K Number
K221719
Device Name
ABTross ALIF Expandable Cage System
Manufacturer
Date Cleared
2022-11-03

(143 days)

Product Code
Regulation Number
888.3080
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
ABTross ALIF Expandable Cage System is indicated for intervertebral body fusion of the spine in skeletally mature patients. The device system is designed for use with bone graft (autograft bone and/or allogenic bone graft composed of cancellous and/or corticocancellous bone graft) to facilitate fusion. ABTross ALIF Expandable Cage System is intended for use at either one level or two contiguous levels in the lumbar spine, from L2 to S1, for the treatment of degenerative disc disease (DDD) with up to Grade I spondylolisthesis at the involved level(s). DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. Patients should have at least six months of non-operative treatment with a lumbar intervertebral fusion device. The device is intended to be used with supplemental fixation systems that have been cleared for use in the lumbosacral spine (e.g., posterior pedicle screw and rod systems, anterior plate systems, and anterior screw and rod systems). Hyperlordotic interbody devices (>=20° lordosis) must be used with at least anterior supplemental fixation.
Device Description
The ABTross ALIF Expandable Cage System is interbody fusion devices. This cage system is made of Titanium 6AL-4V Alloy (ASTM F136). And cages are offered in a variety of widths, lengths, heights and lordotic angles designed to adapt to a variety of patient anatomies. The cage can be expanded in height using the system instrument after being inserted in the unexpanded state. The cages have serrations on the superior endplate and inferior endplate surfaces area to contact vertebrae bone endplate. The device system is designed for use with bone graft (autograft bone and/or allogenic bone graft composed of cancellous and/or corticocancellous bone graft) to facilitate fusion. The device is intended to be used with supplemental fixation systems that have been cleared for use in the lumbrosacral spine (e.g., posterior pedicle screw and rod systems, anterior or lateral plate systems, and anterior screw and rod systems). All implants are provided sterile and intended for SINGLE USE ONLY and should not be reused under any circumstances.
More Information

MAGNIFY TM Spacer System(K142498), XYPAN Expandable Lumbar Cage (XL, XTP) System(K203531), Xenco Medical Lumbar Interbody System(K143158), Vu a POD Intervertebral Body Fusion Device (K080822/K121211/K173606), AnyPlus PEEK Cages (ALIF) (K100516/K111354)

Not Found

No
The device description and intended use focus on the mechanical properties and design of an expandable interbody fusion cage, with no mention of AI or ML capabilities. The "Mentions AI, DNN, or ML" section explicitly states "Not Found".

Yes
This device is an intervertebral body fusion device intended to facilitate fusion in the spine, which is a treatment for degenerative disc disease.

No

The device is an intervertebral fusion cage system, which is a therapeutic implant used for spinal fusion, not for diagnosing conditions. Its primary function is to facilitate the fusion of vertebrae in patients with degenerative disc disease.

No

The device description clearly states it is an interbody fusion device made of Titanium 6AL-4V Alloy, which is a physical hardware component.

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: The ABTross ALIF Expandable Cage System is a physical implant designed to be surgically placed within the lumbar spine to facilitate bone fusion. It is a medical device used in vivo (within the body), not in vitro (in a lab setting).
  • Intended Use: The intended use is for intervertebral body fusion of the spine, a surgical procedure, not for analyzing biological samples.

The provided information clearly describes a surgical implant, not a diagnostic test performed on specimens outside the body.

N/A

Intended Use / Indications for Use

ABTross ALIF Expandable Cage System is indicated for intervertebral body fusion of the spine in skeletally mature patients. The device system is designed for use with bone graft (autograft bone and/or allogenic bone graft composed of cancellous and/or corticocancellous bone graft) to facilitate fusion. ABTross ALIF Expandable Cage System is intended for use at either one level or two contiguous levels in the lumbar spine, from L2 to S1, for the treatment of degenerative disc disease (DDD) with up to Grade I spondylolisthesis at the involved level(s). DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. Patients should have at least six months of non-operative treatment with a lumbar intervertebral fusion device. The device is intended to be used with supplemental fixation systems that have been cleared for use in the lumbosacral spine (e.g., posterior pedicle screw and rod systems, anterior plate systems, and anterior screw and rod systems). Hyperlordotic interbody devices (≥20° lordosis) must be used with at least anterior supplemental fixation.

Product codes

MAX

Device Description

The ABTross ALIF Expandable Cage System is interbody fusion devices. This cage system is made of Titanium 6AL-4V Alloy (ASTM F136). And cages are offered in a variety of widths, lengths, heights and lordotic angles designed to adapt to a variety of patient anatomies.

The cage can be expanded in height using the system instrument after being inserted in the unexpanded state. The cages have serrations on the superior endplate and inferior endplate surfaces area to contact vertebrae bone endplate. The device system is designed for use with bone graft (autograft bone and/or allogenic bone graft composed of cancellous and/or corticocancellous bone graft) to facilitate fusion. The device is intended to be used with supplemental fixation systems that have been cleared for use in the lumbrosacral spine (e.g., posterior pedicle screw and rod systems, anterior or lateral plate systems, and anterior screw and rod systems). All implants are provided sterile and intended for SINGLE USE ONLY and should not be reused under any circumstances.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

lumbar spine, from L2 to S1

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)

Performance testing was performed to demonstrate that the subject ABTross ALIF Expandable Cage System is substantially equivalent to other predicate devices.

Static compression, dynamic compression, static and dynamic shear testing according to ASTM F2077, was presented to demonstrate the substantial equivalency of the ABTross ALIF Expandable Cage System to the predicate devices.

  • Static Axial Compression Test ASTM F 2077 -18 "
  • Static Compression-Shear Test - ASTM F 2077 -18
  • Static Expulsion Test - ASTM draft F-04.25.02.02
  • Static Subsidence Test ASTM F 2267 04 (Reapproved 2018) .
  • Dynamic Axial Compression Test- ASTM F 2077 -18
  • Dynamic Compression-Shear Test - ASTM F 2077 -18

Bench testing to evaluate the mechanical properties of the ABTross ALIF Expandable Cage System showed a higher or similar mechanical value than predicate marketed devices.

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.

MAGNIFY TM Spacer System(K142498), XYPAN Expandable Lumbar Cage (XL, XTP) System(K203531), Xenco Medical Lumbar Interbody System(K143158), Vu a POD Intervertebral Body Fusion Device (K080822/K121211/K173606), AnyPlus PEEK Cages (ALIF) (K100516/K111354)

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.

0

Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA text logo on the right. The text logo has the FDA acronym in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue.

November 3, 2022

Aegis Spine, Inc. Kihyang Kim Regulatory Affairs 9781 S. Meridian Blvd, Ste 300 Englewood, Colorado 80112

Re: K221719

Trade/Device Name: ABTross ALIF Expandable Cage System Regulation Number: 21 CFR 888.3080 Regulation Name: Intervertebral Body Fusion Device Regulatory Class: Class II Product Code: MAX Dated: October 3, 2022 Received: October 5, 2022

Dear Kihyang Kim:

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

1

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

2

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known) K221719

Device Name ABTross ALIF Expandable Cage System

Indications for Use (Describe)

ABTross ALIF Expandable Cage System is indicated for intervertebral body fusion of the spine in skeletally mature patients. The device system is designed for use with bone graft (autograft bone and/or allogenic bone graft composed of cancellous and/or corticocancellous bone graft) to facilitate fusion. ABTross ALIF Expandable Cage System is intended for use at either one level or two contiguous levels in the lumbar spine, from L2 to S1, for the treatment of degenerative disc disease (DDD) with up to Grade I spondylolisthesis at the involved level(s). DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. Patients should have at least six months of non-operative treatment with a lumbar intervertebral fusion device. The device is intended to be used with supplemental fixation systems that have been cleared for use in the lumbosacral spine (e.g., posterior pedicle screw and rod systems, anterior plate systems, and anterior screw and rod systems). Hyperlordotic interbody devices (≥20° lordosis) must be used with at least anterior supplemental fixation.

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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3

K221719 - 510(k) SUMMARY

The following 510(k) summary is being submitted as required by 21 CFR 807.92(a):

1. SUBMITTER

Submitter's Name:Aegis Spine, INC.
Submitter's Address:9781 S. Meridian Blvd, Ste 300
Englewood, CO 80112
Submitter's Telephone:+1.303.741.4123
Contact Person:Kihyang Kim
+1.303.741.4123
khkim@aegisspine.com/khkim3747@gmail.com

2. DEVICE NAME

Trade or Proprietary NameABTross ALIF Expandable Cage System
Common or Usual NameIntervertebral Body Fusion Device, Intervertebral cage, Spacer
Regulation class / NumberClassII, CFR 888.3080
Regulation NameIntervertebral Body Fusion Device
Product CodeMAX
Classification PanelSpinal Devices (DHT6B)

PREDICATE DEVICE 3.

The subject ABTross ALIF Expandable Cage System is substantially equivalent to the following devices:

Primary Predicate Device

  • MAGNIFY TM Spacer System(K142498) .
    Additional Predicate Devices

  • XYPAN Expandable Lumbar Cage (XL, XTP) System(K203531)

  • Xenco Medical Lumbar Interbody System(K143158) .

  • Vu a POD Intervertebral Body Fusion Device (K080822/K121211/K173606) .

  • AnyPlus PEEK Cages (ALIF) (K100516/K111354)

DESCRIPTION OF THE DEVICE 4.

The ABTross ALIF Expandable Cage System is interbody fusion devices. This cage system is made of Titanium 6AL-4V Alloy (ASTM F136). And cages are offered in a variety of widths, lengths, heights and lordotic angles designed to adapt to a variety of patient anatomies.

The cage can be expanded in height using the system instrument after being inserted in the unexpanded state. The cages have serrations on the superior endplate and inferior endplate surfaces area to contact vertebrae bone endplate. The device system is designed for use with bone graft (autograft bone and/or allogenic bone graft composed of cancellous and/or corticocancellous bone graft) to facilitate fusion. The device is intended to be used with supplemental fixation systems that have been cleared for use in the lumbrosacral spine (e.g., posterior pedicle screw and rod systems, anterior or lateral plate systems, and anterior screw and rod systems). All implants are provided sterile and intended for SINGLE USE ONLY and should not be reused under any circumstances.

4

ડ. INDICATION FOR USE

ABTross ALIF Expandable Cage System is indicated for intervertebral body fusion of the spine in skeletally mature patients. The device system is designed for use with bone graft hone and/or allogenic bone graft composed of cancellous and/or corticocancellous bone graft) to facilitate fusion. ABTross ALIF Expandable Cage System is intended for use at either one level or two contiguous levels in the lumbar spine, from L2 to S1, for the treatment of degenerative disc disease (DDD) with up to Grade I spondylolisthesis or retrolisthesis at the involved level(s). DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. Patients should have at least six months of nonoperative treatment prior to treatment with a lumbar intervertebral fusion device. The device is intended to be used with supplemental fixation systems that have been cleared for use in the lumbosacral spine (e.g., posterior pedicle screw and rod systems, anterior plate systems, and anterior screw and rod systems). Hyperlordotic interbody devices (≥20° lordosis) must be used with at least anterior supplemental fixation.

PERFORMANCE DATA 6.

Performance testing was performed to demonstrate that the subject ABTross ALIF Expandable Cage System is substantially equivalent to other predicate devices.

Static compression, dynamic compression, static and dynamic shear testing according to ASTM F2077, was presented to demonstrate the substantial equivalency of the ABTross ALIF Expandable Cage System to the predicate devices.

  • Static Axial Compression Test ASTM F 2077 -18 "
  • י Static Compression-Shear Test - ASTM F 2077 -18
  • . Static Expulsion Test - ASTM draft F-04.25.02.02
  • Static Subsidence Test ASTM F 2267 04 (Reapproved 2018) .
  • . Dynamic Axial Compression Test- ASTM F 2077 -18
  • . Dynamic Compression-Shear Test - ASTM F 2077 -18

Bench testing to evaluate the mechanical properties of the ABTross ALIF Expandable Cage System showed a higher or similar mechanical value than predicate marketed devices.

7. MATERIAL

The ABTross ALIF Expandable Cage System is manufactured from Ti-6Al-4V ELI titanium alloy (ASTM

F136). This this is the same material used in the predicate devices.

COMPARISON OF TECHNICAL CHARACTERISTICS WITH THE PREDICATE DEVICE 8.

The subject and predicate devices have nearly identical technological characteristics and the minor differences do not raise any new issues of safety and effectiveness. Specifically, the following characteristics are identical between the subject and predicates:

  • . Instruction for use
  • . Design
  • . Expanding Mechanism
  • . Material
  • . Approach
  • Sterilization & Method

The following technological similarities and differences exist between the subject and predicate devices:

5

INDICATION FOR USE
This Subject ABTross ALIF
Expandable Cage System /
MAXwith
Not indicated for standalone use and must be used with supplemental fixation.
Hyper lordotic degree ( $≥20°$ lordosis) must be used with at least anterior supplemental
fixation.
Predicate DevicesSimilaritiesDifferences
MAGNIFY TM Spacers
MAGNIFY™ S Spacers
K142498 / MAX, OVDBelow both indications can be used
MAGNIFY TM Spacers is not indicated
for stand-alone use and must be used
with supplemental fixation.MAGNIFY™ S Spacers is stand-alone
devices.
XYPAN Expandable
Lumbar Cage (XL, XTP)
System K203531 / MAXNot indicated for standalone use and
must be used with supplemental
fixation.
Xenco Medical Lumbar
Interbody System K143158/
MAXNot indicated for standalone use and
must be used with supplemental
fixation.
Vu a POD Intervertebral
Body Fusion Device
K080822/K121211/K173606
/MAX, OVDBelow both indications can be used
Not indicated for standalone use and
must be used with supplemental
fixation (without use SpinePlate and
bone screws)
Hyper lordotic degree ( $≥20°$ lordosis)
must be used with at least anterior
supplemental fixation.When used with provided SpinePlate
and bone screws, is a stand-alone
device.
AnyPlus® Peek Cage
K100516/K111354 /MAXNot indicated for standalone use and
must be used with supplemental
fixation.
DESIGN
This Subject ABTross ALIF
Expandable Cage System• Lordotic rectangular cylindrical shape and has an open space inside for bone graft for
Anterior approach
• Lordotic Min. / Max. angle: 8° ~ 30°
• Depth / width (mm) / Height :24x32 / 29x38 / 6 ~19
Predicate DevicesSimilaritiesDifferences
MAGNIFY TM Spacers
MAGNIFY™ S Spacers
K142498• Lordotic rectangular shape and has an
open space inside for bone graft for
Anterior approach
• Depth / width / Height: similar• Provided screws for stand-alone
indication
• Lordotic Min. /Max. angle: 8° ~ 15°
XYPAN Expandable
Lumbar Cage (XL, XTP)
System K203531• Lordotic rectangular cylindrical shape and
has an open space inside for bone graft for
lateral approach.
• Depth / width / height: similar / bigger• Curved (banana shape) shape and has
an open space inside for bone graft
for Anterior to Psoas approach.
• Lordotic Min. /Max. angle: 0° ~ 15°
Xenco Medical Lumbar
Interbody System
K143158• Rectangular cylindrical shape and has an
open space inside for bone graft for
Anterior approach
• Hyper Lordotic angle: 20° ~ 30°-
Vu a POD Intervertebral
Body Fusion Device
K080822/K121211/K173606• Rectangular cylindrical shape and has an
open space inside for bone graft.
• Depth / width / Height: similar• Provided SpinePlate and bone screws
for stand-alone indication
• Lordotic Min. /Max.angle: 8° ~ 15°
AnyPlus® Peek Cage
(ALIF) K100516/K111354• Rectangular cylindrical shape and has an
open space inside for bone graft.
• Depth / width / Height: similar• Lordotic Min. /Max.angle: 0° ~ 11°

6

EXPANDING MECHANISM
This Subject ABTross ALIF Expandable
Cage System· Expandable Devices - Height adjusting in mm: 610/ 913/ 1216/1519
· Expandable Height Adjusting Structural Mechanism: tightening the bolt
with Height adjusting Driver, the anterior guide block and the posterior
guide block are close to each other, pushing up the plates.
Predicate DevicesSimilaritiesDifferences
MAGNIFY TM Spacers
MAGNIFY™ S Spacers/K142498· Expandable Devices - Height
adjusting in mm 811/ 1013/
215/1417/ 1619/1821· When rotate adjusting driver
clockwise, the side pins on both
sides are pulled forward, pushing
the upper and lower end plates up
and down.
XYPAN Expandable Lumbar Cage (XL,
XTP) System K203531· Expandable Devices- Height
adjusting mm 610/ 711/
812/10 14/12~16
· Expandable Height Adjusting
Structural Mechanism: tightening
the bolt with Height adjusting
Driver, the anterior guide block
and the posterior guide block are
close to each other, pushing up the
plates.-
Xenco Medical Lumbar Interbody
System K143158-Non-Expandable Devices
Vu a POD Intervertebral Body Fusion
Device K080822/K121211/K173606-Non-Expandable Devices
AnyPlus® Peek Cage 100516/K111354-Non-Expandable Devices
MATERIAL
This Subject ABTross ALIF Expandable
Cage SystemTi-6Al-4V ELI titanium alloy (ASTM F136)
Predicate DevicesSimilaritiesDifferences
MAGNIFY TM SpacersTi-6Al-4V ELI titanium alloy
(ASTM F136)-
MAGNIFY TM S Spacers/K142498
XYPAN Expandable Lumbar Cage (XL,
XTP) System K203531Ti-6Al-4V ELI titanium alloy
(ASTM F136)-
Xenco Medical Lumbar Interbody
System K143158-PEEK (ASTM F 2026) with
Tantalum markers (ASTM F560)
Vu a POD Intervertebral Body Fusion
Device K080822/K121211/K173606Ti-6Al-4V ELI titanium alloy
(ASTM F136)- Spineplate and
screwsPEEK (ASTM F 2026) with
Tantalum markers (ASTM F560)-
cage
AnyPlus® Peek Cage K100516/K111354-PEEK (ASTM F 2026) with Ti-6Al-
4V ELI titanium alloy makers
(ASTM F136)

7

APPROACH
This Subject ABTross ALIF Expandable
Cage System• Anterior Approach (ALIF)
Predicate DevicesSimilaritiesDifferences
(Provided other approach cages)
MAGNIFY TM Spacers
MAGNIFY™ S Spacers/K142498• Anterior Approach (ALIF)
XYPAN Expandable Lumbar Cage (XL,
XTP) System K203531-• lateral approach (LLIF)
• Anterior to Psoas approach
(ATP).
Xenco Medical Lumbar Interbody
System K143158• Anterior Approach (ALIF)-
Vu a POD Intervertebral Body Fusion
Device K080822/K121211/K173606• Anterior Approach (ALIF)-
AnyPlus® Peek Cage K100516/K111354• Anterior Approach (ALIF)• Posterior Approach (PLIF)
• Transforaminal Approach (TILF)
STERILIZATION & METHODSimilaritiesDifferences
This Subject ABTross ALIF Expandable
Cage System· Sterile Cage: Gamma Radiation
· Intended for SINGLE USE ONLY
Predicate Devices
MAGNIFY TM Spacers· Sterile Cage: Gamma Radiation
· Intended for SINGLE USE ONLY-
MAGNIFY™ S Spacers K142498· Sterile Cage: Gamma Radiation
· Intended for SINGLE USE ONLY-
XYPAN Expandable Lumbar Cage (XL,
XTP) System K203531· Sterile Cage: Gamma Radiation
· Intended for SINGLE USE ONLY· Non-Sterile
Xenco Medical Lumbar Interbody
System K143158· Sterile Cage: Gamma Radiation
· Intended for SINGLE USE ONLY-
Vu a POD Intervertebral Body Fusion
Device K080822/K121211/K173606-· Non-Sterile
AnyPlus® Peek Cage K100516/K111354-· Non-Sterile

9. SUBSTANTIAL EQUIVALENCE AND CONCLUSION

The subject ABTross ALIF Expandable Cage System have been found to be substantially equivalent to the predicate devices with respect to technical characteristics, performance, and intended use. The information provided within this premarket notification supports substantial equivalence of the subject

device to the predicate devices. The overall Data lead to the conclusion that the ABTross ALIF Expandable Cage System is substantially equivalent to the predicate devices.