K Number
K142504
Device Name
SpineFrontier Lumbar Interbody Fusion Device System
Date Cleared
2015-05-13

(250 days)

Product Code
Regulation Number
888.3080
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The SpineFrontier Lumbar Interbody Fusion Device System (Dorado IBC, Dorado PLIFT, Dorado ELIFT, Arena-L, Dorado TILT, Dorado TLIFT, Dorado Wide, and Ursa S-LIFT) is intended for intervertebral body fusion of the spine of skeletally mature patients, using autogenous bone graft to facilitate fusion. The device is indicated for use in patients with degenerative disc disease (DDD) at one or two contiguous spinal levels from L2-S1. These DDD patients may also have up to Grade I spondylolisthesis or retrolisthesis at the involved level(s). Degenerative disc disease is defined as discogenic back pain with degeneration of the disc confirmed by history or radiographic studies. These patients should be skeletally mature and have had six months of non-operative treatment. The SpineFrontier Lumbar Intervertebral Body Fusion Device System is intended to be used with supplemental spinal fixation system(s) cleared for use in the lumbar spine.
Device Description
The SpineFrontier Ti-Coated Lumbar Interbody Fusion Device System is a spinal intervertebral body fusion device system intended for intervertebral body fusion of the spine of skeletally mature patients, using autogenous bone graft to facilitate fusion. The system is comprised of devices made of titanium coated PEEK Optima® LT1, with varying widths, lengths, and heights to fit the anatomical needs of patients. The devices have raised contours on the superior and inferior surfaces that will resist device movement following implant. The purpose of this submission is the addition of a CP-Ti coating on a previously cleared lumbar intervertebral fusion device.
More Information

No
The summary describes a physical implant device and its material properties and mechanical testing, with no mention of software, algorithms, or data processing that would indicate AI/ML.

Yes
The device is described as an "intervertebral body fusion device system" intended for "intervertebral body fusion of the spine," which broadly falls under therapeutic intervention to treat degenerative disc disease.

No

This device is an intervertebral body fusion device, intended for surgical implantation to facilitate fusion between vertebrae. It is a treatment device, not for diagnosing conditions.

No

The device description clearly states it is comprised of physical devices made of titanium coated PEEK, indicating it is a hardware medical device.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Function: The SpineFrontier Lumbar Interbody Fusion Device System is a surgical implant designed to be placed within the spine to facilitate bone fusion. It is a physical device used in vivo (within the body) during a surgical procedure.
  • Intended Use: The intended use clearly states it's for "intervertebral body fusion of the spine," which is a surgical procedure, not a diagnostic test performed on a sample.
  • Device Description: The description details the materials and design of the implant, not a diagnostic test kit or instrument.
  • Performance Studies: The performance studies focus on the mechanical strength and characteristics of the implant, which are relevant for a surgical device, not a diagnostic test.

Therefore, this device falls under the category of a surgical implant or medical device, not an in vitro diagnostic.

N/A

Intended Use / Indications for Use

The SpineFrontier Lumbar Interbody Fusion Device System (Dorado IBC, Dorado PLIFT, Dorado ELIFT, Arena-L, Dorado TILT, Dorado TLIFT, Dorado Wide, and Ursa S-LIFT) is intended for intervertebral body fusion of the spine of skeletally mature patients, using autogenous bone graft to facilitate fusion. The device is indicated for use in patients with degenerative disc disease (DDD) at one or two contiguous spinal levels from L2-S1. These DDD patients may also have up to Grade I spondylolisthesis or retrolisthesis at the involved level(s).

Degenerative disc disease is defined as discogenic back pain with degeneration of the disc confirmed by history or radiographic studies. These patients should be skeletally mature and have had six months of non-operative treatment.

The SpineFrontier Lumbar Intervertebral Body Fusion Device System is intended to be used with supplemental spinal fixation system(s) cleared for use in the lumbar spine.

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

MAX

Device Description

The SpineFrontier Ti-Coated Lumbar Interbody Fusion Device System is a spinal intervertebral body fusion device system intended for intervertebral body fusion of the spine of skeletally mature patients, using autogenous bone graft to facilitate fusion. The system is comprised of devices made of titanium coated PEEK Optima® LT1, with varying widths, lengths, and heights to fit the anatomical needs of patients. The devices have raised contours on the superior and inferior surfaces that will resist device movement following implant.

The purpose of this submission is the addition of a CP-Ti coating on a previously cleared lumbar intervertebral fusion device.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

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 SpineFrontier Lumbar Interbody Fusion Device System has been tested and its coating characterized in the following test modes:

  • Static axial compression per ASTM F2077
  • Static compressive shear per ASTM F2077
  • Static torsion per ASTM F2077
  • Dynamic axial compression per ASTM F2077
  • Dynamic compressive shear per ASTM F2077
  • Percent Porosity per ASTM F1854-09
  • Coating Thickness per ASTM F1854-09
  • Static Shear per ASTM F1044-05
  • Static Tensile per ASTM F1147-05
  • Shear Fatigue per ASTM F1160-05
  • Abrasion per ASTM F1978-00

The results of this non-clinical testing show that the strength of the Lumbar Interbody Fusion Device System is sufficient for its intended use and is substantially equivalent to legally marketed predicate devices.

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.

K111553

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.

K071724, K110632, K130573

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

§ 888.3080 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 a stylized image of three human profiles facing to the right, stacked on top of each other, resembling a bird-like shape.

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

May 13, 2015

SpineFrontier, Incorporated % Ms. Meredith Mav Senior Manager Empirical Consulting 4628 Northpark Drive Colorado Springs, Colorado 80918

Re: K142504

Trade/Device Name: SpineFrontier Lumbar Interbody Fusion Device System Regulation Number: 21 CFR 888.3080 Regulation Name: Intervertebral body fusion device Regulatory Class: Class II Product Code: MAX Dated: April 15, 2015 Received: April 16, 2015

Dear Ms. May:

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. Meredith May

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

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| DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration | Form Approved: OMB No. 0910-0120
Expiration Date: January 31, 2017
See PRA Statement on last page. |

-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
510(k) Number (if known)K142504
Device NameSpineFrontier Lumbar Interbody Fusion Device System
Indications for Use (Describe)The SpineFrontier Lumbar Interbody Fusion Device System (Dorado IBC, Dorado PLIFT,
Dorado ELIFT, Arena-L, Dorado TILT, Dorado TLIFT, Dorado Wide, and Ursa S-LIFT) is
intended for intervertebral body fusion of the spine of skeletally mature patients, using
autogenous bone graft to facilitate fusion. The device is indicated for use in patients with
degenerative disc disease (DDD) at one or two contiguous spinal levels from L2-S1. These
DDD patients may also have up to Grade I spondylolisthesis or retrolisthesis at the involved
level(s).
Degenerative disc disease is defined as discogenic back pain with degeneration of the disc
confirmed by history or radiographic studies. These patients should be skeletally mature and
have had six months of non-operative treatment.
The SpineFrontier Lumbar Intervertebral Body Fusion Device System is intended to be used
with supplemental spinal fixation system(s) cleared for use in the lumbar spine.
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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This section applies only to requirements of the Paperwork Reduction Act of 1995. DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW. The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to: Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov "An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

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5.510(K) SUMMARY

Submitter's Name:SpineFrontier
Submitter's Address:500 Cummings Center, Suite 3500
Beverly, MA 01915
Submitter's Telephone:978.232.3990 x252
Company Contact Person:Manthan Damani, MSRA
Sr. Regulatory Affairs Associate
Official Contact Person:Meredith L. May, MS
Empirical Testing Corp.
719.337.7579
Date Summary was Prepared:15-Apr-15
Trade or Proprietary Name:SpineFrontier Lumbar Interbody Fusion Device System
Common or Usual Name:Intervertebral Fusion Device With Bone Graft, Lumbar
Classification:Class II per 21 CFR §888.3080
Product Code:MAX
Classification Panel:Division of Orthopedic Devices
Orthopaedic and Rehabilitation Panel

DESCRIPTION OF THE DEVICE SUBJECT TO PREMARKET NOTIFICATION:

The SpineFrontier Ti-Coated Lumbar Interbody Fusion Device System is a spinal intervertebral body fusion device system intended for intervertebral body fusion of the spine of skeletally mature patients, using autogenous bone graft to facilitate fusion. The system is comprised of devices made of titanium coated PEEK Optima® LT1, with varying widths, lengths, and heights to fit the anatomical needs of patients. The devices have raised contours on the superior and inferior surfaces that will resist device movement following implant.

The purpose of this submission is the addition of a CP-Ti coating on a previously cleared lumbar intervertebral fusion device.

INDICATIONS FOR USE

The SpineFrontier Lumbar Interbody Fusion Device System (Dorado IBC, Dorado PLIFT, Dorado ELIFT, Arena-L, Dorado TLIFT, Dorado TLIFT, Dorado Wide, and Ursa S-LIFT) is intended for intervertebral body fusion of the spine of skeletally mature patients, using autogenous bone graft to facilitate fusion. The device is indicated for use in patients with degenerative disc disease (DDD) at one or two contiguous spinal levels from L2-S1. These DDD patients may also have up to Grade I spondylolisthesis at the involved level(s).

Degenerative disc disease is defined as discogenic back pain with degeneration of the disc confirmed by history or radiographic studies. These patients should be skeletally mature and

5

have had six months of non-operative treatment.

The SpineFrontier Lumbar Intervertebral Body Fusion Device System is intended to be used with supplemental spinal fixation system(s) cleared for use in the lumbar spine.

TECHNOLOGICAL CHARACTERISTICS

Lumbar Interbody Fusion Device System is made from PEEK Optima® LT1 with Titanium Coating. The subject and predicate devices have nearly identical technological characteristics and the minor differences do not raise any new issues of safety and effectiveness. Specifically the following characteristics are identical between the subject and predicates:

  • Indications for Use
  • Materials of manufacture
  • o Structural support mechanism
  • Principles of operation ●

Table 5-1 Predicate Devices

510k NumberTrade or Proprietary or Model NameManufacturerType
K111553Lumbar Interbody Fusion Device SystemSpineFrontierPrimary
K071724,
K110632Lucent PLIF SystemSpinal ElementReference
K130573Interbody SystemTyber MedicalReference

PERFORMANCE DATA

The SpineFrontier Lumbar Interbody Fusion Device System has been tested and its coating characterized in the following test modes:

  • o Static axial compression per ASTM F2077
  • Static compressive shear per ASTM F2077 ●
  • Static torsion per ASTM F2077 ●
  • o Dynamic axial compression per ASTM F2077
  • Dynamic compressive shear per ASTM F2077
  • Percent Porosity per ASTM F1854-09
  • Coating Thickness per ASTM F1854-09
  • Static Shear per ASTM F1044-05
  • Static Tensile per ASTM F1147-05
  • Shear Fatigue per ASTM F1160-05 ●
  • Abrasion per ASTM F1978-00 ●

6

The results of this non-clinical testing show that the strength of the Lumbar Interbody Fusion Device System is sufficient for its intended use and is substantially equivalent to legally marketed predicate devices.

CONCLUSION

The overall technology characteristics and mechanical performance data lead to the conclusion that the SpineFrontier Lumbar Interbody Fusion Device System is substantially equivalent to the predicate device.