K Number
K133893
Device Name
STERISPINE LC CAGE
Manufacturer
Date Cleared
2014-03-14

(84 days)

Product Code
Regulation Number
888.3080
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The SteriSpine™LC device is indicated for intervertebral body fusion procedures at one or two contiguous levels from L2 to S1 in skeletally mature patients with degenerative disc disease (DDD) with up to Grade I spondylolisthesis at the involved level(s). DDD is defined as discogenic back pain with degeneration of the disc confirmed by patient history and radiographic studies. Patients should have at least six (6) months of non-operative treatment prior to treatment with an intervertebral cage. This device is to be used with autogenous bone graft to facilitate fusion and is intended for use with SteriSpine™ PS, a supplemental fixation system cleared by the FDA for use in the lumbar spine.
Device Description
The SteriSpine™LC cages are intervertebral body fusion devices with a central cavity that is filled with bone graft (autograft) to facilitate fusion. The SteriSpine™LC is available either in straight rectangular shape for transforaminal (TLIF) or posterior (PLIF) approach and in curved shape for transforaminal (TLIF) approach. The SteriSpine™LC is made of (Zeniva ZA-500) conforming to ASTM F2026 with Tantalum markers conforming ASTM F560 to visualize the position of the implant in the disc space. The SteriSpine™LC cages are available in several sizes to adapt to anatomical variations.
More Information

K122021, K094025, P960025

Not Found

No
The document describes a physical intervertebral body fusion device and its mechanical properties. There is no mention of software, algorithms, or data processing that would indicate the use of AI or ML.

Yes
The device is intended for intervertebral body fusion procedures to treat degenerative disc disease, which directly addresses a medical condition.

No.
The SteriSpine™LC device is indicated for intervertebral body fusion procedures and is designed to be an implant, not a tool for diagnosis. It is used in patients already diagnosed with degenerative disc disease.

No

The device description clearly states that the SteriSpine™LC is a physical intervertebral body fusion device made of Zeniva ZA-500 with Tantalum markers. It is a hardware implant, not a software-only device.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, or tissue) to provide information for diagnosis, monitoring, or screening.
  • SteriSpine™LC Function: The SteriSpine™LC is an implantable medical device designed for surgical implantation into the spine to facilitate bone fusion. It is a physical structure that is placed within the body, not a device that analyzes samples taken from the body.
  • Intended Use: The intended use clearly describes a surgical procedure for treating degenerative disc disease by fusing vertebrae, not a diagnostic test performed on a sample.
  • Device Description: The description details the materials and design of a physical implant, not a diagnostic assay or instrument.

The mention of "radiographic studies" in the Indications for Use refers to imaging techniques used to assess the patient's condition and confirm the diagnosis, which is a separate process from the function of the SteriSpine™LC device itself. The tantalum markers are for visualizing the implant's position during or after surgery using imaging, not for diagnostic testing of a sample.

N/A

Intended Use / Indications for Use

The SteriSpine™LC device is indicated for intervertebral body fusion procedures at one or two contiguous levels from L2 to S1 in skeletally mature patients with degenerative disc disease (DDD) with up to Grade I spondylolisthesis at the involved level(s). DDD is defined as discogenic back pain with degeneration of the disc confirmed by patient history and radiographic studies. Patients should have at least six (6) months of non-operative treatment prior to treatment with an intervertebral cage.

This device is to be used with autogenous bone graft to facilitate fusion and is intended for use with SteriSpine™ PS, a supplemental fixation system cleared by the FDA for use in the lumbar spine.

Product codes

MAX

Device Description

The SteriSpine™LC cages are intervertebral body fusion devices with a central cavity that is filled with bone graft (autograft) to facilitate fusion. The SteriSpine™LC is available either in straight rectangular shape for transforaminal (TLIF) or posterior (PLIF) approach and in curved shape for transforaminal (TLIF) approach. The SteriSpine™LC is made of (Zeniva ZA-500) conforming to ASTM F2026 with Tantalum markers conforming ASTM F560 to visualize the position of the implant in the disc space. The SteriSpine™LC cages are available in several sizes to adapt to anatomical variations.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

from L2 to S1

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)

The following non-clinical tests were conducted on SteriSpineTMLC : Static axial compression, Dynamic axial compression, Static compression shear testing and Dynamic compression shear testing according to ASTM F2077, subsidence testing according to ASTM F2267 and and expulsion testing according to in-house protocol. Results demonstrate that SteriSpineTMLC performs as safely and effectively as previsoulsy cleared devices.

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

Not Found

Predicate Device(s)

K122021, K094025, P960025

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

K133893 Page 1 of 2

Abbreviated 510k STERISPINE® LC Lumbar Cage

:

SafeOrthopaedics

510(k) Summary

Safe Orthopaedics
Submitted byParc des Bellevues
Allée R. Luxembourg - Le Californie
95610 Eragny sur Oise - FRANCE
ContactsQARA Director : Pierre DUMOUCHEL
p.dumouchel@safeorthopaedics.com
+33 (0) 1 34 21 50 00
Regulatory contact Isabelle Drubaix
idee-consulting@nordnet.fr
+33 (0)3 21 05 64 23
Date PreparedDecember 9th 2013
Common NameIntervertebral body fusion device
Trade NameSteriSpine™LC Lumbar Cage
Classification NameIntervertebral Fusion Device With Bone Graft, Lumbar
ClassII
Product CodeMAX
CFR section888.3080
Device panelORTHOPEDIC
Legally marketed predicate devicesSTERISPINE™ LC manufactured by Safe Orthopaedics and cleared under
K122021, Crescent manufactured by Medtronic and cleared under K094025 and
Lumbar I/F cage manufactured by Depuy and cleared under P960025
Indications for useThe SteriSpine™LC device is indicated for intervertebral body fusion procedures
at one or two contiguous levels from L2 to S1 in skeletally mature patients with
degenerative disc disease (DDD) with up to Grade I spondylolisthesis at the
involved level(s). DDD is defined as discogenic back pain with degeneration of
the disc confirmed by patient history and radiographic studies. Patients should
have at least six (6) months of non-operative treatment prior to treatment with
an intervertebral cage. This device is to be used with autogenous bone graft to
facilitate fusion and is intended for use with SteriSpine™ PS, a supplemental
fixation system cleared by the FDA for use in the lumbar spine.
Description of the deviceThe SteriSpine™LC cages are intervertebral body fusion devices with a central
cavity that is filled with bone graft (autograft) to facilitate fusion. The
SteriSpine™LC is available either in straight rectangular shape for
transforaminal (TLIF) or posterior (PLIF) approach and in curved shape for
transforaminal (TLIF) approach. The SteriSpine™LC is made of (Zeniva ZA-500)
conforming to ASTM F2026 with Tantalum markers conforming ASTM F560 to
visualize the position of the implant in the disc space. The SteriSpine™LC cages
are available in several sizes to adapt to anatomical variations.

1

K133893 Page 2 of 2

:

:

| Technological
Characteristics | The SteriSpineTMLC straight cages are available in 8 heights (from 7 to 14 mm)
and six lengths (from 22 to 32 mm) with a 4° lordosis. The SteriSpineTMLC
curved cages are available in 8 heights (from 7 to 14 mm) and three lengths
(from 28 to 32 mm) with a 4° lordosis.
The SteriSpineTMLC range of products is supplied sterile with a sterile single-use
set of surgical instruments. |
|----------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Discussion of Testing | The following non-clinical tests were conducted on SteriSpineTMLC : Static axial
compression, Dynamic axial compression, Static compression shear testing and
Dynamic compression shear testing according to ASTM F2077, subsidence
testing according to ASTM F2267 and and expulsion testing according to in-
house protocol. Results demonstrate that SteriSpineTMLC performs as safely and
effectively as previsoulsy cleared devices. |
| Conclusion | The SteriSpineTMLC devices enclosed within the present submission are
substantially equivalent to previously cleared SteriSpineTMLC devices in terms of
intended use, material, design, mechanical properties and function. The subject
and predicate devices have nearly identical technological characteristics and the
minor differences do not raise any new issues of safety and effectiveness. Non
clinical performance testing demonstrates that SteriSpineTMLC is as safe, as
effective, and performs as safely and effectively as its predicate devices. |

. .

and the comments of the comments of

. .

.

.

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized symbol that resembles an abstract human figure embracing or protecting another form, possibly representing health and well-being.

Public Health Service

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

March 14, 2014

Safe Orthopaedics Mr. Pierre Dumouchel QARA Director Parc des Bellevues Allée R. Luxembourg - Le Californie 95610 Eragny sur Oise - FRANCE

Re: K133893

Trade/Device Name: SteriSpine™ LC Lumbar Cage Regulation Number: 21 CFR 888.3080 Regulation Name: Intervertebral body fusion device Regulatory Class: Class II Product Code: MAX Dated: December 17, 2013 Received: December 20, 2013

Dear Mr. Dumouchel:

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 - Mr. Pierre Dumouchel

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" (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/ResourcesforYou/Industry/default.htm.

Sincerely vours.

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

K133893 Page 1 of 1

INDICATIONS FOR USE

K133893 510(k) Number (if known):

Device Name: SterlSpine™LC

Indications for Use:

The SteriSpine™LC device is indicated for intervertebral body fusion procedures at one or two contiguous levels from L2 to S1 in skeletally mature patients with degenerative disc disease (DDD) with up to Grade I spondylolisthesis at the involved level(s). DDD is defined as discogenic back pain with degeneration of the disc confirmed by patient history and radiographic studies. Patients should have at least six (6) months of non-operative treatment prior to treatment with an intervertebral cage.

This device is to be used with autogenous bone graft to facilitate fusion and is intended for use with SteriSpine™ PS, a supplemental fixation system cleared by the FDA for use in the lumbar spine.

Prescription UseAND/OROver-The-Counter Use _
(Part 21 CFR 801 Subpart D)(21 CFR 801 Subpart C)

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

Concurrence of Center for Devices and Radiologicial Health (CDRH)

Colin O'Neill

(Division Sign-Off) Division of Orthopedic Devices 510(k) Number: K133893