You are on page 1of 4

Federal Register / Vol. 70, No.

81 / Thursday, April 28, 2005 / Rules and Regulations 21947

statements to labeling of an injectable ■ Therefore, under the Federal Food, dental bone repair from class III to class
penicillin suspension warning against Drug, and Cosmetic Act and under II (special controls), classifying into
the use of this product in calves to be authority delegated to the Commissioner class II (special controls) other bone
processed for veal. FDA is also of Food and Drugs and redelegated to the grafting material for dental indications,
amending the regulations to correctly Center for Veterinary Medicine, 21 CFR and revising the classification name and
identify approved indications for use for part 522 is amended as follows: identification of the device type. Bone
several penicillin products. This action grafting materials that contain a drug
is being taken to improve the accuracy PART 522—IMPLANTATION OR that is a therapeutic biologic will remain
of the regulations. INJECTABLE DOSAGE FORM NEW in class III and continue to require a
ANIMAL DRUGS premarket approval application. The
DATES: This rule is effective April 28,
2005. classification identification includes
■ 1. The authority citation for 21 CFR materials such as hydroxyapatite,
FOR FURTHER INFORMATION CONTACT: Joan part 522 continues to read as follows: tricalcium phosphate, polylactic and
C. Gotthardt, Center for Veterinary Authority: 21 U.S.C. 360b. polyglycolic acids, or collagen. This
Medicine (HFV–130), Food and Drug ■ 2. Section 522.1696a is amended by action is being taken to establish
Administration, 7500 Standish Pl., revising the section heading and sufficient regulatory controls that will
Rockville, MD 20855, 301–827–7571, e- paragraphs (b)(2), (b)(3), and (d)(2)(iii) to provide reasonable assurance of the
mail: joan.gotthardt@fda.gov. read as follows: safety and effectiveness of these devices.
SUPPLEMENTARY INFORMATION: Cross Elsewhere in this issue of the Federal
§ 522.1696a Penicillin G benzathine and Register, FDA is announcing the
Vetpharm Group Ltd., Broomhill Rd., penicillin G procaine suspension.
Tallaght, Dublin 24, Ireland, filed a availability of the guidance document
supplement to NADA 65–506 that * * * * * that will serve as the special control for
provides for the addition of statements (b) * * * the class II devices.
(2) Nos. 010515, 059130, and 061623
to labeling of COMBI–PEN–48 EFFECTIVE DATE: May 31, 2005.
for use as in paragraphs (d)(2)(i),
(penicillin G benzathine and penicillin FOR FURTHER INFORMATION CONTACT:
(d)(2)(ii)(A), and (d)(2)(iii) of this
G procaine) injectable suspension Michael E. Adjodha, Center for Devices
section.
warning against the use of this product (3) Nos. 000856 and 049185 for use as and Radiological Health (HFZ–480),
in calves to be processed for veal. The in paragraphs (d)(2)(i), (d)(2)(ii)(B), and Food and Drug Administration, 9200
supplemental NADA is approved as of (d)(2)(iii) of this section. Corporate Blvd., Rockville, MD 20850,
March 23, 2005, and the regulations are 301–827–5283, e-mail:
amended in § 522.1696a (21 CFR * * * * *
(d) * * * michael.adjodha@fda.hhs.gov.
522.1696a) to reflect the approval. FDA
(2) * * * SUPPLEMENTARY INFORMATION:
is also amending § 522.1696a to correct
(iii) Limitations. Limit treatment to
an error in the indications for use for I. Background
two doses. Not for use within 30 days
several penicillin products which was The Federal Food, Drug, and Cosmetic
of slaughter. For Nos. 010515, 049185,
introduced during reformatting of this Act (the act) (21 U.S.C. 301 et seq.), as
059130, and 061623: A withdrawal
section in 2001 (66 FR 711, January 4, amended by the Medical Device
period has not been established for this
2001). This is being done to improve the Amendments of 1976 (the 1976
product in preruminating calves. Do not
accuracy of the regulations. amendments) (Public Law 94–295), the
use in calves to be processed for veal.
In accordance with the freedom of Safe Medical Devices Act of 1990
information provisions of 21 CFR part Dated: April 8, 2005.
(Public Law 101–629), the Food and
20 and 21 CFR 514.11(e)(2)(ii), a Stephen D. Vaughn, Drug Administration Modernization Act
summary of safety and effectiveness Director, Office of New Animal Drug of 1997 (Public Law 105–115), and the
data and information submitted to Evaluation, Center for Veterinary Medicine. Medical Device User Fee and
support approval of this application [FR Doc. 05–8510 Filed 4–27–05; 8:45 am] Modernization Act of 2002 (Public Law
may be seen in the Division of Dockets BILLING CODE 4160–01–S 107–250) established a comprehensive
Management (HFA–305), Food and Drug system for the regulation of medical
Administration, 5630 Fishers Lane, rm. devices intended for human use.
1061, Rockville, MD 20852, between 9 DEPARTMENT OF HEALTH AND Section 513 of the act (21 U.S.C. 360c)
a.m. and 4 p.m., Monday through HUMAN SERVICES established three categories (classes) of
Friday. devices, depending on the regulatory
The agency has determined under 21 Food and Drug Administration
controls needed to provide reasonable
CFR 25.33(a)(1) that this action is of a assurance of their safety and
type that does not individually or 21 CFR Part 872
effectiveness. The three categories of
cumulatively have a significant effect on [Docket No. 2002P–0520] (formerly Docket devices are class I (general controls),
the human environment. Therefore, No. 02P–0520) class II (special controls), and class III
neither an environmental assessment (premarket approval).
nor an environmental impact statement Dental Devices; Reclassification of Under section 513 of the act, devices
is required. Tricalcium Phosphate Granules and that were in commercial distribution
This rule does not meet the definition Classification of Other Bone Grafting before May 28, 1976 (the date of
of ‘‘rule’’ in 5 U.S.C. 804(3)(A) because Material for Dental Bone Repair enactment of the 1976 amendments),
it is a rule of ‘‘particular applicability.’’ AGENCY: Food and Drug Administration, generally referred to as preamendments
Therefore, it is not subject to the HHS. devices, are classified after the
congressional review requirements in 5 ACTION: Final rule. following requirements are met: (1) FDA
U.S.C. 801–808. has received a recommendation from a
SUMMARY: The Food and Drug device classification panel (an FDA
List of Subjects in 21 CFR Part 522
Administration (FDA) is reclassifying advisory committee); (2) FDA has
Animal drugs. tricalcium phosphate (TCP) granules for published the panel’s recommendation

VerDate jul<14>2003 15:55 Apr 27, 2005 Jkt 205001 PO 00000 Frm 00027 Fmt 4700 Sfmt 4700 E:\FR\FM\28APR1.SGM 28APR1
21948 Federal Register / Vol. 70, No. 81 / Thursday, April 28, 2005 / Rules and Regulations

for comment, along with a proposed the commenter believed the special CFR 872.3930), that reclassifies TCP
regulation classifying the device; and (3) controls (composition, physical granules for dental bone repair from
FDA has published a final regulation properties, and compliance with the class III to class II (special controls);
classifying the device. FDA has American Society for Testing and classifies into class II (special controls)
classified most preamendments devices Materials (ASTM) composition other bone grafting material for dental
under these procedures. standards) described in the draft indications; and revises the
Under section 520(l) of the act (21 guidance document were not sufficient classification name and identification of
U.S.C. 360j(l)), devices formerly to provide a reasonable assurance of the device. Bone grafting materials that
regulated as new drugs are safety and effectiveness for these contain a drug that is a therapeutic
automatically classified into class III, devices. The comment states that only biologic will remain in class III and
unless FDA, in response to a evidence from clinical studies is continue to require a premarket
reclassification petition or on its own sufficient to provide a reasonable approval application.
initiative, has classified the device into assurance of safety and effectiveness for FDA is making the following changes
class I or II. these devices. to the identification of bone grafting
FDA disagrees in part with the material:
II. Regulatory History of the Device • Removing the phrase ‘‘a naturally or
comment. In most cases, FDA believes
In the Federal Register of June 30, that there is sufficient human synthetically derived’’ because it does
2004 (69 FR 39377), FDA proposed to experience with the dental bone grafting not apply to all the examples that
reclassify TCP granules for dental bone material devices being reclassified and follow.
repair from class III to class II (special classified into class II to establish a • Removing ‘‘demineralized bone
controls). Concurrently, FDA proposed special controls guidance to provide additives.’’ Minimally manipulated
to classify into class II (special controls) reasonable assurance of safety and demineralized bone is regulated as
all other bone grafting material for effectiveness through the 510(k) process human cells, tissues, and cellular and
dental indications, except those that without the submission of clinical data. tissue-based products under section 361
contained a drug or biologic component; FDA has determined that this of the Public Health Service Act (21 CFR
and to revise the classification name experience supports the conclusion that 1271.10). Human demineralized bone
and identification of the device. In the information on composition, physical with additives is regulated as a medical
proposed rule, FDA identified the properties, and compliance with ASTM device and is subject to premarket
device type as bone grafting material composition standards in a 510(k) will notification procedures. FDA intends to
such as hydroxyapatite, tricalcium provide adequate information for FDA publish a separate rule for human
phosphate, demineralized bone review of the device, if there is no demineralized bone with additives to
additives, collagen, or polylactic acid change in the formulation, design, classify the device into class II and
intended to fill, augment, or reconstruct technology, or indication for use of the establish a special control.
periodontal or bony defects of the oral device. In cases in which there is such • Adding ‘‘polyglycolic’’ to
and maxillofacial region. a change, however, the special controls ‘‘polylactic acids’’ to more clearly
The SUPPLEMENTARY INFORMATION guidance clearly states that FDA identify these materials as a class of
section of the June 30, 2004, proposed recommends the submission of clinical poly(alpha-hydroxy) acids because they
rule presented information on the data in the 510(k) to support a are often supplied as a mixture.
classification recommendations of the substantial equivalence determination. • Clarifying that bone grafting
Dental Products Advisory Panel (the If the manufacturer cannot demonstrate materials that contain a drug that is a
panel), a summary of the reasons for the that the new device is substantially therapeutic biologic are the devices that
recommendations, a summary of the equivalent, the device will be found not will remain in class III. Therapeutic
data upon which the recommendations substantially equivalent and a biologics are biological response
were based, and an assessment of the premarket approval application may be modifiers, such as growth factors,
device’s risks to public health. required. This approach is consistent cytokines, and certain monoclonal
Also in the Federal Register of June with the general recommendations of antibodies that are regulated as drugs.
30, 2004 (69 FR 39485), FDA announced the panel in 1995 and in 2003. Because insufficient information exists
the availability of the draft guidance Therefore, FDA believes that special to determine that general controls and
document entitled ‘‘Class II Special controls, in addition to general controls, special controls are sufficient to provide
Controls Guidance Document: Dental will provide a reasonable assurance of a reasonable assurance of their safety
Bone Grafting Material’’ that FDA the safety and effectiveness of these and effectiveness, these devices will
intended to serve as the special control devices and these devices can be remain in class III and continue to
for TCP and other bone grafting classified in class II. Bone grafting require premarket approval
materials, if FDA classified and material devices that contain a drug that applications.
reclassified this device type. FDA gave is a therapeutic biologic will remain in FDA is also revising paragraph (c) in
interested persons until September 28, class III and continue to require a § 872.3930 to clarify the status of the
2004, to comment on the proposed premarket approval application. devices described in paragraph (b)(2)
regulation and special controls draft that contain a drug that is a therapeutic
IV. Summary of Final Rule biologic. Devices that were not in
guidance document.
Therefore, under sections 513 and commercial distribution prior to May
III. Analysis of the Comment and FDA’s 520(l) of the act, FDA is adopting the 28, 1976, generally referred to as
Response summary of reasons for the panel’s postamendments devices, are classified
FDA received one comment on the recommendation, the summary of data automatically by statute (section 513(f)
proposed rule and guidance document. upon which the panel’s of the act (21 U.S.C. 360c(f)) into class
The comment said that TCP granules recommendations are based, and the III without any FDA rulemaking
should remain in class III (premarket assessment of the risks to public health process. Those devices remain in class
approval) and that all other bone stated in the proposed rule published on III and require a premarket approval
grafting materials for dental indications June 30, 2004. Furthermore, FDA is application, unless and until the device
should be regulated in class III because issuing this final rule, § 872.3930 (21 is reclassified into class I or II or FDA

VerDate jul<14>2003 15:55 Apr 27, 2005 Jkt 205001 PO 00000 Frm 00028 Fmt 4700 Sfmt 4700 E:\FR\FM\28APR1.SGM 28APR1
Federal Register / Vol. 70, No. 81 / Thursday, April 28, 2005 / Rules and Regulations 21949

issues an order finding the device to be V. Environmental Impact in Executive Order 13132. FDA has
substantially equivalent, under section FDA has determined under 21 CFR determined that the rule does not
513(i) of the act (21 U.S.C. 360c(i)), to 25.34(b) that this classification and contain policies conferring substantial
a predicate device that does not require reclassification action does not direct effects on the States, on the
premarket approval. The agency individually or cumulatively have a relationship between the National
determines whether new devices are significant effect on the human Government and the States, or on the
substantially equivalent to predicate environment. Therefore, neither an distribution of power and
devices by means of premarket environmental assessment nor an responsibilities among the various
notification procedures in section 510(k) environmental impact statement is levels of government. Accordingly, FDA
of the act (21 U.S.C. 360(k)) and 21 CFR required. has concluded that the rule does not
part 807 of the regulations. FDA has contain policies that have federalism
previously found the devices described VI. Analysis of Impacts implications as defined in the Executive
in paragraph (b)(2) to be FDA has examined the impacts of the order. As a result, a federalism summary
postamendments devices and not final rule under Executive Order 12866, impact statement is not required.
substantially equivalent to devices that the Regulatory Flexibility Act (5 U.S.C.
do not require premarket approval. VIII. Paperwork Reduction Act of 1995
601–612), and the Unfunded Mandates
Therefore, these devices are in class III Reform Act of 1995 (Public Law 104–4). FDA concludes that the final rule
by operation of the statute and require Executive Order 12866 directs agencies contains no collections of information.
premarket approval. FDA has revised to assess all costs and benefits of Therefore, clearance by the Office of
paragraph (c) to reflect this. available regulatory alternatives and, Management and Budget, according to
This action is being taken to establish when regulation is necessary, to select the Paperwork Reduction Act of 1995
sufficient regulatory controls to provide regulatory approaches that maximize (44 U.S.C. 3501–3520) is not required.
reasonable assurance of the safety and net benefits (including potential
effectiveness of the devices in class II. List of Subjects in 21 CFR Part 872
economic, environmental, public health
The guidance document entitled ‘‘Class and safety, and other advantages; Medical devices.
II Special Controls Guidance Document: distributive impacts; and equity). The ■ Therefore, under the Federal Food,
Dental Bone Grafting Material Devices’’ agency believes that this final rule is not Drug, and Cosmetic Act and under
will serve as the special control for the a significant regulatory action under the authority delegated to the Commissioner
device. Elsewhere in this issue of the Executive order. of Food and Drugs, 21 CFR part 872 is
Federal Register, FDA is announcing The Regulatory Flexibility Act amended as follows:
the availability of this guidance. requires agencies to analyze regulatory
Following the effective date of the final options that would minimize any PART 872—DENTAL DEVICES
rule, any firm submitting a 510(k) significant impact of a rule on small
premarket notification for this device entities. FDA believes that ■ 1. The authority citation for 21 CFR
will need to address the issues covered manufacturers of the devices being part 872 continues to read as follows:
in the special controls guidance reclassified or classified into class II are Authority: 21 U.S.C. 351, 360, 360c, 360e,
document. However, the firm need only already substantially in compliance 360j, 371.
show that its device meets the with the recommendations in the ■ 2. Section 872.3930 is revised to read
recommendations of the guidance or in guidance document. Because as follows:
some other way provides equivalent manufacturers of the devices subject to
assurances of safety and effectiveness. § 872.3930 Bone grafting material.
the special control are being relieved of
The special controls guidance the burden of submitting a premarket (a) Identification. Bone grafting
document contains recommendations approval application, the agency material is a material such as
with regard to the information and certifies that the final rule will not have hydroxyapatite, tricalcium phosphate,
testing that should be included in a a significant economic impact on a polylactic and polyglycolic acids, or
premarket notification. The guidance substantial number of small entities. collagen, that is intended to fill,
document addresses the following Section 202(a) of the Unfunded augment, or reconstruct periodontal or
topics: Material characterization, Mandates Reform Act of 1995 requires bony defects of the oral and
biocompatibility, sterilization, and that agencies prepare a written maxillofacial region.
labeling. Adequate characterization of statement, which includes an (b) Classification. (1) Class II (special
the composition, physical properties, assessment of anticipated costs and controls) for bone grafting materials that
and in vivo performance can address the benefits, before proposing ‘‘any rule that do not contain a drug that is a
risk of ineffective bone formation. includes any Federal mandate that may therapeutic biologic. The special control
Adequate biocompatibility can address result in the expenditure by State, local, is FDA’s ‘‘Class II Special Controls
the risk of adverse tissue reaction. and tribal governments, in the aggregate, Guidance Document: Dental Bone
Sterilization can address the risk of or by the private sector, of $100,000,000 Grafting Material Devices.’’ (See
infection, and labeling can address the or more (adjusted annually for inflation) § 872.1(e) for the availability of this
risk of improper use. in any one year.’’ The current threshold guidance document.)
The agency is not exempting this after adjustment for inflation is $115 (2) Class III (premarket approval) for
device from the premarket notification million, using the most current (2003) bone grafting materials that contain a
requirements of the act, as permitted by Implicit Price Deflator for the Gross drug that is a therapeutic biologic. Bone
section 510(m) of the act (21 U.S.C. Domestic Product. FDA does not expect grafting materials that contain a drug
360(m)). FDA believes that it needs to this final rule to result in any 1-year that is a therapeutic biologic, such as
review information in a premarket expenditure that would meet or exceed biological response modifiers, require
notification submission that addresses this amount. premarket approval.
the risks identified in the guidance (c) Date premarket approval
document in order to assure that a new VII. Federalism application (PMA) or notice of product
device is at least as safe and effective as FDA has analyzed the final rule in development protocol (PDP) is required.
legally marketed devices of this type. accordance with the principles set forth Devices described in paragraph (b)(2) of

VerDate jul<14>2003 15:55 Apr 27, 2005 Jkt 205001 PO 00000 Frm 00029 Fmt 4700 Sfmt 4700 E:\FR\FM\28APR1.SGM 28APR1
21950 Federal Register / Vol. 70, No. 81 / Thursday, April 28, 2005 / Rules and Regulations

this section shall have an approved (2) This rule will not create a serious meets the requirements of sections 3(a)
PMA or a declared completed PDP in inconsistency or otherwise interfere and 3(b)(2) of the Order.
effect before being placed in commercial with an action taken or planned by 8. Consultation with Indian tribes
distribution. another agency. (E.O. 13175). In accordance with
Dated: April 4, 2005. (3) This rule does not alter the Executive Order 13175, we have
Linda S. Kahan, budgetary effects of entitlements, grants, evaluated this rule and determined that
user fees, or loan programs or the rights it has no potential negative effects on
Deputy Director, Center for Devices and
Radiological Health. or obligations of their recipients. federally recognized Indian tribes. In
(4) This rule does not raise novel legal drafting the No Child Left Behind rule
[FR Doc. 05–8467 Filed 4–27–05; 8:45 am]
or policy issues. It makes only changes published today, we consulted
BILLING CODE 4160–01–S
necessary to ensure that these sections extensively with tribes; tribal members
of 25 CFR conform to the changes made of the negotiated rulemaking committee
by the new rule being published in final participated in the writing of the rule.
DEPARTMENT OF THE INTERIOR today. These conforming amendments make
Bureau of Indian Affairs 2. Regulatory Flexibility Act. The only changes necessary to ensure that
Department of the Interior certifies that the remainder of 25 CFR is consistent
25 CFR Parts 31 and 36 this document will not have a with the provisions of the No Child Left
significant economic effect on a Behind rule.
RIN 1076–AE54 substantial number of small entities 9. Paperwork Reduction Act. This
under the Regulatory Flexibility Act (5 regulation does not require an
Conforming Amendments to U.S.C. 601 et seq.). information collection from 10 or more
Implement the No Child Left Behind 3. Small Business Regulatory parties and a submission under the
Act of 2001 Enforcement Fairness Act (SBREFA). Paperwork Reduction Act is not
AGENCY: Bureau of Indian Affairs, This rule is not a major rule under 5 required. An OMB form 83–I is not
Interior. U.S.C. 804(2), the Small Business required.
ACTION: Final rule. Regulatory Enforcement Fairness Act. 10. National Environmental Policy
This rule: Act. This rule does not constitute a
SUMMARY: This final rule deletes a. Does not have an annual effect on major Federal action significantly
provisions of parts 31 and 36 that will the economy of $100 million or more. affecting the quality of the human
become obsolete on May 31, 2005, the b. Will not cause a major increase in environment.
effective date of the final rule costs or prices for consumers, 11. Justification for Issuing a Direct
implementing the No Child Left Behind individual industries, Federal, State, or Final Rule.
Act of 2001. local government agencies, or The Department has determined that
DATES: Effective Date: May 31, 2005. geographic regions. the public notice and comment
FOR FURTHER INFORMATION CONTACT: c. Does not have significant adverse provisions of the Administrative
Catherine Freels, Designated Federal effects on competition, employment, Procedure Act, 5 U.S.C. 553(b), do not
Official, P.O. Box 1430, Albuquerque, investment, productivity, innovation, or apply to this rule because of the good
NM 87103–1430; phone: 505–248–7240; the ability of U.S.-based enterprises to cause exception under 5 U.S.C.
e-mail: cfreels@bia.edu. compete with foreign-based enterprises. 553(b)(3)(B). This exception allows the
SUPPLEMENTARY INFORMATION: Today the 4. Unfunded Mandates Reform Act. agency to suspend the notice and public
Bureau of Indian Affairs is publishing This rule does not impose an unfunded procedure requirements when the
elsewhere in the Federal Register the mandate on State, local, or tribal agency finds for good cause that those
final rule implementing the No Child governments or the private sector of requirements are impractical,
Left Behind Act of 2001. The Bureau more than $100 million per year. The unnecessary, and contrary to the public
developed this rule using a negotiated rule does not have a significant or interest. This rule deletes provisions
rulemaking process that considered the unique effect on State, local, or tribal made obsolete by rules published today
views of all affected tribes and types of governments or the private sector. The by the Department; it makes no other
schools. This final rule implementing rule makes only changes necessary to substantive changes. Failure to
the No Child Left Behind Act affects ensure that these sections of 25 CFR immediately revoke these rules would
several provisions in other areas of 25 conform to the changes made by the lead to confusion and cause errors in
CFR. This rule removes these conflicting new rule being published in final today. vital educational programs. For these
provisions in order to remove potential 5. Takings (E.O. 12630). In accordance reasons, public comments is
conflicts from title 25. with Executive Order 12630, the rule unnecessary and good cause exists for
does not have significant takings publishing this change as a direct final
Compliance Information implications. No rights, property or rule.
1. Regulatory Planning and Review compensation has been, or will be
(E.O. 12866). This document is not a taken. A takings implication assessment List of Subjects in 25 CFR Parts 31 and
significant rule and the Office of is not required. 36
Management and Budget has not 6. Federalism (E.O. 13132). In Elementary and secondary education
reviewed this rule under Executive accordance with Executive Order 13132, programs, Government programs—
Order 12866. this rule does not have federalism education, Indians—education, Schools.
(1) This rule will not have an effect of implications that warrant the
Dated: April 20, 2005.
$100 million or more on the economy. preparation of a Federalism Assessment.
It will not adversely affect in a material 7. Civil Justice Reform (E.O. 12988). In Michael D. Olsen,
way the economy, productivity, accordance with Executive Order 12988, Acting Principal Deputy Assistant,
competition, jobs, the environment, the Office of the Solicitor has Secretary—Indian Affairs.
public health or safety, or State, local, determined that this rule does not ■ For the reasons given in the preamble,
or tribal governments or communities. unduly burden the judicial system and parts 31 and 36 of title 25 of the Code of

VerDate jul<14>2003 15:55 Apr 27, 2005 Jkt 205001 PO 00000 Frm 00030 Fmt 4700 Sfmt 4700 E:\FR\FM\28APR1.SGM 28APR1

You might also like