K Number
K222515
Device Name
FaSet Fixation System
Date Cleared
2022-10-05

(47 days)

Product Code
Regulation Number
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The FaSet Fixation System is intended to stabilize the spine as an aid to fusion through bilateral immobilization of facet joints. The Facet Screw System is indicated for posterior surgical treatment with or without bone graft at single or multiple levels from C2 to S1 (inclusive). For transfacet fixation, the screws are inserted posteriorly through the superior side of the facet joint, and into the pedicle. For translaminar facet fixation, the screws are inserted posteriorly through the lateral aspect of the spinous process, through the lamina, through the superior side of the facet joint, and into the pedicle. The FaSet Fixation System is indicated for treatment for any or all of the following: - Spondylolisthesis - Pseudoarthrosis or failed previous fusions which are symptomatic, or which may cause secondary instability or deformity - Spondylolysis - Degenerative Disk Disease (DDD) as defined by back pain of discogenic origin with degeneration of disk confirmed by history and radiographic studies and/or degenerative disease of the facets with instability - Trauma including spinal fractures and/or dislocations.
Device Description
The FaSet Fixation System consist of permanent implant devices manufactured from titanium or titanium alloy (Ti-6Al-4V ELI) as specified in ASTM F67, and F136. Various sizes and lengths of these implants are available to accommodate patient anatomy. The device is intended to provide mechanical support and stability to the implanted level until biologic fusion is achieved.
More Information

No
The 510(k) summary describes a mechanical spinal fixation system made of titanium. There is no mention of AI, ML, image processing, or any software component that would suggest the use of such technologies. The submission is a name transfer for a previously cleared device.

Yes.
The device is intended to stabilize the spine as an aid to fusion and provides mechanical support and stability to the implanted level until biologic fusion is achieved, indicating its use in treating medical conditions.

No

The FaSet Fixation System is described as a permanent implant device intended for stabilizing the spine as an aid to fusion, providing mechanical support. Its stated uses are for treating conditions like spondylolisthesis, pseudoarthrosis, spondylolysis, degenerative disk disease, and trauma. None of these functions involve diagnosing a condition as its primary purpose; rather, it is a treatment device.

No

The device description explicitly states it consists of "permanent implant devices manufactured from titanium or titanium alloy," which are hardware components.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Description: The FaSet Fixation System is described as a system of permanent implant devices made from titanium or titanium alloy. These are physical implants intended to stabilize the spine.
  • Intended Use: The intended use is to stabilize the spine as an aid to fusion through bilateral immobilization of facet joints. This is a surgical procedure involving the implantation of a device, not a diagnostic test performed on a sample.
  • Lack of Diagnostic Elements: There is no mention of analyzing biological samples, detecting biomarkers, or providing diagnostic information.

The device is clearly a surgical implant used for structural support and stabilization within the body, which falls outside the scope of In Vitro Diagnostics.

N/A

Intended Use / Indications for Use

The FaSet Fixation System is intended to stabilize the spine as an aid to fusion through bilateral immobilization of facet joints. The Facet Screw System is indicated for posterior surgical treatment with or without bone graft at single or multiple levels from C2 to S1 (inclusive). For transfacet fixation, the screws are inserted posteriorly through the superior side of the facet joint, and into the pedicle. For translaminar facet fixation, the screws are inserted posteriorly through the lateral aspect of the spinous process, through the lamina, through the superior side of the facet joint, and into the pedicle. The FaSet Fixation System is indicated for treatment for any or all of the following:

  • Spondylolisthesis -
  • Pseudoarthrosis or failed previous fusions which are symptomatic, or which may cause secondary । instability or deformity
  • Spondylolysis
  • Degenerative Disk Disease (DDD) as defined by back pain of discogenic origin with degeneration of disk confirmed by history and radiographic studies and/or degenerative disease of the facets with instability
  • Trauma including spinal fractures and/or dislocations.

Product codes

MRW

Device Description

The FaSet Fixation System consist of permanent implant devices manufactured from titanium or titanium alloy (Ti-6Al-4V ELI) as specified in ASTM F67, and F136. Various sizes and lengths of these implants are available to accommodate patient anatomy. The device is intended to provide mechanical support and stability to the implanted level until biologic fusion is achieved.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

C2 to S1 (inclusive)

Indicated Patient Age Range

Not Found

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

The subject and predicate devices are identical and therefore, no performance testing is required. Submission is only transferring name of a system that has already been cleared under K180729. No testing is required.

Key Metrics

Not Found

Predicate Device(s)

Huvexel Co. Ltd. - FaSet Fixation System (K180729)

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

N/A

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October 5, 2022

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 the Department of Health and Human Services logo, which features an abstract image of a human figure. To the right of this is the text "FDA U.S. FOOD & DRUG ADMINISTRATION" in blue font. The word "FDA" is in a larger, bolder font than the rest of the text.

Dio Medical Corporation Milan George Vice President of R&D 2100 Campus Lane, Suite 100 East Norriton, Pennsylvania 19403

Re: K222515

Trade/Device Name: FaSet Fixation System Regulatory Class: Unclassified Product Code: MRW Dated: August 18, 2022 Received: August 19, 2022

Dear Milan George:

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 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-reporting

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combination-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,

Colin O'Neill, M.B.E. 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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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: 06/30/2023 See PRA Statement below.

510(k) Number (if known) K222515

Device Name FaSet Fixation System

Indications for Use (Describe)

The FaSet Fixation System is intended to stabilize the spine as an aid to fusion through bilateral immobilization of facet joints. The Facet Screw System is indicated for posterior surgical treatment with or without bone graft at single or multiple levels from C2 to S1 (inclusive). For transfacet fixation, the screws are inserted posteriorly through the superior side of the facet joint, and into the pedicle. For translaminar facet fixation, the screws are inserted posteriorly through the lateral aspect of the spinous process, through the lamina, through the superior side of the facet joint, and into the pedicle. The FaSet Fixation System is indicated for treatment for any or all of the following:

  • Spondylolisthesis -
  • Pseudoarthrosis or failed previous fusions which are symptomatic, or which may cause secondary । instability or deformity
  • Spondylolysis
  • Degenerative Disk Disease (DDD) as defined by back pain of discogenic origin with degeneration of disk confirmed by history and radiographic studies and/or degenerative disease of the facets with instability
  • Trauma including spinal fractures and/or dislocations.

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.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

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"An aqency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

FORM FDA 3881 (6/20)

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510(k) SUMMARY

Dio Medical FaSet Fixation System

| Sponsor: | Manufacturer: | Dio Medical Corp.
2100 Campus Lane, Suite 100
East Norriton, PA 19403 |
|------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------|
| | Official Contact: | Milan George |
| | Email: | mgeorge@dio-us.com |
| | Phone: | 1-877-394-5407 ext.102 |
| Date Prepared: | August 18, 2022 | |
| Device Name: | FaSet Fixation System | |
| Common Name: | System, Facet Screw Spinal Device | |
| Classification Name: | Unclassified | |
| Classification Number: | N/A | |
| Product Code/Classification: | MRW, Unclassified | |
| Description: | The FaSet Fixation System consist of permanent implant devices
manufactured from titanium or titanium alloy (Ti-6Al-4V ELI) as
specified in ASTM F67, and F136. Various sizes and lengths of these
implants are available to accommodate patient anatomy. The
device is intended to provide mechanical support and stability to
the implanted level until biologic fusion is achieved. | |
| Intended Use: | The FaSet Fixation System is intended to stabilize the spine as an
aid to fusion through bilateral immobilization of facet joints. The
Facet Screw System is indicated for posterior surgical treatment
with or without bone graft at single or multiple levels from C2 to S1
(inclusive). For transfacet fixation, the screws are inserted
posteriorly through the superior side of the facet, across the facet
joint, and into the pedicle. For translaminar facet fixation, the
screws are inserted posteriorly through the lateral aspect of the
spinous process, through the lamina, through the superior side of
the facet, across the facet joint, and into the pedicle. The FaSet
Fixation System is indicated for treatment for any or all of the
following: | |
| | - Spondylolisthesis

  • Pseudoarthrosis or failed previous fusions which are
    symptomatic, or which may cause secondary instability or
    deformity
  • Spondylolysis
  • Degenerative Disk Disease (DDD) as defined by back pain of
    discogenic origin with degeneration of disk confirmed by history
    and radiographic studies and/or degenerative disease of the
    facets with instability
  • Trauma including spinal fractures and/or dislocations. | |
    | Predicate
    Device: | Primary predicate:
    Huvexel Co. Ltd. - FaSet Fixation System (K180729) | |
    | Substantial
    Equivalence: | The FaSet Fixation System is identical to the predicate device and is
    as safe and effective as the Huvexel - FaSet Fixation System. The
    Subject device has the same intended uses and similar indications,
    technological characteristics, and principles of operation as its
    predicate device. There are no technological differences between
    the Subject device and its predicate devices resulting in no new
    issues of safety or effectiveness. Thus, the Dio Medical- FaSet
    Fixation System is identical/substantially equivalent to the
    predicates. | |
    | Performance
    Data: | The subject and predicate devices are identical and therefore, no
    performance testing is required. Submission is only transferring
    name of a system that has already been cleared under K180729.
    No testing is required. | |
    | Conclusion: | The Dio Medical FaSet Fixation System has the same intended uses
    and similar indications, technological characteristics, and principles
    of operation as its predicate device. Thus, the subject device is
    identical/substantially equivalent to the predicate device. | |

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