K Number
K103087
Device Name
COVAMAX RESORBABLE COLLAGEN MEMBRANE
Manufacturer
Date Cleared
2011-08-26

(311 days)

Product Code
Regulation Number
872.3930
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Cova™MAX is intended for use in oral surgical procedures as a resorbable membrane material for use in: -Simultaneous use of GBR-membrane (Guided Bone Regeneration) and implants; -Augmentation around implants placed in immediate extraction sockets; -Augmentation around implants placed in delayed extraction sockets; -Localized ridge augmentation for later implantation; -Alveolar ridge reconstruction for prosthetic treatment; -Filling of bone defects after root resection, cystectomy and removal of retained teeth; -Guided bone regeneration in dehiscence defects; -Guided tissue regeneration procedures in periodontal and recession defects.
Device Description
Cova™MAX is a resorbable acellular membrane for guided tissue and bone regeneration in dental applications. Cova™MAX membranes are manufactured using a standardized, controlled process. Each Cova™MAX membrane is fabricated solely from Type I collagen extracted from veterinary certified pig tendon. Porcine tendon is known to be one of the purest sources of Type I collagen that can be readily obtained and processed in commercial quantities. It is packaged in a double package and sterilized by gamma irradiation. Cova™MAX membranes serve as a barrier to guide the healing process between anatomic plans of tissues. It has been designed in accordance with the accepted principles or guided bone regeneration (GBR) as a wound healing material post surgery. They are designed to be resorbable, non inflammatory and biocompatible for uses in clinical periodontics. The Cova™MAX membrane is completely resorbable within a timeframe compatible with the healing process. When wetted, the membrane is conformable, elastic and easy to handle. It can be used alone or, if needed, it can be sutured in place. Cova™MAX is provided in rectangular sheets of 15 x 25 mm, 20 x 30 mm and 30 x 40 mm. Furthermore, the device can be easily trimmed or shaped to the appropriate size, without tearing or fragmenting, to fit the periodontal defect or zone to be treated.
More Information

Not Found

No
The device description and performance studies focus on the material properties and biological function of a resorbable membrane, with no mention of computational analysis, algorithms, or learning processes.

Yes
The device is described as a "wound healing material post surgery" that serves as a "barrier to guide the healing process between anatomic plans of tissues," which aligns with the definition of a therapeutic device designed to treat or alleviate a medical condition.

No
The device is a resorbable membrane material used in oral surgical procedures for guided tissue and bone regeneration, acting as a barrier to aid wound healing post-surgery. Its intended use and description do not involve diagnosing any medical conditions.

No

The device description clearly states that Cova™MAX is a resorbable acellular membrane made from porcine tendon, 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 describes the device as a resorbable membrane material for use in various oral surgical procedures to guide bone and tissue regeneration. This is a therapeutic and structural function, not a diagnostic one.
  • Device Description: The description details the material (collagen), manufacturing process, and how it functions as a barrier to guide healing. It does not mention any components or processes related to analyzing samples from the human body to provide diagnostic information.
  • Lack of Diagnostic Elements: There is no mention of analyzing biological samples (blood, tissue, etc.), detecting specific analytes, or providing information about a patient's health status or condition based on in vitro testing.
  • Performance Studies: The performance studies focus on the device's effectiveness in guided bone regeneration and wound healing, not on its ability to diagnose or detect anything.
  • Predicate Devices: The predicate devices listed (BIO-GIDE® and Ossix™ Plus) are also resorbable membranes used in similar surgical applications, further supporting that this type of device is not an IVD.

In summary, Cova™MAX is a medical device used in surgical procedures for tissue and bone regeneration, which falls under the category of therapeutic or structural devices, not in vitro diagnostics.

N/A

Intended Use / Indications for Use

Cova™MAX is intended for use in oral surgical procedures as a resorbable membrane material for use in:
-Simultaneous use of GBR-membrane (Guided Bone Regeneration) and implants;
-Augmentation around implants placed in immediate extraction sockets;
-Augmentation around implants placed in delayed extraction sockets;
-Localized ridge augmentation for later implantation;
-Alveolar ridge reconstruction for prosthetic treatment;
-Filling of bone defects after root resection, cystectomy and removal of retained teeth;
-Guided bone regeneration in dehiscence defects;
-Guided tissue regeneration procedures in periodontal and recession defects.

Product codes

NPL

Device Description

Cova™MAX is a resorbable acellular membrane for guided tissue and bone regeneration in dental applications. Cova™MAX membranes are manufactured using a standardized, controlled process. Each Cova™MAX membrane is fabricated solely from Type I collagen extracted from veterinary certified pig tendon. Porcine tendon is known to be one of the purest sources of Type I collagen that can be readily obtained and processed in commercial quantities. It is packaged in a double package and sterilized by gamma irradiation.
Cova™MAX membranes serve as a barrier to guide the healing process between anatomic plans of tissues. It has been designed in accordance with the accepted principles or guided bone regeneration (GBR) as a wound healing material post surgery. They are designed to be resorbable, non inflammatory and biocompatible for uses in clinical periodontics.
The Cova™MAX membrane is completely resorbable within a timeframe compatible with the healing process. When wetted, the membrane is conformable, elastic and easy to handle. It can be used alone or, if needed, it can be sutured in place. Cova™MAX is provided in rectangular sheets of 15 x 25 mm, 20 x 30 mm and 30 x 40 mm. Furthermore, the device can be easily trimmed or shaped to the appropriate size, without tearing or fragmenting, to fit the periodontal defect or zone to be treated.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

oral surgical procedures, periodontal 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)

Animal Data: Guided Bone Regeneration in periodontics has been proven from animal model studies. That is, during the surgery, a barrier membrane is placed over the wound to prevent contact of connective tissue with the bony surface. Thereby, bone cells can grow into the defect site to fill the space. A comprehensive literature research showed that numerous materials, including the predicates, have been studied for this use in various animal models. The animal data provided evidence that using equivalent membranes as Cova™MAX as a barrier to aid in wound healing has been verified using resorbable membranes is a valid approach.

Clinical Data: Results from human studies from the literature are consistent with animal studies. Similar to animal studies, resorbable membranes such as Cova™MAX are effective as a barrier to aid in wound healing its use fully accepted in the clinical practice of periodontics. It should be noted that the 13-week resorption claim is an estimate from a rat implantation study which was similar to predicate animal studies. An estimation for clinical resorption will need to be made by the clinician based on the known resorption times (6 and 8 months) of similar devices: Bio-Gide® and Ossix™Plus and on experience.

Safety: Biocompatibility studies have demonstrated Cova™MAX to be: non-cytotoxic, nonpyrogenic, non-irritating, and non-sensitizing. The following studies were conducted:

  • a) Cytotoxicity
  • b) Dermal Sensitization/irritation
  • c) Acute Systemic Toxicity
  • d) Acute Intracutaneous Reactivity
  • e) Genotoxicity
  • f) Mutagenecity
  • g) Pyrogenecity
  • h) Implantation/Absorption
  • i) Sub-Chronic/Chronic Toxicity
  • Hemolysis

The Cova™MAX Resorbable Collagen Membrane for Guided Tissue and Bone Regeneration manufacturing process complies with the United States Food and Drug Administration and European Standards for animal tissue sourcing and viral inactivation.

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

Not Found

Predicate Device(s)

BIO-GIDE® (K042197), Ossix™ Plus (K053260)

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.

0

AUG 2 6 2011

biom'up

ADVANCED BIOMATERIALS

5. 510(k) Summary, Cova™MAX Resorbable Collagen Membrane for Guided Tissue and Bone Regeneration

| Submitter's name and address: | Biom'Up S.A.
8, Allee Irene Joliot-Curie
69800, Saint-Priest,
France |
|-------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact person: | Valerie Centis, R&D Project Manager and
Regulatory Affairs |
| | Biom'up S.A.
8, Allee Irene Joliot-Curie
69800, Saint-Priest, France
Phone: +33 (0)4 86 57 36 10
Fax: +33 (0)4 37 69 00 84
Email: regulatory.affairs@biomup.com |
| Date Summary was prepared: | October 18th 2010 |
| Trade/Proprietary Name: | Cova™MAX |
| Common/Usual Name: | Resorbable Membrane for Guided Tissue and Bone
Regeneration |
| Classification Name: | Barrier, Animal Source, Dental |
| Product Code: | NPL |
| Regulation Number: | 21 CFR 872.3930 |
| Device Classification: | Class II |
| Predicate Devices | BIO-GIDE® (K042197)
Ossix™ Plus (K053260) |

Device Description

Cova™MAX is a resorbable acellular membrane for guided tissue and bone regeneration in dental applications. Cova™MAX membranes are manufactured using a standardized, controlled process. Each Cova™MAX membrane is fabricated solely from Type I collagen extracted from veterinary certified pig tendon. Porcine tendon is known to be one of the purest sources of Type I collagen that can be readily obtained and processed in commercial quantities. It is packaged in a double package and sterilized by gamma irradiation.

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1

biom'up

ADVANCED BIOMATERIALS

Cova™MAX membranes serve as a barrier to guide the healing process between anatomic plans of tissues. It has been designed in accordance with the accepted principles or guided bone regeneration (GBR) as a wound healing material post surgery. They are designed to be resorbable, non inflammatory and biocompatible for uses in clinical periodontics.

The Cova™MAX membrane is completely resorbable within a timeframe compatible with the healing process. When wetted, the membrane is conformable, elastic and easy to handle. It can be used alone or, if needed, it can be sutured in place. Cova™MAX is provided in rectangular sheets of 15 x 25 mm, 20 x 30 mm and 30 x 40 mm. Furthermore, the device can be easily trimmed or shaped to the appropriate size, without tearing or fragmenting, to fit the periodontal defect or zone to be treated.

Intended Use

Cova™MAX is intended for use in oral surgical procedures as a resorbable membrane material for use in:

-Simultaneous use of GBR-membrane (Guided Bone Regeneration) and implants;

-Augmentation around implants placed in immediate extraction sockets;

-Augmentation around implants placed in delayed extraction sockets;

-Localized ridge augmentation for later implantation;

-Alveolar ridge reconstruction for prosthetic treatment;

-Filling of bone defects after root resection, cystectomy and removal of retained teeth;

-Guided bone regeneration in dehiscence defects;

-Guided tissue regeneration procedures in periodontal and recession defects.

Basis for Substantial Equivalence

The intended use, product design, composition, physical structure and target population of Cova™MAX resorbable collagen membranes are substantially equivalent to the FDA cleared and legally marketed predicate devices BIO-GIDE® (K042197) and Ossix™Plus (K053260). Similarities are presented in Table 1.

2

Image /page/2/Picture/1 description: The image shows the logo for "biom'up ADVANCED BIOMATERIALS". The logo has the word "biom'up" in bold, black letters, with the "up" portion slightly raised. Above the word is a graphic of several curved lines that are filled with small, vertical black lines. Below the word is the phrase "ADVANCED BIOMATERIALS" in smaller, black letters.

Medical Device NameCova™MAXBIO-GIDE®Ossix™Plus
OriginPorcinePorcinePorcine
Intended useUsed for guided tissue regeneration
procedures in periodontal defects
to enhance regeneration of the periodontal
apparatusUsed for guided tissue regeneration
procedures in periodontal defects
to enhance regeneration of the periodontal
apparatusUsed for guided tissue regeneration
procedures in periodontal defects
to enhance regeneration of the periodontal
apparatus
Device characteristicsMembrane-like
Easy to manipulate
Flexible
Implantable
Wettable
SmoothMembrane-like
Easy to manipulate
Flexible
Implantable
Wettable
SmoothMembrane-like
Easy to manipulate
Flexible
Implantable
Wettable
Smooth
BiocompatibilityEstablishedEstablishedEstablished
Non pyrogenicYesYesn/a
ResorbableYesYesYes
SuturableYesYesYes
ReusableSingle-use deviceSingle-use deviceSingle-use device
Shelf-Life18 months36 months36 months
Sterilisation MethodGamma irradiationGamma irradiationGamma irradiation
PackagingDouble-peel packagesDouble-peel packagesDouble-peel packages

Table 1. Cova™MAX and its predicates summarized comparison chart.

Any differences in technological characteristics between the Cova™MAX and the predicate devices do not raise any new issues of safety or efficacy. The performance and safety of the material used was evaluated. The collective results have demonstrated that the Cova™MAX is substantially equivalent to the respective predicate devices with regard to safety and efficacy.

Safety

Biocompatibility studies have demonstrated Cova™MAX to be: non-cytotoxic, nonpyrogenic, non-irritating, and non-sensitizing. The following studies were conducted:

  • a) Cytotoxicity
  • b) Dermal Sensitization/irritation
  • c) Acute Systemic Toxicity
  • d) Acute Intracutaneous Reactivity
  • e) Genotoxicity
  • f) Mutagenecity
  • g) Pyrogenecity
  • h) Implantation/Absorption
  • i) Sub-Chronic/Chronic Toxicity
  • Hemolysis ﻤﻴﺔ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍ

The Cova™MAX Resorbable Collagen Membrane for Guided Tissue and Bone Regeneration manufacturing process complies with the United States Food and Drug Administration and European Standards for animal tissue sourcing and viral inactivation.

3

K103087

biom'up
ADVANCED BIOMATERIALS

Summary of Effectiveness Data

Animal Data

Guided Bone Regeneration in periodontics has been proven from animal model studies. That is, during the surgery, a barrier membrane is placed over the wound to prevent contact of connective tissue with the bony surface. Thereby, bone cells can grow into the defect site to fill the space.

A comprehensive literature research showed that numerous materials, including the predicates, have been studied for this use in various animal models. The animal data provided evidence that using equivalent membranes as Cova™MAX as a barrier to aid in wound healing has been verified using resorbable membranes is a valid approach.

Clinical Data

Results from human studies from the literature are consistent with animal studies. Similar to animal studies, resorbable membranes such as Cova™MAX are effective as a barrier to aid in wound healing its use fully accepted in the clinical practice of periodontics.

It should be noted that the 13-week resorption claim is an estimate from a rat implantation study which was similar to predicate animal studies. An estimation for clinical resorption will need to be made by the clinician based on the known resorption times (6 and 8 months) of similar devices: Bio-Gide® and Ossix™Plus and on experience.

Conclusion

Cova™MAX Resorbable Collagen Membrane for Guided Tissue and Bone Regeneration is substantially equivalent to its predicate devices: BIO-GIDE® and Ossix™Plus.

4

Image /page/4/Picture/0 description: The image is a seal for the Department of Health & Human Services - USA. The seal is circular and contains the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the seal is a stylized symbol that resembles three curved lines or strokes, possibly representing human figures or abstract shapes. The seal is black and white.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

Ms. Valerie Centis R&D Manager and Regulatory Affairs Biom'Up SA 8. Allee Irene Joliot-Curie 69800, Saint-Priest France

AUG 2 6 2011

Re: K103087

Trade/Device Name: Cova™MAX Resorbable Membrane for Guided Tissue and Bone Regeneration Regulation Number: 21 CFR 872.3930 Regulation Name: Bone Grafting Material

Regulatory Class: II Product Code: NPL

Dated: August 23, 2011

Received: August 24, 2011

Dear Ms. Centis:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to 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.

5

Page 2 - Ms. Centis

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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices /ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled. "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours,

Susan Kunze

Anthony D. Watson, B.S., M.S., M.B.A. Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

6

K103087

Indications for Use

510(k) Number (if known):

Device Name:

Cova™MAX Resorbable Membrane for Guided Tissue and Bone Regeneration

Indications for Use:

Cova™MAX is intended for use in oral surgical procedures as a resorbable membrane material for use in:

-Simultaneous use of GBR-membrane (Guided Bone Regeneration) and implants;

-Augmentation around implants placed in immediate extraction sockets;

-Augmentation around implants placed in delayed extraction sockets;

-Localized ridge augmentation for later implantation;

-Alveolar ridge reconstruction for prosthetic treatment;

-Filling of bone defects after root resection, cystectomy and removal of retained teeth;

-Guided bone regeneration in dehiscence defects;

-Guided tissue regeneration procedures in periodontal and recession defects.

Prescription Use _ X

AND/OR

Over-The-Counter Use

(Part 21 CFR 801 Subpart D)

(21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Susan Punroe

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

510(k) Number: K100897

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