ALARA Neuro Access Kit
Device Facts
| Record ID | K190163 |
|---|---|
| Device Name | ALARA Neuro Access Kit |
| Applicant | SurGenTec, LLC |
| Product Code | PDQ · Ear, Nose, Throat |
| Decision Date | Jul 16, 2019 |
| Decision | SESE |
| Submission Type | Traditional |
| Regulation | 21 CFR 874.1820 |
| Device Class | Class 2 |
Intended Use
The ALARA Neuro Access Kit is indicated for pedicle pilot hole preparation, locating, and identifying spinal roots / nerves by providing proximity feedback.
Device Story
The ALARA Neuro Access Kit is a single-use, sterile stimulating electrode used during spinal surgery to assist surgeons in locating and identifying spinal roots and nerves. The device consists of an access needle insulated with a sheath, featuring either a diamond or bevel tip for tissue stimulation. It includes an extension handle to provide stability and working space during placement. The needle connects to a standard neuromonitoring console via an alligator clip. By delivering electrical stimulation to the tissue, the device provides proximity feedback to the surgeon, helping to avoid nerve injury during pedicle pilot hole preparation. It is used in both open and percutaneous/minimally invasive surgical approaches. The output is interpreted by the surgeon via the neuromonitoring system to guide instrument placement and improve patient safety by reducing the risk of nerve damage.
Clinical Evidence
Bench testing only. Testing included cannula handle torque and pull tests, stylet handle pull tests, and functionality testing for both bevel and diamond sheath needles. Electrical safety testing was conducted per IEC 60601-1 Edition 3.1, including leakage current, dielectric voltage withstand, and mechanical strength tests. All tests met acceptance criteria.
Technological Characteristics
Materials: 316 and LVM Stainless Steel, IXEF 1022/9008, and Lustram ABS. Sensing principle: Stimulating electrode for nerve proximity feedback. Energy: Electrical stimulation via external neuromonitoring console. Form factor: Access needle with sheath and extension handle. Connectivity: Wired connection via alligator clip to neuromonitoring unit. Sterilization: Gamma radiation. Compliance: IEC 60601-1 Edition 3.1.
Indications for Use
Indicated for pedicle pilot hole preparation, locating, and identifying spinal roots/nerves by providing proximity feedback in patients undergoing spinal surgery.
Regulatory Classification
Identification
A surgical nerve stimulator/locator is a device that is intended to provide electrical stimulation to the body to locate and identify nerves and to test their excitability.
Predicate Devices
- ES2 Neuromonitoring Accessory Instruments (K171807)
Related Devices
- K161893 — Neuromonitoring Kit · SI-BONE, Inc. · Oct 18, 2016
- K090838 — STIMULUS/DISSECTION INSTRUMENTS · Axon Systems, Inc. · Jul 20, 2009
- K063729 — DISPOSABLE PEDICLE SCREW PROBE, MODEL 3603-00 · Technomed Europe · Aug 21, 2007
- K191723 — ATEC IOM Accessory Instruments · Alphatec Spine, Inc. · Oct 18, 2019
- K111597 — DISPOSABLE STIMULATING ELECTRODE · Nuvasive, Inc. · Oct 13, 2011
Submission Summary (Full Text)
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July 16, 2019
SurGenTec. LLC % Stephen Inglese Founder/CEO Quality Solutions and Support, LLC PO Box 8271 Holland, Michigan 49422
Re: K190163
Trade/Device Name: ALARA Neuro Access Kit Regulation Number: 21 CFR 874.1820 Regulation Name: Surgical Nerve Stimulator/Locator Regulatory Class: Class II Product Code: PDQ Dated: June 13, 2019 Received: June 17, 2019
Dear Stephen Inglese:
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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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
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requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.
For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely,
for
Jay Gupta Assistant Director DHT5A: Division of Neurosurgical, Neurointerventional and Neurodiagnostic Devices OHT5: Office of Neurological and Physical Medicine Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health
Enclosure
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# Indications for Use
510(k) Number (if known) K190163
Device Name ALARA Neuro Access Kit
Indications for Use (Describe)
The ALARA Neuro Access Kit is indicated for pedicle pilot hole preparation, locating, and identifying spinal roots / nerves by providing proximity feedback.
| Type of Use (Select one or both, as applicable) | |
|-------------------------------------------------|--|
| | |
X Prescription Use (Part 21 CFR 801 Subpart D)
| | Over-The-Counter Use (21 CFR 801 Subpart C)
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# 510(k) Summary
In accordance with 21 CFR 807.87(h) and (21 CFR 807.92) the 510(k) Summary for the ALARA Neuro Access Kit is provided below.
| Device Common Name: | Nerve Stimulator / Locator |
|----------------------------|--------------------------------------------------------------------------------------------------------------------------|
| Classification Name: | Neurosurgical Nerve Locator |
| Device Proprietary Name: | ALARA Neuro Access Kit |
| Submitter: | SurGenTec, LLC<br>7601 N Federal Hwy, Suite 150A<br>Boca Raton, FL 33487<br><br>561-990-7882 |
| Contact: | Stephen W Inglese<br>CEO, Founder<br>Quality Solutions and Support, LLC<br>Phone: 561-251-0876<br>Email: swi@qss-llc.com |
| Date Prepared: | July 15, 2019 |
| Classification Regulation: | 21 CFR § 874.1820, Class II |
| Panel: | Neurology |
| Product Code: | PDO |
| Predicate Device: - | | |
|---------------------|----------------------------------------------|----------------|
| 510k | Product Name | Clearance Date |
| K171807 | ES2 Neuromonitoring Accessory<br>Instruments | July 18,2017 |
### Indication for Use:
The ALARA Neuro Access Kit is indicated for pedicle pilot hole preparation, locating, and identifying spinal roots / nerves by providing proximity feedback.
# Device Description:
The ALARA Neuro Access Kit with Access Needle, Sheath and Extension Handle is a single use: sterile stimulating electrode is manufactured with the following materials: 316 and LVM Stainless Steel, IXEF 1022/9008 and Lustram ABS. The disposable ALARA Neuro Access Kit is an Access Needle insulated with a sheath (see figure 1). The sheath is full length except for the distal tip (either a diamond or bevel tip) which provides tissue stimulation. The needle
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utilizes an extension handle as an accessory (see figure 2) to provide the surgeon stability in placement of the access needle and by providing support by allowing for more working space during a surgical procedure.
The device is kitted with a set of individually packaged and (single use) disposable Alligator Clips (Rhythmlink International Alligator Clip RLSP487) see figure 3. The device registered with Rhythmlink (FDA registered FEI: 3003831320).
Image /page/4/Picture/2 description: The image shows a black and blue tool on a white surface. The tool has a black handle with a blue top. The tool has a long, thin metal rod that extends from the handle. The tool is likely used for precision work.
Figure 1- ALARA Access Needle with Sheath
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Image /page/5/Picture/0 description: The image shows a medical device on a white table. The device has a long, white handle with a silver circular piece in the middle. At the end of the handle, there is a black and blue component with a thin, black probe extending from it, and a black wire is connected to the device.
Figure 2- Extension Handle attached to the Access Needle
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Image /page/6/Picture/0 description: The image contains three separate photos. The first photo shows a medical device with two wires connected to it via alligator clips. The second photo shows a sealed package with the brand name "Rhythmlink" and other information such as the company address, phone number, and a statement that it is for single use only. The third photo shows a similar sealed package, but this time the contents are visible, revealing a black wire with an alligator clip attached to one end.
Figure 3- Access Needle with Extension Handle and Alligator Clip Attached / Packaged
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## Performance Testing:
Bench testing was performed with the device in simulated use cases to determine that the device met its performance specifications. Where applicable, functionality testing included materials that simulate relevant mechanical properties of bone.
- ALARA Cannula Handle Torque Test The cannula handle meets all acceptance ● criteria since the torque required to cause the cannula to fail as over twice the required torque of 25 in-lbs.
- ALARA Cannula Handle Pull Test The cannula handle meets all acceptance ● criteria since the force required to cause the cannula to fail as over the required force of 60 lbf.
- . ALARA Stylet Handle Pull Test - The stylet handle meets all acceptance criteria since the force required to cause the stylet to fail as over the required force of 60 lbf.
- ALARA Bevel Sheath Needle Functionality Test The bevel sheath needleand ● extension handle meets all acceptance criteria since the samples were able to functionally perform the test without failure.
- . ALARA Diamond Sheath Needle Functionality Test - The diamond sheath needle and extension handle meets all acceptance criteria since the samples were able to functionally perform the test without failure.
- Electrical Safety IEC 60601-1 Edition 3.1. with AAMI/CSA/EN Deviations: ● Leakage Current Test: (Clause 8.7), Dielectric Voltage Withstand: (Clause 8.8.3), Humidity Preconditioning Treatment: (Clause 5.7), Enclosure Mechanical Strength: (Clause 15.3), Drop Test: (Clause 15.3.4), Ball Pressure: (Clause 8.8.4.1), Patient Leads and Cables: (Clause 8.5.2.3). SUMMARY: The limited evaluation and testing of the ALARA 11 Gauge Access Needle with Sheath, found the sample(s) to be in compliance with the above specified standards.
### Substantial Equivalence:
Based on similar intended use and technological characteristics, the ALARA Neuro Access Kit is Substantially equivalent to the predict device: K171807 - ES2 Neuromonitoring Accessory Instruments Table 1 demonstrates the technological features; both similar and different.
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| Administrative | Subject Device | Predicate Device |
|------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Characteristic | SurGenTec, LLC –<br>K190163 | Stryker -<br>K171807 |
| | | |
| Device Name | ALARA Neuro Access Kit | ES2 Neuromonitoring<br>Accessory Instruments – 200,<br>300 and 400 LITE Y-Needles |
| Regulation | 21 CFR § 874.1820, Class II | 21 CFR § 874.1820, Class II |
| Product Code | PDQ | PDQ |
| Device Characteristic: | | |
| Indications For Use | The ALARA Neuro<br>Access Kit is indicated for<br>pedicle pilot hole<br>preparation, locating, and<br>identifying<br>spinal roots / nerves by<br>providing proximity<br>feedback. | The ES2 Neuromonitoring<br>instruments (Awls, Taps,<br>Screwdriver and LITe Y-<br>NEEDLE 200, 300 and 400) can<br>be used by the surgeon to assist<br>in location of the spinal nerves<br>by providing proximity<br>information before, during or<br>after bone preparation and<br>placement of bone screws in<br>open and percutaneous<br>minimally invasive posterior<br>surgical approaches of the non-<br>cervical spine. |
| Material | Surgical Stainless Steel,<br>lxef® 1022/9008 and<br>Acrylonitrile Butadiene<br>Styrene (ABS) | Surgical Stainless Steel and<br>Acrylonitrile Butadiene Styrene<br>(ABS) |
| IEC 60601 Compliant | Yes | Yes |
| Use of the Needle | Needle depth stop | Needle depth stop |
| Sterility | Sterile (gamma) | Sterile and Non Sterile<br>Non-sterile devices are provided<br>with validated steam sterilization<br>parameters to assure an SAL of<br>10-6 |
| Reusable /Single Use | Single Use | 200, 300, and 400 LITe Y Needle<br>- Single Use<br><br>Awls, Taps, and Screwdrivers -<br>Reusable |
| Connection to a<br>Neuromonitoring Unit | Wire and Clip | Wire and Clip |
| Extension Handle | Yes | No |
| Instrument Type<br>(Description) | ALARA Needle, Handle | Awl, Taps, Screwdrivers,<br>Guidewires (K-wires) and<br>200,300, 400 LITE Y-Needles |
| Biocompatibility Patient<br>Contact Duration | Limited patient duration<br>contact (≤24 hours) | Limited patient duration contact<br>(≤24 hours) |
| Biocompatibility | Yes | Yes |
| Surgical Approach | Open or Percutaneous/<br>Minimally Invasive | Open or Percutaneous/ Minimally<br>Invasive |
| Compatible with Common<br>Neuromonitoring Consoles<br>& Software | Yes | Yes |
| Connection to<br>Neuromonitoring Unit | Clip | Clip or Probe (based on<br>Neuromonitoring system) |
Table 1: Device Comparison Table for Substantial Equivalence
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*Bold text denotes a difference between the subject device and the predicate device.
# Summary of Substantial Equivalence:
As described above, the difference in technological characteristics do not raise new types of safety and effectiveness issues. The testing data (biocompatibility, bench testing and electrical safety) provided in this 510(k) show equivalence to the predicate as cleared in K171807 and therefore the ALARA Neuro Access Kit can be found substantially equivalent to the predicate device.
