K Number
K160983
Device Name
Kyphon HV-R Bone Cement
Manufacturer
Date Cleared
2016-08-24

(139 days)

Product Code
Regulation Number
888.3027
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Kyphon® HV-R® Bone Cement is indicated for the treatment of pathological fractures of the vertebral body due to osteoporosis, cancer, or benign lesions using a cementoplasty (i.e. kyphoplasty or vertebroplasty) procedure. Cancer includes multiple myeloma and metastatic lesions, including those arising from breast or lung cancer, or lymphoma. Benign lesions include hemangioma and giant cell tumor. Pathologic fracture may include a symptomatic vertebral body microfracture (as documented by appropriate imaging and/or presence of a lytic lesion) without obvious loss of vertebral body height.
Device Description
KYPHON® HV-R® Bone Cement is provided as a two component system. The powder component consists of a PMMA copolymer (polymethylmethacrylate/ methyl-methacrylate-styrene copolymer) with barium sulfate as a radiopacifier and benzoyl peroxide as an initiator. The liquid component consists of methylmethacrylate monomer, with the addition of hydroquinone as a stabilizer and N,N-dimethyl-p-toluidine as a promoter. The powder and liquid components are mixed prior to use.
More Information

Not Found

No
The 510(k) summary describes a bone cement material and its intended use in a surgical procedure. There is no mention of software, algorithms, image processing, or any terms related to AI or ML. The description focuses solely on the chemical composition and application of the cement.

Yes
The device is indicated for the treatment of pathological fractures of the vertebral body, which is a therapeutic intervention.

No

Explanation: The device is a bone cement used for treating pathological fractures, not for diagnosing conditions. Its intended use is therapeutic (cementoplasty), and while it mentions "appropriate imaging" for documentation, the device itself is not an imaging or diagnostic tool.

No

The device description clearly states it is a two-component system consisting of powder and liquid components, which are physical materials, 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 a procedure performed on the patient's vertebral body (cementoplasty) to treat pathological fractures. This is a therapeutic intervention, not a diagnostic test performed on a sample taken from the body.
  • Device Description: The device is a bone cement, a material implanted into the body. IVDs are typically reagents, instruments, or systems used to examine specimens from the human body.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting specific analytes, or providing diagnostic information based on laboratory testing.

Therefore, the Kyphon® HV-R® Bone Cement is a medical device used for a surgical procedure, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

Kyphon® HV-R® Bone Cement is indicated for the treatment of pathological fractures of the vertebral body due to osteoporosis, cancer, or benign lesions using a cementoplasty (i.e. kyphoplasty or vertebroplasty) procedure. Cancer includes multiple myeloma and metastatic lesions, including those arising from breast or lung cancer, or lymphoma. Benign lesions include hemangioma and giant cell tumor. Pathologic fracture may include a symptomatic vertebral body microfracture (as documented by appropriate imaging and/or presence of a lytic lesion) without obvious loss of vertebral body height.

Product codes

NDN

Device Description

KYPHON® HV-R® Bone Cement is provided as a two component system. The powder component consists of a PMMA copolymer (polymethylmethacrylate/ methyl-methacrylate-styrene copolymer) with barium sulfate as a radiopacifier and benzoyl peroxide as an initiator. The liquid component consists of methylmethacrylate monomer, with the addition of hydroquinone as a stabilizer and N,N-dimethyl-p-toluidine as a promoter. The powder and liquid components are mixed prior to use.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Vertebral body

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

Not Found

Key Metrics

Not Found

Predicate Device(s)

KYPHON® HV-R® Bone Cement K150460, KYPHON® Xpede™ Bone Cement K151227

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 888.3027 Polymethylmethacrylate (PMMA) bone cement.

(a)
Identification. Polymethylmethacrylate (PMMA) bone cement is a device intended to be implanted that is made from methylmethacrylate, polymethylmethacrylate, esters of methacrylic acid, or copolymers containing polymethylmethacrylate and polystyrene. The device is intended for use in arthroplastic procedures of the hip, knee, and other joints for the fixation of polymer or metallic prosthetic implants to living bone.(b)
Classification. Class II (special controls). The special control for this device is the FDA guidance document entitled “Class II Special Controls Guidance Document: Polymethylmethacrylate (PMMA) Bone Cement.”

0

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" arranged around the perimeter. Inside the circle is a stylized graphic of three human profiles facing to the right, stacked one behind the other, representing the department's focus on people and health.

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

Medtronic Sofamor Danek USA, Incorporated Ms. Pamela Edwards Principal Regulatory Affairs Specialist 1800 Pyramid Place Memphis, Tennessee 38132

August 24, 2016

Re: K160983

Trade/Device Name: KYPHON® HV-R® Bone Cement Regulation Number: 21 CFR 888.3027 Regulation Name: Polymethylmethacrylate (PMMA) bone cement Regulatory Class: Class II Product Code: NDN Dated: August 1, 2016 Received: August 2, 2016

Dear Ms. Edwards:

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 Parts 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.

1

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/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 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,

Mark N. Melkerson -S

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

Enclosure

2

Form Approved: OMB No. 0910-0120

Expiration Date: January 31, 2017

See PRA Statement below.

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known) K160983

Device Name Kyphon® HV-R® Bone Cement

Indications for Use (Describe)

Kyphon® HV-R® Bone Cement is indicated for the treatment of pathological fractures of the vertebral body due to osteoporosis, cancer, or benign lesions using a cementoplasty (i.e. kyphoplasty or vertebroplasty) procedure. Cancer includes multiple myeloma and metastatic lesions. including those arising from breast or lymphoma. Benign lesions include hemangioma and giant cell tumor. Pathologic fracture may include a symptomatic vertebral body microfracture (as documented by appropriate imaging and/or presence of a lytic lesion) without obvious loss of vertebral body height.

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

FORM FDA 3881 (8/14)

3

510(k) Summary Medtronic Sofamor Danek

KYPHON® HV-R® Bone Cement

August 2016

SubmitterMedtronic Sofamor Danek USA, Inc.
1800 Pyramid Place
Memphis, Tennessee 38132
Telephone: (901) 396-3133
Fax: (901) 346-9738
ContactPamela Edwards
Principal Regulatory Affairs Specialist
Direct Telephone: 901-399-2125
Date PreparedMarch 2016
Common NameKYPHON® HV-R® Bone Cement
Regulatory ClassClass II
Regulation Number21 CFR 888.3027
Regulation Name and DevicePolymethylmethacrylate (PMMA) bone cement
Product Classification CodeNDN
Predicate DevicesKYPHON® HV-R® Bone Cement
K150460, S.E. 04/28/2015 (Primary Predicate)
KYPHON® Xpede™ Bone Cement
K151227, S.E. 11/16/2015
The predicate devices have not been subject to a design related recall.
Description of DeviceKYPHON® HV-R® Bone Cement is provided as a two component system. The
powder component consists of a PMMA copolymer (polymethylmethacrylate/
methyl-methacrylate-styrene copolymer) with barium sulfate as a radiopacifier
and benzoyl peroxide as an initiator. The liquid component consists of
methylmethacrylate monomer, with the addition of hydroquinone as a stabilizer
and N,N-dimethyl-p-toluidine as a promoter. The powder and liquid
components are mixed prior to use.
Indications for Use:Kyphon® HV-R™ Bone Cement is indicated for the treatment of pathological
fractures of the vertebral body due to osteoporosis, cancer, or benign lesions
using a cementoplasty (i.e. kyphoplasty or vertebroplasty) procedure. Cancer
includes multiple myeloma and metastatic lesions, including those arising from
breast or lung cancer, or lymphoma. Benign lesions include hemangioma and
giant cell tumor. Pathologic fracture may include a symptomatic vertebral body
microfracture (as documented by appropriate imaging and/or presence of a lytic
lesion) without obvious loss of vertebral body height.

4

| Comparison of Technological
Characteristics with the
Predicate Devices | The subject KYPHON® HV-R® Bone Cement has the same fundamental
scientific technology as the predicates KYPHON® HV-R® Bone Cement
(K150460 S.E. 4/28/2015) and KYPHON® Xpede™ Bone Cement (K151227
S.E. 11/16/2015). The subject device utilizes equivalent implant materials,
sterilization methods and bacterial endotoxin testing applying the same 20
EU/mL pyrogen limit specifications utilizing the gel clot test method as the
predicates KYPHON® HV-R® Bone Cement (K150460 S.E. 4/28/2015) and
KYPHON® Xpede™ Bone Cement (K151227 S.E. 11/16/2015). |
|------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Conclusion | The design features, device materials, chemical composition, device
performance, packaging of the device materials, manufacturing and sterilization
methods are substantially equivalent to the previously cleared KYPHON® HV-
R® Bone Cement (K150460 S.E. 4/28/2015) and KYPHON® Xpede™ Bone
Cement (K151227 S.E. 11/16/2015). The updated indication does not raise new
issues of safety or effectiveness. The intended use for KYPHON® HV-R®
Bone Cement has not changed and is identical to the predicates KYPHON® HV-
R® Bone Cement (K150460 S.E. 4/28/2015) and KYPHON® Xpede™ Bone
Cement (K151227 S.E. 11/16/2015). |