K Number
K230817
Device Name
TORPEDO Implant System®
Manufacturer
Date Cleared
2024-01-19

(301 days)

Product Code
Regulation Number
888.3040
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The TORPEDO Implant System® is intended for sacroiliac fusion for the following indications: · Sacroiliac joint dysfunction that is a direct result of sacrolliac joint disruption and degenerative sacroiliitis. This includes conditions whose symptoms began during pregnancy or in the period and have persisted postpartum for more than 6 months. · To augment immobilization and stabilization of the sacroiliac joint in skeletally mature patients undergoing sacropelvic fixation as part of a lumbar or thoracolumbar fusion. · Acute, non-acute, and non-traumatic fractures involving the sacroiliac joint.
Device Description
The Deltacor TORPEDO Implant System® consists of canulated spiral-shaped titanium implants (CP Ti Grade 4, ASTM F67) and a placement. The structured surface and special shape of the implant is intended to prevent rotation or displacement of the sacroiliac joint (SI). The cannulated implant can be augmented into the bone in a controlled manner using the laterally inserted holes between the helix. The placement instrument uses a guide wire to achieve precise placement. The TORPEDO Implant System® offers a minimally invasive option for treating SI joint dysfunction.
More Information

K193524, K14154

No
The device description and performance studies focus on the mechanical properties and clinical safety of a physical implant and its placement instrument, with no mention of software, algorithms, or data processing that would indicate AI/ML.

Yes
The device is intended for sacroiliac fusion to treat joint dysfunction, augment immobilization, and stabilize the sacroiliac joint, which are all therapeutic purposes.

No.

The device description and intended use clearly state that the TORPEDO Implant System is an implant used for sacroiliac fusion, not for diagnosing conditions. Its purpose is to stabilize and immobilize the sacroiliac joint.

No

The device description explicitly states it consists of physical implants made of titanium and a placement instrument, 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 (like blood, urine, or tissue) to provide information about a person's health.
  • Device Description: The TORPEDO Implant System® is described as a system of implants and placement instruments designed to be surgically implanted into the sacroiliac joint.
  • Intended Use: The intended use is for sacroiliac fusion, which is a surgical procedure to stabilize the joint.

The device is a surgical implant, not a diagnostic test performed on samples outside the body.

N/A

Intended Use / Indications for Use

The TORPEDO Implant System® is intended for sacroiliac fusion for the following indications:

· Sacroiliac joint dysfunction that is a direct result of sacrolliac joint disruption and degenerative sacroiliitis. This includes conditions whose symptoms began during pregnancy or in the period and have persisted postpartum for more than 6 months.

· To augment immobilization and stabilization of the sacroiliac joint in skeletally mature patients undergoing sacropelvic fixation as part of a lumbar or thoracolumbar fusion.

· Acute, non-acute, and non-traumatic fractures involving the sacroiliac joint.

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

OUR

Device Description

The Deltacor TORPEDO Implant System® consists of canulated spiral-shaped titanium implants (CP Ti Grade 4, ASTM F67) and a placement. The structured surface and special shape of the implant is intended to prevent rotation or displacement of the sacroiliac joint (SI). The cannulated implant can be augmented into the bone in a controlled manner using the laterally inserted holes between the helix. The placement instrument uses a guide wire to achieve precise placement. The TORPEDO Implant System® offers a minimally invasive option for treating SI joint dysfunction.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

sacroiliac joint

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 subject device underwent static torsion testing per ASTM F543-17, static axial pull-out testing per ASTM F543-17, static four-point bending fatigue testing per ASTM F1264-16, and dynamic bending fatigue testing per ASTM F3574-22. Additionally, clinical data including sales and complaints data, clinical literature, and patient-level clinical data were provided to support the safety of the TORPEDO Implant System®.

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.

K193524, K14154

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.

K182313, K200573

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

§ 888.3040 Smooth or threaded metallic bone fixation fastener.

(a)
Identification. A smooth or threaded metallic bone fixation fastener is a device intended to be implanted that consists of a stiff wire segment or rod made of alloys, such as cobalt-chromium-molybdenum and stainless steel, and that may be smooth on the outside, fully or partially threaded, straight or U-shaped; and may be either blunt pointed, sharp pointed, or have a formed, slotted head on the end. It may be used for fixation of bone fractures, for bone reconstructions, as a guide pin for insertion of other implants, or it may be implanted through the skin so that a pulling force (traction) may be applied to the skeletal system.(b)
Classification. Class II.

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January 19, 2024

Image /page/0/Picture/1 description: The image contains two logos. On the left is the Department of Health & Human Services logo, which features a stylized caduceus. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue.

Deltacor GmbH % Lucas Tatem Senior Associate, Regulatory Affairs Mcra LLC 803 7th Street NW Washington, District of Columbia 20001

Re: K230817

Trade/Device Name: TORPEDO Implant System® Regulation Number: 21 CFR 888.3040 Regulation Name: Smooth Or Threaded Metallic Bone Fixation Fastener Regulatory Class: Class II Product Code: OUR Dated: December 26, 2023 Received: December 26, 2023

Dear Lucas Tatem:

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 (the 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 available 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.

Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

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approvals in the device master record (21 CFR 820.181).

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30, Design controls; 21 CFR 820.90, Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and

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 Part 803) for devices or postmarketing safety reporting (21 CFR Part 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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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 mediation-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,

Eileen
Digitally signed
by Eileen Cadel -
S
Cadel -S Date: 2024.01.19
14:07:52 -05'00'

Colin O'Neill, M.S. Assistant Director DHT6B: Division of Spinal Devices OHT6: Office of Orthopedic Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

for

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Indications for Use

510(k) Number (if known) K230817

Device Name TORPEDO Implant System®

Indications for Use (Describe)

The TORPEDO Implant System® is intended for sacroiliac fusion for the following indications:

· Sacroiliac joint dysfunction that is a direct result of sacrolliac joint disruption and degenerative sacroiliitis. This includes conditions whose symptoms began during pregnancy or in the period and have persisted postpartum for more than 6 months.

· To augment immobilization and stabilization of the sacroiliac joint in skeletally mature patients undergoing sacropelvic fixation as part of a lumbar or thoracolumbar fusion.

· Acute, non-acute, and non-traumatic fractures involving the sacroiliac joint.

Type of Use (Select one or both, as applicable)
区 Prescription Use (Part 21 CFR 801 Subpart D)Over-The-Counter Use (21 CFR 801 Subpart C)

| | Over-The-Counter Use (21 CFR 801 Subpart C)

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510(k) Summary

Device Trade Name:TORPEDO Implant System®
Manufacturer:Deltacor GmbH
Rudolf-Diesel- Str. 10
D-97440 Werneck, Germany
Phone: +49 9722 9220
Contact:Maximilian Reuss
Project Manager
Deltacor GmbH
Rudolf-Diesel- Str. 10
D-97440 Werneck, Germany
Phone: +49 151 1477 9824
Email: Mreuss@deltacor.de
Prepared by:MCRA, LLC
803 7th Street NW
Washington, DC 20001
Date Prepared:January 19, 2024
Classification:21 CFR §888.3040, Smooth or threaded metallic bone fixation fastener
Class:II
Product Codes:OUR
Primary Predicate:SI-BONE, Inc. iFuse Implant System (K193524)
Additional Predicate:Zyga Technology, Inc. SImmetry Sacroiliac Joint Fusion System (K14154

Indications For Use:

The TORPEDO Implant System® is intended for sacroiliac fusion for the following indications:

  • Sacroiliac joint dysfunction that is a direct result of sacroiliac joint disruption and ● degenerative sacroiliitis. This includes conditions whose symptoms began during pregnancy or in the peripartum period and have persisted postpartum for more than 6 months.
  • . To augment immobilization and stabilization of the sacroiliac joint in skeletally mature patients undergoing sacropelvic fixation as part of a lumbar or thoracolumbar fusion.
  • Acute, non-acute, and non-traumatic fractures involving the sacroiliac joint. ●

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Device Description:

The Deltacor TORPEDO Implant System® consists of canulated spiral-shaped titanium implants (CP Ti Grade 4, ASTM F67) and a placement. The structured surface and special shape of the implant is intended to prevent rotation or displacement of the sacroiliac joint (SI). The cannulated implant can be augmented into the bone in a controlled manner using the laterally inserted holes between the helix. The placement instrument uses a guide wire to achieve precise placement. The TORPEDO Implant System® offers a minimally invasive option for treating SI joint dysfunction.

Primary Predicate Device:

The Deltacor TORPEDO Implant System® is substantially equivalent to the iFuse Implant System (SI-BONE Inc., K193524) primary predicate device with regards to intended use, indications, design, surgical approach, principles of operation, and performance characteristics.

Additional Predicate Device:

The Deltacor TORPEDO Implant System® is substantially equivalent to the Slmmetry Sacroiliac Joint Fusion System (K141549) additional predicate device with regards to intended use, indications for use, general principles of operation, and fundamental scientific technology.

Reference Devices:

The Deltacor TORPEDO Implant System® is substantially equivalent to the reference devices with respect to biological safety and mechanical performance testing methodology. The BoneTrust® (K182313) and BoneTrust® Mini Implant System (K200573) are referenced in support of biocompatibility of the subject device.

Performance Testing Summarv:

The subject device underwent static torsion testing per ASTM F543-17, static axial pull-out testing per ASTM F543-17, static four-point bending fatigue testing per ASTM F1264-16, and dynamic bending fatigue testing per ASTM F3574-22. Additionally, clinical data including sales and complaints data, clinical literature, and patient-level clinical data were provided to support the safety of the TORPEDO Implant System®.

Substantial Equivalence:

The subject device was demonstrated to be substantially equivalent to the predicate devices cited above with respect to intended use, indications, materials, general principles of operation, fundamental technological characteristics, and performance. The subject and primary predicate devices are packaged in similar materials and are both provided sterile (via gamma sterilization). The totality of the non-clinical and clinical data provided in the 510(k) submission demonstrate that the TORPEDO Implant System® is as safe, as effective, and is substantially equivalent to the cited predicate devices.

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Conclusion:

The Deltacor TORPEDO Implant System® devices are substantially equivalent to the predicate devices cited above with respect to intended use, indications for use, fundamental technological characteristics, materials, and performance.