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510(k) Data Aggregation

    K Number
    K141291
    Manufacturer
    Date Cleared
    2014-08-26

    (99 days)

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

    The VertiForm Posterior Fixation System is intended for posterior, non-cervical fixation in skeletally mature patients for the following conditions: degenerative disc disease (DDD), DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies, spondylolisthesis, trauma (fracture or dislocation), spinal stenosis, curvatures (scoliosis, lordosis), tumor, pseudarthrosis (previous failed fusion). When used as posterior non-cervical pedicle screw fixation in pediatric patients, the Vertiform Posterior Fixation System is intended to treat adolescent idiopathic scoliosis. The device is intended to be used with autograft and or allograft to facilitate fusion.

    Device Description

    The VertiForm Posterior Fixation System consists of pedicle screw assemblies, set screw, rod and crosslink. The pedicle screw assemblies consist of Polyaxial Pedicle Screw, Fixed Pedicle Screw, and Uniplanar Pedicle Screw and are in a variety of geometries and sizes to accommodate patient anatomy. They will be provided non-sterile. The VertiForm Posterior Fixation System is manufactured from Titanium allov in accordance with ASTM F136, medical-grade commercially pure titanium per ASTM F67 and medical grade cobalt chrome per ASTM F-1537.

    AI/ML Overview

    This document is a 510(k) summary for the VertiForm Posterior Fixation System, which is a pedicle screw spinal system. It describes the device, its intended use, and substantial equivalence to predicate devices. The document does not contain specific acceptance criteria or a study proving the device meets those criteria in the way typically expected for an AI/ML medical device.

    Based on the provided text, here's what can be extracted and what is missing:

    1. A table of acceptance criteria and the reported device performance

    The document provides the following information regarding performance testing:

    Test/Criteria CategoryAcceptance Criteria (Implicit)Reported Device Performance
    Mechanical Safety and PerformanceEquivalent to predicate devices"The results of this testing indicate that the VertiForm Posterior Fixation System is equivalent to the predicate devices."
    Static CompressionEquivalent to predicate devicesMet
    Dynamic CompressionEquivalent to predicate devicesMet
    Static TorsionEquivalent to predicate devicesMet

    Note: The acceptance criteria are implicitly stated as "equivalent to the predicate devices" rather than specific numerical thresholds. The reported performance is a general statement of equivalence.

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

    This information is not provided. The document states "Performance testing has been conducted for the subject devices in accordance with the following guidance documents: Standard Test Methods for Spinal Implant Constructs in a Vertebrectomy Model, ASTM F1717". This refers to non-clinical (mechanical) testing of the device hardware, not a clinical study on patient data.

    3. 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)

    This information is not applicable/provided. The study described is a non-clinical, mechanical performance test of a physical device, not an AI/ML algorithm requiring expert-established ground truth from medical images or patient data.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

    This information is not applicable/provided for the same reasons as point 3.

    5. 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

    This information is not applicable/provided. No MRMC study or AI assistance is mentioned. The device is a physical spinal fixation system.

    6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done

    This information is not applicable/provided. The device is a physical medical implant, not an algorithm.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

    This information is not applicable/provided. The "ground truth" for the mechanical performance tests would be the measured physical properties (e.g., strength, stiffness, fatigue resistance) according to the ASTM standard, and comparison to predicate devices.

    8. The sample size for the training set

    This information is not applicable/provided. There is no training set for a physical implant device.

    9. How the ground truth for the training set was established

    This information is not applicable/provided. There is no training set for a physical implant device.

    In summary:

    The provided document describes a traditional medical device (a spinal implant). The "study" mentioned is non-clinical performance testing of the device's mechanical properties, not a clinical trial or an evaluation of an AI/ML algorithm. Therefore, many of the requested details, especially those related to AI/ML device evaluation, are not present or applicable to this document. The key information provided is that mechanical tests (Static Compression, Dynamic Compression, Static Torsion) were performed according to ASTM F1717, and the device was found to be "equivalent to the predicate devices" in terms of mechanical safety and performance.

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