K Number
K083742
Device Name
SYNOSS COLLAGEN SYNTHETIC MINERAL-COLLAGEN BONE GRAFT MATRIX
Date Cleared
2009-02-12

(58 days)

Product Code
Regulation Number
872.3930
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Synthetic Mineral - Collagen Bone Graft Matrix is intended for use in dental surgery. The products may be used in surgical procedures such as: - Augmentation or reconstructive treatment of alveolar ridge . - Filling of periodontal defects . - Filling of defects after root resection, apicocectomy, and cystectomy . - Filling of extraction sockets to enhance preservation of the alveolar ridge - Elevation of maxillary sinus floor . - Filling of periodontal defects in conjunction with products intended for Guided Tissue Regeneration (GTR) and Guided Bone Regeneration (GBR) - Filling of peri-implant defects in conjunction with products intended for Guided . Bone Regeneration
Device Description
Synthetic Mineral -- Collagen Bone Graft Matrix is a composite of synthetic calcium phosphate based granules and type I collagen. The calcium phosphate mineral has an apatite structure similar to that of natural bone. The type I collagen is derived from bovine Achilles tendon. The composite material is a resorbable, porous, osteoconductive bone graft matrix. The product is supplied in granular or block/plug form, and it is sterile, non-pyrogenic, and for single use only.
More Information

No
The device description and performance studies focus on the material composition and biocompatibility of a bone graft matrix, with no mention of AI or ML technology.

Yes
The device is described as a "bone graft matrix" intended for use in dental surgery to treat various defects and augment bone, directly addressing medical conditions.

No

The device is a bone graft matrix used in dental surgery procedures for augmentation, reconstruction, and filling of bone defects. It is a therapeutic device, not a diagnostic one.

No

The device description clearly states it is a composite material supplied in granular or block/plug form, indicating a physical product, not software.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening.
  • Device Function: The description clearly states that this device is a "Synthetic Mineral - Collagen Bone Graft Matrix" intended for use in dental surgery to fill bone defects and augment bone. It is a material implanted into the body to aid in bone regeneration.
  • Intended Use: The intended uses listed are all surgical procedures involving the direct application of the material to bone defects within the patient's body.
  • No Specimen Analysis: There is no mention of analyzing any biological specimens from the patient.

This device is a medical device used in surgical procedures, specifically a bone graft material, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

Synthetic Mineral - Collagen Bone Graft Matrix is intended for use in dental surgery. The products may be used in surgical procedures such as:

  • Augmentation or reconstructive treatment of alveolar ridge .
  • Filling of periodontal defects .
  • Filling of defects after root resection, apicocectomy, and cystectomy .
  • Filling of extraction sockets to enhance preservation of the alveolar ridge
  • Elevation of maxillary sinus floor .
  • Filling of periodontal defects in conjunction with products intended for Guided Tissue Regeneration (GTR) and Guided Bone Regeneration (GBR)
  • Filling of peri-implant defects in conjunction with products intended for Guided . Bone Regeneration

Product codes

LYC, NPM

Device Description

Synthetic Mineral -- Collagen Bone Graft Matrix is a composite of synthetic calcium phosphate based granules and type I collagen. The calcium phosphate mineral has an apatite structure similar to that of natural bone. The type I collagen is derived from bovine Achilles tendon. The composite material is a resorbable, porous, osteoconductive bone graft matrix. The product is supplied in granular or block/plug form, and it is sterile, non-pyrogenic, and for single use only.

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)

The results of the in vitro product characterization studies, in vitro and in vivo The Tesults of the in Vitro product than Synthetic Mineral – Collagen Bone Graft Matrix is safe and substantially equivalent to OsteoGuide Anorganic Bone Mineral with Collagen.

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

Not Found

Predicate Device(s)

K072397, K043034, K040783

Reference Device(s)

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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K083742

FEB 1 2 2009

510(k) Summary of Safety and Effectiveness

Applicant Name and Address: Collagen Matrix, Inc. 509 Commerce Street Franklin Lakes, New Jersey 07417

Peggy Hansen, RAC Contact Person: Sr. Director, Clinical, Regulatory, and QA Tel: (201) 405-1477 Fax: (201) 405-1355

December 12, 2008 Date of Summary:

Bone Grafting Material Device Common Name:

Synthetic Mineral - Collagen Bone Graft Matrix Device Trade Name:

Device Classification Name:

Bone Grafting Material, Synthetic 872.3930 LYC Class II

Predicate Device(s):

SynOss™ Synthetic Bone Graft Material K072397 OsteoGuide™ Anorganic Bone Mineral Products K043034 FOUNDATION™ Bone Filling Augmentation Material K040783

Description of the Device

Synthetic Mineral -- Collagen Bone Graft Matrix is a composite of synthetic calcium phosphate based granules and type I collagen. The calcium phosphate mineral has an apatite structure similar to that of natural bone. The type I collagen is derived from bovine Achilles tendon. The composite material is a resorbable, porous, osteoconductive bone graft matrix. The product is supplied in granular or block/plug form, and it is sterile, non-pyrogenic, and for single use only.

Intended Use

Synthetic Mineral - Collagen Bone Graft Matrix is intended for use in dental surgery. The products may be used in surgical procedures such as:

  • Augmentation or reconstructive treatment of alveolar ridge .
  • Filling of periodontal defects .
  • Filling of defects after root resection, apicocectomy, and cystectomy .
  • Filling of extraction sockets to enhance preservation of the alveolar ridge �
  • Elevation of maxillary sinus floor .

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  • Filling of periodontal defects in conjunction with products intended for Guided � Tissue Regeneration (GTR) and Guided Bone Regeneration (GBR)
  • Filling of peri-implant defects in conjunction with products intended for Guided . � Bone Regeneration

Summary/Comparison of Technical Characteristics

Synthetic Mineral – Collagen Bone Graft Matrix and its predicates have the same Gynthello Mineral - Seriatics. In particular, the Synthetic Mineral - Collagen Bone Graft Matrix and its predicates are the same with respect to intended use, material characterization, and product forms.

Safety

Synthetic Mineral – Collagen Bone Graft Matrix has been evaluated by a number of tests to assess its safety/biocompatibility. The device passed all selected FDA Blue Book to assess to oalery.blooompanisms.com the biological evaluation of medical devices.

Effectiveness

The characteristics of the Synthetic Mineral – Collagen Bone Graft Matrix meet the design requirements for an effective bone grafting material in dental surgery.

Conclusion

The results of the in vitro product characterization studies, in vitro and in vivo The Tesults of the in Vitro product than Synthetic Mineral – Collagen Bone Graft Matrix is safe and substantially equivalent to OsteoGuide Anorganic Bone Mineral with Collagen.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the seal of the Department of Health & Human Services. The seal is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" around the perimeter. In the center of the seal is an abstract image of an eagle.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

FEB 1 2 2009

Ms. Peggy Hansen President, Clinical, Regulatory, QA, and Marketing Collagen Matrix, Incorporated 509 Commerce Street Franklin Lakes, New Jersey 07417

Re: K083742

Trade/Device Name: Synthetic Mineral - Collagen Bone Graft Matrix Regulation Number: 21 CFR 872.3930 Regulation Name: Bone Grafting Material Regulatory Class: II Product Codes: LYC, NPM Dated: December 12, 2008 Received: December 16, 2008

Dear Ms. Hansen:

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.

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Page 2 - Ms. Hansen

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 Center for Devices and Radiological Health's (CDRH's) Office of Compliance at (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at 240-276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at 240-276-3464. 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/industry/support/index.html.

Sincerely vours.

Anthony D. Orain
Ginette V. Michaud, M.D.

Ginette Y. Michaud, M Acting 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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Indications for Use

K083742

510(k) Number (if known):

Device Name: _ Synthetic Mineral - Collagen Bone Graft Matrix

Indications for Use:

Synthetic Mineral - Collagen Bone Graft Matrix is intended for use in dental surgery ... The products may be used in surgical procedures such as:

  • Augmentation or reconstructive treatment of alveolar ridge
  • Filling of periodontal defects .
  • Filling of defects after root resection, apicocectomy, and cystectomy .
  • Filling of extraction sockets to enhance preservation of the alveolar ridge .
  • Elevation of maxillary sinus floor
  • Filling of periodontal defects in conjunction with products intended for Guided Tissue Regeneration (GTR) and Guided Bone Regeneration (GBR)
  • Filling of peri-implant defects in conjunction with products intended for Guided Bone Regeneration

Prescription Use X (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)

Super Tunne
(Division Sign-Off)

Division of Anesthesiology, General Hospital Infection Control, Dental Devicess

510(k) Number: K083742

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