AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Stryker OptaBlate BVN Intraosseous Nerve Ablation System is intended for the ablation of basivertebral nerves of the L3 through S1 vertebrae for the relief of chronic low back pain of at least six months duration that has not responded to at least six months of conservative care, and is also accompanied by features consistent with Type 1 or Type 2 Modic changes on an MRI such as inflammation, edema, vertebral endplate changes, disruption and fissuring of the endplate, vascularized fibrous tissues within the adjacent marrow, hypointensive signals (Type 1 Modic change), and changes to the vertebral body marrow including replacement of normal bone marrow by fat, and hyperintensive signals (Type 2 Modic change).

Device Description

The subject device Stryker Optablate® BVN Intraosseous Nerve Ablation System is a bipolar, high frequency electrosurgical system comprising the BVN probe, Microinfuser, syringe, introducer handpiece, introducer conduit, 10 G access cannula with diamond tip stylet, and 10 G bevel tip stylet. The subject device is intended to be used in conjunction with the existing Optablate radiofrequency (RF) generator (K221074), MultiGen2 Splitter Cable (K170242), and Optablate Microinfuser (K221074) to produce lesions by the direct application of radiofrequency currents for the relief of chronic low back pain. The subject generator applies temperature-controlled, radiofrequency (RF) energy into the probe. During lesion creation, targeted tissue is exposed to RF energy using an active probe inserted into a conduit that is within an access cannula. The application of RF energy causes a thermal reaction at the targeted tissue site to ablate the basivertebral nerve. It is indicated for the L3 through S1 vertebrae. When used, the subject OptaBlate BVN probes are connected to the splitter cable, which is connected to the generator, to deliver RF energy to the target tissue. The Optablate Microinfuser is connected to the probe to deliver a small amount of saline to the ablation site. The saline exits the probe between the emitters and helps ensure there is good electrical connection between the emitters and the tissue. The quality of the connection is measured in units called impedance. Impedance goes up if the connection is poor. If the impedance goes to high, the generator will trigger an error and stop the ablation. The Microinfuser slowly introduces saline to prevent impedance rises.

AI/ML Overview

The provided FDA 510(k) clearance letter and summary for the OptaBlate BVN Intraosseous Nerve Ablation System focuses on the **device's safety and effectiveness **through comparison with a predicate device and non-clinical performance testing. It explicitly states "No clinical testing was required to support this submission." This means there was no study proving the device's performance in a clinical setting against acceptance criteria that would typically involve human or AI reader performance metrics, effect sizes, or ground truth established by experts.

Therefore, I cannot fulfill the request for information related to:

  • Table of acceptance criteria and reported device performance based on clinical outcomes.
  • Sample size for a test set (as no clinical test set was used for effectiveness).
  • Number of experts and their qualifications used to establish ground truth.
  • Adjudication method for a test set.
  • MRMC comparative effectiveness study, effect size of human reader improvement.
  • Standalone (algorithm only) performance.
  • Type of ground truth used (expert consensus, pathology, outcomes data).
  • Sample size for training set (as no AI/machine learning component is described).
  • How ground truth for training set was established.

However, I can extract information related to the non-clinical acceptance criteria and proof of mechanism/performance.

Non-Clinical Acceptance Criteria and Device Performance (Summary):

The device's acceptance criteria primarily revolve around its ability to perform its intended function safely and effectively in a technical/mechanical/biological sense, rather than a diagnostic or AI-assisted clinical performance sense.

1. Table of Acceptance Criteria and Reported Device Performance (Non-Clinical):

Acceptance Criteria CategorySpecific Test/StandardAcceptance CriteriaReported Device Performance
SterilizationISO 11135:2014 & ISO 10993-7:2008/Amd 1:2019 (Ethylene Oxide - Kits); ISO 11137-1:2006, ISO 11137-2:2013, ISO 11137-3:2017 (Radiation - Microinfuser)Conformance with standards for effective sterilization and acceptable residuals.Pass (Compliance demonstrated)
BiocompatibilityISO 10993-5:2009, ISO 10993-12:2021 (Cytotoxicity); ISO 10993-23:2021, ISO 10993-12:2021 (Irritation); ISO 10993-11:2017, ISO 10993-12:2021 (Acute Systemic Toxicity); ISO 10993-10:2010, ISO 10993-12:2021 (Sensitization)Test articles to be non-cytotoxic, show no greater biological reaction than controls, and cause no sensitization reaction.Pass (All tests met criteria)
Electrical Safety & EMCIEC 60601-1 Ed. 3.2 (General Safety); IEC 60601-1-2 Ed. 4.1 (EMC); IEC 60601-1-8 Ed. 2.2 (Alarms); IEC 60601-2-2 Ed. 6.1 (HF Surgical Equipment)Compliance with essential performance and safety requirements of specified electrical and electromagnetic compatibility standards.Pass (All applicable clauses tested and conform)
Physical/Mechanical PerformanceASTM D4169 (Transit); ASTM F2096 (Bubble Test); ASTM F88 (Seal Peel Test); Internal Specs (Mechanical Testing, Dimensional, Visual Inspection)Device and packaging integrity maintained during transit; no gross leaks; adequate seal strength; specified mechanical properties (insertion force, retraction force, flow rate, tensile strength, twist cycle, torsional stiffness, impact force); adherence to dimensional specifications; absence of surface defects.Pass (All tests met criteria)
Functional Performance (BVN Probe Specific)Internal Test Method (Temperature Accuracy); Internal Test Method (Lesion Size)Accuracy verified across full functional use range; measured RF lesion size in ex vivo tissue model.Pass (Accuracy verified; ex vivo lesion size measured and acceptable)

2. Sample Size Used for the Test Set and Data Provenance:

  • Test Set Sample Size: Not applicable in the context of clinical performance; the testing described is non-clinical (e.g., in-vitro biocompatibility tests, mechanical tests of device components, ex vivo tissue models for lesion formation).
  • Data Provenance: The data comes from the manufacturer's internal testing (Stryker Instruments) as part of their 510(k) submission. No specific country of origin for test data is mentioned beyond "Stryker Instruments" (headquartered in Portage, MI, USA). The studies are "non-clinical" performance evaluations rather than retrospective or prospective human subject studies.

3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications:

  • Not applicable. The ground truth for this device's non-clinical performance is established by engineering specifications, international and national standards (e.g., ISO, IEC, ASTM), and the physical/chemical properties measured via established test methods. No human experts were used to establish "ground truth" in the diagnostic sense for this submission.

4. Adjudication Method for the Test Set:

  • Not applicable. This concept applies primarily to clinical studies where human or AI interpretations are adjudicated. For non-clinical testing, results are typically binary (pass/fail) based on pre-defined quantitative or qualitative acceptance criteria.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done:

  • No. The submission explicitly states, "No clinical testing was required to support this submission." Therefore, no MRMC study to compare human reader performance with or without AI assistance was conducted or reported.

6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done:

  • Not applicable. This device is an ablation system, not a diagnostic algorithm. Its performance is related to its mechanical, electrical, and biological safety and its ability to create a lesion, not to interpret medical images or data.

7. The Type of Ground Truth Used:

  • For Biocompatibility: Established by standardized biological response measurements against control samples, as per ISO 10993 series.
  • For Electrical Safety/EMC: Established by conformance to specified IEC standards for medical electrical equipment.
  • For Mechanical and Functional Testing: Established by engineering specifications and measurements in controlled laboratory settings (e.g., ex vivo tissue models for lesion size) and validated against ASTM standards where applicable. This is not "expert consensus, pathology, or outcomes data" in the clinical sense.

8. The Sample Size for the Training Set:

  • Not applicable. This device does not involve an AI/machine learning component that would require a "training set."

9. How the Ground Truth for the Training Set Was Established:

  • Not applicable, as no training set was relevant for this device submission.

FDA 510(k) Clearance Letter - OptaBlate BVN Intraosseous Nerve Ablation System

Page 1

U.S. Food & Drug Administration
10903 New Hampshire Avenue
Silver Spring, MD 20993
www.fda.gov

Doc ID # 04017.07.05

May 15, 2025

Stryker Instruments
Dayana Manganese
Staff Specialist, Regulatory Affairs
1941 Stryker Way
Portage, Michigan 49002

Re: K250213
Trade/Device Name: OptaBlate BVN Intraosseous Nerve Ablation System (10mm Probe Single Kit); OptaBlate BVN Intraosseous Nerve Ablation System (10mm Probe Dual Kit)
Regulation Number: 21 CFR 882.4725
Regulation Name: Radiofrequency Lesion Probe
Regulatory Class: Class II
Product Code: GXI
Dated: January 24, 2025
Received: January 24, 2025

Dear Dayana Manganese:

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.

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K250213 - Dayana Manganese Page 2

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 (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-reporting-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 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.

All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rule"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance/unique-device-identification-system-udi-system.

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-devices/medical-device-safety/medical-device-reporting-mdr-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/medical-devices/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-devices/device-advice-comprehensive-regulatory-

Page 3

K250213 - Dayana Manganese Page 3

assistance/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,

Adam D. Pierce -S Digitally signed by Adam D. Pierce -S Date: 2025.05.15 16:23:56 -04'00'

Adam Pierce, Ph.D.
Assistant Director
DHT5A: Division of Neurosurgical, Neurointerventional, and Neurodiagnostic Devices
OHT5: Office of Neurological and Physical Medicine Devices
Office of Product Evaluation and Quality
Center for Devices and Radiological Health

Enclosure

Page 4

Food and Drug Administration
Indications for Use
Form Approved: OMB No. 0910-0120
Expiration Date: 07/31/2026
See PRA Statement below.

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Submission Number (if known)
K250213

Device Name
OptaBlate BVN Intraosseous Nerve Ablation System (10mm Probe Single Kit); OptaBlate BVN Intraosseous Nerve Ablation System (10mm Probe Dual Kit)

Indications for Use (Describe)
The Stryker OptaBlate BVN Intraosseous Nerve Ablation System is intended for the ablation of basivertebral nerves of the L3 through S1 vertebrae for the relief of chronic low back pain of at least six months duration that has not responded to at least six months of conservative care, and is also accompanied by features consistent with Type 1 or Type 2 Modic changes on an MRI such as inflammation, edema, vertebral endplate changes, disruption and fissuring of the endplate, vascularized fibrous tissues within the adjacent marrow, hypointensive signals (Type 1 Modic change), and changes to the vertebral body marrow including replacement of normal bone marrow by fat, and hyperintensive signals (Type 2 Modic change).

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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Page 5

510(k) Summary

K250213 Page 1 of 8

Submitter Information

510(k) Owner/Submitter:Stryker Instruments 1941 Stryker Way Portage, MI 49002 USA
Contact Person:Dayana Manganese Staff Regulatory Affairs Specialist
Registration Number:3015967359
Date Summary Prepared:5/12/2025

Device Name

Trade Name(s):OptaBlate BVN Intraosseous Nerve Ablation System
RegulationRadiofrequency lesion probe (21 CFR 882.4725)
Device Class:Class 2
Product Code:GXI

Predicate Device

Predicate Device
Device NameIntracept Intraosseous Nerve Ablation System (RF Probe), Intracept Intraosseous Nerve Ablation System (Access Instruments), Relievant RF Generator
510(k) NumberK190504

Device Description

The subject device Stryker Optablate® BVN Intraosseous Nerve Ablation System is a bipolar, high frequency electrosurgical system comprising the BVN probe, Microinfuser, syringe, introducer handpiece, introducer conduit, 10 G access cannula with diamond tip stylet, and 10 G bevel tip stylet.

The subject device is intended to be used in conjunction with the existing Optablate radiofrequency (RF) generator (K221074), MultiGen2 Splitter Cable (K170242), and Optablate Microinfuser (K221074) to produce lesions by the direct application of radiofrequency currents for the relief of chronic low back pain. The subject generator applies temperature-controlled, radiofrequency (RF) energy into the probe. During lesion creation, targeted tissue is exposed to RF energy using an active probe inserted into a conduit that is within an access cannula. The application of RF energy causes a thermal reaction at the targeted tissue site to ablate the basivertebral nerve. It is indicated for the L3 through S1 vertebrae.

When used, the subject OptaBlate BVN probes are connected to the splitter cable, which is connected to the generator, to deliver RF energy to the target tissue. The Optablate Microinfuser is connected to the probe to deliver a small amount of saline to the ablation site. The saline exits the probe between the emitters and helps ensure there is good electrical connection between the emitters and the tissue. The quality of the connection is measured in units called impedance. Impedance goes up if the connection is poor. If the impedance goes to high, the generator will trigger an error and stop the ablation. The Microinfuser slowly introduces saline to prevent impedance rises.

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K250213 Page 2 of 8

Indications for Use

The Stryker OptaBlate BVN Intraosseous Nerve Ablation System is intended for the ablation of basivertebral nerves of the L3 through S1 vertebrae for the relief of chronic low back pain of at least six months duration that has not responded to at least six months of conservative care, and is also accompanied by features consistent with Type 1 or Type 2 Modic changes on an MRI such as inflammation, edema, vertebral endplate changes, disruption and fissuring of the endplate, vascularized fibrous tissues within the adjacent marrow, hypointensive signals (Type 1 Modic change), and changes to the vertebral body marrow including replacement of normal bone marrow by fat, and hyperintensive signals (Type 2 Modic change).

Substantial Equivalence Comparison

The predicate device has been identified as the Intracept Intraosseous Nerve Ablation System Relievant Medsystems RF Generator (RFG) (K190504). Both subject and predicate devices share the same intended use, and similar indications for use and technological characteristics. Results of verification and validation demonstrate that these differences do not introduce new questions of safety and effectiveness. The subject devices are at least as safe and effective as the predicate device.

Intended Use Comparison

SubjectPredicate
Stryker OptaBlate BVN Intraosseous Nerve Ablation SystemIntracept Intraosseous Nerve Ablation System Relievant Medsystems RF Generator (RFG) (K190504)
Product CodeGXIGXI
Indications for UseThe Stryker OptaBlate BVN Intraosseous Nerve Ablation System is intended for the ablation of basivertebral nerves of the L3 through S1 vertebrae for the relief of chronic low back pain of at least six months duration that has not responded to at least six months of conservative care, and is also accompanied by features consistent with Type 1 or Type 2 Modic changes on an MRI such as inflammation, edema, vertebral endplate changes, disruption and fissuring of the endplate, vascularized fibrous tissues within the adjacent marrow, hypointensive signals (Type 1 Modic change), and changes to the vertebral body marrow including replacement of normal bone marrow by fat, and hyperintensive signals (Type 2 Modic change).The Intracept Intraosseous Nerve Ablation System is intended to be used in conjunction with radiofrequency (RF) generators for the ablation of basivertebral nerves of the L3 through S1 vertebrae for the relief of chronic low back pain of at least six months duration that has not responded to at least six months of conservative care, and is also accompanied by features consistent with Type 1 or Type 2 Modic changes on an MRI such as inflammation, edema, vertebral endplate changes, disruption and fissuring of the endplate, vascularized fibrous tissues within the adjacent marrow, hypointensive signals (Type 1 Modic change), and changes to the vertebral body marrow including replacement of normal bone marrow by fat, and hyperintensive signals (Type 2 Modic change). The Relievant RFG is intended to be used with RF probes FDA cleared as part of the Relievant Intracept Intraosseous Nerve

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K250213 Page 2 of 8

SubjectPredicate
Stryker OptaBlate BVN Intraosseous Nerve Ablation SystemIntracept Intraosseous Nerve Ablation System Relievant Medsystems RF Generator (RFG) (K190504)
Ablation System for the ablation of basivertebral nerves of the L3 through S1 vertebrae for the relief of chronic low back pain of at least six months duration that has not responded to at least six months of conservative care, and is also accompanied by features consistent with Type 1 or Type 2 Modic changes on an MRI such as inflammation, edema, vertebral endplate changes, disruption and fissuring of the endplate, vascularized fibrous tissues within the adjacent marrow, hypointensive signals (Type 1 Modic change), and changes to the vertebral body marrow including replacement of normal bone marrow by fat, and hyperintensive signals (Type 2 Modic change).
Single Use?Single UseSingle Use
Anatomical SiteBasivertebral nerves of the L3 through S1 vertebrae.Basivertebral nerves of the L3 through S1 vertebrae
Method of AccessPercutaneousPercutaneous

Technological Characteristics Comparison

SubjectPredicate
Stryker OptaBlate BVN Intraosseous Nerve Ablation SystemIntracept Intraosseous Nerve Ablation System Relievant Medsystems RF Generator (RFG) (K190504)
Energy TypeRadiofrequency EnergyRadiofrequency Energy
Principle of OperationOperator-controlled; RF delivered from compatible generator.Operator-controlled; RF delivered from compatible generator.
Mechanism of ActionCellular necrosis through thermal coagulation.Cellular necrosis through thermal coagulation.
Compatible RF GeneratorOptaBlate RF Generator (K221074)Stockert Neuro N50 Generator (K070336) Relievant Medsystems RF Generator (K171143)
Temperature95°C85°C
Temperature Ramp~0.27°/second1°/second
RF Duration7 minutes15 minutes
Saline Infusion6 ml/hourNone
Active Electrode Length10mm10mm
Active Electrode MaterialStainless Steel with Gold PlatingStainless Steel
Electrode InsulationPolyether Block Amide (Pebax)Polyether Block Amide (Pebax)

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K250213 Page 3 of 8

SubjectPredicate
Stryker OptaBlate BVN Intraosseous Nerve Ablation SystemIntracept Intraosseous Nerve Ablation System Relievant Medsystems RF Generator (RFG) (K190504)
Ablation System for the ablation of basivertebral nerves of the L3 through S1 vertebrae for the relief of chronic low back pain of at least six months duration that has not responded to at least six months of conservative care, and is also accompanied by features consistent with Type 1 or Type 2 Modic changes on an MRI such as inflammation, edema, vertebral endplate changes, disruption and fissuring of the endplate, vascularized fibrous tissues within the adjacent marrow, hypointensive signals (Type 1 Modic change), and changes to the vertebral body marrow including replacement of normal bone marrow by fat, and hyperintensive signals (Type 2 Modic change).
Single Use?Single UseSingle Use
Anatomical SiteBasivertebral nerves of the L3 through S1 vertebrae.Basivertebral nerves of the L3 through S1 vertebrae
Method of AccessPercutaneousPercutaneous

Technological Characteristics Comparison

SubjectPredicate
Stryker OptaBlate BVN Intraosseous Nerve Ablation SystemIntracept Intraosseous Nerve Ablation System Relievant Medsystems RF Generator (RFG) (K190504)
Energy TypeRadiofrequency EnergyRadiofrequency Energy
Principle of OperationOperator-controlled; RF delivered from compatible generator.Operator-controlled; RF delivered from compatible generator.
Mechanism of ActionCellular necrosis through thermal coagulation.Cellular necrosis through thermal coagulation.
Compatible RF GeneratorOptaBlate RF Generator (K221074)Stockert Neuro N50 Generator (K070336) Relievant Medsystems RF Generator (K171143)
Temperature95°C85°C
Temperature Ramp~0.27°/second1°/second
RF Duration7 minutes15 minutes
Saline Infusion6 ml/hourNone
Active Electrode Length10mm10mm
Active Electrode MaterialStainless Steel with Gold PlatingStainless Steel
Electrode InsulationPolyether Block Amide (Pebax)Polyether Block Amide (Pebax)
Material
Electrode Diameter1.75mm2.0mm
Components
Cannula10G Access Cannula with Diamond Point Stylet8G Access Cannula with Diamond Point Stylet
Stylet10G Bevel Stylet8G Bevel Stylet
Curved Access IntroducerIntroducer HandpieceIntroducer
Access Conduit10G Introducer Conduit Peek10G Introducer Conduit Peek
Saline InfusionMicroinfuserNot used.

Summary of Non-Clinical Testing

A suite of performance testing, including Sterilization, Biocompatibility, Electrical Safety and EMC Testing, was conducted to demonstrate substantial equivalence with the predicate device. The following performance data were provided in support of the substantial equivalence determination.

Sterilization

Sterilization of the Stryker OptaBlate BVN Kits is completed using Ethylene Oxide. Sterilization validation was completed with conformance with ISO 11135:2014 and ISO 10993-7:2008/Amd 1:2019

Sterilization of the Microinfuser with Syringe is completed using Radiation. Sterilization validation was completed with conformance with ISO 11137-1:2006, ISO 11137-2:2013 and ISO 11137-3:2017.

Biocompatibility

Patient contact materials are classified as tissue/bone/dentin < 24hours and tested for compliance with applicable ISO 10993 standards.

This table summarizes the biocompatibility testing done and the results.

Stryker OptaBlate BVN Intraosseous Nerve Ablation System: Probe TestsTest Method SummaryResults
Cytotoxicity – MEM ElutionStandards: ISO 10993-5:2009 ISO 10993- 12:2021 Acceptance Criteria: Test article to be considered non-cytotoxic.Pass
Cytotoxicity – MEM Elution (Aged)Standards: ISO 10993-5:2009 ISO 10993- 12:2021 Acceptance Criteria: Test article to be considered non-cytotoxic.Pass
Cytotoxicity- MTTStandards: ISO 10993-5:2009 ISO 10993- 12:2021 Acceptance Criteria: Test article to be considered non-cytotoxic.Pass

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K250213 Page 4 of 8

Stryker OptaBlate BVN Intraosseous Nerve Ablation System: Probe TestsTest Method SummaryResults
Irritation – Intracutaneous ReactivityStandards: ISO 10993-23:2021 ISO 10993-12:2021 Acceptance Criteria: Difference between the test article and control is less than or equal to 1.0Pass
Acute Systemic ToxicityStandards: ISO 10993-11:2017 ISO 10993-12:2021 Acceptance Criteria: Test article shows no greater biological reaction than animals treated with controlPass
Sensitization – Guinea Pig MaximizationStandards: ISO 10993-10:2010 ISO 10993-12:2021 Acceptance Criteria: Test article causes no sensitization reaction based on scoring and comparison to controlPass
Stryker OptaBlate BVN Intraosseous Nerve Ablation System: Access Cannula/ Bevel Stylet TestsTest Method SummaryResults
Cytotoxicity – MEM ElutionStandards: ISO 10993-5:2009 ISO 10993- 12:2021 Acceptance Criteria: Test article to be considered non-cytotoxic.Pass
Irritation – Intracutaneous ReactivityStandards: ISO 10993-10:2010 ISO 10993-12:2012 Acceptance Criteria: Difference between the test article and control is less than or equal to 1.0Pass
Acute Systemic ToxicityStandards: ISO 10993-11:2017 ISO 10993-12:2012 Acceptance Criteria: Test article shows no greater biological reaction than animals treated with controlPass
Sensitization – Guinea Pig MaximizationStandards: ISO 10993-10:2010 ISO 10993-12:2012 Acceptance Criteria: Test article causes no sensitization reaction based on scoring and comparison to controlPass

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K250213 Page 5 of 8

Stryker OptaBlate BVN Intraosseous Nerve Ablation System: Probe TestsTest Method SummaryResults
Irritation – Intracutaneous ReactivityStandards: ISO 10993-23:2021 ISO 10993-12:2021 Acceptance Criteria: Difference between the test article and control is less than or equal to 1.0Pass
Acute Systemic ToxicityStandards: ISO 10993-11:2017 ISO 10993-12:2021 Acceptance Criteria: Test article shows no greater biological reaction than animals treated with controlPass
Sensitization – Guinea Pig MaximizationStandards: ISO 10993-10:2010 ISO 10993-12:2021 Acceptance Criteria: Test article causes no sensitization reaction based on scoring and comparison to controlPass
Stryker OptaBlate BVN Intraosseous Nerve Ablation System: Access Cannula/ Bevel Stylet TestsTest Method SummaryResults
Cytotoxicity – MEM ElutionStandards: ISO 10993-5:2009 ISO 10993- 12:2021 Acceptance Criteria: Test article to be considered non-cytotoxic.Pass
Irritation – Intracutaneous ReactivityStandards: ISO 10993-10:2010 ISO 10993-12:2012 Acceptance Criteria: Difference between the test article and control is less than or equal to 1.0Pass
Acute Systemic ToxicityStandards: ISO 10993-11:2017 ISO 10993-12:2012 Acceptance Criteria: Test article shows no greater biological reaction than animals treated with controlPass
Sensitization – Guinea Pig MaximizationStandards: ISO 10993-10:2010 ISO 10993-12:2012 Acceptance Criteria: Test article causes no sensitization reaction based on scoring and comparison to controlPass
Stryker OptaBlate BVN Intraosseous Nerve Ablation System: Introducer handpiece/ Introducer conduit TestsTest Method SummaryResults
Cytotoxicity – MEM ElutionStandards: ISO 10993-5:2009 ISO 10993-12:2012 Acceptance Criteria: Test article to be considered non- cytotoxic.Pass
Irritation – Intracutaneous ReactivityStandards: ISO 10993-10:2010 ISO 10993-12:2012 Acceptance Criteria: Difference between the test article and control is less than or equal to 1.0Pass
Acute Systemic ToxicityStandards: ISO 10993-11:2017 ISO 10993-12:2012 Acceptance Criteria: Test article shows no greater biological reaction than animals treated with controlPass
Sensitization – Guinea Pig MaximizationStandards: ISO 10993-10:2010 ISO 10993-12:2012 Acceptance Criteria: Test article causes no sensitization reaction based on scoring and comparison to controlPass

Electromagnetic compatibility and Electrical Safety Testing

Stryker OptaBlate BVN Intraosseous Nerve Ablation System was evaluated for compliance with the following standards and was found to be complying:

  • IEC 60601-1; Medical electrical equipment; Part 1: General requirements for basic safety and essential performance
  • IEC 60601-1-2; Medical electrical equipment; Part 1-2: General requirements for safety – Collateral standard: Electromagnetic compatibility
  • IEC 60601-1-8; Medical electrical equipment - Part 1-8: General requirements for basic safety and essential performance - Collateral Standard: General requirements, tests and guidance for alarm systems in medical electrical equipment and medical electrical systems
  • IEC 60601-2-2; Medical electrical equipment - Part 2-2: Particular requirements for the basic safety and essential performance of high frequency surgical equipment and high frequency surgical accessories
TestsTest Method SummaryResults
High Frequency Surgical Equipment and Accessories – Safety TestingType testing/conformity testing per IEC 60601-2-2 Ed. 6.1: Medical electrical equipment - Part 2-2: Particular requirements for the basic safety and essential performance of high frequency surgical equipment and high frequency surgical accessoriesPass All applicable clauses from the standard were

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TestsTest Method SummaryResults
Medical Electrical Equipment – Safety TestingType testing/conformity testing per IEC 60601-1 Ed. 3.2: Medical electrical equipment - Part 1: General requirements for basic safety and essential performancetested and conform to safety and effectiveness requirements
AlarmsType testing/conformity testing per IEC 60601-1-8 Ed. 2.2: Medical electrical equipment - Part 1-8: General requirements for basic safety and essential performance - Collateral Standard: General requirements, tests and guidance for alarm systems in medical electrical equipment and medical electrical systems
Electromagnetic CompatibilityType testing/conformity testing per IEC 60601-1-2 Ed. 4.1: Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral Standard: Electromagnetic disturbances - Requirements and tests

Performance Testing

A range of design verification testing was conducted to confirm the subject devices perform as intended and are safe and effective for their intended use. Results of performance testing are summarized below.

Stryker OptaBlate BVN Intraosseous Nerve Ablation System TestTest Method SummaryResults
TransitASTM D4169 Standard Practice for Performance Testing of Shipping Containers and SystemsPass
Bubble TestASTM F2096 Standard Test Method for Detecting Gross Leaks in Packaging by Internal Pressurization (Bubble Test)Pass
Seal Peel TestASTM F88 Standard Test Method for Seal Strength of Flexible Barrier MaterialsPass
Mechanical TestingProbe Insertion Force Conduit Retraction Force Infusion Flow Rate Tensile Strength Twist Cycle Torsional Stiffness Impact ForcePass
DimensionalMeet dimensional specs per product specificationsPass
Visual InspectionEnsure non-aged and aged samples free from surface defects and material degradationPass
Temperature Accuracy (BVN probe testing)Accuracy verified by measurements and performance testing covering full functional use rangePass
Lesion (BVN probe testing)Measured RF lesion size in ex vivo tissue model (Bovine bone and chicken)Pass

Clinical Testing

No clinical testing was required to support this submission.

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Medical Electrical Equipment – Safety TestingType testing/conformity testing per IEC 60601-1 Ed. 3.2: Medical electrical equipment - Part 1: General requirements for basic safety and essential performancetested and conform to safety and effectiveness requirements
AlarmsType testing/conformity testing per IEC 60601-1-8 Ed. 2.2: Medical electrical equipment - Part 1-8: General requirements for basic safety and essential performance - Collateral Standard: General requirements, tests and guidance for alarm systems in medical electrical equipment and medical electrical systems
Electromagnetic CompatibilityType testing/conformity testing per IEC 60601-1-2 Ed. 4.1: Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral Standard: Electromagnetic disturbances - Requirements and tests

Performance Testing

A range of design verification testing was conducted to confirm the subject devices perform as intended and are safe and effective for their intended use. Results of performance testing are summarized below.

Stryker OptaBlate BVN Intraosseous Nerve Ablation System TestTest Method SummaryResults
TransitASTM D4169 Standard Practice for Performance Testing of Shipping Containers and SystemsPass
Bubble TestASTM F2096 Standard Test Method for Detecting Gross Leaks in Packaging by Internal Pressurization (Bubble Test)Pass
Seal Peel TestASTM F88 Standard Test Method for Seal Strength of Flexible Barrier MaterialsPass
Mechanical TestingProbe Insertion Force Conduit Retraction Force Infusion Flow Rate Tensile Strength Twist Cycle Torsional Stiffness Impact ForcePass
DimensionalMeet dimensional specs per product specificationsPass
Visual InspectionEnsure non-aged and aged samples free from surface defects and material degradationPass
Temperature Accuracy (BVN probe testing)Accuracy verified by measurements and performance testing covering full functional use rangePass
Lesion (BVN probe testing)Measured RF lesion size in ex vivo tissue model (Bovine bone and chicken)Pass

Clinical Testing

No clinical testing was required to support this submission.

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Conclusion

The subject devices, in comparison with the legally marketed predicate, share the same intended use and operating principles. Performance testing demonstrate that the subject devices are at least as safe and effective as the predicate. Any differences between the subject and predicate devices do not raise any new or different types of questions of safety and effectiveness. A determination of substantial equivalence is supported.

§ 882.4725 Radiofrequency lesion probe.

(a)
Identification. A radiofrequency lesion probe is a device connected to a radiofrequency (RF) lesion generator to deliver the RF energy to the site within the nervous system where a lesion is desired.(b)
Classification. Class II (performance standards).