K Number
K170528
Device Name
Sterispine™ PS
Manufacturer
Date Cleared
2017-03-09

(15 days)

Product Code
Regulation Number
888.3070
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Sterispine™ PS system is intended to provide immobilization of spinal segments in skeletally mature patients as an adjunct of fusion. Sterispine™ PS system is intended for posterior, non-cervical pedicle and non-pedicle fixation for the following indications: degenerative disc disease (DDD) (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); spinal stenosis; tumor; pseudoarthrosis and failed previous fusion.
Device Description
The cleared range of Sterispine™ Ps system include multiaxial screws and cannulated multiaxial screws with or without extended head (Ø5.5, 6.5 and 7.5mm, lengths from 25 to 60mm) and straight and prebent rods (Ø5.5, 6.5 and 7.5mm, lengths from 30 to 380mm). Components of Sterispine™ PS range of products is supplied sterile with a sterile single-use set of surgical instruments.
More Information

No
The summary describes a mechanical spinal implant system and its performance testing, with no mention of AI, ML, image processing, or data-driven algorithms.

Yes
The device is intended to immobilize spinal segments as an adjunct to fusion for various medical conditions, indicating a therapeutic purpose.

No

The device description clearly states it is a system of screws and rods for spinal immobilization and fusion, which are therapeutic interventions rather than diagnostic procedures.

No

The device description explicitly details physical components (multiaxial screws, cannulated multiaxial screws, straight and prebent rods) and mentions mechanical testing of these components, indicating it is a hardware medical device.

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 and Intended Use: The Sterispine™ PS system is a surgical implant intended to provide immobilization of spinal segments as an adjunct to fusion. It is a physical device implanted into the body.
  • Lack of Specimen Analysis: The description and intended use do not involve the analysis of any biological specimens taken from the patient.

Therefore, based on the provided information, the Sterispine™ PS system is a surgical implant, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Sterispine™ PS system is intended to provide immobilization of spinal segments in skeletally mature patients as an adjunct of fusion.

Sterispine™ PS system is intended for posterior, non-cervical pedicle and non-pedicle fixation for the following indications: degenerative disc disease (DDD) (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); spinal stenosis; tumor; pseudoarthrosis and failed previous fusion.

Product codes

NKB

Device Description

The cleared range of Sterispine™ Ps system include multiaxial screws and cannulated multiaxial screws with or without extended head (Ø5.5, 6.5 and 7.5mm, lengths from 25 to 60mm) and straight and prebent rods (Ø5.5, 6.5 and 7.5mm, lengths from 30 to 380mm). Components of Sterispine™ PS range of products is supplied sterile with a sterile single-use set of surgical instruments.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Spinal segments, Thoracolumbosacral (implied)

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)

Sterispine™ PS conforms to special control established for pedicle screw spinal system and to Spinal system 510(k)s- Guidance for industry and FDA staff Document issued on May 3, 2004. The following testing were conducted on the Sterispine™ PS predicate device (K112453): Mechanical testing per ASTM F1717 standard test method for spinal implant constructs in a vertebrectomy model and ASTM F1798 standard guide for evaluating the static and fatigue properties of interconnection mechanisms and subassemblies used in spinal arthrodesis implants. Testing according to ASTM F1717 includes static compression, static torsion and dynamic compression. Testing according to ASTM F1798 includes Static slipping, static bending and static rotation. Bacterial endotoxin testing as specified in USP standard is used for pyrogenicity testing to achieve the Endotoxin limit of 20 EU / device. These tests result have demonstrated comparable mechanical properties to predicates devices.
It has been demonstrated that the added sizes of screws are not worst cases. So, the worst case screw that has been previously identified and tested (K112453, K151921). No additional risks have been identified when compared with Sterispine™ PS screws previously cleared. Consequently, no new additional testing was needed for the added sizes.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K112453, K121299, K130632, K140802, K151747, K151921

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 888.3070 Thoracolumbosacral pedicle screw system.

(a)
Identification. (1) Rigid pedicle screw systems are comprised of multiple components, made from a variety of materials that allow the surgeon to build an implant system to fit the patient's anatomical and physiological requirements. Such a spinal implant assembly consists of a combination of screws, longitudinal members (e.g., plates, rods including dual diameter rods, plate/rod combinations), transverse or cross connectors, and interconnection mechanisms (e.g., rod-to-rod connectors, offset connectors).(2) Semi-rigid systems are defined as systems that contain one or more of the following features (including but not limited to): Non-uniform longitudinal elements, or features that allow more motion or flexibility compared to rigid systems.
(b)
Classification. (1) Class II (special controls), when intended to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the treatment of the following acute and chronic instabilities or deformities of the thoracic, lumbar, and sacral spine: severe spondylolisthesis (grades 3 and 4) of the L5-S1 vertebra; degenerative spondylolisthesis with objective evidence of neurologic impairment; fracture; dislocation; scoliosis; kyphosis; spinal tumor; and failed previous fusion (pseudarthrosis). These pedicle screw spinal systems must comply with the following special controls:(i) Compliance with material standards;
(ii) Compliance with mechanical testing standards;
(iii) Compliance with biocompatibility standards; and
(iv) Labeling that contains these two statements in addition to other appropriate labeling information:
“Warning: The safety and effectiveness of pedicle screw spinal systems have been established only for spinal conditions with significant mechanical instability or deformity requiring fusion with instrumentation. These conditions are significant mechanical instability or deformity of the thoracic, lumbar, and sacral spine secondary to severe spondylolisthesis (grades 3 and 4) of the L5-S1 vertebra, degenerative spondylolisthesis with objective evidence of neurologic impairment, fracture, dislocation, scoliosis, kyphosis, spinal tumor, and failed previous fusion (pseudarthrosis). The safety and effectiveness of these devices for any other conditions are unknown.”
“Precaution: The implantation of pedicle screw spinal systems should be performed only by experienced spinal surgeons with specific training in the use of this pedicle screw spinal system because this is a technically demanding procedure presenting a risk of serious injury to the patient.”
(2) Class II (special controls), when a rigid pedicle screw system is intended to provide immobilization and stabilization of spinal segments in the thoracic, lumbar, and sacral spine as an adjunct to fusion in the treatment of degenerative disc disease and spondylolisthesis other than either severe spondylolisthesis (grades 3 and 4) at L5-S1 or degenerative spondylolisthesis with objective evidence of neurologic impairment. These pedicle screw systems must comply with the following special controls:
(i) The design characteristics of the device, including engineering schematics, must ensure that the geometry and material composition are consistent with the intended use.
(ii) Non-clinical performance testing must demonstrate the mechanical function and durability of the implant.
(iii) Device components must be demonstrated to be biocompatible.
(iv) Validation testing must demonstrate the cleanliness and sterility of, or the ability to clean and sterilize, the device components and device-specific instruments.
(v) Labeling must include the following:
(A) A clear description of the technological features of the device including identification of device materials and the principles of device operation;
(B) Intended use and indications for use, including levels of fixation;
(C) Identification of magnetic resonance (MR) compatibility status;
(D) Cleaning and sterilization instructions for devices and instruments that are provided non-sterile to the end user; and
(E) Detailed instructions of each surgical step, including device removal.
(3) Class II (special controls), when a semi-rigid system is intended to provide immobilization and stabilization of spinal segments in the thoracic, lumbar, and sacral spine as an adjunct to fusion for any indication. In addition to complying with the special controls in paragraphs (b)(2)(i) through (v) of this section, these pedicle screw systems must comply with the following special controls:
(i) Demonstration that clinical performance characteristics of the device support the intended use of the product, including assessment of fusion compared to a clinically acceptable fusion rate.
(ii) Semi-rigid systems marketed prior to the effective date of this reclassification must submit an amendment to their previously cleared premarket notification (510(k)) demonstrating compliance with the special controls in paragraphs (b)(2)(i) through (v) and paragraph (b)(3)(i) of this section.

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

March 9, 2017 Safe Orthopaedics Mr. Pierre Dumouchel Chief Executive Officer Parc des Bellevues, Allée Rosa Luxembourg - Batiment le Californie 95160 Eragny sur Oise FRANCE

Re: K170528

Trade/Device Name: Sterispine™ PS Regulation Number: 21 CFR 888.3070 Regulation Name: Thoracolumbosacral pedicle screw system Regulatory Class: Class II Product Code: NKB Dated: February 21, 2017 Received: February 22, 2017

Dear Mr. Dumouchel:

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

1

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.

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) K170528

Device Name Sterispine™ PS

Indications for Use (Describe)

The Sterispine™ PS system is intended to provide immobilization of spinal segments in skeletally mature patients as an adjunct of fusion.

Sterispine™ PS system is intended for posterior, non-cervical pedicle and non-pedicle fixation for the following indications: degenerative disc disease (DDD) (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); spinal stenosis; tumor; pseudoarthrosis and failed previous 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

510kSpecial 510k
Basis for SubmissionNew devices
Submitted bySAFE ORTHOPAEDICS
Allée Rosa Luxembourg
Parc des Bellevues- Batiment le Californie
95610 - Eragny sur Oise
France
ContactsPierre DUMOUCHEL- CEO
p.dumouchel@safeorthopaedics.com
Regulatory contact: Isabelle DRUBAIX (Idée Consulting)
idee-consulting@nordnet.fr
Date preparedMarch 7th 2017
Common namePedicle screw spinal system
Trade NameSterispine™ PS
Classification nameThoracolumbosacral Pedicle Screw System
ClassII
Product codeNKB
CFR section888.3070
Device panelOrthopedic
Legally marketed predicatePrimary predicate: Sterispine™ PS K112453,
devicesAdditional predicates: Sterispine™ PS K121299, K130632, K140802,
K151747, K151921)
Indications for useThe Sterispine™ PS system is intended to provide immobilization
and stabilization of spinal segments in skeletally mature patients as
an adjunct of fusion.
Sterispine™ PS system is intended for posterior, non-cervica
pedicle and non-pedicle fixation for the following indications:
degenerative disc disease (DDD) (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); spinal stenosis ; tumor ; pseudoarthrosis and failed
previous fusion.
Description of the deviceThe cleared range of Sterispine™ Ps system include multiaxial
screws and cannulated multiaxial screws with or without extended
head (Ø5.5, 6.5 and 7.5mm, lengths from 25 to 60mm) and straight
and prebent rods (Ø5.5, 6.5 and 7.5mm, lengths from 30 to
380mm). Components of Sterispine™ PS range of products is
supplied sterile with a sterile single-use set of surgical instruments.
Technological characteristicsThe screw lengths added within this submission for each screw
diameter (Ø5.5, 6.5 and 7.5mm) is 65 to 85mm.
Discussion of testingSterispine™ PS conforms to special control established for pedicle
screw spinal system and to Spinal system 510(k)s- Guidance for
industry and FDA staff Document issued on May 3, 2004. The
following testing were conducted on the Sterispine™ PS predicate
device (K112453): Mechanical testing per ASTM F1717 standard
test method for spinal implant constructs in a vertebrectomy model
and ASTM F1798 standard guide for evaluating the static and
fatigue properties of interconnection mechanisms and
subassemblies used in spinal arthrodesis implants. Testing
according to ASTM F1717 includes static compression, static torsion
and dynamic compression. Testing according to ASTM F1798
includes Static slipping, static bending and static rotation. Bacterial
endotoxin testing as specified in USP standard is used for
pyrogenicity testing to achieve the Endotoxin limit of 20 EU /
device. These tests result have demonstrated comparable
mechanical properties to predicates devices.
It has been demonstrated that the added sizes of screws are not
worst cases. So, the worst case screw that has been previously
identified and tested (K112453, K151921). No additional risks have
been identified when compared with Sterispine™ PS screws
previously cleared. Consequently, no new additional testing was
needed for the added sizes.
ConclusionThe extended range of Sterispine™ PS system is substantially
equivalent to its predicate devices Sterispine™ PS (K112453,
K121299, K130632, K140802, K151747, K151921) in terms of
intended use, material, design, mechanical properties and function.

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