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Home/Large Joints and Extremities/Hand-Held Osteoporosis Test Cleared by FDA
Large Joints and Extremities

Hand-Held Osteoporosis Test Cleared by FDA

June 8, 2016 1 min read Premium comments

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Hand-Held Osteoporosis Test Cleared by FDA
Courtesy of Bone Index, Ltd.
Secondary

The U.S. Food and Drug Administration (FDA) has granted 510(k) clearance to Bone Index Ltd.’s Bindex point of care instrument to diagnoses osteoporosis. Bone Index was founded in 2011 in Kuopio, Finland, and specializes in the development of measuring devices for osteoporosis screening and diagnosis.

Bone Index’s CEO, Ossi Riekkinen, M.D. said, “Bindex technology is unique in the world. The device is pocket-sized, reliable and enables new and cost-effective diagnostic pathways for osteoporosis.”

Bindex measures the cortical bone thickness of the tibia and the algorithm calculates the Density Index. According to the manufacturer, Bindex detects osteoporosis with 90% sensitivity and specificity and will significantly help physicians with diagnosis.

Osteoporosis is responsible for two million broken bones every year in the U.S. Costs of these fractures are about $19 billion. Experts forecast that by 2025, the costs due to bone fractures will rise to $25.3 billion.

One of the biggest challenges in osteoporosis management is the low availability of diagnostics, said Bone Index CTO Janne Karjalainen, M.D. He added, “The clearance process with the FDA was straightforward despite the novel approach introduced with Bindex. The technique is based on extensive clinical evidence, and with the effectiveness of Bindex, the current care of osteoporosis can be significantly improved.”

Professor Heikki Kroger, M.D., estimates that 75% of osteoporosis sufferers are undiagnosed and go without receiving the treatment they need. He said that the clinical validation for Bindex was conducted with over 2, 000 patients.

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Discussion

14
DS
Dr. Sarah MitchellOrthopedic Surgeon · Mayo Clinic

This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?

8
JT
James Thornton, MDSpine Fellow · HSS

Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.

5
RP
R. PatelSports Medicine · Stanford

We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.

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