K Number
K202488
Device Name
ZSFab Cervical Interbody System
Manufacturer
Date Cleared
2021-01-07

(129 days)

Product Code
Regulation Number
888.3080
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The ZSFab Cervical Interbody System is intended for anterior interbody fusion in skeletally mature patients who have had at least six weeks of non-operative treatment. The ZSFab Cervical Interbody System is indicated to treat 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 ZSFab Cervical Interbody System is designed for use with autogenous and/or allogeneic bone graft comprised of cancellous and/or corticocancellous bone to facilitate fusion and to be used with supplemental fixation cleared for use in the cervical spine.
Device Description
The ZSFab Cervical Interbody System includes additively manufactured interbody fusion devices for cervical implantation. The implants are designed with lattice structures to provide surgical stabilization of the spine. The lattices have near-elliptical pores with minor axis length of 720-760μm and major axis length of 1030-1060μm. Each interbody has a bone graft window that can be packed with bone graft material. The implants are available in a variety of height, length, width and lordotic angulation combinations to accommodate the patient specific anatomy and clinical circumstances.
More Information

Not Found

No
The summary describes a physical implant device 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 intended for anterior interbody fusion to treat conditions like cervical disc degeneration and spinal instability, aiming to alleviate radiculopathy, myelopathy, and pain, which are therapeutic goals.

No

The device is an interbody fusion system designed to treat cervical disc degeneration and spinal instability by facilitating fusion and providing stabilization. It is a therapeutic device, not a diagnostic one. The mention of imaging studies (radiographs, CT, MRI) refers to how the condition is confirmed, not to the device itself performing diagnostics.

No

The device description explicitly states that the ZSFab Cervical Interbody System includes "additively manufactured interbody fusion devices for cervical implantation," which are physical implants, not software.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVDs are used to examine specimens from the human body. The ZSFab Cervical Interbody System is an implantable device designed to be surgically placed within the cervical spine. It does not analyze or test samples like blood, urine, or tissue.
  • The intended use is surgical fusion. The purpose of this device is to provide structural support and facilitate bone growth for spinal fusion, not to diagnose a condition based on in vitro analysis.
  • The device description details an implant. The description focuses on the physical characteristics of the implantable device, such as its material, structure, and dimensions.
  • The performance studies are mechanical tests. The studies described evaluate the physical strength and stability of the implant, which is relevant for a surgical device, not an IVD.

The information provided clearly describes a surgical implant for spinal fusion, which falls under the category of medical devices, but not specifically In Vitro Diagnostics.

N/A

Intended Use / Indications for Use

The ZSFab Cervical Interbody System is intended for anterior interbody fusion in skeletally mature patients who have had at least six weeks of non-operative treatment. The ZSFab Cervical Interbody System is indicated to treat 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 ZSFab Cervical Interbody System is designed for use with autogenous and/or allogeneic bone graft comprised of cancellous and/or corticocancellous bone to facilitate fusion and to be used with supplemental fixation cleared for use in the cervical spine.

Product codes

ODP

Device Description

The ZSFab Cervical Interbody System includes additively manufactured interbody fusion devices for cervical implantation. The implants are designed with lattice structures to provide surgical stabilization of the spine. The lattices have near-elliptical pores with minor axis length of 720-760μm and major axis length of 1030-1060μm. Each interbody has a bone graft window that can be packed with bone graft material. The implants are available in a variety of height, length, width and lordotic angulation combinations to accommodate the patient specific anatomy and clinical circumstances.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

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

Mechanical testing of the worst case ZSFab Cervical Interbody System implant included static and dynamic axial compression and static and dynamic torsion according to ASTM F2077. In addition, subsidence according to ASTM F2267 and expulsion tests were performed. The mechanical test results demonstrate that the ZSFab Cervical Interbody System performance is substantially equivalent to the predicate devices.

Key Metrics

Not Found

Predicate Device(s)

Cascadia™ Interbody System (K2M Inc. – K160125)

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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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Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food & Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

January 7, 2021

ZSFab Inc. % Karen Warden President BackRoads Consulting Inc. 12520 Heath Road Chesterland. Ohio 44026

Re: K202488

Trade/Device Name: ZSFab Cervical Interbody System Regulation Number: 21 CFR 888.3080 Regulation Name: Intervertebral Body Fusion Device Regulatory Class: Class II Product Code: ODP Dated: December 4, 2020 Received: December 7, 2020

Dear Karen Warden:

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

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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) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

for Brent Showalter, Ph.D. Assistant Director DHT6B: Division of Spinal Devices OHT6: Office of Orthopedic Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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Form Approved: OMB No. 0910-0120

Expiration Date: 06/30/2020

See PRA Statement below.

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known)

K202488

Device Name ZSFab Cervical Interbody System

Indications for Use (Describe)

The ZSFab Cervical Interbody System is intended for anterior interbody fusion in skeletally mature patients who have had at least six weeks of non-operative treatment. The ZSFab Cervical Interbody System is indicated to treat 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 ZSFab Cervical Interbody System is designed for use with autogenous and/or allogeneic bone graft comprised of cancellous and/or corticocancellous bone to facilitate fusion and to be used with supplemental fixation cleared for use in the cervical spine.

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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Section 7 – 510(k) Summary

Date:28 August 2020
Sponsor:ZSFab Inc.
705 Cambridge St, Suite 1
Cambridge, MA 02141
Office: 213.880.4966
Sponsor Contact:Kai Xu, CTO
510(k) Contact:Karen E. Warden, PhD
BackRoads Consulting Inc.
PO Box 566
Chesterland, OH 44026
Office: 440.729.8457
Proposed Trade Name:ZSFab Cervical Interbody System
Common Name:Cervical interbody fusion device
Device Classification:Class II
Regulation Names,
Regulation Numbers,
Product Codes:Intervertebral fusion device with bone graft, 888.3080, cervical, ODP
Device Description:The ZSFab Cervical Interbody System includes additively manufactured
interbody fusion devices for cervical implantation. The implants are
designed with lattice structures to provide surgical stabilization of the spine.
The lattices have near-elliptical pores with minor axis length of 720-760μm
and major axis length of 1030-1060μm. Each interbody has a bone graft
window that can be packed with bone graft material. The implants are
available in a variety of height, length, width and lordotic angulation
combinations to accommodate the patient specific anatomy and clinical
circumstances.
Indications for Use:The ZSFab Cervical Interbody System is intended for anterior interbody
fusion in skeletally mature patients who have had at least six weeks of non-
operative treatment. The ZSFab Cervical Interbody System is indicated to
treat 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 ZSFab Cervical Interbody System is designed for use with
autogenous and/or allogeneic bone graft comprised of cancellous and/or
corticocancellous bone to facilitate fusion and to be used with supplemental
fixation cleared for use in the cervical spine.
Materials:The ZSFab Cervical Interbody System implants are manufactured from Ti-
6Al-4V ELI titanium alloy (ASTM F3001).
Primary Predicate:Cascadia™ Interbody System (K2M Inc. – K160125)
Performance Data:Mechanical testing of the worst case ZSFab Cervical Interbody System
implant included static and dynamic axial compression and static and
dynamic torsion according to ASTM F2077. In addition, subsidence
according to ASTM F2267 and expulsion tests were performed.
The mechanical test results demonstrate that the ZSFab Cervical Interbody System performance is substantially equivalent to the predicate devices.
Technological
Characteristics:The ZSFab Cervical Interbody System possesses the same technological characteristics as one or more of the predicate devices. These include:
• intended use (as described above) • basic design (additively manufactured structure), • material (titanium alloy) and • sizes (dimensions are comparable to those offered by the predicate systems) The ZSFab Cervical Interbody System is the same as previously cleared devices.
Conclusion:The ZSFab Cervical Interbody System possesses the same intended use and technological characteristics as the predicate devices. Therefore the ZSFab Cervical Interbody System is substantially equivalent for its intended use.

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