K Number
K151692
Device Name
BioArchitects Patient Specific Cranial/Craniofacial Plate
Date Cleared
2015-11-20

(150 days)

Product Code
Regulation Number
882.5330
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Bio Architects Patient Specific Cranial/Craniofacial Plate implant device is intended to replace bony voids in the cranial and/or craniofacial skeleton (e.g., frontal bone, occipital bone, nasal bone, parietal bone, supraorbital process, lacrimal bone, zygomatic bone, ethmoid process, vomer). It is a patient specific device.
Device Description
The BioArchitects Patient Specific Cranial/Craniofacial Plate implant device is a single piece device constructed individually for each patient. It is intended to replace bony voids in the cranial and craniofacial skeleton (e.g., frontal bone, temporal bone, occipital bone, nasal bone, parietal bone, supraorbital process, lacrimal bone, zygomatic bone, sphenoid bone, ethmoid process, vomer). It is a patient specific device. The implant is made of titanium alloy produced via Electron Beam Melting (EBM) additive manufacturing/3D printing, permitting high temperature fusion of the powdered raw material (Ti6Al4V ELI in accordance with ASTM F3001-14). The BioArchitects plate implants come in a variety of configurations that depend upon the geometry of the application. The surgeon approves the design of the cranial/craniofacial plate by comparing his/her dimension and configuration specifications to an engineering drawing prior to construction of the implant device.
More Information

No
The summary describes a patient-specific implant designed based on imaging data and approved by a surgeon, with no mention of AI or ML in the design or manufacturing process.

Yes
The device is intended to replace bony voids in the cranial and/or craniofacial skeleton, which directly addresses a medical condition or aims to restore physiological function.

No

The device is an implant intended to replace bony voids, not to diagnose a condition.

No

The device description explicitly states it is a physical implant made of titanium alloy produced via additive manufacturing, intended to replace bony voids. This is a hardware device, 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 "replace bony voids in the cranial and/or craniofacial skeleton." This is a surgical implant, not a device used to examine specimens derived from the human body to provide information for diagnosis, monitoring, or compatibility testing.
  • Device Description: The device is a physical implant made of titanium alloy, designed to be surgically placed in the patient's body.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), reagents, or any other typical components of an IVD.

The device is clearly a medical device intended for surgical implantation, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Bio Architects Patient Specific Cranial/Craniofacial Plate implant device is intended to replace bony voids in the cranial and/or craniofacial skeleton (e.g., frontal bone, occipital bone, nasal bone, parietal bone, supraorbital process, lacrimal bone, zygomatic bone, ethmoid process, vomer). It is a patient specific device.

Product codes (comma separated list FDA assigned to the subject device)

GXN

Device Description

The BioArchitects Patient Specific Cranial/Craniofacial Plate implant device is a single piece device constructed individually for each patient. It is intended to replace bony voids in the cranial and craniofacial skeleton (e.g., frontal bone, temporal bone, occipital bone, nasal bone, parietal bone, supraorbital process, lacrimal bone, zygomatic bone, sphenoid bone, ethmoid process, vomer). It is a patient specific device. The implant is made of titanium alloy produced via Electron Beam Melting (EBM) additive manufacturing/3D printing, permitting high temperature fusion of the powdered raw material (Ti6Al4V ELI in accordance with ASTM F3001-14).

The BioArchitects plate implants come in a variety of configurations that depend upon the geometry of the application. The surgeon approves the design of the cranial/craniofacial plate by comparing his/her dimension and configuration specifications to an engineering drawing prior to construction of the implant device.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

CT or MRI data (CT scan sources)

Anatomical Site

cranial and/or craniofacial skeleton (e.g., frontal bone, temporal bone, occipital bone, nasal bone, parietal bone, supraorbital process, lacrimal bone, zygomatic bone, sphenoid bone, ethmoid process, vomer)

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 BioArchitects Patient Specific Cranial/Craniofacial Plate was mechanically tested for tensile and elastic strength, with test results similar to those of predicate.

Cranial Plate Static Tensile Test
The objective of this test was to perform static tensile testing on sections of the BioArchitects Patient Specific Cranial/Craniofacial Plate device. Pate samples were cut into sections to prepare specimens for testing. For the test setup, the upper tensile grip was attached to the machine actuator using a U-joint. The lower tensile grip was attached to the axial bad eel. The plate specimen was gripped at both ends, leaving two holes exposed between the tensile grips. A nominal gage length of 30mm was used for each test specimen. Photographs of the tensile strength test setup are included in the Test Report.
Results: The BioArchitects Patient Specific Cranial/Craniofacial plate device has an average ultimate stress of approximately 8 times that of the comparable device with the highest ultimate stress. Furthermore, the BioArchitects Patient Specific Cranial/Craniofacial Plate device has an average Young's modulus of approximately 3 times that of the comparable device with the highest Young's modulus. Results are presented in a side by side comparison table in the Test Report.

Cranial Plate Tab Static Tensile Test
The plate tab is the thinnest portion of the device, and therefore presents the worst case in terms of mechanical strength. The objective of this test was to perform a static tensile pull to failure test on the subject device compared to the predicate. For the test method, gage pins were placed through the screw hole in the attachment plate (tab) and the assembly placed in a gripping fixture. The test was conducted using a hydraulic actuator.
Results: The BioArchitects Patient Specific Cranial/Craniofacial Plate device has an average tensile strength approximately 3.84 times that of the predicate fixation system. Specific results are presented in the test report.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K053199

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

K121818, K974017

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 882.5330 Preformed nonalterable cranioplasty plate.

(a)
Identification. A preformed nonalterable cranioplasty plate is a device that is implanted in a patient to repair a skull defect and is constructed of a material, e.g., stainless steel or vitallium, that cannot be altered or reshaped at the time of surgery without changing the chemical behavior of the material.(b)
Classification. Class II (performance standards).

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Image /page/0/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 image of three human profiles facing to the right, stacked on top of each other.

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

November 20, 2015

BioArchitects USA, LLC % Mr. Frank Ferguson CEO Ferguson Medical International Device Consultants LLC 332 Laskin Road, Suite 437 Virginia Beach, Virginia 23451

Re: K151692

Trade/Device Name: BioArchitects Patient Specific Cranial/Craniofacial Plate Regulation Number: 21 CFR 882.5330 Regulation Name: Preformed Nonalterable Cranioplasty Plate Regulatory Class: Class II Product Code: GXN Dated: October 19, 2015 Received: October 20, 2015

Dear Mr. Ferguson:

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

1

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 contact the Division of Industry and Consumer Education 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. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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 Industry and Consumer Education 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,

Carlos L. Pena -SA

Carlos L. Peña, PhD, MS Director Division of Neurological and Physical Medicine Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K151692

Device Name

BioArchitects Patient Specific Cranial/Craniofacial Plate

Indications for Use (Describe)

The Bio Architects Patient Specific Cranial/Craniofacial Plate implant device is intended to replace bony voids in the cranial and/or craniofacial skeleton (e.g., frontal bone, occipital bone, nasal bone, parietal bone, supraorbital process, lacrimal bone, zygomatic bone, ethmoid process, vomer). It is a patient specific device.

Type of Use (Select one or both, as applicable)
☑ Prescription Use (Part 21 CFR 801 Subpart D)☐ Over-The-Counter Use (21 CFR 801 Subpart C)

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510(k) SUMMARY

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of 21CFR Part 807.92 for the BioArchitects Patient Specific Cranial/Craniofacial Plate implant device.

DATE PREPARED: 19 November 2015

APPLICANTS NAME AND ADDRESS:

BioArchitects USA, LLC Attn: Mark E. Ulrich, CEO 219 East 69th Street Suite 2K New York, NY 10021 Phone: 212.535.4050 marku@BioArchitects.com

APPLICANTS CONTACT PERSON:

Ferguson Medical International Device Consultants LLC Attn: Frank Ferguson, CEO 332 Laskin Road Suite 437 Virginia Beach, VA 23451 Phone: 757.286.4383 frankf@ferqusonmedical-idc.com

DEVICE NAME:

Common Name of the Device: Cranial or Craniofacial Plate Trade/Proprietary Name: BioArchitects Patient Specific Cranial/Craniofacial Plate Classification: 21 CFR 882.5330 Preformed Nonalterable Cranioplasty Plate Panel: 84 Product Code: GXN

LEGALLY MARKETED DEVICE TO WHICH BIOARCHITECTS IS CLAIMING SUBSTANTIAL EQUIVALENCE:

Primary Predicate Device: Synthes Patient Specific Cranial/Craniofacial Implant Reference Predicate Devices: Biomet HTR-PEKK Patient-(PSCI) (K053199). Matched Implant (K121818) and Medtronic TiMesh Pre-Shaped Cranial Mesh Implants (K974017).

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DEVICE DESCRIPTION:

The BioArchitects Patient Specific Cranial/Craniofacial Plate implant device is a single piece device constructed individually for each patient. It is intended to replace bony voids in the cranial and craniofacial skeleton (e.g., frontal bone, temporal bone, occipital bone, nasal bone, parietal bone, supraorbital process, lacrimal bone, zygomatic bone, sphenoid bone, ethmoid process, vomer). It is a patient specific device. The implant is made of titanium alloy produced via Electron Beam Melting (EBM) additive manufacturing/3D printing, permitting high temperature fusion of the powdered raw material (Ti6Al4V ELI in accordance with ASTM F3001-14).

The BioArchitects plate implants come in a variety of configurations that depend upon the geometry of the application. The surgeon approves the design of the cranial/craniofacial plate by comparing his/her dimension and configuration specifications to an engineering drawing prior to construction of the implant device.

INDICATIONS FOR USE:

The BioArchitects Patient Specific Cranial/Craniofacial Plate implant device is intended to replace bony voids in the cranial and/or craniofacial skeleton (e.q., frontal bone, temporal bone, occipital bone, nasal bone, parietal bone, supraorbital process, lacrimal bone, zygomatic bone, sphenoid bone, ethmoid process, vomer). It is a patient specific device.

SUMMARY OF THE TECHNOLOGICAL CHARACTERISTICS OF THE DEVICE COMPARED TO THE PREDICATE DEVICE:

5

| Feature/
Characteristic | Subject Device | Synthes Patient
Specific
Cranial/Craniofacial
Implant (PSCI) | Biomet HTR-
PEKK Patient-
Matched Implant | Medtronic TiMesh Pre-
Shaped Cranial Mesh
Implants |
|-----------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 510(k) | | K053199 | K121818 | K974017 |
| Product Code(s) | GXN | GXN | GXN | GXN |
| Classification | Class II | Class II | Class II | Class II |
| Intended Use | The BioArchitects
Patient Specific
Cranial/Craniofacial
Plate implant device is
intended to replace
bony voids in the
cranial and/or
craniofacial
skeleton (e.g., frontal
bone, temporal bone,
occipital bone, nasal
bone, parietal bone,
supraorbital process,
lacrimal bone,
zygomatic bone,
sphenoid bone,
ethmoid process,
vomer). It is a patient
specific device. | Synthes (USA) Patient
Specific
Cranial/Craniofacial
implant is intended to
replace bony voids in
the cranial and/or
craniofacial skeleton. | The OsteoFAb
Patient Specific
Cranial Device
(OPSCD) is intended
for the replacement
of bony voids in the
cranial skeleton. | The TiMesh System is
intended for use in any
oral-maxilo-cranial-facial
surgical reconstructive
procedure, either
orthnathic or trauma,
wherein rigid or semi-rigid
internal fixation is utilized as
a means of holding bone
fragments together.
Alternatively, the TiMesh
System is also indicated for
use in reinforcing weak bony
tissues in orthopedic surgical
repairs, such as pelvic
reconstruction, acetabular
reconstruction, and cement
restriction. This product is
not intended for spinal use. |
| Material(s) | Titanium alloy | Commercially pure
titanium or PEEK | PEKK | Titanium alloy |
| Technical
Specifications | Custom sized to each
patient using CT or
MRI data | Custom sized to each
patient using CT data | Custom sized to
each patient using
CT data | Custom sized to each
patient using CT data |
| Manufacturing
Method | 3D printed using
electron beam melting
additive manufacturing | Machined | 3D printed using
laser sintering
additive
manufacturing | Machined |
| Fixation Method | Commercially available
screw systems | Synthes plates and
screw systems | Commercially
available plate and
screw systems | Medtronic plates, screws,
and wires |
| Sterilization | Non-sterile | Non-sterile | Non-sterile | Non-sterile |

Both the subject device and all predicates are the same in that they all derive the patient imaging data from CT scan sources. The material used for the subject device is the same as the reference predicate.

Both the subject device and the Medtronic reference predicate are constructed from titanium allov, while the primary predicate has a different material, which may be either commercially pure titanium or PEEK (polyetheretherketone). The Biomet reference predicate is also manufactured from a material (PEKK, polyetherketone) which is also different from the titanium alloy of the subject device.

The manufacturing technologies differ among the devices. The subject device is most closely similar to the Biomet reference predicate: Both utilize an additive 3D printing manufacturing technique, the Biomet device manufactured using laser sintering while the subject device uses electron beam melting (EBM), which is also a type of sintering process.

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Both the primary predicate Synthes device and Medtronic predicate are fixed onto the bony surface using their own, captive screw and plate systems, while the subject device and the Biomet predicate utilize off-the-shelf commercially available screws.

Both the subject device and all predicates are the same in that devices are all shipped non-sterile to the end user.

PERFORMANCE DATA:

The BioArchitects Patient Specific Cranial/Craniofacial Plate was mechanically tested for tensile and elastic strength, with test results similar to those of predicate.

Performance Testing Summary Table

TestTest Method SummaryResults
Cranial Plate Static
Tensile TestThe objective of this test was to
perform static tensile testing on
sections of the BioArchitects Patient
Specific Cranial/Craniofacial Plate
device. Pate samples were cut into
sections to prepare specimens for
testing.
For the test setup, the upper tensile
grip was attached to the machine
actuator using a U-joint. The lower
tensile grip was attached to the axial
bad eel. The plate specimen was
gripped at both ends, leaving two
holes exposed between the tensile
grips. A nominal gage length of
30mm was used for each test
specimen. Photographs of the tensile
strength test setup are included in the
Test Report.The BioArchitects Patient Specific
Cranial/Craniofacial plate device has
an average ultimate stress of
approximately 8 times that of the
comparable device with the highest
ultimate stress. Furthermore, the
BioArchitects Patient Specific
Cranial/Craniofacial Plate device has
an average Young's modulus of
approximately 3 times that of the
comparable device with the highest
Young's modulus.
Results are presented in a side by
side comparison table in the Test
Report.
Cranial Plate Tab
Static Tensile TestThe plate tab is the thinnest portion of
the device, and therefore presents the
worst case in terms of mechanical
strength.
The objective of this test was to
perform a static tensile pull to failure
test on the subject device compared
to the predicate.
For the test method, gage pins were
placed through the screw hole in the
attachment plate (tab) and the
assembly placed in a gripping fixture.
The test was conducted using a
hydraulic actuator.The BioArchitects Patient Specific
Cranial/Craniofacial Plate device has
an average tensile strength
approximately 3.84 times that of the
predicate fixation system.
Specific results are presented in the
test report.

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CONCLUSIONS:

Based upon testing and comparison to the predicate device, the BioArchitects Patient Specific Cranial/Craniofacial Plate has the same intended use and similar technological characteristics. The device performs as intended and does not raise new safety or effectiveness issues.