NuVasive Sterilization Trays

K143579 · Nu Vasive, Incorporated · KCT · Aug 28, 2015 · General Hospital

Device Facts

• Record ID: K143579
• Device Name: NuVasive Sterilization Trays
• Applicant: Nu Vasive, Incorporated
• Product Code: KCT · General Hospital
• Decision Date: Aug 28, 2015
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 880.6850
• Device Class: Class 2

Intended Use

The NuVasive Sterilization Trays are intended to contain NuVasive implants and surgical instruments for sterilization, storage and handling. The NuVasive Sterilization Trays are suitable for dynamic air removal (pre-vacuum) steam sterilization methods. The trays are not intended to maintain sterility; they are intended to be used in conjunction with a validated, FDA-cleared sterilization wrap in order to maintain sterility of the enclosed devices.

Device Story

NuVasive Sterilization Trays are reusable containers designed to hold NuVasive implants and surgical instruments during the steam sterilization process. The trays consist of a rectangular base and a lid, both featuring perforations to allow steam penetration. They include internal brackets, caddies, and inserts to organize instruments and components. The device is used in clinical settings where surgical instruments are processed. The trays are loaded with instruments, wrapped in an FDA-cleared sterilization wrap, and subjected to a pre-vacuum steam sterilization cycle. After sterilization, the trays facilitate organized storage and handling of the instruments until they are needed for surgery. By providing a structured environment for sterilization, the trays help ensure that instruments are properly exposed to the sterilant, thereby supporting the maintenance of sterility and patient safety during surgical procedures.

Clinical Evidence

Bench testing only. Sterilization validation performed per ISO 17665-1 and AAMI TIR 12. Validated worst-case loading configurations (up to 39.95 lbs) and lumen dimensions (down to 1.1 mm diameter) confirmed SAL 10^-6 achieved using pre-vacuum steam sterilization at 270°F for 4 minutes with a 30-minute dry time.

Technological Characteristics

Materials: Aluminum, Nylon, Silicone, Stainless Steel, Polypropylene, Polyphenylsulfone. Design: Perforated rectangular base and lid with internal organization inserts/brackets. Sterilization: Pre-vacuum steam (270°F/132°C). Connectivity: None. Software: None.

Indications for Use

Indicated for containing NuVasive implants and surgical instruments during steam sterilization, storage, and handling. Suitable for use with pre-vacuum steam sterilization. Requires use of an FDA-cleared sterilization wrap to maintain sterility. Not for use as a standalone sterile barrier.

Regulatory Classification

Identification

A sterilization wrap (pack, sterilization wrapper, bag, or accessories, is a device intended to be used to enclose another medical device that is to be sterilized by a health care provider. It is intended to allow sterilization of the enclosed medical device and also to maintain sterility of the enclosed device until used.

Predicate Devices

• Skeletal Dynamics Sterilization Trays (K102103)

Submission Summary (Full Text)

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized depiction of a human face in profile, composed of three overlapping profiles. The profiles are black and are oriented to the right. The logo is surrounded by the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in a circular arrangement.

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

August 28, 2015

NuVasive, Inc. Ms. Olga Lewis Regulatory Affairs Lead Specialist 7475 Lusk Blvd. San Diego, CA 92121

Re: K143579

Trade/Device Name: NuVasive® Sterilization Trays Regulation Number: 21 CFR 880.6850 Regulation Name: Sterilization Wrap Regulatory Class: II Product Code: KCT Dated: July 23, 2015 Received: July 24, 2015

Dear Ms. Lewis:

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.

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Page 2 - Ms. Lewis

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 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 contact the Division of Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm. 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 Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

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

Sincerely yours.

Tejashri Purohit-Sheth, M.D.

Tejashri Purohit-Sheth, M.D. Clinical Deputy Director DAGRID/ODE/CDRH FOR

Erin I. Keith, M.S. Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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| 510(k) Number (if known) | K143579 |
|--------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Device Name | NuVasive Sterilization Trays |
| Indications for Use (Describe) | The NuVasive Sterilization Trays are intended to contain NuVasive implants and surgical instruments for sterilization, storage and handling. The NuVasive Sterilization Trays are suitable for dynamic air removal (pre-vacuum) steam sterilization methods. The trays are not intended to maintain sterility; they are intended to be used in conjunction with a validated, FDA-cleared sterilization wrap in order to maintain sterility of the enclosed devices.<br>Sterilization validations for three level worst case tray (20.5" x 10" x 7.375") included three different loading configurations: implant only content (26.4 lbs.), instrument only content (39.95 lbs.) and mixed instruments and implant content (30.45 lbs.)<br>Validated worst case loading configurations included 23 instruments with lumens including the following worst case lumen dimensions:<br>- 1.6 mm x 306.8 mm<br>- 1.1 mm x 166.4 mm<br>- 7.2 mm x 331.9 mm<br>- 5.5 mm x 356.9 mm |
| | Do not exceed a maximum load of 25 lbs in the sterilization tray. |
| | Validated sterilization parameters for NuVasive Sterilization Trays: |
| | Method: Steam<br>Cycle: Pre-Vacuum<br>Temperature: 270°F (132°C)<br>Exposure Time: 4 minutes<br>Minimum Dry Time: 30 minutes<br>Minimum Cool Down Time: 40 minutes |

11

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| FOOTPRINT | MODEL | DIMENSIONS<br>(L x W x H) |
|-------------|-------|---------------------------|
| Footprint 3 | 3-38 | 20.5" x 9.8" x 3.0" |
| | 3-39 | 20.5" x 9.8" x 3.1" |
| | 3-40 | 20.5" x 9.8" x 3.3" |
| | 3-41 | 20.5" x 9.8" x 3.5" |
| | 3-42 | 20.5" x 9.8" x 3.6" |
| | 3-43 | 20.5" x 9.8" x 3.7" |
| | 3-44 | 20.5" x 9.8" x 3.8" |
| | 3-45 | 20.5" x 9.8" x 3.9" |
| | 3-46 | 20.5" x 9.8" x 4.0" |
| | 3-47 | 20.5" x 9.8" x 4.1" |
| | 3-48 | 20.5" x 9.8" x 4.3" |
| | 3-49 | 20.5" x 9.8" x 4.4" |
| | 3-50 | 20.5" x 9.8" x 4.5" |
| | 3-51 | 20.5" x 9.8" x 4.6" |
| | 3-52 | 20.5" x 9.8" x 4.7" |
| | 3-53 | 20.5" x 9.8" x 4.8" |
| | 3-54 | 20.5" x 9.8" x 5.0" |
| | 3-55 | 20.5" x 9.8" x 5.3" |
| | 3-56 | 20.5" x 9.8" x 5.5" |
| | 3-57 | 20.5" x 9.8" x 5.7" |
| | 3-58 | 20.5" x 9.8" x 6.0" |
| | 3-59 | 20.5" x 9.8" x 6.1" |
| | 3-60 | 20.5" x 9.8" x 6.3" |
| | 3-61 | 20.5" x 9.8" x 6.6" |
| | 3-62 | 20.5" x 9.8" x 7.1" |
| | 3-63 | 20.5" x 9.8" x 7.2" |
| | 3-64 | 20.6" x 9.7" x 3.4" |
| | 3-65 | 20.6" x 9.7" x 3.6" |
| | 3-66 | 20.6" x 9.7" x 4.4" |
| | 3-67 | 20.6" x 9.7" x 4.7" |
| | 3-68 | 20.8" x 9.8" x 2.8" |
| | 3-69 | 20.8" x 9.8" x 5.2" |
| | 3-70 | 20.9" x 10.0" x 2.3" |
| | 3-71 | 20.9" x 9.8" x 6.6" |
| | 3-72 | 21.0" x 10.0" x 4.0" |
| | 3-73 | 21.0" x 10.0" x 4.2" |
| | 3-74 | 21.0" x 10.0" x 4.3" |
| | 3-75 | 21.0" x 10.0" x 6.0" |
| | 3-76 | 21.0" x 10.1" x 3.1" |
| | 3-77 | 21.0" x 9.7" x 3.0" |
| | 3-78 | 21.0" x 9.7" x 3.7" |

| FOOTPRINT | MODEL | DIMENSIONS (L x W x H) |
|-------------|-------|------------------------|
| Footprint 1 | 1-1 | 6.0" x 3.3" x 2.2" |
| | 1-2 | 6.5" x 3.5" x 2.0" |
| Footprint 2 | 2-1 | 8.0" x 4.3" x 1.6" |
| | 2-2 | 8.0" x 6.0" x 3.5" |
| Footprint 3 | 3-1 | 19.8" x 9.4" x 2.0" |
| | 3-2 | 20.0" x 10.0" x 2.0" |
| | 3-3 | 20.0" x 10.0" x 6.5" |
| | 3-4 | 20.0" x 9.5" x 1.8" |
| | 3-5 | 20.0" x 9.5" x 2.0" |
| | 3-6 | 20.0" x 9.5" x 2.5" |
| | 3-7 | 20.0" x 9.5" x 3.0" |
| | 3-8 | 20.0" x 9.5" x 3.5" |
| | 3-9 | 20.0" x 9.5" x 4.0" |
| | 3-10 | 20.0" x 9.5" x 4.5" |
| | 3-11 | 20.0" x 9.5" x 5.5" |
| | 3-12 | 20.0" x 9.5" x 6.8" |
| | 3-13 | 20.0" x 9.6" x 2.0" |
| | 3-14 | 20.0" x 9.8" x 6.3" |
| | 3-15 | 20.1" x 9.4" x 2.5" |
| | 3-16 | 20.4" x 9.6" x 3.0" |
| | 3-17 | 20.5" x 10.0" x 2.0" |
| | 3-18 | 20.5" x 10.0" x 3.0" |
| | 3-19 | 20.5" x 10.0" x 4.0" |
| | 3-20 | 20.5" x 10.0" x 5.0" |
| | 3-21 | 20.5" x 10.0" x 6.0" |
| | 3-22 | 20.5" x 9.5" x 5.0" |
| | 3-23 | 20.5" x 9.5" x 5.1" |
| | 3-24 | 20.5" x 9.5" x 5.6" |
| | 3-25 | 20.5" x 9.5" x 6.1" |
| | 3-26 | 20.5" x 9.5" x 6.3" |
| | 3-27 | 20.5" x 9.5" x 6.4" |
| | 3-28 | 20.5" x 9.5" x 6.6" |
| | 3-29 | 20.5" x 9.5" x 7.0" |
| | 3-30 | 20.5" x 9.7" x 2.0" |
| | 3-31 | 20.5" x 9.7" x 3.8" |
| | 3-32 | 20.5" x 9.7" x 5.2" |
| | 3-33 | 20.5" x 9.8" x 2.0" |
| | 3-34 | 20.5" x 9.8" x 2.1" |
| | 3-35 | 20.5" x 9.8" x 2.2" |
| | 3-36 | 20.5" x 9.8" x 2.3" |
| | 3-37 | 20.5" x 9.8" x 2.5" |

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| FOOTPRINT | MODEL | DIMENSIONS (L x W x H) |
|-------------|-------|------------------------|
| Footprint 3 | 3-120 | 21.5" x 10.0" x 3.0" |
| | 3-121 | 21.5" x 10.0" x 3.8" |
| | 3-122 | 21.5" x 10.0" x 4.6" |
| | 3-123 | 21.6" x 9.8" x 4.2" |
| | 3-124 | 21.6" x 9.9" x 3.0" |
| | 3-125 | 21.7" x 10.0" x 3.1" |
| | 3-126 | 21.7" x 9.9" x 4.1" |
| | 3-127 | 21.7" x 9.9" x 5.0" |
| | 3-128 | 21.7" x 9.9" x 6.3" |
| | 3-129 | 21.8" x 10.4" x 4.1" |
| | 3-130 | 21.8" x 10.5" x 4.7" |
| | 3-131 | 21.9" x 10.0" x 3.2" |
| | 3-132 | 21.9" x 10.0" x 3.5" |
| | 3-133 | 21.9" x 10.0" x 6.0" |
| | 3-134 | 22.0" x 9.7" x 6.2" |
| | 3-135 | 22.0" x 10.0" x 6.6" |
| Footprint 4 | 4-1 | 9.0" x 6.5" x 2.5" |
| | 4-2 | 9.8" x 6.3" x 3.6" |
| | 4-3 | 9.8" x 8.3" x 2.1" |
| | 4-4 | 9.8" x 9.0" x 3.5" |
| | 4-6 | 9.9" x 7.8" x 2.0" |
| Footprint 5 | 5-1 | 10.0" x 10.0" x 2.0" |
| | 5-2 | 10.0" x 10.0" x 2.3" |
| | 5-3 | 10.4" x 9.8" x 2.1" |
| | 5-4 | 10.4" x 9.8" x 2.3" |
| | 5-5 | 10.4" x 9.8" x 2.5" |
| | 5-6 | 10.4" x 9.8" x 3.0" |
| | 5-7 | 10.6" x 10.0" x 3.5" |
| | 5-8 | 10.6" x 9.7" x 2.9" |
| | 5-9 | 10.6" x 9.7" x 3.6" |
| Footprint 6 | 6-1 | 12.3" x 8.3" x 2.1" |
| | 6-2 | 13.3" x 9.3" x 2.1" |
| | 6-3 | 14.5" x 9.8" x 2.3" |
| Footprint 7 | 7-1 | 15.0" x 10.0" x 2.5" |
| | 7-2 | 15.8" x 9.8" x 5.2" |
| | 7-3 | 16.8" x 9.8" x 3.2" |
| Footprint 8 | 8-1 | 15.7" x 4.7" x 2.7" |
| | 8-2 | 15.8" x 4.5" x 2.5" |

| FOOTPRINT | MODEL | DIMENSIONS (L x W x H) |
|-------------|-------|------------------------|
| Footprint 3 | 3-79 | 21.0" x 9.7" x 4.2" |
| | 3-80 | 21.0" x 9.7" x 4.3" |
| | 3-81 | 21.0" x 9.7" x 4.8" |
| | 3-82 | 21.0" x 9.7" x 6.2" |
| | 3-83 | 21.0" x 9.7" x 6.8" |
| | 3-84 | 21.0" x 9.8" x 2.2" |
| | 3-85 | 21.0" x 9.8" x 3.5" |
| | 3-86 | 21.0" x 9.8" x 3.8" |
| | 3-87 | 21.0" x 9.8" x 4.0" |
| | 3-88 | 21.0" x 9.8" x 5.6" |
| | 3-89 | 21.1" x 9.7" x 3.7" |
| | 3-90 | 21.1" x 9.7" x 6.2" |
| | 3-91 | 21.1" x 9.7" x 6.4" |
| | 3-92 | 21.1" x 9.8" x 4.6" |
| | 3-93 | 21.1" x 9.8" x 6.0" |
| | 3-94 | 21.2" x 10.0" x 4.5" |
| | 3-95 | 21.2" x 10" x 5.2" |
| | 3-96 | 21.2" x 9.7" x 4.8" |
| | 3-97 | 21.2" x 9.7" x 4.9" |
| | 3-98 | 21.2" x 9.7" x 5.4" |
| | 3-99 | 21.3" x 10.0" x 4.9" |
| | 3-100 | 21.3" x 10.0" x 6.0" |
| | 3-101 | 21.3" x 10.1" x 5.8" |
| | 3-102 | 21.3" x 8.5" x 5.3" |
| | 3-103 | 21.4" x 10.0" x 4.5" |
| | 3-104 | 21.4" x 10.0" x 5.0" |
| | 3-105 | 21.4" x 10.0" x 6.0" |
| | 3-106 | 21.4" x 10.1" x 2.9" |
| | 3-107 | 21.4" x 10.1" x 3.0" |
| | 3-108 | 21.4" x 10.1" x 3.5" |
| | 3-109 | 21.4" x 10.1" x 3.7" |
| | 3-110 | 21.4" x 10.1" x 3.8" |
| | 3-111 | 21.4" x 10.1" x 4.6" |
| | 3-112 | 21.4" x 10.1" x 4.7" |
| | 3-113 | 21.4" x 10.1" x 5.3" |
| | 3-114 | 21.4" x 10.1" x 6.4" |
| | 3-115 | 21.4" x 10.1" x 6.8" |
| | 3-116 | 21.4" x 10.1" x 7.0" |
| | 3-117 | 21.4" x 9.6" x 5.0" |
| | 3-118 | 21.4" x 9.6" x 6.0" |
| | 3-119 | 21.4" x 9.6" x 6.4" |

AND AND A CANAL AND A

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Image /page/6/Picture/0 description: The image shows the Nuvasive logo. The logo consists of a purple and gray abstract shape on the left, followed by the word "NUVASIVE" in gray. Below the word "NUVASIVE" is the phrase "Speed of Innovation" in a smaller font.

# 510(k) Summary

In accordance with Title 21 of the Code of Federal Regulations, Part 807, and in particular 21 CFR §807.92, the following summary of information is provided:

### Submitted by: A.

Olga Lewis Regulatory Affairs Lead Specialist NuVasive, Incorporated 7475 Lusk Blvd. San Diego, California 92121 Telephone: [phone]

Date Prepared: August 25, 2015

#### B. Device Name

| Trade or Proprietary Name: | NuVasive® Sterilization Trays |
|----------------------------|---------------------------------------------------------------------|
| Common or Usual Name: | Sterilization Trays, Instrument Tray |
| Classification Name: | Sterilization wrap containers, trays, cassettes & other accessories |
| Classification: | Class II; 21 CFR § 880.6850 |
| Product Code: | KCT |

#### C. Predicate Devices

The subject NuVasive Sterilization Trays are substantially equivalent to the primary predicate device, Skeletal Dynamics Sterilization Trays (K102103).

#### D. Device Description

The NuVasive Sterilization Trays are designed to contain NuVasive implants and instruments for sterilization, storage, and handling, and to allow optimal exposure of the tray's content to steam during the sterilization process. The trays are intended only for use with NuVasive medical devices. The trays must be used in conjunction with an FDA cleared sterilization wrap in order to maintain sterility of the contents.

The trays are different sizes of the same basic configuration and consist of a rectangular base with a lid that fastens to the base with latches. The trays have perforations on the lid, base bottom and sides. Insert trays with custom made brackets can be used to organize instruments and hold caddies in which smaller components are stored. The insert travs and caddies also contain perforations to allow optimal exposure of the tray's contents to sterilant during the sterilization process.

#### E. Indications for Use

The NuVasive Sterilization Trays are intended to contain NuVasive implants and surgical instruments for sterilization, storage and handling. The NuVasive Sterilization Trays are suitable for dynamic air removal (pre-vacuum) steam sterilization methods. The trays are not intended to maintain sterility; they are intended to be used in conjunction with a validated, FDA-cleared sterilization wrap in order to maintain sterility of the enclosed devices.

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Image /page/7/Picture/1 description: The image shows the logo for Nuvasive. The logo consists of a stylized purple and gray leaf-like shape on the left, followed by the word "NUVASIVE" in gray, and the tagline "Speed of Innovation" in a smaller font below the company name. The logo is clean and modern, with a focus on the company's name and tagline.

Sterilization validations for three level worst case tray (20.5" x 10" x 7.375") included three different loading configurations: implant only content (26.4 lbs.), instrument only content (39.95 lbs.) and mixed instruments and implants content (30.45 lbs.)

Validated worst case loading configurations included 23 instruments with lumens including the following worst case lumen dimensions:

- 1.6 mm x 306.8 mm

- 1.1 mm x 166.4 mm

- 7.2 mm x 331.9 mm

- 5.5 mm x 356.9 mm

Do not exceed a maximum load of 25 lbs in the sterilization tray.

Validated sterilization parameters for NuVasive Sterilization Trays:

Method: Steam Cycle: Pre-Vacuum Temperature: 270°F (132°C)

Exposure Time: 4 minutes

Minimum Dry Time: 30 minutes

Minimum Cool Down Time: 40 minutes

List of Devices:

| FOOTPRINT | MODEL | DIMENSIONS (L x W x H) | FOOTPRINT | MODEL | DIMENSIONS (L x W x H) |
|-------------|-------|------------------------|-------------|-------|------------------------|
| Footprint 1 | 1-1 | 6.0" x 3.3" x 2.2" | Footprint 3 | 3-20 | 20.5" x 10.0" x 5.0" |
| | 1-2 | 6.5" x 3.5" x 2.0" | | 3-21 | 20.5" x 10.0" x 6.0" |
| Footprint 2 | 2-1 | 8.0" x 4.3" x 1.6" | | 3-22 | 20.5" x 9.5" x 5.0" |
| | 2-2 | 8.0" x 6.0" x 3.5" | | 3-23 | 20.5" x 9.5" x 5.1" |
| Footprint 3 | 3-1 | 19.8" x 9.4" x 2.0" | | 3-24 | 20.5" x 9.5" x 5.6" |
| | 3-2 | 20.0" x 10.0" x 2.0" | | 3-25 | 20.5" x 9.5" x 6.1" |
| | 3-3 | 20.0" x 10.0" x 6.5" | | 3-26 | 20.5" x 9.5" x 6.3" |
| | 3-4 | 20.0" x 9.5" x 1.8" | | 3-27 | 20.5" x 9.5" x 6.4" |
| | 3-5 | 20.0" x 9.5" x 2.0" | | 3-28 | 20.5" x 9.5" x 6.6" |
| | 3-6 | 20.0" x 9.5" x 2.5" | | 3-29 | 20.5" x 9.5" x 7.0" |
| | 3-7 | 20.0" x 9.5" x 3.0" | | 3-30 | 20.5" x 9.7" x 2.0" |
| | 3-8 | 20.0" x 9.5" x 3.5" | | 3-31 | 20.5" x 9.7" x 3.8" |
| | 3-9 | 20.0" x 9.5" x 4.0" | | 3-32 | 20.5" x 9.7" x 5.2" |
| | 3-10 | 20.0" x 9.5" x 4.5" | | 3-33 | 20.5" x 9.8" x 2.0" |
| | 3-11 | 20.0" x 9.5" x 5.5" | | 3-34 | 20.5" x 9.8" x 2.1" |
| | 3-12 | 20.0" x 9.5" x 6.8" | | 3-35 | 20.5" x 9.8" x 2.2" |
| | 3-13 | 20.0" x 9.6" x 2.0" | | 3-36 | 20.5" x 9.8" x 2.3" |
| | 3-14 | 20.0" x 9.8" x 6.3" | | 3-37 | 20.5" x 9.8" x 2.5" |
| | 3-15 | 20.1" x 9.4" x 2.5" | | 3-38 | 20.5" x 9.8" x 3.0" |
| | 3-16 | 20.4" x 9.6" x 3.0" | | 3-39 | 20.5" x 9.8" x 3.1" |
| | 3-17 | 20.5" x 10.0" x 2.0" | | 3-40 | 20.5" x 9.8" x 3.3" |
| | 3-18 | 20.5" x 10.0" x 3.0" | | 3-41 | 20.5" x 9.8" x 3.5" |
| | 3-19 | 20.5" x 10.0" x 4.0" | | 3-42 | 20.5" x 9.8" x 3.6" |

CONFIDENTIAL

{8}------------------------------------------------

Image /page/8/Picture/0 description: The image shows the Nuvasive logo. The logo consists of a purple and gray abstract shape on the left, followed by the word "NUVASIVE" in gray. Below the word "NUVASIVE" is the phrase "Speed of Innovation" in a smaller, blurred font. The logo is simple and modern, with a focus on the company name and tagline.

FOOT

| FOOTPRINT | MODEL | DIMENSIONS (L x W x H) |
|-------------|-------|---------------------------|
| Footprint 3 | 3-43 | 20.5" x 9.8" x 3.7" |
| | 3-44 | 20.5" x 9.8" x 3.8" |
| | 3-45 | 20.5" x 9.8" x 3.9" |
| | 3-46 | 20.5" x 9.8" x 4.0" |
| | 3-47 | 20.5" x 9.8" x 4.1" |
| | 3-48 | 20.5" x 9.8" x 4.3" |
| | 3-49 | 20.5" x 9.8" x 4.4" |
| | 3-50 | 20.5" x 9.8" x 4.5" |
| | 3-51 | 20.5" x 9.8" x 4.6" |
| | 3-52 | 20.5" x 9.8" x 4.7" |
| | 3-53 | 20.5" x 9.8" x 4.8" |
| | 3-54 | 20.5" x 9.8" x 5.0" |
| | 3-55 | 20.5" x 9.8" x 5.3" |
| | 3-56 | 20.5" x 9.8" x 5.5" |
| | 3-57 | 20.5" x 9.8" x 5.7" |
| | 3-58 | 20.5" x 9.8" x 6.0" |
| | 3-59 | 20.5" x 9.8" x 6.1" |
| | 3-60 | 20.5" x 9.8" x 6.3" |
| | 3-61 | 20.5" x 9.8" x 6.6" |
| | 3-62 | 20.5" x 9.8" x 7.1" |
| | 3-63 | 20.5" x 9.8" x 7.2" |
| | 3-64 | 20.6" x 9.7" x 3.4" |
| | 3-65 | 20.6" x 9.7" x 3.6" |
| | 3-66 | 20.6" x 9.7" x 4.4" |
| | 3-67 | 20.6" x 9.7" x 4.7" |
| | 3-68 | 20.8" x 9.8" x 2.8" |
| | 3-69 | 20.8" x 9.8" x 5.2" |
| | 3-70 | 20.9" X 10.0" X 2.3" |
| | 3-71 | 20.9" x 9.8" x 6.6" |
| | 3-72 | 21.0" x 10.0" x 4.0" |
| | 3-73 | 21.0" x 10.0" x 4.2" |
| | 3-74 | 21.0" x 10.0" x 4.3" |
| | 3-75 | 21.0" x 10.0" x 6.0" |
| | 3-76 | 21.0" x 10.1" x 3.1" |
| | 3-77 | 21.0" x 9.7" x 3.0" |
| | 3-78 | 21.0" x 9.7" x 3.7" |
| | 3-79 | 21.0" x 9.7" x 4.2" |
| | 3-80 | 21.0" x 9.7" x 4.3" |
| | 3-81 | 21.0" x 9.7" x 4.8" |
| | 3-82 | 21.0" x 9.7" x 6.2" |
| FOOTPRINT | MODEL | DIMENSIONS<br>(L x W x H) |
| Footprint 3 | 3-83 | 21.0" x 9.7" x 6.8" |
| | 3-84 | 21.0" x 9.8" x 2.2" |
| | 3-85 | 21.0" x 9.8" x 3.5" |
| | 3-86 | 21.0" x 9.8" x 3.8" |
| | 3-87 | 21.0" x 9.8" x 4.0" |
| | 3-88 | 21.0" x 9.8" x 5.6" |
| | 3-89 | 21.1" x 9.7" x 3.7" |
| | 3-90 | 21.1" x 9.7" x 6.2" |
| | 3-91 | 21.1" x 9.7" x 6.4" |
| | 3-92 | 21.1" x 9.8" x 4.6" |
| | 3-93 | 21.1" x 9.8" x 6.0" |
| | 3-94 | 21.2" x 10.0" x 4.5" |
| | 3-95 | 21.2" x 10" x 5.2" |
| | 3-96 | 21.2" x 9.7" x 4.8" |
| | 3-97 | 21.2" x 9.7" x 4.9" |
| | 3-98 | 21.2" x 9.7" x 5.4" |
| | 3-99 | 21.3" x 10.0" x 4.9" |
| | | 21.3" x 10.0" x 6.0 |
| | 3-100 | "" |
| | 3-101 | 21.3" x 10.1" x 5.8" |
| | 3-102 | 21.3" x 8.5" x 5.3" |
| | 3-103 | 21.4" x 10.0" x 4.5" |
| | 3-104 | 21.4" x 10.0" x 5.0" |
| | 3-105 | 21.4" x 10.0" x 6.0" |
| | 3-106 | 21.4" x 10.1" x 2.9" |
| | 3-107 | 21.4" x 10.1" x 3.0" |
| | 3-108 | 21.4" x 10.1" x 3.5" |
| | 3-109 | 21.4" x 10.1" x 3.7" |
| | 3-110 | 21.4" x 10.1" x 3.8" |
| | 3-111 | 21.4" x 10.1" x 4.6" |
| | 3-112 | 21.4" x 10.1" x 4.7" |
| | 3-113 | 21.4" x 10.1" x 5.3" |
| | 3-114 | 21.4" x 10.1" x 6.4" |
| | 3-115 | 21.4" x 10.1" x 6.8" |
| | 3-116 | 21.4" x 10.1" x 7.0" |
| | 3-117 | 21.4" x 9.6" x 5.0" |
| | 3-118 | 21.4" x 9.6" x 6.0" |
| | 3-119 | 21.4" x 9.6" x 6.4" |
| | 3-120 | 21.5" x 10.0" x 3.0" |
| | 3-121 | 21.5" x 10.0" x 3.8" |
| | 3-122 | 21.5" x 10.0" x 4.6" |

{9}------------------------------------------------

Image /page/9/Picture/0 description: The image shows the logo for Nuvasive. The logo features a stylized purple and gray leaf-like shape on the left, followed by the company name "NUVASIVE" in gray, sans-serif font. Below the company name, in a smaller font, is the tagline "Speed of Innovation".

| FOOTPRINT | MODEL | DIMENSIONS (L x W x H) |
|-------------|-------|------------------------|
| Footprint 3 | 3-123 | 21.6" x 9.8" x 4.2" |
| | 3-124 | 21.6" x 9.9" x 3.0" |
| | 3-125 | 21.7" x 10.0" x 3.1" |
| | 3-126 | 21.7" x 9.9" x 4.1" |
| | 3-127 | 21.7" x 9.9" x 5.0" |
| | 3-128 | 21.7" x 9.9" x 6.3" |
| | 3-129 | 21.8" x 10.4" x 4.1" |
| | 3-130 | 21.8" x 10.5" x 4.7" |
| | 3-131 | 21.9" x 10.0" x 3.2" |
| | 3-132 | 21.9" x 10.0" x 3.5" |
| | 3-133 | 21.9" x 10.0" x 6.0" |
| | 3-134 | 22.0" x 9.7" x 6.2" |
| | 3-135 | 22.0" x 10.0" x 6.6" |
| Footprint 4 | 4-1 | 9.0" x 6.5" x 2.5" |
| | 4-2 | 9.8" x 6.3" x 3.6" |
| | 4-3 | 9.8" x 8.3" x 2.1" |
| | 4-4 | 9.8" x 9.0" x 3.5" |
| | 4-6 | 9.9" x 7.8" x 2.0" |
| FOOTPRINT | MODEL | DIMENSIONS (L x W x H) |
| Footprint 5 | 5-1 | 10.0" x 10.0" x 2.0" |
| | 5-2 | 10.0" x 10.0" x 2.3" |
| | 5-3 | 10.4" x 9.8" x 2.1" |
| | 5-4 | 10.4" x 9.8" x 2.3" |
| | 5-5 | 10.4" x 9.8" x 2.5" |
| | 5-6 | 10.4" x 9.8" x 3.0" |
| | 5-7 | 10.6" x 10.0" x 3.5" |
| | 5-8 | 10.6" X 9.7" X 2.9" |
| | 5-9 | 10.6" X 9.7" X 3.6" |
| Footprint 6 | 6-1 | 12.3" x 8.3" x 2.1" |
| | 6-2 | 13.3" x 9.3" x 2.1" |
| | 6-3 | 14.5" x 9.8" x 2.3" |
| Footprint 7 | 7-1 | 15.0" x 10.0" x 2.5" |
| | 7-2 | 15.8" x 9.8" x 5.2" |
| | 7-3 | 16.8" x 9.8" x 3.2" |
| Footprint 8 | 8-1 | 15.7" x 4.7" x 2.7" |
| | 8-2 | 15.8" x 4.5" x 2.5" |

## F. Technological Characteristics

As was established in this submission, the subject NuVasive Sterilization Trays are substantially equivalent to other predicate devices cleared by the FDA for commercial distribution in the United States. The subject device was shown to be substantially equivalent and have equivalent technological characteristics to its predicate device through comparison in areas including design, labeling/intended use, material composition, sterilization method, and function.

#### Performance Testing G.

To establish substantial equivalence with a predicate device, the performance testing was conducted to confirm that SAL (106) sterility level was achieved at the validated sterilization parameters in prevacuum steam sterilization cycle per ISO 17665-1 and AAMI TIR 12. Upon completion of the SAL (10-6) validations, dry time validation was executed.

#### H. Conclusions

Based on the indications for use, technological characteristics, performance data, and comparison to predicate device, the subject NuVasive Sterilization Trays has been shown to be substantially equivalent to legally marketed predicate device.

{10}------------------------------------------------

Image /page/10/Picture/1 description: The image shows the Nuvasive logo. The logo consists of a purple and gray abstract shape on the left, followed by the word "NUVASIVE" in gray. Below the word "NUVASIVE" is the phrase "Speed of Innovation" in a smaller, lighter font.

| Characteristics | Predicate Device<br>K102103 | Subject Device NuVasive<br>Sterilization Trays | |
|-------------------------------|--------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------|--|
| Product Code | KCT | KCT | |
| 21 CFR | 888.6850 | 888.6850 | |
| System<br>Components | Base, lid, insert trays, brackets, caddies | Base, lid, insert trays, brackets, caddies | |
| Material<br>Composition | Aluminum, Nylon, Silicone, Stainless<br>Steel, Polypropylene,<br>Polyphenylsulfone | Aluminum, Nylon, Silicone, Stainless<br>Steel, Polypropylene,<br>Polyphenylsulfone | |
| Physical<br>Properties | Evenly distributed perforated hole<br>pattern | Evenly distributed perforated hole<br>pattern | |
| Configurations/<br>Dimensions | Rectangle base with lid, inserts,<br>brackets and caddies; Multiple<br>dimensions to accommodate different<br>product configurations | Rectangle base with lid, inserts, brackets<br>and caddies; Multiple dimensions to<br>accommodate different product<br>configurations | |
| Sterilant<br>Penetration | Sterilant (steam) penetration through<br>perforations in tray | Sterilant (steam) penetration through<br>perforations in tray | |
| Sterilization<br>method | Steam | Steam | |
| Sterilization cycle | Pre-vacuum and Gravity | Pre-vacuum | |
| Exposure<br>temperature | 270°F (132°C) | 270°F (132°C) | |
| Exposure time | 4 minutes | 4 minutes | |
| Drv time | 20 minutes | 30 minutes | |
| Reusable | Yes | Yes | |

{11}------------------------------------------------

Image /page/11/Picture/1 description: The image shows the Nuvasive logo. The logo consists of a purple and gray abstract shape on the left, followed by the word "NUVASIVE" in gray. Below the word "NUVASIVE" is the phrase "Speed of Innovation" in a smaller, lighter gray font.

| Characteristics | Predicate Device K102103 | Subject Device NuVasive Sterilization Trays | | | | | | | | | | | | | | | | | | | | | | | |
|---------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------|--|--|--|--|--|--|--|--|--|--|--|--|--|--|--|--|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--|--|--|--|--|--|
| Indications for Use | Skeletal Dynamics Sterilization Trays are intended to contain Skeletal Dynamics reusable surgical instruments for convenient organized storage, sterilization and transport between usages. The full DIN and half DIN tray include as accessories an insert to hold instruments and caddy to hold implants and smaller components. The Akro-Vu tray only contains brackets to hold the Akro-Vu System's reusable components.<br>The full DIN and half DIN trays are suitable for use in both pre-vacuum steam and high temperature gravity steam serialization methods. The Akro-Vu tray is suitable for use in pre- vacuum steam sterilization method. The trays are not intended to maintain sterility; they are intended to be used in conjunction with a validated sterilization wrap in order to maintain sterility of the enclosed devices.<br>Validated sterilization parameters for full DIN and half DIN trays and Akro-Vu tray: Method Steam Pre-Vacuum High Temp. Gravity Steam Temperature 270°F 270°F Exposure Time 4 min 15 min Min Dry Time 20 min 20 min<br>Validated sterilization parameters for full DIN and half DIN trays: Method: Steam Cycle: High Temperature Gravity Steam Temperature: 270°F (132°C) Exposure Time: 15 minutes Minimum Dry Time: 20 minutes | | | | | | | | | | | | | | | | | | The NuVasive Sterilization Trays are intended to contain NuVasive implants and surgical instruments for sterilization, storage and handling. The NuVasive Sterilization Trays are suitable for dynamic air removal (pre-vacuum) steam sterilization methods. The trays are not intended to maintain sterility; they are intended to be used in conjunction with a validated, FDA-cleared sterilization wrap in order to maintain sterility of the enclosed devices.<br>Sterilization validations for three level worst case tray (20.5" x 10" x 7.375") included three different loading configurations: implant only content (26.4 lbs.), instrument only content (39.95 lbs.) and mixed instruments and implants content (30.45 lbs.)<br>Validated worst case loading configurations included 23 instruments with lumens including the following worst case lumen dimensions:<br>- 0.16 cm x 30.68 cm<br>- 0.11 cm x 16.64 cm<br>- 0.72 cm x 33.19 cm<br>- 0.55 cm x 35.69 cm<br>Do not exceed a maximum load of 25 lbs in the sterilization tray.<br>Validated sterilization parameters for NuVasive Sterilization Trays: Method: Steam Cycle: Pre-Vacuum Temperature: 270°F (132°C) Exposure Time: 4 minutes Minimum Dry Time: 30 minutes Minimum Cool Down Time: 40 minutes | | | | | | |