K Number
K151056
Device Name
Aesculap T-Space PEEK and XP Spinal System
Date Cleared
2015-08-13

(115 days)

Product Code
Regulation Number
888.3080
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
When used as an Intervertebral Body Fusion System: The T-Space Spinal Implant System are indicated for spinal fusion procedures at one or two contiguous levels (L2-S1) in skeletally mature patients with degenerative disc disease (DDD). DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. DDD patients may also have up to Grade 1 Spondylolisthesis at involved levels. These patients may have had previous non-fusion spinal surgery at the involved spinal level(s). The AIS T-Space Spinal Implant System is intended for use with supplemental spinal fixation systems that have been cleared for use in the lumbrosacral spine (i.e., posterior pedicle screw and rod systems, and anterior screw and rod systems). The AIS T-Space Spinal Implant System implants can be used individually or in pairs. The AIS T-Space Spinal Implant System is also intended for use with autogenous bone graft. Patients must have undergone a regimen of at least six (6) months of non-operative treatment prior to being treated with the Aesculap device.
Device Description
The T-Space Spinal Implant System is an intervertebral body fusion device that is implanted into the vertebral body space to improve stability of the spine while supporting fusion. The implants are offered in a coated and uncoated version and a variety of shapes and sizes to meet the requirements of the individual patient anatomy. The uncoated PEEK version is manufactured from PEEK - Optima (per ASTM F2026). The coated version will be the same in design as the uncoated PEEK implant with a titanium layer and a vacuum plasma spray coating (Plasmapore® - per ISO 5832-3). The device will have tantalum radiographic markers per ASTM F-560.
More Information

Not Found

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

Yes
The device is used for spinal fusion procedures for degenerative disc disease, which is a medical condition, and it aids in improving the stability of the spine and supporting fusion, thus directly treating a medical condition.

No

The device description clearly states it is an "intervertebral body fusion device" that is implanted to improve stability and support fusion, not to diagnose a condition. Its indications are for spinal fusion procedures for degenerative disc disease, which is a treatment, not a diagnostic step.

No

The device description clearly states it is an "intervertebral body fusion device" which is a physical implant made of materials like PEEK and titanium. The performance studies also focus on the mechanical properties of the implant.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to examine specimens taken from the human body (like blood, urine, or tissue) to provide information for diagnosis, monitoring, or screening.
  • Device Description and Intended Use: The provided text clearly describes the T-Space Spinal Implant System as an implantable device used in spinal fusion surgery. It is physically placed within the patient's body to provide structural support and promote bone fusion.
  • Lack of Specimen Analysis: There is no mention of this device being used to analyze any biological specimens taken from the patient. Its function is entirely mechanical and structural within the body.

Therefore, based on the provided information, the T-Space Spinal Implant System is a surgical implant, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

When used as an Intervertebral Body Fusion System:

The T-Space Spinal Implant System are indicated for spinal fusion procedures at one or two contiguous levels (L2-S1) in skeletally mature patients with degenerative disc disease (DDD). DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. DDD patients may also have up to Grade 1 Spondylolisthesis or retrolisthesis at involved levels. These patients may have had previous non-fusion spinal surgery at the involved spinal level(s). The AIS T-Space Spinal Implant System is intended for use with supplemental spinal fixation systems that have been cleared for use in the lumbrosacral spine (i.e., posterior pedicle screw and rod systems, anterior plate systems, and anterior screw and rod systems). The AIS T-Space Spinal Implants can be used individually or in pairs. The AIS T-Space Spinal Implant System is also intended for use with autogenous bone graft.

Patients must have undergone a regimen of at least six (6) months of non-operative treatment prior to being treated with the Aesculap device.

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

MAX

Device Description

The T-Space Spinal Implant System is an intervertebral body fusion device that is implanted into the vertebral body space to improve stability of the spine while supporting fusion. The implants are offered in a coated and uncoated version and a variety of shapes and sizes to meet the requirements of the individual patient anatomy. The uncoated PEEK version is manufactured from PEEK - Optima (per ASTM F2026). The coated version will be the same in design as the uncoated PEEK implant with a titanium layer and a vacuum plasma spray coating (Plasmapore® - per ISO 5832-3). The device will have tantalum radiographic markers per ASTM F-560.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

L2-S1 (lumbar and sacral spine)

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)

Non-clinical testing was performed as recommended by the FDA Guidance for Spinal System 510(k)'s to demonstrate substantial equivalence. These tests included:

  • Static torsion per ASTM F2077
  • Static and dynamic axial compression per ASTM F2077
  • Shear resistance evaluation per ASTM F2267
  • Subsidence per ASTM F2267

Additional non-clinical testing was performed as recommended in the "Guidance for Industry on the Testing of Metallic Plasma Sprayed Coatings on Orthopedic Implants to Support Reconsideration of Postmarket Surveillance Requirements." These tests included:

  • Microstructure of the coating per ASTM F1854
  • Static Tensile Strength per ASTM F1147
  • Static Shear Strength per ASTM F1044
  • Shear Fatigue Test per ASTM F1160
  • Abrasion Resistance per ASTM F1978

Key results: The results of these tests showed that the T-Space Spinal Implant System meets or exceeds the performance of the predicate devices, and the device is therefore found to be substantially equivalent.

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.

K122967, K060762, K071983, K123909, K132421

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

§ 888.3080 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

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

August 13, 2015

Aesculap Implant Systems, LLC Ms. Lisa M. Boyle Regulatory Affairs Manager 3773 Corporate Parkway Center Valley, Pennsylvania 18034

Re: K151056

Trade/Device Name: Aesculap T-Space PEEK and XP Spinal System Regulation Number: 21 CFR 888.3080 Regulation Name: Intervertebral body fusion device Regulatory Class: Class II Product Code: MAX Dated: July 16, 2015 Received: July 17, 2015

Dear Ms. Boyle:

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

1

Page 2 – Ms. Lisa M. Boyle

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 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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Indications for Use

510(k) Number (if known) K151056

Device Name Aesculap T-Space PEEK and XP Spinal System

Indications for Use (Describe)

When used as an Intervertebral Body Fusion System:

The T-Space Spinal Implant System are indicated for spinal fusion procedures at one or two contiguous levels (L2-S1) in skeletally mature patients with degenerative disc disease (DDD). DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. DDD patients may also have up to Grade 1 Spondylolisthesis at involved levels. These patients may have had previous non-fusion spinal surgery at the involved spinal level(s). The AIS T-Space Spinal Implant System is intended for use with supplemental spinal fixation systems that have been cleared for use in the lumbrosacral spine (i.e., posterior pedicle screw and rod systems, and anterior screw and rod systems). The AIS T-Space Spinal Implant System implants can be used individually or in pairs. The AIS T-Space Spinal Implant System is also intended for use with autogenous bone graft.

Patients must have undergone a regimen of at least six (6) months of non-operative treatment prior to being treated with the Aesculap device.

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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B. 510(k) SUMMARY (as required by 21 CFR 807.92)

Aesculap® Implant Systems(AIS) - T-Space Spinal Implant System

August 10, 2015

| COMPANY: | Aesculap®Implant Systems (AIS), LLC.
3773 Corporate Parkway
Center Valley, PA 18034
Establishment Registration Number: 3005673311 |
|----------------------|--------------------------------------------------------------------------------------------------------------------------------------------|
| CONTACT: | Lisa M. Boyle, Regulatory Affairs Manager
610-984-9274 (phone)
610-791-6882 (fax)
lisa.boyle@aesculap.com |
| TRADE NAME: | Aesculap T-Space PEEK and XP Spinal System |
| COMMON NAME: | Intervertebral Fusion Device |
| CLASSIFICATION NAME: | Orthosis, Spinal Intervertebral Fusion |
| REGULATION NUMBER: | 21 CFR 888.3080 |
| PRODUCT CODE: | MAX |
| REVIEW PANEL: | Orthopedics |

INDICATIONS FOR USE

When used as an Intervertebral Body Fusion System:

The T-Space Spinal Implant System are indicated for spinal fusion procedures at one or two contiguous levels (L2-S1) in skeletally mature patients with degenerative disc disease (DDD). DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. DDD patients may also have up to Grade 1 Spondylolisthesis or retrolisthesis at involved levels. These patients may have had previous non-fusion spinal surgery at the involved spinal level(s). The AIS T-Space Spinal Implant System is intended for use with supplemental spinal fixation systems that have been cleared for use in the lumbrosacral spine (i.e., posterior pedicle screw and rod systems, anterior plate systems, and anterior screw and rod systems). The AIS T-Space Spinal Implants can be used individually or in pairs. The AIS T-Space Spinal Implant System is also intended for use with autogenous bone graft.

Patients must have undergone a regimen of at least six (6) months of non-operative treatment prior to being treated with the Aesculap device.

DEVICE DESCRIPTION

The T-Space Spinal Implant System is an intervertebral body fusion device that is implanted into the vertebral body space to improve stability of the spine while supporting fusion. The implants are offered in a coated and uncoated version and a variety of shapes and sizes to meet the requirements of the individual patient anatomy. The uncoated PEEK version is manufactured from PEEK - Optima (per ASTM F2026). The coated version will be the same in design as the uncoated PEEK implant with a titanium layer and a vacuum plasma spray coating (Plasmapore® - per ISO 5832-3). The device will have tantalum radiographic markers per ASTM F-560.

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TECHNOLOGICAL CHARACTERISTICS(compared to Predicate(s))

The components of the T-Space Spinal Implant System are offered in the same similar shapes and sizes as the predicate devices. The material used for the Aesculap® Implant Systems device is the same as that used to manufacture the predicate devices.

PERFORMANCE DATA

As recommended by the FDA Guidance for Spinal System 510(k)'s, non-clinical testing was performed to demonstrate that the AIS T-Space implants (coated and uncoated) are substantially equivalent to other predicate devices. The following testing was performed:

  • . Static torsion per ASTM F2077
  • Static and dynamic axial compression per ASTM F2077 ●
  • Shear resistance evaluation per ASTM F2267 .
  • . Subsidence per ASTM F2267

In addition to FDA's Spine Guidance. Aesculap has also completed non-clinical testing recommended in the "Guidance for Industry on the Testing of Metallic Plasma Sprayed Coatings on Orthopedic Implants to Support Reconsideration of Postmarket Surveillance Requirements." The following tests were performed:

  • Microstructure of the coating per ASTM F1854
  • Static Tensile Strength per ASTM F1147
  • Static Shear Strength per ASTM F1044
  • Shear Fatigue Test per ASTM F1160
  • Abrasion Resistance per ASTM F1978

The results of these tests showed that the T-Space Spinal Implant System meets or exceeds the performance of the predicate devices, and the device is therefore found to be substantially equivalent.

SUBSTANTIAL EQUIVALENCE

AIS believes that the T-Space Spinal Implant System is substantially equivalent to the design of the Spinal Elements Lucent System (K122967) and AIS PEEK VBR and Intervertebral Body Fusion Systems (K071983). The Plasmapore® coating has been used and cleared in a number of legally marketed product lines manufactured by Aesculap (hip, knee, and spinal implants) for many years. The most recent Spinal Implants to be cleared with the Plasmapore® coating is the CeSpace XP Intervertebral Body Fusion Device (K123909) and ProSpace XP Intervertebral Body Fusion Device (K132421).

PRIMARY PREDICATES:

  • Spinal Elements Lucent System (K122967) ●

ADDITIONAL PREDICATES:

  • AIS PEEK VBR and Intervertebral Body Fusion Systems (K060762 / K071983). ●
  • CeSpace XP Intervertebral Body Fusion Device (K123909) and.
  • ProSpace XP Intervertebral Body Fusion Device (K132421). .