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510(k) Data Aggregation
(63 days)
The NuVasive Reline Cervical System is intended to provide immobilization of spinal segments as an adjunct to fusion for the following acute and chronic instabilities of the craniocervical junction, the cervical spine (C1 to C7) and the thoracic spine (T1-T3): traumatic spinal fractures and/or traumatic dislocations; instability or deformity; failed previous fusions (e.g., pseudoarthrosis); tumors involving the cervical spine; and degenerative disease, including intractable radiculopathy and/or myelopathy, neck and/or arm pain of discogenic origin as confirmed by radiographic studies, and degenerative disease of the facets with instability. The Reline Cervical System is also intended to restore the integrity of the spinal column even in the absence of fusion for a limited time period in patients with advanced stage tumors involving the cervical spine in whom life expectancy is of insufficient duration to permit achievement of fusion.
In order to achieve additional levels of fixation, the Reline Cervical System may be connected to the Nu Vasive® SpheRx® Spinal System, Precept® Spinal System, Armada® Spinal System and Reline® 4.5-5.0 System via the rod to rod connectors or transition rods.
The NuVasive Reline Cervical System is an occipito-cervico-thoracic posterior system manufactured from Titanium alloy (Ti6Al-4V ELI) conforming to ASTM F136 and ISO 5832-3 and Cobalt Chromium alloy conforming to ASTM F90 or ASTM F1537. The Reline Cervical System consists of a variety of components including screws, rods, offset connectors, rod to rod connectors, set screws, cross connectors, hooks, eyelets, and occipital plates which can be rigidly locked in a variety of configurations to accommodate patient anatomy.
The NuVasive® Reline® Cervical System is a medical device designed to provide immobilization of spinal segments as an adjunct to fusion for various spinal instabilities. The device's acceptance criteria and the study proving it meets these criteria are detailed below based on the provided document.
1. Table of Acceptance Criteria and Reported Device Performance
The document describes performance testing conducted to demonstrate substantial equivalence to a predicate device. While explicit numerical acceptance criteria values are not given, the overall criterion is that the subject device performs equivalently to the predicate device in specific mechanical tests.
Acceptance Criteria (Implicit) | Reported Device Performance |
---|---|
Substantial equivalence to predicate device in static compression bending | Demonstrated substantial equivalence to predicate |
Substantial equivalence to predicate device in dynamic compression bending | Demonstrated substantial equivalence to predicate |
Substantial equivalence to predicate device in static torsion | Demonstrated substantial equivalence to predicate |
Substantial equivalence to predicate device in static tulip pull-off | Demonstrated substantial equivalence to predicate |
Substantial equivalence to predicate device in dynamic torsion | Demonstrated substantial equivalence to predicate |
2. Sample Size Used for the Test Set and Data Provenance
The document does not specify the exact sample sizes used for each of the mechanical tests (Static and dynamic compression bending, static torsion, dynamic torsion, static tulip pull-off). The data provenance is non-clinical testing, implying in-vitro mechanical testing rather than patient data. Thus, there is no country of origin or retrospective/prospective classification applicable in this context.
3. Number of Experts Used to Establish Ground Truth for the Test Set and Their Qualifications
This section is not applicable as the device is a mechanical implant and the testing described is non-clinical mechanical performance testing. Ground truth for such tests is typically established through adherence to industry standards (like ASTM F2706 mentioned) and engineering specifications, not expert medical consensus.
4. Adjudication Method for the Test Set
This is not applicable to the non-clinical mechanical testing described.
5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study
No MRMC comparative effectiveness study was mentioned in the document. The studies conducted were non-clinical mechanical performance tests.
6. Standalone (Algorithm Only Without Human-in-the-Loop Performance) Study
This is not applicable as the device is a physical spinal implant, not an algorithm or AI-driven system.
7. Type of Ground Truth Used
The ground truth for the performance testing was based on mechanical performance standards and specifications, specifically ASTM F2706 and potentially other internal engineering acceptance criteria to demonstrate substantial equivalence to the predicate device.
8. Sample Size for the Training Set
This is not applicable. The device is a mechanical implant, not an AI or machine learning system that requires a training set. The testing performed was non-clinical mechanical performance testing.
9. How the Ground Truth for the Training Set Was Established
This is not applicable for the reasons stated in point 8.
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(40 days)
The NuVasive Growth Rod Conversion Set is indicated in patients with potential for additional spinal growth under 10 years of age who require surgical treatment to obtain and maintain correction of severe, progressive, life threatening, early-onset spinal deformities associated with thoracic insufficiency, including early-onset scoliosis. The growth rod conversion implants may be used with Armada, Reline 4.5-5.0 rod constructs ranging in diameter from 4.5mm to 6.35mm. The NuVasive Growth Rod Conversion Set is not intended to be used in conjunction with staples.
The NuVasive Growth Rod Conversion Set consists of connectors designed to convert a traditional fusion construct into a non-fusion growth enabling construct that can be surgically lengthened on a periodic basis as the patient grows. Implant components are available in a variety sizes and can be rigidly locked into a variety of different rod diameters. The devices are manufactured from biocompatible medical grade titanium alloy.
The provided text is a 510(k) summary for a medical device (NuVasive® Growth Rod Conversion Set). It details the device's intended use, technological characteristics, and a comparison to predicate devices, but does not contain information regarding
acceptance criteria, specific performance claims (e.g., accuracy, sensitivity, specificity), or the details of a clinical study with human readers, ground truth establishment, or statistical analysis.
The document states:
- "No additional testing was provided to support usage for the non-fusion indication." (Page 5, Section G. Performance Data)
- "Testing previously performed for Reline System (K143684) and Reline 4.5-5.0 System (K170126) to support fusion applications included subject devices. Comparison to predicate devices indicated for growth rod conversion was performed." (Page 5, Section G. Performance Data)
This indicates that the submission relied on existing testing data for other devices (Reline System and Reline 4.5-5.0 System) that included components similar to the subject device, and a comparison to predicate devices. It does not describe a specific study conducted to prove the current device meets acceptance criteria in the way one might expect for a diagnostic or AI-powered device (e.g., performance metrics, clinical reader studies).
Therefore, it is not possible to provide the requested information about acceptance criteria, device performance, sample sizes, expert involvement, or MRMC studies based on the provided text. The device's substantial equivalence relies on demonstrating similar technological characteristics and intended use to existing predicate devices, rather than a new clinical performance study for this specific device clearance.
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