K Number
K153123
Device Name
Genesys Spine Apache Interbody Fusion System
Manufacturer
Date Cleared
2016-04-26

(180 days)

Product Code
Regulation Number
888.3080
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Genesys Spine Apache@ Interbody Fusion System is indicated for intervertebral body fusion of the lumbar spine. from L2 to S1, in skeletally mature patients who had six months of non-operative treatment. The device is intended for use at either one level or two contiguous levels for the treatment of degenerative disc disease (DDD) with up to Grade 1 spondylolisthesis or retrolisthesis at the involved level(s). DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. The device system is designed for use with supplemental fixation and with autograft to facilitate fusion.
Device Description
The Genesys Spine Apache® Interbody Fusion System will be offered in various device configurations based on surgical approach and patient anatomy, and consist of a Genesys Spine interbody fusion device, which may be implanted as a single device via: - Bi-laterally via a posterior (PLIF) approach ■ - As a single device via a transforaminal (TLIF) approach or ■ - I As a single device via an anterior/anterolateral (ALIF) approach. The system implant components are made of polyether ether ketone (PEEK Optima LT1) that conforms to ASTM F2026. Additionally the devices contain tantalum markers (ASTM F560) to assist the surgeon with proper placement of the device.
More Information

Not Found

No
The summary describes a physical interbody fusion device made of PEEK and tantalum markers. There is no mention of software, algorithms, or any technology that would suggest the use of AI or ML. The performance studies focus on mechanical properties and equivalence to predicate devices.

Yes
The device is described as an "Interbody Fusion System" intended for "intervertebral body fusion of the lumbar spine" to treat "degenerative disc disease (DDD)." These descriptions indicate its purpose is to treat or alleviate a medical condition, qualifying it as a therapeutic device.

No.
The device is an interbody fusion system designed for surgical implantation to facilitate fusion in the lumbar spine, not for diagnosing medical conditions.

No

The device description explicitly states the system implant components are made of PEEK and contain tantalum markers, indicating it is a physical medical device, not software only.

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

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, or tissue) to provide information for diagnosis, monitoring, or screening.
  • Device Description: The Genesys Spine Apache® Interbody Fusion System is an implantable medical device made of PEEK and tantalum markers. It is surgically placed in the lumbar spine.
  • Intended Use: The intended use is for intervertebral body fusion of the lumbar spine, a surgical procedure to treat degenerative disc disease. This involves implanting a physical device into the body.

The device's function is to provide structural support and facilitate bone fusion within the spine, not to analyze biological samples outside the body. While radiographic studies are used in the diagnosis and monitoring of the condition, the device itself is not performing the diagnostic test.

N/A

Intended Use / Indications for Use

The Genesys Spine Apache® Interbody Fusion System is indicated for intervertebral body fusion of the lumbar spine, from L2 to S1, in skeletally mature patients who had six months of non-operative treatment. The device is intended for use at either one level or two contiguous levels for the treatment of degenerative disc disease (DDD) with up to Grade 1 spondylolisthesis or retrolisthesis at the involved level(s). DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. The device system is designed for use with supplemental fixation and with autograft to facilitate fusion.

Product codes

MAX

Device Description

The Genesys Spine Apache® Interbody Fusion System will be offered in various device configurations based on surgical approach and patient anatomy, and consist of a Genesys Spine interbody fusion device, which may be implanted as a single device via:

  • Bi-laterally via a posterior (PLIF) approach
  • As a single device via a transforaminal (TLIF) approach or
  • I As a single device via an anterior/anterolateral (ALIF) approach.

The system implant components are made of polyether ether ketone (PEEK Optima LT1) that conforms to ASTM F2026. Additionally the devices contain tantalum markers (ASTM F560) to assist the surgeon with proper placement of the device.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

lumbar spine, from L2 to 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

The Genesys Spine Apache® Interbody Fusion System was tested in static subsidence per ASTM F2267-04 and static expulsion per ASTM draft standard F-04.25.02.02. Confirmatory testing, Cross-Sectional Area calculations, and validated FEA analysis showed that a new worst-case device was not created when compared the predicate Genesys Spine Interbody Fusion System (K103034). The performance data were sufficient to allow for a substantial equivalence designation for the subject device.

Key Metrics

Not Found

Predicate Device(s)

K103034, K082698, K130548, K143143, K090353, K111525, K133340, K073291

Reference Device(s)

Not Found

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

April 26, 2016

Genesys Spine Mr. Dave Lamb Vice President of Compliance 1250 South Capitol of Texas Highway, Building 3, Suite 600 Austin, Texas 78746

Re: K153123

Trade/Device Name: Genesys Spine Apache® Interbody Fusion System Regulation Number: 21 CFR 888.3080 Regulation Name: Intervertebral body fusion device Regulatory Class: Class II Product Code: MAX Dated: March 23, 2016 Received: March 29, 2016

Dear Mr. Lamb:

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/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,

Lori A. Wiggins -S

for

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 STATEMENT

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known) K153123

Device Name

Genesys Spine Apache® Interbody Fusion System

Indications for Use (Describe)

The Genesys Spine Apache@ Interbody Fusion System is indicated for intervertebral body fusion of the lumbar spine. from L2 to S1, in skeletally mature patients who had six months of non-operative treatment. The device is intended for use at either one level or two contiguous levels for the treatment of degenerative disc disease (DDD) with up to Grade 1 spondylolisthesis or retrolisthesis at the involved level(s). DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. The device system is designed for use with supplemental fixation and with autograft to facilitate fusion.

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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510(k) Summary

Submitter's Name:Genesys Spine
Submitter's Address:1250 Capital of Texas Highway South
Building Three, Suite 600
Austin, Texas 78746
Submitter's Telephone:512-381-7094
Submitter's Fax:800-817-4938
Contact Name:Dave Lamb
Date Summary was
Prepared:April 22, 2016
Trade or Proprietary Name:Genesys Spine Apache® Interbody Fusion System
Common or Usual Name:Intervertebral Fusion Device
Classification:Class II per 21 CFR §888.3080
Product Codes:MAX
Classification Panel:Orthopedic and Rehabilitation Devices Panel
Legally Marketed
(unmodified) device:Primary Predicate: Genesys Spine Interbody Fusion
System (K103034)
Additional Predicates: K2M Aleutian IBF System
(K082698); Alphatec Epicage Interbody Fusion System
(K130548); Custom Spine, Inc Pathway ELIF (K143143);
Medtronic Sofamor Danek Perimeter Interbody Fusion
Device (K090353 & K111525); Spine Works Anterior
Lumbar Device (K133340); Medtronic Sofamor Danek
CAPSTONE Spinal System (K073291)

DESCRIPTION OF THE DEVICE SUBJECT TO PREMARKET NOTIFICATION:

The Genesys Spine Apache® Interbody Fusion System will be offered in various device configurations based on surgical approach and patient anatomy, and consist of a Genesys Spine interbody fusion device, which may be implanted as a single device via:

  • Bi-laterally via a posterior (PLIF) approach ■
  • As a single device via a transforaminal (TLIF) approach or ■
  • I As a single device via an anterior/anterolateral (ALIF) approach.

The system implant components are made of polyether ether ketone (PEEK Optima LT1) that conforms to ASTM F2026. Additionally the devices contain tantalum markers (ASTM F560) to assist the surgeon with proper placement of the device.

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INDICATIONS FOR USE

The Genesys Spine Apache® Interbody Fusion System is indicated for intervertebral body fusion of the lumbar spine, from L2 to S1, in skeletally mature patients who have had six months of nonoperative treatment. The device is intended for use at either one level or two contiguous levels for the treatment of degenerative disc disease (DDD) with up to Grade 1 spondylolisthesis or retrolisthesis at the involved level(s). DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. The device system is designed for use with supplemental fixation and with autograft to facilitate fusion.

TECHNICAL CHARACTERISTICS

The Genesys Spine Apache® Interbody Fusion System is comprised of various device configurations designed to accommodate patient anatomy and provide the surgeon with different surgical approach options.

The Genesys Spine Apache® Interbody Fusion System implant components are made of polyether ether ketone (Invibio PEEK Optima LT1) that conforms to ASTM F2026. Additionally, the devices contain tantalum markers (ASTM F560) to assist the surgeon with proper placement of the device. The additional implant offering being proposed has similar technological characteristics and identical indications as the currently cleared product line.

PERFORMANCE DATA

The Genesys Spine Apache® Interbody Fusion System was tested in static subsidence per ASTM F2267-04 and static expulsion per ASTM draft standard F-04.25.02.02. Confirmatory testing, Cross-Sectional Area calculations, and validated FEA analysis showed that a new worst-case device was not created when compared the predicate Genesys Spine Interbody Fusion System (K103034). The performance data were sufficient to allow for a substantial equivalence designation for the subject device.

CONCLUSION

The overall technology characteristics and mechanical performance data lead to the conclusion that Genesys Spine Apache Interbody Fusion System is substantially equivalent to the Genesys Spine Interbody Fusion System (K103034), K2M Aleutian IBF System (K082698), Alphatec Epicage Interbody Fusion System (K130548). Custom Spine, Inc Pathway ELIF (K143143), Medtronic Sofamor Danek Perimeter Interbody Fusion Device (K090353 & K111525), Spine Works Anterior Lumbar Device (K133340), and the Medtronic Sofamor Danek CAPSTONE Spinal System (K073291). As a result of the testing and analysis performed a result of substantially equivalence was determined.