K Number
K050506
Device Name
PRIMASOLO ONE-PIECE IMPLANTS & HEALING CAPS
Date Cleared
2005-04-15

(46 days)

Product Code
Regulation Number
872.3640
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Lifecore Biomedical Dental Implants are intended for use in partially or fully edentulous mandibles and maxillae, in support of single or multiple-unit restorations including; cement retained, screw retained, or overdenture restorations, and terminal or intermediate abutment support for fixed bridgework. Specific Intended Uses: The PrimaSolo One-Piece (3.5 – 5.0mm) Implant is a threaded one-piece implant with an integrated abutment designed for single-stage surgical procedure and cemented restorations. It is intended for immediate placement and can be restored with a temporary prosthesis in single tooth applications with good quality bone. The PrimaSolo One-Piece (3.0mm) Implant is a threaded one-piece implant with an integrated abutment designed for Single-Stage procedure and is indicated for use in the treatment of missing maxillary lateral and mandibular central and lateral incisors to support prosthetic devices, such as artificial teeth, in order to restore chewing function in partially edentulous patients. The implants must be splinted if using two or more 3.0mm implants adjacent to one another.
Device Description
The Lifecore PrimaSolo™ One-Piece Implant System is a one-piece implant incorporating both the implant and the abutment into one piece of machined titanium allov. It is designed for one-stage surgical procedures and utilizes cement-retained restorations. It is designed to be used for immediate placement and temporization on single and multiple-tooth restorations. The system also includes healing caps and surgical instrumentation: tissue punches, twist drills, surgical taps, parallel pins, try-ins, surgical depth probe, latch-type implant drivers, and ratchet adapters . Lifecore PrimaSolo One-Piece Implants are available with a Resorbable Blast Media (RBM) roughened surface.
More Information

Not Found

No
The device description and intended use clearly describe a physical dental implant system and associated surgical tools. There is no mention of software, algorithms, or data processing that would indicate the use of AI/ML. The "Mentions AI, DNN, or ML" field is explicitly marked as "Not Found".

Yes
The device is a dental implant system used to support prosthetic devices like artificial teeth, restoring chewing function in patients with missing teeth, which constitutes a therapeutic purpose.

No

This device is a dental implant system designed to restore chewing function by supporting prosthetic devices in edentulous patients. It is a treatment device, not a diagnostic one.

No

The device description explicitly states it is a "one-piece implant incorporating both the implant and the abutment into one piece of machined titanium alloy" and includes "healing caps and surgical instrumentation," indicating it is a physical medical device, not software only.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening.
  • Device Description and Intended Use: The description clearly states that the Lifecore Biomedical Dental Implants are intended for surgical implantation into the jawbone to support dental restorations. This is a surgical procedure performed directly on the patient's body, not an analysis of a specimen taken from the body.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples, using reagents, or providing diagnostic information based on laboratory tests.

Therefore, this device falls under the category of a surgical implant, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

Lifecore Biomedical Dental Implant System implants are intended for use in partially or fully edentulous mandibles and maxillae, in support of single or multiple-unit restorations including; cement retained, screw retained, or overdenture restorations, and terminal or intermediate abutment support for fixed bridgework.

Specific Intended Uses: The PrimaSolo One-Piece (3.5 – 5.0mm) Implant is a threaded one-piece implant with an integrated abutment designed for single-stage surgical procedure and cemented restorations. It is intended for immediate placement and can be restored with a temporary prosthesis in single tooth applications and multiple unit applications with good quality bone.

The PrimaSolo One-Piece (3.0mm) Implant is a threaded one-piece implant with an integrated abutment designed for Single-Stage procedure and is indicated for use in the treatment of missing maxillary lateral and mandibular central and lateral incisors to support prosthetic devices, such as artificial teeth, in order to restore chewing function in partially edentulous patients. The implants must be splinted if using two or more 3.0mm implants adjacent to one another.

Product codes

DZE

Device Description

The Lifecore PrimaSolo™ One-Piece Implant System is a one-piece implant incorporating both the implant and the abutment into one piece of machined titanium allov. It is designed for one-stage surgical procedures and utilizes cement-retained restorations. It is designed to be used for immediate placement and temporization on single and multiple-tooth restorations. The system also includes healing caps and surgical instrumentation: tissue punches, twist drills, surgical taps, parallel pins, try-ins, surgical depth probe, latch-type implant drivers, and ratchet adapters . Lifecore PrimaSolo One-Piece Implants are available with a Resorbable Blast Media (RBM) roughened surface.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

mandibles and maxillae, maxillary lateral and mandibular central and lateral incisors

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Not Found

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K924589, K944068, K951111, K992512, K023952, K031345, K032351, K032774

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.3640 Endosseous dental implant.

(a)
Identification. An endosseous dental implant is a prescription device made of a material such as titanium or titanium alloy that is intended to be surgically placed in the bone of the upper or lower jaw arches to provide support for prosthetic devices, such as artificial teeth, in order to restore a patient's chewing function.(b)
Classification. (1) Class II (special controls). The device is classified as class II if it is a root-form endosseous dental implant. The root-form endosseous dental implant is characterized by four geometrically distinct types: Basket, screw, solid cylinder, and hollow cylinder. The guidance document entitled “Class II Special Controls Guidance Document: Root-Form Endosseous Dental Implants and Endosseous Dental Implant Abutments” will serve as the special control. (See § 872.1(e) for the availability of this guidance document.)(2)
Classification. Class II (special controls). The device is classified as class II if it is a blade-form endosseous dental implant. The special controls for this device are:(i) The design characteristics of the device must ensure that the geometry and material composition are consistent with the intended use;
(ii) Mechanical performance (fatigue) testing under simulated physiological conditions to demonstrate maximum load (endurance limit) when the device is subjected to compressive and shear loads;
(iii) Corrosion testing under simulated physiological conditions to demonstrate corrosion potential of each metal or alloy, couple potential for an assembled dissimilar metal implant system, and corrosion rate for an assembled dissimilar metal implant system;
(iv) The device must be demonstrated to be biocompatible;
(v) Sterility testing must demonstrate the sterility of the device;
(vi) Performance testing to evaluate the compatibility of the device in a magnetic resonance (MR) environment;
(vii) Labeling must include a clear description of the technological features, how the device should be used in patients, detailed surgical protocol and restoration procedures, relevant precautions and warnings based on the clinical use of the device, and qualifications and training requirements for device users including technicians and clinicians;
(viii) Patient labeling must contain a description of how the device works, how the device is placed, how the patient needs to care for the implant, possible adverse events and how to report any complications; and
(ix) Documented clinical experience must demonstrate safe and effective use and capture any adverse events observed during clinical use.

0

Lifecore Biomedical, Inc. Abbreviated 510(k) Premarket Notification PrimaSolo™ One-Piece Implant System

K050506

510(K) SUMMARY AND CERTIFICATION [As required by 21 CFR 807.92(c)]

1. Submitter's Name and Contact Person

1. Submitter's Name and Contact Person
Lifecore Biomedical, Inc.Rachel Kennedy
3515 Lyman BlvdRegulatory Affairs Manager
Chaska, MN 55318Ph: 952-368-6294; Fax: 952-368-4278

2. General Information

| Trade Name | Lifecore PrimaSolo™ One-Piece Implant
System |
|-------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Common Name | Endosseous dental implant system |
| Classification Name | Endosseous implant |
| Identification of Predicate Devices | Restore® Self-Tapping Dental Implant System, RD (Lifecore Biomedical, Inc.) (K924589) Restore® Self-Tapping Dental Implant System, WD (Lifecore Biomedical, Inc.) (K944068) Restore® Self-Tapping Dental Implant System, SD (Lifecore Biomedical, Inc.) (K951111) Altiva Immediate Function Dental Implant (Altiva Corporation) (K992512) Replace® One Piece Implant (Nobel Biocare USA, Inc.) (K023952) Nobel Direct (Nobel Biocare USA, Inc.) (K031345) Biohorizons the Maestro System™ 3.0mm Diameter Implant (Biohorizons Implant System, Inc.) (K032351) |

1

| | Renova™ Internal Hex Implant
System (Lifecore Biomedical, Inc.)
(K032774) |

-----------------------------------------------------------------------------------

3. Device Description

The Lifecore PrimaSolo™ One-Piece Implant System is a one-piece implant incorporating both the implant and the abutment into one piece of machined titanium allov. It is designed for one-stage surgical procedures and utilizes cement-retained restorations. It is designed to be used for immediate placement and temporization on single and multiple-tooth restorations. The system also includes healing caps and surgical instrumentation: tissue punches, twist drills, surgical taps, parallel pins, try-ins, surgical depth probe, latch-type implant drivers, and ratchet adapters . Lifecore PrimaSolo One-Piece Implants are available with a Resorbable Blast Media (RBM) roughened surface.

4. Intended Use

Lifecore Biomedical Dental Implant System implants are intended for use in partially or fully edentulous mandibles and maxillae, in support of single or multiple-unit restorations including; cement retained, screw retained, or overdenture restorations, and terminal or intermediate abutment support for fixed bridgework.

5. Substantial Equivalence Comparison

The Lifecore Biomedical PrimaSolo One-Piece Implant System and the predicate devices Restore® Self-Tapping Implant System (K924589, K944068 and K951111), Renova™ Internal Hex Implant System (K032774), Replace® One Piece Implant (K023952), Nobel Direct (K031345), Biohorizons the Maestro System™ 3.0mm Diameter Implant (K032351), and the Altiva Immediate

2

Lifecore Biomedical, Inc. Abbreviated 510(k) Premarket Notification PrimaSolo™ One-Piece Implant System

Function Dental Implant (K992512) the share a substantially equivalent intended use. The PrimaSolo and the predicate devices are similar in fundamental scientific technology in that they are all threaded, root form implants constructed of titanium with roughened surfaces. The subject and predicate devices are similar in size and materials. All systems offer an integral abutment feature for cement retained restorations as well as associated accessories and instruments. When compared with the predicate devices, no new questions of safety or effectiveness have been raised for the PrimaSolo One-Piece Implant System.

3

Image /page/3/Picture/1 description: The image is a seal for the U.S. Department of Health & Human Services. The seal is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the seal is an abstract image of an eagle.

Public Health Service

APR 1 5 2005

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Lifecore Biomedical, Incorporated Ms. Rachel Kennedy Regulatory Affairs Manager Oral Restorative Division 3515 Lyman Boulevard Chaska, Minnesota 55318-3051

Re: K050506

K050500
Trade/Device Name: PrimaSolo™ One-Piece Implant System Regulation Number: 872.3640 Regulation Name: Endosseous Implant Regulatory Class: II Product Code: DZE Dated: February 25, 2005 Received: March 2, 2005

Dear Ms. Kennedy:

We have reviewed your Section 510(k) premarket notification of intent to market the device We have reviewed your because is = // he device is substantially equivalent (for the referenced above and have acterimined to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device mershale collinered pror to they 20, 777, accordance with the provisions of Allendlichts, of to devroos that is is Act (Act) that do not require approval of a premarket the rederal Pood, Drug, und Ocember , therefore, market the device, subject to the general approval application (1111). controls provisions of the rich. "The genices, good manufacturing practice, requirements for sibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III II your device is classified (see ass roy into seontrols. Existing major regulations affectings (PMA), it may be subject to suer adantenal versions on the 21, Parts 800 to 898. In your device can oc found in the South one of Personal one
addition, FDA may publish further announcements concerning your device in the Federal Register.

4

Page 2 - Ms. Kennedy

Please be advised that FDA's issuance of a substantial equivalence determination does not Flease oe auvisod that I Dri b issuaires on that your device complies with other requirements Incall that 1 271 has made a astes and regulations administered by other Federal agencies. of the Act of ally I ederal backed and equirements, including, but not limited to: registration 1 ou must comply with an 07); labeling (21 CFR Part 801); good manufacturing practice allu listing (21 CFR Pat 067), labeling (21 CFR Part 820); and if requirents as set form in the quartly sion control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

This letter will allow you to begin marketing your device as described in your Section 510(k) I mis letter will anow you to ough finding of substantial equivalence of your device to a premarket notified.com - The x Breasults in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), If you desire specific advice for Jour at (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Ifray obtain of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Chr L

Chiu Lin, Ph.D. Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

Indications for Use

510(k) Number (if known): K050506

PrimaSolo™ One-Piece Implant System Device Name:

Indications for Use:

Indications for Use:
Lifecore Biomedical Dental Implants are intended for use in partially or
e in and Siomedical Dental Implant of single or multiple-unit Lifecore Biomedical Dental Infipiant Oyotan unipont of single or multiple-unit
fully edentulous mandibles and maxillae, in support of single or overdenture resto fully edentulous mandibles and intaxiliae, in support on one one one one one of the restorations,
restorations including; cement retained, screw retained, or overdenture res restorations including, centent retailled, coron
and terminal or intermediate abutment support for fixed bridgework.

Specific Intended Uses: The PrimaSolo One-Piece (3.5 – 5.0mm) Implant is a threaded
Specifical Uses: The Primated on tweet designed for single-stage surgical Specific Intended Uses: "The Printations one i for single-stage surgical
one-piece implant with an integrated abutment designed for single-stage surgical one-piece implant with an integrated abunche acception of einended for procedure and cemented restorations: Triniteens only prosthesis in single tooth
immediate placement and can be restored with a temporary prosthesis in single tooth immediate placemontations with good quality bone.

The PrimaSolo One-Piece (3.0mm) Implant is a threaded one-piece implant with an
the end is in The PrimaSolo One-Plece (3.0mm) intellent is a tirrordure and is indicated for integrated abutment designed in Single-Stage of the mandibular central and
use in the treatment of missing maxillary later and in order to restor use in the treatment of missing maxiliary facer their in order to restore
lateral incisors to support prosthetic devices, such as artificial teeth, incisors lateral incisors to support prosthent de news, business of the mail incisors
chewing function in partially edentulous patients adasont to one another chewing function in partially edenturous putionto. The management to one another.
must be splinted if using two or more 3.0mm implants adjacent to one another.

Prescription Use _____________________________________________________________________________________________________________________________________________________________ (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 807 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Ken Mubej for HSR

K050506

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