AART SILICONE CARVING BLOCK

K021820 · Aesthetic and Reconstructive Technologies, Inc. · MIB · Jul 16, 2002 · Ear, Nose, Throat

Device Facts

• Record ID: K021820
• Device Name: AART SILICONE CARVING BLOCK
• Applicant: Aesthetic and Reconstructive Technologies, Inc.
• Product Code: MIB · Ear, Nose, Throat
• Decision Date: Jul 16, 2002
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 874.3620
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The intended use for the AART Silicone Carving Block is for augmentation and reconstructive surgery where additional shaving by the surgeon may be necessary. The rectangular blocks are designed flatter devices for use in bone onlay for correction of surface defects resulting from skeletal anomalies such as depressions secondary to trauma or surgery. The contoured blocks are generally used for carving curved devices such as nasals or malars or used in body contouring to minimize muscular defects.

Device Story

Medical grade silicone elastomer blocks; molded into various convex oval or rectangular shapes; provided non-sterile. Surgeon manually carves blocks intraoperatively to create custom implants for augmentation or reconstructive procedures. Used in clinical settings by surgeons. Provides patient-specific anatomical fit for skeletal defects or contouring needs. Benefits include ability to tailor implant geometry to specific patient anatomy.

Clinical Evidence

No clinical data. Bench testing only.

Technological Characteristics

Medical grade silicone elastomer; molded into convex oval or rectangular shapes; non-sterile; requires autoclave sterilization by user; manual carving by surgeon.

Indications for Use

Indicated for patients requiring augmentation and reconstructive surgery. Used for bone onlay to correct surface defects from skeletal anomalies (trauma/surgery) or for carving curved implants (nasal/malar) and body contouring to minimize muscular defects.

Regulatory Classification

Identification

Ear, nose, and throat synthetic polymer material is a device material that is intended to be implanted for use as a space-occupying substance in the reconstructive surgery of the head and neck. The device is used, for example, in augmentation rhinoplasty and in tissue defect closures in the esophagus. The device is shaped and formed by the suregon to conform to the patient's needs. This generic type of device is made of material such as polyamide mesh or foil and porous polyethylene.

Predicate Devices

• Silicone Carving Block (Hanson Medical, Inc.)
• Spectrum Designs Pre-Form Contour Silicone Carving Block (Spectrum Designs, Inc.)

Submission Summary (Full Text)

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# K021820

# JUL 1 6 2002

### ATTACHMENT 7

### 510(k) Summary

May 30, 2002

| Applicant: | Aesthetic and Reconstructive Technologies, Inc. (AART)<br>3545 Airway Drive, Suite 108<br>Reno, NV 89511<br>[phone] / FAX [phone] | |
|----------------------|-------------------------------------------------------------------------------------------------------------------------------------------------|--|
| Contact Person: | Catherine Riple<br>Consultant for AART, Inc.<br>[phone] | |
| Proprietary Name: | AART Silicone Carving Block | |
| Common Name: | Silicone Carving Block | |
| Classification Name: | Elastomer, Silicone Block | |

Substantial Equivalence: The AART Silicone Carving Block is substantially equivalent in function, design, performance and materials to the Silicone Carving Block marketed by Hanson Medical, Inc. of Kingston, WA and the Spectrum Designs Pre-Form Contour Silicone Carving Block marketed by Spectrum Designs, Inc. of Carpinteria, CA.

Device Description: The AART Silicone Carving Blocks are manufactured from a medical grade silicone elastomer that has been molded into various convex oval or rectangular shapes. They are provided in seven styles with dimensions varying in length, width, height and initial shape. Pigments may be added to the silicone to make the blocks opaque if requested by the physician. The AART Silicone Carving Block is intended to be used for augmentation and reconstructive surgery where additional shaping by the surgeon may be necessary.

Intended Use: The intended use for the AART Silicone Carving Block is for augmentation and reconstructive surgery where additional shaving by the surgeon may be necessary. The rectangular blocks are designed flatter devices for use in bone onlay for correction of surface defects resulting from skeletal anomalies such as depressions secondary to trauma or surgery. The contoured blocks are generally used for carving curved devices such as nasals or malars or used in body contouring to minimize muscular defects.

Predicate Device: The AART Silicone Carving Block is substantially equivalent in material. design, function, and performance to the Silicone Carving Block marketed by Hanson Medical. Inc. of Kingston, WA and the Spectrum Design Pre-Form Contour Silicone Carving Block marketed by Spectrum Designs. Inc. of Carpinteria. CA. All products have identical intended uses and are offered in similar shapes and sizes.

Packaging: The AART Silicone Carving Blocks will be offered non-sterile. The contoured carving blocks will be individually packaged in an autoclavable peel pouch and labeled on the plastic side with appropriate identification for traceability. They will then be boxed in a SSB

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# ATTACHMENT 7 (cont'd.)

## 501(k) Summary

chipboard box along with a package insert and labeled for inventory and shipment. The rectangular blocks will be individually wrapped in a lint free tissue and then packaged in a plastic bag and labeled on one side with appropriate identification. The packaged block along with the package insert is then placed inside a second plastic bag for inventory and shipment.

Sterilization: The AART Silicone Carving Blocks are offered non-sterile. Recommended autoclave cycles are stated in the Package Insert which is included with each product.

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Image /page/2/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 a stylized caduceus or a series of human profiles.

#### Public Health Service

# JUL 1 6 2002

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

· · ·

Aesthetic and Reconstructive Technologies, Inc. c/o Ms. Catherine Riple 3545 Airway Drive, Suite 108 Reno, Nevada 89511

Re: K021820 Trade Name: AART Silicone Carving Block Regulation Number: 874.3620 Regulation Name: Ear, nose and throat synthetic polymer material Regulatory Class: II Product Code: MIB Dated: May 30, 2002 Received: June 4, 2002

Dear Ms. Riple:

We have reviewed your Section 510(k) premarket 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) 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. 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 (PMA), 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 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); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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Page 2 - Ms. Catherine Riple

This letter will allow you to begin marketing your device as described in your Section 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 21 CFR Part 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at [phone]. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at [phone]. Also, please note the regulation entitled, (Misbranding by reference to premarket notification( (21CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address HYPERLINK http://www.fda.gov/cdrh/dsma/dsmamain.html http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

Stupt Rhodes

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

Enclosure

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### ATTACHMENT 1

Page of

| 510 (k) NUMBER (IF KNOWN) : | AART Silicone Carving Block | K021820 |
|-----------------------------|-----------------------------|---------|
| DEVICE NAME: | AART Silicone Carving Block | |

INDICATIONS FOR USE:

The intended use of the AART Silicone Carving Block is for augmentation and reconstructive surgery where additional shaping by the surgeon may be necessary. The rectangular blocks are designed for carving flatter devices for use in bone onlay for correction of surface defects resulting from skeletal anomalies such as depressions secondary to trauma or surgery. The contoured blocks are generally used for carving curved devices such as nasals or malars or used in body contouring to minimize muscular defects.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use (Per 21 CFR 801.109) OR

Over - The - Counter - Use (Optional Format 1-2-5

Stupt Curdis

(Division Sign-Off) Division of General, Restorative and Neurological Devices

510(k) Number K021820