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510(k) Data Aggregation

    K Number
    K111478
    Date Cleared
    2011-08-04

    (69 days)

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

    STRYKER SPINE POWER ADAPTOR (ACCESSORY INSTRUMENT)

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

    To facilitate the placement of pedicle screws using the power technique, the use of the Stryker Spine Power Adaptor is intended for exclusive use with the Stryker Instruments Hudson Modified Trinkle Adaptor and the RemB Corded Driver. When the adaptors are attached, the RemB Corded Driver provides power to rotate screw drivers for inserting of pedicle screws.

    Pedicle screws from select Stryker Spine implant systems may be implanted in the skeletally mature non-cervical spine using powered instrumentation. The systems include the family of Xia Spinal Systems (Xia Stainless Steel, Xia II, Xia Anterior, and Xia Precision), Xia 3 Spinal System, Xia 4.5 Spinal System, Radius Spinal System and Mantis Spinal Systems.

    The Xia® Spinal System is intended for anterior/anterolateral and posterior, noncervical pedicle and non-pedicle fixation for the following indications: degenerative disc disease (DDD) (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies); spondylolisthesis; trauma (i.e., fracture or dislocation); spinal stenosis; curvatures (i.e., scoliosis, kyphosis, and/or lordosis); tumor; pseudoarthrosis; and failed previous fusion.

    The XIA® 4.5. XIA® 3. Radius® Spinal Systems are intended for use in the noncervical spine. When used as an anterior/anteral and posterior, noncervical pedicle and non-pedicle fixation system, the XIA® 3 Spinal System is intended to provide additional support during fusion using autograft or allograft in skeletally mature patients in the treatment of the following acute and chronic instabilities or deformities: Degenerative disc disease (DDD) (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies); Spondylolisthesis; Trauma (i.e., fracture or dislocation); Spinal Stenosis; Curvatures (i.e., scoliosis, kyphosis, and/or lordosis); Tumor; Pseudoarthrosis; and Failed previous fusion.

    The MANTIS® Spinal System and MANTIS® Redux Spinal System is intended for percutaneous, posterior, non-cervical pedicle and non-pedicle fixation of the spine to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion for the following indications: degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies); spondylolisthesis; trauma (i.e. fracture or dislocation); spinal stenosis; curvatures (i.e. scoliosis, and/or lordosis); tumor; Pseudoarthrosis; and failed previous fusion.

    Device Description

    The line extension, which is the subject of this 510(k), consists of the addition of a power adaptor instrument accessory. This adaptor instrument is intended to facilitate the insertion of pedicle screws using powered instrumentation. This 510(k) supports a labeling update to include the option for pedicle screw insertion using powered instrumentation (in addition to the existing manual insertion technique). To facilitate the insertion of pedicle screws using the power technique, the use of the Stryker Spine Power Adaptor is intended for exclusive use with the Stryker Instruments Hudson Modified Trinkle Adaptor and the RemB Corded Driver. The adaptors serve as a mechanical interface between the power driver and screwdriver instrument. When the adaptors are attached, the RemB Corded Driver provides appropriate power to rotate screw drivers for the insertion of pedicle screws.

    AI/ML Overview

    The provided text describes a special 510(k) premarket notification for a line extension to Stryker Spine Thoracolumbar Spinal Systems: the inclusion of a Power Adaptor Instrument Accessory. This accessory is intended to facilitate the insertion of pedicle screws using powered instrumentation.

    1. Table of Acceptance Criteria and Reported Device Performance

    The submission outlines a risk assessment that led to an appropriate testing plan, focusing on the mechanical and functional compatibility of the power adaptor.

    Acceptance CriteriaReported Device Performance
    Withstand screw loading during normal useBench testing results demonstrated that the subject instrument can withstand screw loading during normal use without loss of function.
    Withstand screw insertion during normal useBench testing results demonstrated that the subject instrument can withstand screw insertion during normal use without loss of function.
    Compatibility with existing screwdriver instrumentsBench testing results also demonstrated that the power adaptor instrument is compatible with existing screwdriver instruments.
    Quality/accuracy of screw placement with power techniqueTested under simulated use conditions to evaluate the quality/accuracy of screw placement. (No specific quantitative results are provided in the summary, but the implication is that it met acceptable standards for safe use, allowing for substantial equivalence determination).

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

    • Test Set Sample Size: The document does not specify exact numerical sample sizes for the "fatigue and functional compatibility testing" or the "simulated use conditions" testing. It broadly states that testing was performed "over a simulated usage period."
    • Data Provenance: The studies were bench tests and simulated use conditions, conducted by Stryker Spine. The provenance is internal to the manufacturer, likely conducted in the US (as Stryker is a US-based company and the submission is to the FDA). The data is prospective, generated specifically for this 510(k) submission.

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

    Since this involves bench testing and simulated use, rather than clinical data requiring expert review for ground truth, the concept of "experts" for establishing ground truth as typically understood in AI/clinical studies (e.g., radiologists interpreting images) does not directly apply here. The "ground truth" was established by engineering specifications and performance standards for spinal instrumentation. The individuals conducting and reporting the tests would be qualified engineers and technicians.

    4. Adjudication Method for the Test Set

    Not applicable in the context of mechanical bench testing and simulated use. Performance was measured against pre-defined engineering and functional criteria.

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

    Not applicable. This device is a mechanical instrument accessory, not an AI-powered diagnostic or assistive tool for human readers. Therefore, there's no "human readers improve with AI vs without AI assistance" to evaluate.

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

    This is not an algorithm, but a mechanical device. Therefore, the concept of "standalone performance" in the context of an algorithm does not apply. The performance evaluated was of the device itself (power adaptor) and its compatibility with other instruments.

    7. Type of Ground Truth Used

    The ground truth for the device's performance was based on:

    • Engineering specifications for mechanical strength, fatigue, and functional compatibility.
    • Pre-defined criteria for adequate screw loading, screw insertion, and compatibility with existing instruments.
    • Safety and functional requirements for surgical instruments.

    8. Sample Size for the Training Set

    Not applicable. This is a mechanical device, not an AI model, so there is no "training set."

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

    Not applicable, as there is no training set for a mechanical device.

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