(253 days)
The OSSIO™ Pin Product Family is indicated for maintenance of alignment and fixation of bone fractures, arthrodesis, and bone grafts in the presence of appropriate additional immobilization (e.g. rigid fixation implants, cast, brace).
The OSSIO™ Pin Product Family is a fixation device made of degradable poly (L-lactide-co-D,Llactide) (PLDLA) reinforced with continuous mineral fibers. The polymer content degrades by hydrolysis into alpha-hydroxy acids that are metabolized by the mineral fibers are made from materials that are incorporated into bone.
The OSSIO™ Pin Product Family implants are supplied sterile and are available in several sizes: 10-70 mm long and 2-4 mm nominal dimension, and with a circular, hexagonal crosssectional design.
The provided text describes a medical device, the OSSIO™ Pin Product Family, and its clearance through the FDA 510(k) process. This process focuses on demonstrating substantial equivalence to a legally marketed predicate device rather than establishing new acceptance criteria or conducting studies to prove the device meets specific acceptance criteria in the manner one might see for a novel AI algorithm or diagnostic tool.
Therefore, the information requested in the prompt, which is typically relevant for studies evaluating the diagnostic performance of a device against specific benchmarks (like sensitivity, specificity, or accuracy in an AI context), is largely not applicable to this 510(k) submission for a bone fixation pin.
The submission focuses instead on:
- Mechanical performance: Comparing the OSSIO™ Pin's strength and fixation properties to those of the predicate device.
- Degradation profile: Demonstrating appropriate degradation over time.
- Biocompatibility: Ensuring the material is safe for implantation.
- Substantial Equivalence: Showing that the device is as safe and effective as the predicate, despite minor material or design differences.
Here's a breakdown of why each requested point is not directly addressed in the provided document, or how it might loosely relate:
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A table of acceptance criteria and the reported device performance: This document does not present specific acceptance criteria in the form of diagnostic metrics (e.g., sensitivity/specificity targets) with corresponding reported performance. Instead, it states that "mechanical testing demonstrated at least equivalent performance both initially and after in vitro degradation" compared to the predicate, and that biocompatibility testing showed "no new issues of safety and effectiveness." The specific numerical thresholds for "equivalent performance" are not detailed in this summary.
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Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective): Not applicable for this type of device submission. There isn't a "test set" of patient data in the diagnostic sense. The "performance data" refers to mechanical and biological testing of the device itself.
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Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience): Not applicable. There is no ground truth, expert consensus, or diagnostic interpretation involved in the performance data described.
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Adjudication method (e.g. 2+1, 3+1, none) for the test set: Not applicable for this type of device.
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If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance: Not applicable. This device is a bone fixation pin, not a diagnostic tool or an AI-assisted interpretation system for human readers.
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If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable. This describes a physical implant, not an algorithm.
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The type of ground truth used (expert concensus, pathology, outcomes data, etc): For the mechanical testing, the "ground truth" would be the performance characteristics of the predicate device (Inion OTPSTM Biodegradable Pin) which the OSSIO™ Pin sought to match or exceed. For biocompatibility, the ground truth is established by well-accepted, standardized tests (ISO 10993). Clinical outcomes data is implied to be similar to the predicate device due to substantial equivalence, but wasn't a direct "ground truth" in this submission summary.
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The sample size for the training set: Not applicable for a physical medical device; this is relevant for machine learning algorithms.
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How the ground truth for the training set was established: Not applicable.
Summary based on the provided document and the nature of a 510(k) for an implantable device:
The document describes the OSSION™ Pin Product Family, a fixation device for bone fractures, arthrodesis, and bone grafts. The submission is a 510(k) premarket notification, which aims to demonstrate substantial equivalence to a predicate device, not necessarily to meet de novo acceptance criteria for novel performance claims.
1. Table of Acceptance Criteria and Reported Device Performance:
| Performance Aspect | Acceptance Criteria (Implied) | Reported Device Performance |
|---|---|---|
| Mechanical Strength & Fixation | At least equivalent to the predicate device (Inion OTPS™ Biodegradable Pin) initially and after in vitro degradation. | "Mechanical testing demonstrated at least equivalent performance both initially and after in vitro degradation." Testing included flexural bending, shear, and pull-out. |
| Degradation Profile | Sufficient mechanical stability over the healing period, and degradation into metabolized alpha-hydroxy acids and incorporated mineral fibers. | "In vitro degradation testing was carried out to determine the degradation profile (i.e., change in chemical and mechanical properties) and verify the sufficiency of the mechanical stability over the healing period." |
| Biocompatibility | Meets standards of ISO 10993 and FDA Guidance; no new issues of safety or effectiveness compared to predicate. | Evaluated per ISO 10993-1 (2009) and FDA Guidance (2016). Battery of tests included: Cytotoxicity, Sensitization, Irritation, Acute Systemic Toxicity, Pyrogenicity, Genotoxicity, In-Bone Implantation, Subacute and Chronic Systemic Toxicity. "Biocompatibility testing, including an in-bone implantation versus the predicate device to 104 weeks was completed to show that no new issues of safety and effectiveness arise due to the minor material compositional changes." A Biological Compatibility (Toxicological) Risk Assessment was conducted. |
| MR Safety | Safe for use in an MR environment. | "A rationale was provided in addition to electrical resistivity testing to support the MR safe labeling of the device." |
The remaining points (Items 2-9) are not applicable to the information provided in this 510(k) summary, as it details the clearance of a physical medical implant through substantial equivalence, rather than the performance evaluation of a diagnostic or AI-driven system.
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January 10, 2019
Ossio Ltd. % Janice M. Hogan Partner Hogan Lovells US LLP 1735 Market Street, Floor 23 Philadelphia, Pennsylvania 19103
Re: K181180
Trade/Device Name: OSSIO™ Pin Product Family Regulation Number: 21 CFR 888.3040 Regulation Name: Smooth or threaded metallic bone fixation fastener Regulatory Class: Class II Product Code: HTY Dated: December 3, 2018 Received: December 3, 2018
Dear Ms. Hogan:
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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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 of medical device-related adverse events) (21 CFR 803) for
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devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/CombinationProducts/GuidanceRegulatoryInformation/ucm597488.html; good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; 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 comprehensive regulatory information about mediation-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.
Ronald P. Jean -S
for 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
510(k) Number (if known) K181180
Device Name OSSIO™ Pin Product Family
Indications for Use (Describe)
The OSSIO™ Pin Product Family is indicated for maintenance of alignment and fixation of bone fractures, arthrodesis, and bone grafts in the presence of appropriate additional immobilization (e.g. rigid fixation implants, cast, brace).
| 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
OSSIO™ Pin Product Family
Submitter
Ossio Ltd. 8 HaTochen Street, Caesarea, Israel, 3088900 Phone: +972-4-9986600 Facsimile: +972-4-9986601 Contact Person: Taly Lindner
Date Prepared: Jan 9, 2019
Name of Device: OSSIO™ Pin Product Family Common or Usual Name: fixation, pin, smooth
Classification Name: Smooth or threaded metallic bone fixation fastener Regulatory Class: Class II, 21 C.F.R. § 888.3040 Product Code: HTY
Predicate Devices Inion OTPSTM Biodegradable Pin (K050275) Reference Devices
Inion FreedomPin™, (K133932) BonAlive Biomaterials Ltd., BonAlive® granules, (K071199) Depuy Mitek, Milagro/Milagro Advance Interference Screw (K143660)
Device Description
The OSSIO™ Pin Product Family is a fixation device made of degradable poly (L-lactide-co-D,Llactide) (PLDLA) reinforced with continuous mineral fibers. The polymer content degrades by hydrolysis into alpha-hydroxy acids that are metabolized by the mineral fibers are made from materials that are incorporated into bone.
The OSSIO™ Pin Product Family implants are supplied sterile and are available in several sizes: 10-70 mm long and 2-4 mm nominal dimension, and with a circular, hexagonal crosssectional design.
Indications for Use
The OSSIO™ Pin Product Family is indicated for maintenance of alignment and fixation of bone fractures, osteotomies, arthrodesis, and bone grafts in the presence of appropriate additional immobilization (e.g. rigid fixation implants, cast, brace).
Summary of Technological Characteristics
The OSSIO™ Pin Product Family has the same intended use and indications for use, and very similar principles of operation and design characteristics as the predicate device Inion OTPS™ Biodegradable Pin (K050275). The OSSIO™ Pin's biocomposite material is a combination of previously cleared materials for bone implantation applications with a history of safe clinical use. The polymeric
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component of the OSSIO™ Pin is similar to its cleared predicate and is the same as the polymeric material of the previously cleared Inion FreedomPin™ (K133932). This polymeric is reinforced with minerals, whose material is similar to previously cleared bone void filler devices (e.g., K071199). Several biocomposite orthopedic implants, each comprised of polymeric material together with a mineral composition of a bone void filler material, have previously been FDA-cleared (e.g., K143660) for implantation in bone. Although there are differences with regard to shape and size as compared to the predicate, mechanical testing demonstrated at least equivalent performance both initially and after in vitro degradation. Any differences between OSSIO™ Pin and its predicate device do not raise different questions of safety and effectiveness.
Performance Data
Mechanical testing of flexural bending, shear and pull-out testing was performed to verify the strength and fixation properties of the OSSIO™ Pin, and to compare them to those of the predicate device. Testing was conducted initially and after in vitro degradation.
In vitro degradation testing was carried out to determine the degradation profile (i.e., change in chemical and mechanical properties) and verify the sufficiency of the mechanical stability over the healing period.
Performance over time was also assessed via an in-vivo preclinical study vs a metal k-wire.
The biocompatibility evaluation for the OSSIO™ Pin was conducted in accordance with ISO 10993. Biological Evaluation of Medical Devices – Part 1: Evaluation and Testing within a Risk Management Process (2009) and the FDA Guidance "Use of International Standard ISO 10993-1, "Biological Evaluation of Medical Devices - Part 1: Evaluation and Testing within a Risk Management Process" (2016).
The battery of testing included the following tests:
- Cytotoxicity ●
- . Sensitization
- Irritation
- Acute Systemic Toxicity ●
- Pvrogenicitv
- . Genotoxicity
- In-Bone Implantation ●
- Subacute and Chronic Systemic Toxicity ●
A Biological Compatibility (Toxicological) Risk Assessment was conducted based on the above test results.
Biocompatibility testing, including an in-bone implantation versus the predicate device to 104 weeks was completed to show that no new issues of safety and effectiveness arise due to the minor material compositional changes.
A rationale was provided in addition to electrical resistivity testing to support the MR safe labeling of the device.
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Conclusions
The OSSIO™ Pin Product Family is as safe and effective as its predicate device, Inion OTPS™ Biodegradable Pin (K050275). The OSSIO™ Pin Product Family has the same intended use and indications for use, and substantially similar principles of operation and technological characteristics, as its predicate device. The minor technological differences between the OSSIO™ Pin Product Family and its predicate device raise no new issues of safety or effectiveness. Non-clinical testing data demonstrate that the OSSIO™ Pin is as safe and effective as the predicate device. Thus, the OSSIO™ Pin Product Family is substantially equivalent.
§ 888.3040 Smooth or threaded metallic bone fixation fastener.
(a)
Identification. A smooth or threaded metallic bone fixation fastener is a device intended to be implanted that consists of a stiff wire segment or rod made of alloys, such as cobalt-chromium-molybdenum and stainless steel, and that may be smooth on the outside, fully or partially threaded, straight or U-shaped; and may be either blunt pointed, sharp pointed, or have a formed, slotted head on the end. It may be used for fixation of bone fractures, for bone reconstructions, as a guide pin for insertion of other implants, or it may be implanted through the skin so that a pulling force (traction) may be applied to the skeletal system.(b)
Classification. Class II.