K Number
K062436
Device Name
SIS SINUS IMPLANT STABILIZER
Date Cleared
2007-07-30

(343 days)

Product Code
Regulation Number
872.4760
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The SIS Sinus Implant Stabilizer is intended to provide a fixed anchorage point to stabilize dental implants in the sinus region, enabling sinus augmentation and implantation to be carried out in one session.
Device Description
The SIS Sinus Implant Stabilizer consists of a titanium plate provided with 3 large perforations for screw fixation of implants for premolars and first molars. It may be additionally secured in place with titanium microscrews and is provided in two sizes for use with different implant systems.
More Information

Not Found

No
The summary describes a mechanical implant stabilizer 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 implant stabilizer intended to provide a fixed anchorage point for dental implants. Its function is structural and mechanical, not therapeutic in the sense of treating or curing a disease or condition. It facilitates a surgical procedure rather than providing therapy itself.

No
The device is described as an implant stabilizer, intended to provide a fixed anchorage point for dental implants. Its function is to physically support and stabilize implants during a surgical procedure, not to diagnose a condition or disease.

No

The device description clearly states it is a "titanium plate" and mentions "screw fixation" and "titanium microscrews," indicating it is a physical hardware device.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body (like blood, urine, tissue) to provide information about a person's health.
  • Device Function: The SIS Sinus Implant Stabilizer is a physical implant designed to provide structural support and stabilization for dental implants within the sinus region. It is surgically placed within the body.
  • Lack of Diagnostic Testing: The description does not mention any testing of biological samples or providing diagnostic information. Its purpose is purely mechanical and structural.

The device description and intended use clearly indicate it's a surgical implant, not a diagnostic tool.

N/A

Intended Use / Indications for Use

The SIS Sinus Implant Stabilizer is intended to provide a fixed anchorage point to stabilize dental implants in the sinus region, enabling sinus augmentation and implantation to be carried out in one session.

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

JEY

Device Description

The SIS Sinus Implant Stabilizer consists of a titanium plate provided with 3 large perforations for screw fixation of implants for premolars and first molars. It may be additionally secured in place with titanium microscrews and is provided in two sizes for use with different implant systems.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

sinus region

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)

Testing was performed to support substantial equivalence to the predicate devices. The SIS Sinus Implant Stabilizer met all specified design and performance requirements.

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.

K990342, K951392, K951688, K042345, K050257

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

§ 872.4760 Bone plate.

(a)
Identification. A bone plate is a metal device intended to stabilize fractured bone structures in the oral cavity. The bone segments are attached to the plate with screws to prevent movement of the segments.(b)
Classification. Class II.

0

JUL 3 0 2007

Image /page/0/Picture/1 description: The image shows a handwritten expression that appears to be a mathematical or symbolic notation. The expression includes the number 1, followed by a symbol that resembles a stylized '8' or a loop, and then the number 2. A horizontal line is drawn beneath the entire expression, possibly indicating a fraction or some other mathematical operation.

MONDEAL

MEDICAL SYSTEMS GMBH

K062436

Postfach 4741 78512 Tuttlingen Telefon (0 74 61) 9 33 20 Telefax (0 74 61) 9 33 28 mail@mondeal.de

510(k) SUMMARY OF SAFETY AND EFFECTIVENESS

Date:July 24, 2006
Submitter:
Name:Mondeal Medical Systems GmbH
Address:Moltkestr. 39
78532 Tuttlingen
Germany
Contact Person:Ralph Duerr
Telephone:+49.7461.933214
Fax:+49.7461.93328
Product:
Trade Name:SIS Sinus Implant Stabilizer
Classification:Class II
Common Name:Bone Plate
Classification Name:Endosseous Implant
Predicate Devices:Synocta Prosthetics, K990342Mini Bone Plate System, K951392Micro Titanium Plate System, K951688Lin/Liou Orthodontic Mini Anchor System (LOMAS), K042345 & K050257
Device Description:The SIS Sinus Implant Stabilizer consists of a titanium plate provided with 3 large perforations for screw fixation of implants for premolars and first molars. It may be additionally secured in place with titanium microscrews and is provided in two sizes for use with different implant systems.
Intended Use:The SIS Sinus Implant Stabilizer is intended to provide a fixed anchorage point to stabilize dental implants in the sinus region, enabling sinus augmentation and implantation to be carried out in one session.
Performance Data:Testing was performed to support substantial equivalence to the predicate devices. The SIS Sinus Implant Stabilizer met all specified design and performance requirements.

K17

1

K062 436 272

Image /page/1/Picture/1 description: The image shows the logo for MONDEAL MEDICAL SYSTEMS GMBH. The word "MONDEAL" is in large, white, sans-serif letters on a black background. Below the word "MONDEAL" is the phrase "MEDICAL SYSTEMS GMBH" in smaller, white, sans-serif letters.

Postfach 4741 78512 Tuttlingen Telefon (0 74 6 1 ) 9 33 20 Telefax (0 74 6 1) 9 33 28 mail@mondeal.de

Sterilization The SIS Sinus Implant Stabilizer is intended for single use and may be offered either sterile by gamma radiation or nonsterile for autoclave steam sterilization.

  • Based upon the product technical information provided, Conclusion: intended use and performance information provided in this premarket notification, as well as similarity to legally marketed devices, Mondeal Medical Systems GmbH considers the SIS Sinus Implant Stabilizer to be substantially equivalent to the current legally marketed predicate devices.

2

Public Health Service

DEPARTMENT OF HEALTH & HUMAN SERVICES - USA

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mondeal Medical Systems GmbH C/O Ms. Angelika Scherp Regulatory Affairs Consultant Business Support International Amstel 320-I 1017 AP Amsterdam THE NETHERLANDS

JUL 3 0 2007

Re: K062436

Trade/Device Name: SIS Sinus Implant Stabilizer Regulation Number: 21 CFR 872.4760 Regulation Name: Endosseous Dental Implant Accessories Regulatory Class: II Product Code: JEY Dated: July 4, 2007 Received: July 13, 2007

Dear Ms. Scherp:

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 Federal Register.

3

Page 2 - Ms. Scherp

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 (QS) 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 yours,

Suite y. Michaud md

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

/7/

KD62436

INDICATIONS FOR USE

510(k) Number (if known):

Device Name: SIS Sinus Implant Stabilizer

!ndications for Use: The SIS Sinus Implant Stabilizer is intended to provide a fixed anchorage point to stabilize dental implants in the sinus region, enabling sinus augmentation and implantation to be carried out in one session.

Prescription Use X (Part 21 CFR 801 Subpart D) AND/OR

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)
Suan Ruar

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

510(k) Number: K062436

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