K Number
K051123
Date Cleared
2005-06-03

(31 days)

Product Code
Regulation Number
888.3045
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Callos is indicated to fill bony voids or gaps of the skeletal system (i.e. extremities, spine, pelvis). These defects may be surgically created osseous defects or osseous defects created from traumatic injury to the bone. Callos Bone Void Filler is indicated only for bony voids or gaps that are not intrinsic to the stability of the bony structure. The product provides a bone void filler that resorbs and is replaced by bone during the healing process.

Device Description

Callos is a calcium phosphate bone void filler which can either be injected or digitally impacted into the targeted void. It is a single use only proudct.

AI/ML Overview

The provided document K051123, a 510(k) Pre-Market Notification for the Callos™ Bone Void Filler, does not contain information regarding acceptance criteria or a study that proves the device meets specific performance criteria.

Instead, this submission is a Special 510(k), which is used for modifications to a legally marketed device where the modification does not significantly affect the safety or effectiveness of the device. In this instance, the modification is described as a "modification in materials" for the Callos Bone Void Filler, which was previously cleared under K030554.

The submission states: "This Special 510(k) proposes a modification in materials for Callos, which was previously cleared under K030554 on May 20, 2003. The indications for use, technology, principle of operation, packaging, and sterilization parameters of Callos remain the same as in the predicate cleared 510(k)s. ... The proposed modification in materials, is not a substantial change or modification, and does not significantly affect the safety or efficacy of Callos."

Therefore, this specific document does not report on a study with acceptance criteria and device performance metrics because it relies on the previous clearance (K030554) for establishing substantial equivalence. The focus of this submission is on demonstrating that the change in material does not alter the fundamental safety and effectiveness profile already established for the predicate device.

To answer your request, one would need to refer to the original 510(k) submission (K030554) for Callos Bone Void Filler, as that is where clinical performance data and acceptance criteria would likely be presented, if required for that initial clearance. This current document (K051123) is an approval for a material modification, not an initial market clearance that would typically include such a study.

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K051123

JUN 3 - 2005

510(k) Summary

Skeletal Kinetics, LLC Callos™ Bone Void Filler

General Information

Submitters Name/Address:Skeletal Kinetics 10201 Bubb Road Cupertino, CA 95014
Establishment Registration Number:3003890476
Contact Person:Duran Yetkinler Vice President, Product Development and Regulatory Affairs
Phone Number:(408) 366.5002
Date Prepared:April 28, 2005

Device Description

Trade Name:Callos™ Bone Void Filler
Generic/Common Name:Bone Void Filler
Classification Name:87 MVQ

Predicate Devices

Callos Bone Void FillerK030554; cleared on May 20, 2003
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Product Description

Callos is a calcium phosphate bone void filler which can either be injected or digitally impacted into the targeted void. It is a single use only proudct.

Intended Use

Callos is indicated to fill bony voids or gaps of the skeletal system (i.e. extremities, spine, pelvis). These defects may be surgically created osseous defects or osseous defects created from traumatic injury to the bone. Callos Bone Void Filler is indicated only for bony voids or gaps that are not intrinsic to the stability of the bony structure. The product provides a bone void filler that resorbs and is replaced by bone during the healing process.

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K051123

Substantial Equivalence

This Special 510(k) proposes a modification in materials for Callos, which was previously cleared under K030554 on May 20, 2003. The indications for use, technology, principle of operation, packaging, and sterilization parameters of Callos remain the same as in the predicate cleared 510(k)s.

Summary of Safety and Effectiveness

Callos, as described in this submission, is substantially equivalent to the predicate, unmodified Callos. The proposed modification in materials, is not a substantial change or modification, and does not significantly affect the safety or efficacy of Callos.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & 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 flowing lines.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUN 3 - 2005

Duran Yetkinler, M.D., Ph.D. Vice President, Product Development and Regulatory Affairs Skeletal Kinetics, LLC 10201 Bubb Road Cupertino, CA 95014

Re: K051123

Callos Bone Void Filler Regulation Number: 21 CFR 888.3045 Regulation Name: Resorbable calcium salt bone void filler devices Regulatory Class: Class II Product Code: MQV Dated: April 28, 2005 Received: May 3, 2005

Dear Dr. Yetkinler:

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, 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.

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.

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Page 2 - Duran Yetkinler, M.D., Ph.D.

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), n you acontact the Office of Compliance at (240) 276-0120. 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/industry/support/index.html.

Sincerely yours,

Miriam C. Provost

Miriam C. Provost, Ph.D. Acting Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

KORII23 510(k) Number (if known):

Callos™ Bone Void Filler Device Name:

Indications for Use:

Callos is indicated to fill bony voids or gaps of the skeletal system (i.e. extremities, spine, pelvis). These defects may be surgically created osseous defects or osseous defects created from traumatic injury to the bone. Callos Bone Void Filler is indicated only for bony voids or gaps that are not intrinsic to the stability of the bony structure. The product provides a bone void filler that resorbs and is replaced by bone during the healing process.

X AND/OR Over-the-Counter Use Prescription Use (21 CFR 801 Subpart C) (Per 21 CFR 801 Subpart D)

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED) Concurrence of CDRH, Office of Device Evaluation (ODE)

Muriam C. Provost

(Division Sign-Off) Division of General, Restorative and Neurological Devices

510(k) Number K051123

§ 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.