K Number
K142456
Device Name
GPS Spacers
Manufacturer
Date Cleared
2015-04-10

(220 days)

Product Code
Regulation Number
888.3080
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
When used as a cervical intervertebral fusion device, the GPS™ Cervical Spacers are indicated for use at one level in the cervical spine, from C2-T1, in skeletally mature patients who have had six weeks of non-operative treatment for the treatment of degenerative disc disease (DDD) with up to Grade 1 spondylolisthesis. DDD is defined as neck pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. The device is intended for use with autogenous bone graft and with supplemental fixation systems cleared for use in the cervical spine. When used as a lumbar intervertebral fusion device, the GPS™ PLIF and TLIF Spacers are intended for spinal fusion procedures in skeletally mature patients with degenerative disc disease (defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies) at one or two contiguous spinal levels from L2-S1. These patients should have had six months of nonoperative treatment. These patients may have had a previous non-fusion spinal surgery and/or may have up to Grade 1 spondylolisthesis or retrolisthesis at the involved spinal level(s). The device is to be used with autogenous bone graft and in combination with supplemental fixation indicated for lumbar spinal fusion procedures.
Device Description
The basic shape of the Cervical and Lumbar GPS™ devices is a structural column having upper and lower implant openings and a central cavity for autograft bone. The cervical devices have a "B" shaped cross-section. The PLIF devices are rectangular having a pyramidal anterior surface. The TLIF device cross-section is curved having a wedged leading face. For all devices, surface teeth assist in the seating the implant between the vertebral bodies. Each device type is available in a variety of size and angulation combinations to accommodate the diversity in patient anatomy.
More Information

K091088, P980048, K090064, P960025

No
The summary describes a physical intervertebral fusion device and its mechanical properties, with no mention of software, algorithms, or AI/ML terms.

Yes

The device is an intervertebral fusion device intended for the treatment of degenerative disc disease and is designed to aid in spinal fusion procedures, which is a therapeutic intervention.

No

The device is an intervertebral fusion device (spacer) used to facilitate spinal fusion in patients with degenerative disc disease. It is a treatment device, not a diagnostic one.

No

The device description clearly describes a physical implant (structural column, upper and lower implant openings, central cavity, surface teeth) intended for surgical implantation, which is a hardware device.

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

Here's why:

  • Intended Use: The intended use clearly describes a surgical implant for spinal fusion, not a test performed on samples from the human body to provide information about a physiological state, health, or disease.
  • Device Description: The device is described as a structural implant with a central cavity for bone graft, designed to be placed between vertebrae. This is consistent with a surgical device, not an IVD.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), reagents, or any other components typically associated with in vitro diagnostics.
  • Performance Studies: The performance studies focus on mechanical testing and subsidence properties, which are relevant to the structural integrity and function of a surgical implant, not the analytical or clinical performance of an IVD.

Therefore, the GPS™ Cervical and Lumbar Spacers are surgical implants, not In Vitro Diagnostic devices.

N/A

Intended Use / Indications for Use

When used as a cervical intervertebral fusion device, the GPS™ Cervical Spacers are indicated for use at one level in the cervical spine, from C2-T1, in skeletally mature patients who have had six weeks of non-operative treatment of degenerative disc disease (DDD) with up to Grade 1 spondylolisthesis. DDD is defined as neck pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. The device is intended for use with and with supplemental fixation systems cleared for use in the cervical spine.

When used as a lumbar intervertebral body fusion device, the GPS™ PLIF Spacers are intended for spinal fusion procedures in skeletally mature patients with degenerative discase (defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies) at one or two contiguous spinal levels from L2-S1. These patients of nonoperative treatment. These patients may have had a previous non-fusion spinal surgery and/or may have up to Grade 1 spondylolisthesis or retrolisthesis at the involved spinal level(s). The device is to be used with autogenous bone graft and in combination with supplemental fixation indicated for lumbar spinal fusion procedures.

Product codes

ODP, MAX

Device Description

The basic shape of the Cervical and Lumbar GPS™ devices is a structural column having upper and lower implant openings and a central cavity for autograft bone. The cervical devices have a "B" shaped cross-section. The PLIF devices are rectangular having a pyramidal anterior surface. The TLIF device cross-section is curved having a wedged leading face. For all devices, surface teeth assist in the seating the implant between the vertebral bodies. Each device type is available in a variety of size and angulation combinations to accommodate the diversity in patient anatomy.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

cervical spine, from C2-T1; spinal levels from 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

Mechanical testing of the worst case GPS™ Spacers was performed according to ASTM F2077 and included static and dynamic compression and static and dynamic torsion. The subsidence properties were evaluated according to ASTM F2267. Expulsion testing was performed. The mechanical test results demonstrate that the GPS™ Spacer performance is substantially equivalent to the predicate devices.

Key Metrics

Not Found

Predicate Device(s)

IMPIX Interbody Devices (Medicrea™ Technologies – K083798)

Reference Device(s)

MC+ (LDR Spine USA – K091088), BAK/C (CenterPulse Spine-Tech – P980048), Eminent Spine Interbody Fusion System (Eminent Spine – K090064), Lumbar I/F Cage® (DePuy AcroMed. Inc. - P960025)

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.

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular border with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is an abstract symbol that resembles a stylized caduceus or a representation of human figures in profile.

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

April 10, 2015

G Surgical, LLC % Karen Warden, Ph.D President BackRoads Consulting, Incorporated P.O. Box 566 Chesterland, Ohio 44026-2141

Re: K142456

Trade/Device Name: GPSTM Spacers Regulation Number: 21 CFR 888.3080 Regulation Name: Intervertebral Body Fusion Device Regulatory Class: Class II Product Code: ODP, MAX Dated: March 22, 2015 Received: March 24, 2015

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

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Page 2 - Karen Warden, Ph.D.

(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 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" (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 yours,

Mark N. Melkerson -S

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

Enclosure

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Form Approved: OMB No. 0910-0120

Expiration Date: January 31, 2017

See PRA Statement on last page.

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known)

K142456

Device Name GPSTM Spacers

Indications for Use (Describe)

When used as a cervical intervertebral fusion device, the GPS™ Cervical Spacers are indicated for use at one level in the cervical spine, from C2-T1, in sketally mature patients who have had six weeks of non-operative treatment of degenerative disc disease (DDD) with up to Grade 1 spondylolisthesis. DDD is defined as neck pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. The device is intended for use with and with supplemental fixation systems cleared for use in the cervical spine.

When used as a lumbar intervertebral body fusion device, the GPS™ PLIF Spacers are intended for spinal fusion procedures in skeletally mature patients with degenerative discase (defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies) at one or two contiguous spinal levels from L2-S1. These patients of nonoperative treatment. These patients may have had a previous non-fusion spinal surgery and/or may have up to Grade 1 spondylolisthesis or retrolisthesis at the involved spinal level(s). The device is to be used with autogenous bone graft and in combination with supplemental fixation indicated for lumbar spinal fusion procedures.

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)

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)

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510(k) Summary

Date:29 August 2014
Sponsor:G Surgical LLC
5757 Central Avenue, Suite G
Boulder, CO 80301 USA
Tel.: 720.638.4287
Fax.: 720.638.4289
Contact Person:Don Grafton, Managing Director
Trade Names:GPS™ Spacers
Common Name:Interbody fusion device
Device ClassificationClass II
Classification Name:Intervertebral body fusion device
Regulation:21 CFR 888.3080
Device Product Codes:ODP, MAX
Device Description:The basic shape of the Cervical and Lumbar GPS™ devices is a structural
column having upper and lower implant openings and a central cavity for
autograft bone. The cervical devices have a "B" shaped cross-
section. The PLIF devices are rectangular having a pyramidal anterior
surface. The TLIF device cross-section is curved having a wedged leading
face. For all devices, surface teeth assist in the seating the implant between
the vertebral bodies. Each device type is available in a variety of size and
angulation combinations to accommodate the diversity in patient anatomy.
Intended Use:When used as a cervical intervertebral fusion device, the GPS™ Cervical
Spacers are indicated for use at one level in the cervical spine, from C2-T1,
in skeletally mature patients who have had six weeks of non-operative
treatment for the treatment of degenerative disc disease (DDD) with up to
Grade 1 spondylolisthesis. DDD is defined as neck pain of discogenic origin
with degeneration of the disc confirmed by history and radiographic studies.
The device is intended for use with autogenous bone graft and with
supplemental fixation systems cleared for use in the cervical spine.
When used as a lumbar intervertebral fusion device, the GPS™ PLIF and
TLIF Spacers are intended for spinal fusion procedures in skeletally mature
patients with degenerative disc disease (defined as discogenic back pain
with degeneration of the disc confirmed by history and radiographic studies)
at one or two contiguous spinal levels from L2-S1. These patients should
have had six months of nonoperative treatment. These patients may have
had a previous non-fusion spinal surgery and/or may have up to Grade 1
spondylolisthesis or retrolisthesis at the involved spinal level(s). The device
is to be used with autogenous bone graft and in combination with
supplemental fixation indicated for lumbar spinal fusion procedures.
Materials:The GPS™ Spacers are manufactured from polyetheretherketone (PEEK)
per ASTM F2026 (VESTAKEEP® i4 R, Evonik Polymers Technologies
GmbH). Integral marker pins are manufactured from tantalum according to
ASTM F560.
Predicate Devices:Primary:
IMPIX Interbody Devices (Medicrea™ Technologies – K083798)
Reference:
MC+ (LDR Spine USA – K091088)
BAK/C (CenterPulse Spine-Tech – P980048)
Eminent Spine Interbody Fusion System (Eminent Spine – K090064)
Lumbar I/F Cage® (DePuy AcroMed. Inc. - P960025)
Performance Data:Mechanical testing of the worst case GPS™ Spacers was performed
according to ASTM F2077 and included static and dynamic compression
and static and dynamic torsion. The subsidence properties were evaluated
according to ASTM F2267. Expulsion testing was performed.
The mechanical test results demonstrate that the GPS™ Spacer
performance is substantially equivalent to the predicate devices.
Technological
Characteristics:The GPS™ Spacers possess the same technological characteristics as the
predicate devices. These include:
performance (as described above), basic design (hollow structural frame), material (PEEK polymer and tantalum), and sizes (widths, lengths and heights are within the range(s) offered by the predicate). Therefore the fundamental scientific technology of the GPS™ Spacers is
the same as previously cleared devices.
Conclusion:The GPS™ Spacers possess the same intended use and technological
characteristics as the predicate devices. Therefore the GPS™ Spacers are
substantially equivalent for their intended use.

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