K Number
K994337
Device Name
VITOSS SCAFFOLD SYNTHETIC CANCELLOUS BONE VOID FILLER
Manufacturer
Date Cleared
2000-12-14

(357 days)

Product Code
Regulation Number
888.3045
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Vitoss Scaffold Synthetic Cancellous Bone Void Filler is intended only for use, as a bone void filler for voids or gaps that are not intrinsic to the stability of the bony structure. Vitoss Scaffold is indicated for use in the treatment of surgically created osseous defects or osseous defects created from traumatic injury to the bone. Vitoss Scaffold should not be used to treat large defects that in the surgeon's opinion would fail to heal spontaneously. Vitoss Scaffold is intended to be gently packed into bony voids or gaps of the skeletal system (i.e., the extremities, spine and pelvis). Following placement in the bony void or gap, the calcium phosphate scaffold resorbs and is replaced with bone during the healing process.
Device Description
Vitoss Scaffold is a porous calcium phosphate resorbable bone void filler for the repair of bony defects. It is an osteoconductive porous implant with a trabecular structure that resembles the multidirectional interconnected porosity of human cancellous bone. Pore diameters in the scaffold range from 1 um to 1000 µm (1 mm). The implant is provided sterile in block and morsel forms. Vitoss Scaffold guides the three-dimensional regeneration of bone in the defect site into which it is implanted. When Vitoss Scaffold is placed in direct contact with viable host bone, new bone grows in apposition to the calcium phosphate surfaces of the implant. As the implant resorbs, bone and other connective tissues grow into the space previously occupied by the scaffold. Results from animal studies demonstrate that eighty percent of Vitoss Scaffold is resorbed within twelve weeks.
More Information

Not Found

Not Found

No
The document describes a physical bone void filler material and its intended use and performance, with no mention of software, algorithms, or AI/ML capabilities.

Yes
The device is described as a "bone void filler" used for "repair of bony defects" and to guide "regeneration of bone." Its function is to facilitate the healing process by providing a scaffold for new bone growth, which is a therapeutic action.

No

The device is a bone void filler intended for treatment, not for diagnosing conditions.

No

The device description clearly states that Vitoss Scaffold is a "porous calcium phosphate resorbable bone void filler" and an "implant," indicating it is a physical material intended for implantation, 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 Vitoss Scaffold is a bone void filler for surgically created or traumatic osseous defects. It is implanted directly into the body to aid in bone healing.
  • Device Description: The description details a porous calcium phosphate implant that is placed within the skeletal system.
  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.

Vitoss Scaffold is an implantable medical device used for surgical repair, not for testing samples outside the body.

N/A

Intended Use / Indications for Use

Vitoss Scaffold Synthetic Cancellous Bone Void Filler is intended only for use as a bone void filler for voids or gaps that are not intrinsic to the stability of the bony structure. Vitoss Scaffold is indicated for use in the treatment of surgically created osseous defects or osseous defects created from traumatic injury to the bone. Vitoss Scaffold should not be used to treat large defects that in the surgeon's opinion would fail to heal spontaneously.

Vitoss Scaffold is intended to be gently packed into bony voids or gaps of the skeletal system (i.e., the extremities, spine and pelvis). Following placement in the bony void or gap, the calcium phosphate scaffold resorbs and is replaced with bone during the healing process.

Product codes

MQV

Device Description

Vitoss Scaffold is a porous calcium phosphate resorbable bone void filler for the repair of bony defects. It is an osteoconductive porous implant with a trabecular structure that resembles the multidirectional interconnected porosity of human cancellous bone. Pore diameters in the scaffold range from 1 um to 1000 µm (1 mm). The implant is provided sterile in block and morsel forms.

Vitoss Scaffold guides the three-dimensional regeneration of bone in the defect site into which it is implanted. When Vitoss Scaffold is placed in direct contact with viable host bone, new bone grows in apposition to the calcium phosphate surfaces of the implant. As the implant resorbs, bone and other connective tissues grow into the space previously occupied by the scaffold. Results from animal studies demonstrate that eighty percent of Vitoss Scaffold is resorbed within twelve weeks.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

skeletal system (i.e., the extremities, spine and pelvis)

Indicated Patient Age Range

Individuals with bony defects resulting from surgery or trauma

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)

Pre-clinical animal data demonstrate that Vitoss Scaffold supports bone growth into a metaphyseal defect. These data show that Vitoss Scaffold resorbs at an early time period, accompanied by early bone ingrowth and bone remodeling. These results, in conjunction with biocompatibility data, demonstrate that Vitoss Scaffold Bone Void Filler is as safe and as effective as the predicate device, Pro Osteon 500R.

Calcium-based ceramic materials, including tricalcium phosphate, have been used in clinical practice for more than 25 years with no remarkable safety issues. Early successful results were achieved in dentistry and oral reconstructive surgery. Subsequently, successful results have been demonstrated in the treatment of many orthopedic problems, including filling defects secondary to trauma, benign turnors and cysts, and the filling of metaphyseal defects of long bones.

In terms of safety, calcium-based bone void fillers have the advantage of avoiding the potential morbidity associated with the harvesting of bone autografts and the potential for disease transmission by allografts. To date there have been no reports in the literature of adverse reactions to calcium-based ceramic materials. A review of FDA's Manufacturer and User Facility Device Experience Database (MAUDE), conducted on 12/13/1999, showed no records of adverse device experience with Pro Osteon 500R, the device to which Vitoss Scaffold claims substantial equivalence. Only two records were found reported for all devices with the product code MQV. These two records were for Wright Medical's product, Osteoset, the device to which Pro Osteon 500R was determined to be substantially equivalent. This confirms the continued safe use of the bone void fillers currently in commercial distribution.

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

Not Found

Predicate Device(s)

Pro Osteon 500R

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 888.3045 Resorbable calcium salt bone void filler device.

(a)
Identification. A resorbable calcium salt bone void filler device is a resorbable implant intended to fill bony voids or gaps of the extremities, spine, and pelvis that are caused by trauma or surgery and are not intrinsic to the stability of the bony structure.(b)
Classification. Class II (special controls). The special control for this device is the FDA guidance document entitled “Class II Special Controls Guidance: Resorbable Calcium Salt Bone Void Filler Device; Guidance for Industry and FDA.” See § 888.1(e) of this chapter for the availability of this guidance.

0

DEC 1 4 2000

K994337

510(k) Summary Vitoss™ Scaffold Synthetic Cancellous Bone Void Filler

Submitted byAddressTelephoneContact Person
Orthovita, Inc.45 Great Valley Parkway
Malvern, PA 19355(610) 640-1775Angie Ide
Director, Regulatory Affairs
Subject DevicePredicate Device
Vitoss™ Scaffold Synthetic
Cancellous Bone Void FillerPro Osteon 500R Resorbable
Bone Void Filler
Common NameBone Void FillerBone Void Filler
Classification NameFiller, Calcium Sulfate
Preformed PelletsFiller, Calcium Sulfate
Preformed Pellets
COMPARISON TO PREDICATE
toss ScaffoldPro Osteon 500R
Intended UseSynthetic Bone Void FillerSynthetic Bone Void Filler
Target PopulationIndividuals with bony defects
resulting from surgery or traumaIndividuals with bony defects
resulting from surgery or trauma
Bony voids or gaps of the
Anatomical LocationsBony voids or gaps of the
skeletal system, i.e., the
extremities, spine and pelvisskeletal system, i.e., the
extremities, spine and pelvis
LabelingLabeling contains same intended
use, contraindications,
warnings, precautions, and
adverse events as predicateLabeling contains same intended
use, contraindications,
warnings, precautions, and
adverse events as Vitoss
Materials ====================================================================================================================================================================
Chemical CompositionCalcium saltCalcium salts
Mineral Phase(s)B-Tricalcium Phosphate
Ca3(PO4)2Hydroxyapatite
Cajo(PO4)g(OH)2
Calcium Carbonate CaCO3
Design
- Physical StructureTrabecular structure similar to
cancellous boneTrabecular structure similar to
cancellous bone
· PorosityApproximately 90%Approximately 55%
· Pore Size (range1-1000um280-779um
Performance
OsteoconductivityOsteoconductiveOsteoconductive
Resorption®Demonstrated as 76% resorbed
at six weeks and 86% resorbed
at twelve weeksReported as 20% resorbed at six
weeks and 45% resorbed at
twelve weeks
Bone Remodeling
Recorded as ratio of bone in
implant to adjacent beDemonstrated as 0.6 at six
weeks and 1.2 at twelve weeksDemonstrated as 0.4 at six
weeks and 0.5 at twelve weeks
Mechanical StrengthDoes not impart mechanical
strength to surgical siteDoes not impart mechanical
strength to surgical site
Sterility.Sterilized by gamma radiation,
single use onlySterilized by gamma radiation,
single use only
BiocompatibilityEstablishedEstablished
Dosage Form(s)Morsels (1-4 mm sizes) and
blocks (9x23mm cylinder)Morsels (1-4 mm sizes)

Device Description:

Vitoss Scaffold is a porous calcium phosphate resorbable bone void filler for the repair of bony defects. It is an osteoconductive porous implant with a trabecular structure that resembles the multidirectional interconnected porosity of human cancellous bone. Pore diameters in the scaffold range from 1 um to 1000 µm (1 mm). The implant is provided sterile in block and morsel forms.

Vitoss Scaffold guides the three-dimensional regeneration of bone in the defect site into which it is implanted. When Vitoss Scaffold is placed in direct contact with viable host bone, new bone grows in apposition to the calcium phosphate surfaces of the implant. As the implant resorbs, bone and other connective tissues grow into the space previously occupied by the scaffold. Results from animal studies demonstrate that eighty percent of Vitoss Scaffold is resorbed within twelve weeks.

Intended Use:

Vitoss Scaffold Synthetic Cancellous Bone Void Filler is intended only for use as a bone void filler for voids or gaps that are not intrinsic to the stability of the bony structure. Vitoss Scaffold is indicated for use in the treatment of surgically created osseous defects or osseous defects created from traumatic injury to the bone. Vitoss Scaffold should not be used to treat large defects that in the surgeon's opinion would fail to heal spontaneously.

Vitoss Scaffold is intended to be gently packed into bony voids or gaps of the skeletal system (i.e., the extremities, spine and pelvis). Following placement in the bony void

1

or gap, the calcium phosphate scaffold resorbs and is replaced with bone during the healing process.

Comparison to Predicate:

2

Summary of S & E Vitoss Scaffold Orthovita, Inc.

Non-clinical Performance Data:

Pre-clinical animal data demonstrate that Vitoss Scaffold supports bone growth into a metaphyseal defect. These data show that Vitoss Scaffold resorbs at an early time period, accompanied by early bone ingrowth and bone remodeling. These results, in conjunction with biocompatibility data, demonstrate that Vitoss Scaffold Bone Void Filler is as safe and as effective as the predicate device, Pro Osteon 500R.

Clinical Performance Data:

Calcium-based ceramic materials, including tricalcium phosphate, have been used in clinical practice for more than 25 years with no remarkable safety issues. Early successful results were achieved in dentistry and oral reconstructive surgery. Subsequently, successful results have been demonstrated in the treatment of many orthopedic problems, including filling defects secondary to trauma, benign turnors and cysts, and the filling of metaphyseal defects of long bones.

In terms of safety, calcium-based bone void fillers have the advantage of avoiding the potential morbidity associated with the harvesting of bone autografts and the potential for disease transmission by allografts. To date there have been no reports in the literature of adverse reactions to calcium-based ceramic materials. A review of FDA's Manufacturer and User Facility Device Experience Database (MAUDE), conducted on 12/13/1999, showed no records of adverse device experience with Pro Osteon 500R, the device to which Vitoss Scaffold claims substantial equivalence. Only two records were found reported for all devices with the product code MQV. These two records were for Wright Medical's product, Osteoset, the device to which Pro Osteon 500R was determined to be substantially equivalent. This confirms the continued safe use of the bone void fillers currently in commercial distribution.

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" around the perimeter. Inside the circle is an abstract symbol resembling an eagle or bird in flight, with three stylized wing segments and a flowing tail.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

DEC 1 4 2000

Ms. Angie Ide Director, Regulatory Affairs Orthovita Company 45 Great Valley Parkway Malvern, Pennsylvania 19355

Re: K994337

Trade Name: Vitoss "Scaffold Synthetic Cancellous Bone Void Filler Regulatory Class: Unclassified Product Code: MQV Dated: October 26, 2000 Received: October 27, 2000

Dear Ms. Ide:

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 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). 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.

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 Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic QS inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of 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 described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

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Page 2 - Ms. Angie Ide

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4659. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR 807.97). Other general information 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 its Internet address "http://www.fda.gov/cdrh/dsma/dsmamain.html."

Sincerely yours,

Celia M. Witten, M.D., Ph.D. Director Division of General, Restorative, and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Vitoss Scaffold 510(k) Notification Orthovita, Inc. December 7, 2000

INDICATIONS FOR USE STATEMENT

510(k) Number: K994337

Device Name: Vitoss™ Scaffold Synthetic Cancellous Bone Void Filler

Indications For Use:

Vitoss Scaffold Synthetic Cancellous Bone Void Filler is intended only for use, as a bone void filler for voids or gaps that are not intrinsic to the stability of the bony structure. Vitoss Scaffold is indicated for use in the treatment of surgically created osseous defects or osseous defects created from traumatic injury to the bone. Vitoss Scaffold should not be used to treat large defects that in the surgeon's opinion would fail to heal spontaneously.

Vitoss Scaffold is intended to be gently packed into bony voids or gaps of the skeletal system (i.e., the extremities, spine and pelvis). Following placement in the bony void or gap, the calcium phosphate scaffold resorbs and is replaced with bone during the healing process.

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

Coffcurrence of CDB Office of De add Thaluation (ODE)
(Division Sign-Off)
Division of General Restorative Devices
510(k) Number _

Prescription Use (Per 21 CFR 801.109)

OR

Over-The-Counter Use