K Number
K012423
Device Name
MUCOGRAFT
Date Cleared
2003-01-24

(543 days)

Product Code
Regulation Number
872.3930
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
MUCOGRAFT® is indicated for: - simultaneous use of GBR-membrane (MUCOGRAFT®) and implants; - - augmentation around implants placed in immediate extraction sockets; - - augmentation around implants placed in delayed extraction sockets; - - localized ridge augmentation for later implantation; - - alveolar ridge reconstruction for prosthetic treatment; - - filling of bone defects after root resection, cystectomy, removal of retained teeth; - guided bone regeneration in dehiscence defects.
Device Description
Not Found
More Information

Not Found

Not Found

No
The provided 510(k) summary contains no mention of AI, ML, image processing, or any other technology typically associated with AI/ML in medical devices. The intended use and lack of device description suggest a biological or material-based device for guided bone regeneration.

Yes
The device is used for various bone regeneration and augmentation procedures, which are therapeutic interventions aimed at restoring or improving damaged tissues.

No
The document describes "MUCOGRAFT®," which is a material indicated for various bone regeneration and augmentation procedures. These are therapeutic and reconstructive uses, not diagnostic ones. There is no mention of the device being used to identify or analyze a condition or disease.

No

The provided 510(k) summary describes a physical medical device (MUCOGRAFT®, a GBR-membrane) used in surgical procedures. There is no mention of software in the intended use or any other section.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended uses listed for MUCOGRAFT® are all related to surgical procedures involving bone and tissue regeneration in the mouth. These are clinical procedures performed directly on a patient, not tests performed on samples taken from a patient outside the body.
  • Device Description: While the device description is "Not Found," the intended uses clearly point to a material used in surgery.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting specific substances, or providing diagnostic information based on laboratory tests.

IVDs are devices used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. The intended uses of MUCOGRAFT® do not align with this definition.

N/A

Intended Use / Indications for Use

MUCOGRAFT is indicated for:

  • simultaneous use of GBR-membrane (MUCOGRAFT) and implants;
  • augmentation around implants placed in immediate extraction sockets;
  • augmentation around implants placed in delayed extraction sockets;
  • localized ridge augmentation for later implantation;
  • alveolar ridge reconstruction for prosthetic treatment;
  • filling of bone defects after root resection, cystectomy, removal of retained teeth;
  • guided bone regeneration in dehiscence defects.

Product codes

NPL

Device Description

Not Found

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Not Found

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

Not Found

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.3930 Bone grafting material.

(a)
Identification. Bone grafting material is a material such as hydroxyapatite, tricalcium phosphate, polylactic and polyglycolic acids, or collagen, that is intended to fill, augment, or reconstruct periodontal or bony defects of the oral and maxillofacial region.(b)
Classification. (1) Class II (special controls) for bone grafting materials that do not contain a drug that is a therapeutic biologic. The special control is FDA's “Class II Special Controls Guidance Document: Dental Bone Grafting Material Devices.” (See § 872.1(e) for the availability of this guidance document.)(2) Class III (premarket approval) for bone grafting materials that contain a drug that is a therapeutic biologic. Bone grafting materials that contain a drug that is a therapeutic biologic, such as biological response modifiers, 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.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/0/Picture/1 description: The image is a black and white seal for the U.S. Department of Health & Human Services. The seal is circular and contains the text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" around the perimeter. Inside the circle is a stylized image of a caduceus, which is a symbol of medicine. The caduceus is made up of three intertwined snakes and a staff.

Public Health Service

OCT 1 0 2007

Food and Drug Administration 9200 Corporate Boulevard Rockville, Maryland 20850

Ed. Geistlich Sohne Ag Fur Chemische Industre C/O Mr. Peter S. Reichertz Official Correspondent Arent Fox Kinter Plotkin & Kahn PLLC 1050 Connecticut Avenue Washington, D.C. 20036

Re: K012423

Trade Name: MUCOGRAFT Regulation Number: 872.3930 Regulation Name: Bone Grafting Material Regulatory Class: 2 Product Code: NPL Dated: November 25, 2002 Received: November 26, 2002

Dear Mr. Reichertz:

This letter corrects our substantially equivalent letter of January 24, 2003.

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 (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. 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.

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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Page 2 -

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); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (sections 531-542 of the Act); 21 CFR 1000-1050.

This letter will allow you to continue marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of Compliance at (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). 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 (800) 638-2041 or (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

Snytte Y. Michie Dmd.

Chiu Lin, Ph.D. Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Image /page/1/Picture/7 description: The image is a black and white circular logo. The logo has the letters "FDA" in large bold font in the center. Above the letters are the years "1906-2006". Below the letters is the word "Centennial" in cursive font. The logo is surrounded by text that reads "FOOD AND DRUG ADMINISTRATION".

Protesting and Promoting Public Health

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K012423

Attachment #1

Indications for Use Form

Page 1 of 1

510(k) Number (if known): K012423

Device Name: MUCOGRAFT

Indications for Use:

INDICATIONS:

MUCOGRAFT® is indicated for:

  • simultaneous use of GBR-membrane (MUCOGRAFT®) and implants; -
  • augmentation around implants placed in immediate extraction sockets; -
  • augmentation around implants placed in delayed extraction sockets; -
  • localized ridge augmentation for later implantation; -
  • alveolar ridge reconstruction for prosthetic treatment; -
  • filling of bone defects after root resection, cystectomy, removal of retained teeth;
  • guided bone regeneration in dehiscence defects. ﺖ

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use (Per 21 CFR 801.109) OR

Over-The-Counter Use (Optional Format 1-2-96)

Kevin Mulry for WSR

(Division Sign-Off)
Division of Anesthesiology, General Hospital,
Infection Control, Dental Devices

510(k) Number: K012423