For Use Statement