K Number
K140937
Device Name
OSSEOFLEX SB
Manufacturer
Date Cleared
2014-06-19

(69 days)

Product Code
Regulation Number
888.3027
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Osseoflex® SB is intended to be used for the reduction of fractures and/or creation of a void in cancellous bone in the spine. This includes use during perculancous vertebral augmentation. This system is to be used with cleared spinal polymethymethacrylate (PMMA) bone cements for use during percutancous vertebral augmentation, such as kyphoplasty.
Device Description
The Osseoflex® SB is designed for use in balloon kyphoplasty. The balloon serves to create a cavity in the vertebral body, thereby reducing the fracture while still allowing for cement interdigitation. The balloon catheter is the functional part of the device that creates a cavity and reduces the fracture. The balloon catheter provides a conduit through which the physician can inflate the balloon at the distal end of the catheter. After the bone is disrupted, PMMA is injected through an Osseoflex® needle to fill the previously created void(s). An access channel is required for Osseoflex® SB · placement. The Osseoflex® SB device does not create an access channel; the Osseoflex® SB is designed to follow a pre-existing channel created by an access channel device. The articulating or steering feature of the device assists the clinician in directing the device to the pre-existing channel. The Osseoflex® SB knob can be turned clockwise to aid in directing the distal portion of the device. Turning the knob counter-clockwise will relax the device and allow the device to be returned to its start position.
More Information

K 122533

Not Found

No
The device description focuses on mechanical components and their function in a surgical procedure. There is no mention of AI, ML, image processing for analysis, or any data-driven decision-making within the device itself. The performance studies are based on mechanical properties, not algorithmic performance.

Yes.
The device is used for the reduction of fractures and/or creation of a void in cancellous bone in the spine, which directly treats a medical condition.

No

This device is intended for the reduction of fractures and creation of a void in cancellous bone (a therapeutic purpose) and does not mention any diagnostic capabilities.

No

The device description clearly details physical components like a balloon catheter, needle, and knob, indicating it is a hardware device used in a surgical procedure.

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

Here's why:

  • Intended Use: The intended use clearly states the device is for "reduction of fractures and/or creation of a void in cancellous bone in the spine" and "percutaneous vertebral augmentation." This describes a surgical procedure performed directly on a patient's body.
  • Device Description: The description details a balloon catheter used to create a cavity within the bone and facilitate cement injection. This is a physical intervention, not a test performed on a sample outside the body.
  • Input Imaging Modality: The device is used with "fluoroscopic observation," which is a real-time imaging technique used during surgical procedures.
  • Anatomical Site: The device is used on the "spine," a part of the human body.
  • Intended User: The intended user is a "physician," indicating a medical professional performing a procedure.

In Vitro Diagnostic devices are designed to examine specimens (like blood, urine, or tissue) taken from the human body to provide information for diagnosis, monitoring, or screening. The Osseoflex® SB does not perform this function. It is a surgical tool used for a therapeutic procedure.

N/A

Intended Use / Indications for Use

The Osseoflex® SB is intended to be used for the reduction of fractures and/or creation of a void in cancellous bone in the spine. This includes use during perculancous vertebral augmentation. This system is to be used with cleared spinal polymethymethacrylate (PMMA) bone cements for use during percutancous vertebral augmentation, such as kyphoplasty.

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

HRX; NDN

Device Description

The Osseoflex® SB is designed for use in balloon kyphoplasty. The balloon serves to create a cavity in the vertebral body, thereby reducing the fracture while still allowing for cement interdigitation. The balloon catheter is the functional part of the device that creates a cavity and reduces the fracture. The balloon catheter provides a conduit through which the physician can inflate the balloon at the distal end of the catheter. After the bone is disrupted, PMMA is injected through an Osseoflex® needle to fill the previously created void(s).

An access channel is required for Osseoflex® SB · placement. The Osseoflex® SB device does not create an access channel; the Osseoflex® SB is designed to follow a pre-existing channel created by an access channel device. The articulating or steering feature of the device assists the clinician in directing the device to the pre-existing channel. The Osseoflex® SB knob can be turned clockwise to aid in directing the distal portion of the device. Turning the knob counter-clockwise will relax the device and allow the device to be returned to its start position. The device should be manipulated only while under fluoroscopic observation with radiographic equipment that provides high quality images.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

manual (fluoroscopic observation with radiographic equipment)

Anatomical Site

spine

Indicated Patient Age Range

Not Found

Intended User / Care Setting

physician

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)

Non-Clinical Tests:

  • Balloon Profile and Tamp (Catheter) Working Length (TM-003): Balloon profile ≤ 3.48 mm (0.137 in), Balloon catheter working length > 16.5 cm (length of access cannula).
  • Balloon Compliance (TM-004): Balloon working length (L) is 16 mm (reference) at the maximum recommended volume 2 mL. Balloon diameter (D) is 15 mm maximum at the maximum recommended volume 2 mL.
  • Maximum Pressure (TM-006): The inflatable bone tamp exceeds the maximum inflation pressure, 27 atm (~400 psi) without failure.
  • Bond Tensile Strengths (TM-007): Bond tensile strength ≥ 15 N (3.37 lbf).
  • Balloon Maximum Volume (TM-008): Maximum inflation volume 2 mL with 95% confidence and 90% reliability.
  • Balloon Fatigue, Unconstrained (TM-009): Inflate to maximum recommended volume of 2 mL, hold for 30 seconds / deflate; without leaks for 20 cycles.
  • Balloon Inflation, Deflation Time (TM-010): The Osseoflex SB 2ml samples deflation times to be clinically equivalent to other marketed inflatable bone tamps.

Clinical Tests: N/A – No clinical test were conducted for this submission.

Key Results: The results of the non-clinical tests show that the Osseoflex SB, 2ml meet or exceed all performance requirements, and are substantially equivalent to the predicate device.

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.

K 122533

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.”

0

Image /page/0/Picture/1 description: The image shows the word "CSSEA" in a stylized font. The letters are thick and outlined, with a horizontal line running beneath them. The letters are evenly spaced and appear to be part of a logo or brand name.

JUN 1 9 2014

Attachment 4:

510(k) Summary

A summary of 510(k) safety and effectiveness information in accordance with 21 CFR 807.92.

510(k) Owner

Osseon LLC 2330 Circadian Way Santa Rosa, CA 95407 Phone: 707-636-5940 Fax: 707-636-5941

Official .Contact

Keith Burger Director of Research and Development

Device Information

Trade or Proprietary Name:

Common Name:

Osseoflex® SB

Common Name:

L. S. Ashworth

Classification Name:

Classification Panel:

Regulation:

Product Code(s)

Legally marketed device(s) to which equivalence is claimed Reason for 510(k)

Device Description

Inflatable Bone Tamp

Primary: Arthroscope Secondary: Cement, Bone Vertebroplasty

Orthopedic

Class II per 21CFR §888.1100 Class II per 21CFR §888.3027

HRX; NDN

Osseoflex SB Inflatable Bone Tamp K 122533

New Device

The Osseoflex® SB is designed for use in balloon kyphoplasty. The balloon serves to create a cavity in the vertebral body, thereby reducing the fracture while still allowing for cement interdigitation. The balloon catheter is the functional part of the device that creates a cavity and reduces the fracture. The balloon catheter provides a conduit through which

Osseon LLC Osseoflex SB, 2ml Special 510(k)

1

Image /page/1/Picture/1 description: The image shows the word "CSSA01" in a stylized font. The letters are outlined in black and have a three-dimensional appearance. The word is underlined with a black line. There is a registered trademark symbol to the right of the number 1.

the physician can inflate the balloon at the distal end of the catheter. After the bone is disrupted, PMMA is injected through an Osseoflex® needle to fill the previously created void(s).

An access channel is required for Osseoflex® SB · placement. The Osseoflex® SB device does not create an access channel; the Osseoflex® SB is designed to follow a pre-existing channel created by an access channel device. The articulating or steering feature of the device assists the clinician in directing the device to the pre-existing channel. The Osseoflex® SB knob can be turned clockwise to aid in directing the distal portion of the device. Turning the knob counter-clockwise will relax the device and allow the device to be returned to its start position. The device should be manipulated only while under fluoroscopic observation with radiographic equipment that provides high quality images.

The Osseoflex® SB is intended to be used for the reduction and fixation of fractures and/or creation of a void in cancellous bone in the spine. This includes use during percutaneous vertebral augmentation. This system is to be used with cleared spinal polymethymethacrylate (PMMA) bone cements for use during percutaneous vertebral augmentation, such as kyphoplasty.

| Summary of Technological Characteristics of the Additional Size

Compared to the Current Size (Predicate)
CharacteristicAdditional SizeCurrent Size (Predicate)
Trade Name, ModelOsseoflex SB,
OF-8222Osseoflex SB,
OF-0005
Cannula size8G8G
Balloon Inflation Medium60% Contrast60% Contrast
Balloon MaterialPolyurethanePolyurethane
Balloon Diameter at nominal volume15 mm max15 mm max
Balloon Length at nominal volume16 mm15 mm
Balloon ShapeSphericalCylindrical
Max inflation pressure400 psi (27 ATM)400 psi (27 ATM)

Osseon LLC Osseoflex SB, 2ml

Special 510(k)

Intended Use

2

Image /page/2/Picture/1 description: The image shows the letters CSSEA in a stylized font. The letters are all uppercase and are connected by a horizontal line at the bottom. The letters are all outlined in black, and the inside of the letters is white. The last letter, A, has a registered trademark symbol next to it.

Company of Children And List and A A Marcel Company of Children Company of ChildrenAngel Build Build Build Build Build Build Artistics------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
September 1998 - 1992 - 1992 - 1992 - 1992 - 1992 - 1992 - 1992 - 1992 - 1992 - 1992 - 1992 - 1992 - 1992 - 1992 - 1992 - 1992 - 1992 - 1992 - 1992 - 1992 - 1992 - 1992 - 199
Max inflation volumeZmi4m

| Summary of Non-Clinical Tests Conducted for Determination of Substantial

Equivalence
Performance Test Summary
Test PerformedAcceptance Criteria
Balloon Profile and
Tamp (Catheter)
Working Length (TM-
  1.                                                                                                    | Balloon profile $\le$ 3.48 mm (0.137 in) Balloon catheter working length > 16.5 cm (length of access cannula)                                                                                                                                                                                                                                   |                                                                                                                                                                                                                                                                                                           |
    

| Balloon Compliance
(TM-004): | Balloon working length (L) is 16 mm (reference) at the maximum recommended volume 2 mL. Balloon diameter (D) is 15 mm maximum at the maximum recommended volume 2 mL. The 15 mm diameter maximum specification is to ensure that the diameter of the balloon will not grow large enough to possibly go through the end plates of the vertebrae. | |
| | Maximum Pressure
(TM-006) | The inflatable bone tamp exceeds the maximum inflation pressure, 27 atm (~400 psi) without failure. |
| | Bond Tensile
Strengths (TM-007) | Bond tensile strength $\ge$ 15 N (3.37 lbf). The tensile force specification was adopted directly from ISO 10555 (Single Use Intravascular Catheters) requirements. This tensile force maybe applied to the device during use when the balloon is deflated and retracted back through the access cannula. |
| | Balloon Maximum
Volume (TM-008) | Maximum inflation volume 2 mL with 95% confidence and 90% reliability. |
| | Balloon Fatigue,
Unconstrained (TM-
009) | Inflate to maximum recommended volume of 2 mL, hold for 30 seconds / deflate; without leaks for 20 cycles. |
| Balloon Inflation,
Deflation Time (TM-
010) | The Osseoflex SB 2ml samples deflation times to be clinically equivalent to other marketed inflatable bone tamps. | |
| Summary of Clinical Tests Conducted for Determination of Substantial Equivalence | | |
| N/A – No clinical test were conducted for this submission | | |
| Conclusions Drawn from Non-Clinical and Clinical Data | | |
| The results of the non-clinical tests show that the Osseoflex SB, 2ml meet or exceed all performance requirements, and are substantially equivalent to the predicate device. | | |

. ,

:

.

,

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

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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

June 19, 2014

Osseon LLC % Mr. Keith Burger Director of Research and Development 2330 Circadian Way Santa Rosa, California 95407

Re: K140937

Trade/Device Name: Osseoflex SB Regulation Number: 21 CFR 888.3027 Regulation Name: Polymethylmethacrylate (PMMA) bone cement Regulatory Class: Class II Product Code: NDN, HRX Dated: May 30, 2014 Received: June 2, 2014

Dear Mr. Burger:

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 that I Dr. I has I 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); Jabeling (21 CFR Part 801); medical device reporting (reporting of medical devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in

4

Page 2 - Mr. Keith Burger

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 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. 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 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

Form Approved: OMB No. 0910-0120 Expiration Date: January 31, 2017

See PRA Statemant below.

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Indications for Use

510(k) Number (if known) K140937

Device Name Osseoflex SB

Indications for Use (Describe)

The Osseoflex® SB is intended to be used for the reduction of fractures and/or creation of a void in cancellous bone in the spine. This includes use during perculancous vertebral augmentation. This system is to be used with cleared spinal polymethymethacrylate (PMMA) bone cements for use during percutancous vertebral augmentation, such as kyphoplasty.

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)

Laurence D. Coyne -A

(Division Sign-OST) Division of Orthopedic Devices SID(k) Number: K 140937

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