K Number
K983104
Device Name
NORIAN PERIODONTAL/DENTAL CEMENT (PDC)
Manufacturer
Date Cleared
1999-02-12

(161 days)

Product Code
Regulation Number
872.3930
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Norian PDC is intended to fill and/or augment periodontal bone wall defects, extraction socket defects, and cysts or other defects in the alveolar ridge or wall. Norian PDC Cement is intended to be used in the treatment of periodontal bone wall defects, extraction socket defects, and for repair of cysts or other defects in the alveolar ridge or wall.
Device Description
Norian PDC is a paste-like bone cement which is intended to fill and/or augment periodontal bone wall defects, extraction socket defects, and cysts or other defects in the alveolar ridge or wall. Norian PDC is an injectable and moldable, biocompatible, bone cement. The Norian PDC Reactants Pack contains the two sterile components used in Norian PDC: Calcium Phosphate Powder and Sodium Phosphate Solution. The Reactants Pack is mixed in a pneumatic mixer to form a smooth, viscous paste which is applied to the operative site. Norian PDC cures into a carbonated apatite that is substantially similar to the mineral component of bone, and over time, the Norian PDC is gradually resorbed over time.
More Information

Not Found

No
The 510(k) summary describes a bone cement material and its intended use. There is no mention of AI, ML, image processing, or any software-driven analytical capabilities. The description focuses on the material properties and biological interaction.

Yes
The device is described as a "bone cement" intended to fill and/or augment bone defects, and it cures into a carbonated apatite that is substantially similar to the mineral component of bone. While it doesn't diagnose, it directly treats a physical condition by providing material to repair or augment bone.

No

The device is a bone cement intended to fill and augment bone defects, not to diagnose medical conditions.

No

The device description clearly states that Norian PDC is a "paste-like bone cement" and describes its physical components (Calcium Phosphate Powder and Sodium Phosphate Solution) and how they are mixed and applied. This indicates 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 clearly states that the device is for filling and/or augmenting bone defects in the body. This is a therapeutic or structural purpose, not a diagnostic one.
  • Device Description: The description details a bone cement that is applied to a surgical site and cures within the body. This is consistent with a medical device used for treatment or repair, not for testing samples outside the body.
  • Lack of IVD Characteristics: There is no mention of analyzing samples (blood, tissue, etc.) in vitro (outside the body) to diagnose a condition or provide information about a patient's health status.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device is used directly on the patient's bone tissue for structural support and repair.

N/A

Intended Use / Indications for Use

Norian PDC is intended to fill and/or augment periodontal bone wall defects, extraction socket defects, and cysts or other defects in the alveolar ridge or wall.

Norian PDC Cement is intended to be used in the treatment of periodontal bone wall defects, extraction socket defects, and for repair of cysts or other defects in the alveolar ridge or wall.

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

LYC

Device Description

Norian PDC is a paste-like bone cement which is intended to fill and/or augment periodontal bone wall defects, extraction socket defects, and cysts or other defects in the alveolar ridge or wall. Norian PDC is an injectable and moldable, biocompatible, bone cement. The Norian PDC Reactants Pack contains the two sterile components used in Norian PDC: Calcium Phosphate Powder and Sodium Phosphate Solution. The Reactants Pack is mixed in a pneumatic mixer to form a smooth, viscous paste which is applied to the operative site. Norian PDC cures into a carbonated apatite that is substantially similar to the mineral component of bone, and over time, the Norian PDC is gradually resorbed over time.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

periodontal bone wall, extraction socket, alveolar ridge or wall

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

Testing was designed and performed to characterize Norian PDC Cement. Biocompatibility testing showed that Norian PDC Cement is acceptable for its intended use as a bone implant material. Norian Cement passed all tests, and showed no toxic, mutagenic or irritating effect.

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.

K962548, K973789

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 is a black and white graphic of the letter N. The left side of the N is intact, while the right side is solid black. The middle section of the N is fragmented into a series of small, angled blocks that create a sense of disintegration or digital distortion. The overall design is abstract and modern, with a focus on geometric shapes and contrasting tones.

2/12/99

Norian Corporation Skeletal Repair Systems

10260 Bubb Road Cupertino, CA 95014-4166 Phone 408 252 6800

Fax 408 252 3355

Ka 83104

510(k) Summary

General Information

Classification Name:Bone Cement
Common Name:Endosseous Implant for Bone Filling and/or Augmentation
Device Trade Name:Norian® PDCTM
Submitter's Name & Address:Norian Corporation
10260 Bubb Road
Cupertino, CA 95014-4166
(408) 252-6800
Contact Person:Kim Tompkins, Vice President, Regulatory Affairs, Quality Assurance, and
Clinical Affairs
Summary Preparation Date:September 1998

Device Description

Norian PDC is a paste-like bone cement which is intended to fill and/or augment periodontal bone wall defects, extraction socket defects, and cysts or other defects in the alveolar ridge or wall. Norian PDC is an injectable and moldable, biocompatible, bone cement. The Norian PDC Reactants Pack contains the two sterile components used in Norian PDC: Calcium Phosphate Powder and Sodium Phosphate Solution. The Reactants Pack is mixed in a pneumatic mixer to form a smooth, viscous paste which is applied to the operative site. Norian PDC cures into a carbonated apatite that is substantially similar to the mineral component of bone, and over time, the Norian PDC is gradually resorbed over time.

Predicate Device

Norian PDC is substantially equivalent to legally marketed devices in the U.S. which are classified as endosseous implant for bone filling and/or augmentation, such as ~- BSM™ Bone Substitue Material Kit (K962548) and Norian® Craniofacial Repair System™ (K973789). Any minor differences between Norian PDC and the predicate devices do not raise new questions of safety or effectiveness.

Intended Use

Norian PDC is intended to fill and/or augment periodontal bone wall defects, extraction socket defects, and cysts or other defects in the alveolar ridge or wall.

Device Testing

Testing was designed and performed to characterize Norian PDC Cement. Biocompatibility testing showed that Norian PDC Cement is acceptable for its intended use as a bone implant material. Norian Cement passed all tests, and showed no toxic, mutagenic or irritating effect.

1

Image /page/1/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features the department's name encircling a symbol. The symbol consists of three stylized human profiles that also resemble a bird in flight. The text is arranged in a circular fashion around the symbol.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

FEB 1 2 1999

Ms. Kim Tompkins Vice President, Regulatory Affairs, Quality Assurance and Clinical Affairs Norian Corporation 10260 Bubb Road 95014-4166 Cupertino, California

Re: K983104

Norian® Periodontal/Dental Cement (PDC)™ Trade Name: Requlatory Class: III Product Code: LYC Dated: December 1, 1998 December 3, 1998 Received:

Dear Ms. Tompkins

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). You may, therefore, market the device, subject to the general controls provisions The general controls provisions of the Act of the Act. include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Requlations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Good Manufacturing Practice for Medical Devices: General (GMP) requlation (21 CFR Part 820) and that, through periodic GMP inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP requlation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in Please note: this response to your the Federal Reqister. premarket notification submission does not affect any obligation you might have under sections 531 through 542 of

2

Page 2 - Ms. Tompkins

the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

This letter will allow you to begin marketing your device as fire reed in your 510(k) premarket notification. The FDA debtribut in four and equivalence of your device to a legally marketed predicate device results in a classification for your markets predicatore permits your device to proceed to the market.

If you desire specific advice for your device on our labeling requlation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4692. Additionally, for questions on compraise as (od advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to Che regulation Chercled, "Hibbidian" (2) "Other general premation on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at at fes corr rrec namble (6): //www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,

Timothy A. Ulatowski

Director Division of Dental, Infection Control, and General Hospital Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

3

510(k) Number (if known): K983104

Norian® Periodontal/Dental Cement™ (PDCTM) Device Name:

Indications for Use:

Norian PDC Cement is intended to be used in the treatment of periodontal bone wall 1 the alves extraction socket defects, and for repair of cysts or other defects in the alveolar ridge or wall.

(PLEASE DO NOT WRITE BELOW THIS LINE . CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use _V (Per 21 CFR 801.109)

OR

Over-the-Counter Use _________________________________________________________________________________________________________________________________________________________

(Optional Format 1-2-96)

Susa Rumes

(Division Sign-C Division of Dental, Infection Control, and General Hospital 510(k) Number