K Number
K232607
Device Name
4CIS SARA SPINE SYSTEM, 4CIS VERTU SPINE SYSTEM, 4CIS WILL PEDICLE SCREW SYSTEM, aBle SPINAL FIXATION SYSTEM, aBle Xt SPINAL FIXATION SYSTEM
Date Cleared
2024-02-27

(183 days)

Product Code
Regulation Number
888.3070
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The 4CIS SARA Spine System , 4CIS VERTU Spine System, aBle SPINAL FIXATION SYSTEM, aBle Xt SPINAL FIXATION SYSTEM and 4CIS WILL PEDICLE SCREW SYSTEM are the pedicle screw systems indicated for the treatment of severe Spondylolisthesis (Grade 3 and 4) of the L5-Sl vertebra in skeletally mature patients receiving fusion by autogenous bone graft having implants attached to the lumbar and sacral spine (L3 to sacrum) with removal of the implants after the attainment of a solid fusion. The 4CIS SARA Spine System , 4CIS VERTU Spine System, aBle SPINAL FIXATION SYSTEM, aBle Xt SPINAL FIXATION SYSTEM and 4CIS WILL PEDICLE SCREW SYSTEM are intended to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the following acute and chronic instabilities or deformities of the thoracic, lumbar and sacral spine: degenerative Spondylolisthesis with objective evidence of neurological impairment, fracture, dislocation, scoliosis, spinal tumor and failed previous fusion (pseudarthrosis ). aBle Xt SPINAL FIXATION SYSTEM and 4CIS WILL PEDICLE SCREW SYSTEM are intended to used for Minimal Invasive Surgery (MIS).
Device Description
The Spinal Fixation System is a top-loading posterior spinal fixation system which consists of pedicle screws, rods, and nuts, transverse (cross) link and associated instruments. Rigid fixation is provided by pedicle screws inserted into the vertebral body through pedicle of the lumbar spine via posterior approach. This system will allow surgeons to build a spinal implant construct to stabilize and promote spinal fusion through open surgery. Implant components can be rigidly locked into a variety of different configurations to suit the individual pathology and anatomical conditions of the mature patient. The implant components are supplied non-sterile single use and are fabricated from titanium alloy (Ti-6A1-4V ELI) and Cobalt Chromium ally that conforms to ASTM F136 and ASTM F1537 respectively. Also, Specialized instruments are available for the application and removal of the Spinal Fixation System.
More Information

Not Found

No
The document describes a mechanical spinal fixation system and its components. There is no mention of software, algorithms, image processing, AI, DNN, or ML. The performance studies are mechanical tests, not related to algorithmic performance.

Yes
The device is described as a "Spinal Fixation System" intended to "provide immobilization and stabilization of spinal segments" and "promote spinal fusion" for various spinal conditions, which aligns with the definition of a therapeutic device designed to treat or alleviate a medical condition.

No

Explanation: The device is a spinal fixation system, which is a surgical implant used to stabilize the spine and promote fusion. Its description focuses on its components, materials, and surgical application, not on identifying or diagnosing medical conditions.

No

The device description explicitly states it consists of physical components like pedicle screws, rods, nuts, and instruments, which are hardware.

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

Here's why:

  • Intended Use: The intended use clearly describes a surgical implant system used to stabilize the spine in patients with specific conditions. This is a therapeutic device, not a diagnostic one.
  • Device Description: The description details physical components like screws, rods, and nuts, designed for surgical implantation. This aligns with a surgical device, not a device used to examine specimens from the body.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, tissue, etc.), providing diagnostic information, or being used in a laboratory setting.

The device is a spinal fixation system, which is a type of surgical implant.

N/A

Intended Use / Indications for Use

The 4CIS SARA Spine System , 4CIS VERTU Spine System, aBle SPINAL FIXATION SYSTEM, aBle Xt SPINAL FIXATION SYSTEM and 4CIS WILL PEDICLE SCREW SYSTEM are the pedicle screw systems indicated for the treatment of severe Spondylolisthesis (Grade 3 and 4) of the L5-Sl vertebra in skeletally mature patients receiving fusion by autogenous bone graft having implants attached to the lumbar and sacral spine (L3 to sacrum) with removal of the implants after the attainment of a solid fusion.

The 4CIS SARA Spine System , 4CIS VERTU Spine System, aBle SPINAL FIXATION SYSTEM, aBle Xt SPINAL FIXATION SYSTEM and 4CIS WILL PEDICLE SCREW SYSTEM are intended to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the following acute and chronic instabilities or deformities of the thoracic, lumbar and sacral spine: degenerative Spondylolisthesis with objective evidence of neurological impairment, fracture, dislocation, scoliosis, spinal tumor and failed previous fusion (pseudarthrosis ).

aBle Xt SPINAL FIXATION SYSTEM and 4CIS WILL PEDICLE SCREW SYSTEM are intended to used for Minimal Invasive Surgery (MIS).

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

NKB

Device Description

The Spinal Fixation System is a top-loading posterior spinal fixation system which consists of pedicle screws, rods, and nuts, transverse (cross) link and associated instruments. Rigid fixation is provided by pedicle screws inserted into the vertebral body through pedicle of the lumbar spine via posterior approach. This system will allow surgeons to build a spinal implant construct to stabilize and promote spinal fusion through open surgery. Implant components can be rigidly locked into a variety of different configurations to suit the individual pathology and anatomical conditions of the mature patient. The implant components are supplied non-sterile single use and are fabricated from titanium alloy (Ti-6A1-4V ELI) and Cobalt Chromium ally that conforms to ASTM F136 and ASTM F1537 respectively. Also, Specialized instruments are available for the application and removal of the Spinal Fixation System.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

L5-Sl vertebra, lumbar and sacral spine (L3 to sacrum), thoracic, lumbar and sacral spine.

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)

Mechanical testing (static and dynamic compression bending, static tension bending, static torsion) is conducted in accordance with ASTM F1717 on the worst case construct. Static Compression Bending, Dynamic Compression Bending, Static Torsion, and Static Tension tests results meet performance requirement against predicates.

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.

K202498

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

§ 888.3070 Thoracolumbosacral pedicle screw system.

(a)
Identification. (1) Rigid pedicle screw systems are comprised of multiple components, made from a variety of materials that allow the surgeon to build an implant system to fit the patient's anatomical and physiological requirements. Such a spinal implant assembly consists of a combination of screws, longitudinal members (e.g., plates, rods including dual diameter rods, plate/rod combinations), transverse or cross connectors, and interconnection mechanisms (e.g., rod-to-rod connectors, offset connectors).(2) Semi-rigid systems are defined as systems that contain one or more of the following features (including but not limited to): Non-uniform longitudinal elements, or features that allow more motion or flexibility compared to rigid systems.
(b)
Classification. (1) Class II (special controls), when intended to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the treatment of the following acute and chronic instabilities or deformities of the thoracic, lumbar, and sacral spine: severe spondylolisthesis (grades 3 and 4) of the L5-S1 vertebra; degenerative spondylolisthesis with objective evidence of neurologic impairment; fracture; dislocation; scoliosis; kyphosis; spinal tumor; and failed previous fusion (pseudarthrosis). These pedicle screw spinal systems must comply with the following special controls:(i) Compliance with material standards;
(ii) Compliance with mechanical testing standards;
(iii) Compliance with biocompatibility standards; and
(iv) Labeling that contains these two statements in addition to other appropriate labeling information:
“Warning: The safety and effectiveness of pedicle screw spinal systems have been established only for spinal conditions with significant mechanical instability or deformity requiring fusion with instrumentation. These conditions are significant mechanical instability or deformity of the thoracic, lumbar, and sacral spine secondary to severe spondylolisthesis (grades 3 and 4) of the L5-S1 vertebra, degenerative spondylolisthesis with objective evidence of neurologic impairment, fracture, dislocation, scoliosis, kyphosis, spinal tumor, and failed previous fusion (pseudarthrosis). The safety and effectiveness of these devices for any other conditions are unknown.”
“Precaution: The implantation of pedicle screw spinal systems should be performed only by experienced spinal surgeons with specific training in the use of this pedicle screw spinal system because this is a technically demanding procedure presenting a risk of serious injury to the patient.”
(2) Class II (special controls), when a rigid pedicle screw system is intended to provide immobilization and stabilization of spinal segments in the thoracic, lumbar, and sacral spine as an adjunct to fusion in the treatment of degenerative disc disease and spondylolisthesis other than either severe spondylolisthesis (grades 3 and 4) at L5-S1 or degenerative spondylolisthesis with objective evidence of neurologic impairment. These pedicle screw systems must comply with the following special controls:
(i) The design characteristics of the device, including engineering schematics, must ensure that the geometry and material composition are consistent with the intended use.
(ii) Non-clinical performance testing must demonstrate the mechanical function and durability of the implant.
(iii) Device components must be demonstrated to be biocompatible.
(iv) Validation testing must demonstrate the cleanliness and sterility of, or the ability to clean and sterilize, the device components and device-specific instruments.
(v) Labeling must include the following:
(A) A clear description of the technological features of the device including identification of device materials and the principles of device operation;
(B) Intended use and indications for use, including levels of fixation;
(C) Identification of magnetic resonance (MR) compatibility status;
(D) Cleaning and sterilization instructions for devices and instruments that are provided non-sterile to the end user; and
(E) Detailed instructions of each surgical step, including device removal.
(3) Class II (special controls), when a semi-rigid system is intended to provide immobilization and stabilization of spinal segments in the thoracic, lumbar, and sacral spine as an adjunct to fusion for any indication. In addition to complying with the special controls in paragraphs (b)(2)(i) through (v) of this section, these pedicle screw systems must comply with the following special controls:
(i) Demonstration that clinical performance characteristics of the device support the intended use of the product, including assessment of fusion compared to a clinically acceptable fusion rate.
(ii) Semi-rigid systems marketed prior to the effective date of this reclassification must submit an amendment to their previously cleared premarket notification (510(k)) demonstrating compliance with the special controls in paragraphs (b)(2)(i) through (v) and paragraph (b)(3)(i) of this section.

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Image /page/0/Picture/0 description: The image contains 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 FDA text logo is in blue and includes the acronym "FDA" followed by "U.S. FOOD & DRUG ADMINISTRATION" in a stacked format.

February 27, 2024

Solco Biomedical Copany India Private Limited Darshak Shah Director Survey No.1540, Beside Torrent Pharma, Village-Rajpur Ahmedabad Mehsana Highway Kadi, Gujarat/ Mehasana 382715 India

Re: K232607

Trade/Device Name: 4CIS SARA SPINE SYSTEM, 4CIS VERTU SPINE SYSTEM, 4CIS WILL PEDICLE SCREW SYSTEM, aBle SPINAL FIXATION SYSTEM, aBle Xt SPINAL FIXATION SYSTEM Regulation Number: 21 CFR 888.3070 Regulation Name: Thoracolumbosacral Pedicle Screw System Regulatory Class: Class II Product Code: NKB Dated: January 29, 2024 Received: January 29, 2024

Dear Darshak Shah:

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.

1

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).

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

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).

2

Sincerely,

Colin .. O'neill -S

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

3

Indications for Use

510(k) Number (if known) K232607

Device Name 4CIS SARA Spine System, 4CIS VERTU Spine System 4CIS WILL PEDICLE SCREW SYSTEM aBle SPINAL FIXATION SYSTEM, aBle Xt SPINAL FIXATION SYSTEM

Indications for Use (Describe)

The 4CIS SARA Spine System , 4CIS VERTU Spine System, aBle SPINAL FIXATION SYSTEM, aBle Xt SPINAL FIXATION SYSTEM and 4CIS WILL PEDICLE SCREW SYSTEM are the pedicle screw systems indicated for the treatment of severe Spondylolisthesis (Grade 3 and 4) of the L5-Sl vertebra in skeletally mature patients receiving fusion by autogenous bone graft having implants attached to the lumbar and sacral spine (L3 to sacrum) with removal of the implants after the attainment of a solid fusion.

The 4CIS SARA Spine System , 4CIS VERTU Spine System, aBle SPINAL FIXATION SYSTEM, aBle Xt SPINAL FIXATION SYSTEM and 4CIS WILL PEDICLE SCREW SYSTEM are intended to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the following acute and chronic instabilities or deformities of the thoracic, lumbar and sacral spine: degenerative Spondylolisthesis with objective evidence of neurological impairment, fracture, dislocation, scoliosis, spinal tumor and failed previous fusion (pseudarthrosis ).

aBle Xt SPINAL FIXATION SYSTEM and 4CIS WILL PEDICLE SCREW SYSTEM are intended to used for Minimal Invasive Surgery (MIS).

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

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PAGE NO 1 of 4

Image /page/4/Picture/1 description: The image shows the word "SOLCO." in a bold, sans-serif font. The letters are a dark blue color, and there is a red dot to the right of the "O". The logo is simple and modern.

NO : 1.0 TITLE: 510(k) Summary

"510(K) SUMMARY"

This summary of 510(k) substantial equivalence information is being submitted in accordance with requirement of 21 CFR 807.92.

SOLCO Biomedical Company India Private Limited
Survey No.1540, Beside Torrent Pharma, Village-Rajpur
SubmitterAhmedabad Mehsana Highway, Ta-Kadi, Dist-Mehsana
Gujarat- 382715, INDIA.
Tel : +91 851112597, Email: darshak@solco.co.in
Darshak Shah- Director
Contact PersonSOLCO Biomedical Company India Private Limited
Phone : +91 98252 06091, Email: darshak@solco.co.in
Submission Date24 FEB 2024.
4CIS SARA Spine System
Trade /
Proprietary name4CIS VERTU Spine System
4CIS WILL PEDICLE SCREW SYSTEM
aBle SPINAL FIXATION SYSTEM
aBle Xt SPINAL FIXATION SYSTEM
ClassificationThoracolumbosacral Pedicle screw system
NameNKB
ClassificationClass II
Code888.3070
Regulatory Class
Regulation
Number
510KTrade or Property orManufacturer
Numbermodel NameSOLCO Biomedical
Primary
Predicate DeviceK2024984CIS SARA Spine System
4CIS VERTU Spine System
Company India Private
Limited

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DOC NO: K202498/Summary NO : 1.0

PAGE NO 2 of 4

TITLE: 510(k) Summary

The Spinal Fixation System is a top-loading posterior spinal fixation system
Description of
Devicewhich consists of pedicle screws, rods, and nuts, transverse (cross) link
and associated instruments. Rigid fixation is provided by pedicle screws
inserted into the vertebral body through pedicle of the lumbar spine via
posterior approach. This system will allow surgeons to build a spinal
implant construct to stabilize and promote spinal fusion through open
surgery. Implant components can be rigidly locked into a variety of different
configurations to suit the individual pathology and anatomical conditions of
the mature patient. The implant components are supplied non-sterile single
use and are fabricated from titanium alloy (Ti-6A1-4V ELI) and Cobalt
Chromium ally that conforms to ASTM F136 and ASTM F1537 respectively.
Also, Specialized instruments are available for the application
and removal of the Spinal Fixation System.
Indication for UseThe 4CIS SARA Spine System , 4CIS VERTU Spine System, aBle SPINAL
FIXATION SYSTEM, aBle Xt SPINAL FIXATION SYSTEM and 4CIS WILL
PEDICLE SCREW SYSTEM are the pedicle screw systems indicated for
the treatment of severe Spondylolisthesis (Grade 3 and 4) of the L5-SI
vertebra in skeletally mature patients receiving fusion by autogenous bone
graft having implants attached to the lumbar and sacral spine (L3 to
sacrum) with removal of the implants after the attainment of a solid fusion.
The 4CIS SARA Spine System , 4CIS VERTU Spine System, aBle SPINAL
FIXATION SYSTEM, aBle Xt SPINAL FIXATION SYSTEM and 4CIS WILL
PEDICLE SCREW SYSTEM are intended to provide immobilization and
stabilization of spinal segments in skeletally mature patients as an adjunct
to fusion in the treatment of the following acute and chronic instabilities or
TITLE: 510(k) Summary
deformities of the thoracic, lumbar and sacral spine: degenerative
Spondylolisthesis with objective evidence of neurological impairment,
fracture, dislocation, scoliosis, kyphosis, spinal tumor and failed previous
fusion (pseudarthrosis ).
aBle Xt SPINAL FIXATION SYSTEM and 4CIS WILL PEDICLE SCREW
SYSTEM are intended to used for Minimal Invasive Surgery (MIS).
Comparison of
Technological
Characteristics
with the
Predicate DevicesThe 4CIS WILL PEDICLE SCREW SYSTEM, aBle Xt SPINAL FIXATION
SYSTEM & aBle SPINAL FIXATION SYSTEM have similar indications as
compare to cleared 4CIS SARA Spine System and 4CIS VERTU Spine
System. The system is composed of the same material as the predicate-
K202498 devices conforming to recognized industry standards for
permanent implants (titanium alloy (Ti-6A1-4V ELI) that conforms to ASTM
F136) and surgical orthopedic instruments. aBle SPINAL FIXATION
SYSTEM is modified version of 4CIS SARA Spine System and 4CIS
VERTU Spine System which does not raise any concern of safety and
performance. 4CIS WILL PEDICLE SCREW SYSTEM is intended to used
for Minimal Invasive Surgery (MIS). Also they are provided non-sterile for
single use only.
Performance DataMechanical testing (static and dynamic compression bending, static
tension bending, static torsion) is conducted in accordance with ASTM
F1717 on the worst case construct. Static Compression Bending,
Dynamic Compression Bending, Static Torsion, and Static Tension tests
results meet performance requirement against predicates.
BiocompatibilityThe subject implants are permanent implants (> 30 days) and are classified
as body contacting devices according to FDA's Draft Guidance for Industry
and FDA Staff "Use of International Standard ISO-10993, Biological
Evaluation of Medical Devices Part 1: Evaluation and Testing.” The subject
implants are manufactured from identical materials as the predicate
devices, in accordance with the ASTM F136 – Standard Specification for
Wrought Titanium – 6Aluminum – 4Vanadium ELI (Extra-Low-Interstitial)
Alloy for Surgical Implants The materials used for manufacturing the
subject device have a long history of safe and effective use identical
to predicate devices and biocompatibility testing is not required.
ConclusionThe overall technology characteristics, material of construction , design
characteristics and performance data lead to the conclusion that our Spine
Systems (4CIS SARA Spine System, 4CIS VERTU Spine System, aBle
SPINAL FIXATION SYSTEM, aBle Xt SPINAL FIXATION SYSTEM and
4CIS WILL PEDICLE SCREW SYSTEM) are substantially equivalent to our
FDA previously cleared devices of K202498 for intended use, material
composition, principles of operation, and overall design.

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DOC NO: K202498/Summary NO : 1.0

TITLE: 510(k) Summary

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PAGE NO 4 of 4

TITLE: 510(k) Summary