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510(k) Data Aggregation

    K Number
    K093771
    Date Cleared
    2010-08-10

    (245 days)

    Product Code
    Regulation Number
    888.3070
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    QUANTUM/STREAMLINE TL MIS SPINAL SYSTEM

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

    The Streamline MIS Cannulated System is 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 instabilities or deformities of the thoracic, lumbar, and sacral spine: degenerative spondylolisthesis with objective evidence of neurological impairment, trauma (i.e., fracture or dislocation), deformities or curvatures (i.e., scoliosis, kyphosis, and /or lordosis), spinal tumor, and failed previous fusion (pseudoarthrosis).

    In addition, this device is a pedicle screw system indicated for the treatment of severe spondylolisthesis (Grade 3 and 4) of the L5-S1 vertebra in skeletally mature patients receiving fusion by autogenous bone graft having implants attached to the lumbar and sacral spine (L3-S1) with removal of the implants after the attainment of a solid fusion.

    Device Description

    The Streamline MIS Cannulated System consists of rods, pedicle screws, connectors, and set screws used to build a spinal construct. The implant components can be rigidly locked into a variety of configurations, with each construct being tailor-made for the individual case. The Streamline MIS Cannulated System is intended to help provide immobilization and stabilization of spinal segments as an adjunct to fusion of the lower thoracic and/or lumbar spine during open or percutaneous spinal procedures. The implant components can be rigidly locked into a variety of configurations, with each construct being tailor-made for the individual case. Screws, Set Screws, Rods and Connecting components are comprised of Titanium Alloy per ASTM F 136.

    AI/ML Overview

    The provided text describes a 510(k) summary for the Streamline MIS Cannulated System, a medical device for spinal fixation. The document focuses on demonstrating substantial equivalence to predicate devices, primarily through mechanical performance testing.

    Here's an analysis of the provided information regarding acceptance criteria and the study:

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria CategorySpecific Acceptance CriteriaReported Device Performance
    Mechanical PerformanceStatic and fatigue compression bending per ASTM F1717 as outlined in FDA's "Guidance for Industry and Staff: Spinal Systems 510(k)s" issued May 3, 2004.Testing demonstrated that the mechanical performance of the Pioneer Streamline MIS Cannulated System is substantially equivalent to the predicate devices.
    Mechanical PerformanceStatic torsion per ASTM F1717 as outlined in FDA's "Guidance for Industry and Staff: Spinal Systems 510(k)s" issued May 3, 2004.Testing demonstrated that the mechanical performance of the Pioneer Streamline MIS Cannulated System is substantially equivalent to the predicate devices.
    Component PerformanceEvaluation of crosslink disassociation per internal protocols.Testing characterized component performance.
    Component PerformanceEvaluation of saddle/cap separation per internal protocols.Testing characterized component performance.
    Component PerformanceEvaluation of yoke disassociation from screw head per internal protocols.Testing characterized component performance.
    Technological CharacteristicsMatching polyaxial screw lengths and diameters of predicate systems.The Streamline MIS Cannulated System consists of a range of polyaxial screw lengths and diameters that match that of predicate systems.
    Technological CharacteristicsRods and connecting components identical to predicate system.The rods and connecting components are identical to that of the predicate system.
    Intended UseIdentical to predicate systems.Intended Use is identical to that of the predicate systems.
    MaterialsIdentical to predicate systems.Materials are identical to that of the predicate systems.

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

    • Test Set Sample Size: The document does not specify a numerical sample size for the mechanical performance testing. It refers to "testing" and "test results" in a general sense. When a 510(k) submission states that engineering tests were run in accordance with a specified ASTM standard, the sample sizes are taken from that standard. However, the exact sample sizes used for each test are not explicitly detailed in this summary.
    • Data Provenance: The data is generated from mechanical laboratory testing performed by Pioneer Surgical Technology. The data provenance is internal to the manufacturer. It is not clinical data, so terms like "country of origin" or "retrospective/prospective" are not applicable in the typical sense for patient data.

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

    • This information is not applicable to this type of submission. The "ground truth" for mechanical testing is established by objective measurements against engineering standards (ASTM F1717) and internal protocols, not by expert consensus or interpretations of patient data.

    4. Adjudication Method for the Test Set

    • This information is not applicable to this type of submission. Adjudication methods (like 2+1, 3+1) are used for clinical studies involving human interpretation or assessments, not for mechanical laboratory testing.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    • No, an MRMC comparative effectiveness study was not done. This submission is for a spinal fixation device, and the evaluation is based on mechanical substantial equivalence, not on the interpretative performance of a diagnostic algorithm or the effectiveness of human readers.

    6. Standalone (Algorithm Only Without Human-in-the-Loop Performance) Study

    • No, a standalone study was not done. This device is a physical medical implant, not an algorithm or AI system. Therefore, the concept of algorithm-only performance is not relevant.

    7. Type of Ground Truth Used

    • The "ground truth" used for this submission is based on established engineering standards (ASTM F1717) for mechanical properties and internal protocols for specific component performance. The performance of the Streamline MIS Cannulated System was compared to the performance of predicate devices against these established benchmarks.

    8. Sample Size for the Training Set

    • This information is not applicable. There is no "training set" in the context of this 510(k) submission, as it is not an AI/ML algorithm or a diagnostic device that requires training on data. The device's design and manufacturing processes are validated, and its performance is verified through physical testing.

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

    • This information is not applicable, as there is no "training set" for this type of medical device submission.
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