K Number
K182982
Device Name
BridalVeil Navigated Instruments
Manufacturer
Date Cleared
2019-01-04

(67 days)

Product Code
Regulation Number
882.4560
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The BRIDALVEIL NAVIGATED INSTRUMENTS are intended to be used in the preparation and placement of BRIDALVEIL screws during spinal surgery to assist the surgeon in precisely locating anatomical structures in either open or minimally invasive procedures. These instruments are designed for use with the Medtronic 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.
Device Description
The BRIDALVEIL Navigated Instruments are comprised of nonsterile, reusable instruments including taps and drivers that can be operated manually. These instruments are intended to be used with the Medtronic StealthStation® System (v 2.1.0) and are manufactured from stainless steel, as specified in ASTM F899.
More Information

No
The summary describes navigated surgical instruments used with a navigation system, but there is no mention of AI or ML in the device description, intended use, or performance studies. The navigation system itself (Medtronic StealthStation® System) is mentioned, but its specific version (v 2.1.0) and the description of the navigated instruments do not indicate AI/ML capabilities.

No
The device is a set of navigated instruments (taps and drivers) used in conjunction with a separate navigation system to assist in the preparation and placement of screws during spinal surgery, rather than directly treating a medical condition itself.

No

Explanation: The device is described as surgical instruments (taps and drivers) intended for the preparation and placement of screws during spinal surgery, assisting the surgeon in locating anatomical structures. It is used in conjunction with a navigation system for surgical guidance, not for diagnosing medical conditions.

No

The device description explicitly states the device is comprised of "nonsterile, reusable instruments including taps and drivers" made from stainless steel, which are physical hardware components.

Based on the provided information, the BRIDALVEIL NAVIGATED INSTRUMENTS are not an In Vitro Diagnostic (IVD) device.

Here's why:

  • IVD Definition: IVD devices are used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening.
  • BRIDALVEIL NAVIGATED INSTRUMENTS Function: The description clearly states that these instruments are used during spinal surgery to assist the surgeon in precisely locating anatomical structures and preparing and placing screws. They are surgical tools used directly on the patient's anatomy, not for analyzing biological samples.

The device's function is to aid in surgical navigation and instrument placement, which falls under the category of surgical instruments and navigation systems, not IVDs.

N/A

Intended Use / Indications for Use

The BRIDALVEIL NAVIGATED INSTRUMENTS are intended to be used in the preparation and placement of BRIDALVEIL screws during spinal surgery to assist the surgeon in precisely locating anatomical structures in either open or minimally invasive procedures. These instruments are designed for use with the Medtronic 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 BRIDALVEIL Navigated Instruments are comprised of nonsterile, reusable instruments including taps and drivers that can be operated manually. These instruments are intended to be used with the Medtronic StealthStation® System (v 2.1.0) and are manufactured from stainless steel, as specified in ASTM F899.

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, spinal

Indicated Patient Age Range

Not Found

Intended User / Care Setting

surgeon, spinal surgery

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)

NON-CLINICAL TEST SUMMARY:
The following analyses were conducted:

  • Dimensional analysis compared to predicate
  • Anatomical simulated use and navigation accuracy
    The results of these evaluations indicate that the BRIDALVEIL NAVIGATED INSTRUMENTS are equivalent to the predicate devices.

CLINICAL TEST SUMMARY:
No clinical studies were performed

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

Not Found

Predicate Device(s)

Medtronic Instruments (K143628, K143375, K140454)

Reference Device(s)

BRIDALVEIL Occipital Cervical Thoracic System, (Screws) (K171250), OLYMPIC Navigated Instruments (K172166)

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).

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January 4, 2019

Image /page/0/Picture/1 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: on the left, there is an emblem of the Department of Health & Human Services, and on the right, there is the text "FDA U.S. FOOD & DRUG ADMINISTRATION" in blue. The emblem features a stylized depiction of a bird or eagle, while the text clearly identifies the organization as the FDA.

Astura Medical Parker Kelch Quality Manager 3186 Lionshead Ave. Suite 100 Carlsbad, California 92010

Re: K182982

Trade/Device Name: BridalVeil Navigated Instruments Regulation Number: 21 CFR 882.4560 Regulation Name: Stereotaxic Instrument Regulatory Class: Class II Product Code: OLO Dated: December 6, 2018 Received: December 7, 2018

Dear Parker Kelch:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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

1

801); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/CombinationProducts/GuidanceRegulatoryInformation/ucm597488.htm); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; 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 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,

Shumaya Ali -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)

K182982

Device Name BRIDALVEIL NAVIGATED INSTRUMENTS

Indications for Use (Describe)

The BRIDALVEIL NAVIGATED INSTRUMENTS are intended to be used in the preparation and placement of BRIDALVEIL screws during spinal surgery to assist the surgeon in precisely locating anatomical structures in either open or minimally invasive procedures. These instruments are designed for use with the Medtronic 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)
☒ Prescription Use (Part 21 CFR 801 Subpart D)□ Over-The-Counter Use (21 CFR 801 Subpart C)

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510(k) Summary: BRIDALVEIL NAVIGATED INSTRUMENTS

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

Date PreparedOctober 26, 2018
Submitted ByAstura Medical
3186 Lionshead Ave, Suite 100
Carlsbad, Ca 92010
Phone: 760-814-8047
ContactParker Kelch
3186 Lionshead Ave, Suite 100
Carlsbad, Ca 92010
Phone: 760-814-8047
Email: quality@asturamedical.Com
Trade NameBRIDALVEIL Navigated Instruments
Common NameNavigated instruments
Classification NameStereotaxic instrument
ClassClass II
Product CodeOLO
Cfr Section21 CFR Section 882.4560
Device PanelOrthopedic
Primary Predicate DeviceMedtronic Instruments (K143628, K143375, K140454)
Reference Device(s)BRIDALVEIL Occipital Cervical Thoracic System, (Screws) (K171250)
OLYMPIC Navigated Instruments (K172166)
Device DescriptionThe BRIDALVEIL Navigated Instruments are comprised of nonsterile,
reusable instruments including taps and drivers that can be operated
manually. These instruments are intended to be used with the Medtronic
StealthStation® System (v 2.1.0) and are manufactured from stainless
steel, as specified in ASTM F899.
MaterialsStainless Steel per ASTM F899
Substantial EquivalenceThe BRIDALVEIL Navigated Instruments are substantially equivalent to the
Claimed to Predicatepredicate BRIDALVEIL devices in terms of intended use, materials used,
Devicesmechanical safety and performances. The changes in design on the
instruments are the addition of a Navlock feature, this is equivalent to the
Navlock found on Medtronic Navigated instruments and intended for use
with the Medtronic StealthStation® System.
Indications for UseThe BRIDALVEIL NAVIGATED INSTRUMENTS are intended to be used in
the preparation and placement of BRIDALVEIL screws during spinal
surgery to assist the surgeon in precisely locating anatomical structures in
either open or minimally invasive procedures. These instruments are
designed for use with the Medtronic 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.
NON-CLINICAL TESTThe following analyses were conducted:
SUMMARY
Dimensional analysis compared to predicate
• Anatomical simulated use and navigation accuracy
The results of these evaluations indicate that the BRIDALVEIL NAVIGATED
INSTRUMENTS are equivalent to the predicate devices.
CLINICAL TEST SUMMARYNo clinical studies were performed
CONCLUSIONS: NON-
CLINICAL AND CLINICALAstura medical considers the BRIDALVEIL NAVIGATED INSTRUMENTS 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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