Australis Anterior Lumbar Cage System

K202820 · Prism Surgical Designs Pty, Ltd. · MAX · Dec 22, 2020 · Orthopedic

Device Facts

• Record ID: K202820
• Device Name: Australis Anterior Lumbar Cage System
• Applicant: Prism Surgical Designs Pty, Ltd.
• Product Code: MAX · Orthopedic
• Decision Date: Dec 22, 2020
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 888.3080
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The Australis Spinal System is indicated for use as lumbar intervertebral body fusion devices for spinal fusion procedures in skeletally mature patients with symptomatic degenerative disc disease (DDD) at one or two contiguous levels from L2-S1. DDD is defined as discogenic back pain with degeneration of the disc confirmed by patient history and radiographic studies. The Australis Spinal System is intended to be used with autograft and/or allograft bone graft material comprised of cancellous and/or corticocancellous bone graft. Patients receiving the device should have had at least six months of nonoperative treatment prior to receiving the Australis ALF cage. The Australis Spinal System is indended for use with supplemental fixation, such as the Prism Surgical Aurora® Anterior Lumbar Plate System.

Device Story

Australis® Anterior Lumbar Cage System is an intervertebral body fusion device implanted via anterior approach to replace lumbar discs and fuse adjacent vertebral bodies. Device features wedge-shaped geometry to restore lordosis and serrated teeth with titanium pins to resist expulsion. Hollow center accommodates autograft/allograft bone graft to promote arthrodesis. Used in clinical settings by surgeons for spinal fusion procedures; requires supplemental fixation (e.g., Prism Surgical Aurora® Anterior Lumbar Plate System). Provides structural support and stabilization to the lumbar spine, facilitating fusion and potentially alleviating discogenic back pain.

Clinical Evidence

Bench testing only. Testing included static axial compression, static compression shear, dynamic axial compression, dynamic compression shear, and subsidence per ASTM F2077 and ASTM F2267. Results demonstrate sufficient strength and substantial equivalence to predicate devices.

Technological Characteristics

Materials: PEEK (ASTM F2026), titanium pins (ASTM F136, ISO 5832-3), tantalum marker beads (ASTM F560, ISO 13782). Design: Wedge-shaped cage with hollow center and serrated teeth. Energy source: None (mechanical). Connectivity: None. Sterilization: Not specified.

Indications for Use

Indicated for skeletally mature patients with symptomatic degenerative disc disease (DDD) at one or two contiguous levels from L2-S1. DDD defined as discogenic back pain with degeneration confirmed by history and radiography. Requires at least six months of prior nonoperative treatment. Must be used with autograft/allograft bone graft and supplemental fixation.

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

• SynCage Evolution Spacer (K122639)
• InFill® Interbody Fusion Device (K172349)
• Hive™ Stand-alone Anterior Lumbar Interbody System (K200541)
• IndentiTi Porous Ti Interbody System (K183705)
• Axis Spine Technologies ALIF (K200352)

Submission Summary (Full Text)

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December 22, 2020

Prism Surgical Designs Pty Ltd % Nathan Wright, M.S. Engineer & Regulatory Specialist Empirical Testing Corp. 4628 Northpark Drive Colorado Springs, Colorado 80918

Re: K202820

Trade/Device Name: Australis® Anterior Lumbar Cage System Regulation Number: 21 CFR 888.3080 Regulation Name: Intervertebral Body Fusion Device Regulatory Class: Class II Product Code: MAX Dated: October 23, 2020 Received: October 28, 2020

Dear Mr. Wright:

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.

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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 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 (QS) 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 ([e-mail]) or phone [phone] or 301-796-7100).

Sincerely,

Brent L. 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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## DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: 06/30/2020 See PRA Statement on last page.

510(k) Number (if known) K202820

Device Name

Australis® Anterior Lumbar Cage System

Indications for Use (Describe)

The Australis Spinal System is indicated for use as lumbar intervertebral body fusion devices for spinal fusion procedures in skeletally mature patients with symptomatic degenerative disc disease (DDD) at one or two contiguous levels from L2-S1. DDD is defined as discogenic back pain with degeneration of the disc confirmed by patient history and radiographic studies. The Australis Spinal System is intended to be used with autograft and/or allograft bone graft material comprised of cancellous and/or corticocancellous bone graft. Patients receiving the device should have had at least six months of nonoperative treatment prior to receiving the Australis ALF cage. The Australis Spinal System is indended for use with supplemental fixation, such as the Prism Surgical Aurora® Anterior Lumbar Plate System.

| Type of Use (Select one or both, as applicable) | <span> <span style="padding-right: 10px;"> <b> \[X] Prescription Use </b> (Part 21 CFR 801 Subpart D) </span> <span> ☐ Over-The-Counter Use (21 CFR 801 Subpart C) </span> </span> |
|-------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|-------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

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# 510(K) SUMMARY

| Submitter's Name: | Prism Surgical Designs Pty Ltd |
|----------------------------|------------------------------------------------------------------------------------------|
| Submitter's Address: | 15/43 Lang Parade<br>Milton, Queensland 4064 Australia |
| Submitter's Telephone: | [phone] |
| Contact Person: | Nathan Wright MS<br>Empirical Testing Corp.<br>719-351-0248<br>[e-mail] |
| Date Summary was Prepared: | September 23, 2020 |
| Trade or Proprietary Name: | Australis® Anterior Lumbar Cage System |
| Common or Usual Name: | Intervertebral Fusion Device With Bone Graft, Lumbar |
| Classification: | Class II per 21 CFR §888.3080 |
| Product Code: | MAX |
| Classification Panel: | Orthopedic |

### DESCRIPTION OF THE DEVICE SUBJECT TO PREMARKET NOTIFICATION:

The Prism Surgical Designs Australis® Anterior Lumbar Interbody Fusion (ALIF) Cage System (also referred to as Australis® Spine System and Australis® Spinal System) implants are intended to replace lumbar interbody discs and to fuse adjacent vertebral bodies following anterior lumbar discectomy stabilization and/or alignment of the lumbar spine. The Australis® ALIF cage is designed to be implanted via an anterior approach to the spine. The devices consist of wedge-shaped geometry to restore lordosis of the fused vertebral bodies and serrated teeth with three titanium pins on the inferior and superior surfaces to resist expulsion The center of the device is hollow to accept autograft and/or allograft bone graft material comprised of cancellous and/or corticocancellous bone graft to promote arthrodesis. The Australis® ALIF Cage System is to be used in conjunction with supplemental fixation.

The Australis® ALIF is offered in a variety of footprints and heights to accommodate the anatomical needs of patients. The Australis® ALIF is manufactured from PEEK per ASTM F2026 with titanium pins per ASTM F136 and ISO 5832-3 and tantalum marker beads per ASTM F560 and ISO 13782.

### INDICATIONS FOR USE

The Australis Spinal System is indicated for use as lumbar intervertebral body fusion devices for spinal fusion procedures in skeletally mature patients with symptomatic degenerative disc disease (DDD) at one or two contiguous levels from L2-S1. DDD is defined as discogenic back pain with degeneration of the disc confirmed by patient history and radiographic studies. The Australis Spinal System is intended to be used with autograft and/or allograft bone graft material comprised of cancellous and/or corticocancellous bone graft. Patients receiving the device should have had at least six months of nonoperative treatment prior to receiving the Australis ALIF

Prism Surgical Designs Australis® Anterior Lumbar Cage System

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cage. The Australis Spinal System is intended for use with supplemental fixation, such as the Prism Surgical Aurora® Anterior Lumbar Plate System.

#### TECHNOLOGICAL CHARACTERISTICS

The subject and predicate devices have nearly identical technological characteristics and the minor differences do not raise any new issues of safety and effectiveness. Specifically, the following characteristics are similar between the subject and predicates:

- Indications for Use
- Technological Characteristics ●
- Materials of manufacture ●
- Sizes

| | | | Table 5-1 Predicate Devices | |
|--|--|--|-----------------------------|--|
|--|--|--|-----------------------------|--|

| 510k<br>Number | Trade or Proprietary or Model<br>Name | Manufacturer | Predicate<br>Type |
|----------------|-------------------------------------------------------|-----------------------------|-------------------|
| K122639 | SynCage Evolution Spacer | DePuy Synthes Spine | Primary |
| K172349 | InFill® Interbody Fusion Device | Pinnacle Spine Group, LLC | Additional |
| K200541 | Hive™ Stand-alone Anterior<br>Lumbar Interbody System | HD LifeSciences LLC | Additional |
| K183705 | IndentiTi Porous Ti Interbody<br>System | Alphatec Spine, Inc. | Additional |
| K200352 | Axis Spine Technologies ALIF | Axis Spine Technologies Ltd | Additional |

### PERFORMANCE DATA

The Australis® Anterior Lumbar Cage has been tested in the following test modes:

- Static axial compression per ASTM F2077 ●
- Static compression shear per ASTM F2077 ●
- Dynamic axial compression per ASTM F2077 ●
- Dynamic compression shear per ASTM F2077 ●
- . Subsidence per ASTM F2267

The results of this non-clinical testing show that the strength of the Australis® Anterior Lumbar Cage is sufficient for its intended use and is substantially equivalent to legally marketed predicate devices.

### CONCLUSION

The overall technology characteristics and mechanical performance data lead to the conclusion that the Australis® Anterior Lumbar Cage System is substantially equivalent to the predicate device.