K Number
K163471
Device Name
Kalitec Direct InSePtion™ MIS Fixation System
Date Cleared
2017-03-16

(94 days)

Product Code
Regulation Number
888.3050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Kalitec Direct InSePtion™ MIS Fixation System is a posterior, non-pedicle supplemental fixation device, intended for use at a single level in the non-cervical spine (T1 – S1). It is intended for plate fixation/attachment to spinous processes for the purpose of achieving supplemental fusion in the following conditions: degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies), spondylolisthesis, trauma (i.e. fracture or dislocation), and/or tumor. The Kalitec Direct InSePtion™ MIS Fixation System is not intended for standalone use, and is intended for use with autograft or allograft.
Device Description
The Kalitec Direct InSePtion110 MIS Fixation System implant is a posterior non-pedicle supplemental fixation device utilized to achieve supplemental fusion in the non-cervical spine. The system is made of titanium alloy and includes eight color coded sizes, ranging from 8 mm to 18 mm.
More Information

Not Found

No
The summary describes a mechanical spinal fixation system and does not mention any software, algorithms, or AI/ML capabilities.

Yes

The device is intended for supplemental fusion in various spinal conditions (degenerative disc disease, spondylolisthesis, trauma, tumor), which are therapeutic indications aimed at treating or alleviating these conditions.

No

The device is described as a "posterior, non-pedicle supplemental fixation device" intended for "plate fixation/attachment to spinous processes for the purpose of achieving supplemental fusion." Its function is to physically support the spine, rather than to diagnose medical conditions.

No

The device description explicitly states the system is made of titanium alloy and includes physical implants (eight color coded sizes). This indicates it is a hardware device, not software-only.

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 used for spinal fixation and fusion. This is a therapeutic device, not a diagnostic one.
  • Device Description: The description details a titanium alloy implant for surgical use.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting specific analytes, or providing diagnostic information about a patient's condition based on laboratory testing.

IVD devices are used to examine specimens from the human body to provide information for diagnosis, monitoring, or screening. This device is a physical implant used in surgery.

N/A

Intended Use / Indications for Use

The Kalitec Direct InSePtion™ MIS Fixation System is a posterior, non-pedicle supplemental fixation device, intended for use at a single level in the non-cervical spine (T1 – S1). It is intended for plate fixation/attachment to spinous processes for the purpose of achieving supplemental fusion in the following conditions: degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies), spondylolisthesis, trauma (i.e. fracture or dislocation), and/or tumor. The Kalitec Direct InSePtion™ MIS Fixation System is not intended for standalone use, and is intended for use with autograft or allograft.

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

PEK

Device Description

The Kalitec Direct InSePtion™ MIS Fixation System implant is a posterior non-pedicle supplemental fixation device utilized to achieve supplemental fusion in the non-cervical spine. The system is made of titanium alloy and includes eight color coded sizes, ranging from 8 mm to 18 mm.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

non-cervical spine (T1 – S1)

Indicated Patient Age Range

Not Found

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)

Testing performed on this device indicates that the Kalitec Direct InSePtionTM MIS Fixation System is substantially equivalent to predicate devices. ASTM F1717 performance standards were adhered to and all applicable requirements were met. This testing included static compression bending, static torsion, dynamic compression bending, and disassociation testing in UHMWPE test blocks. Finite Element Analysis was also performed to characterize device performance.

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.

NuVasive Affix Spinous Process Plate System (K133052), Lanx Aspen Spinal Fixation System (K071877), Kalitec Direct CosmoLock Pedicle Screw System (K140678)

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

§ 888.3050 Spinal interlaminal fixation orthosis.

(a)
Identification. A spinal interlaminal fixation orthosis is a device intended to be implanted made of an alloy, such as stainless steel, that consists of various hooks and a posteriorly placed compression or distraction rod. The device is implanted, usually across three adjacent vertebrae, to straighten and immobilize the spine to allow bone grafts to unite and fuse the vertebrae together. The device is used primarily in the treatment of scoliosis (a lateral curvature of the spine), but it also may be used in the treatment of fracture or dislocation of the spine, grades 3 and 4 of spondylolisthesis (a dislocation of the spinal column), and lower back syndrome.(b)
Classification. Class II.

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

March 16, 2017

Kalitec Direct, LLC % Mr. Justin Eggleton Senior Director, Spine Regulatory Affairs Musculoskeletal Clinical Regulatory Advisers, LLC 1050 K Street Northwest, Suite 1000 Washington, District of Columbia 20001

Re: K163471

Trade/Device Name: Kalitec Direct InSePtion™ MIS Fixation System Regulation Number: 21 CFR 888.3050 Regulation Name: Spinal interlaminal fixation orthosis Regulatory Class: Class II Product Code: PEK Dated: February 16, 2017 Received: February 17, 2017

Dear Mr. Eggleton:

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 devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in

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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" (21 CFR 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,

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

510(k) Number (if known) K163471

Device Name Kalitec Direct InSePtion™ MIS Fixation System

Indications for Use (Describe)

The Kalitec Direct InSePtion System is a posterior, non-pedicle supplemental fixation device, intended for use at a single level in the non-cervical spine (T1 - S1). It is intended for plate fixation/attachment to spinous processes for the purpose of achieving supplemental fusion in the following conditions: degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies). spondylolisthesis, trauma (i.e. fracture or dislocation), and/or tumor. The Kalitec Direct InSePtion™ MIS Fixation System is not intended for standalone use, and is intended for use with autograft or allograft.

Type of Use (Select one or both, as applicable)

2 Prescription Use (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 801 Subpart C)

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FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

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510(k) Summary

Device Trade Name:Kalitec Direct InSePtion™ MIS Fixation System
Manufacturer:Kalitec Direct, LLC
618 E. South Street, Suite 500
Orlando, FL 32801 USA
Phone: 407-545-2063
Contact:Mr. Keith Cannan
Director, Quality Assurance and Regulatory Affairs
Kalitec Direct, LLC
618 E. South Street, Suite 500, Orlando, FL 32801 USA
Phone: 407.545.2063
Prepared by:Mr. Justin Eggleton
Senior Director, Spine Regulatory Affairs
Musculoskeletal Clinical Regulatory Advisers, LLC
1050 K Street NW, Suite 1000
Washington, DC 20001
Phone: (202) 552-5800
jeggleton@mcra.com
Date Prepared:March 14, 2017
Classification:21 CFR §888.3050, Spinal interlaminal fixation orthosis
Class:II
Product Codes:PEK
Primary Predicate Device:NuVasive Affix Spinous Process Plate System (K133052)
Additional Predicates:Lanx Aspen Spinal Fixation System (K071877)
Kalitec Direct CosmoLock Pedicle Screw System (K140678)
Indications For Use:The Kalitec Direct InSePtion™ MIS Fixation System is a posterior,
non-pedicle supplemental fixation device, intended for use at a
single level in the non-cervical spine (T1 – S1). It is intended for
plate fixation/attachment to spinous processes for the purpose of
achieving supplemental fusion in the following conditions:
degenerative disc disease (defined as back pain of discogenic origin
with degeneration of the disc confirmed by history and radiographic
studies), spondylolisthesis, trauma (i.e. fracture or dislocation),
and/or tumor. The Kalitec Direct InSePtion™ MIS Fixation System

4

is not intended for standalone use, and is intended for use with autograft or allograft.

  • The Kalitec Direct InSePtion110 MIS Fixation System implant is a Device Description: posterior non-pedicle supplemental fixation device utilized to achieve supplemental fusion in the non-cervical spine. The system is made of titanium alloy and includes eight color coded sizes, ranging from 8 mm to 18 mm.
  • Predicate Device: Kalitec Direct InSePtion™ MIS Fixation System was shown to be substantially equivalent to previously cleared devices and has the same indications for use, design, function, and materials used. These devices include the Lanx Spinous Process Fusion Plate (K071877) and the NuVasive Affix (K133052).
  • Performance Testing: Testing performed on this device indicates that the Kalitec Direct InSePtionTM MIS Fixation System is substantially equivalent to predicate devices. ASTM F1717 performance standards were adhered to and all applicable requirements were met. This testing included static compression bending, static torsion, dynamic compression bending, and disassociation testing in UHMWPE test blocks. Finite Element Analysis was also performed to characterize device performance.
  • The subject Kalitec Direct InSePtion™ MIS Fixation System is Substantial Equivalence: substantially equivalent to the predicate Lanx Aspen Spinal Fixation System (K071877) and NuVasive Affix Spinous Process Plate System (K133052) with respect to indications, design, materials, function, and performance.
  • Kalitec Direct InSePtion™ MIS Fixation System is Conclusion: The substantially equivalent to predicate devices.