K Number
K994308
Device Name
NUVASIVE TOWNLEY FACET SCREW
Manufacturer
Date Cleared
2000-04-18

(119 days)

Product Code
Regulation Number
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Townley Tranfacet/Intrapedicular Screw is intended to stabilize the spine as an aid to fusion through bilateral immobilization of the facet joints. The screws are inserted posteriorly through the superior side of the facet, across the facet joint, and into the pedicle. The Townley Screw is indicated for bilateral facet fixation, with or without bone graft, at single or multiple levels, and from C2 to S1, for treatment of any or all of the following: pseudoarthrosis and failed previous fusion; spondylolisthesis; spondylolysis; degenerative disc disease (DDD) as defined by neck and/or back pain of discogenic origin as confirmed by radiographic studies; degeneration of the facets with instability; and fracture
Device Description
The Townley Trunfacet/Intrapedicular Screw consists of a broad-headed, partially threaded screw designed to compact juxtaposed facet articular processes to enhance spinal fusion and stability. The non-threaded portion facilitates compression of the joint surfaces through a gliding hole technique. The screws are available fabricated from medical grade stainless steel (ASTM F-138) or Ti6Al4V alloy (ASTM F136 or 1472), and are supplied in various lengths ranging from 25 mm (approx. 0.98") to 60 mm (approx. 2.37"). In all sizes, the screws have a major diameter of 3.5 mm (approx. 0.140") and a minor diameter of 2.70 mm (approx. 0.106").
More Information

Not Found

Not Found

No
The device description and performance studies focus on the mechanical properties and intended use of a physical screw for spinal stabilization, with no mention of software, algorithms, or data processing that would indicate AI/ML.

Yes
The device is intended to stabilize the spine as an aid to fusion and is indicated for the treatment of various spinal conditions such as pseudoarthrosis, spondylolisthesis, and degenerative disc disease, which are medical conditions that require treatment.

No

Explanation: The device, the Townley Tranfacet/Intrapedicular Screw, is intended to stabilize the spine as an aid to fusion and is an implantable screw for treatment of various spinal conditions. It does not perform any diagnostic function.

No

The device description clearly states it is a physical screw made of stainless steel or titanium alloy, intended for surgical implantation.

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

Here's why:

  • Intended Use: The intended use is to stabilize the spine as an aid to fusion through bilateral immobilization of the facet joints. This is a surgical procedure performed directly on the patient's body.
  • Device Description: The device is a physical screw made of metal, designed to be implanted into bone.
  • Lack of IVD Characteristics: An IVD is a medical device used to perform tests on samples taken from the human body (like blood, urine, tissue) to provide information about a person's health. The description of the Townley Tranfacet/Intrapedicular Screw does not involve any such testing or analysis of biological samples.

The device is a surgical implant used for spinal fixation, which falls under a different category of medical devices than IVDs.

N/A

Intended Use / Indications for Use

The Townley Tranfacet/Intrapedicular Screw is intended to stabilize the spine as an aid to fusion through bilateral immobilization of the facet joints. The screws are inserted posteriorly through the superior side of the facet, across the facet joint, and into the pedicle. The Townley Screw is indicated for bilateral facet fixation, with or without bone graft, at single or multiple levels, and from C2 to S1, for treatment of any or all of the following:

  • pseudoarthrosis and failed previous fusion; (a)
  • (b) spondylolisthesis;
  • spondylolysis; (c)
  • degenerative disc disease (DDD) as defined by neck and/or back pain of (d) discogenic origin as confirmed by radiographic studies;
  • degeneration of the facets with instability; and (e)
  • () fracture

Product codes

MRW

Device Description

The Townley Trunfacet/Intrapedicular Screw consists of a broad-headed, partially threaded screw designed to compact juxtaposed facet articular processes to enhance spinal fusion and stability. The non-threaded portion facilitates compression of the joint surfaces through a gliding hole technique. The screws are available fabricated from medical grade stainless steel (ASTM F-138) or Ti6Al4V alloy (ASTM F136 or 1472), and are supplied in various lengths ranging from 25 mm (approx. 0.98") to 60 mm (approx. 2.37"). In all sizes, the screws have a major diameter of 3.5 mm (approx. 0.140") and a minor diameter of 2.70 mm (approx. 0.106").

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

C2 to S1

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

Static and fatigue testing conducted in accordance with ASTM Standard F1717 indicate that the titanium form of the subject device has superior ultimate load than the stainless steel form of the device, with a higher percentage of the ultimate load at run-out in the fatigue testing.
Clinical Tests: (Not applicable.)

Key Metrics

Not Found

Predicate Device(s)

The subject device is the exact same device as the preamendment Townley Bone Graft Screw (also known as the Townley Compression Screw), which was marketed prior to May, 1976, by Zimmer Manufacturing Company.

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

N/A

0

VII. 510(k) Summary

In accordance with the Safe Mcdical Devices Act (SMDA) of 1990 and Title 21 of the Code of Federal Regulations, Part 807), and in particular $807.92, the following summary of information is provided:

Submitted by: A.

R. Stephen Reitzler Vice President, Regulatory Affairs and Quality Assurance NuVasive, Incorporated 10065 Old Grove Road, Suite A San Diego, California 92131 Telephone: (858) 271-7070 Telefacsimile: (858) 271-7101

B. Device Name

Trade or Proprietary Name:Townley Transfacet/Intrapedicular Screw
Common or Usual Name:Posterior Facet Screw
Classification Name:Class II

C. Predicate Devices

The subject device is the exact same device as the preamendment Townley Bone Graft Screw (also known as the Townley Compression Screw), which was marketed prior to May, 1976, by Zimmer Manufacturing Company.

D. Device Description

The Townley Trunfacet/Intrapedicular Screw consists of a broad-headed, partially threaded screw designed to compact juxtaposed facet articular processes to enhance spinal fusion and stability. The non-threaded portion facilitates compression of the joint surfaces through a gliding hole technique. The screws are available fabricated from medical grade stainless steel (ASTM F-138) or Ti6Al4V alloy (ASTM F136 or 1472), and are supplied in various lengths ranging from 25 mm (approx. 0.98") to 60 mm (approx. 2.37"). In all sizes, the screws have a major diameter of 3.5 mm (approx. 0.140") and a minor diameter of 2.70 mm (approx. 0.106").

1

E. Intended Use

The Townley Tranfacet/Intrapedicular Screw is intended to stabilize the spine as an aid to fusion through bilateral immobilization of the facet joints. The screws are inserted posteriorly through the superior side of the facet, across the facet joint, and into the pedicle. The Townley Screw is indicated for bilateral facet fixation, with or without bone graft, at single or multiple levels. and from C2 to S1, for treatment of any or all of the following:

  • pseudoarthrosis and failed previous fusion: (a)
  • spondylolisthesis: (b)
  • spondylolysis: (c)

(d) degenerative disc disease (DDD) as defined by neck and/or back pain of discogenic origin as confirmed by radiographic studies;

  • degeneration of the facets with instability; and (e)
  • (f) fracture

F. Comparison to Predicate Devices

As was established in this submission, the subject device is exactly the same as the preamendment device marketed prior to May of 1976 by the Zimmer Manufacturing Company under the trade names Townley Bone Graft Screw and Townley Compression Screw, excepting only that it will be offered in MRI-compatible titanium alloy in addition to its preamendment stainless steel form.

Affidavits and commercial literature have established that the subject device is the same as the preamendment device in terms of its design, materials of composition, dimensions, indications for use, and method of use, as the preamendment device distributed commercially by Zimmer Manufacturing Company prior to May of 1976. As noted above, only the addition of an MRI-compatible form of the screw is different.

G. Summary of Non-Clinical Tests

Static and fatigue testing conducted in accordance with ASTM Standard F1717 indicate that the titanium form of the subject device has superior ultimate load than the stainless steel form of the device, with a higher percentage of the ultimate load at run-out in the fatigue testing.

H. Summary of Clinical Tests

(Not applicable.)

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I. Conclusions of Non-Clinical and Clinical Tests

As recommended by the agency's Guidance for Spinal System 510(k)s, dated May of 1999, testing has been conducted to demonstrate conformance with ASTM Standard F1717, as applicable to the design of the device, and also with ASTM Standard E739.

3

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

APR 1 8 2000

Mr. Steve Reitzler, RAC Vice President. Regulatory Affairs and Quality Assurance Nuvasive Inc. 10065 Old Grove Road. Suite A San Diego, California 92131

Re: K994308/S1

Trade Name: Townley Transfacet/Intrapedicular Screw Regulatory Class: II Product Code: MRW Dated: March 23, 2000 Received: March 24, 2000

Dear Mr. Reitzler:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). You may, therefore, market the device, subject to the general control provisions of the Act. The general control provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirement, as set forth in the Quality System Regulation (OS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic (QS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

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Page 2 - Mr. Steve Reitzler, RAC

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4659. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or at (301) 443-6597, or at its Internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely vours,

Duna R. Lochner.

Celia M. Witten, Ph.D., M.D. Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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V. Draft Labeling

Indications for Use A.

510(k) Number (if known): ____________________________________________________________________________________________________________________________________________________

Device Name: NuVasive, Inc., Townley Facet Screw

Indications for Use:

The Townley Tranfacet/Intrapedicular Screw is intended to stabilize the spine as an aid to fusion through bilateral immobilization of the facet joints. The screws are inserted posteriorly through the superior side of the facet, across the facet joint, and into the pedicle. The Townley Screw is indicated for bilateral facet fixation, with or without bone graft, at single or multiple levels, and from C2 to S1, for treatment of any or all of the following:

  • pseudoarthrosis and failed previous fusion; (a)
  • (b) spondylolisthesis;
  • spondylolysis; (c)
  • degenerative disc disease (DDD) as defined by neck and/or back pain of (d) discogenic origin as confirmed by radiographic studies;
  • degeneration of the facets with instability; and (e)
  • () fracture
Concurrence of CDRH, Office of Device Evaluation (ODE)Dune K. Lochner (Division Sign-Off)
Division of General Restorative Devices
510(k) NumberK994308
Prescription UseX
(Per 21 CFR 801.109)
OR
Over-The-Counter Use