InFill® interbody fusion device is indicated for intervertebral body fusion of the spine in skeletally mature patients.
InFill® interbody fusion device is designed for use with autogenous bone graft to facilitate fusion. InFill® interbody fusion device is intended for use at either one level or two contiguous levels in the lumbar spine, from L2 to S1, for the treatment of degenerative disc disease (DDD) with up to Grade I spondylolisthesis. DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. The lumbar devices are to be used in patients who have had at least six months of non-operative treatment. InFill® interbody fusion device is intended to be used with supplemental internal spinal fixation systems that are cleared by the FDA for use in the lumbar spine. These implants may be implanted via a variety of open or minimally invasive approaches. These approaches include anterior, lateral and transforaminal.

Device Description

The InFill® V2 Lateral is a radiolucent implantable device manufactured from PEEK and tantalum (marker material). The implant is available in various sizes to suit the individual pathology and anatomical conditions of the patient.

The InFill® V2 Lateral is provided sterile, for single use only.

AI/ML Overview

The provided text describes a 510(k) premarket notification for an intervertebral body fusion device and does not contain information about the acceptance criteria and study proving device performance in the context of an AI/ML powered medical device. The document pertains to a physical medical implant (InFill® Interbody Fusion Device) and its substantial equivalence to a predicate device based on material, design, and mechanical testing (Finite Element Analysis).

Therefore, I cannot extract the information required for the provided questions as they are specific to AI/ML device performance studies, which are not present in this document.

The document discusses:

Device Name: InFill® Interbody Fusion Devices
Regulation Number: 21 CFR 888.3080
Regulation Name: Intervertebral body fusion device
Regulatory Class: Class II
Product Code: MAX
Predicate Device: InFill® Interbody Fusion Device (K151184)
Device Description: Radiolucent implantable device manufactured from PEEK and tantalum, available in various sizes.
Indications for Use: Intervertebral body fusion of the spine in skeletally mature patients (L2 to S1), used with autogenous bone graft and supplemental internal spinal fixation systems, for degenerative disc disease (DDD) with up to Grade I spondylolisthesis.
Technical Characteristics: Comparison showing minor changes in lengths, widths, and marker diameter compared to the predicate device, but similar shape, surface features, bone graft support, primary material, surgical approach, and surface geometry.
Performance Data: A Finite Element Analysis (FEA) was performed to assess the new device. It evaluated axial compression, static subsidence, and fatigue failure. The analysis concluded that the new device (InFill® V2 Lateral) showed lower principal stresses compared to the predicate and met specified criteria, demonstrating substantial equivalence without raising new safety or performance questions.

None of the questions about acceptance criteria, study details (sample size, data provenance, expert ground truth, adjudication, MRMC study, standalone performance, ground truth type, training set size, training set ground truth) are applicable to the information provided in this document, as it is not about an AI/ML medical device.

Summary

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Image /page/0/Picture/1 description: The image shows the seal of the U.S. Department of Health and Human Services. The seal features a stylized image of three faces in profile, stacked on top of each other. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the image.

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

November 19, 2015

Pinnacle Spine Group, LLC Ms. Rebecca K. Pine Consultant 1601 Elm Street, Suite 1930 Dallas, Texas 75201

Re: K152259

Trade/Device Name: InFill® Interbody Fusion Devices Regulation Number: 21 CFR 888.3080 Regulation Name: Intervertebral body fusion device Regulatory Class: Class II Product Code: MAX Dated: October 19, 2015 Received: October 20, 2015

Dear Ms. Pine:

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 Parts 801); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set

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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/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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	DEPARTMENT OF HEALTH AND HUMAN SERVICESFood and Drug Administration	Form Approved: OMB No. 0910-0120Expiration Date: January 31, 2017See PRA Statement below.
	Indications for Use
510(k) Number (if known)	K152259
Device Name	InFill® Interbody Fusion Devices
Indications for Use (Describe)	InFill® interbody fusion device is indicated for intervertebral body fusion of the spine in skeletally mature patients.InFill® interbody fusion device is designed for use with autogenous bone graft to facilitate fusion. InFill® interbody fusion device is intended for use at either one level or two contiguous levels in the lumbar spine, from L2 to S1, for the treatment of degenerative disc disease (DDD) with up to Grade I spondylolisthesis. DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. The lumbar devices are to be used in patients who have had at least six months of non-operative treatment. InFill® interbody fusion device is intended to be used with supplemental internal spinal fixation systems that are cleared by the FDA for use in the lumbar spine. These implants may be implanted via a variety of open or minimally invasive approaches. These approaches include anterior, lateral and transforaminal.
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)
	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 ServicesFood and Drug AdministrationOffice of Chief Information OfficerPaperwork Reduction Act (PRA) StaffPRAStaff@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."
FORM FDA 3881 (1/14)	Page 1 of 1	PSC Publishing Services (300) 443-6740

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6. 510(k) Summary

This 510(k) summary information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807.92.

APPLICANT:	Pinnacle Spine Group, LLC
DATE PREPARED:	November 17, 2015
CONTACT PERSON:	Rebecca K Pine1601 Elm Street, Suite 1930Dallas, TX 75201Phone: 760.809.5178Fax: 760.290.3216
TRADE NAME:	InFill® Interbody Fusion Device
COMMON NAME:	Spinal Implant
CLASSIFICATION NAME:	Intervertebral Body Fusion Device
DEVICE CLASSIFICATION:	Class 2, per 21 CFR 888.3080
PRODUCT CODE	MAX

PREDICATE DEVICES: (primary) InFill® Interbody Fusion Device (K151184 )

Substantially Equivalent To:

The InFill® V2 Lateral is a modified device of the existing InFill Interbody Fusion Device product family. The InFill® V2 Lateral is substantially equivalent in intended use, principal of operation and technological characteristics to the InFill® Interbody Fusion Device cleared under premarket notification K151184.

Description of the Device Subject to Premarket Notification:

The InFill® V2 Lateral is provided sterile, for single use only.

Indication for Use:

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treatment of degenerative disc disease (DDD) with up to Grade I spondylolisthesis. DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. The lumbar devices are to be used in patients who have had at least six months of non-operative treatment. InFill® interbody fusion device is intended to be used with supplemental internal spinal fixation systems that are cleared by the FDA for use in the lumbar spine. These implants may be implanted via a variety of open or minimally invasive approaches. These approaches include anterior, lateral and transforaminal.

Technical Characteristics:

The InFill® V2 Lateral has similar physical and technical characteristics to the predicate device. Additional sizes has been added to the product family and minor design changes have been incorporated as shown in the table below.

TechnicalCharacteristics	InFill® interbodyfusion device	InFill® interbodyfusion device(K51184)
Shape	Oval-shaped, bulletnose	Oval-shaped, bulletnose
Bone to implantsurface	Surface teeth	Surface teeth
Bone graftsupport feature	SAME	Centralfenestration
Primary implantmaterial	SAME	PEEK OPTIMALT1 ®
SurgicalApproach	SAME	Lateral
Lengths (mm)	30-60	25-60
Widths (mm)	18, 21, 24	10-39
Heights (mm)	SAME	8-14
Marker diameter	1.0mm	1.5mm
Surface geometry	SAME	FlatConvexContoured

Performance Data:

An FEA (Finite Element Analysis) was performed to assess the introduction of the new InFill® V2 Lateral into the existing product family. The worst case construct was identified and characterized. Testing modalities investigated included axial compression and static subsidence. Fatigue failure was also analyzed. The results of the analysis demonstrated that no new mechanical testing is required as the InFill V2 Lateral showed lower principle stresses compared to the predicate device. The analysis demonstrated the substantial equivalence of the new device to the predicate device. The InFill® V2 Lateral device met all specified criteria and did not raise new safety or performance questions.

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Basis for Determination of Substantial Equivalence:

The Indication/Intended Use and the fundamental scientific technology of the modified device have not been changed and are the same as those described in the unmodified predicate device. The InFill® V2 Lateral is found to have a safety and effectiveness profile that is similar to the predicate device and is determined by Pinnacle Spine Group LLC, to be substantially equivalent to the predicate devices.

Regulation Number and Section

§ 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.