FDA Reclassifies Pedicle Screw Systems for Certain Uses
FDA has granted a portion of an Orthopedic Surgical Manufacturers Association 8/9/09 petition seeking reclassification of pedicle screw systems for certain uses from Class 3 to Class 2. The association had asked FDA to reclassify the systems for these intended uses: to provide immobilization and stabilization of spinal segments in the thoracic, lumbar, and sacral spine as an adjunct to fusion in treating degenerative disc disease and spondylolisthesis other than either severe spondylolisthesis (grades 3 and 4) at L5-S1 or degenerative spondylolisthesis with objective evidence of neurologic impairment.
The agency denied these other petition requests:
- reclassification of pedicle screws for pediatric deformities in specific conditions in skeletally immature patients, currently unclassified to Class 2 with special controls;
- changes to the current Class 2 intended use and indication for use;
- implementation of certain proposed special controls for purposes of down-classifying certain Class 3 indications for the subject devices; and
- elimination of the warning and modification to the precaution required by regulations.