MEDPOR CONTAIN CAN IMPLANT

K102184 · Porex Surgical, Inc. · NPK · Jan 7, 2011 · Dental

Device Facts

• Record ID: K102184
• Device Name: MEDPOR CONTAIN CAN IMPLANT
• Applicant: Porex Surgical, Inc.
• Product Code: NPK · Dental
• Decision Date: Jan 7, 2011
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 872.3930
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The MEDPOR CONTAIN CAN Implant is intended to stabilize, support and provide space maintenance for bone graft materials in the maxilla, mandible and zygoma.

Device Story

The MEDPOR CONTAIN CAN Implant is a cylinder-shaped, thin-walled, highly porous, non-resorbable implant made of pure porous high-density polyethylene (pHDPE). It is designed to contain and support bone graft materials in the maxilla, mandible, or zygoma. Used by surgeons in clinical settings, the device provides space maintenance for regenerative healing and supports new bone formation for dental implants. The 'can' configuration is pre-formed to minimize the need for intraoperative shaping, trimming, or cutting, thereby reducing procedure time and the risk of introducing contaminants. The implant may be stabilized using tacks, sutures, wires, craniofacial screws, or dental implant retention screws. It benefits patients by providing a stable environment for bone grafting, facilitating predictable bone regeneration.

Clinical Evidence

No clinical data. The submission relies on bench testing and design comparison to the predicate device.

Technological Characteristics

Material: Porous high-density polyethylene (pHDPE). Form factor: Cylinder (can) shape, 8-10mm diameter, 0.40mm thickness. Sterilization: Ethylene Oxide. Single-use. Shelf life: 10 years. Packaging: Double peel pouch. No software or electronic components.

Indications for Use

Indicated for patients requiring stabilization, support, and space maintenance for bone graft materials in the maxilla, mandible, or zygoma to re-establish missing bone or establish new bone for dental implant support.

Regulatory Classification

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.

Special Controls

*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.

Predicate Devices

• MEDPOR CONTAIN Implant (K091120)

Submission Summary (Full Text)

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KI02184

Image /page/0/Picture/1 description: The image shows the logo for POREX Surgical Products Group. The word "POREX" is in large, bold, black letters. Below the word "POREX" is the phrase "SURGICAL PRODUCTS GROUP" in smaller, black letters.

# 510(k) Summary

JAN - 7 2011

Date of Summary: July 30, 2010

#### Manufacturer and Submitter:

Porex Surgical, Inc. 15 Dart Road Newnan, GA 30265 Tel: [phone] Fax: [phone]

Contact: Stephanie Fullard E-mail: stephanie.fullard(@)porex.com

Trade Name: MEDPOR® CONTAIN™ CAN Implant

Descriptive Name: MEDPOR CONTAIN Implant

Classification: II, 21 CFR 872.3930 - Bone grafting material

Product Code: NPK

Predicate Device: MEDPOR CONTAIN Implant (K091120)

#### Device Description:

The purpose of this Special 510(k) is to add the CAN configuration to MEDPOR CONTAIN Implants. The MEDPOR CONTAIN CAN Implant is a cylinder shaped, thin walled, highly porous, implant that is closed on one end and open on the other. It is made from the same biocompatible pure porous high-density polyethylene (pHDPE) material as MEDPOR CONTAIN Implants in sheet form.

Like the sheet configuration, the CAN is non-resorbable, allows for host integration and is designed to stabilize and support bone graft materials and provide space maintenance necessary for regenerative healing.

The CAN configuration will minimize the need for the surgeon to shape the MEDPOR CONTAIN Sheet Implant, which will reduce the time required for performing the procedure and reduce the possibility of introducing contaminants or debris to the surgical site.

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Image /page/1/Picture/1 description: The image shows the logo for POREX Surgical Products Group. The word "POREX" is in large, bold, black letters. Below the word "POREX" is the phrase "SURGICAL PRODUCTS GROUP" in smaller, black letters.

## Indications for Use:

The MEDPOR CONTAIN CAN Implant is intended to stabilize, support and provide space maintenance for bone graft materials in the maxilla, mandible and zygoma.

Technological Characteristics: The MEDPOR CONTAIN CAN Implant can be used to contain, support, and maintain the space for bone graft material that is used in the maxilla, mandible or zygoma to re-establish missing bone or establish new bone for support of dental implants. The MEDPOR CONTAIN CAN Implant is designed to minimize the surgeon's need to shape, trim or cut the implant to fit a patient's specific needs. It may be stabilized with tacks, sutures, wires, craniofacial screws or dental implant retention screws. The MEDPOR CONTAIN CAN Implant is manufactured from the same material, packaged, labeled and sterilized the same as all other MEDPOR CONTAIN Implants.

Substantial Equivalence: The MEDPOR CONTAIN CAN Implant is substantially equivalent in intended use, material, function and design principles to the MEDPOR CONTAIN Implant.

| | MEDPOR CONTAIN CAN | Predicate Device<br>MEDPOR CONTAIN Implant |
|------------------------|-----------------------------------------|--------------------------------------------|
| | Implant | |
| 510(k) Number | This Submission | K091120 |
| Device Classification | Class II, Code NPK | Class II, Code NPK |
| | Reg. No. 872.3930 | Reg. No. 872.3930 |
| Intended Use | The MEDPOR CONTAIN CAN | The MEDPOR CONTAIN |
| | Implant is intended to stabilize, | Implant is intended to stabilize, |
| | support and provide space | support and provide space |
| | maintenance for bone graft | maintenance for bone graft |
| | materials in the maxilla, | materials in the maxilla, |
| | mandible and zygoma. | mandible and zygoma. |
| Material | Linear high-density | Linear high-density |
| | polyethylene biomaterial | polyethylene biomaterial |
| Shape | Cylinder (Can) | Flat (Sheet) |
| Diameter (mm) | 8, 9, 10 | Not Applicable |
| Thickness (mm) | 0.40 | 0.25, 0.35, 0.45 |
| Sterility | Sterile/Ethylene Oxide | Sterile/Ethylene Oxide |
| Single Use Only | Yes | Yes |
| Packaging | Double peel pouch | Double peel pouch |
| Shelf life | 10 years | 10 years |
| Safety & Effectiveness | No changes in function and intended use | |

- Substantial Equivalence Matrix

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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 is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract symbol that resembles an eagle or bird-like figure.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

Ms. Stephanie Fullard Regulatory Affairs Manager Porex Surgical, Incorporated 15 Dart Road Newnan, Georgia 30265

JAN - 7 2011

Re: K102184

Trade/Device Name: MEDPOR® CONTAIN™ CAN Implant Regulation Number: 21 CFR 872.3930 Regulation Name: Bone Grafting Material Regulatory Class: II Product Code: NPK Dated: November 22, 2010 Received: November 24, 2010

Dear Ms. Fullard:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to 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.

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## Page 2- Ms. Fullard

Enclosure

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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ ucml 15809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours.

h for

Anthony D. Watson, B.S., M.S., M.B.A. Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

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# Indications for Use

510(k) Number: K102184

JAN - 7 2011

Device Name: MEDPOR® CONTAIN™ CAN Implant

Indications for Use: The MEDPOR CONTAIN CAN Implant is intended to stabilize, support and provide space maintenance for bone graft materials in the maxilla, mandible and zygoma.

Prescription Use X (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Susan Runoe

(Division Sign-Off) Division of Anesthesiology, General Hospltal Infection Control, Dental Devices

510(k) Number:

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