K Number
K231513
Device Name
Oral Matrix
Date Cleared
2024-02-16

(267 days)

Product Code
Regulation Number
872.3930
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Oral Matrix is intended for use in extraction sockets only to contain or prevent migration of graft material. The device is supplied sterile and intended for one time use.
Device Description
The Oral Matrix consists of layered sheets of bioabsorbable extracellular collagen membrane matrix derived from porcine Small Intestinal Submucosa (SIS). These sheets are freeze-dried, packaged in a Tyvek pouch, and sterilized using ethylene oxide to achieve a SAL of 10-6. The Oral Matrix is available in eighteen different models, the differences between the models are shown in the table below. | Model | Size (cm) | Tolerance | Thickness | |--------------------|-----------|-----------|-------------| | SIS-ORP-4L-1×1 | 1×1 | | | | SIS-ORP-4L-2×2 | 2×2 | | | | SIS-ORP-4L-2×3 | 2×3 | | | | SIS-ORP-4L-3×3 | 3×3 | | | | SIS-ORP-4L-4×3 | 4×3 | | | | SIS-ORP-4L-6×6 | 6×6 | | | | SIS-ORP-4L-1.5×1.5 | 1.5×1.5 | ±0.2cm | 0.05~0.13mm | | SIS-ORP-4L-3×5 | 3×5 | ±0.2cm | 0.05~0.13mm | | SIS-ORP-4L-2.5×1.5 | 2.5×1.5 | ±0.2cm | 0.05~0.13mm | | SIS-ORP-4L-5×4 | 5×4 | ±0.2cm | 0.05~0.13mm | | SIS-ORP-4L-4×6 | 4×6 | ±0.2cm | 0.05~0.13mm | | SIS-ORP-4L-7×7 | 7×7 | ±0.2cm | 0.05~0.13mm | | SIS-ORP-4L-3×3.5 | 3×3.5 | ±0.2cm | 0.05~0.13mm | | SIS-ORP-4L-3×7 | 3×7 | ±0.2cm | 0.05~0.13mm | | SIS-ORP-4L-4×4 | 4×4 | | | | SIS-ORP-4L-5×5 | 5×5 | | | | SIS-ORP-4L-6×8 | 6×8 | | | | SIS-ORP-4L-8×8 | 8×8 | | |
More Information

Not Found

No
The device description and performance studies focus on the physical and biological properties of a collagen membrane, with no mention of software, algorithms, or data processing that would indicate AI/ML.

Yes
The device is described as "intended for use in extraction sockets only to contain or prevent migration of graft material," which means it is used to treat or prevent a condition (migration of graft material) and aid in healing after an extraction. This falls under the definition of a therapeutic device.

No

The Oral Matrix is intended for use in extraction sockets to contain or prevent migration of graft material, clearly indicating a therapeutic rather than diagnostic purpose.

No

The device description clearly states it is composed of layered sheets of bioabsorbable extracellular collagen membrane matrix, which is a physical material, 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 "contain or prevent migration of graft material" in extraction sockets. This is a direct therapeutic or structural function within the body, not a diagnostic test performed on samples taken from the body.
  • Device Description: The device is a bioabsorbable collagen membrane matrix. This is a material designed to be implanted or placed within the body for a physical purpose.
  • Lack of Diagnostic Function: There is no mention of the device being used to analyze samples (blood, urine, tissue, etc.) or to provide information about a patient's health status or disease.

IVD devices are specifically designed to perform tests on samples taken from the human body to provide information for diagnostic, monitoring, or screening purposes. The Oral Matrix does not fit this description.

N/A

Intended Use / Indications for Use

The Oral Matrix is intended for use in extraction sockets only to contain or graft material. The device is supplied sterile and intended for one time use.

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

NPL

Device Description

The Oral Matrix consists of layered sheets of bioabsorbable extracellular collagen membrane matrix derived from porcine Small Intestinal Submucosa (SIS). These sheets are freeze-dried, packaged in a Tyvek pouch, and sterilized using ethylene oxide to achieve a SAL of 10-6.

The Oral Matrix is available in eighteen different models, the differences between the models are shown in the table below.

ModelSize (cm)ToleranceThickness
SIS-ORP-4L-1×11×1
SIS-ORP-4L-2×22×2
SIS-ORP-4L-2×32×3
SIS-ORP-4L-3×33×3
SIS-ORP-4L-4×34×3
SIS-ORP-4L-6×66×6
SIS-ORP-4L-1.5×1.51.5×1.5±0.2cm0.05~0.13mm
SIS-ORP-4L-3×53×5±0.2cm0.05~0.13mm
SIS-ORP-4L-2.5×1.52.5×1.5±0.2cm0.05~0.13mm
SIS-ORP-4L-5×45×4±0.2cm0.05~0.13mm
SIS-ORP-4L-4×64×6±0.2cm0.05~0.13mm
SIS-ORP-4L-7×77×7±0.2cm0.05~0.13mm
SIS-ORP-4L-3×3.53×3.5±0.2cm0.05~0.13mm
SIS-ORP-4L-3×73×7±0.2cm0.05~0.13mm
SIS-ORP-4L-4×44×4
SIS-ORP-4L-5×55×5
SIS-ORP-4L-6×86×8
SIS-ORP-4L-8×88×8

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

extraction sockets

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Setting appropriate for oral surgery

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 Test Conclusion
Following non-clinical tests were conducted to verify that the proposed device met all design specifications as was Substantially Equivalent (SE) to the predicate device.

Product performance comparison testing: Comparison test has been conducted on the subject device and predicate device, including Burst Strength, Suture Retention Strength, Tensile Strength, Physical Performance, The test results demonstrate the subject device has the similar product performance as those of the predicate device.

Product composition comparison testing: The total protein content, total sugar content, lipid content testing, DNA Residue and peroxyacetic Acid Residue were conducted on the subject device and predicate device. The test results demonstrate the subject device has the similar product composition as those of the predicate device.

Virus Inactivation: In order to demonstrate that the sum of the log clearance of DNA and RNA virus from the virus inactivation processes is at least 6 logs greater than the concentration of virus anticipated in the unprocessed source animal, the sponsor conducted virus inactivation according to o ISO 22442-3:2007 Medical devices utilizing animal tissues and their derivatives - Part 3: Validation of the elimination and/or inactivation of viruses and transmissible spongiform encephalopathy (TSE) agents. The test results demonstrate that the virus inactivation processes of the subject device reduce more than 6 logs virus.

Package integrity testing: The package integrity test of the sterility maintenance package was conducted according to ASTM F88/F88M-15, ASTM F1886 and ASTM F1929-15. It include: Flexible Packaging by Visual Inspection: seal strength, which shall no less than 1.5N/15mm, and dye penetration, which shall no dye penetration cross the package. The test results demonstrate the sterility maintenance package of the subject device meets the requirements of standards and thus provides sterility maintenance for the finished device.

Shelf life testing: In order to ensure the safety and effectiveness of the subject device in the shelf life, package integrity and product performance testing was conducted on the real-time aged device. The test results demonstrate the subject device can claim 24 month as shelf life.

Biocompatibility testing: The following biocompatibility testing was conducted: Cytotoxicity (ISO 10993-5), Sensitization (ISO 10993-10), Intracutaneous reactivity (ISO 10993-23), Acute systemic toxicity (ISO 10993-11), Pyrogen (ISO 10993-11), Implantation (ISO 10993-6), Subchronic systemic toxicity (ISO 10993-11), Bacterial reverse mutation test (ISO 10993-3), Mouse lymphoma TK assay (ISO 10993-3), Hemolysis study (ASTM F756), Complement activation (ISO 10993-4), Partial thromboplastin time (ISO 10993-4), Chronic system toxicity (ISO 10993-11), Chemical Characterization (ISO 10993-18, ISO 10993-17). The test results demonstrate there are no negative impacts from the materials that are used in the subject device.

Animal study: The animal study was performed on a canine model to evaluate the performance and safety by comparing with the predicate device. The results demonstrated that the subject device has ability to preserve the teeth extraction socket compared with predicate device.

Clinical Test Conclusion: No clinical study is included in this submission.

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.

K161762

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

§ 872.3930 Bone grafting material.

(a)
Identification. Bone grafting material is a material such as hydroxyapatite, tricalcium phosphate, polylactic and polyglycolic acids, or collagen, that is intended to fill, augment, or reconstruct periodontal or bony defects of the oral and maxillofacial region.(b)
Classification. (1) Class II (special controls) for bone grafting materials that do not contain a drug that is a therapeutic biologic. The special control is FDA's “Class II Special Controls Guidance Document: Dental Bone Grafting Material Devices.” (See § 872.1(e) for the availability of this guidance document.)(2) Class III (premarket approval) for bone grafting materials that contain a drug that is a therapeutic biologic. Bone grafting materials that contain a drug that is a therapeutic biologic, such as biological response modifiers, require premarket approval.
(c)
Date premarket approval application (PMA) or notice of product development protocol (PDP) is required. Devices described in paragraph (b)(2) of this section shall have an approved PMA or a declared completed PDP in effect before being placed in commercial distribution.

0

Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

February 16, 2024

Beijing Biosis Healing Biological Technology Co., Ltd. % Diana Hong General Manager Mid-Link Consulting Co, Ltd. P.O. Box 120-119 Shanghai. 200120 CHINA

Re: K231513

Trade/Device Name: Oral Matrix Regulation Number: 21 CFR 872.3930 Regulation Name: Bone Grafting Material Regulatory Class: Class II Product Code: NPL Dated: January 23, 2024 Received: January 23, 2024

Dear Diana Hong:

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 (the 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 available 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.

1

2

Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30. Design controls; 21 CFR 820.90. Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

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 Part 803) for devices or postmarketing safety reporting (21 CFR Part 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

2

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Sherrill Lathrop Blitzer

for Andrew Steen Assistant Director DHT1B: Division of Dental and ENT Devices OHT1: Office of Ophthalmic, Anesthesia, Respiratory, ENT and Dental Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

3

Indications for Use

510(k) Number (if known) K231513

Device Name Oral Matrix

Indications for Use (Describe)

The Oral Matrix is intended for use in extraction sockets only to contain or graft material. The device is supplied sterile and intended for one time use.

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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4

510(k) Summary

This 510(k) Summary is being submitted in accordance with requirements of Title 21, CFR Section 807.92.

The assigned 510(k) Number: K231513

    1. Date of Preparation: 2/16/2024
    1. Sponsor Identification

Beijing Biosis Healing Biological Technology Co., Ltd.

No.6 plant west, Valley No.1 Bio-medicine Industry Park, Daxing District, Beijing, 102600, China.

Establishment Registration Number: 3016668451

Contact Person: Ting Jiang Position: Regulatory Affair Tel: +86-10-61252660 Fax: +86-10-61252030 Email: jiangting@biosishealing.com

    1. Designated Submission Correspondent
      Ms. Diana Hong (Primary Contact Person) Ms. Jing Cheng (Alternative Contact Person)

Mid-Link Consulting Co., Ltd P.O. Box 120-119, Shanghai, 200120, China

Tel: +86-21-22815850 Fax: 360-925-3199 Email: info@mid-link.net

5

4. Identification of Subject Device

Trade Name: Oral Matrix

Regulatory Information

Regulation Number: 872.3930 Classification Name: Barrier, Animal Source, Intraoral Classification: II Product Code: NPL; Review Panel: Dental;

Indication for use:

The Oral Matrix is intended for use in extraction sockets only to contain or prevent migration of graft material. The device is supplied sterile and intended for one time use.

Device Description:

The Oral Matrix consists of layered sheets of bioabsorbable extracellular collagen membrane matrix derived from porcine Small Intestinal Submucosa (SIS). These sheets are freeze-dried, packaged in a Tyvek pouch, and sterilized using ethylene oxide to achieve a SAL of 10-6.

The Oral Matrix is available in eighteen different models, the differences between the models are shown in the table below.

ModelSize (cm)ToleranceThickness
SIS-ORP-4L-1×11×1
SIS-ORP-4L-2×22×2
SIS-ORP-4L-2×32×3
SIS-ORP-4L-3×33×3
SIS-ORP-4L-4×34×3
SIS-ORP-4L-6×66×6
SIS-ORP-4L-1.5×1.51.5×1.5±0.2cm0.05~0.13mm
SIS-ORP-4L-3×53×5±0.2cm0.05~0.13mm
SIS-ORP-4L-2.5×1.52.5×1.5±0.2cm0.05~0.13mm
SIS-ORP-4L-5×45×4±0.2cm0.05~0.13mm
SIS-ORP-4L-4×64×6±0.2cm0.05~0.13mm
SIS-ORP-4L-7×77×7±0.2cm0.05~0.13mm
SIS-ORP-4L-3×3.53×3.5±0.2cm0.05~0.13mm
SIS-ORP-4L-3×73×7±0.2cm0.05~0.13mm

6

SIS-ORP-4L-4×44×4
SIS-ORP-4L-5×55×5
SIS-ORP-4L-6×86×8
SIS-ORP-4L-8×88×8

5. Identification of Predicate Device

510(k) Number: K161762 Product Name: Dynamatrix/dynamatrix Plus

6. Non-Clinical Test Conclusion

Following non-clinical tests were conducted to verify that the proposed device met all design specifications as was Substantially Equivalent (SE) to the predicate device.

Product performance comparison testing

Comparison test has been conducted on the subject device and predicate device, including Burst Strength, Suture Retention Strength, Tensile Strength, Physical Performance, The test results demonstrate the subject device has the similar product performance as those of the predicate device.

Product composition comparison testing

The total protein content, total sugar content, lipid content testing, DNA Residue and peroxyacetic Acid Residue were conducted on the subject device and predicate device. The test results demonstrate the subject device has the similar product composition as those of the predicate device.

Virus Inactivation

In order to demonstrate that the sum of the log clearance of DNA and RNA virus from the virus inactivation processes is at least 6 logs greater than the concentration of virus anticipated in the unprocessed source animal, the sponsor conducted virus inactivation according to o ISO 22442-3:2007 Medical devices utilizing animal tissues and their derivatives - Part 3: Validation of the elimination and/or inactivation of viruses and transmissible spongiform encephalopathy (TSE) agents. The test results demonstrate that the virus inactivation processes of the subject device reduce more than 6 logs virus.

Package integrity testing

The package integrity test of the sterility maintenance package was conducted according to ASTM F88/F88M-15, ASTM F1886 and ASTM F1929-15. It include: Flexible Packaging by Visual Inspection: seal strength, which shall no less than 1.5N/15mm, and dye penetration, which shall no dye penetration cross the package. The test results demonstrate the sterility maintenance package of the subject device meets the requirements of standards and thus provides sterility maintenance for the finished device.

7

Shelf life testing

In order to ensure the safety and effectiveness of the subject device in the shelf life, package integrity and product performance testing was conducted on the real-time aged device. The test results demonstrate the subject device can claim 24 month as shelf life.

Biocompatibility testing_

The following biocompatibility testing was conducted and the test results demonstrate there are no negative impacts from the materials that are used in the subject device.

Cytotoxicity (ISO 10993-5),

Sensitization (ISO 10993-10),

Intracutaneous reactivity (ISO 10993-23),

Acute systemic toxicity (ISO 10993-11),

Pyrogen (ISO 10993-11),

Implantation (ISO 10993-6),

Subchronic systemic toxicity (ISO 10993-11),

Bacterial reverse mutation test (ISO 10993-3),

Mouse lymphoma TK assay (ISO 10993-3),

Hemolysis study (ASTM F756),

Complement activation (ISO 10993-4),

Partial thromboplastin time (ISO 10993-4).

Chronic system toxicity (ISO 10993-11)

Chemical Characterization (ISO 10993-18, ISO 10993-17).

Animal study

The animal study was performed on a canine model to evaluate the performance and safety by comparing with the predicate device. The results demonstrated that the subject device has ability to preserve the teeth extraction socket compared with predicate device.

    1. Clinical Test Conclusion
      No clinical study is included in this submission.
    1. Summary of Technological characteristics

| ITEM | Subject Device | Predicate Device
K161762 | Remark |
|--------------|----------------|-----------------------------|--------|
| Product code | NPL | NPL | Same |
| Class | Class II | Class II | Same |

Table 1 Comparison of Technology Characteristics

8

| Indication for Use | The Oral Matrix is intended
for use in extraction sockets
only to contain or prevent
migration of graft material.
The device is supplied
sterile and intended for one
time use. | DynaMatrix is intended for
use in guided tissue
regeneration and bone
regeneration procedures. It
may be used for bone
regeneration and healing of
periodontal defects, for
gingival augmentation, to
maintain or enhance
alveolar ridges, or to
contain or prevent migration
of graft material. The device
is supplied sterile and
intended for one-time use. | Different |
|----------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------|
| Sterile | Yes | Yes | Same |
| Sterilization method | EO | EO | Same |
| Single use | Yes | Yes | Same |
| Material | Porcine small intestinal
submucosa | Porcine small intestinal
submucosa; primarily
collagen types I and III | Same |
| Drying method | Freeze-dried extracellular
matrix | Freeze-dried extracellular
matrix | Same |
| Absorbable | Yes | Yes | Same |
| Intended for Prescription
use only? | Yes | Yes | Same |
| Target population | Human, oral, periodontal | Human, oral, periodontal | Same |
| Location of intended
application | Setting appropriate for oral
surgery | Setting appropriate for oral
surgery | Same |
| Packaging
configuration | Tyvek Pouch | Tyvek Pouch | Same |
| Sizes | 1 cm² to 64 cm²
(From 1cm×1cm to
8cm×8cm) | 2 cm² to 12 cm² | Different |
| Thickness (mm) | 0.05mm0.13mm | 0.05mm0.13mm | Same |
| Biocompatibility | No Cytotoxicity
No Sensitization
No Intracutaneous
Reactivity
No Acute Systemic Toxicity
Non irritant after | Comply with ISO 10993
series standards | |

9

Implantation
No Subchronic Systemic
Toxicity
No Bacterial Reverse
Mutation
No mutagenic to mouse
lymphoma cell
No Hemolysis
Pyrogen meet the
acceptable USP limits.
No Complement Activation
No Partial Thromboplastin
No Chronic System Toxicity
No unacceptable risks
associated with the extract
based on the chemical
characterization evaluation

Different-Indications for Use

The indications for use of subject device is covered by the indications for use of the predicate device. Based on the animal study, the results demonstrated that the subject device has ability to preserve the teeth extraction socket compared with the blank control group and it was similar compared with the predicate device. Therefore, this item is considered substantial equivalent.

Different- Sizes

The size of the subject device is different from the predicate device. However, the test results of product performance comparison testing (burst strength, suture retention strength, tensile strength and physical performance) and product composition comparison testing(total protein content, total sugar content and lipid content, DNA residue and peroxyacetic acid residue) show the performance and composition of the subject device and predicate device have no statistical difference. The difference will not affect the safety and effectiveness of the subject device.

9. Conclusion

The conclusions drawn from the nonclinical tests demonstrate that the subject device is substantially equivalent to the legally marketed predicate device K161762.