K Number
K051527
Device Name
SPI EASY TEMPORARY CAP
Date Cleared
2005-07-28

(50 days)

Product Code
Regulation Number
872.3630
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Thommen SPI® EASY Temporary Cap is intended to be used in conjunction with SPI® System dental implants, which provide support for crowns, bridges or overdentures in the maxillary and/or mandibular arch. It is used to protect the coronal surface of the abutment and to serve as a base for a temporary restoration.
Device Description
The Thommen SPI® EASY Temporary Cap is an endosseous dental implant component used for maintaining the gingival contour and as a base for a fabrication of a temporary restoration. It also serves to protect the coronal aspect of the abutment from damage and the patient's tongue from injury during the time the final restoration is being fabricated. The Temporary Cap will be offered in sizes to fit all SPI® EASY abutments and may be used with all SPI® System dental implants.
More Information

Not Found

No
The document describes a physical dental implant component and does not mention any software, algorithms, or data processing that would indicate the use of AI/ML.

No
The device is described as an endosseous dental implant component used for maintaining gingival contour, protecting abutments, and serving as a base for temporary restorations, rather than for treating or curing a medical condition.

No

The device is described as an endosseous dental implant component used for maintaining gingival contour, protecting the abutment, and serving as a base for a temporary restoration, not for diagnosing a medical condition.

No

The device description clearly indicates it is a physical component (an endosseous dental implant component) used in conjunction with dental implants. It is not software.

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

Here's why:

  • Intended Use: The intended use clearly states that the device is used in conjunction with dental implants to support crowns, bridges, or overdentures and to protect the abutment and serve as a base for a temporary restoration. This is a mechanical function within the body.
  • Device Description: The description reinforces its use as an endosseous dental implant component for maintaining gingival contour, protecting the abutment, and serving as a base for a temporary restoration. Again, this describes a physical device used in a surgical/dental procedure.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or screening. IVDs are typically used in vitro (outside the body) to analyze biological samples.

Therefore, the Thommen SPI® EASY Temporary Cap is a medical device, specifically a dental implant component, but it does not fit the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Thommen SPI® EASY Temporary Cap is intended to be used in conjunction with SPI® System dental implants, which provide support for crowns, bridges or overdentures in the maxillary and/or mandibular arch. It is used to protect the coronal surface of the abutment and to serve as a base for a temporary restoration.

Product codes (comma separated list FDA assigned to the subject device)

NHA

Device Description

The Thommen SPI® EASY Temporary Cap is an endosseous dental implant component used for maintaining the gingival contour and as a base for a fabrication of a temporary restoration. It also serves to protect the coronal aspect of the abutment from damage and the patient's tongue from injury during the time the final restoration is being fabricated. The Temporary Cap will be offered in sizes to fit all SPI® EASY abutments and may be used with all SPI® System dental implants.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

maxillary and/or mandibular arch

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): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K033346, K023645, K031747, K041070

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 872.3630 Endosseous dental implant abutment.

(a)
Identification. An endosseous dental implant abutment is a premanufactured prosthetic component directly connected to the endosseous dental implant and is intended for use as an aid in prosthetic rehabilitation.(b)
Classification. Class II (special controls). 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.)

0

510(k) Summary

SPI® Easy Temporary Cap

16051527

Thommen Medical AG 510(k) Premarket Notification SPI® EASY Temporary Cap

ADMINISTRATIVE INFORMATION

Thommen Medical AG Manufacturer Name: Hauptstrasse 87 CH-4437 Waldenburg Switzerland Telephone +41 61 965 90 20 FAX +41 61 965 90 21

Official Contact:

Orlando Antunes

DEVICE NAME

Classification Name: Trade/Proprietary Name: Common Name:

Abutment, Implant, Dental, Endosseous SPI® EASY Temporary Cap Endosseous Dental Implant System Component

ESTABLISHMENT REGISTRATION NUMBER

The Establishment Registration number for Thommen Medical AG is 3003836985. The Owner/Operator number is 9051144.

DEVICE CLASSIFICATION

Endosseous dental implant abutments are Class II devices (21 CFR 872.3630). The product code for "Abutment, Implant, Dental, Endosseous" is NHA.

CONFORMANCE WITH PERFORMANCE STANDARDS

No performance standards applicable to endosseous dental implant abutments have No performanos claindares applied the SPI® EASY Temporary Cap is made complies with ISO 10993-1.

PREDICATE DEVICE INFORMATION

The predicate devices for this modification are Thommen Medical AG SP1® Dental The production and hoto ents cleared by FDA under K033346, K023645 and K031747, and Straumann USA Abutments cleared by FDA under K041070.

1

510(k) Summary NG/LABELING/PRODUCT INFORMATION

Thommen SPI® EASY Temporary Cap will be packaged and sold non-sterile.

INTENDED USE

The Thommen SPI® EASY Temporary Cap is intended to be used in conjunction with SPI® System dental implants, which provide support for crowns, bridges or overdentures in the maxillary and/or mandibular arch. It is used to protect the coronal surface of the abutment and to serve as a base for a temporary restoration.

DEVICE DESCRIPTION

Design Characteristics

The Thommen SPI® EASY Temporary Cap is an endosseous dental implant component used for maintaining the gingival contour and as a base for a fabrication of a temporary restoration. It also serves to protect the coronal aspect of the abutment from damage and the patient's tongue from injury during the time the final restoration is being fabricated. The Temporary Cap will be offered in sizes to fit all SPI® EASY abutments and may be used with all SPI® System dental implants.

EQUIVALENCE TO MARKETED PRODUCT

The SPI® EASY Temporary Cap has the following similarities to the predicate devices:

  • · has the same intended use,
  • · uses the same operating principle,
  • · incorporates the same basic design,
  • · is packaged using the same materials and processes.

2

Image /page/2/Picture/1 description: The image shows the seal of the U.S. Department of Health and Human Services. The seal features a stylized eagle with three lines representing its body and wings. The words "DEPARTMENT OF HEALTH AND HUMAN SERVICES - USA" are arranged in a circular pattern around the eagle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUL 2 8 2005

Thommen Medical, AG C/O Mr. Floyd G. Larson PaxMed International, LLC 11234 El Camino Real, Suite 200 San Diego, California 92130

Re: K051527

Trade/Device Name: SPI® Easy Temporary Cap Regulation Number: 21 CFR 872.3630 Regulation Name: Endosseous Dental Implant Abutment Regulatory Class: II Product Code: NHA Dated: June 7, 2005 Received: June 8, 2005

Dear Mr. Larson:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Eederal Register.

3

Page 2 - Mr. Larson

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation 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) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results 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), please contact the Office of Compliance 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 Division 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 vours.

Suvie Y. Michael Ovis.

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

4

Indications for Use

Applicant: Thommen Medical AG

510(k) Number (if known): K051527

Device Name: SPI® EASY Temporary Cap

Indications for Use:

The Thommen SPT® EASY Temporary Cap is intended to be used in conjunction with She mayillars and/or The Thounnell STT ENDT Temporary Cap Is was bridges or overdentures in the maxidlary and/or dellual implans, which provide bappen les coronal surface of the abutment and to provide a base for fabrication of temporary restorations.

Over-The-Counter Use Prescription Use AND/OR (21 CFR 801 Subpart C) (Part 21 CFR 801 Subpart D) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Susan Runner

(Division Sign-Off) Division of Anesthesiology, General Hospital, Infection Control, Dental Devices

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510(k) Number: K051527