K Number
K042583
Device Name
CALC-I-OSS
Date Cleared
2005-07-19

(300 days)

Product Code
Regulation Number
872.3930
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
calc-i-oss is indicated for the filling and/or augmentation of intraoral/maxillofacial osseous defects, such as intrabony periodontal osseous defects, furcation defects, augmentation of bony defects, augmentation of bony defects of the alveolar ridge, filling of tooth extraction sites, and sinus elevation grafting.
Device Description
calc-i-oss is a synthetic resorbable osteoconductive bone graft substitute composed of tricalcium phosphate. The device is intended for dental intraosseous, oral, and cranio-/maxillofactial bony defects.
More Information

Cerasorb Dental (P800035)

Not Found

No
The summary describes a synthetic bone graft substitute and does not mention any software, algorithms, or data processing that would indicate the use of AI/ML.

No
This device is a bone graft substitute used for filling and augmenting osseous defects, which falls under the category of a medical device but not specifically a therapeutic device that delivers therapy in the traditional sense (e.g., radiation therapy, drug delivery, electrical stimulation). It provides a scaffold for natural bone regeneration.

No
The device is a bone graft substitute used for filling and augmenting osseous defects, which is a therapeutic rather than a diagnostic function.

No

The device description clearly states it is a "synthetic resorbable osteoconductive bone graft substitute composed of tricalcium phosphate," indicating it is a physical material, 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 of calc-i-oss clearly states it is a synthetic resorbable osteoconductive bone graft substitute intended for filling and augmenting bone defects within the body (intraoral/maxillofacial). It is a material implanted or placed directly into the body to aid in bone regeneration.
  • Lack of Diagnostic Function: The device does not perform any tests on samples from the body to provide diagnostic information. Its function is structural and regenerative.

Therefore, calc-i-oss falls under the category of a medical device, specifically a bone graft substitute, rather than an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

calc-i-oss is indicated for the filling and/or augmentation of intraoral/maxillofacial osseous defects, such as intrabony periodontal osseous defects, furcation defects, augmentation of bony defects, augmentation of bony defects of the alveolar ridge, filling of tooth extraction sites, and sinus elevation grafting.

Defects after removal of bone cysts, Periodontal defects in combination with membranes, I crodonal deleces in combination with autologous bone and membrane (Guided Bone Regeneration) Apicoectomy Extraction defects in combination with membranes Defects after surgical removal of retained teeth Sinus floor elevations Defects after removal of autologous bone

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

LYC

Device Description

calc-i-oss is a synthetic resorbable osteoconductive bone graft substitute composed of tricalcium phosphate. The device is intended for dental intraosseous, oral, and cranio-/maxillofactial bony defects.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

intraoral/maxillofacial osseous defects

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.

Cerasorb Dental (P800035)

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

This summary of 510(k) substantial equivalence information is being submitted in accordance with the requirements of 21 CFR 807.92 and supports the conclusion of SE for calc-i-oss noted below.

Applicant's Name and Address: 1.

JUL 1 9 2005

Ultradent Products, Inc.
--------------------------
505 West 10200 South
----------------------
South Jordan, Utah 84095
--------------------------
Telephone number:801-553-4200
Fax number:801-572-0600
Contact Person:Tammy Lavery
RA/QA/QC Senior Manager

Name of the Device: 2.

Tradename:calc-i-oss
Common Name:Osteoconductive Bone Void Filler and
Synthetic Resorbable Bone Graft Material
Classification:II (21CFR 872.3930)

Legally Marketed Predicate Devices to which Equivalence is Claimed: 3.

Predicate Device Identified: Cerasorb Dental (P800035).

calc-i-ossLegally marketed Cerasorb (Dental)
INDICATIONS:Indicated for defects after removal of cysts,
Augmentation of alveolar crest, possibly in
combination with autologous bone and
membrane (i.e. guided bond regeneration.)
Indicated for apicoectomy and extraction
defects in combination with membranes.
Indicated for filling of defects after surgical
removal of retained teeth Sinus floor
elevations and for defects after removal of
autologous bone.Indicated for defects after removal of cysts;
repair of marginal and periapical periodontal
alveolar bony pockets as well as bifurcations
and trifurcations of the teeth; augmentation of
the atrophied alveolar ridge; alveolar
augmentation of mandibular and maxillary
ridges; defects after apicoectomy; and filling
bone defects after surgical resection of impacted
teeth (without implantation).
CHEMICAL
COMPOSITION
& PURITY:> 99% Phase-pure synthetic β-tricalcium
phosphate.> 99% Phase-pure synthetic β-tricalcium
phosphate.
FORM:High purity β-tricalcium phosphate porous
spherical granules.High purity β-tricalcium phosphate porous
spherical granules.
PARTICLE SIZE
AND RANGE
(μm):Granulate size range from 315 – 1600.Granulate size range 500-1000.
POROSITY /
RESORPTION:Interconnecting porous material 58% for high
level of resorption. Refer to the enclosed
Solubility Report for more information on
porosity as well as resorption.Interconnecting porous material 22% for high
level of resorption. Refer to the enclosed
Solubility Report for more information on
porosity as well as resorption.

Predicate Comparison Table

1

Device Description: 4.

calc-i-oss is a synthetic resorbable osteoconductive bone graft substitute composed of tricalcium phosphate. The device is intended for dental intraosseous, oral, and cranio-/maxillofactial bony defects.

5. Intended Use:

calc-i-oss is indicated for the filling and/or augmentation of intraoral/maxillofacial osseous defects, such as intrabony periodontal osseous defects, furcation defects, augmentation of bony defects, augmentation of bony defects of the alveolar ridge, filling of tooth extraction sites, and sinus elevation grafting.

Technological Characteristics: 6.

a. Chemical Composition:

calc-i-oss is a granulate consisting of bioresorbable, medical grade beta tricalcium phosphate and used for the filling of bone defects. (Refer to confidential test reports and data attached.)

b. Physical Properties:

calc-i-oss has a round macrostructure. Granulate sizes range between 315 and 1600 um. calc-i-oss is characterized by a porous and interconnecting microstructure. (Refer to confidential test reports and data attached.)

Risk Analysis and Test Methods: 7.

The risks noted below were identified and considered during the design of the product. Testing and/or actions were identified to mitigate each area of possible concern.

Identified RiskMitigation
Ineffective Bone FormationMaterial Characterization - See attached confidential test reports
and technical data of this submission.
Adverse Tissue ReactionSee attached confidential test reports and technical data of this
submission. Note: β-TCP is known to be highly biocompatible,
resorbable and osteoconductive. Numerous articles on safety and
effectiveness are available concerning indications for use in
dentistry and are noted in the literature. Mitigation concerning
infection is also addressed below.
InfectionSterilization (SAL >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> note the regulation entitled, "Misorananing of 1915. Constitution on your responsibilities under the Part 807.97). You may other general international and Consumer Assistance at its
Act from the Division of Small Manufacturers, International and Consumer address Act from the Drvision of Billan I an (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

Signature

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

5

INDICATIONS FOR USE

KO42583

510(k) Number (if known): Unknown

Device Name:

Indications For Use:

Defects after removal of bone cysts, Periodontal defects in combination with membranes, I crodonal deleces in combination with autologous bone and membrane (Guided Bone Regeneration) Apicoectomy Extraction defects in combination with membranes Defects after surgical removal of retained teeth Sinus floor elevations Defects after removal of autologous bone

X Prescription Use_ (Per 21 801 CFR Subpart D) AND/OR

Over-The-Counter Use (Per 21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

A. Betz, DDS for Dr. Susan Remmer

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

510(k) Number

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