K Number
K171507
Device Name
CustomizedBone Service
Date Cleared
2017-09-01

(101 days)

Product Code
Regulation Number
882.5330
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
CustomizedBone Service (CustomizedBone) is intended to replace bony voids in the craniofacial skeleton (frontal bone including the brow ridge). This device is indicated for both adult and pediatric use (for children above 13 years of age). CustomizedBone implants are suitable for reconstructing craniofacial defects resulting from: - · trauma and vascular pathologies, either associated or non-associated to cranial decompression; - · removal of tumours: - · reabsorption of autologous bone; - · rejection of other prosthetic materials; - · congenital malformations.
Device Description
Not Found
More Information

Not Found

Not Found

No
The provided 510(k) summary does not mention AI, ML, image processing, or any other technology typically associated with AI/ML in medical devices. The description focuses solely on the intended use and indications for a bone replacement service.

Yes
The device is intended to replace bony voids in the craniofacial skeleton due to various pathologies, which falls under the definition of a therapeutic intervention.

No
Explanation: The device is intended to "replace bony voids" and "reconstruct craniofacial defects," which are therapeutic or reconstructive functions, not diagnostic.

No

The description clearly states the device is an "implant" intended to "replace bony voids," which indicates a physical, hardware component. There is no mention of software as the primary or sole component.

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

Here's why:

  • Intended Use: The intended use of the CustomizedBone Service is to replace bony voids in the craniofacial skeleton. This is a surgical implant used for reconstruction within the body.
  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body (like blood, urine, tissue) to provide information about a person's health.

The description clearly indicates a device that is implanted into the body for structural support and reconstruction, which is the opposite of an in vitro diagnostic test performed on samples outside the body.

N/A

Intended Use / Indications for Use

CustomizedBone Service (CustomizedBone) is intended to replace bony voids in the craniofacial skeleton (frontal bone including the brow ridge). This device is indicated for both adult and pediatric use (for children above 13 years of age).

CustomizedBone implants are suitable for reconstructing craniofacial defects resulting from:

  • · trauma and vascular pathologies, either associated or non-associated to cranial decompression;
  • · removal of tumours:
  • · reabsorption of autologous bone;
  • · rejection of other prosthetic materials;
  • · congenital malformations.

Product codes

GXN

Device Description

Not Found

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

craniofacial skeleton (frontal bone including the brow ridge)

Indicated Patient Age Range

adult and pediatric use (for children above 13 years of age)

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

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Description of the test set, sample size, data source, and annotation protocol

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Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Not Found

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

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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

September 1, 2017

FIN-CERAMICA FAENZA SPA % Mary Beth Henderson, PhD, MBA VP Regulatory Affairs and Quality System, Senior Principal Advisor Regulatory and Clinical Research Institute. Inc. 5353 Wayzata Blvd. Suite 505 Minneapolis, Minnesota 55416

Re: K171507

Trade/Device Name: CustomizedBone Service Regulation Number: 21 CFR 882.5330 Regulation Name: Preformed Nonalterable Cranioplasty Plate Regulatory Class: Class II Product Code: GXN Dated: July 27, 2017 Received: July 28, 2017

Dear Dr. Henderson:

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

1

Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical devicerelated 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 (DICE) 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 (DICE) 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.

William J. Heetderks -S 2017.09.01 16:46:37 -04'00'

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

2

Indications for Use

510(k) Number (if known) K171507

Device Name CustomizedBone Service

Indications for Use (Describe)
----------------------------------

CustomizedBone Service (CustomizedBone) is intended to replace bony voids in the craniofacial skeleton (frontal bone including the brow ridge). This device is indicated for both adult and pediatric use (for children above 13 years of age).

CustomizedBone implants are suitable for reconstructing craniofacial defects resulting from:

  • · trauma and vascular pathologies, either associated or non-associated to cranial decompression;
  • · removal of tumours:
  • · reabsorption of autologous bone;
  • · rejection of other prosthetic materials;
  • · congenital malformations.
Type of Use (Select one or both, as applicable)
Reproductive Use (21 CFR 321 Subpart B) Over-The-Counter Use (21 CFR 333 Subpart C)Reproductive Use (21 CFR 321 Subpart B)Over-The-Counter Use (21 CFR 333 Subpart C)
Reproductive Use (21 CFR 321 Subpart B)Over-The-Counter Use (21 CFR 333 Subpart C)

Prescription Use (Part 21 CFR 801 Subpart D)

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

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