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AR226-3066 TRADE SECRET Study Title LISP Biocompatibility Testing of H-22239 (Control Item) and H-22240 (Test Item) Contracting Laboratory North American Science Associates, Inc. 2261 Tracy Road Northwood, Ohio 43619-1397 for Haskell E. 1. du Pont de Nemours and Company Laboratory for Toxicology and Industrial Medicine Elkton Road, P.O. Box 50 Newark, Delaware 19714 Study Monitor Susan A. MacKenzie, V.M.D., Ph.D., D.A.B.T. Sttfdy Completed on January 17, 1997 Laboratory Project ID llaskcll Laboratory Report No. HLO-1997-00026 Paye 1 01'33 Company Sanitized. Does not contain TSCA CB( t '.SP Bioconipatibility Tr.sliiit; 11! 11-322.19 (funtrol Hem> ;iiul 11-22240 (Ti.-si Hem) GENERAL INFORMATION Test Substance # I Substance TestedSvnonvms/Qther ("pries- NAmSA Lab. No..- Physical Form: Purity: CompositionContaminants: CAS Retfistiv No.: H-22239 H-22239 (Control Item) 96T-16837-00 Blue fabric Test Substance #2 Substance Tested: Synonyms/Other Codes: NAmSA Lab. No.: Physical Form: Purity: Composition: Contaminants: CAS Registry No.: Study tnitiated-Completcd: H-22240 H-22240 (Test Item) 96T-16836-00 Blue fabric 12/02/96-01/17/97 HLO-1997-08026 - 2Company Sanitized. Does not contain TSCA CBt WMs^sSSSSSS^ I 'S|' IliiiLoinpuiihilily lu.sling 1 H-22..<y (Control llemt und H--';;4l Tesi licrnt DuPoni Central Research anil Development Haskell Laboralory lor rnxiculoyy and Industrial Medicine HLO-1997-00026 January 17,1997 DuPoni Non-Woven Old Hickory. Tennessee USP Biocompatibility Testing ofH-22239 (Control Item) and H.22240 (Test Item} Attached you will find reports from North American Science Associates, Inc. The results for the H-22239 and H-22240 samples are: Test Results Test Substance Cylotoxicity (Ayarosc Overlay) USP Intracutaneous SC3 CSO" USP Muscle Implantation (7 day) H-22239 Non-toxic Pass Pass NS' H-22240 Non-toxic Pass Pass NS a Sodium chloride extract h Cotton Seed oil extract c Not significant ^^0 Q ~VY\I^ Susan A. MacKenzie. V.M.D., Ph.D., D.A.B.T. Research loxicologist -3- Company Sanitized. Does not contain TSCA CBt Ssss l'()iit"i(JenHal MdUJO-IIO Lab No. P.O. No. 1-:. I. dii Pent de Nemours & Co. HASKELL LABORATORY Ul-KTON RD. P.O. BOX 50 \hWARK. DL 19714-0050 A1T\: DR. SUSAN A. MACKENZIE: ID No. CYTOTOXICH Y AGAROSE OVERLAY, SOLID 96T 16837 00 LGX-593521 H-22239 Test Article: H-22239 (control item) Test Article Description: Sheet 1 cnr piece Exnerimental Procedure: A monolayer of L-929 mouse fibroblast cells was grown 10 confluency and overlaid with Minimum Essential Medium supplemented with serum, antibiotics, neutral red. and 2% agarose. The test article, a 0.5 cm x 0.5 cm piece of 725871H as a positive control, and a 1.0 cm length piece of UP-1 as a negative control were placed on (he solidified overlay surface. Following incubation for 24 hours, the culture was macroscopically examined for evidence of cell decolorization to determine the zone of cell lysis. Any decolorized zone present was examined microscopically to confirm cell lysis. Score Nontoxic (N) Toxic (T) Observations Normal cell morphology in proximity to test sample. Cellular death and degeneration associated with the area beneath the lest sample and possibly extended beyond the perimeter of the test sample. Where a zone of lysis was observed, the distance from the edge of the sample to the edge of the zone was measured and reported in millimeters (mm). ompany Sanitized. Odes not contain TCA 6B1 p^ , ^ ^ f^WV| ,! B^AK^ 1,1R0 ^^B^ AK ^^& A^R r R^& ^R &VJBIR "'"''' /"1"I/''''" ^"""'^ '""'"' '"- " *'''""' ""' '"''"'^ MG030-110 Lab No. HLO-1997-00026 2261 Tracy Road Northwood. OH 43619 Phone 419*666^455 FAX 419*666*29S4 96T 16837 00 CYTOTOX1CITY - AGAROSE OVERLAY. SOLID Results: Test/Control Articles Test Article Negative Control: UP-1 NAmSA Positive Control: 725871H Score N N T Zone of Lysis (mm) 0 0 7 Results and conclusions apply only to the test article tested. No further evaluation of these results is made by NAmSA. Any extrapolation of these data to other samples is the responsibility of the sponsor. Conclusion: Comments: Record Storage: The above test article was nontoxic for L-929 mouse fibroblast cells under the above described test parameters. Placed the bluest side of the test article down on agarose. All raw data pertaining to this study and a copy of the final report are to be retained in designated NAmSA archive files. Test Article Received: 12-5-96 Date Prepared: 12-11-96 Date Terminated: 12-12-96 Company Sanitized. Does not contain TSCA CBI nini ^ Date Completed iZ-n-^b Approved By Aiilhnn/tilioli lor duplica'"" .'! il'r. " l'"'' -<'.epl 111 wluilo. is reserved pen'ling NAmSA's wiitlen approval. Confideniial TU013-800 HLO-1997-OC026 Lab No. 96T 16837 00 P.O. No. LGX-593521 STUDY TITLE: USP 1NTRACUTANEOUS TOXICITY STUDY IN THE RABBIT (Extracts) TEST ARTICLE: H-22239 (control item) IDENTIFICATION NO.: H-22239 ^ 00^ ^c0^ A^0 i' ^.C^ o" ^ ^ ^ -^ SPONSOR: DR. SUSAN A. MA^CKENZIE E. I. du Pom de Neimours & Co. HASKELL LABOR/ATORY ELKTON RD. P.O. BOX 50 NEWARK, DE 19714-0050 BUmf^lL0jR ^ ^ ^M *< ^ X--B--. A KW------------U0----fWo--o,,rh--lS.ML.a.MS,ttIDT,,kll.i,MsS,,n,rU,., rwH)u>www> i UI IPI|IIB umo m 11110 if"'1' "^H > wim^, r i----iru f(----q rw^fiio^B Mnn W 226< Truy Ro*d NorltlWOOd. OH 43619 >% FAX '9e6.9<55 <'MW MfJ(f>U>Bl. Page 1 or 7 ;'l'tll.< K011 TAHLH OF CONTENTS lll.ii- I ^P-ODD.'I. l-th N11. WiT lfK.170(l SI'MMARV ... INTRODUCTION . . MATERIALS ... MF.THODS . . . RESULTS . . . . C'ONCT.l.SION . . . RECORD STORAGE TABLE 1 LSP 1NTRACUTANEODS TOX1CITY OBSERVATIONS ^P-X S,te,,. o^ ,,,, ^^ ^ ^ NAmSA H.*'M JrdJrr in leMin^ <'-f>..<i /or tfc^ .MfilnitI /*<-tirr JnJuurt ?.'(".' I'.l.- v Hfilll N'.il'i-i,.-..'1 (1H 4 It '1 * Al .1 rt-fiCit-.'^''^ Auihc-ritatio" *"' Oui'l'ritiH'" nl this iBt1"" 1'" nrl ' '*>n)lf is tRSprvHO peniling NAmSA s wnltw a|pf0vn* lUDl.l-KOl) 111.0-1997-0002(1 Lilh No. VAT 16S37 (Ml SUMMARY The irst article. 11-222.19 (control ileini. 11 22239, wa'. cxii-acicd in 0.9% sodium chloride USP solution and cottonseed nil. Ml. These extracts were evaluated lor inlracuianeou.s loxicily in accordance with ihe guidelines ol" the curreni USP. A 0.2 ml dose ol' llie appropriate lesi article extract was injected by the iniraculaneous route into rive separate sites on the right side ol llic back of each rabbit. Similarly, the corresponding blank vehicle was injected on the tell side of the back of each rabbit. Two rabbits were used for each pair of extracts. Observations for erythema and edema were conducted at 24, 48, and 72 hours after iniraculaneous injection. Under the conditions of ihis study, there was no evidence of significant irritation or toxicity from the extracts injected imracuianeously into rabbits. Each test article extract met the USP requirements. Study and Supervisory Personnel: Donald P. Barda, LAT Michael A. Safron, AAS (HT) Patricia Mitchell Barbara M. Monroe Darcy Irons Cindy Harper TinaM. Cox, BS, LAT Approved by: / / / ( / (^f_______^-,... Sicvcn J. HennanSky, PharmDPhD,;6ABT Manager. Toxicology I^^J?^ ZV-^-G Date Completed Company Sanitized. Does not contain TSCA CBI ^/las XAmSA ,, " _ Hiirfrf Itailri in Ifllini! .S^iliri lor ilir .Miclual llrviri lailusli\ ;';'fil liil.-v H.l" Niilllir.i.i.l ClI I .ni.ri I'lin. .. ""' .1 ri.l,l,l-:u:: 4"M.i,i,.;")'.< Aulhorijalion toi rtuplK-nlw oi ihis 'epon. iiiroiil i" wtK^e i!, *(ison;ad oenrtmg NAmSA's wnliflii iip[iii>vfii Paw 3 ol 7 I'lion mw) iii.o-i'm-oou.'d Lab 1^;). '.lol lW<37iH> 1N1RODUTTJON rile lest article identified below was extracted and the extracts were evaluated tbr biocompalibilily in accordance wnh the guidelines of (he current USP. The purpose of the study was to determine whether leachables extracted troni the material would cause local dermal iiril.tiii or toxic effects following injection into rabbit skin. The lest article was recciveil on Deixmhrr 5, 1996. The animals were injected on December 18, 1996, and the observations were concluded on Dt.i.cintvr 21. 1996. MATERIAL:: The sample provided by the sponsor was identified and handled as follows: Test Article: H-22239 (control item) Idem i Heal ion No: H-22239 Storage Conditions: Room temperature Vehicles: Preparation: 0.9% sodium chloride USP solution (SC) coitonsced oil. NF (CSO) A ratio of 120 cm-':20 ml (surface area of lest article to volume of vehicle) was used for each preparation. The test article was extracted in SC and CSO at 121C for 1 hour. The extraction vehicles without test article were similarly prepared to serve as control blanks. Condition of Extracts: SC: CSO: Test clear clear Control clear clear Sample Disposition: Any remaining sample was discarded. METHODS Test System: Species: Breed: Source: Sex: Body Weight Range: Age: Acclimation Period: Number of Animals: Identification Method: Rabbit (Orvctolagus cuniculus) New Zealand White Myrtle's Rabbitry, Inc. No particular gender was prescribed for this lest No particular body weight range was prescribed for this test No particular age was prescribed for this lest Minimum 2 days Two per pair of extracts Ear lag or tattoo Justification of Test System: The iniraculaneous injection lest in rabbits is specified in the current USP and has been used historically 10 evaluate biomaterial extracts. Animal Management: Husbandry: Conditions conformed to Standard Operating Procedures which are based on the "Guide for the Care and Use of Laboratory Animals." Food: PR01-AB" High Phcr R.ihhil Diet was provided daily. I'iiae 4 ol 7 V A tfl |^K| iB* &Bm^^kJlB ^^----------^f - ') - H.illll lr,ldn in fridnj; Srfilin /> Ihr Mrilral l>rru r IlllluMrv Attlhon/alion lof dupl.-atmn "I If"'. fHIio" nrnll in wtmln i*, ip-ion/tnl |iefnting \-'/f-.^ 11.11 y ll.i.-lil N..I"II|.,.>;I (111 fl.ll.rl Phiil'r I AX "lI'M.liti.'H'.' 4 ^t^.^.ll.;"^l,4 NftfnSA *, wnnnn apptilvll: ^nTSC^CBi ^zed.Po^01001 ysyiOS I (.'111 1 mill lll.l>-iy97-()U02f) Uib No. 96T 16837 00 W.iicr ('unl.iiiiin.iiils: Housing: Environmental: l-iccly ivail.iblc. iniinicipiil (Toledo. Oil) w.ncr was delivered through an automatic w.ilcring system. Rr.ison.ibly expected coiiinininani.s in feed or water supplies did not have the potential to influence ihe outcome of this tes". Animals were individually housed in st.i::'. .' " ucntitied by a card indicating the l.ih number, animal number, lest code, sex, >ii>j u<m- L--. The room temperature was monitored daily. 64-74F. Ihe temperature range for the rabbit was Facility: Personnel: Selection: The room humidity was monitored daily. The humidity range for the rabbit was 30-70%. The light cycle was controlled using an automatic timer (12 hours light, 12 hours dark). NAmSA is an AAALAC accredited facility. Associates involved were appropriately qualified and trained. Only healthy, thin-skinned animals free of mechanical irritation or trauma that could interfere with the test were selected. Experimental Procedure: Prior to treatment, each rabbit was clipped free of fur from the back and both sides of the spinal column to yield a .sufficient injection area. Two rabbits were prepared per pair of extracts. A 0.2 ml dose of test article extract was injected iniracutaneously into five separate sites on the right side of the back of each rabbit; 0.2 ml of the control blank was injected into Five separate sites on the corresponding left side of the back. Injections were spaced approximately 2 cm apart. The animals were relumed to their respective cages following the procedure. Observations for erythema and edema were conducted at 24, 48. and 72 hours after injection. Reactions were scored on ;i 0 to 4 basis. Any reaction at the injection sites was also noted. The reactions were evaluated according to the following subjective rating scale: ERYTHEMA (ER) 0 No erythema 1 Very slight (barely perceptible) 2 Well-defined (pink) 3 Moderate to .severe (red) 4 Severe (beet redness) to slight eschar formation (injuries in depth) EDEMA (ED) 0 No edema Very slight (barely perceptible) 2 Slight (edges of area well-defined by definite swelling) 3 Moderate (raised approximately 1 mm) 4 Severe (raised more than 1 mm, may extend beyond the area of exposure) The cumulative average erythema and edema score for each test extract and corresponding control blank was calculated. For each extract, a difference in average scores (test minus control blank) of 1.0 or less was considered to be acceptable. A difference of 0.6 to 1.0 indicated a slight, but acceptable, reaction. A difference > 1.0 was considered to be unacceptable. Additionally, the average score for each test extract and blank was calculated Cnr each interval. Any adverse reaction noted in the lest extract was compared to the corresponding blank. SC^CBi ;onlanT Coropa^ s^d."'-010 KAinXA -10 - \\nrlif / fadri in Tn/inj? .Vrrrn-n fur ihf Mediftil tfrvue Iniluflry ??f.1 IiarvUn.iil Nntlhwnud OH 4J619 PhiiFw 4 rt.f>f,h.<145'. f AX 4 I ).fif:.f,.;*-l*;4 Aulhnn/alion lin )nplh:fltniti ill KnS 'HpoH flr.opl in wiioly. i-1, feservori pending rslA/nRA s WritlBft flpptrtval I'aiic 5 of 7 ll'iilVWHl i.d-n'.'p-oi^t) I. ah NI). 9(T loK37 00 Rl^ULTS Results of M'urrs lor iinlivulil.tl rahhils appear in Tabli.' I. i he I'indinfs are suminan/.ed below: E'lrac! SC cso Average Tesi (-) Average CoiUrol = Diflerfn'-r = Assessment O.U 0.0 0.0 Passed 1.0 1.0 0.0 Passed The difference in average scores was considered acceptable. The difference between test and control average scores did not exceed 1.0 at any observation interval. Results and conclusions apply only 10 the lest article tested. No further evaluation of these results is made by NAmSA. Any extrapolation of these data to other samples is the responsibility of the sponsor. CONCLUSION Under the conditions of this study, there was no evidence of significant irritation or toxicity from the extracts injected intracutaneously into rabbits. Each lest article extract met the LISP requirements. RECORD STORAGE All raw data pertaining to this study and a copy of the final report are to be retained in designated NAmSA archive Files. Ooe^co.a.nTSC^ Company Sanded. XAmS^Ait' - - '' ^k-------- H.irM l.rilliff in 1HIIHS STilin ^9BlR t'" llif Mutual Hfiirr lindllln ?t'C.l Tiacyntiai) NtiUhwixlil 0" OR'!- 1'hliril, 41'KI;,,-'.14'i'. tAX 411^6fi^l?t)t-4 Aulhnfi^ation (01 dur'l'catifn m thil 'Rptj-i. uT.Hpl in whote. is teserved penamg NAmSA-;, wntleii aptiiovat Pane 6 or 7 ITlll Sill! 111.o-i 'm-DUo:^ l-ih No. VDT K)K37 IHl TAMJLi I'SP INTRAO! lANhOllS TOXICITY OBSERVATIONS I l;ST KXTRACT Sciiriiii! lnlcr\al (Hour-.l RABBI 1' Nt'MBHR 9955S 99553 99558 99553 EXTRACT sc sc cso cso 24 4K l;R l':I) l;R EU 0 0 0 0 0 0 0 0 I I 1 1 I 1 1 1 72 ER ED 0 0 0 0 1 1 1 1 ER = Erythema ED = Edema SC = 0.9% sodium chloride USP solution CSO = cottonseed oil. NF CONTROL BLANK Scunng Interval (Hours) 24 4K 7; ER ED ER ED ER ED 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 S.nU,zed.O..n..con>a,nTSCCBl Company KAniSA \\nrlif I.euiltf tn Tritinf[ \/mr^ fur ihe Mfdnal ^f^irf ImluMrv r.'R' T<acv^'"-Ki Nrir'w.-.ofl OH UI-r* I'hifnf: 41^.f)f,tr'l45'. t AT dl'.<1(u'.'9l>4 Auihw/atton loi dupiiraiHif o1 "'s 'opon Qii.epi in whole, is lesorved pending NAniSA s tiiioi; appiuval Paiic 7 ol" 7 ( lllllllll.'llll.l'l 11:01-4 Kll7 ill il-m7-()()0;^) l..i|i No Wil lfiK37 Oil r o No I.GX w^i\ STUDY TITLE: USP MUSCLE IMPLANTATION STUDY IN THE RABBIT (1 Week) TEST ARTICLE: H-22239 (control item) IDENTIFICATION NO.: H-22239 SPONSOR: DR. SUSAN A. MACKENZIE E. I. du Pom dc Nemours & Co. HASKELL LABORATORY ELKTON RD. P.O. BOX 50 NEWARK. DE I1)? 14-0050 KAniSA ~ . I .J, H.irM J.ruJrr in Trains .Srrnrri !,,. ,h. ,.;dual l>,.,c, Indu-t,, Wi Iiac<Hcai] Norlliwoort OH lit. 19 l'hw- ''"' 4")-l>f,K.'145S "3-66K.9-,- Authofizalion tot dutjiicatitit' ol ltit& report, except in whole, lesetved pending MAmSA's wriiten approval I I 1114 KU7 Sl MMAR't INIRDDI'dlON MATHRIAl-S MtiTHons RLSliLlS CONri.l-'SION RECORD STORAOt; lAlU.hOl (ONH;NTS 111.0-m7-00()2i> l..il) No KiT |(>K37 (H) P;nif Numh'.'r Company Sanitized. Does not contain TSCA CB11 fUAAHB^^iA ^^^m .K ^_B^( t^B^ BW--------IllftW l , ~ ~ ,.rM(.iJrrj,ir,ilJnxSrr>-irri /,,,^^rt >,,.,,,/n^,,,. ^'^^ ?w l'.":v ii'i.m Ni<iihi.i>n nn oi.ia I''"""- "^hhl-W, >AX AuliiontBtion lot dupiii:aiiti* ot r'ls 'opwi. ti^rapt in whoto. is fosorvgd ponding NArnSA s wrrtiBn apptoval Page 2 ol' ft TL014-807 11LO-1997-00026 Lab No. 96T 16837 00 SUMMARY The test article, H-22239 (control item), H-22239, was implanted in muscle tissue of the rabbit. The muscle tissue was evaluated for evidence of irritation or toxicity in accordance with the guidelines of the current USP. Implant samples and USP negative control strips were loaded into needles and sterilized by steam. Rabbits were implanted and were (hen euthanatized 1 week later. Muscle tissues were excised and (he implant sites were examined macroscopically. Under the conditions of this study, the macroscopic reaction was not significant as compared 10 the USP negative control implant material. The implanted test article met the USP requirements. Study and Supervisory Personnel: Martha Oswanski. BS, LAT Merle .. Hcinrke. BS, LAT Jason A. Karsten Tina M. Cox, BS, LAT Approved by: ^ jJ ---------^ SievenJ. riermaiisky.PharmD, Ph&. DABT Manager, Toxicology Q^t^-7,ft^ Date Completed /mm ^^-.0---------------------- bl) Page 3 of 6 KAliiSAk .^| ^B - 1I 1.;) -- Wurlil Uaiir in Tcslinic Service, far the MArol Hence Industry ?261 ^'"^ HDa<) Noilliwood. OH 43619 l'hm rA" 41B.666.94i5 4 "MWi-2954 Auttiorifllon tof duplical-on ol Ihia reoofl. except in whole, is reufved pending NAmSA's WTillen flpfifoval TU014-K07 HLO-1997-00026 Lab No. 96T 16837 (X) INTRODUCTION The test article identified below was evaluated for biocompalibility in accordance with the guidelines of the current USP. The purpose of the study was to evaluate (he potential for a local irritant or toxic response to material implanted in direct contact with muscle tissue. The test article was received on December 5, 1996. The animals were implanted on December 17, 1996, and muscles were explained on December 24, 1996. MATERIALS The sample provided by (he sponsor was identified and handled as follows: Test Article: H-22239 (control item) Identification No: H-22239 Storage Conditions: Room temperature Control Article: Preparation: Sample Disposition: USP plastic 1 mm diameter negative control reference strips purchased by NAmSA from the offices of the US Phannacopeial Convention and cut into 10 mm sections. A minimum of six sections of the test article per rabbit, each approximately 1 mm x 10 mm, were loaded into 16 gauge needles. The test article was cut into 1 mn. x 20 mm lengths and then folded in half to obtain 1 mm x 10 mm sections. For each rabbit, a minimum of four USP strips were loaded into the same size needles as used for the test article. Test and control articles were sterilized by steam. Any remaining sample was discarded. METHODS Test System: Species: Breed: Source: Sex: Body Weight Range: Age: Acclimation Period; Number of Animals: Identification Method: Rabbit (Orvciolaeus cuniculus) New Zealand White Myrtle's Rabbiiry, Inc. No particula: gender was prescribed for this test 3.2 kg to 3.3 kg at implantation No particular age was prescribed for this test Minimum 2 days Two Ear tag or tattoo Justification of Test System: The rabbit is suggested as an appropriate animal model for evaluating polymer materials by the current USP testing guidelines. The muscle tissue has been used historically because the response to implanted material is easily graded and compared to a known negative control material. Animal Management: Husbandry: Conditions conformed to Standard Operating Procedures which are based on the "Guide for the Care and Use of Laboratory Animals." Food: PROLAB High Fiber Rabbit Diet was provided daily. Company Sanitized. Does not contain TSC-,,A. "'1 - 16 - Wnrld l-fadrr in Teflinft Ktrvirfs fur thi Midiral llmci Industry 2261 Tiacy Hoad Norlhwood. OH 43619 Phone 419<66-945!> FAX 41966-29&4 Aulhoruatlon lor duplicalion o) Ihu fepon. Bxcepi In whOtO. Is releivod pending NAmSA's written approval Page 4 of 6 TU014-807 HLO-1997-00026 Lab No. 96T 16837 (X) Waicr: Comaminanis: Housing: Freely available, municipal (Toledo, OH) water was delivered through an automatic watering system. Reasonably expected contaminants in feed or water supplies did not have (he potential to influence the outcome of this test. Animals were individually housed in stainless steel suspended cages identified by a card indicating the lab number, animal number, test code, sex, and dale implanted. Environmental: The room temperature was monitored daily. The temperature range for the rabbit was 64-74F. The room humidity was monitored daily. The humidity range for the rabbit was 30-70%. The light cycle was controlled using an automatic timer (12 hours light, 12 hours dark). Facility: Personnel: NAmSA is an AAALAC accredited facility. Associates involved were appropriately qualified and trained. Selection: Healthy, previously unused animals were selected. Experimental Procedure: The fur was clipped i".om the area over the paravertebral muscles and the rabbits were sedated with acepromazine maleale (0.2 ml/kg dose). After the muscle area was wiped clean with 70% alcohol, each paravertebral muscle was infiltrated with 1% lidocaine to achieve local anesthesia on both sides of the vertebral column. Needles containing test article were inserted into the muscle at a 45 angle. A stylet was placed in the needle and the needle was withdrawn, leaving the sample in the paravertebral muscle. Six test article sections were implanted in the right paravertebral muscle of each rabbit. In the opposite muscle, four USP negative control strips were similprly implanted. Rabbits were returned to their respective cages following the procedure. Rabbits were observed daily for general health. Body weights were recorded prior to implantation and at termination. At 1 week. the rabbits were we'ghed and euthanatized by an intravenous injection of a sodium pentobarbital based drug. The paravertebral muscles were dissected free and methodically cut to locate four of the test article sites and two of the USP negative control sites in each rabbit. Capsule formation or other evidence of irritation was scored using appropriate magnification and an auxiliary light source. Scores were assigned and recorded as follows: 0 No capsule, no adverse reaction (other than minimal hemorrhage) t Up to 0.5 mm capsule or reaction area 2 0.6 to 1.0 mm capsule or reaction area 3 1.1 to 2.0 mm capsule or reaction area 4 >2.0 nun capsule or reaction area Average macroscopic scores for test implants were compared to average scores of the control sites. Calculalic s were rounded off to the nearest 0.1. A Reaction Index difference of 0.0 to 0.5 in scores (test minus coniiol) was regarded as "not significant," 0.6 to 1.0 as a "trace." 1.1 to 2.0 as "slight," 2.1 to 3.0 as "moderate" and S3.1 as "marked." The requirements of the USP test were met if the difference between test and control score averages (macroscopic) was not greater than 1.0. The requirements of the test were not met if the difference between the lest and control ;core for two (or more) implant sites exceeded 1 for any animal implanted. Company S^.OO^------1-^61 Page 5 of 6 KAuiKA - 17 - World leader in Testing Services for thf Medical he it c Industry 2261 Tiacy Road NarthwocO OH 43619 Phono 419-66&-945!!! FAX 4166fr?9SA Auihori2lton lor duplication o) this repon. b.cepi m whole, is reserved pending NAmSA's wnillen appioval TUO14-807 HLO-1997-00026 Lab No. 96T 16837 00 RESULTS Clinical Observations: All animals appeared clinically normal throughout the duration of the study. Body weight data for individual rabbits were considered acceptable. Macroscopic Observations: The findings for the macroscopic evaluation are shown below. Weigiht (kg) Rabbit Number DayO Day 7 Site 1 99472 3.2 3.3 2 3 4 1 99474 3.3 3.6 2 3 4 Test 0 0 0 0 0 0 0 0 USP Negative Control 0 0 0 0 0.0 0.0 Macroscopically, there was no difference between the reactions of the test and control materials. This resulted in a macroscopic reactioii of "not significant* tissue contact irritation. Results and conclusions apply only to the test article tested. No further evaluation of these results is made by NAmSA. Any extrapolation of these data to other samples is the responsibility of the sponsor. CONCLUSION Under the conditions of this study, (he macroscopic reaction was not significant as compared to the USP negative control implant material. The implanted test article met the USP requirements. RECORD STORAGE All raw data pertaining (o this study and a copy of the final report are to be retained in designated NAmSA archive files. ^o^---------' Company sanl - 18 - World Lisiir in Ttlllsi Snfkti fat lilt Mt^lcal Unlit Infinity 2261 Tncy flaws North.,od. OH 43619 Phon* 41E6<945S FAX 41964S4 Autartsmen tor duplication rt Ous upon. awl * Kor, a r--nd Finding NAfflSA'i -mm ppnwl Rage 6 of 6 HLO-1997-00026 B^B^ fl^R H R^B^ JB ^B I hL^^V&ffl^l RI "''"'''' ''"'r in T,-.linn Srivirv^"r lh'' w'""/ "" I'tilu-lr,' Confidential MG030-110 Lab No. P.O. No. 226 ITracy Road Northwood, OH 43619 Phone 419*666*94SS FAX 419*666*2954 96T 16836 00 LGX-593521 E. I. du Pent de Nemours & Co. HASKELL LABORATORY ELK-TON RD. P.O. BOX 50 NEWARK, DE 19714-0050 ATTN: DR. SUSAN A. MACKENZIE ID No. H-22240 CYTOTOX1CITY - AGAROSE OVERLAY. SOLID Test Article: H-22240 (test item) Test Article Description: Sheet - I cm2 piece Experimental Procedure: A monolayer of L-929 mouse fibroblast cells was grown to confluency and overlaid with Minimum Essential Medium supplemented with serum, antibiotics, neutral red, and 2% agarose. The test article, a 0.5 cm x C.5 cm piece of 725871H as a positive control, and a 1.0 cm length piece of UP-1 as a negative control were placed on the solidified overlay surface. Following incubation for 24 hours, the culture was macroscopically examined for evidence of cell decolorization to determine the zone of cell lysis. Any decolorized zone present was examined microscopically to confirm cell lysis. Score Nontoxic (N) Toxic (T) Observations Normal cell morphology in proximity to test sample. Cellular death and degeneration associated with the area beneath the test sample and possibly extended beyond the perimeter of the test sample. Where a zone of lysis was observed, the distance from the edge of the sample to the edge of the zone was measured and reported in millimeters (mm). Company Sanitized. Does not contain TSCA CBI 19 - Page I of 2 i i;'. r-i.i,-:'! in ,vlin;', (;-, 10','Tveff i-'t'llinii NAmSA"^ v.Titlr;n .ippioval &^B^ A^R k^^^ fl^R B^& H^B KVJH^B WW'"n-r1t<f1l l^.w'f.nti.r'r in Ttr'snlliinnKn .iSrfrnricf.'' /lu"r" "Ih"r M"ri'l'i"rn"I' oDcycririr lin"i'liu"f'fry HLO-1997-00026 2261 Tracy Road Northwood. OH 43619 Phone 419*666*9455 FAX 419^66*2954 MG030-110 Lab No. 96T 16836 00 CYTOTOXICITY - AGAROSE OVERLAY. SOLID Results: Test/Control Articles Test Article Negative Control: UP-1 NAmSA Positive Control: 725871H Score N N T Zone of Lvsis (mm) 0 0 6 Results and conclusions apply only to the test article tested. No further evaluation of these results is made by NAmSA. Any extrapolation of these data to other samples is the responsibility of the sponsor. Conclusion: Comments: Record Storage: The above test article was nontoxic for L-929 mouse fibroblast cells under the above described test parameters. Placed the bluest side of the test article down on agarosc. All raw data pertaining to this study and a copy of the final report are to be retained in designated NAmSA archive files. Test Article Received: 12-5-96 Date Prepared: 12-11-96 Date Terminated: 12-12-96 Company Sanitized. Does not contain TSCA CBl bsi>i Date Completed tZ-'n^fc Approved By - 20 - (fyiwf - as"y --t~.-w I ' Page 2 of 2 Aulliuri/ritiDri lor dii|ilr:;ilinii 11' 'lir, rr|iiul. Rxrnpl in whole, if. 'O.sen/od ii'.-iKliiiq NAmSA;: wrilIi'K ;i|)|)inval STUDY TITLE: USP 1NTRACUTANEOUS TOXICITY STUDY IN THE RABBIT (Extracts) TEST ARTICLE: H-22240 (test item) IDENTIFICATION NO.: H-22240 CO^'^ l5C^ 0^ t ^ DOi'es 5aft^1 c<^- .tA^ SPONSOR: DR. SUSAN A. MACKENZIE E. I. du Font de Nemours & Co. HASKELL LABORATORY ELKTON RD. P.O. BOX 50 NEWARK. DE 19714-0050 MinSSA - 21 World l^odir in Ttllil Srrflrri for Ilii Mtttrfl Ilimi l^mir, ?;6) Tncy Raid Naittrood. OH 438(9 Phi,ne 4196e<4!i5 FAX 4198fr29S4 AutfioraMlan loi duptejian d ihis npcut. icw in itiof. a ijMnwd p*nd><a NAmfU'i rmn tpp'ol r"i * | J^ ;" ^ L '" Bl ^W-ffiSffiilSSSS^SMjl^W y""TM!^6^^^^ " "; il ' . TU013.800 SUMMARY . TABLE OP CONTENTs Lab N9. ;' -W -i]"-,- 96T168?60 ,,,,, . S > ji;- aj;tiai. iit.'^i6;.>3^; !). ... s : i"8 v- [ ^"T^P r .;iy;& 1 uMgl ' "'-,';;-)l -..;;^p-.i *"?"! INTRODUC1 'ON ---------------------- MATERIAL! .-.--..-----.--------- METHODS ........... RESULTS ..... CONCLUSION . .......--..-- .-........--- -5;:.i. . ..-Hi. ..11 ^ligl^!; 't''s- .M . !"'iffii)-;ra iiirii 4 ^1 .^ ! -i .. -' - Al^i&lt <-!.. +;.(; ^sri 6i?;y^li"S| ^ a l ~- rl-'-'r; ' ( 0 : ^:'p|S i '^"O;';T['-s'-"I"x'^"') RECORD STORAGE ...-.-............-..-....... ^ TABLE | I - USPINITRACUTANEOUS TOXICrTY OBSERVATIONS . .y i -' -fiiii '' ;',,:-; "6'"3^! : : . .-1^11;; yi;ii ; iTi'^iil: V .'1.1^'ilS?!i . ^.i'jsilj'^'ai^ji iili i'":^";!! >>a5ai';";r(w''?; ' , '''.iS'ii'.i'i'^ -I : .' .."^pi : ^Mm :':; ' '^ ^I'lK iEa B , li .H .i li ^'lo'^l ' '' '^'sC i CompanySamdzed. Does nof contafn T'SCA CBt - 22 WorM Uailt la TllUHl Strvletl tar tin Miiktl D*'" futfutry AuNvlUtW^dupUullondlhlintXHi.ciewilntiitnto.Hi 2l Trtd^ Hotd North06d. OH 3BIB Phon* t6frIBS FAX <lMeWt4 WM fnano NAffl^A'swrtfn MXBWII. __y_JJ^ Sll of 7 -di '- : -'''' i; ^i. TU013-800 HLO-1997-00026 Lab No. 96T 16836 00 SUMMARY The lest article. H-22240 (lest item). H-22240, was extracted in 0.9% sodium chloride USP solution and cottonseed oil. NF. These extracts were evaluated for iniracuianeous (oxicily in accordance with the guidelines of the current USP. A 0.2 oil dose of the appropriate test article extract was injected by the intracutaneous route into five separate sites on the right side of the back of each rabbit. Similarly, the correspondingblank vehicle was injected on me left side of the back of each rabbit. Two rabbits were used for each pair of extracts. Observations for erythema and edema were conducted at 24, 48, and 72 hours after intracutaneous injection. Under the conditions of this study, (here was no evidence of significant irritation or toxicity from the extracts injected intracutaneously into rabbits. Each test article extract met the USP requirements. Study and Supervisory Personnel: Donald P. Baida, LAT Michael A. Safron, AAS (HT) Patricia Mitchell Barbara M. Monroe Darcy Irons Cindy Harper Tina M. Cox, BS, LAT Approved by: Manager, Toxicology (lidawh^'L-?,/-^ Date Completed Company Sanitized. Does not contain TSCA CBI /las MmSjKif ,U_ _ &AJR W - /-> - H'orM Liaiir in TelUui Smicfl for tin MtMnI Pnlf liifuttf 2261 Ticy Ro*o Noxnwood. OH 43619 """' " "MtB.9455 'MMBM AuthontMon tot duptiejlr> o* ihu noon. *ia(H In otiol*. rrd (undine MAmSA'i nnm opdwa!. Page 3 of 7 TU013-800 HLO-1997-00026 Lab No. 96T 16836 00 INTRODUCTION The test article identified below was extracted and the extracts were evaluated for biocompatibility ia accordance with the guidelines of the current USP. The purpose of the study was to determine whether leachables extracted from the material would cause local dermal irritant or toxic effects following injection into rabbit skin. The test anicle was received on December 5. 1996. The animals were injected on December 18, 1996. and the observations were concluded on December 21, 1996. MATERIALS The sample provided by the sponsor was identified and handled as follows: Test Anicle: H-22240 (test item) Identification No: H-22240 Storage Conditions: Room temperature Vehicles: Preparation: 0.9% sodium chloride USP solution (SC) cottonseed oil, NF (CSO) A ratio of 120 cm^ZO ml (surface area of test article to volume of vehicle) was used for each preparation. The test anicle was extracted in SC aid CSO at 121 C for 1 hour. The extraction vehicles without test anicle were similarly prepared to serve as control blanks. Condition of Extracts: Sample Disposition: SC: CSO: Test clear clear Any remaining sample was discarded. METHODS Control clear clear Test System: Species: Breed: Source: Sex: Body Weight Range: Age: Acclimation Period: Number of Animals: Identification Method: Rabbit (Orvctolagus cuniculus) New Zealand White Myrtle's Rabbitry, me. No particular gender was prescribed for this test No particular body weight range was prescribed for this test No particular age was prescribed for this test Minimum 2 days Two per pair of extracts Ear tag or tattoo Justification of Test System: The intracutaneous injection test in rabbits is specified in the current USP and has been used historically to evaluate biomaterial extracts. Animal Management: Husbandry: Conditions conformed to Standard Operating Procedures which are based on the "Guide for (he Care and Use of Laboratory Animals." Food: PROLAB" High Fiber Rabbit Diet was provided daily. Company Sanitized. Does not contain T5CA CBI NAmSA 24 World t^aiir in Tilllsi Smicti for till Mtditsl lltftci Mutrjf Aufhonitlcn lor duolKttion o! fhi upon. udl n Aok. x n 2261 Trcy Row) Norlhoood. OH 43819 Phon* 4tBe.W55 FAX 41666^8f< ing NAmSA'i onWn ipprmll Page 4 of 7 TU013-800 HLO-1997-00026 Lab No. 96T 16836 00 Waier: Contaminants: Housing: Environmental: Freely available, municipal (Toledo. OH) water was delivered through an automatic watering system. Reasonably expected contaminants in feed or water supplies did not have the potential to influence the outcome of this test. Animals were individually housed in stainless steel suspended cages identified by a card indicating the lab number, animal number, test code. sex, and date dosed. The room temperature was monitored daily. The temperature range for the rabbit was 64-74F. The room humidity was monitored daily. The humidity range for the rabbit was 30-70%. The light cycle was controlled using an automatic timer (12 hours light, 12 hows dark). Facility: Personnel: Selection: NAmSA is an AAALAC accredited facility. Associates involved were appropriately qualified and trained. Only healthy, thin-skinned animals free of mechanical irritation or trauma mat could interfere with the test were selected. Experimental Procedure: Prior to treatment, each rabbit was clipped free of fur from the back and both sides of the spinal column to yield a sufficient injection area. Two rabbits were prepared per pair of extracts. A 0.2 ml dose of test article extract was injected intracutaneously into five separate sites on the right side of the back of each rabbit; 0.2 ml of the control blank was injected into five separate sites on the corresponding left side of me back. Injections were spaced approximately 2 cm apart. The animals were returned to their respective cages following the procedure. Observations for erythema and edema were conducted at 24, 48, and 72 hours after injection. Reactions were scored on a 0 to 4 basis. Any reaction at the injection sites was also noted. The reactions were evaluated according to the following subjective rating scale: ERYTHEMA (ER) 0 No erythema 1 Very slight (barely perceptible) 2 Well-defined (pink) 3 Moderate to severe (red) 4 Severe (beet redness) to slight eschar formation (injuries in depth) EDEMA (ED) 0 No edema 1 Very slight (barely perceptible) 2 Slight (edges of area well-defined by definite swelling) 3 Moderate (raised approximately 1 mm) 4 Severe (raised more than 1 mm. may extend beyond the area of exposure) The cumulative average erythema and edema score for each test extract and corresponding control blank was calculated. For each extract, a difference in average scores (test minus control blank) of 1.0 or less was considered to be acceptable. A difference of 0.6 to 1.0 indicated a slight, but acceptable, reaction. A difference > 1.0 was considered to be unacceptable. Additionally, the average score for each test extract and blank was calculated for each interval. Any adverse reaction noted in the test extract was compared to the corresponding blank. Aa>n TSC?^ fleieorf nHzed. Does CO'.tupa"^' KAlllXA - 25 World l^adsr tn TullHf Sitvlen for till MrilrjJ UlUn lnf*my 2261 Tracy RMJ Nonhwood. OH 438)9 Phone 4I666-955 PAX 4t66&29S4 Aulhorlullon Id duplKlllon ol ihn npon. new In --10--. u i--Mind p*nding NAmSA't nHtun ppnnt Page 5 of 7 TUO 13-800 HLO-1997-00026 Lab No. 96T 16836 00 RESULTS Results of scores for individual rabbits appear in Table I. The findings are summarized below: Extract SC CSO Average Test (-) Average Control = Difference == Assessment 0.0 0.0 0.0 Passed 1.0 1.0 0.0 Passed The difference in average scores was considered acceptable. The difference between test and control average scores did not exceed 1.0 at any observation interval. Results and conclusions apply only to the test article tested. No further evaluation of .these results is made by NAmSA. Any extrapolation of these data to other samples is the responsibility of the sponsor. CONCLUSION Under the conditions of this study, there was no evidence of significant irritation or (oxicity from the extracts injected intracuianeously into rabbits. Each test article extract met the USP requirements. RECORD STORAGE All raw data pertaining to this study ; archive files. I a copy of the final report are to be retained in designated NAmSA Company SanW^.D.e^o"""^'-'81 MmSBA 26 WotU Uaitt ill Tunas Ifmm far tin MlUcsl Onlti IsfulU) 22G1 Trcy Rout Nodhwaod. OH 43619 Phone 419-6frMS5 FAX 4iafe9&4 *ilhanMIWIedufflicllonetlhiiport.ctffaih<il.iiMli^pft<^N<mSA'irMnalt^ Page 6 of 7 TUO 13-800 HLO-1997-00026 Lab No. 96T 16836 00 TABLE 1 USP 1NTRACUTANEOUS TOXIC1TY OBSERVATIONS TEST EXTRACT Scoring Interval (Hours) RABBIT NUMBER 99555 99557 99555 99557 EXTRACT sc sc cso cso 24 48 ER ED ER ED 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 72 ER ED 0 0 0 0 1 1 1 1 ER = ED = Erythema Edema SC = 0.9% sodium chloride USP solution CSO = cottonseed oil, NF CONTROL BLANK Scoring Interval (Hours) 24 48 72 ER ED ER ED ER ED 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 Sanitized. Does not contain TSCA FBI Company MmSA - 27 - World Ija^tr l Tulmi .Strum for Ihi Ml^ital Dutci MUM) AulhormUon IM i)uplic*lion ol ihn upon. ucw in ihol*. a > 2?6t Tracy Road Northwood. OH 43819 Phone FAX <lWi66.9Iii5 4lft66fre9!i4 Ing NAHISA'I wimn pproval Page 7 of 7 Confidenlial TU014-807 HLO-1997-00026 Lab No. 96T 16836 00 P.O. No. LGX-593521 STUDY TITLE: USP MUSCLE IMPLANTATION STUDY IN THE RABBIT (1 Week) TEST ARTICLE: H-22240 (test item) IDENTIFICATION NO.: H-22240 Ooesn01.c.^'"^061 ulized. Company5^ SPONSOR: DR. SUSAN A. MACKENZIE E. I. du Pont de Nemours & Co. HASKELL LABORATORY ELKTON RD. P.O. BOX 50 NEWARK, DE 197(4-0050 MmSSA - 28 - WarU l^adfr is TtiliHl Stulrti for tht MlUcal Dtvitl Infinity 2261 Ticy RoaK Nonhwood OH 43619 Phone 4l9<66-9455 FAX Jl66-;ai AulhOTttllcn lof duplicilion of ttis npon. mpl in ho-, is rfcmo (widhg NAmSA'i nmlMi ni>l TUO 14-807 SUMMARY ..... INTRODUCTION . . MATERIALS .... METHODS ...... RESULTS ....... CONCLUSION . . . RECORD STORAGE TABLE OF CONTENTS HLO-1997-00026 Lab No. 96T 16836 00 Company Sanitized. Does not contain TSCA CB1 MmSIK - 29 W orld Uatit In Ttitlni Smitti for tin MtMcal llHlct Infinity 2261 Tttcy RIM) Northwood. OH 43619 Ption* 41M66-945S FAX 4ie684a54 AulhortiMon fw duplluiloi ol Ihu nport. <BW In iMiol*. u mMHM iwiding NAniSA-t iiniun ipprovll TU014-807 HLO-1997-00026 Lab No. 96T 16836 00 SUMMARY The lest article, H-22240 (test item). H-22240, was implanted in muscle tissue of the rabbit. The muscle tiuue was evaluated for evidence of irritation or toxicity in accordance with the guidelines of the current USP. Implant samples and USP negative control strips were loaded into needles and sterilized by steam. Rabbits were implanted and were then euthanatized 1. week later. Muscle tissues were excised and the implant sites were examined macroscopically. Under the conditions of this study, the macroscopic reaction was not significant as compared to the USP negative control implant material. The implanted test article met the USP requirements. Study and Supervisory Personnel: Martha Oswanski, VS. LAT Merle J. Heineke, BS, LAT Jason A. Karsten Tina M. Cox, BS, LAT Approved by: Manager, Toxicology Of&Umiffry.W^ Date Completed ^/nun Company Sanitized. Does not contain TRC^ ^ MmSA _ If) _ WorU Ijadrr In Tistiiit Sinlw fot iki MlUr*! Df<lei lUuitr) 2281 Tricy Rud Northmod. OH *3G10 ""'" rM '9<8.945S '6tM95 AuftonuMn hM diWaiMm al ihr nport. mpl in --<or. r muwa pwdhg NAmSA'i WMn tpprovl Page 3 of 6 TU014-807 HLO-1997-00026 Lab No. 96T 16836 00 INTRODUCTION The test article identified below was evaluated for biocompatibility in accordance with the guidelines of the current USP. The purpose of (he study was to evaluate the potential for a local irritant or toxic response to material implanted in direct contact with muscle tissue. The test article was received on December 5, 1996. The animals were implanted on December 17, 1996, and muscles were explained on December 24, 1996. MATERIALS The sample provided by the sponsor was identified and handled as follows: Test Article: H-22240 (test item) Identification No: H-22240 Storage Conditions: Room temperature Control Article: Preparation: USP plastic 1 mm diameter negative control reference strips purchased by NAmSA from the offices of the US Pharmacopeia! Convention and cut into 10 mm sections. A minimum of six sections of the test article per rabbit, each approximately 1 mm x 10 mm, were loaded into 16 gauge needles. Toe test article was cut into 1 nun ;< 20 mm lengths and then folded in half to obtain 1 mm x 10 am sections. For each rabbit, a minimum of four USP stripswere loaded into the same size needles as used for the test article. Test aid control articles were sterilized by steam. Sample Disposition: Any remaining sample was discarded. METHODS Test System: Species: Breed: Source: Sex: Body Weight Range: Age: Acclimation Period: Number of Animals: Identification Method: Rabbit (Orvctolapis cuniculus) New Zealand White Myrtle's Ranbitry, Inc. No particular gender was prescribed for this test 2.5 kg to 2.6 kg at implantation No particular age was prescribed for this test Minimum 2 days Two Ear tag or tattoo Justification of Test System: The rabbit is suggested as an appropriate animal model for evaluating polymer materials by the current USP testing guidelines. The muscle tissue has been used historically because the response to implanted material is easily graded and compared (o a known negative control material. Animal Management: Husbandry: Conditions conformed to Standard Operating Procedures which are based on the "Guide for the Care and Use of Laboratory Anim, Is." Food: PROLAB* High Fiber Rabbit Diet was provided daily. MmSA _.-----""" - 31 - 2261 Trcy ROM) NorthOTOd. OH <381B WortS Ltadli la TfiHl Swiets for Ike Mittcal tmict Infinity Phoni FAX 416SMS5 1a669i4 Ajlhcuaillai lor dupliciton ol ihh fpon. xcW m tiol*. a fufnd pfiding NAmSA'i mutin ipcirmil Page 4 of 6 TU014-807 HLO-1997-00026 Lab No. 96T 16836 00 Waier: Freely available, municipal (Toledo, OH) water was delivered through an automatic watering system. Contaminants: Reasonably expected contaminants in feed or water suppliesdid not have the potential to influence the outcome of this test. Housing: Animals were individmily housed in stainless steel suspended cages identified by a can! indicating the lab number, animal number, test code, sex, and date implanted. Environmental: The room temp-rature was monitored daily. The temperature range for the rabbit was 64-74?. The room humidity was monitored daily. The humidity range for the rabbit was 30-70%. The light cycle was controlled using an automatic timer (12 hours light, 12 hours dark). Facility: NAmSA is an AAALAC accredited facility. Personnel: Associates involved were appropriatelyqualified and trained. Selection: Healthy animals were selected. To reduce me number of animals used for testing, and to comply with the directives of the NAmSA IACUC, rabbits on this study may have been used previously in an unrelated test model. Any previously evaluated test or control articles did not cause a response in the aninus. Complete history of animal mage is traceable in laboratory records. Animals used for previous evaluations are identified in the report. Experimental Procedure: The fur was clipped from the area over the paravertcbral muscles and the rabbits were sedated with acepromazine maleate (0.2 ml/kg dose). After the muscle area was wiped clean with 70% alcohol, each paravenebral muscle was infiltrated with 1% lidocaine to achieve local anesthesia on both sides of the vertebral column. Needles containing te-t article were inserted into the muscle at a 45 angle. A stylet was placed in the needle and the needle was withdrawn, leaving the sample in the paravenebral muscle. Six test article sections were implanted in the right paravenebral muscle of each rabbit. In the opposite mu<a;le. four USP negative control strips were similarly implanted. Rabbits were returned to their respective cages following the procedure. Rabbits were observed daily for general health. Body weights were recorded prior to implantation and at termination. At 1 week. the rabbits were weighed and euthanatized by an intravenous injection of a sodium pcntobarbital based drug. The paravenebral muscles- were dissected free and methodically cut to locate four of the test article sites and two of the USP negative control sites in each rabbit. Capsule formation or other evidence of irritation was scored using appropriate magnification and an auxiliary light source. Scores were assigned and recorded as follows: 0 No capsule, no adverse reaction (other than minimal hemorrhage) 1 Up to 0.5 nun capsule or reaction area 2 0.6 to 1.0 mm capsule or reaction area 3 1.1 to 2.0 mm capsule or reaction area 4 >2.0 mm capsule or reaction area Sompany Sanitized. Does not contain TSCA CB MmM - 32 WarU Uadit in TllltHf Strflcis jw tin Midtcfl Dnici lulniuj 2261 Ttcy Ran) Norlh-ooa. OH <3619 Ptione 4194W.94S5 FAX 41B4864B54 Aulonuson IM dupMullon a) Bin npon, waaft in oho-. H nnm funsnf NAmSA'i rimn opniv*l Page 5 of 6 TUOl4-g07 HLO-1997-00026 Lab No. 96T 16836 00 Avenge macroscopic scores for test implants were compared to average scores of the control lites. Calculations were rounded off to the nearest 0.1. A Reaction Index difference of 0.0 to 0.5 in scores (test minus control) was regarded as "not significant," 0.6 to 1.0 as a "trace," 1.1 to 2.0 as light,1' 2.1 to 3.0 is moderale- and (3.1 a& 'marked.' The requirements of (he USP test were met if the difference between test and control score averages (macroscopic) was not greater than 1.0. The requirements of the test were not nut if (he difference between the test and control score for two (or more) implant sites exceeded 1 for any aniiBd implanted. RESULTS Clinical Observations: All animals appearedclinically normal throughout the duration of the study. Body weight data for individual rabbits were considered acceptable. Macroscopic Observations: The findings for the macroscopic evaluation are shown below. Weigyu(kg) Rabbit Number DayO Day 7 Site 1 98944* 2.6 2.8 2 3 4 1 99122* 2.5 2.8 2 3 4 Test 0 0 0 0 0 0 0 0 USP Negative Control 0 0 0 0 0.0 0.0 Previous use history traceable in laboratory records. Macroscopically, there was no difference between the reactions of the test and control materials. This resulted in a macroscopic reaction of "not significant' tissue contact irritation. Results and conclusions apply only to the test article tested. No further evaluation of these results is made by NAmSA. Any extrapolation of these data to other samples is the responsibility of me sponsor. CONCLUSION Under die conditions of this study, the macroscopic reaction was not significant as compared to the USP negative control implant material The implanted test article met the USP requirements. RgCQRP STQRAGE Ail raw data pertaining to this study and a copy of the final report are to be retained la designated NAm&A archive files. .CompanySanitized. Does not containn T; ySL.A CSl MmSJI - 33 WarH Ustfr in TnHsf Smicvi fot tin MiSlcat Onttt IsSanrj 2zei Trcy Rou) Nonxmod, OH 43618 Phon* 19e-B46S FAX 4194W4W4 AutiorUIKm lo> duplution ol thr npon. mp* m Ao-. r HMKXI PKMng NAmSA't WW ppm*! Page 6 of 6