K Number
K103799
Device Name
INQU PASTE MIX PLUS
Date Cleared
2011-08-29

(244 days)

Product Code
Regulation Number
888.3045
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
InQu® is a resorbable bone void filler intended to fill bony gaps or voids that are not intrinsic to the stability of the bony structure. InQu® is intended for use as a bone graft substitute in the skeletal system (extremities and pelvis) and as a bone graft extender in the spine when combined with bone autograft. These defects may be surgically created osseous defects or osseous defects created from traumatic injury to the bone. The product provides a bone void filler that resorbs and is replaced with bone during the healing process.
Device Description
InQu® Paste Mix Plus is intended for single patient use only. The device is a sterile, granular, synthetic bone void filler composed of poly (D,L-lactide-co-glycolide), hyaluronic acid and sodium carboxymethylcellulose provided in powder form, added to improve handling characteristics. The two components are mixed at the time of use and combined with a fluid (e.g. saline or blood) to form a putty, which is easily placed into bony voids. It resorbs and is replaced with bone during the healing process.
More Information

Not Found

No
The 510(k) summary describes a synthetic bone void filler and does not mention any AI or ML components or functionalities.

Yes
The device is a bone void filler intended to aid in the healing process by being replaced with bone, which falls under the definition of a therapeutic device designed to treat a condition.

No
The device, InQu®, is described as a "resorbable bone void filler" and a "bone graft substitute" and "extender," used to fill bone gaps and promote healing. Its function is to replace bone/fill voids, not to diagnose conditions.

No

The device description clearly states it is a "granular, synthetic bone void filler composed of poly (D,L-lactide-co-glycolide), hyaluronic acid and sodium carboxymethylcellulose provided in powder form," 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 states that InQu® is a resorbable bone void filler used to fill bony gaps or voids in the skeletal system. This is a therapeutic and structural application, not a diagnostic one.
  • Device Description: The description details the composition and form of the material, which is a synthetic bone void filler. It does not describe any components or functions related to analyzing biological samples or providing diagnostic information.
  • Lack of IVD Characteristics: There is no mention of analyzing blood, tissue, or other biological samples, which is a core characteristic of IVD devices. The device is physically placed into a bony defect.

Therefore, InQu® is a medical device used for surgical intervention and bone repair, not for in vitro diagnostic testing.

N/A

Intended Use / Indications for Use

InQu is a resorbable bone void filler intended to fill bony gaps or voids that are not intrinsic to the stability of the bony structure. InQu is intended for use as a bone graft substitute in the skeletal system (extremities and pelvis) and as a bone graft extender in the spine when combined with bone autograft. These defects may be surgically created osseous defects or osseous defects created from traumatic injury to the bone. The product provides a bone void filler that resorbs and is replaced with bone during the healing process.

Product codes

MQV

Device Description

InQu® Paste Mix Plus is intended for single patient use only. The device is a sterile, granular, synthetic bone void filler composed of poly (D,L-lactide-co-glycolide), hyaluronic acid and sodium carboxy-methylcellulose provided in powder form, added to improve handling characteristics. The two components are mixed at the time of use and combined with a fluid (e.g. saline or blood) to form a putty, which is easily placed into bony voids. It resorbs and is 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

skeletal system (extremities and pelvis), spine

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)

ISTO performed a study comparing the dissolution rate and characteristics of the smaller granule size in the Paste Mix Plus to the granules in the predicate devices. The results show the two forms do not have significant differences.

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

Not Found

Predicate Device(s)

K063359, K071428, K093447

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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.

0

K103799

Submitter:
ISTO Technologies, Inc.

InQu® Paste Mix Plus Traditional 510(k)

Submitter Name:ISTO Technologies, Inc.AUG 2 9 2011
Submitter Address:1155 Olivette Executive Parkway, Suite 200
St. Louis, Missouri 63132
Contact Person:Penny White
Vice President, Regulatory Affairs and Quality Assurance
Direct Number:314-262-8007
Company Main Number:314-995-6049
Fax Number:314-995-6025
Date Prepared:December 21, 2010
Device Trade Name:InQu® Paste Mix Plus
Device Common Name:
Classification Name:
Classification Number:
Product Code:Resorbable bone void filler
Filler, bone void, calcium salt compound
21 CFR 888.3045
MQV
Predicate Devices:InQu® ISTO Technologies, Inc., K063359
InQu® ISTO Technologies, Inc., K071428
CarriGen Porous Bone Substitute, ETEX Corp., K093447
Statement of
Intended Use:InQu® is a resorbable bone void filler intended to fill bony gaps or
voids that are not intrinsic to the stability of the bony structure. InQu®
is intended for use as a bone graft substitute in the skeletal system
(extremities and pelvis) and as a bone graft extender in the spine
when combined with bone autograft. These defects may be surgically
created osseous defects or osseous defects created from traumatic
injury to the bone. The product provides a bone void filler that resorbs
and is replaced with bone during the healing process.
Device Description,
Summary of
Technological
CharacteristicsInQu® Paste Mix Plus is intended for single patient use only. The
device is a sterile, granular, synthetic bone void filler composed of
poly (D,L-lactide-co-glycolide), hyaluronic acid and sodium carboxy-
methylcellulose provided in powder form, added to improve handling
characteristics. The two components are mixed at the time of use and
combined with a fluid (e.g. saline or blood) to form a putty, which is
easily placed into bony voids. It resorbs and is replaced with bone
during the healing process.
Device TestingISTO performed a study comparing the dissolution rate and
characteristics of the smaller granule size in the Paste Mix Plus to the
granules in the predicate devices. The results show the two forms do
not have significant differences.
Comparison to the
Predicate DeviceThe new device is substantially equivalent to the predicate devices in
terms of intended use, material composition and technological
characteristics, as shown in the above testing.

Section 5.0

1

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/1/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 words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" arranged around the perimeter. Inside the circle is a stylized image of an eagle with its wings spread, symbolizing the department's mission to protect the health of all Americans.

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

ISTO Technologies, Incorporated % Ms. Penny White Vice President, Regulatory Affairs and Quality Assurance 1155 Olivette Executive Parkway, Suite 200 Saint Louis, Missouri 63132

AUG 29 2011

Re: K103799

Trade/Device Name: InQue Paste Mix Plus Regulation Number: 21 CFR 888.3045 Regulation Name: Resorbable calcium salt bone void filler device Regulatory Class: II Product Code: MQV Dated: August 16, 2011 Received: August 17, 2011

Dear Ms. White:

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.

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 of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set

2

Page 2 - Ms. Penny White

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,

Enclosure

Mark N. Melkerson Director Division of Surgical, Orthopedic and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

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510(k) Number (if known):K103799
------------------------------------

Device Name:

InQu® Paste Mix Plus

Indications for Use:

InQuy is a resorbable bone void filler intended to fill bony gaps or voids that are not intrinsic to the stability of the bony structure. InQue is intended for use as a bone graft substitute in the skeletal system (extremities and pelvis). InQu® is indicated for use as a bone graft extender in the spine when combined with bone autograft. These defects may be surgically created osseous defects, or osseous defects created from traumatic injury to the bone. The product provides a bone void filler that resorbs and is replaced with bone during the healing process.

Prescription Use x (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (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)

(Division Sign-Off) Division of Surgical, Orthopedic, and Restorative Devices

510(k) Number K103799