3D Printed PEEK Interbody System

K240250 · Nvision Biomedical Technologies, Inc. · MAX · Sep 17, 2024 · Orthopedic

Device Facts

• Record ID: K240250
• Device Name: 3D Printed PEEK Interbody System
• Applicant: Nvision Biomedical Technologies, Inc.
• Product Code: MAX · Orthopedic
• Decision Date: Sep 17, 2024
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 888.3080
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The 3D Printed PEEK Interbody System (ALIF) is intended for spinal fusion procedures in the lumbosacral spine at one or two contiguous levels from L2 to S1 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 history and radiographic studies. These patients should have had six months of non-operative treatment prior to treatment with an intervertebral body fusion device. These patients may have had a previous non-fusion spinal surgery at the involved spinal level(s). DDD patients may also have Grade 1 spondylolisthesis or retrolisthesis at the involved levels. The device must be used with supplemental fixation and is intended for use with autograft and/or allogenic bone graft composed of cancellous and/or corticocancellous bone graft. The device is to be implanted via an anterior approach. The 3D Printed PEEK Interbody System (Cervical) is intended for spinal fusion procedures in the cervical spine at one or two contiguous levels from C2 to T1 in skeletally mature patients with degenerative disc disease (DDD). DDD is defined as neck pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. These patients should have had six weeks of non-operative treatment prior to treatment with an intervertebral body fusion device. These patients may have had a previous non-fusion spinal surgery at the involved spinal level(s). The device must be used with supplemental fixation and is intended for use with autograft and/or allogenic bone graft composed of cancellous and/or corticocancellous bone graft. The device is to be implanted via an anterior approach.

Device Story

3D printed PEEK interbody spinal fusion implants; function as disc spacers; hold bone graft to facilitate fusion. Manufactured from PEEK OPTIMA LT1AMR5 with tantalum radiographic markers. Implanted via anterior approach by surgeons in clinical settings. Features porous latticed areas for bone interface; central bridge feature in ALIF models. Used with supplemental fixation. Provides structural support during fusion process; benefits patients by stabilizing spinal segments and promoting bone growth.

Clinical Evidence

Bench testing only. Testing included static/dynamic axial compression and compression shear (ASTM F2077), static/dynamic torsion (ASTM F2077), subsidence (ASTM F2267), expulsion, and impaction testing. No clinical data provided.

Technological Characteristics

Material: PEEK OPTIMA LT1AMR5 with tantalum markers. Manufacturing: 3D printing. Design: Porous latticed surfaces. Standards: ASTM F2077 (torsion, compression, shear), ASTM F2267 (subsidence). Form factor: Multiple footprints, heights, and lordotic angles.

Indications for Use

Indicated for skeletally mature patients with degenerative disc disease (DDD) requiring spinal fusion at one or two contiguous levels in the lumbosacral spine (L2-S1) or cervical spine (C2-T1). DDD defined as discogenic pain confirmed by history/radiography. Requires 6 months (lumbar) or 6 weeks (cervical) of failed non-operative treatment. May include prior non-fusion surgery or Grade 1 spondylolisthesis/retrolisthesis (lumbar). Must be used with supplemental fixation and bone graft.

Regulatory Classification

Identification

An intervertebral body fusion device is an implanted single or multiple component spinal device made from a variety of materials, including titanium and polymers. The device is inserted into the intervertebral body space of the cervical or lumbosacral spine, and is intended for intervertebral body fusion.

Special Controls

*Classification.* (1) Class II (special controls) for intervertebral body fusion devices that contain bone grafting material. The special control is the FDA guidance document entitled “Class II Special Controls Guidance Document: Intervertebral Body Fusion Device.” See § 888.1(e) for the availability of this guidance document.(2) Class III (premarket approval) for intervertebral body fusion devices that include any therapeutic biologic (e.g., bone morphogenic protein). Intervertebral body fusion devices that contain any therapeutic biologic require premarket approval. (c) *Date premarket approval application (PMA) or notice of product development protocol (PDP) is required.* Devices described in paragraph (b)(2) of this section shall have an approved PMA or a declared completed PDP in effect before being placed in commercial distribution.

Predicate Devices

• Nvision Biomedical Technologies nva, nvp, and nvt (K193645)
• Nvision Biomedical Technologies nvc (K190380)
• Curiteva Porous PEEK Cervical Interbody Fusion System (K213030)

Submission Summary (Full Text)

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September 17, 2024

Nvision Biomedical Technologies, Inc. % Jeffrey Brittan Vice President of Product Realization Watershed Idea Foundry, Inc. (dba SpiTrex 3D) 1815 Aston Ave., STE 106 Carlsbad, California 92008

Re: K240250

Trade/Device Name: 3D Printed PEEK Interbody System Regulation Number: 21 CFR 888.3080 Regulation Name: Intervertebral Body Fusion Device Regulatory Class: Class II Product Code: MAX, ODP Dated: August 16, 2024 Received: August 19, 2024

Dear Jeffrey Brittan:

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 (the 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 available 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.

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Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30. Design controls; 21 CFR 820.90. Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

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 of medical device-related adverse events) (21 CFR Part 803) for devices or postmarketing safety reporting (21 CFR Part 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 (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rule"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-device-advicecomprehensive-regulatory-assistance/unique-device-identification-system-udi-system.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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 medical devices and radiation-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-regulatory

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assistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email ([e-mail]) or phone [phone] or 301-796-7100).

Sincerely,

# Brent Showalter -S

Brent Showalter, Ph.D. Assistant Director DHT6B: Division of Spinal Devices OHT6: Office of Orthopedic Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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# Indications for Use

Submission Number (if known)

K240250

Device Name

3D Printed PEEK Interbody System

#### Indications for Use (Describe)

The 3D Printed PEEK Interbody System (ALIF) is intended for spinal fusion procedures in the lumbosacral spine at one or two contiguous levels from L2 to S1 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 history and radiographic studies. These patients should have had six months of non-operative treatment prior to treatment with an intervertebral body fusion device. These patients may have had a previous non-fusion spinal surgery at the involved spinal level(s). DDD patients may also have Grade 1 spondylolisthesis or retrolisthesis at the involved levels. The device must be used with supplemental fixation and is intended for use with autograft and/or allogenic bone graft composed of cancellous and/or corticocancellous bone graft. The device is to be implanted via an anterior approach.

The 3D Printed PEEK Interbody System (Cervical) is intended for spinal fusion procedures in the cervical spine at one or two contiguous levels from C2 to T1 in skeletally mature patients with degenerative disc disease (DDD). DDD is defined as neck pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. These patients should have had six weeks of non-operative treatment prior to treatment with an intervertebral body fusion device. These patients may have had a previous non-fusion spinal surgery at the involved spinal level(s). The device must be used with supplemental fixation and is intended for use with autograft and/or allogenic bone graft composed of cancellous and/or corticocancellous bone graft. The device is to be implanted via an anterior approach.

Type of Use (Select one or both, as applicable)

> Prescription Use (Part 21 CFR 801 Subpart D)

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

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# 510(k) Summary

## DATE PREPARED

September 16, 2024

# CONTACT DETAILS

#### Applicant

Nvision Biomedical Technologies, Inc. 4590 Lockhill Selma San Antonio, TX 78249, USA Telephone: [phone] Applicant Contact: Diana Langham, Director of Regulatory and Corporate Compliance

## Correspondent / Consultant

Jeffrey Brittan Vice President of Product Realization Watershed Idea Foundry, Inc. (dba SpiTrex 3D) Telephone: [phone] Email: jeffbrittan(@spitrexorthopedics.com

#### DEVICE NAME

#### Device Trade Name

3D Printed PEEK Interbody System

Common Name Intervertebral body fusion device

#### Classification Name, Regulation Number & Product Code

Intervertebral Fusion Device with Bone Graft, Lumbar Intervertebral Fusion Device with Bone Graft, Cervical Regulation: 21 CFR 888.3080 Product Code: MAX (lumbar), ODP (cervical)

#### LEGALLY MARKETED PREDICATE DEVICES

The subject device is substantially equivalent to the following predicates:

| 510(k) # | Manufacturer & Predicate Device Name | Predicate |
|----------|-------------------------------------------------------------|----------------------|
| K193645 | Nvision Biomedical Technologies nva, nvp, and nvt (MAX) | Primary Predicate |
| K190380 | Nvision Biomedical Technologies nvc (ODP) | Additional Predicate |
| K213030 | Curiteva Porous PEEK Cervical Interbody Fusion System (ODP) | Additional Predicate |

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## DEVICE DESCRIPTION SUMMARY

The 3D Printed PEEK Interbody System devices are spinal fusion implants that are inserted into the intervertebral body space of the spine to act as disc spacers and hold bone graft. These devices are manufactured from PEEK OPTIMA™ LT1AMR5 with tantalum radiographic markers and are offered in multiple footprint, height, and lordotic angle options.

## INTENDED USE / INDICATIONS FOR USE

The 3D Printed PEEK Interbody System (ALIF) is intended for spinal fusion procedures in the lumbosacral spine at one or two contiguous levels from L2 to S1 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 history and radiographic studies. These patients should have had six months of non-operative treatment prior to treatment with an intervertebral body fusion device. These patients may have had a previous non-fusion spinal surgery at the involved spinal level(s). DDD patients may also have Grade 1 spondylolisthesis or retrolisthesis at the involved levels. The device must be used with supplemental fixation and is intended for use with autograft and/or allogenic bone graft composed of cancellous and/or corticocancellous bone graft. The device is to be implanted via an anterior approach.

The 3D Printed PEEK Interbody System (Cervical) is intended for spinal fusion procedures in the cervical spine at one or two contiguous levels from C2 to T1 in skeletally mature patients with degenerative disc disease (DDD). DDD is defined as neck pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. These patients should have had six weeks of non-operative treatment prior to treatment with an intervertebral body fusion device. These patients may have had a previous non-fusion spinal surgery at the involved spinal level(s). The device must be used with supplemental fixation and is intended for use with autograft and/or allogenic bone graft composed of cancellous and/or corticocancellous bone graft. The device is to be implanted via an anterior approach.

# INDICATIONS FOR USE COMPARISON

The subject device has the same intended use / indications for use as the predicates. Although phrasing may differ slightly, there are no significant differences between the subject device and predicates with respect to indications. The subject and predicate devices are equivalently indicated for spinal fusions using bone graft and supplemental fixation at the same spinal levels in the same patient populations.

## TECHNOLOGICAL COMPARISON

The subject device has equivalent technological characteristics as the predicates. The subject devices are designed in the same sizes and geometries with equivalent features as the Nyision predicates but are 3D printed, which allows inclusion of porous latticed areas that provide additional surface for interfacing with bone. Inclusion of these porous features is equivalent to the Curiteva predicate, which is also 3D printed. The subject device ALIF also includes a porous central bridge feature that provides additional surface for device-tissue contact but does not change the function or performance of the device and maintains at least equivalent graft area for bony fusion.

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# NON-CLINICAL TESTS SUMMARY & CONCLUSIONS

Bench top mechanical testing was performed, which addresses recommendations from the FDA Class II Special Controls Guidance Document: Intervertebral Body Fusion Device.

- . Static and dynamic torsion per ASTM F2077 (Cervical devices)
- Static and dynamic axial compression and compression shear per ASTM F2077 (Cervical . and ALIF devices)
- Subsidence per ASTM F2267 (Cervical and ALIF devices) ●
- . Expulsion testing (Cervical and ALIF devices)

Impaction testing per lab protocol was also performed (Cervical and ALIF devices).

Clinical testing was not applicable for this submission.

The non-clinical testing demonstrates that the subject devices have at least equivalent mechanical strength as the predicates and are as safe, as effective, and perform as well or better than these legally marketed devices.