(115 days)
Not Found
No
The summary describes navigated surgical instruments used with a stereotactic system for guidance based on pre-operative imaging or digitized landmarks. There is no mention of AI or ML in the intended use, device description, or performance studies. The navigation is based on established stereotactic principles, not AI/ML algorithms for image analysis or decision support.
No.
The devices are surgical instruments intended to facilitate surgical procedures (discectomy, implant placement, and size selection) rather than provide a therapeutic effect themselves.
No
The device is described as surgical instruments intended to facilitate procedures like discectomy, implant placement, and size selection during spinal surgery. It is clearly stated as "facilitate a discectomy" and "facilitate implant size selection," which are interventional or preparatory steps, not diagnostic.
No
The device description explicitly states that the devices are "non-sterile, reusable surgical instruments" manufactured from "stainless steel and silicone," which are physical hardware components. The summary also describes testing related to the functionality and compatibility of these physical instruments.
Based on the provided text, this device is not an IVD (In Vitro Diagnostic).
Here's why:
- Intended Use: The intended use clearly describes the devices as surgical instruments used during spinal surgery to facilitate procedures like discectomy, implant size selection, and implant placement. This is an in vivo (within the living body) application, not an in vitro (outside the living body) diagnostic test.
- Device Description: The description details reusable surgical instruments made of stainless steel and silicone, designed for use in the operating room with a navigation system. This aligns with surgical tools, not diagnostic tests performed on biological samples.
- Lack of Diagnostic Purpose: The text does not mention any analysis of biological samples (blood, tissue, etc.) or the diagnosis of any disease or condition. The purpose is to aid in the surgical procedure itself.
IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device does not fit that description.
N/A
Intended Use / Indications for Use
The Navigated Disc Preparation Instruments are intended to facilitate a discectomy during spinal surgery. The Navigated CAPSTONE™ Trials are intended to be used to facilitate implant size selection of Medtronic intervertebral body fusion devices during spinal surgery. When the Navigated Rotating Shavers are used as trials for ELEVATE™ Spinal System, they are intended to be used to facilitate implant size selection.
The Navigated Probe is intended to be used during pedicle and disc preparation during spinal fusion procedures. The Navigated Inserters are intended to be used for the placement of an implant.
Navigated instruments are specifically designed for use with the StealthStation® System, which is indicated for any medical condition in which the use of stereotactic surgery may be appropriate, and where reference to a rigid anatomical structure, such as a skull, a long bone, or vertebra, can be identified relative to a CT or MR based model, fluoroscopy images, or digitized landmarks of the anatomy.
Product codes
OLO
Device Description
The Navigated ELEVATE™ Inserter and navigated rotating shavers are non-sterile, reusable surgical instruments that are intended to be used to facilitate a discectomy and placement of implants during spinal surgery procedure. The subject devices are designed specifically to be used with ELEVATE™ Spinal System and are also compatible with the StealthStation. These devices are offered in non-sterile form and are reusable. This subject devices are manufactured from stainless steel and silicone. The case and trays are manufactured from aluminum with either silicone or nylon coated brackets.
Mentions image processing
Not Found
Mentions AI, DNN, or ML
Not Found
Input Imaging Modality
CT or MR based model, fluoroscopy images
Anatomical Site
rigid anatomical structure, such as a skull, a long bone, or vertebra
Indicated Patient Age Range
Not Found
Intended User / Care Setting
Prescription Use
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 was completed to ensure the functionality and compatibility with the identified Medtronic products.
- Navigation Accuracy Analysis: Confirmed navigated instrument accuracy in both 2D and 3D space.
- Anatomical Simulated Use: Confirmed instrument functionality under expected use conditions.
- Navigation Simulated Use: Confirmed navigation system functionality under expected use conditions.
- CAD Model Evaluation: Verified that the CAD models are accurately reflected in the application software.
- Implant/Instrument Mating Conditions: Verified that the instruments can be assembled with the appropriate devices according to their intended use.
- Spine Tools Package Functional Testing: Verified that the Spine Tools package has met the required interface needs of the spine application software.
The Navigated ELEVATE™ Inserter and the rotating shavers will use Tools Package Version 25, which will be compatible with the Synergy Spine 2.1 application on the S7.
Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)
Not Found
Predicate Device(s)
Reference Device(s)
Not Found
Predetermined Change Control Plan (PCCP) - All Relevant Information
Not Found
§ 882.4560 Stereotaxic instrument.
(a)
Identification. A stereotaxic instrument is a device consisting of a rigid frame with a calibrated guide mechanism for precisely positioning probes or other devices within a patient's brain, spinal cord, or other part of the nervous system.(b)
Classification. Class II (performance standards).
0
Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of the department's name arranged in a circular fashion around a symbol. The symbol is a stylized representation of three human profiles facing to the right, stacked on top of each other.
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
April 14, 2017
Medtronic Sofamor Danek USA, Inc Laveeda Leflore Regulatory Affairs Specialist 1800 Pyramid Place Memphis. Tennessee 38132
Re: K163581
Trade/Device Name: Navigated Elevate Inserter and Navigated Disc Prep Instruments Regulation Number: 21 CFR 882.4560 Regulation Name: Stereotaxic Instrument Regulatory Class: Class II Product Code: OLO Dated: December 19, 2016 Received: December 20, 2016
Dear Laveeda Leflore:
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 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.
1
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,
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) K163581
Device Name
Navigated ELEVATE™ Inserter and Navigated Disc Prep Instruments.
Indications for Use (Describe)
The Navigated Disc Preparation Instruments are intended to facilitate a discectomy during spinal surgery. The Navigated CAPSTONE™ Trials are intended to be used to facilitate implant size selection of Medtronic intervertebral body fusion devices during spinal surgery. When the Navigated Rotating Shavers are used as trials for ELEVATE™ Spinal System, they are intended to be used to facilitate implant size selection.
The Navigated Probe is intended to be used during pedicle and disc preparation during spinal fusion procedures. The Navigated Inserters are intended to be used for the placement of an implant.
Navigated instruments are specifically designed for use with the StealthStation® System, which is indicated for any medical condition in which the use of stereotactic surgery may be appropriate, and where reference to a rigid anatomical structure, such as a skull, a long bone, or vertebra, can be identified relative to a CT or MR based model, fluoroscopy images, or digitized landmarks of the anatomy.
| Type of Use (Select one or both, as applicable) | |
|---|---|
| X Prescription Use (Part 21 CFR 801 Subpart D) | Over-The-Counter Use (21 CFR 801 Subpart C) |
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510(k) Summarv December 19, 2016
- l. Company: Medtronic Sofamor Danek, USA Inc. 1800 Pyramid Place Memphis. TN 38132 Telephone: (901) 396-3133
- Laveeda Leflore Contact: Regulatory Affairs Specialist Telephone: (901) 396-3133 Email: Laveeda.r.leflore@medtronic.com
- II. Proprietary Trade Name: Navigated ELEVATE™ Inserter and Navigated Disc Prep Instruments.
Common Name: Stereotaxic Instrument, Navigated Instruments
Classification Name: Stereotaxic Instrument (21 CFR 882.4560)
Classification: Class II
Product Code: OLO
III. Predicate Device:
- Navigated Disc Prep Instruments (K150231, S.E. 06/16/2015) primary predicate ●
- . Navigated Interbody Trials and Inserter (K131425, S.E. 08/14/2013) - secondary predicate
- ELEVATE™ Spinal System (K142559, S.E. 06/09/2015) - secondary predicate
The predicate devices have not been subject to a design-related recall.
IV. Product Description:
The Navigated ELEVATE™ Inserter and navigated rotating shavers are non-sterile, reusable surgical instruments that are intended to be used to facilitate a discectomy and placement of implants during spinal surgery procedure. The subject devices are designed specifically to be used with ELEVATE™ Spinal System and are also compatible with the StealthStation. These devices are offered in non-sterile form and are reusable. This subject devices are manufactured from stainless steel and silicone. The case and trays are manufactured from aluminum with either silicone or nylon coated brackets.
V. Indications for Use:
4
The Navigated Disc Preparation Instruments are intended to be used to facilitate a discectomy during spinal surgery. The Navigated CAPSTONE™ Trials are intended to be used to facilitate implant size selection of Medtronic intervertebral body fusion devices during spinal surgery. When the Navigated Rotating Shavers are used as trials for ELEVATE™ Spinal System, they are intended to facilitate implant size selection.
The Navigated Probe is intended to be used during pedicle and disc preparation during spinal fusion procedures. The Navigated Inserters are intended to be used for the placement of an implant.
Navigated instruments are specifically designed for use with the StealthStation® System, which is indicated for any medical condition in which the use of stereotactic surgery may be appropriate, and where reference to a rigid anatomical structure, such as a skull, a long bone, or vertebra, can be identified relative to a CT or MR based model, fluoroscopy images, or digitized landmarks of the anatomy.
VI. Comparison of the Technological Characteristics with the Predicate Device:
The subject Navigated ELEVATE™ Inserter is intended to be used for the placement of implants. The subject navigated rotating shavers will have a dual indication. They can be used as shavers to facilitate a discectomy or as trials to facilitate implant size (height) selection of the ELEVATE™ Spinal System implants during a spinal surgery procedure. These instruments are specifically designed for use with the StealthStation® System , which allows for optical navigation of the surgical instruments. These devices have similar designs and uses to the predicate devices and incorporate the same design features to enable navigation capabilities. Like the predicate devices, the subject Navigated ELEVATE™ Inserter and navigated rotating shavers are also made from stainless steel.
The instrument modifications detailed in this submission have no impact on the technological characteristics of either the existing instruments or the StealthStation® System.
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VII. Performance Data
Testing was completed to ensure the functionality and compatibility with the identified Medtronic products. The following table summarizes the performance testing completed:
| Test | Description |
|---|---|
| Navigation | |
| Accuracy Analysis | Confirmed navigated instrument accuracy in both 2D and 3D space. |
| Anatomical | |
| Simulated Use | Confirmed instrument functionality under expected use conditions. |
| Navigation | |
| Simulated Use | Confirmed navigation system functionality under expected use conditions. |
| CAD Model | |
| Evaluation | Verified that the CAD models are accurately reflected in the application software. |
| Implant/Instrument | |
| Mating Conditions | Verified that the instruments can be assembled with the appropriate devices according to their intended use. |
| Spine Tools | |
| Package | |
| Functional Testing | Verified that the Spine Tools package has met the required interface needs of the spine application software. |
Table 5-1: Description of Performance Testing
The Navigated ELEVATE™ Inserter and the rotating shavers will use Tools Package Version 25, which will be compatible with the Synergy Spine 2.1 application on the S7.
VIII. Conclusions
That Navigated ELEVATE™ Inserter and the navigated rotating shavers have been shown through comparison and testing to be substantially equivalent to the identified predicate devices.