
THE MEDICAL DEVICE
ADVISORY COMMITTEE
MEETING OF THE
DENTAL PRODUCTS PANEL
Holiday Inn Gaithersburg
Walker/Whetstone Salons
Gaithersburg, Maryland
Thursday, May 22, 2003

DRAFT MEETING AGENDA
DENTAL PRODUCTS PANEL
Holiday Inn Gaithersburg
Walker/Whetstone Salons
Gaithersburg, MD
Thursday, May 22, 2003
9:30 a.m. CALL TO ORDER
9:30 – 9:45 a.m. OPEN SESSION -- Welcome and Introductory Remarks
·
Michael
E. Adjodha, Executive Secretary
·
Dr.
Leslie B. Heffez, Chairman
9:45 - 10:15 a.m. FDA Presentation – Reclassification
of Tricalcium Phosphate Granules for Dental Bone Repair (21 CFR 872.3930)
·
Dr.
Kevin P. Mulry, Acting Chief, Dental Devices Branch, DAGID
·
Dr.
Robert S. Betz, Lead Reviewer, Dental Devices Branch
10:15 - 11:15 a.m. Sponsor Presentation –
Petition to Reclassify 21 CFR 872.3930
·
Dr.
Vincent J. Morgan – The Petitioner
·
Mr.
Thomas Driskell – Inventor
·
Dr.
John R. Long – Chemist
11:15 - 12:15 p.m. Open Public Hearing
·
Dr.
Gunter Uhr – Curasan AG
·
Dr.
Thomas Arrowsmith-Lowe – Regulatory Consultant for Curasan AG
·
Dr.
Barbara Boyan – American Academy of Dental Research
·
Dr.
Mark A. Reynolds – American Academy of Periodontology
12:15 - 1:15 p.m. LUNCH
1:15 - 2:15 p.m. Panel Presentation/Discussion
2:15 - 2:30 p.m. BREAK
2:30 - 4:00 p.m. Panel Recommendation and
Classification
·
Ms. Marjorie Shulman, Consumer Safety Officer, FDA
4:00 p.m. CLOSED
SESSION – Dental Branch Updates
4:30 p.m. MEETING
ADJOURNED
The Medical Device Advisory Committee
Meeting of the Dental Products Panel
Thursday, May 22, 2003
|
CHAIR |
EXECUTIVE
SECRETARY |
|
Leslie B. Heffez, DMD,
MS Professor & Head,
Oral/Maxillofacial Surgery University of
Illinois, College of Dentistry Chicago,
Illinois |
Michael E. Adjodha,
M.ChE. Department of Health
and Human Services Food and Drug
Administration Center for Devices and
Radiological Health Office of Device
Evaluation Division of
Anesthesiology, General Hospital, Infection Control, and
Dental Devices |
PANEL
MEMBERS
|
Name |
Affiliation |
Role |
|||||
|
Richard
G. Burton, D.D.S |
University
of Iowa, Department of Hospital Dentistry Iowa
City, Iowa |
Consultant Deputized
to Vote |
|||||
|
David
L. Cochran, D.D.S., Ph.D. |
University
of Texas, Health Science Center San
Antonio, Texas |
Voting
Member |
|||||
|
Julianne
Glowacki, Ph.D. |
Brigham
and Woman’s Hospital Boston,
Massachusetts |
Consultant Deputized
to Vote |
|||||
|
Edmond R. Hewlett,
D.D.S. |
UCLA,
School of Dentistry Los
Angeles, California |
Consultant Deputized
to Vote |
|||||
|
Elizabeth S. Howe |
National
Foundation for Ectodermal Dysplasias Auburn,
Washington |
Consumer
Representative Non-voting
Member |
|||||
|
Mark
R. Patters, D.D.S., Ph.D. |
University of
Tennessee, College of Dentistry Memphis, Tennessee |
Consultant Deputized
to Vote |
|||||
|
E.
Diane Rekow, D.D.S., Ph.D. |
New
York University, College of Dentistry New
York, New York |
Voting
Member |
|||||
|
Daniel
R. Schechter, J.D. |
Parkell,
Inc. Farmingdale,
New York |
Industry
Representative Non-voting
Member |
|||||
|
Jon
B. Suzuki, D.D.S., Ph.D. |
University
of Pittsburgh, School of Dentistry Pittsburgh,
Pennsylvania |
Voting
Member |
|||||
|
|
|
|
|
|
|
||
|
FDA PARTICIPANTS |
|
M. Susan Runner,
D.D.S., M.A., Captain, USPHS Interim Division
Director, DAGID DHHS/FDA/CDRH/ODE |
|
Kevin P. Mulry,
D.D.S., M.P.H. Acting Branch Chief Dental Devices Branch DHHS/FDA/CDRH/ODE |
|
Robert S. Betz,
D.D.S., Captain, USPHS Dental Officer Dental Devices Branch DHHS/FDA/CDRH/ODE |
|
Marjorie Shulman Consumer Safety
Officer Premarket Notification
Staff DHHS/FDA/CDRH/ODE |
|
Michael E. Adjodha,
M.ChE. Chemical Engineer Dental Devices Branch DHHS/FDA/CDRH/ODE |
|
SPONSOR PARTICIPANTS |
|
Vincent J. Morgan,
D.M.D. President Bicon, Inc. Boston, Massachusetts |
|
Thomas Driskell Inventor Westerville, Ohio |
|
John R. Long, Ph.D. Director of Technology GFS Chemicals, Inc. Columbus, Ohio |
BACKGROUND
Dr. Vincent J. Morgan,
President of Bicon, Inc., Boston, Massachusetts, submitted a petition to the
FDA on November 12, 2002, to reclassify beta-tricalcium phosphate for dental
indications. Beta-tricalcium phosphate
and all other forms of tricalcium phosphate, i.e., alpha, amorphous, etc., are
transitional devices and are currently regulated for dental indications as a
Class III devices under 21 CFR 872.3930, “Tricalcium Phosphate Granules for
Dental Bone Repair.” As modified on
December 9, 2002, Dr. Morgan’s petition requests that beta-tricalcium phosphate
be regulated as a Class II device.
Copies of the petition are available on FDA’s docket. See http://www.fda.gov/ohrms/dockets/dailys/02/Dec02/121702/02p-0520.pdf.
To address the
petitioner’s request, the FDA has arranged to meet with a classification panel
on May 22, 2003, in accordance with the procedures set forth for transitional devices
(21 CFR 860.136), to reclassify 21 CFR 872.3930, the regulation to which beta
tricalcium phosphate belongs. For the
purposes of this meeting, all forms of tricalcium phosphate, are subject to the
proposed reclassification.
PANEL ACTION
At this meeting, the
Dental Products Panel will discuss and vote on the following:
·
Dr. Morgan’s petition,
·
The risks of tricalcium phosphate (as defined in 21
CFR 872.3930),
·
Any recommended controls for this device,
·
A reclassification of the device, and
·
Any recommended changes to the labeling and
indications for use.
QUESTIONS FOR THE DENTAL
PRODUCTS PANEL REGARDING THE PETITION TO RECLASSIFY TRICALCIUM PHOSHATE.
Dr. Vincent J. Morgan of Bicon, Inc., has
submitted a petition to reclassify beta-tricalcium phosphate from Class III
(Pre-Market Approval) to Class II (Special Controls).
Tricalcium phosphate is regulated as a Class III
device under 21 CFR 872.3930, product code LPK, “Tricalcium Phosphate Granules
for Dental Bone Repair.” Please
consider the following questions for Panel discussion.
1.
Does
the petition, as filed, adequately describe the risks to health of the device
and provide for appropriate controls for these risks? If yes, proceed to 3. If
no, go to 2.
2.
a)
What modifications would you make to the risks to health presented by the
device?
b) What controls for these risks would provide a
reasonable assurance of safety and effectiveness? Proceed to 3.
3.
Please
complete the Classification Questionnaire and Supplemental Data Sheet for the
device. Completion of these forms will
provide a formal recommendation for the reclassification of “Tricalcium
Phosphate Granules for Dental Bone Repair.” (21 CFR 872.3930). Proceed to 4.
4.
Given
your recommended classification, what changes, if any, would you recommend be
made to the labeling (includes directions for use, indications, and
contraindications) of these devices?