MODIFICATION TO: OASYS SYSTEM

K093670 · Stryker Spine · MNH · Mar 18, 2010 · Orthopedic

Device Facts

• Record ID: K093670
• Device Name: MODIFICATION TO: OASYS SYSTEM
• Applicant: Stryker Spine
• Product Code: MNH · Orthopedic
• Decision Date: Mar 18, 2010
• Decision: SESE
• Submission Type: Special
• Regulation: 21 CFR 888.3070
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

When intended to promote fusion of the cervical spine and occipito-cervico-thoracic junction (Occiput-T3), the Stryker Spine OASYS® System is intended for: Degcnerative Disc Disease (as defined by neck or back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies): Spondylolisthesis: Spinal Stenosis: Fracture/Dislocation: Atlanto/axial fracture with instability: Occipitocervical dislocation: Revision of previous cervical spine surgery: and Tumors. When used with the occipital plate, the bone screws are limited to occipital fixation only. The bone screws are not intended to be used in the cervical spine. The use of the polyaxial screws is limited to placement in the upper thoracic spine (11-73) in treating thoracic conditions only. They are not intended to be placed in the cervical spine. The hooks and rods are also intended to provide stabilization to promote fusion following reduction of fracture/dislocation or trauma in the cervical/upper thoracic (C1-T3) spine. The Stryker Spinc OASYS® System can also be linked to the Xia® System. SR90D System and Xia 4.5 Spinal System via the rod-to-rod connectors.

Device Story

Stryker Spine OASYS® System is a spinal fixation system consisting of rods, polyaxial screws, bone screws, hooks, connectors, and occiput plates. This line extension adds a midline occiput plate, bone screws, and a Vitallium® rod. System components are used by surgeons in clinical settings to stabilize the cervical and upper thoracic spine (C1-T3) to promote fusion. Components are implanted to address conditions like degenerative disc disease, fractures, and instability. The system can be linked to other Stryker systems (Xia®, SR90D, Xia 4.5) via rod-to-rod connectors. The device provides mechanical stabilization, allowing the surgeon to fixate the spine, which facilitates bone fusion and patient recovery.

Clinical Evidence

No clinical data provided. Substantial equivalence is based on bench testing demonstrating equivalent mechanical properties to the predicate system.

Technological Characteristics

Components fabricated from Titanium alloy, CP Titanium, and Vitallium®. System includes rods, polyaxial screws, bone screws, hooks, connectors, and occiput plates. Non-sterile. Mechanical fixation system; no software, electronics, or energy sources.

Indications for Use

Indicated for patients requiring cervical spine or occipito-cervico-thoracic (Occiput-T3) fusion due to degenerative disc disease, spondylolisthesis, spinal stenosis, fracture/dislocation, atlanto/axial fracture with instability, occipitocervical dislocation, revision surgery, or tumors. Bone screws limited to occipital fixation; polyaxial screws limited to upper thoracic (T1-T3) spine. Not for cervical use of bone or polyaxial screws.

Regulatory Classification

Identification

(1) Rigid pedicle screw systems are comprised of multiple components, made from a variety of materials 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 screws, longitudinal members (e.g., plates, rods including dual diameter rods, plate/rod combinations), transverse or cross connectors, and interconnection mechanisms (e.g., rod-to-rod connectors, offset connectors).(2) Semi-rigid systems are defined as systems that contain one or more of the following features (including but not limited to): Non-uniform longitudinal elements, or features that allow more motion or flexibility compared to rigid systems.

Special Controls

*Classification.* (1) Class II (special controls), when intended to provide immobilization and stabilization 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; kyphosis; spinal tumor; 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 requiring 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 L5-S1 vertebra, degenerative spondylolisthesis with objective evidence of neurologic impairment, fracture, dislocation, scoliosis, kyphosis, spinal tumor, 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.” (2) Class II (special controls), when a rigid pedicle screw system is intended to provide immobilization and stabilization of spinal segments in the thoracic, lumbar, and sacral spine as an adjunct to fusion in the treatment of degenerative disc disease and spondylolisthesis other than either severe spondylolisthesis (grades 3 and 4) at L5-S1 or degenerative spondylolisthesis with objective evidence of neurologic impairment. These pedicle screw systems must comply with the following special controls: (i) The design characteristics of the device, including engineering schematics, must ensure that the geometry and material composition are consistent with the intended use. (ii) Non-clinical performance testing must demonstrate the mechanical function and durability of the implant. (iii) Device components must be demonstrated to be biocompatible. (iv) Validation testing must demonstrate the cleanliness and sterility of, or the ability to clean and sterilize, the device components and device-specific instruments. (v) Labeling must include the following: (A) A clear description of the technological features of the device including identification of device materials and the principles of device operation; (B) Intended use and indications for use, including levels of fixation; (C) Identification of magnetic resonance (MR) compatibility status; (D) Cleaning and sterilization instructions for devices and instruments that are provided non-sterile to the end user; and (E) Detailed instructions of each surgical step, including device removal. (3) Class II (special controls), when a semi-rigid system is intended to provide immobilization and stabilization of spinal segments in the thoracic, lumbar, and sacral spine as an adjunct to fusion for any indication. In addition to complying with the special controls in paragraphs (b)(2)(i) through (v) of this section, these pedicle screw systems must comply with the following special controls: (i) Demonstration that clinical performance characteristics of the device support the intended use of the product, including assessment of fusion compared to a clinically acceptable fusion rate. (ii) Semi-rigid systems marketed prior to the effective date of this reclassification must submit an amendment to their previously cleared premarket notification (510(k)) demonstrating compliance with the special controls in paragraphs (b)(2)(i) through (v) and paragraph (b)(3)(i) of this section.

Predicate Devices

• Stryker Spine OASYS® System (K032394)
• Stryker Spine OASYS® System (K052317)
• Stryker Spine OASYS® System (K062853)
• Stryker Spine OASYS® System (K072568)
• Stryker Spine OASYS® System (K080143)

Reference Devices

• Xia® System
• SR90D System
• Xia® 4.5 Spinal System

Submission Summary (Full Text)

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Special 510(k) Premarket Notification

## Special 510(k) Summary Line Extension to the OASYSTN System

| Proprietary Name: | Stryker Spine OASYS® System | MAR 1 8 2010 |
|----------------------------|------------------------------------------------------|--------------|
| Common Name: | Spinal Fixation Appliances | |
| Proposed Regulatory Class: | Class II | |
| | 21 CFR 888.3070 (b)(1): Pedicle Screw Spinal System, | |
| | 21 CFR 888.3050: Spinal Interlaminal Fixation | |
| | Orthosis | |
| Device Product Code: | 87 MNI: Orthosis, Spinal, Pedicle Fixation | |
| | 87 KWP: Appliance, Fixation, Spinal Interlaminal | |
| For Information contact: | Pauline Shand | |
| | Regulatory Affairs Associate | |
| | 2 Pearl Court | |
| | Allendale, NJ 07401 | |
| | Telephone: [phone] | |
| | Fax: [phone] | |
| | Email: [e-mail] | |

Date Summary Prepared:

February 16. 2010

## Predicate Device Identification

Stryker Spine OASYS® System: K032394, K052317, K062853. K072568. and K080143

### Predicate Device Description

The Stryker Spine OASYS® System is comprised of rods, polyaxial screws, bone screws, hooks, connectors, and an occiput plate. The components are available in a variety of lengths in order to accommodate patient anatomy. The components are fabricated from Titanium alloy and CP Titanium and are provided non-sterile. The Stryker Spine OASYS® System can also be linked to the Xia® System. SR90D System and Xia® 4.5 Spinal System via the rod-to-rod connectors.

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#### Description of Device Modification

This Special 510(k) submission is intended to introduce a line extension to the predicate OASYS® System, which consists of the addition of a new midline occiput plate, bone screws. and a Vitallium® rod

#### Intended Use:

When intended to promote fusion of the cervical spine and occipito-cervico-thoracic junction (Occiput-T3), the Stryker Spine OASYS® System is intended for: Degcnerative Disc Disease (as defined by neck or back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies): Spondylolisthesis: Spinal Stenosis: Fracture/Dislocation: Atlanto/axial fracture with instability: Occipitocervical dislocation: Revision of previous cervical spine surgery: and Tumors.

When used with the occipital plate, the bone screws are limited to occipital fixation only. The bone screws are not intended to be used in the cervical spine.

The use of the polyaxial screws is limited to placement in the upper thoracic spine (11-73) in treating thoracic conditions only. They are not intended to be placed in the cervical spine.

The hooks and rods are also intended to provide stabilization to promote fusion following reduction of fracture/dislocation or trauma in the cervical/upper thoracic (C1-T3) spine.

The Stryker Spinc OASYS® System can also be linked to the Xia® System. SR90D System and Xia 4.5 Spinal System via the rod-to-rod connectors.

## Statement of Technological Comparison:

Testing has demonstrated that the additional midline occiput plate. bone screws and Vitallium® rod have equivalent mechanical properties to the predicate OASYS® System K032394. K072568, and K052317. Both the new components and the existing system components are intended to address the same indications for use.

2

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Food and Drug Administration 10903 New Hampshire Avenue Document Control Room W-066-0609 Silver Spring, MD 20993-0002

Stryker Spine % Ms. Pauline Shand Regulatory Affairs Associate 2 Pearl Court Allendale, New Jersey 07401

MAR 1 8 2010

Re: K093670

Trade/Device Name: Stryker Spine OASYS® System Regulation Number: 21 CFR 888.3070 Regulation Name: Pedicle screw spinal system Regulatory Class: Class II Product Code: MNH, MNI, KWP Dated: February 16, 2010 Received: February 18, 2010

Dear Ms. Pauline Shand:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you; however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to 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's 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 must comply with all the Act's requirements, including, but not limited to: registration and listing (21

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Page 2 - Ms. Pauline Shand

CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely vours.

Mark N. Melkerson Director Division of Surgical. Orthopedic And Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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# Indications for Use

## 510(k) Number (if known): Ko93670

Device Name: Line Extension to the Stryker Spine OASYS® System

Indications for Use:

When intended to promote fusion of the cervical spine and occipito-cervico-thoracic junction (Occiput -13), the Stryker Spine OASYS® System is intended for:

- Degenerative Disc Disease (as defined by neck and back pain of discogenic origin with . degeneration of the disc confirmed by history and radiographic studies)
- Spondylolisthesis .
- Spinal Stenosis .
- Fracture/Dislocation o
- � Atlanto/axial fracture with instability
- Occipitocervical dislocation -.
- Revision of previous cervical spine surgery .
- t Tumors

When used with the occipital plate, the bone screws are limited to occipital fixation only. The bone screws are not intended to be used in the cervical spine.

The use of the polyaxial screws is limited to placement in the upper thoracic spine (TI-T3) in treating thoracic conditions only. They are not intended to be placed in the cervical spine.

The hooks and rods are also intended to provide stabilization to promote fusion following reduction of fracture/dislocation or trauma in the cervical/upper thoracic (C1 -T3) spine.

The Stryker Spinc OASYS® System can also be linked to the Xia" System, SR90D System and Xia 4.5 Spinal System via the rod-to-rod connectors.

Prescription Use X (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Concurrence of CDRC

(Division Sign Off)

(Division Sign-Off) Division of Surgical, Orthopedic, and Restorative Devices

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| 510(k) Number_ | K093670<br>April 2011<br>------<br>September 2000 | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ |
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