K Number
K142237
Device Name
Aviator Anterior Cervical Plate (ACP) System
Date Cleared
2015-01-26

(166 days)

Product Code
Regulation Number
888.3060
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Stryker Spine Aviator® Anterior Cervical Plating (ACP) System is intended for use as an aid in cervical spinal fusion and is intended for unilateral fixation. The Aviator® Anterior Cervical Plating System is intended for anterior intervertebral screw fixation of the cervical spine at levels C2-T1. The system is indicated for temporary stabilization of the anterior spine during the development of cervical spine fusions in patients with the following indications: Degenerative Disc Disease (as defined by neck pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies) Trauma (including fractures) Tumors Deformities or curvatures (including kyphosis, lordosis, or scoliosis) Pseudoarthrosis Failed previous fusion Decompression of the spinal cord following total or partial cervical vertebrectomy Spondylolisthesis Spinal Stenosis
Device Description
The purpose of this 510(k) is to summarize the design modifications that have been implemented to the Aviator® Anterior Cervical Plating (ACP) System previously FDA cleared via K083562. No new implant reference numbers/part numbers were created. Additionally, there were no changes to the previously FDA cleared indications, intended uses, mode of operation, scientific technology, materials of construction, or to the performance of the device. The Aviator® Anterior Cervical system are one-, two-, three-, and four-level plate configurations ranging in lengths from 12 mm to 22 mm for the one-level plates, 24mm to 46mm for the two-level plates, 39 mm to 69 mm for the three-level plates, and 56 mm to 96 mm for the four-level plates. All of the plate levels incorporate a spring bar blocking mechanism to aid in prevention of bone screw back-out. The bone screws are provided with either fixed or variable angles available in self-tapping or self-drilling designs. The variable angle bone screws allow the screw to be placed into bone at various degrees of angulation, while the fixed bone screws are inserted at a defined angle. Any combination of bone screws can be used to secure the cervical plate. The bone screws are offered in 4.0 mm and 4.35 mm diameters in lengths of 10 mm – 20 mm. The implants (bone screws and cervical plates) are provided as single-use, non-sterile devices manufactured from implantable grade titanium alloy (TI6Al4V). The associated instrumentation (such as awls, punch awls, screwdrivers, handles, drill guides and drill bits, plate bender, storage and transport trays/container, and fixation pins) are Class I / 510(k) exempt devices under 21 CFR §888.4540.
More Information

K083562 - Stryker Spine Aviator® Anterior Cervical Plating (ACP) System, K062310, K040261 – Stryker Spine Reflex® Hybrid ACP System K000536, K000742 – Synthes Spine Cervical Spine Locking Plate System

Not Found

No
The device description and performance studies focus on mechanical properties and design modifications of a physical implant system, with no mention of software, algorithms, or data processing that would indicate AI/ML.

Yes.
Explanation: The device is intended for use as an aid in cervical spinal fusion and temporary stabilization of the anterior spine in patients with various medical conditions, indicating its therapeutic purpose in treating a disease or condition.

No
This device is an Anterior Cervical Plating (ACP) System, intended for use in spinal fusion and temporary stabilization of the anterior spine. It is an implantable medical device used in surgical procedures, not for diagnostic purposes.

No

The device description clearly states it is an Anterior Cervical Plating System, which includes physical implants (plates and screws) and associated instrumentation. This is a hardware-based medical device.

Based on the provided text, the Stryker Spine Aviator® Anterior Cervical Plating (ACP) System is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use clearly states it's for "use as an aid in cervical spinal fusion" and "for temporary stabilization of the anterior spine during the development of cervical spine fusions." This describes a surgical implant used in vivo (within the body) to support the spine.
  • Device Description: The description details plates and screws made of titanium alloy, designed to be implanted into bone. This is consistent with a surgical implant, not a device used to test samples in vitro (outside the body).
  • Lack of IVD Characteristics: The text does not mention any components or functions related to analyzing biological samples (blood, urine, tissue, etc.) or providing diagnostic information based on such analysis.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. The Aviator® ACP System is a surgical implant used to physically stabilize the spine.

N/A

Intended Use / Indications for Use

The Stryker Spine Aviator® Anterior Cervical Plating (ACP) System is intended for use as an aid in cervical spinal fusion and is intended for unilateral fixation.

The Aviator® Anterior Cervical Plating System is intended for anterior intervertebral screw fixation of the cervical spine at levels C2-T1. The system is indicated for temporary stabilization of the anterior spine during the development of cervical spine fusions in patients with the following indications:

Degenerative Disc Disease (as defined by neck pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies) Trauma (including fractures) Tumors Deformities or curvatures (including kyphosis, lordosis, or scoliosis) Pseudoarthrosis Failed previous fusion Decompression of the spinal cord following total or partial cervical vertebrectomy Spondylolisthesis Spinal Stenosis

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

KWQ

Device Description

The purpose of this 510(k) is to summarize the design modifications that have been implemented to the Aviator® Anterior Cervical Plating (ACP) System previously FDA cleared via K083562. No new implant reference numbers/part numbers were created. Additionally, there were no changes to the previously FDA cleared indications, intended uses, mode of operation, scientific technology, materials of construction, or to the performance of the device.

The Aviator® Anterior Cervical system are one-, two-, three-, and four-level plate configurations ranging in lengths from 12 mm to 22 mm for the one-level plates, 24mm to 46mm for the two-level plates, 39 mm to 69 mm for the three-level plates, and 56 mm to 96 mm for the four-level plates. All of the plate levels incorporate a spring bar blocking mechanism to aid in prevention of bone screw back-out. The bone screws are provided with either fixed or variable angles available in self-tapping or self-drilling designs. The variable angle bone screws allow the screw to be placed into bone at various degrees of angulation, while the fixed bone screws are inserted at a defined angle. Any combination of bone screws can be used to secure the cervical plate. The bone screws are offered in 4.0 mm and 4.35 mm diameters in lengths of 10 mm – 20 mm. The implants (bone screws and cervical plates) are provided as single-use, non-sterile devices manufactured from implantable grade titanium alloy (TI6Al4V).

The associated instrumentation (such as awls, punch awls, screwdrivers, handles, drill guides and drill bits, plate bender, storage and transport trays/container, and fixation pins) are Class I / 510(k) exempt devices under 21 CFR §888.4540.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

cervical spinal, cervical spine at levels C2-T1

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)

Cadaveric and bench design verification testing was conducted on the modified devices to assess impact. All previous ASTM testing submitted with K083562 were repeated for the modified device:

ASTM 1717-09, “Standard Test Methods for Spinal Implant Constructs in a Vertebrectomy Model” for Static Compression Bending, Dynamic (Fatigue) Compression Bending, and Static Torsion Tests ASTM 1798-97, “Standard Test Method for Evaluating the Static and Fatigue Properties of Interconnection Mechanisms and Subassemblies Used in Spinal Arthrodesis Implants for Static Cantilever Bending There were no new failure modes, identification of new risks, or establishment of a new worst-case construct as a result of the design changes. The non-clinical test results were comparable to the predicate design and demonstrated that implemented modifications did not adversely impact device performance, and the safety and effectiveness profile of the 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.

K083562 - Stryker Spine Aviator® Anterior Cervical Plating (ACP) System, K062310, K040261 – Stryker Spine Reflex® Hybrid ACP System K000536, K000742 – Synthes Spine Cervical Spine Locking Plate System

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

§ 888.3060 Spinal intervertebral body fixation orthosis.

(a)
Identification. A spinal intervertebral body fixation orthosis is a device intended to be implanted made of titanium. It consists of various vertebral plates that are punched into each of a series of vertebral bodies. An eye-type screw is inserted in a hole in the center of each of the plates. A braided cable is threaded through each eye-type screw. The cable is tightened with a tension device and it is fastened or crimped at each eye-type screw. The device is used to apply force to a series of vertebrae to correct “sway back,” scoliosis (lateral curvature of the spine), or other conditions.(b)
Classification. Class II.

0

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

January 26, 2015

Stryker Spine Ms. Soraya King Regulatory Affairs Specialist 2 Pearl Court Allendale, New Jersey 07401

Re: K142237

Trade/Device Name: Aviator® Anterior Cervical Plating (ACP) System Regulation Number: 21 CFR 888.3060 Regulation Name: Spinal intervertebral body fixation orthosis Regulatory Class: Class II Product Code: KWQ Dated: December 29, 2014 Received: December 30, 2014

Dear Ms. King:

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 of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set

1

Page 2 - Ms. Soraya King

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 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" (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/ResourcesforYou/Industry/default.htm.

Sincerely vours.

Mark N. Melkerson -S

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

Enclosure

2

Indications for Use

510(k) Number (if known) K142237

Device Name

Aviator® Anterior Cervical Plating (ACP) System

Indications for Use (Describe)

The Stryker Spine Aviator® Anterior Cervical Plating (ACP) System is intended for use as an aid in cervical spinal fusion and is intended for unilateral fixation.

The Aviator® Anterior Cervical Plating System is intervertebral screw fixation of the cervical spine at levels C2-T1. The system is indicated for temporary stabilization of the anterior spine during the development of cervical spine fusions in patients with the following indications:

• Degenerative Disc Disease (as defined by neck pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies)
----------------------------------------------------------------------------------------------------------------------------------------------------------------
  • · Trauma (including fractures)
  • Tumors
  • · Deformities or curvatures (including kyphosis, lordosis, or scoliosis)
  • · Pseudoarthrosis
  • · Failed previous fusion
  • · Decompression of the spinal cord following total or partial cervical vertebrectomy
  • · Spondylolisthesis
  • · Spinal Stenosis

Type of Use (Select one or both, as applicable)

Prescription Use (Part 21 CFR 801 Subpart D)
Over-The-Counter Use (21 CFR 801 Subpart C)

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2 Pearl Court Allendale, NJ 07401 t: 866 45 SPINE www.stryker.com

Image /page/3/Picture/1 description: The image shows the word "stryker" in a bold, sans-serif font. The word is all lowercase except for the first letter, which is uppercase. There is a registered trademark symbol to the right of the "r" at the end of the word. The word is black and the background is white.

Spine

510(k) #K142237– Design Modifications to the Stryker Spine Aviator® Anterior Cervical Plate (ACP) System

510(k) Summary: Aviator® Anterior Cervical Plating (ACP) System
Submitter:Stryker Spine
2 Pearl Court
Allendale, New Jersey 07401
Contact PersonSoraya King, MS
Regulatory Affairs Specialist
Phone: 201-760-8296
Fax: 201-962-4296
Email: Soraya.King@Stryker.com
Date Prepared21 January 2015
Trade NameAviator® Anterior Cervical Plating (ACP) System
Common NameAppliance, Fixation, Spinal Intervertebral Body
Proposed ClassClass II
Classification
Name and
NumberSpinal Intervertebral Body Fixation Orthosis
21 CFR §888.3060
Product CodeKWQ
Predicate DeviceK083562 - Stryker Spine Aviator® Anterior Cervical Plating (ACP) System, (Primary Predicate Device) K062310, K040261 – Stryker Spine Reflex® Hybrid ACP System K000536, K000742 – Synthes Spine Cervical Spine Locking Plate System
Device
DescriptionThe purpose of this 510(k) is to summarize the design modifications that have been
implemented to the Aviator® Anterior Cervical Plating (ACP) System previously
FDA cleared via K083562. No new implant reference numbers/part numbers were
created. Additionally, there were no changes to the previously FDA cleared
indications, intended uses, mode of operation, scientific technology, materials of
construction, or to the performance of the device.

The Aviator® Anterior Cervical system are one-, two-, three-, and four-level plate
configurations ranging in lengths from 12 mm to 22 mm for the one-level plates,
24mm to 46mm for the two-level plates, 39 mm to 69 mm for the three-level plates,
and 56 mm to 96 mm for the four-level plates. All of the plate levels incorporate a
spring bar blocking mechanism to aid in prevention of bone screw back-out. The
bone screws are provided with either fixed or variable angles available in self-
tapping or self-drilling designs. The variable angle bone screws allow the screw to
be placed into bone at various degrees of angulation, while the fixed bone screws are
inserted at a defined angle. Any combination of bone screws can be used to secure |
| 510(k) Summary: Aviator® Anterior Cervical Plating (ACP) System | |
| | the cervical plate. The bone screws are offered in 4.0 mm and 4.35 mm diameters in lengths of 10 mm – 20 mm. The implants (bone screws and cervical plates) are provided as single-use, non-sterile devices manufactured from implantable grade titanium alloy (TI6Al4V). |
| | The associated instrumentation (such as awls, punch awls, screwdrivers, handles, drill guides and drill bits, plate bender, storage and transport trays/container, and fixation pins) are Class I / 510(k) exempt devices under 21 CFR §888.4540. |
| Indications for Use | The Stryker Spine Aviator® Anterior Cervical Plating (ACP) System is intended for use as an aid in cervical spinal fusion and is intended for unilateral fixation. |
| | The Aviator® Anterior Cervical Plating System is intended for anterior intervertebral screw fixation of the cervical spine at levels C2-T1. The system is indicated for temporary stabilization of the anterior spine during the development of cervical spine fusions in patients with the following indications: |
| | Degenerative Disc Disease (as defined by neck pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies) Trauma (including fractures) Tumors Deformities or curvatures (including kyphosis, lordosis, or scoliosis) Pseudoarthrosis Failed previous fusion Decompression of the spinal cord following total or partial cervical vertebrectomy Spondylolisthesis Spinal Stenosis |
| Summary of the
Technological
Characteristics | The design modifications did not alter the fundamental scientific technology or change/introduce an energy source. The modified devices retained previously FDA cleared indications/intended use and mode of operation as presented in 510(k) #K083562. |
| | The Aviator® plates utilize the same anti-backout spring bar mechanism as the predicate design. The spring bar continues to automatically close when the screw has completely advanced through the screw slots on the plates. The design feature that allows the surgeon to rotate the blocker for additional visual and tactile feedback to ensure that the spring bars is in the secured position has been maintained. There were no changes in the materials of construction. The implants continue to be manufactured from surgical grade implantable titanium alloy. |
| 510(k) Summary: Aviator® Anterior Cervical Plating (ACP) System | |
| The implemented design modifications did not raise new questions of safety or efficacy. | |
| Summary of the
Performance
Data | Cadaveric and bench design verification testing was conducted on the modified devices to assess impact. All previous ASTM testing submitted with K083562 were repeated for the modified device:

ASTM 1717-09, “Standard Test Methods for Spinal Implant Constructs in a Vertebrectomy Model” for Static Compression Bending, Dynamic (Fatigue) Compression Bending, and Static Torsion Tests ASTM 1798-97, “Standard Test Method for Evaluating the Static and Fatigue Properties of Interconnection Mechanisms and Subassemblies Used in Spinal Arthrodesis Implants for Static Cantilever Bending There were no new failure modes, identification of new risks, or establishment of a new worst-case construct as a result of the design changes. The non-clinical test results were comparable to the predicate design and demonstrated that implemented modifications did not adversely impact device performance, and the safety and effectiveness profile of the device. |

Revised 510(k) Summary

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510(k) #K142237– Design Modifications to the Stryker Spine Aviator® Anterior Cervical Plate (ACP) System

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510(k) #K142237– Design Modifications to the Stryker Spine Aviator® Anterior Cervical Plate (ACP) System

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510(k) #K142237- Design Modifications to the Stryker Spine Aviator® Anterior Cervical Plate (ACP) System

510(k) Summary: Aviator® Anterior Cervical Plating (ACP) System
FeatureAviator® ACP System (K083562)Modified Aviator® ACP System
(Letter to File Changes)
Locking mechanismSpring-loaded Spring Bar is provided pre-assembled to the plateSpring-Loaded Spring Bar is provided pre-assembled to the plate
Anti-backout
mechanismOpens with screwOpens with screw
Integrated with plate
using slot to house
mechanismIntegrated with plate using slot to
house mechanismIntegrated with plate using slot to house mechanism
Thickness of anti-
backout mechanism.3-.4 mm.3-.4 mm
MaterialTi 6AL-4VTi 6AL-4V
Number of screw holes
mechanism supports1 screw hole1 screw hole
Basic Plate Shape"Dogbone" design with graft viewing
windows"Dogbone" design with graft viewing windows
Plate LevelsOne-, Two-, Three-, and Four- level
configurationsOne-, Two-, Three-, and Four- level configurations
Plate LengthsOne-level: 12-22mm
Two-level: 24-46mm
Three-level: 39-69mm
Four-level: 56-96mmOne-level: 12-22mm
Two-level: 24-46mm
Three-level: 39-69mm
Four-level: 56-96mm
Plate Width17.4mm17.4mm
Plate Profile2.5mm thickness, smooth surface (no
protrusions)2.5mm thickness, smooth surface (no protrusions)
Plate CurvatureSagittal – 190mm (1 & 2 level) &
390mm (3 & 4 level)
Axial – 25mmSagittal - 190mm (1 & 2 level) & 390mm (3 & 4 level)
Axial - 25mm
Plate Screw-Hole
GeometryMiddle screw holes - round End
screw holes - elongatedMiddle screw holes - round End screw holes - elongated
Bone Screw Diameter4.0mm and 4.35mm4.0mm and 4.35mm
510(k) Summary: Aviator® Anterior Cervical Plating (ACP) System
Mechanical
PerformanceTested as per ASTM 1717 and ASTM 1798Tested as per ASTM 1717 and ASTM 1798
ConclusionsThe modified device has identical indications, technological characteristics, and
principles of operation as the predicate design. The non-clinical test data demonstrated
that the implemented design changes did not impact the performance of the device, the
function of the device, or how the device is utilized in comparison to the predicate
design. There were no new risks identified associated with the implemented changes.
The modifications have demonstrated to be substantially equivalent to the previously
cleared design and predicate systems presented in 510(k) #K083562.

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510(k) #K142237– Design Modifications to the Stryker Spine Aviator® Anterior Cervical Plate (ACP) System