K Number
K122868
Device Name
BIOSPHERE BIOACTIVE BONE GRAFT PUTTY
Date Cleared
2013-04-19

(213 days)

Product Code
Regulation Number
888.3045
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
BioSphere Putty is indicated only for bony voids or gaps that are not intrinsic to the stability of the bony structure. BioSphere Putty is indicated to be gently packed into bony voids or gaps of the skeletal system (i.e. the extremities and pelvis). 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
BioSphere Putty is an osteoconductive, bioactive bone void filler that, like its predicate device (NovaBone), is composed of 4555 bioactive glass particles. In BioSphere Putty, the bioactive glass is mixed with an inert, moldable carrier that aids in placement of the product into bony voids. Upon implantation, the carrier is absorbed by the site and the remaining bioactive glass particles provide an osteoconductive surface for bone formation. The bioactive glass particles are provided in a spherical form, and the natural packing of the spheres creates 3-dimensional, interconnected porosity that allows for bone regeneration throughout the defect site.
More Information

Novabone Putty – Bioactive Synthetic Graft (K060728), Intergro DBM (K031399)

No
The device description and performance studies focus on the material composition and biological properties of the bone void filler, with no mention of AI or ML technologies.

Yes
The device is indicated for filling bony voids or gaps resulting from surgical or traumatic injury, and it resorbs and is replaced by bone during the healing process, which directly addresses a health condition or alters the structure or function of the body.

No

This device is a bone void filler used for treatment, not for diagnosing conditions.

No

The device description clearly states it is a physical bone void filler composed of bioactive glass particles and a carrier, which are physical components, not software.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is to fill bony voids or gaps in the skeletal system. This is a therapeutic or reconstructive purpose, not a diagnostic one.
  • Device Description: The device is a bone void filler composed of bioactive glass and a carrier. It is designed to be implanted into the body to aid in bone regeneration. This is an implantable medical device, not a diagnostic test performed on samples outside the body.
  • Lack of Diagnostic Elements: There is no mention of analyzing samples from the body (like blood, urine, tissue, etc.) to provide diagnostic information. The device itself is the treatment/filler.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. BioSphere Putty does not fit this description.

N/A

Intended Use / Indications for Use

BioSphere Putty is indicated only for bony voids or gaps that are not intrinsic to the stability of the bony structure. BioSphere Putty is indicated to be gently packed into bony voids or gaps of the skeletal system (i.e. the extremities and pelvis). 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

BioSphere Putty is an osteoconductive, bioactive bone void filler that, like its predicate device (NovaBone), is composed of 4555 bioactive glass particles. In BioSphere Putty, the bioactive glass is mixed with an inert, moldable carrier that aids in placement of the product into bony voids. Upon implantation, the carrier is absorbed by the site and the remaining bioactive glass particles provide an osteoconductive surface for bone formation. The bioactive glass particles are provided in a spherical form, and the natural packing of the spheres creates 3-dimensional, interconnected porosity that allows for bone regeneration throughout the defect site.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

skeletal system (i.e. the extremities and pelvis)

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

The primary component of BioSphere Putty is medical grade 4555 bioactive glass which complies with the requirements of ASTM F-1538. Testing of the device in accordance with ISO 10993 Biological Evaluation of Medical Device demonstrated that the materials are biocompatible. Comparative testing using XRF, particle size analysis, and ion dissolution showed that the bioactive glass component was identical to the predicate device. In vitro bioactivity testing of the Putty showed that the bioactive glass particles were capable of forming a calcium phosphate layer when incubated in simulated body fluid. Additionally, performance of the device in a clinically relevant animal model showed bone formation similar to the predicate device. These results have not been correlated to clinical performance.

Key Metrics

Not Found

Predicate Device(s)

Novabone Putty – Bioactive Synthetic Graft (K060728), Intergro DBM (K031399)

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.

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K122868 Response #1

Synergy Biomedical

510(k) Summary BioSphere™ Bioactive Bone Graft

APR 1 9 2013

1. Submitter Information:

Synergy Biomedical, LLC 400 Franklin Ave Suite 207 Phoenixville, PA 19460

Date Prepared: September 17th, 2012

Contact Information: 2.

Jonathan Kahan Hogan Lovells US LLP 555 Thirteenth Street, NW Washington, DC 20004

Device Name and Classification: 3.

Product Name: Common Name Classification Name: Proposed Classification: Classification Panel: Product Code: Device Class:

BioSphere Bioactive Bone Graft Putty Bone Void Filler Resorbable Calcium Salt Bone Void Filler Device 21 CFR 888.3045 Orthopedic MQV Class II

Predicate Device(s) 4.

Novabone Putty – Bioactive Synthetic Graft (K060728) Intergro DBM (K031399)

Device Description 5.

BioSphere Putty is an osteoconductive, bioactive bone void filler that, like its predicate device (NovaBone), is composed of 4555 bioactive glass particles. In BioSphere Putty, the bioactive glass is mixed with an inert, moldable carrier that aids in placement of the product into bony voids. Upon implantation, the carrier is absorbed by the site and the remaining bioactive glass particles provide an osteoconductive surface for bone formation. The bioactive glass particles are provided in a spherical form, and the natural packing of the spheres creates 3-dimensional, interconnected porosity that allows for bone regeneration throughout the defect site.

6. Intended Use

BioSphere Putty is indicated only for bony voids or gaps that are not intrinsic to the stability of the bony structure. BioSphere Putty is indicated to be gently packed into bony voids or gaps of the skeletal system (i.e. the extremities and pelvis). These defects may be surgically created osseous defects or osseous

1

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.

Performance Data 7.

The primary component of BioSphere Putty is medical grade 4555 bioactive glass which complies with the requirements of ASTM F-1538. Testing of the device in accordance with ISO 10993 Biological Evaluation of Medical Device demonstrated that the materials are biocompatible. Comparative testing using XRF, particle size analysis, and ion dissolution showed that the bioactive glass component was identical to the predicate device. In vitro bioactivity testing of the Putty showed that the bioactive glass particles were capable of forming a calcium phosphate layer when incubated in simulated body fluid. Additionally, performance of the device in a clinically relevant animal model showed bone formation similar to the predicate device. These results have not been correlated to clinical performance.

Substantial Equivalence 8.

BioSphere Putty is as safe and effective as the predicate devices. BioSphere Putty has the same intended uses and similar indications, technological characteristics, and principles of operation as its predicate device. The minor technological difference between BioSphere Putty and its predicate devices, the use of a spherical particles and the inclusion of an inert, moldable carrier, raises no new issues of safety or effectiveness. Performance data demonstrate that BioSphere Putty is as safe and effective as the predicates. Thus, BioSphere Putty is substantially equivalent.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features the department's name in a circular arrangement around a stylized symbol. The symbol resembles a bird in flight, composed of three curved lines that converge to form the body and wings. The overall design is simple and conveys a sense of movement and progress.

Public Health Service

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

Letter dated: April 19, 2013

Synergy Biomedical, LLC % Hogan Lovells US LLP Mr. Jonathan S. Kahan 555 Thirteenth Street, Northwest Washington, District of Columbia 20004

Re: K122868

Trade/Device Name: BioSphere Putty Regulation Number: 21 CFR 888.3045 Regulation Name: Resorbable calcium salt bone void filler Regulatory Class: Class II Product Code: MQV Dated: February 27, 2013 Received: February 27, 2013

· Dear Mr. Kahan:

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 (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.

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Page 2 – Mr. Jonathan S. Kahan

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Small Manufacturers, International and Consumer Assistance at its tollfree number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm. 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/ResourcesforYou/Industry/default.htm.

Sincerely yours.

Mark N. Melkerson -S

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

Enclosure

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Indications for Use Statement

510(k) Number (if known):

Device Name: BioSphere Putty

Indications for Use:

BioSphere Putty is indicated only for bony voids or gaps that are not intrinsic to the stability of the bony structure. BioSphere Putty is indicated to be gently packed into bony voids or gaps of the skeletal system (i.e., the extremities and pelvis). 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 OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Laurence D. Coyne -A

(Division Sign-Off) Division of Orthopedic Devices 510(k) Number: K122868

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