510(k) Report

510(k) · Cleared

Recalled · 2006

Polygraft BGS; Bone Graft Substitute

K040047510(k) TraditionalCleared Dec 17, 2004340-day reviewClass II21 CFR 888.3045Recalls 1

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Osteobiologics, Inc. · MQV Filler, Bone Void, Calcium Compound

Cleared on Dec 17, 2004 as substantially equivalent to K030288 (Osteobiologics, Inc., 2003) after a 340-day review. Its family tree reaches back 3 generations to 1996. 23 later devices descend from it. It has been recalled once.

Decided
Dec 17, 2004
Review
340 days
Class
Class II
Product code
MQV
Recalls
1
Predicates
1

Its longest line of descent runs back 3 generations to K960978 (1996). 4 ancestors in all. 23 later devices descend from it, 4 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1997: 1 other ancestor2007: 5 descendants cleared2006: 1 descendant cleared2012: 1 descendant cleared2017: 2 descendants cleared2011: 2 descendants cleared2008: 2 descendants cleared2010: 1 descendant cleared2009: 1 descendant cleared2013: 2 descendants cleared2014: 1 descendant cleared2022: 1 descendant cleared2020: 1 descendant cleared2023: 2 descendants cleared2021: 1 descendant clearedK960978 · Wright Plaster of Paris Pellets (Subject to Revision) · Wrightmedicaltechnologyinc · 1996K980817 · Pro Osteon Implant 500R Resorbable Bone Graft Substitute Model Numbers 5RG05, 5RG10, 5RG15, 5G15L, 5RG20, 5RG30, 5RG30L · Interpore Intl. · 1998K030288 · Polygraft Bone Graft Substitute · Osteobiologics, Inc. · 20031995200020052010201520202025
Other ancestors, by generationDescendants, by generation 2 generations back: 1 other ancestor 1 generation forward: 4 descendants2 generations forward: 10 descendants3 generations forward: 1 descendant4 generations forward: 3 descendants5 generations forward: 4 descendants6 generations forward: 1 descendant K030288 · Polygraft Bone Graft Substitute · Osteobiologics, Inc. · 2003K980817 · Pro Osteon Implant 500R Resorbable Bone Graft Substitute Model Numbers 5RG05, 5RG10, 5RG15, 5G15L, 5RG20, 5RG30, 5RG30L · Interpore Intl. · 1998K960978 · Wright Plaster of Paris Pellets (Subject to Revision) · Wrightmedicaltechnologyinc · 19960+5
  1. Root · 3 generations backK960978 Wright Plaster of Paris Pellets (Subject to Revision)Wrightmedicaltechnologyinc · 1996
  2. 2 generations backK980817 Pro Osteon Implant 500R Resorbable Bone Graft Substitute Model…Interpore Intl. · 1998
  3. 1 generation backK030288 Polygraft Bone Graft SubstituteOsteobiologics, Inc. · 2003
  4. This deviceK040047 Polygraft BGS; Bone Graft SubstituteOsteobiologics, Inc. · 2004
  5. Descendant · cites it directly · 13 of its ownK063359 INQUIsto Technologies, Inc. · 2007
  6. Descendant · 2 generations on · 11 of its ownK071428 INQUIsto Technologies, Inc. · 2007
  7. Descendant · 2 generations on · 9 of its ownK103799 Inqu Paste Mix PlusIsto Technologies, Inc. · 2011
  8. Descendant · 3 generations on · 8 of its ownK130392 Kinex BioactiveGlobus Medical, Inc. · 2013
  9. Descendant · cites it directly · 7 of its ownK060917 Kensey Nash Bone Void FillerKensey Nash Corporation · 2006

Showing 5 of 23 descendants. See all descendants

Descendants cleared per year

2006: 12007: 52008: 22009: 12010: 12011: 22012: 12013: 22014: 12017: 22020: 12021: 12022: 12023: 2
2006high 5 (2007) · low 0 (2015)2026

Most influential descendants

Showing 5 of 23 · See all
  • K063359INQUIsto Technologies, Inc. · 2007 · cites it directly13descendants
  • K071428INQUIsto Technologies, Inc. · 2007 · 2 generations on11descendants
  • K103799Inqu Paste Mix PlusIsto Technologies, Inc. · 2011 · 2 generations on9descendants
  • K130392Kinex BioactiveGlobus Medical, Inc. · 2013 · 3 generations on8descendants
  • K060917Kensey Nash Bone Void FillerKensey Nash Corporation · 2006 · cites it directly7descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K960978Wright Plaster of Paris Pellets (Subject to Revision)Wrightmedicaltechnologyinc1996—
−2K980817Pro Osteon Implant 500R Resorbable Bone Graft Substitute Model Numbers 5RG05…Interpore Intl.1998—
−1K030288Polygraft Bone Graft SubstituteOsteobiologics, Inc.2003—
0 (this device)K040047Polygraft BGS; Bone Graft SubstituteOsteobiologics, Inc.2004—
+1K063359INQUIsto Technologies, Inc.2007—
+2K071428INQUIsto Technologies, Inc.2007—
+2K103799Inqu Paste Mix PlusIsto Technologies, Inc.2011—
+3K130392Kinex BioactiveGlobus Medical, Inc.2013—
+1K060917Kensey Nash Bone Void FillerKensey Nash Corporation2006—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199710

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200610
200750
200820
200910
201010
201120
201210
201320
201410
201720
202010
202110
202210
202320
FIG. 1 — Lineage of K040047, 1996–2023Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in MQV? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new MQV device

  1. #1 K232315 Catalyst Bone Void Fillerscore 25.2 · 25 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
Get a 510(k) Report

What was it cleared against? (1)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K030288Polygraft Bone Graft Substitute
Summary page 1
…rformance of the device. Substantial Equivalence: The PolyGraftTim BGS is substantially equivalent in design, function and performance to the PolyGrafiTM BGS cleared as K030288 on July 17, 2003. Testing: Biocompatibility assessment performed by independent certified laboratories demonstrated the biocompa…
Osteobiologics, Inc.2003—

Also cleared against K030288: 5 other devices →

What descends from it? (23)

See all 23

4 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K063359INQUIsto Technologies, Inc.200713
K060917Kensey Nash Bone Void FillerKensey Nash Corporation20067
K071187Microfuse Bone Void FillerGlobus Medical, Inc.20074
K063346Pro Osteon 500REbi, L.P.20070

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Sep 29, 2006Not classifiedZ-0440-2007OtherMis-packaging-product in the package may be a different size than indicated on the labeling.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 8 years and passes through 3 companies; a new generation was cleared every 2.3 years on median.
  • None of the 4 ancestors has a recall.
  • Of its descendants, K063359 (Isto Technologies, Inc., 2007) has gone furthest, with 13 descendants of its own.
  • 5 other devices also cite its predicate K030288.

How does its category compare?

All MQV devices

MQV Filler, Bone Void, Calcium Compound: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · MQV

14in 2025

2007: 352008: 322009: 232010: 172011: 162012: 92013: 122014: 202015: 182016: 82017: 172018: 232019: 132020: 152021: 82022: 92023: 212024: 282025: 142026 (partial year): 5
2007high 35 (2007) · low 8 (2016)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MQV

57in 2025

2007: 144 days median2008: 102 days median2009: 180 days median2010: 147 days median2011: 92 days median2012: 107 days median2013: 197 days median2014: 153 days median2015: 184 days median2016: 214 days median2017: 124 days median2018: 124 days median2019: 90 days median2020: 132 days median2021: 88 days median2022: 118 days median2023: 74 days median2024: 55 days median2025: 57 days median2026 (partial year): 96 days median
2007high 214 (2016) · low 55 (2024)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · MQV

1in 2025

2007: 52008: 32009: 12011: 62012: 32013: 22016: 12017: 12018: 22020: 12023: 32024: 22025: 12026 (partial year): 4
2007high 6 (2011) · low 0 (2010)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · MQV

57in 2025

2007: 672008: 712009: 812010: 682011: 1142012: 1492013: 2232014: 1112015: 1252016: 1062017: 1072018: 862019: 652020: 1262021: 1012022: 472023: 1202024: 682025: 57
2007high 223 (2013) · low 47 (2022)2025

MAUDE reports naming product code MQV, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
200735144567
200832102371
200923180181
201017147068
201116926114
201291073149
2013121972223
2014201530111
2015181840125
201682141106
2017171241107
201823124286
20191390065
2020151321126
20218880101
20229118047
202321743120
20242855268
20251457157
20265964—

What is it indicated for?

The PolyGraftTM BGS is to be used to fill bony voids or gaps caused by trauma or surgery that are not intrinsic to the stability of the bony structure. The PolyGraftTM BGS is intended to be gently packed into bony voids or gaps of the skeletal system (i.e., the extremities, spine and pelvis). These defects may be surgically created osseous defects or osseous defects created from traumatic injury to the bone. The product provides a bone void filler that…

Read the full statement (128 words)

The PolyGraftTM BGS is to be used to fill bony voids or gaps caused by trauma or surgery that are not intrinsic to the stability of the bony structure. The PolyGraftTM BGS is intended to be gently packed into bony voids or gaps of the skeletal system (i.e., the extremities, spine and pelvis). These defects may be surgically created osseous defects or osseous defects created from traumatic injury to the bone. The product provides a bone void filler that resorbs and is replaced with bone during the healing process. The PolyGraft TM BGS may be combined with autogenous blood products, such as platelet rich plasma, and/or sterile fluids, such as saline or Ringer's solution. The addition of these autogenous products does not alter the performance of the device.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K040047: Polygraft BGS; Bone Graft Substitute.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K040047

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026