K Number
K040646
Device Name
STRAUMANN GRANULES
Manufacturer
Date Cleared
2004-05-03

(53 days)

Product Code
Regulation Number
872.3930
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Straumann Granules are indicated for filling and/or augmenting intraoral/maxillofacial osseous defects, such as intrabony periodontal osseous defects, furcation defects, augmentation of bony defects of the alveolar ridge, filling of tooth extraction sites, and sinus elevation grafting.
Device Description
Straumann Granules are a synthetic resorbable bone graft material made of medical grade beta tricalcium phosphate and medical grade hydroxylapatite. Straumann Granules provide a bone void filler that is resorbed and replaced with bone during the healing process.
More Information

Not Found

No
The summary describes a synthetic bone graft material and does not mention any computational or algorithmic components, let alone AI/ML.

No
The device is a bone void filler that is resorbed and replaced by bone during healing, aiming to fill and/or augment osseous defects, which is a structural rather than a direct therapeutic function.

No

Explanation: This device is a bone graft material used for filling and augmenting osseous defects, not for diagnosing medical conditions.

No

The device description clearly states it is a "synthetic resorbable bone graft material made of medical grade beta tricalcium phosphate and medical grade hydroxylapatite," which are physical materials, not software.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections. They are used to provide information for diagnosis, monitoring, or screening.
  • Device Description and Intended Use: The description and intended use of Straumann Granules clearly indicate that it is a bone graft material used for filling and augmenting bone defects within the body (intraoral/maxillofacial). It is a physical material implanted or placed in the body to aid in bone regeneration.
  • Lack of IVD Characteristics: There is no mention of analyzing samples from the body, detecting biomarkers, or providing diagnostic information based on laboratory testing.

Therefore, Straumann Granules fall under the category of a medical device used for surgical or therapeutic purposes, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

Straumann Granules are indicated for intraoral/maxillofacial osseous defects, such as intrabony periodontal osseous defects, furcation defects, augmentation of bony defects of the alveolar ridge, filling of tooth extraction sites, and sinus elevation grafting.

Product codes (comma separated list FDA assigned to the subject device)

LYC

Device Description

Straumann Granules are a synthetic resorbable bone graft material made of medical grade beta tricalcium phosphate and medical grade hydroxylapatite. Straumann Granules provide a bone void filler that is resorbed and replaced with bone during the healing process.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

intraoral/maxillofacial osseous defects, intrabony periodontal osseous defects, furcation defects, bony defects of the alveolar ridge, tooth extraction sites, sinus

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.

K990131, K010701, K970321, K960164, K032268, K030131

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 for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

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.

0

MAY - 3 2004

K040646

ATTACHMENT 1 - 510(k) Summary

This summary of 510(k) substantial equivalence information is being submitted in accordance with the requirements of 21 CFR §807.92.

Applicant's Name and Address 1.

Straumann USA (on behalf of Institut Straumann AG)
Reservoir Place
1601 Trapelo Road
Waltham, MA 02451
Telephone Number:781-890-0001
Fax Number:781-890-6464
Contact Person:Linda Jalbert
Director, Regulatory Affairs

Name of the Device 2.

Proposed Trade Name:Straumann Granules
Common Name:Synthetic Bone Graft Substitute
Classification Name:LYC
Bone Grafting Material, Synthetic

Legally Marketed Devices to which Equivalence is Claimed (Predicate ന് Devices)

| Manufacturer | Device | 510(k) | Date
Cleared |
|----------------------------------|--------------------------------------------------|---------|-----------------|
| Interpore Cross
International | Pro-Osteon® 500R Resorbable
Bone Graft Filler | K990131 | 3/2/1999 |
| Medtronic | Biphasic Calcium Phosphate | K010701 | 6/5/2001 |
| Sofamor Danek | Bone Void Filler | | |
| Geistlich-
Pharma | Bio-Oss® Anorganic Bovine
Bone | K970321 | 9/15/1998 |
| Bio-Interfaces,
Inc. | Bii-GRAFT™ (Bioresorbable
Calcium Phosphate) | K960164 | 4/10/1996 |
| Biomatlante | MBCP | K032268 | 12/11/2003 |
| IsoTiss NV | OsSatura BCP Bone Void Filler | K030131 | 05/20/2003 |

4. Description of the Device and Intended Use

Straumann Granules are a synthetic resorbable bone graft material made of medical grade beta tricalcium phosphate and medical grade hydroxylapatite. filling and/or augmenting Straumann Granules are indicated for intraoral/maxillofacial osseous defects, such as intrabony periodontal osseous defects, furcation defects, augmentation of bony defects of the alveolar ridge, filling of tooth extraction sites, and sinus elevation grafting. Straumann Granules

1

provide a bone void filler that is resorbed and replaced with bone during the healing process.

5. Basis for Substantial Equivalence

:

The Straumann Granules are substantially equivalent based on similar material characteristics and the same intended use.

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized symbol that resembles three abstract human figures or a caduceus-like design.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAY - 3 2004

Institut Straumann AG C/O Ms. Linda Jalbert Director, Regulatory Affairs Straumann USA Reservoir Place 1601 Trapelo Road Waltham, Massachusetts 02451

Re: K040646

Trade/Device Name: Straumann Granules Regulation Number: Unclassified Regulation Name: Nonc Regulatory Class: None Product Code: LYC Dated: March 10, 2004 Received: March 11, 2004

Dear Ms. Jalbert:

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 prodicate 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, 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 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.

3

Page 2 - Ms. Jalbert

:

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 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) 594-4613. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilitics 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 vours,

Chris Lins, Ph.D.

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

Enclosure

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K040646

Indications for Use

510(k) Number (if known):

Device Name: Straumann Granules

Indications For Use:

Straumann Granules are indicated for filling and/or augmenting intraoral/maxillofacial osseous defects, such as intrabony periodontal osseous defects, furcation defects, augmentation of bony defects of the alveolar ridge, filling of tooth extraction sites, and sinus elevation grafting.

Prescription Use (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Ques

(Division Sign-Off)
Division of Anesthesiology, General Hospital,
Infection Control, Dental Devices
510(k) Number: K040646

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