(266 days)
Not Found
No
The summary describes a mechanical spinal fixation system and does not mention any AI or ML components or capabilities.
No.
The device is a spinal fixation system, used as an adjunct to fusion to provide stabilization for various spinal conditions, rather than delivering therapy itself.
No
The device is described as a spinal fixation system, which is a surgical implant used to stabilize the spine and aid in fusion. It aids in treatment, not diagnosis.
No
The device description explicitly states it consists of physical components like pedicle screws, rods, hooks, and rod connectors, which are hardware.
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 spinal fixation system consisting of implants like screws, rods, and hooks. These are surgically implanted devices used to stabilize the spine.
- Intended Use: The intended use clearly states that the device is for non-cervical fixation as an adjunct to fusion for various spinal conditions. This involves surgical procedures, not laboratory testing of samples.
The information provided describes a medical device used in surgery, not a diagnostic test performed on biological samples.
N/A
Intended Use / Indications for Use
RANGE /DENALI/MESA and SMALL STATURE and ARI are cleared for the following indications:
Non-cervical fixation as an adjunct to fusion for the following indications: degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies); spondylolisthesis; trauma (i.e., fracture or dislocation): spinal stenosis: curvatures (i.e. scoliosis, kyphosis and/or lordosis); tumor: pseudarthrosis: and/or failed previous fusion. Except for hooks, when used as an anterolateral thoracic/lumbar system the Range Spinal System may also be used for the same indications as an adjunct to fusion.
Except for the ARI staples, the Range Spinal System is indicated as an adjunct to fusion to treat adolescent idiopathic scoliosis when used for posterior noncervical fixation in pediatric patients. The Range Spinal System for pediatric use is intended to be used with autograft and/or allograft. Pediatric pedicle screw fixation is limited to a posterior approach.
Product codes (comma separated list FDA assigned to the subject device)
KWP, KWQ, MNI, MNH, NKB, OSH
Device Description
The RANGE / DENALI / MESA Spinal Systems are top-loading, multiple component, posterior (thoracic-lumbar) spinal fixation systems which consists of pedicle screws, rods, hooks and rod connectors.
The K2M Modular Hook is comprised of a hook body and a variety of adjustable blade options.
Mentions image processing
Not Found
Mentions AI, DNN, or ML
Not Found
Input Imaging Modality
Not Found
Anatomical Site
non-cervical fixation (thoracic-lumbar), noncervical spine
Indicated Patient Age Range
pediatric patients, adolescent idiopathic scoliosis
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)
Performance Data: The worst case K2M Modular Hook was evaluated using static and dynamic compression bending tests according to ASTM F1717, and static A-P and disassembly tests according to ASTM F1798. The mechanical test results demonstrate that the K2M Modular Hook performance is substantially equivalent to the predicate MESA Spinal System performance.
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.
K2M MESA® Spinal System (K052398/K080611), K2M Range (Mesa/Denali) Spinal System (K141147), Medtronic CD Horizon (K962708/K031655)
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
§ 888.3070 Thoracolumbosacral pedicle screw system.
(a)
Identification. (1) Rigid pedicle screw systems are comprised of multiple components, made from a variety of materials that allow the surgeon to build an implant system to fit the patient's anatomical and physiological requirements. Such a spinal implant assembly consists of a combination of screws, longitudinal members (e.g., plates, rods including dual diameter rods, plate/rod combinations), transverse or cross connectors, and interconnection mechanisms (e.g., rod-to-rod connectors, offset connectors).(2) Semi-rigid systems are defined as systems that contain one or more of the following features (including but not limited to): Non-uniform longitudinal elements, or features that allow more motion or flexibility compared to rigid systems.
(b)
Classification. (1) Class II (special controls), when intended to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the treatment of the following acute and chronic instabilities or deformities of the thoracic, lumbar, and sacral spine: severe spondylolisthesis (grades 3 and 4) of the L5-S1 vertebra; degenerative spondylolisthesis with objective evidence of neurologic impairment; fracture; dislocation; scoliosis; kyphosis; spinal tumor; and failed previous fusion (pseudarthrosis). These pedicle screw spinal systems must comply with the following special controls:(i) Compliance with material standards;
(ii) Compliance with mechanical testing standards;
(iii) Compliance with biocompatibility standards; and
(iv) Labeling that contains these two statements in addition to other appropriate labeling information:
“Warning: The safety and effectiveness of pedicle screw spinal systems have been established only for spinal conditions with significant mechanical instability or deformity requiring fusion with instrumentation. These conditions are significant mechanical instability or deformity of the thoracic, lumbar, and sacral spine secondary to severe spondylolisthesis (grades 3 and 4) of the L5-S1 vertebra, degenerative spondylolisthesis with objective evidence of neurologic impairment, fracture, dislocation, scoliosis, kyphosis, spinal tumor, and failed previous fusion (pseudarthrosis). The safety and effectiveness of these devices for any other conditions are unknown.”
“Precaution: The implantation of pedicle screw spinal systems should be performed only by experienced spinal surgeons with specific training in the use of this pedicle screw spinal system because this is a technically demanding procedure presenting a risk of serious injury to the patient.”
(2) Class II (special controls), when a rigid pedicle screw system is intended to provide immobilization and stabilization of spinal segments in the thoracic, lumbar, and sacral spine as an adjunct to fusion in the treatment of degenerative disc disease and spondylolisthesis other than either severe spondylolisthesis (grades 3 and 4) at L5-S1 or degenerative spondylolisthesis with objective evidence of neurologic impairment. These pedicle screw systems must comply with the following special controls:
(i) The design characteristics of the device, including engineering schematics, must ensure that the geometry and material composition are consistent with the intended use.
(ii) Non-clinical performance testing must demonstrate the mechanical function and durability of the implant.
(iii) Device components must be demonstrated to be biocompatible.
(iv) Validation testing must demonstrate the cleanliness and sterility of, or the ability to clean and sterilize, the device components and device-specific instruments.
(v) Labeling must include the following:
(A) A clear description of the technological features of the device including identification of device materials and the principles of device operation;
(B) Intended use and indications for use, including levels of fixation;
(C) Identification of magnetic resonance (MR) compatibility status;
(D) Cleaning and sterilization instructions for devices and instruments that are provided non-sterile to the end user; and
(E) Detailed instructions of each surgical step, including device removal.
(3) Class II (special controls), when a semi-rigid system is intended to provide immobilization and stabilization of spinal segments in the thoracic, lumbar, and sacral spine as an adjunct to fusion for any indication. In addition to complying with the special controls in paragraphs (b)(2)(i) through (v) of this section, these pedicle screw systems must comply with the following special controls:
(i) Demonstration that clinical performance characteristics of the device support the intended use of the product, including assessment of fusion compared to a clinically acceptable fusion rate.
(ii) Semi-rigid systems marketed prior to the effective date of this reclassification must submit an amendment to their previously cleared premarket notification (510(k)) demonstrating compliance with the special controls in paragraphs (b)(2)(i) through (v) and paragraph (b)(3)(i) of this section.
0
JUL 3 0 2014
:
510(k) Summary
.
.
| Date: | 5 November 2013 |
|---|---|
| Sponsor: | K2M Inc. |
| 751 Miller Drive SE | |
| Leesburg, Virginia 20175 | |
| Phone: 703.777.3155 | |
| Contact Person: | Nancy Giezen |
| Trade Names: | RANGE (DENALI / MESA) Spinal Systems |
| Device Classification | Class II, Class III |
| Classification Names | |
| (Regulations): | Spinal Interlaminal Fixation Orthosis (888.3050) |
| Spinal intervertebral body fixation orthosis (888.3060) | |
| Pedicle Screw Spinal System (888.3070) | |
| Device Product | |
| Codes: | KWP, KWQ, MNI, MNH, NKB, OSH |
| Submission Purpose: | This submission adds the K2M Modular Hooks to the Range |
| (Denali/Mesa) Spinal System. | |
| Device Description: | The RANGE / DENALI / MESA Spinal Systems are top-loading, |
| multiple component, posterior (thoracic-lumbar) spinal fixation | |
| systems which consists of pedicle screws, rods, hooks and rod | |
| connectors. |
The K2M Modular Hook is comprised of a hook body and a variety of
adjustable blade options. |
| Intended Use: | RANGE /DENALI/MESA and SMALL STATURE and ARI are cleared
for the following indications:
Non-cervical fixation as an adjunct to fusion for the following
indications: degenerative disc disease (defined as back pain of
discogenic origin with degeneration of the disc confirmed by history
and radiographic studies); spondylolisthesis; trauma (i.e., fracture or
dislocation): spinal stenosis: curvatures (i.e. scoliosis, kyphosis
and/or lordosis); tumor: pseudarthrosis: and/or failed previous fusion.
Except for hooks, when used as an anterolateral thoracic/lumbar
system the Range Spinal System may also be used for the same
indications as an adjunct to fusion. |
| | Except for the ARI staples, the Range Spinal System is indicated as
an adjunct to fusion to treat adolescent idiopathic scoliosis when
used for posterior noncervical fixation in pediatric patients. The
Range Spinal System for pediatric use is intended to be used with
autograft and/or allograft. Pediatric pedicle screw fixation is limited
to a posterior approach. |
| Materials: | The K2M Modular Hooks components are manufactured from
titanium alloy (Ti-6Al-4V ELI) as described by ASTM and ISO
standards. |
| Predicate Devices: | K2M MESA® Spinal System (K052398/K080611)
K2M Range (Mesa/Denali) Spinal System (K141147)
Medtronic CD Horizon (K962708/K031655) |
K133402 Page 1 of 2
1
Performance Data: The worst case K2M Modular Hook was evaluated using static and dynamic compression bending tests according to ASTM F1717, and static A-P and disassembly tests according to ASTM F1798. The mechanical test results demonstrate that the K2M Modular Hook performance is substantially equivalent to the predicate MESA Spinal System performance.
The K2M Modular Hook components possess the same technological characteristics as the predicate devices. These include:
- basic design (rod-based hook attachment), .
- . material (titanium alloy),
- . anatomic location (non-cervical spine) and
- . sizes (widths, lengths and heights are within the range(s) offered by the predicate systems).
Technological characteristics which are different have been supported with descriptive information and/or performance data which demonstrate the safety and effectiveness has not been diminished.
Conclusion:
Technological
Characteristics:
In comparison to the predicate devices, the K2M Modular Hooks has
- the same intended use (as described above),
- . the same technological characteristics or different without raising safety and effectiveness issues (as described above)
Therefore the K2M Modular Hooks can be found substantially equivalent to the predicate devices.
2
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Public Health Service
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
July 30, 2014
K2M, Incorporated % Karen E. Warden, Ph.D. BackRoads Consulting, Incorporated 8202 Sherman Road Chesterland, Ohio 44026
Re: K133402
Trade/Device Name: RANGE (DENALI/MESA) Spinal Systems Regulation Number: 21 CFR 888.3070 Regulation Name: Pedicle screw spinal system Regulatory Class: Class III Product Code: NKB, OSH, MNI. MNH, KWP, KWQ Dated: June 26, 2014 Received: June, 27, 2014
Dear Dr. Warden:
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
3
Page 2 - Karen E. Warden, Ph.D.
forth in the quality systems (OS) 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 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/ResourcesforYou/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/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 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/ResourcesforYou/Industry/default.htm.
Sincerely yours.
Ronald P. Jean -S for
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) Number (if known) K133402
Device Name
RANGE (DENALI/MESA) Spinal Systems
Indications for Use (Describe)
RANGE/DENALI/MESA and SMALL STATURE and ARI are cleared for the following indications:
Non-cervical fixation as an adjunct to following indications: degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies); spondylolisthesis; trauma (i.e., fracture or dislocation); spinal stenosis; curvatures (i.e., scoliosis, and/or lordosis); tumor; pseudarthrosis; and/or failed previous fusion.
Except for hooks, when used as an anterolateral the Range Spinal System may also be used for the same indications as an adjunct to fusion.
Except for the AR1 staples, the Range Spinal System is indicated as an adjunct to fusion to treat adolescent idiopathic scoliosis when used for posterior noncervical fixation in pediatic patients. The Range Spinal System for pediatric use is intended to be used with autograft and/or allograft. Pediatric pedicle screw fixation is limited to a posterior approach.
Type of Use (Select one or both, as applicable)
2 Prescription Use (Part 21 CFR 801 Subpart D)
Over-The-Counter Use (21 CFR 801 Subpart C)
PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.
FOR FDA USE ONLY
Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)
Zane W=Wyatt Division of Orthopedic Devices
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