BoneMedik and BoneMedik-S are indicated only for bony voids or gaps that are not intrinsic to the stability of the bony structure. They are indicated to be gently packed into bony voids or gaps of the skeletal system (i.e. extremities and pelvis). These defects may be surgically created osseous defects or osseous defects created from traumatic injury to the bone. These products provide a bone graft substitute that resorbs and is replaced with bone during the healing process.
Device Story
BoneMedik and BoneMedik-S are coralline hydroxyapatite bone void fillers; BoneMedik-S contains ~1% silicon. Materials are osteoconductive, porous, and structurally similar to human cancellous bone. Implanted via gentle packing into non-load-bearing bony voids or gaps in extremities or pelvis. Once implanted, material resorbs while facilitating bone and soft tissue ingrowth into reticulated spaces. Used by surgeons in clinical settings to treat surgically created or traumatic osseous defects. Benefits include providing a resorbable bone graft substitute that is replaced by natural bone during healing.
Clinical Evidence
No clinical data. Evidence consists of bench testing (extraction, heavy metal content, Ca/P ratio, compressive strength) and animal implantation studies (macroscopic/microscopic observation of bony ingrowth, x-ray, x-ray diffraction). Biocompatibility testing performed per ISO 10993 (cytotoxicity, sensitization, irritation, acute systemic toxicity).
Technological Characteristics
Coralline hydroxyapatite; BoneMedik-S includes ~1% silicon. Porous, trabecular structure. Sterilized via gamma radiation (ISO 11137). Meets ISO 13779-1:2000 (Implants for Surgery, Hydroxyapatite) and ISO 10993 biocompatibility standards.
Indications for Use
Indicated for patients with bony voids or gaps in the skeletal system (extremities and pelvis) not intrinsic to structural stability. Defects may be surgically created or result from traumatic injury. Contraindicated for load-bearing applications.
Regulatory Classification
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.
Special Controls
*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.
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K070897
## 510 (k) SUMMARY
SEP 17 2007
Submitter: Mr. T. H. Kim, BioQM Manager, Meta Biomed Co., Ltd., Cheongwongun, Chungbuk, Korea. Tel: 82-43-218-1983.
Classification Names and Numbers: Resorbable Calcium Salt Bone Void Filler I. Device, 21 CFR 888.3045, product code MQV.
II. Common/Usual Name: Bone void filler, bone filler, bone graft material
III. Proprietary Names: BoneMedik, and BoneMedik-S
IV. Establishment Registration Number: 9681254
V. Performance Standard: None established under section 514. However, the material meets ISO 10993 for biocompatibility, ISO 11137 Sterilization of health care products, and ISO 13409 for Sterilization validation and ISO 13779-1:2000, Implants for Surgery. Hydroxyapatite, Ceramic Hydroxyapatite.
VI. Device Description: BoneMedik and BoneMedik-S are coralline hydroxyapatite bone void fillers. They are similar except that BoneMedik-S contains about one percent silicon. Both are osteoconductive porous implant materials similar in structure to human cancellous bone. The material is trabecular hydroxyapatite. Once implanted the porous hydroxyapatite is resorbed and the reticulated spaces in the implant are infiltrated with tissue. Bone formation occurs in apposition to the BoneMedik and BoneMedik-S surface and within the interstices of the implant skeleton. As the implant resorbs, bone and soft tissue growing into the space previously occupied by the implant.
VII. Special Controls Guidance Document: Applicable sections of the guidance document. "Resorbable Calcium Salt Bone Void Filler Device, Guidance for Industry and FDA were used to design the studies described in this document. The studies used to provide the data required in the guidance document included: A. Performance Testing, Bench: Extraction material test, heavy metal contents, Ca/P ratio, shape, size, packaging and compressive strength; B. Animal Testing: Implantation tests including macroscopic and microscopic observations of bony ingrowth including x-ray photos and x-ray diffraction patterns. (C ) Biocompatibility: The biocompatibility of BoneMedic and BoneMedic-S were studied in accordance with ISO 10993, cytotoxicity, sensitization and irritation, and acute stystemic toxicity. (D) Sterility:BoneMedik and BoneMedik-S are sterilized with gamma radiation. The sterilization cycles were validated to provide a minimum sterilility assurance level of 10°
VIII. Labels and Labeling: Draft labels of BioMedik and BioMedik-S and instructions for use are provided.
XI.
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IX. Indications for Use: BoneMedik and BoneMedik-S are indicated only for bony voids or gaps that are not intrinsic to the stability of the bony structure. They are indicated to be gently packed into bony voids or gaps of the skeletal system (i.e. extremities and pelvis). These defects may be surgically created osseous defects or osseous defects created from traumatic injury to the bone. These products provide a bone graft substitute that resorbs and is replaced with bone during the healing process.
X. Substantial Equivalence: BoneMedik and BoneMedik-S are substantially equivalent to the device classified in 21 CFR 888.3045, "Resorbable calcium salt bone void filler device," product code MQV. They are also substantially equivalent to several devices currently on the market cleared by the 510(k) process. They are substantially equivalent (and nearly identical) to the Interpore, Intl. product, "Pro Osteon Implant 500 products originally cleared under the Premarket Approval system as P860005 and after reclassification cleared under 510(k)s K990131, K980817 and others. Like Pro Osteon 500, BoneMedik and BoneMedik-S are based on natural product that provides the unique structure. BoneMedik and BoneMedik-S are also substantially equivalent to the Kensey-Nash Bone Void Filler, cleared by the Kensey Nash Corp. in K060917 and K033679, and several others.
The "510(k) "Substantial Equivalence" Decision-Making Process (Detailed) from ODE Guidance Memorandum #86-3 was followed as described below:
- 1. These products have the same intended use, to fill bony voids and gaps that are not intrinsic to the stability of the bony structure. These defects may be surgically created osseous defects or those created from traumatic injury to the bone.
- 2. The technological characteristics for this product are similar to those of the predicate devices and those currently on the market and have the same starting material as the closest predicate.. In addition, the technological differences are well understood in the dental industry,
- 3. Descriptive information provided shows that the materials from which these devices are made are well known to industry and government professionals and similar to those classified and currently used in marketed devices.
- 4. The FDA "Decision-Making Process" chart was used and appears in Appendix VIII.
[End of Summary]
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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 features a stylized depiction of an eagle or bird-like figure with three curved lines forming its body and wings. The logo is surrounded by text that reads "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in a circular arrangement.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
SEP 1 7 2007
Meta Biomed Co., Ltd % Mr. Tae-Hoon Kim 414-12 Mo Choong Dong Chong Ju City Choong Chong Buk Do, Republic of Korea.
Re:
K070897 Trade/Device Name: BoneMedik and BoneMedik-S Regulation Number: 21 CFR 888.3045 Regulation Name: Resorbable calcium salt bone void filler device Regulatory Class: Class II Product Code: MQV Dated: August 14, 2007 Received: August 20, 2007
Dear Mr. Tae-Hoon Kim:
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 (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 - Mr. Tae-Hoon Kim
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), please contact the Office of Compliance at (240) 276-0120. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at toll-free number (800) 638-2041 or (240) 276-3150 or the Internet address http://www.fda.gov/cdrh/industry/support/index.html.
Sincerely vours.
Barbara Bucher
Mark N. Melkerspr Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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Page 5 -
cc: HFZ-401 DMC HFZ-404 510(k) Staff HFZ- Division D.O.
:
OC Numbers:
| Division of Enforcement A | 240-276-0115 |
|---------------------------------------------------------------------------------|--------------|
| Dental, ENT and Ophthalmic Devices Branch | 240-276-0115 |
| OB/GYN, Gastro. & Urology Devices Branch | 240-276-0115 |
| General Hospital Devices Branch | 240-276-0115 |
| General Surgery Devices Branch | 240-276-0115 |
| Division of Enforcement B | 240-276-0120 |
| Cardiovascular & Neurological Devices Branch | 240-276-0120 |
| Orthopedic, Physical Medicine & Anesthesiology Devices and Radiological Devices | 240-276-0120 |
:
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IX. Indications for Use: [Separate Page]
510(k) Number: NA
Device Name: BoneMedik and BoneMedik-S
Indications for use:
BoneMedik and BoneMedik-S'are indicated only for bony voids or gaps that are not intrinsic to the stability of the bony structure. They are indicated to be gently packed into bony voids or gaps of the skeletal system (i.e. extremities and pelvis). These defects may be surgically created osseous defects or osseous defects created from traumatic injury to the bone. These products provide a bone graft substitute that resorbs and is replaced with bone during the healing process.
Prescription Use X (Per 21 CFR 801 Subpart D)
OR
Over-The-Counter Use (Per 21 CFR 801 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE--CONTINUE ON ANOTHER PAGE IF NEEDED)
H, Office of Device Evaluation (ODE)
Division of General, Restorative, and Neurological Devices
510(k) Number_ 407089 7
Panel 1
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