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510(k) Data Aggregation

    K Number
    K060702
    Date Cleared
    2006-06-22

    (98 days)

    Product Code
    Regulation Number
    888.3070
    Reference & Predicate Devices
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The 4CIS® VANE Spine System is indicated for temporary or permanent correction or stabilization of the vertebral column from the thoracic to the sacrum and with the aim of helping consolidation or bone fusion, The 4CIS® VANE Spine System is designed for both posterior and anterior fixation procedure.

    The 4CIS® VANE Spine System 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 to sacrum) with removal of the implants after the attainment of a solid fusion.

    In addition, the 4CIS® VANE Spine System is intended to provide immobilization 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: degenerative Spondylolisthesis with objective evidence of neurological impairment, fracture, dislocation, scoliosis, kyphosis, spinal tumor and failed previous fusion (pseudarthrosis).

    Device Description

    The 4CIS® VANE Spine System is a top-loading multiple component, posterior spinal fixation system which consists of pedicle screws, rods, nuts, and a transverse (cross) linking mechanism.

    The 4CIS® VANE Spine System will allow surgeons to build a spinal implant construct to stabilize and promote spinal fusion. 4CIS® VANE Spine System implant components are supplied non-sterile are single use and are fabricated from titanium alloy (Ti-6Al-4V ELI) that conforms to ASTM F136. Various sizes of these implants are available. Specialized instruments are available for the application and removal of the 4CIS® VANE Spine System

    AI/ML Overview

    Here's an analysis of the provided text regarding the acceptance criteria and study for the 4CIS® VANE Spine System:

    Based on the provided document, the device's acceptance criteria and the study that proves it meets those criteria are primarily focused on mechanical testing for substantial equivalence to predicate devices.

    Here's the breakdown of the information requested:

    Acceptance Criteria and Device Performance

    Acceptance CriteriaReported Device Performance
    Mechanical equivalence to predicate devices as per ASTM F1717."Mechanical testing as listed in APPENDIX 10 that was conducted in accordance with ASTM F1717 demonstrates equivalence to the above predicate devices."

    Note: The document does not specify quantifiable acceptance criteria (e.g., minimum torque, fatigue life cycles, etc.) or specific performance metrics from the study. It only states that the testing demonstrated "equivalence." A complete submission would typically include the specific values tested against and the results obtained.

    Study Details

    1. Sample size used for the test set and the data provenance (e.g., country of origin of the data, retrospective or prospective):

      • Sample Size: Not explicitly stated. For mechanical testing, this would typically involve a specific number of devices tested for each parameter (e.g., 6 samples per test as per common ASTM standards).
      • Data Provenance: Not explicitly stated. Mechanical testing is performed in a laboratory setting, not typically on patient data.
      • Retrospective or Prospective: Not applicable, as this is laboratory mechanical testing, not a clinical study.
    2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g., radiologist with 10 years of experience):

      • Not applicable. This device undergoes mechanical testing against engineering standards (ASTM F1717), not clinical evaluation requiring expert interpretation of patient data.
    3. Adjudication method (e.g., 2+1, 3+1, none) for the test set:

      • Not applicable. This is mechanical testing that measures physical properties against established standards, not a subjective assessment requiring adjudication.
    4. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance:

      • No. This is a spinal fixation system, a physical implant. MRMC studies are relevant for AI-powered diagnostic devices, not for mechanical implants.
    5. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done:

      • Not applicable. This is a physical medical device (implant), not an algorithm or AI system.
    6. The type of ground truth used (expert consensus, pathology, outcomes data, etc):

      • The "ground truth" for this study is the performance requirements established by the ASTM F1717 standard for spinal implant constructs, and the performance of the legally marketed predicate devices (Global Spinal Fixation System (K001668) and OPTIMATY, Spinal System (K031585)). The device must perform equivalently to these established standards and predicate devices in mechanical tests.
    7. The sample size for the training set:

      • Not applicable. This is a physical medical device, not an AI/ML algorithm that requires a training set.
    8. How the ground truth for the training set was established:

      • Not applicable. As above, no training set is involved.

    Summary of available information:

    The provided 510(k) summary focuses on the mechanical performance of the 4CIS® VANE Spine System. The primary study mentioned indicates that mechanical testing was conducted in accordance with ASTM F1717, and these tests "demonstrate equivalence to the above predicate devices." This is a common approach for demonstrating substantial equivalence for physical implants where the function and materials are similar to already approved devices. The document does not provide specific numerical results, detailed methodologies, or quantitative acceptance criteria beyond the general statement of "equivalence" to the predicate devices and compliance with the ASTM standard.

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