CERASORB PLUS

K120152 · Riemser Arzneimittel AG · NPM · Aug 13, 2012 · Dental

Device Facts

• Record ID: K120152
• Device Name: CERASORB PLUS
• Applicant: Riemser Arzneimittel AG
• Product Code: NPM · Dental
• Decision Date: Aug 13, 2012
• Decision: SESE
• Submission Type: Abbreviated
• Regulation: 21 CFR 872.3930
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

CERASORB® Plus is recommended for: - · Defects after extirpation of bone cysts - · Augmentation of the atrophied jaw ridge - · Sinus lift or sinus base elevation respectively - · Filling alveolar defects after tooth extraction for jaw ridge support - · Filling extraction defects to create an implant site - · Filling of two or multi-walled infrabony pockets, and bifurcation and trifurcation defects - · Defects after operative removal of retained teeth or corrective osteotomes

Device Story

CERASORB® Plus is a sterile, synthetic, porous bone void filler composed of pure-phase Beta-Tricalcium Phosphate (β-TCP). Provided as roundish and polygonal crushed morsels, the material features an interconnected pore network with porosities of 35% and 65%. Used by dental surgeons in clinical settings, the granules are applied directly to bony defects. Upon contact with vital bone, the material acts as an osteoconductive scaffold, gradually resorbing and being replaced by new host bone. The device is intended for single-use and is supplied in double sterile packaging. It provides a biocompatible, non-toxic alternative to autograft or allograft materials, facilitating bone regeneration in various dental and oral surgical applications.

Clinical Evidence

No clinical data provided in this submission. Safety and effectiveness are supported by historical animal and human studies on Beta-Tricalcium Phosphate and the performance of predicate CERASORB® devices.

Technological Characteristics

Material: Pure-phase Beta-Tricalcium Phosphate (β-TCP) compliant with ASTM F 1088-04. Form: Sterile, porous, roundish/polygonal crushed morsels. Porosity: Interconnected, 35% and 65%. Mechanism: Osteoconductive, resorbable. Sterilization: Gamma irradiation. Single-use.

Indications for Use

Indicated for patients requiring bone void filling in oral/maxillofacial and dental procedures, including bone cyst removal, jaw ridge augmentation, sinus lift, alveolar defect filling, implant site preparation, and treatment of infrabony, bifurcation, or trifurcation defects.

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

• CERASORB® DENTAL (PMA800035/ K051443)
• CERASORB® M DENTAL (K051443)

Submission Summary (Full Text)

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K 120152

CERASORB® PLUS

Abbreviated 510 (K) Summary

**RIEMSER**

ITEM

## Abbreviated 510 (k) Summary:

CERASORB® Plus Date Prepared: 1 December 2011

AUG 1 3 2012

10,3

#### SUBMISSION INFORMATION 1.

| Name and Address of the Sponsor: | Riemser Arzneimittel AG<br>An der Wiek 7<br>17493 Greifswald<br>Germany |
|----------------------------------|-------------------------------------------------------------------------|
|----------------------------------|-------------------------------------------------------------------------|

Contact person:

Christoph Wahl Regulatory affairs dental medical devices/ Product Group Responsible Tel : +49 - 38351-76667 Fax: +49 - 38351-7688694 E - Mail: [e-mail]

Registered U. S. Agent:

James M. Clinton 5105 Fairoaks Rd. Durham, NC 27712, USA Phone: 919 - 247-0479, fax: 919 - 287-2551 E - Mail: clintonim(wearthiink.net

#### 2. DEVICE IDENTIFICATION

| Proprietary Name: | CERASORB® Plus |
|-----------------------------------|-----------------------------------|
| Common Name: | Bone Void Filler, Synthetic |
| Classification Name: | Bone Grafting Material, Synthetic |
| Classification: | Class II, Special Controls. |
| Classification regulation Number: | 21CFR 872.3930 |
| Product Code: | LYC |

## PREDICATE DEVICES 3.

CERASORB® DENTAL: PMA800035/ K051443

Revised 20 Jun 2012

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# CERASORB® PLUS

# Abbreviated 510 (K) Summary

TEM 6

## CERASORB® M DENTAL: K051443

#### INTENDED USE 4.

CERASORB® Plus is recommended for:

- · Defects after extirpation of bone cysts
- · Augmentation of the atrophied jaw ridge
- · Sinus lift or sinus base elevation respectively
- · Filling alveolar defects after tooth extraction for jaw ridge support
- · Filling extraction defects to create an implant site
- · Filling of two or multi-walled infrabony pockets, and bifurcation and trifurcation defects
- · Defects after operative removal of retained teeth or corrective osteotomes

#### 5. DESCRIPTION OF THE DEVICE

CERASORB® Plus is a sterile, synthetic, porous and biocompatible ceramic matrix roundish and polygonal crushed shaped morsels. This modification consists of purephase Beta-Tricalcium Phosphate with a phase purity of ≥ 99% and complies with the ASTM F 1088-04. The devices, when applied to a bony defect, create a network of large, smoothly interconnected pores providing different porosities (CERASORB® Plus mixture of granules with porosity of 35% and of 65%).

CERASORB® Plus is manufactured by a validated manufacturing process which guarantees batch to batch conformity and reproducibility. Due to their synthetic nature CERASORB® Plus does not pose any risk of potential allergic reactions and are neither locally nor systemically toxic.

In contact with vital bone the CERASORB® Plus granules, morsels or granulate is reabsorbed and gradually replaced by new bone.

CERASORB® Plus is provided in double sterile packages (sterilization via gamma irradiation) and are for single-use only.

The use of Beta-Tricalcium Phosphate in vivo is well known and has been studied and evaluated in numerous animal and human studies over the vears. These studies indicate overall excellent performance, biocompatibility, resorption and bone regeneration with CERASORB® derived thereof the performance of CERASORB® Plus in the areas of its intended use and have proven that the material is non-toxic, biocompatible, resorbable while in contact with vital bone over time is replaced by new bone at the defect size.

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# CERASORB® PLUS

# Abbreviated 510 (K) Summary

TEM 6

## BASIS FOR SUBSTANTIAL EQUIVALENCE 6.

CERASORB® Plus is are substantially equivalent to a number of currently marketed and approved/cleared bone void fillers for defects in the oral/maxillofacial and dental region, such as CERASORB® DENTAL (formally regulated as a PMA800035/ K051443) and CERASORB® M DENTAL (K051443)

Although the manufacturing process of the material is different (Beta-Tricalcium Phosphate in different porosities and morsel sizes), the intended use, recommended indications for use, target population, anatomical site, and performance data for CERASORB® Plus and the predicate devices are essentially similar. Also, all materials are resorbable and biocompatible. In contact with vital bone any of the bone grafting materials is reabsorbed and gradually replaced by new bone.

Information provided in this submission proves the effectiveness and safety of CERASORB® Plus design.

## STATEMENT OF TECHNOLOGICAL COMPARISON 7.

The CERASORB® Plus modification consist of pure phase Beta-Tricalcium Phosphate ceramic material according to ASTM F 1088-04. The material is of interconnecting porosity, osteoconductive and resorbable.

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## DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features a stylized eagle with three overlapping wings, symbolizing health and human services. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular fashion around the eagle.

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

Riemser Arzneimittel AG C/O Mr. James Clinton Quality And Regulatory Consulting, Limited Liability Company 5105 Fairoaks Road Durham, North Carolina 27712

AUG 1 3 2012

Re: K120152

Trade/Device Name: CERASORB® Plus Regulation Number: 21 CFR 872.3930 Regulation Name: Bone Grafting Material Regulatory Class: II Product Code: NPM Dated: June 26, 2012 Received: July 02, 2012

Dear Mr. Clinton:

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 Eederal Register.

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Page 2- Ms. Clinton

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/ucm115809.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,

Susan Rumm

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

Radiological Health

Enclosure

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K120752

## Indications for Use

510(k) Number: K120152

CERASORB® Plus Device Name:

Indications for Use:

CERASORB® Plus is recommended for

- · Defects after extirpation of bone cysts
- · Augmentation of the atrophied jaw ridge
- · Sinus lift or sinus base elevation respectively
- · Filling alveolar defects after tooth extraction for jaw ridge support
- · Filling extraction defects to create an implant site
- · Filling of two or multi-walled infrabony pockets, and bifurcation and trifurcation defects
- · Defects after operative removal of retained teeth or corrective osteotomes

Prescription Use (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Susem Reuryer

، Division Sign-Off) ivision of Anesthesiology, General Hospital Infection Control, Dental Devices

510(k) Number: K-20-152