K Number
K031435
Device Name
BONESOURCE BVF
Date Cleared
2003-08-04

(90 days)

Product Code
Regulation Number
888.3045
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The BoneSource® BVF is intended only for bony voids or defects that are not intrinsic to the stability of the bony structure. The BoneSource® BVF is intended to be placed or injected into bony voids or gaps of the skeletal system (i.e. extremities, spine and pelvis). These defects may be surgically created osseous defects or osseous defects created from traumatic injury to the bone. The product provides a bone void filler that resorbs and is replaced with bone during the healing process.
Device Description
BoneSource® BVF is an injectable, self-setting, calcium phosphate cement that is biocompatible and bioresorbable.
More Information

Not Found

No
The summary describes a bone void filler material and its intended use, with no mention of AI or ML technology.

No.
The device is a bone void filler and does not claim to treat any disease or condition; it simply aids in the healing process by providing a scaffold for new bone growth.

No
Explanation: The device description states that BoneSource® BVF is a bone void filler intended to be placed or injected into bony voids or gaps. It is a calcium phosphate cement that resorb and replaced with bone during the healing process, indicating a therapeutic or restorative function, not a diagnostic one.

No

The device description clearly states it is an "injectable, self-setting, calcium phosphate cement," which is a physical material, not software.

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

Here's why:

  • Intended Use: The intended use clearly states that the device is a "bone void filler" intended to be placed or injected into bony voids or defects in the skeletal system. This is a therapeutic or structural purpose, not a diagnostic one.
  • Device Description: The description confirms it's a "calcium phosphate cement" that is "injectable, self-setting, biocompatible and bioresorbable." This aligns with a material used for filling and supporting bone, not for analyzing biological samples to diagnose a condition.
  • Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring specific substances (analytes)
    • Providing information for diagnosis, monitoring, or screening of diseases or conditions.

The device is a medical device used for a surgical procedure to address bone defects.

N/A

Intended Use / Indications for Use

The BoneSource® BVF is intended only for bony voids or defects that are not intrinsic to the stability of the bony structure. The BoneSource® BVF is intended to be placed or injected into bony voids or gaps of the skeletal system (i.e. extremities, spine and pelvis). These defects may be surgically created osseous defects or osseous defects created from traumatic injury to the bone. The product provides a bone void filler that resorbs and is replaced with bone during the healing process.

Product codes

MQV

Device Description

BoneSource® BVF is an injectable, self-setting, calcium phosphate cement that is biocompatible and bioresorbable.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

bony voids or gaps of the skeletal system (i.e. extremities, spine and pelvis)

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)

K021440, K011897

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 888.3045 Resorbable calcium salt bone void filler device.

(a)
Identification. A resorbable calcium salt bone void filler device is a resorbable implant intended to fill bony voids or gaps of the extremities, spine, and pelvis that are caused by trauma or surgery and are not intrinsic to the stability of the bony structure.(b)
Classification. Class II (special controls). The special control for this device is the FDA guidance document entitled “Class II Special Controls Guidance: Resorbable Calcium Salt Bone Void Filler Device; Guidance for Industry and FDA.” See § 888.1(e) of this chapter for the availability of this guidance.

0

2143

AUG - 4 2003

510(k) SUMMARY—BoneSource® BVF

Submitter Name:Howmedica Osteonics Corp.
Submitter Address:59 Route 17 Allendale, New Jersey 07401
Contact Person:Jennifer A. Daudelin, Regulatory Affairs Specialist
Phone Number:201-831-5379
Fax Number:201-831-6038
Date Prepared:April 23, 2003
Device Trade Name:BoneSource® BVF
Device Common Name:Hydroxyapatite Bone Void Filler
Classification Name and Number:Filler, Calcium Sulfate Preformed Pellets 87 MQV
Predicate Device:The BoneSource® BVF is substantially equivalent to the Stryker Instruments (Leibinger) BoneSource® HAC (K021440) and Synthes (USA) Norian® SRS® Bone Void Filler (K011897).
Device Description:BoneSource® BVF is an injectable, self-setting, calcium phosphate cement that is biocompatible and bioresorbable.
Intended Use:The BoneSource® BVF is intended only for bony voids or defects that are not intrinsic to the stability of the bony structure. The BoneSource® BVF is intended to be placed or injected into bony voids or gaps of the skeletal system (i.e. extremities, spine and pelvis). These defects may be surgically created osseous defects or osseous defects created from traumatic injury to the bone. The product provides a bone void filler that resorbs and is replaced with bone during the healing process.
Conclusion:This device, with respect to materials, device characteristics and intended use, is substantially equivalent to the predicate devices.

1

Image /page/1/Picture/2 description: The image is a black and white circular seal. The seal contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the top half of the circle. In the center of the seal is a stylized image of an eagle with its wings spread, facing to the right. The eagle's body is formed by three curved lines.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

AUG - 4 2003

Ms. Debra Bing Manager, Regulatory Affairs Howmedica Osteonics Corporation 59 Route17 Allendale, New Jersey 07401-1677

Re: K031435

Trade/Device Name: BoneSource® BVF Regulatory Class: Unclassified Product Code: MQV Dated: May 5, 2003 Received: May 6, 2003

Dear Ms. Bing:

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. The general controls provisions of the Act include requirements for annual registration. Iisting 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 such 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.

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.

2

Page 2 - Ms. Debra Bing

This letter will allow you to begin 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 (301) 594-4659. 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 (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

Ella watts

Celia M. Witten, Ph.D., M.D. Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

3

510(k) Number (if known): K031435

Device Name:

BoneSource® BVF

Indications for Use:

The BoneSource® BVF is intended only for bony voids or defects that are not intrinsic to the stability of the bony structure. The BoneSource® BVF is intended to be placed or injected into bony voids or gaps of the skeletal system (i.e. extremities, spine and pelvis). These defects may be surgically created osseous defects or osseous defects created from traumatic injury to the bone. The product provides a bone void filler that resorbs and is replaced with bone during the healing process.

signature

eral. Restorative and Neurological De

510(k) Number K031435

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

Concurrence of CDRH; Office of Device Evaluation (ODE)

Prescription X Use (Per 21 CFR 801.109) OR

Over-The-Counter Use

(Optional Format 1-2-96)