510(k) Report

510(k) · Cleared

Recalled · Class II · 2026

Grafton Plus DBM Paste

K043048510(k) TraditionalCleared Nov 23, 2005384-day reviewClass II21 CFR 888.3045Recalls 15

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

Osteotech, Inc. · MBP Filler, Bone Void, Osteoinduction (W/O Human Growth Factor)

Cleared on Nov 23, 2005 as substantially equivalent to K020078 (Exactech, Inc., 2004) and 3 other predicates after a 384-day review. Its family tree reaches back 3 generations to 1997. 10 later devices descend from it. It has been recalled 15 times.

Decided
Nov 23, 2005
Review
384 days
Class
Class II
Product code
MBP
Recalls
15
Predicates
4

Its longest line of descent runs back 3 generations to K963562 (1997). 7 ancestors in all. 10 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2004: 2 other ancestors2001: 2 other ancestors2006: 1 descendant cleared2008: 5 descendants cleared2015: 1 descendant cleared2017: 1 descendant cleared2024: 1 descendant cleared2025: 1 descendant clearedK963562 · Wright Plaster of Paris Pellets · Wrightmedicaltechnologyinc · 1997×2: 2 generations cleared close together, K020078 (2004), K040755 (2004) 1995200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 2 other ancestors 1 generation forward: 1 descendant2 generations forward: 3 descendants3 generations forward: 4 descendants4 generations forward: 2 descendants K040755 · Exactech Resorbable Room Temperature Bone Paste · Exactech, Inc. · 2004K020078 · Exactech Resorbable Bone Paste · Exactech, Inc. · 2004K963562 · Wright Plaster of Paris Pellets · Wrightmedicaltechnologyinc · 19970
  1. Root · 3 generations backK963562 Wright Plaster of Paris PelletsWrightmedicaltechnologyinc · 1997
  2. 2 generations backK020078 Exactech Resorbable Bone PasteExactech, Inc. · 2004
  3. 1 generation backK040755 Exactech Resorbable Room Temperature Bone PasteExactech, Inc. · 2004
  4. This deviceK043048 Grafton Plus DBM PasteOsteotech, Inc. · 2005
  5. Descendant · cites it directly · 9 of its ownK060794 Progenix DBM Putty and PasteMedtronic Sofamor Danek · 2006
  6. Descendant · 2 generations on · 4 of its ownK072265 Progenix DMB PuttyMedtronic Sofamor Danek · 2008
  7. Descendant · 2 generations on · 3 of its ownK132868 CarricellEtex Corporation · 2015
  8. Descendant · 3 generations on · 2 of its ownK163621 Vitoss Bioactive (BA) InjectableOrthovita, Inc. · 2017
  9. Descendant · 2 generations on · 2 of its ownK080462 Progenix DBM PuttyMedtronic Sofamor Danek · 2008

Showing 5 of 10 descendants. See all descendants

Descendants cleared per year

2006: 12008: 52015: 12017: 12024: 12025: 1
2006high 5 (2008) · low 0 (2007)2026

Most influential descendants

Showing 5 of 10 · See all
  • K060794Progenix DBM Putty and PasteMedtronic Sofamor Danek · 2006 · cites it directly9descendants
  • K072265Progenix DMB PuttyMedtronic Sofamor Danek · 2008 · 2 generations on4descendants
  • K132868CarricellEtex Corporation · 2015 · 2 generations on3descendants
  • K163621Vitoss Bioactive (BA) InjectableOrthovita, Inc. · 2017 · 3 generations on2descendants
  • K080462Progenix DBM PuttyMedtronic Sofamor Danek · 2008 · 2 generations on2descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K963562Wright Plaster of Paris PelletsWrightmedicaltechnologyinc1997—
−2K020078Exactech Resorbable Bone PasteExactech, Inc.2004—
−1K040755Exactech Resorbable Room Temperature Bone PasteExactech, Inc.2004—
0 (this device)K043048Grafton Plus DBM PasteOsteotech, Inc.2005—
+1K060794Progenix DBM Putty and PasteMedtronic Sofamor Danek2006—
+2K072265Progenix DMB PuttyMedtronic Sofamor Danek2008—
+2K132868CarricellEtex Corporation2015—
+3K163621Vitoss Bioactive (BA) InjectableOrthovita, Inc.2017—
+2K080462Progenix DBM PuttyMedtronic Sofamor Danek2008—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200120
200420

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200610
200850
201510
201710
202410
202510
FIG. 1 — Lineage of K043048, 1997–2025Source: 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 MBP? 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 MBP device

  1. #1 K242799 PliaFX Floscore 9.0 · 3 generations · no Class I recall
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What was it cleared against? (4)

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
*K020078Exactech Resorbable Bone Paste
Summary page 1
…g predicate devices. Trade/Pronrietary/Model Name Manufacturer 510Q(K)# Exactech Resorbable Bone Paste Exactech K020078 Exactech Resorbable Room Exactech K040755 Temperature Bone Paste AllomatrixPutty…
Exactech, Inc.2004—
*K040755Exactech Resorbable Room Temperature Bone Paste
Summary page 1
…510Q(K)# Exactech Resorbable Bone Paste Exactech K020078 Exactech Resorbable Room Exactech K040755 Temperature Bone Paste AllomatrixPutty Wright Medical K020895 AllomatrixPutty…
Exactech, Inc.2004—
*K020895Allomatrix Model# 86
Summary page 1
…ctech Resorbable Room Exactech K040755 Temperature Bone Paste AllomatrixPutty Wright Medical K020895 AllomatrixPutty Wright Medical K041186 4. Device Description: GRAFTON PLUS® DBM Paste…
Wrightmedicaltechnologyinc2004—
*K041168Allomatrix Putty
Our reading of the summary gave K041186, FDA’s number for CADDY (Afikim Electric Vehicles). Corrected to the number with two digits swapped whose FDA name carries the summary’s words for the device, “AllomatrixPutty”.
Wrightmedicaltechnologyinc2004—

Also cleared against K020078: 7 other devices →

What descends from it? (10)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K060794Progenix DBM Putty and PasteMedtronic Sofamor Danek20069

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

Recalls of this device

DateClassRecallRoot causeReason
Aug 12, 2026Class IIZ-0137-2027Process change controlMedtronic identified through donor record review that the donor for Medtronic batch A62881 did not meet all Medtronic donor eligibility requirements related to the presence of microbial organisms. While the batch passed finished product…
Sep 26, 2023Class IIZ-0166-2024Employee errorSpecific serial numbers of GraftonTM DBM product due to the potential that a step during the inspection of the outer Tyvek pouch may not have been performed according to requirements. Based on this, batches may have been released with…
Feb 8, 2023Class IIZ-1329-2023Process controlPotential for packaging non-conformances directly related to the dual-barrier, sterile pouch packaging system. Non-conforming packaging may lead to a breach in the sterile barrier.
Apr 20, 2012Class IIZ-0084-2013Device DesignMultiple lots of GRAFTON and XPANSE , which are used for bone grafting procedures are being recalled because there is a possibility that sterility of the outer surface of the inner pouch may become compromised.
Apr 20, 2012Class IIZ-0087-2013Device DesignMultiple lots of GRAFTON and XPANSE , which are used for bone grafting procedures are being recalled because there is a possibility that sterility of the outer surface of the inner pouch may become compromised.
Apr 20, 2012Class IIZ-0088-2013Device DesignMultiple lots of GRAFTON and XPANSE , which are used for bone grafting procedures are being recalled because there is a possibility that sterility of the outer surface of the inner pouch may become compromised.
Apr 20, 2012Class IIZ-0091-2013Device DesignMultiple lots of GRAFTON and XPANSE , which are used for bone grafting procedures are being recalled because there is a possibility that sterility of the outer surface of the inner pouch may become compromised.
Apr 20, 2012Class IIZ-0092-2013Device DesignMultiple lots of GRAFTON and XPANSE , which are used for bone grafting procedures are being recalled because there is a possibility that sterility of the outer surface of the inner pouch may become compromised.
Apr 20, 2012Class IIZ-0093-2013Device DesignMultiple lots of GRAFTON and XPANSE , which are used for bone grafting procedures are being recalled because there is a possibility that sterility of the outer surface of the inner pouch may become compromised.
Apr 20, 2012Class IIZ-0083-2013Device DesignMultiple lots of GRAFTON and XPANSE , which are used for bone grafting procedures are being recalled because there is a possibility that sterility of the outer surface of the inner pouch may become compromised.
Apr 20, 2012Class IIZ-0089-2013Device DesignMultiple lots of GRAFTON and XPANSE , which are used for bone grafting procedures are being recalled because there is a possibility that sterility of the outer surface of the inner pouch may become compromised.
Apr 20, 2012Class IIZ-0090-2013Device DesignMultiple lots of GRAFTON and XPANSE , which are used for bone grafting procedures are being recalled because there is a possibility that sterility of the outer surface of the inner pouch may become compromised.
Apr 20, 2012Class IIZ-0085-2013Device DesignMultiple lots of GRAFTON and XPANSE , which are used for bone grafting procedures are being recalled because there is a possibility that sterility of the outer surface of the inner pouch may become compromised.
Apr 20, 2012Class IIZ-0086-2013Device DesignMultiple lots of GRAFTON and XPANSE , which are used for bone grafting procedures are being recalled because there is a possibility that sterility of the outer surface of the inner pouch may become compromised.
Apr 20, 2012Class IIZ-0094-2013Device DesignMultiple lots of GRAFTON and XPANSE , which are used for bone grafting procedures are being recalled because there is a possibility that sterility of the outer surface of the inner pouch may become compromised.

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 1.4 years on median.
  • None of the 7 ancestors has a recall.
  • Of its descendants, K060794 (Medtronic Sofamor Danek, 2006) has gone furthest, with 9 descendants of its own.
  • 7 other devices also cite its predicate K020078.

How does its category compare?

All MBP devices

MBP Filler, Bone Void, Osteoinduction (W/O Human Growth Factor): FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · MBP

1in 2024

2007: 52008: 52009: 12011: 12012: 12013: 32015: 12024: 1
2007high 5 (2007) · low 0 (2010)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MBP

181in 2013

2007: 188 days median2008: 93 days median2013: 181 days median
2007high 188 (2007) · low 93 (2008)2026

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

Recalls per year · MBP

7in 2023

2011: 22012: 132014: 12016: 12023: 72026 (partial year): 2
2007high 13 (2012) · low 0 (2007)2026

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

Adverse event reports per year · MBP

2in 2025

2007: 72008: 152009: 92010: 142011: 182012: 242013: 162014: 152015: 112016: 62017: 52018: 92019: 32020: 62021: 22022: 42023: 62024: 12025: 2
2007high 24 (2012) · low 1 (2024)2025

MAUDE reports naming product code MBP, 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
2007518807
2008593015
20091—09
20100—014
20111—218
20121—1324
20133181016
20140—115
20151—011
20160—16
20170—05
20180—09
20190—03
20200—06
20210—02
20220—04
20230—76
20241—01
20250—02
20260—2—

What is it indicated for?

Grafton Plus® DBM Paste is intended for use as a bone graft extender, bone graft substitute, and bone void filler in bony voids or gaps of the skeletal system (i.e., spine, pelvis and extremities) not intrinsic to the stability of the bony structure. The voids or gaps may be surgically created defects or defects created by traumatic injury to the bone. Grafton Plus® DBM Paste is resorbed/remodeled and is replaced by host bone during the healing process.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K043048: Grafton Plus DBM Paste.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K043048

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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