K Number
K134038
Device Name
CAMBER SPINE DIAGON OBLIQUE CAGE
Manufacturer
Date Cleared
2014-03-20

(79 days)

Product Code
Regulation Number
888.3080
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Camber Spine Technologies Diagon Oblique Cage is indicated for intervertebral body fusion procedures in skeletally mature patients with degenerative disc disease (DDD) of the lumbar spine at one or two contiguous levels from L2-S1. DDD is defined as discogenic pain with degeneration of the disc confirmed by history and radiographic studies. These DDD patients may also have up to Grade I spondylolisthesis or retrolisthesis at the involved level(s). Camber Spine Technologies Diagon Oblique Cage is to be used with autologous bone graft and implanted via an open transforaminal or posterior approach. Camber Spine Technologies Diagon Oblique Cage implants are to be used with supplemental fixation. Patients should have at least six (6) months of non-operative treatment prior to treatment with an intervertebral cage.
Device Description
Camber Spine Technologies, Diagon Oblique Cage is a device for interbody fusion of the anterior column of the spine. These cages are hollow so that bone can grow through the device, fusing the adjacent bony surfaces. Camber Spine Technologies, Diagon Oblique Cage is a hollow device with texture on two opposing convex sides, and is offered in various lengths, widths, heights and shapes. Camber Spine designed the Camber Spine Technologies, Diagon Oblique Cage to be placed through a transforaminal or posterior approach and to address vertebrae in the lumbosacral region of the spine. The Camber Spine Technologies, Diagon Oblique Cage is made from Implant grade (PEEK) per ASTM2026 (Solvay Zeniva ZA-500) which is a radiolucent material with embedded tantalum x-ray markers as specified in ASTM F560.
More Information

Not Found

No
The summary describes a physical implant (interbody cage) made of PEEK and tantalum markers, with no mention of software, algorithms, or data processing that would indicate AI/ML technology.

Yes
The device is indicated for intervertebral body fusion procedures to treat degenerative disc disease, which involves addressing a medical condition.

No

The Camber Spine Technologies Diagon Oblique Cage is indicated for intervertebral body fusion procedures as a treatment for degenerative disc disease, not for diagnosing it.

No

The device description clearly indicates it is a physical implant made of PEEK and tantalum, designed for surgical implantation in the spine. It is a hardware device, not software.

Based on the provided information, 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, tissue) to provide information for diagnosis, monitoring, or screening.
  • Device Description: The Camber Spine Technologies Diagon Oblique Cage is an implantable device made of PEEK and tantalum markers. It is surgically placed in the spine to facilitate bone fusion.
  • Intended Use: The intended use is for intervertebral body fusion procedures in patients with degenerative disc disease. This is a surgical intervention, not a diagnostic test performed on a specimen outside the body.

The description clearly indicates a physical implant used in a surgical procedure, which falls outside the scope of In Vitro Diagnostics.

N/A

Intended Use / Indications for Use

The Camber Spine Technologies Diagon Oblique Cage is indicated for intervertebral body fusion procedures in skeletally mature patients with degenerative disc disease (DDD) of the lumbar spine at one or two contiguous levels from L2-S1. DDD is defined as discogenic pain with degeneration of the disc confirmed by history and radiographic studies. These DDD patients may also have up to Grade I spondylolisthesis or retrolisthesis at the involved level(s). Camber Spine Technologies Diagon Oblique Cage is to be used with autologous bone graft and implanted via an open transforaminal or posterior approach.

Camber Spine Technologies Diagon Oblique Cage implants are to be used with supplemental fixation. Patients should have at least six (6) months of non-operative treatment prior to treatment with an intervertebral cage.

Product codes

MAX

Device Description

Camber Spine Technologies, Diagon Oblique Cage is a device for interbody fusion of the anterior column of the spine. These cages are hollow so that bone can grow through the device, fusing the adjacent bony surfaces.
Camber Spine Technologies, Diagon Oblique Cage is a hollow device with texture on two opposing convex sides, and is offered in various lengths, widths, heights and shapes. Camber Spine designed the Camber Spine Technologies, Diagon Oblique Cage to be placed through a transforaminal or posterior approach and to address vertebrae in the lumbosacral region of the spine.
The Camber Spine Technologies, Diagon Oblique Cage is made from Implant grade (PEEK) per ASTM2026 (Solvay Zeniva ZA-500) which is a radiolucent material with embedded tantalum x-ray markers as specified in ASTM F560.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Lumbar spine, L2-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 tests were performed to demonstrate that the Camber Spine Technologies Diagon Oblique Cage is substantially equivalent to other predicate devices. Static Compression Test per ASTM F2077 Static Compression Shear ASTM F2077 Subsidence Test per ASTM F2267 Static Expulsion Test The results of these studies showed that the Camber Spine Technologies Diagon Oblique Cage met the acceptance criteria.

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

Not Found

Predicate Device(s)

Camber Spine Technologies TLS 5.0 Interbody Cage (K121254)

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

Special 510(k) Summary

mar 2 0 2014

as required by section 807.92(c).

Camber Spine Technologies Diagon Oblique Cage K 134038

RevisedMarch 20, 2014
Submitter:Camber Spine Technologies
90 S. Newtown Street Rd., Suite #10
Newtown Square, PA 19073
Contact PersonDan Pontecorvo
President
Phone: 484-420-4219
Fax: (484) 318-8031
Email: delvalsyn@comcast.net
Trade NameDiagon Oblique Cage
Common NameOblique Cage
Device ClassClass II
Classification NameIntervertebral Fusion Device With Bone Graft, Lumbar
and Number21 CFR 888.3080
Classification Panel:Orthopedic
Product CodeMAX
Predicate DevicesCamber Spine Technologies TLS 5.0 Interbody Cage (K121254)
Device DescriptionCamber Spine Technologies, Diagon Oblique Cage is a device
for interbody fusion of the anterior column of the spine. These
cages are hollow so that bone can grow through the device,
fusing the adjacent bony surfaces.
Camber Spine Technologies, Diagon Oblique Cage is a hollow
device with texture on two opposing convex sides, and is
offered in various lengths, widths, heights and shapes. Camber
Spine designed the Camber Spine Technologies, Diagon
Oblique Cage to be placed through a transforaminal or
posterior approach and to address vertebrae in the
lumbosacral region of the spine.
The Camber Spine Technologies, Diagon Oblique Cage is made
from Implant grade (PEEK) per ASTM2026 (Solvay Zeniva ZA-
500) which is a radiolucent material with embedded tantalum
x-ray markers as specified in ASTM F560.
Indications for UseThe Camber Spine Technologies Diagon Oblique Cage is
indicated for intervertebral body fusion procedures in
skeletally mature patients with degenerative disc disease
(DDD) of the lumbar spine at one or two contiguous levels from
L2-S1. DDD is defined as discogenic pain with degeneration of
the disc confirmed by history and radiographic studies. These
DDD patients may also have up to Grade I spondylolisthesis or
retrolisthesis at the involved level(s). Camber Spine
Technologies Diagon Oblique Cage is to be used with
autologous bone graft and implanted via an open
transforaminal or posterior approach.
Camber Spine Technologies Diagon Oblique Cage implants are
to be used with supplemental fixation. Patients should have at
least six (6) months of non-operative treatment prior to
treatment with an intervertebral cage.

1

| Statement of
Technological
Comparison and
Fundamental Scientific
Technology | Camber Spine Diagon Oblique Cage and its predicate device
have the same indications for use, similar design, same
materials, technology principles of operation and test
results. |

-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

.

2

.

.

| Nonclinical Test
Summary | The following tests were performed to demonstrate that the
Camber Spine Technologies Diagon Oblique Cage is
substantially equivalent to other predicate devices.
Static Compression Test per ASTM F2077 Static Compression Shear ASTM F2077 Subsidence Test per ASTM F2267 Static Expulsion Test The results of these studies showed that the Camber Spine
Technologies Diagon Oblique Cage met the acceptance criteria. |
|-----------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Clinical Test Summary | n/a |

ConclusionCamber Spine Technologies Diagon Oblique Cage and its
predicate device have the same indications for use, similar
design, and test results. Both devices are manufactured using
materials with a long history of use in orthopaedic implants.

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image contains the text 'Public Health Service' in a bold, sans-serif font. The text is arranged horizontally, with each word clearly legible. The overall appearance is clean and straightforward, suggesting a formal or official context.

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

March 20, 2014

Camber Spine Technologies Mr. Daniel Pontecorvo President & CEO 90 South Newtown Street Road, Suite 10 Newtown Square, Pennsylvania 19073

Re: K134038

Trade/Device Name: Camber Spine Technologies Diagon Oblique Cage Regulation Number: 21 CFR 888.3080 Regulation Name: Intervertebral body fusion device Regulatory Class: Class II Product Code: MAX Dated: February 19, 2014 Received: February 21, 2014

Dear Mr. Pontecorvo:

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

4

Page 2 - Mr. Daniel Pontecorvo

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 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 yours,

Lori A. Wigqins

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

5

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known) K134038

Device Name

Camber Spine Technologies Diagon Oblique Cage

Indications for Use (Describe)

The Camber Spine Technologies Diagon Oblique Cage is indicated for intervertebral body fusion procedures in skeletally mature patients with degenerative disc disease (DDD) of the lumbar spine at one or two contiguous levels from L2-S1. DDD is defined as discogenic pain with degeneration of the disc confirmed by history and radiographic studies. These DDD patients may also have up to Grade I spondylolisthesis at the involved level(s). Camber Spine Technologies Diagon Oblique Cage is to be used with autologous bone graft and implanted via an open transforminal or posterior approach.

Camber Spine Technologies Diagon Oblique Cage implants are to be used with supplemental fixation. Patients should have at least six (6) months of non-operative treatment prior to treatment with an intervertebral cage.

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)

Anton E. Dmitriev, PhD

Division of Orthopedic Devices

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