Monitoring · K252842
SafeOp 3: Neural Informatix System
An intraoperative monitoring system with an authorized classifier-change plan and a separately scoped software and interface recall.
Alphatec Spine, Inc.
- Pathway
- Traditional 510(k)
- Decision
- Jan 11, 2026
- Product code
- GWF
- Evidence
- Nonclinical
- First published
- Sep 9, 2026
- Page updated
- Sep 17, 2026
- Evidence search
- Sep 8, 2026
- Professional review
- Not claimed
Anonymous editorial source review; independent regulatory, legal, or professional peer review is not claimed. Page updates do not reset evidence dates.
What FDA established
FDA found the submitted system substantially equivalent and authorized a defined PCCP for specified future classifier changes.
What FDA did not establish
It does not prove fewer neurological injuries, superior outcomes, autonomous intraoperative judgment or foundation-model use.
Intended use
Provide intraoperative neuromonitoring during surgical procedures by recording MEP, SSEP and EMG or assessing the neuromuscular junction.
- Input
- Evoked-potential and electromyography signals; Stimulation-site and intraoperative monitoring data
- Output
- MEP, SSEP, EMG and neuromuscular-junction monitoring information; SSEP baseline classification
- Use boundary
- The public summary supports monitoring functions and controlled classifier changes; it does not establish fewer neurological injuries or autonomous intraoperative decision-making.
AI disclosure and function
Algorithm / classifier
The reviewed summary describes an SSEP baseline-classification algorithm and stimulation-site-specific classifiers that may be retrained under an authorized PCCP.
Inclusion in FDA's AI-enabled device list and use of a classifier do not establish use of an LLM, foundation model or generative AI.
No foundation-model, LLM, or generative-AI function was identified in the reviewed FDA materials.
Validation
Software, electrical-safety, electromagnetic-compatibility and nonclinical performance verification supporting substantial equivalence; PCCP acceptance criteria govern future classifier changes.
- Comparator
- The K234092 predicate and prespecified performance criteria for controlled classifier modifications.
- Ground truth
- Defined software requirements and labeled intraoperative signal data used for classifier verification; no patient-outcome reference standard was reported.
- Representation
- Not reported as a clinical cohort because the clearance determination did not rely on clinical performance data.
Reported performance
- PCCP SSEP classifier positive predictive value acceptance criterion
- >=90%A threshold for validating a modified classifier, not a reported clinical-outcome effect.
- PCCP SSEP classifier accuracy and F1 acceptance criteria
- >=85% eachAcceptance criteria for controlled changes, not evidence of reduced injury.
Limitations
- FDA states that the substantial-equivalence determination was not based on an assessment of clinical performance data.
- Classifier acceptance criteria should not be reported as observed patient outcomes.
- The public summary does not validate autonomous surgical reasoning or intervention.
It does not prove fewer neurological injuries, superior outcomes, autonomous intraoperative judgment or foundation-model use.
PCCP / Change control
Authorized in K252842. Stimulation-site-specific SSEP baseline classification, SSEP state handling, tEMG workflow changes and ongoing SSEP classifier maintenance described in the clearance summary.
- Independent firewalled validation data
- Overall PPV >=90% and accuracy and F1 >=85% for the modified SSEP classifier
- Non-inferiority to the cleared classifier at 95% confidence
- Periodic retraining limited to approximately four updates per year
A PCCP authorizes bounded changes under predefined controls. It is not permission for unrestricted or continuously self-learning behavior.
Postmarket check
FDA Class II recall Z-2793-2026 concerns SafeOp 3 software v2.1 and three specified SafeOp Patient Interfaces; a software issue may interrupt triggered EMG and require reboot.
This is a component- and serial-specific recall record, not evidence that every SafeOp 3 device was recalled and not a patient-injury rate.
Primary FDA sources
- FDA AI-enabled device list — Submission K252842Confirms inclusion, list display name, company, panel, product code and decision date only.
- FDA submission database — 510(k) K252842Confirms pathway, decision and PCCP database field.
- FDA decision summary — 510(k) summary pp. 1-7; PCCP section pp. 5-7Supports intended use, predicate, classifier description, PCCP controls and evidence boundary.
- FDA recall record — Recall Z-2793-2026Supports the specified component recall; does not expand the affected scope beyond the official record.
Sources checked Sep 8, 2026 · Next scheduled review Oct 8, 2026. “No exact-name result” is a bounded search finding, not proof that no safety event or recall exists.