K Number
K173324
Device Name
ALTA Anterior Cervical Interbody Spacer
Manufacturer
Date Cleared
2018-02-27

(130 days)

Product Code
Regulation Number
888.3080
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The ALTA Anterior Cervical Interbody Spacer is indicated for intervertebral body fusion of the spine in skeletally mature patients. The ALTA Anterior Cervical Interbody Spacer is intended for use for anterior cervical interbody fusion in patients with cervical disc degeneration and/or cervical spinal instability, as confirmed by imaging studies (radiographs, CT, MRI), that results in radiculopathy, myelopathy, and/or pain at multiple contiguous levels from C2 - T1. The System is intended to be used with supplemental fixation. The System is designed for use with autogenous and/or allogeneic bone graft comprised of cancellous and/or corticocancellous bone graft to facilitate fusion.
Device Description
The ALTA Anterior Cervical Interbody Spacer was developed as implants for the stabilization of the cervical column. The devices have trapezoidal footprints and multiple sizes to accommodate patient anatomy. This device is offered in PEEK OPTIMA LT120HA. The PEEK OPTIMA LT120HA implants have unidirectional teeth on both of their inferior and superior surfaces to prevent migration/expulsion, and graft windows which help facilitate bony integration. X-ray markers are integrated for visualization of the implants during and after surgery. The titanium implants have roughened superior and inferior surfaces to prevent migration of the spacer post implantation.
More Information

Not Found

No
The summary describes a physical implant (interbody spacer) and its mechanical properties. There is no mention of software, algorithms, or any technology that would typically incorporate AI/ML. The "Mentions AI, DNN, or ML" field is explicitly marked as "Not Found".

Yes
The device is described as an "ALTA Anterior Cervical Interbody Spacer" used for "intervertebral body fusion of the spine" in patients with "cervical disc degeneration and/or cervical spinal instability" to address conditions like "radiculopathy, myelopathy, and/or pain." These applications directly refer to treating or alleviating a medical condition, which is the definition of a therapeutic device.

No.
The device is an interbody spacer, an implantable device used in spinal fusion surgery, not a diagnostic device. While its indication for use mentions confirmation by imaging studies (radiographs, CT, MRI), these studies are used to diagnose the patient's condition, not the device itself. The device's purpose is to facilitate fusion, not to diagnose.

No

The device description clearly states it is an implant made of PEEK or titanium, which are physical hardware components, not software.

Based on the provided information, 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, tissue) to provide information for diagnosis, monitoring, or screening.
  • Device Description and Intended Use: The ALTA Anterior Cervical Interbody Spacer is an implantable device used in surgery to fuse vertebrae in the cervical spine. It is a physical device inserted into the body, not a tool for analyzing biological samples.
  • Lack of IVD Characteristics: The description does not mention any analysis of biological specimens, chemical reactions, or laboratory procedures typically associated with IVDs.

Therefore, the ALTA Anterior Cervical Interbody Spacer is a surgical implant, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The ALTA Anterior Cervical Interbody Spacer is indicated for intervertebral body fusion of the spine in skeletally mature patients. The ALTA Anterior Cervical Interbody Spacer is intended for use for anterior cervical interbody fusion in patients with cervical disc degeneration and/or cervical spinal instability, as confirmed by imaging studies (radiographs, CT, MRI), that results in radiculopathy, and/or pain at multiple contiguous levels from C2 - T1. The System is intended to be used with supplemental fixation. The System is designed for use with autogenous and/or allogeneic bone graft comprised of cancellous and/or corticocancellous bone graft to facilitate fusion.

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

ODP

Device Description

The ALTA Anterior Cervical Interbody Spacer was developed as implants for the stabilization of the cervical column. The devices have trapezoidal footprints and multiple sizes to accommodate patient anatomy. This device is offered in PEEK OPTIMA LT120HA. The PEEK OPTIMA LT120HA implants have unidirectional teeth on both of their inferior and superior surfaces to prevent migration/expulsion, and graft windows which help facilitate bony integration. X-ray markers are integrated for visualization of the implants during and after surgery. The titanium implants have roughened superior and inferior surfaces to prevent migration of the spacer post implantation.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

radiographs, CT, MRI

Anatomical Site

cervical spine, C2 - T1

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)

The following analyses were conducted:
• Static and dynamic compression per ASTM F2077
• Static and dynamic torsion per ASTM F2077
• Subsidence per ASTM F2267
The results of these evaluations indicate that the PEEK-OPTIMA LT120HA (PEEK-OPTIMA HA Enhanced) ALTA Anterior Cervical Interbody Spacer is equivalent to predicate devices.

No clinical studies were performed

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.

K160154, K142026, K163491

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

§ 888.3080 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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February 27, 2018

Astura Medical Mr. Thomas Purcell Vice President 3186 Lionshead Ave, Suite 100 Carlsbad, California 92010

Re: K173324

Trade/Device Name: ALTA Anterior Cervical Interbody Spacer Regulation Number: 21 CFR 888.3080 Regulation Name: Intervertebral Body Fusion Device Regulatory Class: Class II Product Code: ODP Dated: December 10, 2017 Received: December 15, 2017

Dear Mr. Purcell:

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 of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820);

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and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Katherine D. Kavlock -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) K173324

Device Name

ALTA Anterior Cervical Interbody Spacer

Indications for Use (Describe)

The ALTA Anterior Cervical Interbody Spacer is indicated for intervertebral body fusion of the spine in skeletally mature patients. The ALTA Anterior Cervical Interbody Spacer is intended for use for anterior cervical interbody fusion in patients with cervical disc degeneration and/or cervical spinal instability, as confirmed by imaging studies (radiographs, CT, MRI), that results in radiculopathy, and/or pain at multiple contiguous levels from C2 - T1. The System is intended to be used with supplemental fixation. The System is designed for use with autogenous and/or allogeneic bone graft comprised of cancellous and/or corticocancellous bone graft 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: ALTA ANTERIOR CERVICAL INTERBODY SPACER

PEEK-OPTIMA LT120HA (PEEK-OPTIMA HA Enhanced)

In accordance with 21 CFR 807.92 of the Federal Code of Regulations

Date PreparedJanuary 31st 2018
Submitted ByAstura Medical
3186 Lionshead Ave, Suite 100
Carlsbad, CA 92010
Phone: 760-814-8047
ContactThomas Purcell
3186 Lionshead Ave, Suite 100
Carlsbad, CA 92010
Phone: 760-814-8047
Email: thomas@asturamedical.com
Trade NameALTA Anterior Cervical Interbody Spacer
Common NameIntervertebral body fusion device
Classification NameIntervertebral Body Fusion Device With Bone Graft, Cervical
ClassII
Product CodeODP
CFR Section21 CFR section 888.3080
Device PanelOrthopedic
Primary Predicate DeviceAstura Medical ALTA Anterior Cervical Interbody Spacer (K160154)
Additional Predicate
Device(s)SpineFrontier Incorporated, Arena-C HA PEEK Cervical Intervertebral Body
Fusion Device (K142026), NuVasive® CoRoent® Small Interbody System
(K163491)
Device DescriptionThe ALTA Anterior Cervical Interbody Spacer was developed as implants
for the stabilization of the cervical column. The devices have trapezoidal
footprints and multiple sizes to accommodate patient anatomy. This
device is offered in PEEK OPTIMA LT120HA. The PEEK OPTIMA LT120HA
implants have unidirectional teeth on both of their inferior and superior
surfaces to prevent migration/expulsion, and graft windows which help
facilitate bony integration. X-ray markers are integrated for visualization
of the implants during and after surgery. The titanium implants have
roughened superior and inferior surfaces to prevent migration of the
spacer post implantation.
MaterialsPEEK-OPTIMA LT120HA (PEEK-OPTIMA HA Enhanced) – MAF 2227 (added
material)
Tantalum per ASTM F560
Substantial Equivalence
Claimed to Predicate
DevicesThe PEEK-OPTIMA LT120HA (PEEK-OPTIMA HA Enhanced) ALTA Anterior
Cervical Interbody Spacer are substantially equivalent to the predicate
devices in terms of intended use, design, material, and mechanical safety
and performances.
Indications for UseThe ALTA Anterior Cervical Interbody Spacer is indicated for
intervertebral body fusion of the spine in skeletally mature patients. The
ALTA Anterior Cervical Interbody Spacer is intended for use for anterior
cervical interbody fusion in patients with cervical disc degeneration
and/or cervical spinal instability, as confirmed by imaging studies
(radiographs, CT, MRI), that results in radiculopathy, myelopathy, and/or
pain at multiple contiguous levels from C2 - T1. The System is intended to
be used with supplemental fixation. The System is designed for use with
autogenous and/or allogeneic bone graft comprised of cancellous and/or
corticocancellous bone graft to facilitate fusion.
Non-clinical Test
SummaryThe following analyses were conducted:
• Static and dynamic compression per ASTM F2077
• Static and dynamic torsion per ASTM F2077
• Subsidence per ASTM F2267
The results of these evaluations indicate that the PEEK-OPTIMA LT120HA
(PEEK-OPTIMA HA Enhanced) ALTA Anterior Cervical Interbody Spacer is
equivalent to predicate devices.
Clinical Test SummaryNo clinical studies were performed
Conclusions: Non-Clinical
and ClinicalAstura Medical considers the PEEK-OPTIMA LT120HA (PEEK-OPTIMA HA
Enhanced) ALTA Anterior Cervical Interbody Spacer to be equivalent to
the predicate devices listed above. This conclusion is based upon the
devices' similarities in principles of operation, technology, materials and
indications for use.

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