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510(k) Data Aggregation

    K Number
    K153549
    Device Name
    OSSIX VOLUMAX
    Manufacturer
    Date Cleared
    2016-08-04

    (237 days)

    Product Code
    Regulation Number
    872.3930
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    OSSIX VOLUMAX

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    OSSIX® VOLUMAX is a resorbable collagen membrane intended for use during the process of guided bone regeneration (GBR) and guided tissue regeneration (GTR) as a biodegradable barrier for:

    • Ridge augmentation for later implant insertions.
    • Simultaneous ridge augmentation and implant insertions.
    • Ridge augmentation around implants inserted in delayed extraction sites.
    • Ridge augmentation around implants inserted in immediate extraction sites.
    • Alveolar ridge preservation consequent to tooth (teeth) extraction(s).
    • Over the window in lateral window sinus elevation procedure.
    • In implants with vertical bone loss due to infection, only in cases where satisfactory debridement and implant surface disinfection can be achieved.
    • In intra bony defects around teeth.
    • For treatment of recession defects, together with coronally positioned flap.
    • In furcation defects in multi rooted teeth.
    • Localized gingival augmentation.
    Device Description

    OSSIX® VOLUMAX is a biodegradable and biocompatible collagen membrane intended for use during the process of guided tissue and bone regeneration. The collagen is derived from veterinary certified pigs and is purified and cross-linked using ribose. OSSIX® VOLUMAX is packed in a double blister and an outer cardboard box and is sterilized by ethylene oxide. Due to its porous and fibered microstructure, the membrane readily absorbs fluids, adheres to the surrounding tissues and provides a barrier that guides bone and tissue regeneration. Available in sizes: 10x12.5 mm, 15x25 mm, 25x30 mm and 10x40 mm. Intended for use by dental surgeons.

    AI/ML Overview

    This document is a 510(k) Pre-market Notification for the OSSIX® VOLUMAX resorbable collagen membrane. It aims to demonstrate substantial equivalence to a predicate device, OSSIX® PLUS. The information provided primarily focuses on the comparison between the new device and its predicate.

    Here's an analysis of the acceptance criteria and the study that proves the device meets them:

    1. A table of acceptance criteria and the reported device performance

    The document does not present a formal table of "acceptance criteria" for performance metrics in the way a typical efficacy study might. Instead, it compares the technological characteristics of the OSSIX® VOLUMAX (subject device) with the OSSIX® PLUS (predicate device) and demonstrates that performance is either substantially equivalent or superior in relevant aspects. The underlying acceptance criterion for the subject device is to perform at least as well as the predicate device for demonstrating substantial equivalence.

    Here's a table based on the comparison provided:

    ParameterAcceptance Criteria (Based on Predicate OSSIX® PLUS)OSSIX® VOLUMAX Performance (Reported in K153549)
    Intended UseGuided bone regeneration (GBR) and guided tissue regeneration (GTR) as a biodegradable barrier for a list of dental procedures.Matches predicate. OSSIX® VOLUMAX is a resorbable collagen membrane intended for GBR and GTR as a biodegradable barrier for the same list of dental procedures as OSSIX® PLUS, plus an additional indication for "Localized gingival augmentation." This additional indication is noted to be similar to an already cleared indication for OSSIX® PLUS ("For treatment of recession defects, together with coronally positioned flap") and is also covered by a reference device, MUCOGRAFT®, which has similar thickness.
    Contra-indicationsOSSIX® PLUS contra-indications: 1. Known collagen hypersensitivity. 2. Autoimmune/connective tissue disease.Similar to predicate, with one addition. OSSIX® VOLUMAX contra-indications: 1. Known collagen hypersensitivity. 2. Sensitivity to porcine-derived materials (added). 3. Autoimmune/connective tissue disease.
    Composition of materialsCross-linked porcine type I collagen.Matches predicate. Cross-linked porcine type I collagen.
    Mode of Action/PropertiesBiocompatible, non-pyrogenic, non-antigenic, porous & fibered microstructure, readily absorbs fluid, adheres to tissues, not disrupted by closure, slowly resorbed and replaced by new tissue.Matches predicate. Same properties listed.
    Device DesignResorbable dental membrane made of porous lattice network of collagen.Matches predicate. Resorbable dental membrane made of porous lattice network of collagen.
    Thickness (dry)Approx. 0.2 mm (OSSIX® PLUS)Different from predicate. Approx. 1-2 mm (OSSIX® VOLUMAX). Justification: This is the principal difference but does not affect substantial equivalence, as demonstrated by bench and animal testing. It leads to higher resistance to suture pulling.
    PorosityApprox. 80% (OSSIX® PLUS)Different from predicate. Approx. 90% (OSSIX® VOLUMAX). Justification: Considered part of technological differences not affecting substantial equivalence, supported by testing.
    Size (mm)25 x 30 mm, 30 x 40 mm (OSSIX® PLUS)Different from predicate. Multiple sizes: 10 x 12.5 mm, 15 x 25 mm, 25 x 30 mm, 10 x 40 mm (OSSIX® VOLUMAX).
    Packaging configurationPacked in a double blister pack.Matches predicate. Packed in a double blister pack.
    SterilizationSterilized in double blisters by ethylene oxide.Matches predicate. Sterilized in double blisters by ethylene oxide, validated to a minimum sterility assurance level of 10^-6, with minimal residual levels of EtO and ECH per ISO 10993-7:2008.
    Principle of operationSurgically implanted over a bony or periodontical defect.Matches predicate. Surgically implanted over a bony or periodontical defect.
    ReusabilitySingle use only.Matches predicate. Single use only.
    Biochemical/Physicochemical/Mechanical PropertiesComparable to OSSIX® PLUS and within safety norms.Demonstrated by in vitro testing. OSSIX® VOLUMAX exhibits higher resistance to suture pulling due to increased thickness and collagen content. Other tests (Heavy metals, Endotoxins, Collagenase/Trypsin resistance, Weight, 3D structure, Tensile strength, Denaturing temperature, Carbohydrates, Ethanol, Porosity, Organic extractables, TGA, Amino acid analysis, pH) were performed, implying comparable results for substantial equivalence.
    BiocompatibilityBiocompatible (based on predicate testing).Leveraged from predicate + additional test. Biocompatibility data (cytotoxicity, sensitization, intracutaneous reactivity, systemic toxicity, subchronic toxicity, genotoxicity, implantation tests) leveraged from previous submission (OSSIX® PLUS). Additionally, an in vivo Rabbit Pyrogen Test (USP ) for OSSIX® VOLUMAX confirmed it is nonpyrogenic.
    In Vivo Performance/SafetyPerformance, degradation, and safety comparable to OSSIX® PLUS.Demonstrated by animal study. An in vivo animal study in Beagle dogs (L-shape buccal mandibular defect model) for up to 6 months demonstrated the subject device performed in a manner substantially equivalent to the cleared predicate device regarding in vivo performance, degradation, and safety.

    2. Sample sizes used for the test set and the data provenance (e.g., country of origin of the data, retrospective or prospective)

    • Non-clinical (In Vitro) Tests: The document lists various in vitro tests (heavy metals, endotoxins, collagenase resistance, tensile strength, etc.). It does not specify sample sizes for each of these in vitro tests, but implies standard laboratory testing was conducted to characterize the material.
    • In Vivo Animal Study:
      • Sample Size: 19 animals (Beagle dogs).
      • Data Provenance: Not explicitly stated, but typically these studies are conducted in a controlled laboratory setting by the manufacturer or a contract research organization. It is a prospective animal study.
    • Biocompatibility: Leveraged from previous submission of the predicate device. For the individual pyrogenicity test, sample size for rabbits is not mentioned but usually involves a small number of animals (e.g., 3-8).

    3. 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)

    This 510(k) submission is for a medical device (collagen membrane) and relies on non-clinical (in vitro and animal) studies, along with a comparison to a predicate device, rather than a clinical study requiring expert ground truth for interpretation of human patient data. Therefore, the concept of "experts establishing ground truth for a test set" in the context of diagnostic performance (e.g., radiologists interpreting images) is not applicable here.

    The "experts" involved would be the scientists and veterinarians conducting the animal study, the laboratory personnel performing the in vitro tests, and the regulatory experts overseeing the submission. Their qualifications are implied by adherence to recognized standards like ISO and USP.

    4. Adjudication method (e.g., 2+1, 3+1, none) for the test set

    Not applicable. Adjudication methods are typically used in clinical studies where multiple human readers independently interpret data (e.g., images) and discrepancies need to be resolved. This submission relies on objective physical, chemical, and biological measurements from laboratory and animal studies.

    5. 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 is a medical device (collagen membrane), not an AI diagnostic algorithm. Therefore, an MRMC study related to AI assistance is not relevant.

    6. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done

    Not applicable. As noted above, this is a physical medical device, not an algorithm.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

    The "ground truth" for the studies performed primarily consists of:

    • In vitro studies: Objective measurements against established scientific and engineering principles and recognized standards (e.g., tensile strength, chemical composition, porosity).
    • Biocompatibility: Adherence to recognized ISO standards (ISO 10993 series) and specific tests like the Rabbit Pyrogen Test (USP ). The "ground truth" here is the biological response (or lack thereof) confirming safety.
    • In vivo animal study: Histological analysis, evaluation of degradation, and assessment of tissue response and performance in the defect model, performed by veterinary pathologists and researchers. The "ground truth" is the observed biological outcome in the animal model.
    • Predicate comparison: The ground truth for substantial equivalence is that the new device is as safe and effective as the legally marketed predicate device.

    8. The sample size for the training set

    Not applicable. This is not a machine learning or AI-based device, so there is no concept of a "training set."

    9. How the ground truth for the training set was established

    Not applicable.

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