ESPIN SYSTEM

K133061 · Nlt Spine, Ltd. · HRX · Nov 27, 2013 · Orthopedic

Device Facts

• Record ID: K133061
• Device Name: ESPIN SYSTEM
• Applicant: Nlt Spine, Ltd.
• Product Code: HRX · Orthopedic
• Decision Date: Nov 27, 2013
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 888.1100
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The eSPIN System is intended for use in cutting and grinding intervertebral disc material during discectomy for fusion procedures in L2-S1 spinal segments in skeletally mature patients with degenerative disc disease (DDD). DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by the history and radiographic studies. DDD patients may also have up to Grade I Spondylolisthesis or retrolisthesis at the involved levels. The device is intended to be used with supplemental spinal fixation systems that have been cleared for use in the lumbosacral spine (i.e. posterior pedicle screw and rod systems).

Device Story

The eSPIN System is a surgical instrument set used for cutting and grinding intervertebral disc material during spinal fusion procedures. The system comprises access and positioning instruments, a handpiece, disposable cutting tips, a suction tube, an alignment guide, and an electrical motor unit. Operated by a surgeon in a clinical setting, the device facilitates discectomy in the L2-S1 spinal segments. The motor-driven cutting tips remove disc material, while the suction tube assists in debris removal. The device is intended for use in conjunction with supplemental spinal fixation systems (e.g., posterior pedicle screw and rod systems) to stabilize the spine. By enabling precise disc material removal, the system assists in preparing the disc space for fusion, potentially alleviating discogenic back pain.

Clinical Evidence

Bench testing only. Performance testing evaluated system mechanism durability and functionality to demonstrate substantial equivalence to predicate devices. No clinical data provided.

Technological Characteristics

System includes access/positioning instruments, handpiece, disposable cutting tips, suction tube, alignment guide, and electrical motor unit. Operates via motorized mechanical cutting/grinding. Intended for use with supplemental spinal fixation systems. No specific materials or software algorithms described.

Indications for Use

Indicated for skeletally mature patients with degenerative disc disease (DDD) requiring discectomy for fusion in L2-S1 spinal segments. DDD defined as discogenic back pain with radiographic confirmation. Includes patients with up to Grade I Spondylolisthesis or retrolisthesis. Used with cleared supplemental posterior pedicle screw and rod fixation systems.

Regulatory Classification

Identification

An arthroscope is an electrically powered endoscope intended to make visible the interior of a joint. The arthroscope and accessories also is intended to perform surgery within a joint.

Predicate Devices

• NLT SPINE eSPIN (K120553)
• NLT SPINE eSPIN (K130057)
• Medtronic Inc. Midas Rex (K081475)

Submission Summary (Full Text)

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Image /page/0/Picture/0 description: The image shows the logo for NLTSPine Nonlinear technologies. The logo has a spine on the left side of the image. The text is in a sans-serif font and is black.

## 510(k) SUMMARY

### NLT SPINE's eSPIN System

K133061 Page 1 of 2

As required by 21 C.F.R. § 807.92

### Sponsor:

NLT SPINE Ltd. 6 Yad Harutzim St, Kfar-Saba Israel 4464103

NOV 2 7 2013

### Contact Person:

Eti Zinger Regulatory Affairs Director NLT SPINE Ltd. Tel: [phone] Fax: [phone] [e-mail]

Date Prepared: September 27, 2013

Name of Device: eSPIN System

### Common or Usual Name: Arthroscope and Accessories

Classification Name: Arthroscope and Accessories 21 CFR §880.1100 Product Code HRX

### Predicate Devices

- . NLT SPINE eSPIN K120553, K130057
- . Medtronic Inc. Midas Rex K081475

### Intended Use / Indications for Use

The eSPIN System is intended for use in cutting and grinding intervertebral disc material during discectomy for fusion procedures in L2-S1 spinal segments in skeletally mature patients with degenerative disc disease (DDD). DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by the history and radiographic studies. DDD patients may also have up to Grade I Spondylolisthesis at the involved levels. The device is intended to be used with supplemental spinal fixation systems that have been cleared for use in the lumbosacral spine (i.e. posterior pedicle screw and rod systems).

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Image /page/1/Picture/0 description: The image shows the logo for NLT Spine. The logo features a stylized spine graphic on the left, followed by the text "NLTSPine" in a modern, sans-serif font. Below "NLTSPine" is the text "Nonlinear Technologies" in a smaller font. The logo is simple and clean, with a focus on the company's name and its connection to spinal technology.

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# Technological Characteristics

K133061 Page 2 of 2

The eSPIN System consists of access and positioning instruments to access the disc space and to position the hand-piece for discectomy, a handpiece, disposable cutting tips, a suction tube & alignments guide and electrical motor unit.

### Performance Data

Performance testing in bench (e.g. system mechanism durability & functionality) demonstrated that the eSPIN System is substantially equivalent to its predicate.

### Substantial Equivalence

The eSPIN System is as safe and effective as its predicate devices. The eSPIN System has the same intended uses and similar indications, technological characteristics, and principles of operation as its predicate device. The minor technological differences between the eSPIN System and its predicate devices raise no new issues of safety or effectiveness. Performance data demonstrate that the eSPIN System is as safe and effective as its predicate devices. Thus, the eSPIN System is substantially equivalent.

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Image /page/2/Picture/0 description: The image shows the logo for the Department of Health & Human Services - USA. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" written around the perimeter. Inside the circle is an abstract image of an eagle.

#### DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

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

NLT SPINE LTD % John J. Smith, M.D., J.D. Hogan Lovells US LLP 555 Thirteenth Street, Northwest Washington, District of Columbia 20004

Re: K133061

Trade/Device Name: eSPIN System Regulation Number: 21 CFR 888.1100 Regulation Name: Arthroscope Regulatory Class: Class II Product Code: HRX Dated: September 27, 2013 Received: September 27, 2013

Dated: Sep

Received: September 27,

Dear Dr. Smith:

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). and Cosmetion for (100) kee the device, subject to the general controls provisions of the Act. The r ou may, morelove, many of the Act include requirements for annual registration, listing of general condrois provision practice, labeling, and prohibitions against misbranding and advises: 2004 mananate: 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 I 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 of any I coural statutes and registements, 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

November 27, 2013

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Page 2 - John J. Smith, M.D., J.D.

forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the clectronic 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 Small Manufacturers, International and Consumer Assistance at its tollfree number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industrv/default.html Also, picase 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/ReportalProblem/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.

For

Sincerely yours.

# Joshua C. Nipper -S

Binita S. Ashar, M.D., M.B.A., F.A.C.S. Acting Director Division of Surgical Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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### Indications for Use Statement

K133061

510(k) Number (if known):_--

Device Name: eSPIN System

Indications for Use:

The eSPIN System is intended for use in cutting and grinding intervertebral disc material during discectorny for fusion procedures in L2-S1 spinal segments in skeletally mature patients with degenerative disc disease (DDD). DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by the history and radiographic studies. DDD patients may also have up to Grade I Spondylolisthesis or retrolisthesis at the involved levels. The device is intended to be used with supplemental spinal fixation systems that have been cleared for use in the lumbosacral spine (i.e. posterior pedicle screw and rod systems).

Prescription Use × (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)

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