Augmentation or reconstructive treatment of the alveolar ridge; Filling of infrabony periodontal defects; Filling of defects after root resection, apicoectomy, and cystectomy; Filling of extraction sockets to enhance preservation of the alveolar ridge; Elevation of the maxillary sinus floor; Filling of periodontal defects in conjunction with products intended for Guided Tissue Regeneration (GTR) and Guided Bone Regeneration (GBR); Filling of peri-implant defects in conjunction with products intended for Guided Bone Regeneration (GBR).
Device Story
Geistlich Bio-Oss Pen® is a delivery system for natural, non-antigenic, porous bovine bone mineral granules; granules serve as osteoconductive scaffold. Device consists of polymer syringe-like applicator containing granules; clinician wets granules with patient blood or saline via filter cap; filter cap replaced with angle cap for direct application to surgical site. Used by clinicians in dental/oral surgery settings. Simplifies precise delivery of bone graft material to defect sites; eliminates need for additional sterile instruments during application. Single-use device; sterilized by gamma irradiation.
Clinical Evidence
Bench testing only. Performance testing confirmed ease of wetting granules with saline/blood and usability by clinical volunteers. Biocompatibility testing (ISO 10993-5, ISO 10993-18) confirmed no leachables, extractables, or growth inhibition.
Technological Characteristics
Natural bovine-derived porous bone mineral granules. Polymer syringe-like applicator. Sterilized by gamma irradiation. Single-use. No electronic components or software.
Indications for Use
Indicated for patients requiring bone grafting for alveolar ridge augmentation, periodontal defect repair, root resection/apicoectomy/cystectomy defect filling, extraction socket preservation, maxillary sinus floor elevation, and GTR/GBR procedures.
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.
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120601
MAY 2 4 2012
ﻬﺎ ﻓﻬﻮ
## 510(k) Summary
| GEISTLICH BIO-OSS PEN® |
|------------------------|
|------------------------|
### SPONSOR
Geistlich Pharma AG Bahnhofstrasse 40 CH-6110 Wolhusen Switzerland
| Contact Person: | Daniel Kracov, Arnold & Porter, LLP |
|-----------------|-------------------------------------|
| e-mail: | Daniel.Kracov@aporter.com |
| Phone: | (202)942-5120 |
| Date Prepared: | April 25, 2012 |
### DEVICE NAME
| Proprietary Name: | Geistlich Bio-Oss Pen® |
|----------------------|---------------------------------------------|
| Common/Usual Names: | Natural Bone Grafting Material |
| Classification Name: | Bone grafting material, animal source (NPM) |
## PREDICATE DEVICES
Geistlich Bio-Oss® (K112572, K033815) RTR Syringe (K063634)
## DEVICE DESCRIPTION
Geistlich Bio-Oss® spongiosa (cancellous) granules are natural non-antigenic porous bone mineral matrices. They are produced by removal of all organic components from bovine bone. Due to its natural structure, Geistlich Bio-Oss® is physically and chemically comparable to the mineralized matrix of human bone. Geistlich Bio-Oss® granules are available in small particles (0.25 - 1.0 mm) and large particles (1.0 - 2.0 mm).
A polymer syringe-like applicator has been designed to deliver the granules more precisely to the intended treatment site without having to use other sterile instruments. The Geistlich Bio-Oss® granules can be wetted with either the patient's blood or sterile physiological saline solution by injection directly through the filter cap of the syringe-like applicator Geistlich Bio-Oss Pen® After the filter cap is replaced with the angle cap
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applicator the granules can be applied directly to the surgical site.
During the manufacturing process of Geistlich Bio-Oss Pen® the granules are placed in a-the polymer syringe-like applicator, packaged in a polyethylene terephthalate tray and covered with a Tyvek lid, sealed and then sterilized by gamma irradiation. The sterilized device is placed in the protective packaging (outer box) along with its Instructions for Use, and is intended for single-use only.
Geistlich Bio-Oss Pen® will be available to the United States market in four versions: filled with 0.25 g, 0.5 g, or 0.7 g of small granules (0.25 – 1.0 mm) or filled with 0.5 g of large granules (1.0 - 2.0 mm).
# INTENDED USE
Geistlich Bio-Oss® is intended for the following uses:
- Augmentation or reconstructive treatment of the alveolar ridge;
- Filling of infrabony periodontal defects;
- Filling of defects after root resection, apicoectomy, and cystectomy;
- Filling of extraction sockets to enhance preservation of the alveolar ridge;
- Elevation of the maxillary sinus floor;
- Filling of periodontal defects in conjunction with products intended for Guided Tissue Regeneration (GTR) and Guided Bone Regeneration (GBR);
- Filling of peri-implant defects in conjunction with products intended for Guided Bone Regeneration (GBR).
# TECHNOLOGICAL CHARACTERISTICS
Geistlich Bio-Oss Pen® has the same technological characteristics (e.g., design, material) and intended use as its predicate device, Geistlich Bio-Oss® but is packaged in a syringe-like applicator for ease of delivery to the defect. The syringe-like applicator is similar to that of RTR Syringe.
# PERFORMANCE DATA
Bench testing was performed to confirm that the Geistlich Bio-Oss® granules in Geistlich Bio-Oss Pen® could be easily wet and that the Instructions for Use could be easily understood by clinical volunteers. Testing confirmed that Geistlich Bio-Oss Pen® was a convenient way to moisten Geistlich Bio-Oss® granules, as described in the Instructions for Use. In a handling test with clinical volunteers, the test results demonstrated that the Geistlich Bio-Oss Pen® could be easily used by clinicians. These two bench-type performance tests confirmed that the granules of Geistlich Bio-Oss Pen® could be easily mixed with normal saline or blood like those in the glass vials, and that the product could be used according to its Directions for Use by clinicians participating in the bench test.
Testing was performed to confirm that there was no change in the biocompatibility of the Geistlich Bio-Oss® granules due to the new packaging configuration (i.e., syringe-like
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K120601
applicator) of Geistlich Bio-Oss Pen®. Biocompatibility testing was done per ISO 10993-18 (Biological evaluation of medical devices – Part 18: Chemical characterization of materials) and ISO 10993-5 (Biological evaluation of medical devices – Part 5: Tests for in vitro cytotoxicity). The results of biocompatibility testing confirmed that there were no leachables or extractables, or clinically relevant growth inhibition.
The results of these studies confirm the substantial equivalence of Geistlich Bio-Oss Pen® to its predicate device, Geistlich Bio-Oss®.
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### DEPARTMENT OF HEALTH & HUMAN SERVICES
Image /page/3/Picture/1 description: The image shows the logo for the Department of Health & Human Services USA. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" written around the perimeter. Inside the circle is an abstract image of an eagle.
Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002
Geistlich Pharma AG C/O Mr. Daniel A. Kracov Counsel Arnold & Porter LLP 555 Twelfth Street. NW Washington, District of Columbia 20004
MAY 2 4 2012
Re: K120601
Trade/Device Name: Geistlich Bio-Oss Pen® Regulation Number: 21 CFR 872.3930 Regulation Name: Bone Grafting Material Regulatory Class: II Product Code: NPM Dated: May 1, 2012 Received: May 2, 2012
#### Dear Mr. Kracov:
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 - Mr. Kracov
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 (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.
Sincerely vours.
hh 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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K 120 601
# Indications for Use
510(k) Number (if known): K120601
Device Name: Geistlich Bio-Oss Pen®
Indications For Use:
Geistlich Bio-Oss® is intended for the following uses:
- Augmentation or reconstructive treatment of the alveolar ridge;
- Filling of infrabony periodontal defects;
- Filling of defects after root resection, apicoectorny, and cystectomy;
- Filling of extraction sockets to enhance preservation of the alveolar ridge;
- Elevation of the maxillary sinus floor;
- Filling of periodontal defects in conjunction with products intended for Guided Tissue Regeneration (GTR) and Guided Bone Regeneration (GBR); and
- Filling of peri-implant defects in conjunction with products intended for Guided Bone Regeneration (GBR).
x AND/OR Prescription Use Subpart D) (21 CFR 801 Subpart C)
Over-The-Counter Use _______(Part 21 CFR 801
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Susan Runse
(Division Sign-Off) Division of Anesthesiology, General Hospital Infection Control, Dental Devices
Page 1 of ____________________________________________________________________________________________________________________________________________________________________
510(k) Number:
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Part 2 — Embeddings: the galaxy map 3 min
1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
Where do you find a device's intended use without opening the PDF?
Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
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Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.