GII SPINAL FIXATION SYSTEM

{0}------------------------------------------------ Image /page/0/Picture/1 description: The image contains a handwritten word that appears to be "Kosio89". The writing is in a bold, somewhat messy style, with thick strokes. The characters are connected, giving it a cursive-like appearance. | <b>510(k) Summary Information</b><br>Premarket Notification, Section 510(k) | COLIGNE AG.<br>OCTOBER 21, 2005 | |-----------------------------------------------------------------------------|---------------------------------| |-----------------------------------------------------------------------------|---------------------------------| Safe Medical Devices Act of 1990, 21 CFR 807.92 Regulatory Authority: Device Name: 1. > Trade Name: GII OstaPek® Plate Common Pedicle screw spinal system Name(s): Classification Pedicle screw spinal system, spine plate Name(s): ### Establishment Name & Registration Number: 2. | Name: | coLigne AG | |---------|------------| | Number: | 9614472 | #### 3. Classification(s): # Sec. & 888.3070 Pedicle screw spinal system (a) Identification. Pedicle screw spinal systems are multiple component devices, made from a variety of matcrials, including alloys such as 316L stainless steel, 316LVM stainless steel, 22Cr-13Ni-5Mn stainless steel, Ti-6Al-4V, and unalloyed titanium, that allow the surgeon to build an implant system to fit the patient's anatomical and physiological requirements. Such a spinal implant assembly consists of a combination of anchors (e.g., bolts, hooks, and/or screws); interconnection mechanisms incorporating nuts, screws, sleeves, or bolts; longitudinal members (e.g., plates, rods, and/or plate/rod combinations); and/or transverse connectors. (b) Classification. (1) Class II (special controls), when 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: severe spondylolisthesis (grades 3 and 4) of the L5-S1 vertebra; degenerative spondylolisthesis with objective evidence of neurologic impairment; fracture; dislocation; scoliosis; spinal turnor; and failed previous fusion (pseudarthrosis). These pedicle screw spinal systems must comply with the following special controls: - (i) Compliance with material standards; - (ii) Compliance with mechanical testing standards; - (iii) Compliance with biocompatibility standards; and (iv) Labeling that contains these two statements in addition to other appropriate labeling information: "Warning: The safety and effectiveness of pedicle screw spinal systems have been established only for spinal conditions with significant mechanical instability or deformity fusion with instrumentation. These conditions are significant mechanical instability or deformity of the thoracic, lumbar, and sacral spine secondary to severe spondylolisthesis (grades 3 and 4) of the LS-S1 vertebra, degenerative spondylolisthesis with objective evidence of neurologic impairment, fracture, dislocation, scoliosis, spinal turnor, and failed previous fusion (pseudarthrosis). The safety and effectiveness of these devices for any other conditions are unknown." *Precaution: The implantation of pedicle screw spinal systems should be performed only by experienced spinal surgeons with specific training in the use of this pedicle screw spinal system because this is a technically demanding procedure presenting a risk of serious injury to the patient." {1}------------------------------------------------ (2) Class III (premarket approval), when intended to provide immobilization and stabilization of sainal (2) Class in the thoracic, lumbar, and sacral spine as an adjunct to fusion in the treatment of degenerative disc signifits in the moracie, and sither severe spondylolisthesis (grades 3 and 4) at LS-SI or degenerative spondylolisthesis with objective evidence of neurologic impairment. | Device Class: | Class II or Class III for the requested indications | |-----------------------|-----------------------------------------------------| | Classification Panel: | Orthopaedic and Rehabilitation Devices Panel | | Product Code(s): | MNI, MNH, KWP | ### Equivalent Predicate Device: 4. COLIGNE AG. believes that the GII OstaPek® Plate is substantially equivalent to the plates currently offered in the GII Spinal Fixation System identified below: # K980852 - K032604, GII Spinal Fixation System Equivalence can be seen in the design, material composition, surgical technique and intended use. #### Device Description: 5. # General description of the new plate. General description of the new patel. The new plates are offered in a series of sizes designated by the number of slots or holes within the plates. The I ho w plates are single slot. The new plates are provided precurved to more closely match the natural lordotic curve of the lumbar spine. Two different curves are offered in each size. The devices are produced of a polyner matrix of Polyetherketonekctone (PEKEKK) Resins and long fiber carbon filaments. The new plates are intended to be used with the existing pedicle screws, nuts, washers, cross-links and instrumentation as currently provided with the cleared GII Spinal Fixation System. Because the new material is not a metallic material, precautions against mixing dissimilar metals or of a galvanic/corrosive interaction with the existing implants is eliminated. The previously cleared indications for use are unchanged. Testing Summary. Fatigue, static and biocompatibility testing is complete. Samples were tested according to accepted engineering and scientific principals. Test results demonstrate that the new plates perform in a manner equivalent or superior to the previously cleared GII Spinal Fixation System plates. Indications for Use. The GII Spinal Fixation System When used as a pedicle screw fixation system in the non-cervical posterior spinc in skeletally mature patients, the GII@ Spinal System is indicated for one or more of the following: (1) degenerative spondylolisthesis with objective evidence of neurologic impairment, (2) fracture, (3) dislocation, (4) scoliosis, (5) kyphosis, (6) spinal tumor, and/or (7) failed previous fusion (pseudarthrosis). In addition, when used as a pedicle screw fixation system, the GII@ Spinal System is indicated for skeletally mature patients: (1) having severe spondylolisthesis (Grades 3 and 4) of the fifth lumbar/first sacral (LS-S 1) joint; (2) who are receiving fusions using autogenous bone graft only; (3) who are having the device fixed or attached to the lumbar and sacral spine (L3 and below); and (4) who are having the device removed after the development of a solid fusion mass. The GII system is also a hook and sacral/iliac screw fixation system of the non-cervical spine indicated for (1) degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies), (2) degenerative spondylolisthesis with objective evidence of neurologic impairment, (3) fracture, (4) dislocation, (5) scoliosis, (7) spinal turnor, and/or (8) failed previous fusion (pseudarthrosis). {2}------------------------------------------------ ### Applicant Name & Address: 6. coLigne AG Utoquai 43 Zurich, Switzerland 8008 41-433-438000 41-433-438009 - fax Registration Number: 9614472 ### 7. Company Contact: Robert Lange coLigne AG Utoquai 43 Zurich, Switzerland 8008 41-433-438000 41-433-438009 – fax ### Submission Correspondent: 8. Mr. David W. Schlerf Buckman Company, Inc. 200 Gregory Lane, Suite C-100 Pleasant Hill, CA 94523-3389 925.356.2640 - 925.356.2654 - fax #### 0. Performance Standards: United States Food and Drug Administration mandated performance s tandards for this device do not exist. Various voluntary performance are utilized. Voluntary standards utilized include ASTM, Standard Various volunary performance as certification and qualification procedures, Quality Systems Regulations, ISO materials standards and ISO 13485 series quality regulations. coLigne AG. also meets appropriate general controls authorized under Sections 501, 502, 518, 519, and 520 of the Food, Drug, and Cosmetic Act. {3}------------------------------------------------ Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH AND HUMAN SERVICES, USA" around the perimeter. Inside the circle is a stylized symbol of three human profiles facing to the right, with flowing lines representing hair or movement. Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850 OCT 2 6 2005 CoLigne AG c/o David W. Schlerf Buckman Company, Incorporated 200 Gregory Lane, Suite C-100 Pleasant Hill, California 94523-3389 Re: K051089 Trade/Device Name: GII Spinal Fixation System Regulation Number: 21 CFR 888.3070 Regulation Name: Pedicle screw spinal system Regulatory Class: II Product Code: MNI, KWP, MNH Dated: September 22, 2005 Received: September 26, 2005 Dear Mr. Schlerf: We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA), You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations. Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please be advised that FDA is issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You numsi comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050, {4}------------------------------------------------ Page 2- David W. Schlerf This letter will allow you to begin marketing your device as described in your Section 5 10(k) i his letter will anow you to ocgin nameoning your article of your device to a legally premarket nothleadon: The FDA mining of basistants marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market. If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please If you desire specific advice for your device on our an and one as note the regulation entitled, contact the Office of Compliance at (240) 276-0120. Also, please note the No contact the Office of Complance at (21) = 1) = 1 = 1 807.97). You may obtain "Misoranding by reference to premanterialities under the Act from the Division of Small other general informational and Consumer Assistance at its toll-free number (800) 638-2041 or Manufacturers, Internet address http://www.fda.gov/cdrh/industry/support/index.html Sincerely yours, Mark N. Melkerson Acting Director Division of General, Restorative, and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health Enclosure {5}------------------------------------------------ | Dagge<br>az<br>1 | | ર<br>01 | | |------------------|-----------|---------|--| | | <br>-Al-A | | | 510(k) Number : K051089 GII Spinal Fixation System Device Name(s): # Indications For Use: The GII Spinal Fixation System When used as a pedicle screw fixation system in the non-cervical posterior spine in skeletally mature patients, the GII@ In the foll correcar posteries of the following: (1) degenerative Spondylolisthesis with objective evidence of neurologic impairment, (2) spondylonomon (4) scoliosis, (5) kyphosis, (6) spinal tumor, and/or (7) failed previous fusion (pseudarthrosis). In addition, when used as a pedicle screw fixation system, the GII@ Spinal In addition, which about for skeletally mature patients: (1) having severe System 16 Thereates 3 and 4) of the fifth lumbar/first sacral (L5-S 1) spondylonstiles. (eseiving fusions using autogenous bone graft only; (3) who John, (2) who are receiving or attached to the lumbar and sacral spine (L3 and are having the device intos in g the device removed after the development of a solid fusion mass. The GII system is also a hook and sacral/iliac screw fixation system of the The On System 15 also a 1100r (1) degenerative disc disease (defined as back non of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies), (2) degencrative spondylolisthesis with objective evidence of neurologic impairment, (3) fracture, (4) dislocation, (5) scoliosis, (6) kyphosis, (7) spinal tumor, and/or (8) failed previous fusion (pseudarthrosis). Prescription Use _____________________________________________________________________________________________________________________________________________________________ OR Over-The-Counter Use __ PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NECESSARY Concurrence of CDRH, Office of Device Evaluation (ODE) (Division Sign-Off) Division of General, Restorative, and Neurological Devices (Per 21 CFR 801.109) (Optional format 1-2-96) 510(k) Number 4051 084