K Number
K171037
Device Name
PoreStar Patient Specific Implant
Manufacturer
Date Cleared
2017-12-27

(265 days)

Product Code
Regulation Number
874.3620
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The PoreStar Patient Specific Implant is intended for the augmentation or restoration of bony contour in craniofacial defects.
Device Description
The PoreStar Patient Specific Implants are a range of anatomically shaped, patient specific surgical implants manufactured from high density polyethylene (HDPE) to the reconstructive boundaries indicated by the surgeon. The interconnecting porous ("Pore-") architecture created from a star ("-Star”) shaped particle resembles trabecular bone and permits tissue ingrowth into the implant. PoreStar Patient Specific Implants are individually designed from 3D Computed Tomography (CT) scans provided to Anatomics by the referring surgeon. The PoreStar Patient Specific Implants are provided sterile and intended for single-use.
More Information

Not Found

No
The summary describes a patient-specific implant designed from CT scans, but there is no mention of AI or ML being used in the design or manufacturing process. The focus is on the material properties and the customization based on anatomical data.

Yes

The device is intended for the "augmentation or restoration of bony contour in craniofacial defects," which directly aligns with the definition of a therapeutic device as it treats or alleviates a condition.

No

This device is a patient-specific surgical implant used for augmentation or restoration of bony contour, not for diagnosing a condition. It is designed from CT scans but does not perform diagnostic functions.

No

The device description explicitly states that the PoreStar Patient Specific Implants are manufactured from high density polyethylene (HDPE) and are physical surgical implants. While the design process utilizes software and CT scans, the final device is a physical object, not software.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is for the "augmentation or restoration of bony contour in craniofacial defects." This describes a surgical implant used directly on the patient's body to repair or rebuild bone structure.
  • Device Description: The description details a physical implant made of HDPE, designed from CT scans, and intended for surgical implantation.
  • Lack of In Vitro Testing: The description of the device and its testing focuses on material properties, mechanical integrity, sterilization, and packaging. There is no mention of testing biological samples (like blood, urine, tissue) outside of the body to diagnose a condition or provide information about a patient's health state.
  • Anatomical Site: The device is used directly on the "craniofacial defects" of the patient. IVDs are used to test samples taken from the patient.

An In Vitro Diagnostic device is used to examine specimens derived from the human body (such as blood, urine, or tissue) to provide information for the diagnosis, prevention, monitoring, treatment, or alleviation of disease. This device is a surgical implant, not a diagnostic tool.

N/A

Intended Use / Indications for Use

The PoreStar Patient Specific Implant is intended for the augmentation of bony contour in craniofacial defects.

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

JOF, GWO

Device Description

The PoreStar Patient Specific Implants are a range of anatomically shaped, patient specific surgical implants manufactured from high density polyethylene (HDPE) to the reconstructive boundaries indicated by the surgeon. The interconnecting porous ("Pore-") architecture created from a star ("-Star”) shaped particle resembles trabecular bone and permits tissue ingrowth into the implant. PoreStar Patient Specific Implants are individually designed from 3D Computed Tomography (CT) scans provided to Anatomics by the referring surgeon. The PoreStar Patient Specific Implants are provided sterile and intended for single-use.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

3D Computed Tomography (CT) scans

Anatomical Site

Craniofacial defects

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Prescription Use (Part 21 CFR 801 Subpart D)

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)

Non-Clinical Testing: All non-clinical testing relating to the PoreStar Patient Specific Implant device is summarised in the table below.
Characteristic: Material Safety
Testing: Biocompatibility testing of material in accordance with ISO 10993-1 Systemic toxicity testing according to ISO 10993-11 Genotoxicity testing according to ISO 10993-3 Cytotoxicity testing according to ISO 10993-5 Implantation testing according to ISO 10993-6 Intracutaneous reactivity testing according to BS EN ISO 10993-10 Skin sensitization testing according to ISO 10993-10
Characteristic: Mechanical Integrity
Testing: Tensile testing according to ASTM D638 Flexural testing according to ASTM D790
Characteristic: Compatibility
Testing: Screw Pull-out testing in accordance to ASTM F543 Verification testing of PoreStar's mechanical compatibility with screws or other fixation methods
Characteristic: Sterilization
Testing: Sterilization validations were performed in accordance with ISO 11135-1 and 11737-1 EO residuals testing per ISO 10993-7
Characteristic: Shelf-life
Testing: Packaging shelf-life testing on accelerated aged samples as per ASTM F1980-07 consisting of: Peel testing to ASTM F88-09 Dye-testing to ASTM F1929-98 and ASTM1929-12 Mechanical characterization of aged implants consisting of: Tensile testing according to ASTM D638 Flexural testing according to ASTM D790 Screw Pull-out testing according to ASTM F543
Characteristic: Packaging
Testing: Dye testing according to ASTM F1929-15 Bubble emission testing according to ASTM F2096-11 Transport simulation test stipulated in ISTA 2A. Includes: Compression Vibration (fixed and random displacement) Shock

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.

K083621

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.

Not Found

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

§ 874.3620 Ear, nose, and throat synthetic polymer material.

(a)
Identification. Ear, nose, and throat synthetic polymer material is a device material that is intended to be implanted for use as a space-occupying substance in the reconstructive surgery of the head and neck. The device is used, for example, in augmentation rhinoplasty and in tissue defect closures in the esophagus. The device is shaped and formed by the suregon to conform to the patient's needs. This generic type of device is made of material such as polyamide mesh or foil and porous polyethylene.(b)
Classification. Class II.

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Image /page/0/Picture/0 description: The image shows the logo for the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo includes the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text.

December 27, 2017

Anatomics Pty Ltd % Nicholas Connell. Consultant Brandwood Biomedical Level 8, 1 Chandos St St Leonards, NSW 2065 Australia

Re: K171037

Trade/Device Name: PoreStar Patient Specific Implant Regulation Number: 21 CFR 874.3620 Regulation Name: Ear, Nose, And Throat Synthetic Polymer Material Regulatory Class: Class II Product Code: JOF, GWO Dated: November 28, 2017 Received: December 1, 2017

Dear Nicholas Connell:

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

1

(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.

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.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Srinivas Nandkumar -S

for Malvina Eydelman, M.D. Director Division of Ophthalmic and Ear, Nose, and Throat Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K171037

Device Name PoreStar Patient Specific Implant

Indications for Use (Describe)

The PoreStar Patient Specific Implant is intended for the augmentation of bony contour in craniofacial defects.

Type of Use (Select one or both, as applicable)
---------------------------------------------------

X Prescription Use (Part 21 CFR 801 Subpart D)

| Over-The-Counter Use (21 CFR 801 Subpart C)

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510(k) Summary

Date Prepared:25 December 2017
510(k) Owner:Anatomics Pty
23-27 Wellington Street,
St Kilda, VIC 3182
Australia
Tel: +61 (0) 3 9529 8088
Application ContactNicholas Connell
Level 8, 1 Chandos St
St Leonards NSW 2065
Australia
Tel: +61(0) 299062984
Fax: +61(0) 285804613
Trade Name:PoreStar Patient Specific Implant
Common Name:Porous Polyethylene Implants
Classification Name:21 CFR 874.3620
Product Code:JOF, GWO
Predicate Device:MEDPOR Customized Surgical Implant (K083621)
Indications for Use:The PoreStar Patient Specific Implant is intended for the
augmentation or restoration of bony contour in craniofacial defects.
Device Description:The PoreStar Patient Specific Implants are a range of anatomically
shaped, patient specific surgical implants manufactured from high
density polyethylene (HDPE) to the reconstructive boundaries
indicated by the surgeon. The interconnecting porous ("Pore-")
architecture created from a star ("-Star”) shaped particle resembles
trabecular bone and permits tissue ingrowth into the implant.
PoreStar Patient Specific Implants are individually designed from 3D
Computed Tomography (CT) scans provided to Anatomics by the
referring surgeon. The PoreStar Patient Specific Implants are
provided sterile and intended for single-use.
Non-Clinical Testing: All non-clinical testing relating to the PoreStar Patient Specific
Implant device is summarised in the table below
CharacteristicTesting
Material SafetyBiocompatibility testing of material in accordance with ISO 10993-1 Systemic toxicity testing according to ISO 10993-11 Genotoxicity testing according to ISO 10993-3 Cytotoxicity testing according to ISO 10993-5 Implantation testing according to ISO 10993-6 Intracutaneous reactivity testing according to BS EN ISO 10993-10 Skin sensitization testing according to ISO 10993-10
Mechanical IntegrityTensile testing according to ASTM D638
Flexural testing according to ASTM D790
CompatibilityScrew Pull-out testing in accordance to ASTM F543
Verification testing of PoreStar's mechanical compatibility with screws or
other fixation methods
SterilizationSterilization validations were performed in accordance with ISO 11135-1
and 11737-1
EO residuals testing per ISO 10993-7
Shelf-lifePackaging shelf-life testing on accelerated aged samples as per ASTM F1980-07 consisting of:
Peel testing to ASTM F88-09 Dye-testing to ASTM F1929-98 and ASTM1929-12
Mechanical characterization of aged implants consisting of:
Tensile testing according to ASTM D638 Flexural testing according to ASTM D790 Screw Pull-out testing according to ASTM F543
Packaging
Dye testing according to ASTM F1929-15
Bubble emission testing according to ASTM F2096-11
Transport simulation test stipulated in ISTA 2A. Includes:
Compression Vibration (fixed and random displacement) Shock

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Summary of Equivalence:

CharacteristicMEDPOR CustomizedPoreStar PatientComment
Surgical ImplantSpecific Implant
Intended UseThe MEDPOR
Customized Surgical
Implant is intended for
the augmentation or
restoration of bony
contour in craniofacial
defects.The PoreStar Patient
Specific Implant is
intended for the
augmentation or
restoration of bony
contour in craniofacial
defects.Same
Prescription/
ОТСPrescription - sale by or
on the order of a
physicianPrescription - sale by or
on the order of a
physicianSame
MaterialsPorous, high density
polyethylenePorous, high density
polyethylene with
stabilizing additivesEquivalent - the presence of
additives in the material's
formulation has no impact on
the safety or efficacy of the
device. The biocompatibility of
the PoreStar Patient Specific
Implant has been fully
assessed according to the
requirements of ISO 10993-1
(Section 16) and its mechanical
characteristics have been
assessed to be equivalent to
the predicate (Section 19).
Size Range/
SpecificationsPatient specific implants
created based on patient
CT scans and approved
by prescribing physicianPatient specific implants
created based on patient
CT scans and approved
by prescribing physicianSame
PackagingDouble-peel pouched
and put in a clamshell or
shelf boxDouble peel pouched and
put in a shelf boxSame
Sterile/Non-
SterileSterileSterileSame
Sterilization
MethodEO GasEO GasSame

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Shelf-Life10 Years2 YearsEquivalent - no safety or efficacy impact as this mode of use is stipulated in the product labeling
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Conclusion: The predicate and proposed devices share the same indications for use, usage environments and general principle of operation. Both devices are single patient, single-use devices which are supplied sterile. The technical characteristics are equivalent between the Anatomics PoreStar Patient Specific Implants and the Predicate device and include:

  • Both devices are manufactured from high density porous polyethylene ●
  • Both devices have the same design method whereby the implants are ● manufactured to the specifications set by the surgeon via submission of CT scan
  • Both devices utilise plates and screws as the method of fixation
  • Both devices have the same sterilization method ●

The primary differences between the devices are:

  • . The addition of small quantities of proprietary additives in the formulation of the PoreStar Patient Specific Implant's HDPE
  • . A validated shelf-life of 2 vears for the proposed device, compared with 10 years for the predicate device.

These differences raise no issues regarding the safety or effectiveness of the proposed device and have been documented and validated in this submission.

On the basis of these similarities in design and performance, it can be established the proposed device is substantially equivalent to the predicate.