VENUS ANTERIOR CERVICAL PLATE

K103137 · Verticor, Ltd. · KWQ · Feb 10, 2011 · Orthopedic

Device Facts

• Record ID: K103137
• Device Name: VENUS ANTERIOR CERVICAL PLATE
• Applicant: Verticor, Ltd.
• Product Code: KWQ · Orthopedic
• Decision Date: Feb 10, 2011
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 888.3060
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The VENUS Anterior Cervical Plate System is intended for anterior screw fixation to the cervical spine. It is to be used in skeletally mature patients as an adjunct to fusion of the cervical spine (C2 to C7). The system is indicated for use in the temporary stabilization of the anterior spine during the development of cervical spinal fusion in patients with: degenerative disc disease (as defined by neck pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies), spondylolisthesis, trauma (i.e. fractures or dislocations), tumors, deformity (defined as kyphosis, lordosis, or scoliosis), pseudarthrosis, failed previous fusion, spinal stenosis. WARNING: The VENUS Anterior Cervical Plate System is not intended for screw attachment or fixation to the posterior elements (pedicles) of the cervical, thoracic or lumbar spine.

Device Story

The VENUS Anterior Cervical Plate is a spinal intervertebral body fixation system used by surgeons in an OR setting. The construct consists of a titanium alloy plate secured to the cervical vertebral bodies via self-tapping and self-drilling bone screws. The system features an autogenic locking mechanism where each screw head locks to the plate upon insertion, eliminating the need for secondary locking components. Plates are available in various lengths to accommodate multi-level fixation. The device provides temporary stabilization to the anterior spine to facilitate fusion. Clinical benefit is derived from the mechanical stabilization of the cervical spine in patients with degenerative, traumatic, or neoplastic conditions.

Clinical Evidence

No clinical studies were performed. Substantial equivalence is supported by non-clinical bench testing performed according to ASTM F2077 to verify mechanical strength.

Technological Characteristics

Materials: Titanium alloy (Ti 6Al 4V ELI) per ASTM F136; screw retainer clip made of medical grade nitinol SE 508. Design: Anterior cervical plate with self-tapping/self-drilling bone screws. Locking: Autogenic screw-to-plate lock. Dimensions: Plate lengths 22mm-92mm; screw diameters 4.0mm and 4.4mm. Mechanical testing: ASTM F2077.

Indications for Use

Indicated for skeletally mature patients requiring temporary stabilization of the anterior cervical spine (C2-C7) as an adjunct to fusion. Conditions include degenerative disc disease, spondylolisthesis, trauma (fractures/dislocations), tumors, deformity (kyphosis, lordosis, scoliosis), pseudarthrosis, failed previous fusion, and spinal stenosis. Contraindicated for posterior element (pedicle) fixation.

Regulatory Classification

Identification

A spinal intervertebral body fixation orthosis is a device intended to be implanted made of titanium. It consists of various vertebral plates that are punched into each of a series of vertebral bodies. An eye-type screw is inserted in a hole in the center of each of the plates. A braided cable is threaded through each eye-type screw. The cable is tightened with a tension device and it is fastened or crimped at each eye-type screw. The device is used to apply force to a series of vertebrae to correct “sway back,” scoliosis (lateral curvature of the spine), or other conditions.

Predicate Devices

• Spider Cervical Plating System (K052292)
• ORIA ZENITH (K030500/K001535)
• Synthes Anterior CLSP System (K000536/K945700)
• Trestle Anterior Cervical Plating System (K102820)
• SmartLOX Anterior Cervical Plate

Reference Devices

• Anterior Cervical Compression System (K031276/K033844)

Submission Summary (Full Text)

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## 510(k) Summarv for the VENUS Anterior Cervical Plate

In accordance with 21 CFR 807.92 of the Federal Code of Regulations the following 510(k) summary is submitted for the VENUS Anterior Cervical Plate.

Date Prepared: December 28, 2010

1. Submitter: Verticor, LTD 600 N. Marienfeld Street, Suite 350 Midland, TX 79701 Telephone: [phone]

Contact Person: J.D. Webb The OrthoMedix Group, Inc. 1001 Oakwood Blvd Round Rock, TX 78681 Telephone: [phone]

FEB 10 20il

- 2. Trade name: Common Name: Classification Name:
VENUS Anterior Cervical Plate Anterior cervical plate Spinal intervertebral body fixation orthosis 21 CFR 888.3060 Class II KWQ

#### 3. Predicate or legally marketed devices which are substantially equivalent:

Spider Cervical Plating System [X-Spine Systems, K052292] ORIA ZENITH [Eurosurgical, SA, K030500/K001535] Synthes Anterior CLSP System [Synthes Spine, K000536/K945700] Trestle Anterior Cervical Plating System [Alphatec, K102820] SmartLOX Anterior Cervical Plate [Captiva,]

#### 4. Description of the device:

The VENUS Anterior Cervical Plate is intended for anterior screw fixation to the cervical spine. The fixation construct consists of a cervical plate that is attached to the vertebral body of the cervical spine with selftapping and self-drilling bone screws using an anterior approach. Plates are available in a variety of lengths, addressing multiple levels of fixation. Bone screws are available for fixed angle or variable angle implantation in a variety of lengths and diameters. Each screw head forms an autogenic lock to the plate upon insertion, requiring no additional locking mechanism.

### Materials:

The plates and screws are manufactured from titanium alloy (Ti 6Al 4V ELI) per ASTM F136. The screw retainer clip is fabricated from medical grand nitanol SE 508.

#### Substantial equivalence claimed to predicate devices 5.

With regards to the intended use, material, design, characteristics and dimensions, the equivalence was determined through the points on the following pages.

| Device<br>Name<br>Items | VENUS Anterior<br>Cervical Plate | Spider Cervical<br>Plating System | ORIA ZENITH | CSLP |
|-------------------------|----------------------------------|-----------------------------------|---------------------------------|---------------------------------|
| Sponsor | Verticor, LTD | X-Spine Systems | Eurosurgical, SA | Synthes Spine |
| 510(k) Number | N/A | K052292 | K030500/K001535 | K000536/K945700 |
| Plate material | Titanium alloy per<br>ASTM F136 | Titanium alloy per<br>ASTM F136 | Titanium alloy per<br>ASTM F136 | Titanium alloy per<br>ASTM F136 |
| # Levels | Four | Four | Four | Four |
| Plate lengths | 22mm - 92mm | 22mm - 92mm | 23mm - 97mm | 25mm - 111mm |

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| Device<br>Name<br>Items | VENUS Anterior<br>Cervical Plate | Spider Cervical<br>Plating System | ORIA ZENITH | CSLP |
|-------------------------|----------------------------------|-----------------------------------|---------------------------------|---------------------------------|
| Retained screws | Yes | Yes | Yes | Yes |
| Bone graft<br>window | yes | yes | yes | yes |
| Screw material | Titanium alloy per<br>ASTM F136 | Titanium alloy per<br>ASTM F136 | Titanium alloy per<br>ASTM F136 | Titanium alloy per<br>ASTM F136 |
| Screw Ø | Ø4.0mm &<br>Ø4.4mm | Ø4.0mm &<br>Ø4.25mm | Ø4.0mm | Ø4.0mm |
| Screw length | 12mm - 20mm | 12mm - 16mm | ? | 13.5mm - 17.5mm |
| Self tapping<br>screw | Yes | Yes | Yes | ? |

| Device<br>Name<br>Items | VENUS Anterior<br>Cervical Plate | Trestle Anterior<br>Cervical Plating<br>System | SmartLOX Anterior<br>Cervical Plate | Anterior Cervical<br>Compression<br>System |
|------------------------------|----------------------------------|------------------------------------------------|-------------------------------------|--------------------------------------------|
| Sponsor | Verticor, LTD | Alphatec | Captiva | Synthes |
| 510(k) Number | N/A | K102820 | -- | K031276/K033844 |
| Plate material | Titanium alloy per<br>ASTM F136 | Titanium alloy per<br>ASTM F136 | Titanium alloy per<br>ASTM F136 | Titanium alloy per<br>ASTM F136 |
| Nitinol Locking<br>Mechanism | Yes | Yes | Yes | -- |
| Screw Ø | Ø4.0mm &<br>Ø4.4mm | -- | -- | Ø4.0mm &<br>Ø4.5mm |
| Screw length | 12mm - 20mm | -- | -- | 12mm - 20mm |

#### 6. Intended Use:

The VENUS Anterior Cervical Plate System is intended for anterior screw fixation to the cervical spine. It is to be used in skeletally mature patients as an adjunct to fusion of the cervical spine (C2 to C7). The system is indicated for use in the temporary stabilization of the anterior spine during the development of cervical spinal fusion in patients with:

- degenerative disc disease (as defined by neck pain of discogenic origin with degeneration of the disc . confirmed by patient history and radiographic studies),
- spondylolisthesis, .

.

- trauma (i.e. fractures or dislocations), .
- . tumors,
- deformity (defined as kyphosis, lordosis, or scoliosis), .
- . pseudarthrosis,
- failed previous fusion, .
- . spinal stenosis.

WARNING: The VENUS Anterior Cervical Plate System is not intended for screw attachment or fixation to the posterior elements (pedicles) of the cervical, thoracic or lumbar spine.

#### 7. Non-clinical Test Summary

Tests performed according to ASTM F2077 indicate that the VENUS Anterior Cervical Plate meets required mechanical strengths. ·

- Clinical Test Summary 8.

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No clinical studies were performed

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### Conclusions Nonclinical and Clinical 9.

The VENUS Anterior Cervical Plate has the same indications and material, and similar design as previously cleared devices.

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Image /page/3/Picture/0 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized eagle with three lines representing its body and wings. The eagle is facing right and appears to be in flight. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the eagle.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

Verticor. Ltd. % The OrthoMedix Group, Inc. Mr. J.D. Webb 1001 Oakwood Boulevard Round Rock, Texas 78681

FEB 10 201

Re: K103137

Trade/Device Name: VENUS Anterior Cervical Plate Regulation Number: 21 CFR 888.3060 Regulation Name: Spinal intervertebral body fixation orthosis Regulatory Class: Class II Product Code: K WO Dated: December 31, 2010 Received: January 04, 2011

Dear Mr. Webb:

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

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### Page 2 - Mr. J.D. Webb

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 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/ucm11.5809.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 yours,

Mark N. Melkerson

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): K103137

Device Name: VENUS Anterior Cervical Plate

Indications for Use:

The VENUS Anterior Cervical Plate System is intended for anterior screw fixation to the cervical spine. It is to be used in skeletally mature patients as an adjunct to fusion of the cervical spine (C2 to C7). The system is indicated for use in the temporary stabilization of the anterior spine during the development of cervical spinal fusion in patients with:

- degenerative disc disease (as defined by neck pain of discogenic origin with . degeneration of the disc confirmed by patient history and radiographic studies),
- spondylolisthesis,
- trauma (i.e. fractures or dislocations), .
- tumors, ●
- deformity (defined as kyphosis, lordosis, or scoliosis), .
- pseudarthrosis, .
- . failed previous fusion,
- spinal stenosis. .

WARNING: The VENUS Anterior Cervical Plate System is not intended for screw attachment or fixation to the posterior elements (pedicles) of the cervical, thoracic or lumbar spine.

Prescription Use _ × (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Signature/Sign Off

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

KI03137 510(k) Number_