K Number
K073713
Device Name
BLUE SKY BIO DENTAL IMPLANT SYSTEM
Manufacturer
Date Cleared
2008-03-28

(88 days)

Product Code
Regulation Number
872.3640
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
- For implantation into any area of the fully edentulous maxilla and mandible for the support of a removable or fixed dental prosthesis - For implantation into any area of the partially edentulous maxilla and mandible for the support of a removable or fixed dental prosthesis - For single tooth or multiple unit prosthesis - For single stage or two stage surgical procedure - For immediate placement and immediate function when multiple units are splinted and for single units when adequate initial stability is achieved in type I or type II bone and under appropriate occlusal loading. Multiple units may be splinted with a bar. In edentulous cases restored with a fixed prosthesis, four or more implants must be used. - Abutments are intended for use in conjunction with compatible Implant System in partially or fully edentulous mandibles and maxillae, in support of single or multiple-unit cement retained restoration.
Device Description
The modification of the Blue Sky Bio Dental Implant System consists of angled abutments and abutments to be custom milled to a specific angle to allow restoration of implants which are placed at an off-axis. A line of UCLA type straight abutments is introduced. In addition, an implant with a length of 8mm is introduced. A ceramic surgical osteotomy drill is also introduced.
More Information

Not Found

Not Found

No
The document describes dental implants, abutments, and surgical drills, with no mention of AI or ML technology.

No
The device is described as a dental implant system and abutments, intended for the support of dental prostheses. While it aids in restoring function, it does not directly treat or cure a disease or condition in a therapeutic sense.

No

The provided text describes a dental implant system, including implants, abutments, and surgical drills, all of which are used for the support of dental prostheses. There is no mention of the device being used to identify, measure, or monitor a disease or condition.

No

The device description clearly outlines physical components such as angled abutments, custom-milled abutments, an 8mm implant, and a ceramic surgical osteotomy drill, indicating it is a hardware-based medical device.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to examine specimens taken from the human body (like blood, urine, or tissue) to provide information about a person's health.
  • Device Description and Intended Use: The description clearly states that this device is a dental implant system, including implants, abutments, and a surgical drill. Its intended use is for implantation into the jawbone to support dental prostheses. This is a surgical device used in vivo (within the body), not a device used to test samples in vitro (outside the body).

The information provided focuses on the surgical placement and function of a dental implant system, which is entirely outside the scope of IVD devices.

N/A

Intended Use / Indications for Use

For implantation into any area of the fully edentulous maxilla and mandible for the support of a removable or fixed dental prosthesis
For implantation into any area of the partially edentulous maxilla and mandible for the support of a removable or fixed dental prosthesis
For single tooth or multiple unit prosthesis
For single stage or two stage surgical procedure
For immediate placement and immediate function when multiple units are splinted and for single units when adequate initial stability is achieved in type I or type II bone and under appropriate occlusal loading. Multiple units may be splinted with a bar. In edentulous cases restored with a fixed prosthesis, four or more implants must be used.
Abutments are intended for use in conjunction with compatible Implant System in partially or fully edentulous mandibles and maxillae, in support of single or multiple-unit cement retained restoration.

Product codes

DZE, NHA

Device Description

The modification of the Blue Sky Bio Dental Implant System consists of angled abutments and abutments to be custom milled to a specific angle to allow restoration of implants which are placed at an off-axis. A line of UCLA type straight abutments is introduced. In addition, an implant with a length of 8mm is introduced. A ceramic surgical osteotomy drill is also introduced.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

maxilla and mandible

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)

Not Found

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

Blue Sky Bio, LLC

888 E BELVIDERE SUITE 212 GRAYSLAKE, IL 60030 Tel: 718-376 0422 Fax: 888-234 3685 Email: azickmann@blueskybio.com

510(K) Summary

General Information

Classification Name:Endosseous Implant
Common Name:Prosthetic Dental Implant System
Trade Name:Blue Sky Bio Dental Implant System
Submitter's Name:Blue Sky Bio, LLC
Address:888 E Belvidere Rd., Suite 212
Grayslake, IL 60030
Telephone:847-548 8499
Fax:847-548 8491
Contact:Michele Vovolka
Date of SummaryNovember 2007

Device Description

The modification of the Blue Sky Bio Dental Implant System consists of angled abutments and abutments to be custom milled to a specific angle to allow restoration of implants which are placed at an off-axis. A line of UCLA type straight abutments is introduced. In addition, an implant with a length of 8mm is introduced. A ceramic surgical osteotomy drill is also introduced.

Indications for Use:

  • For implantation into any area of the fully edentulous maxilla and mandible for the support of a . removable or fixed dental prosthesis
  • For implantation into any area of the partially edentulous maxilla and mandible for the support of . a removable or fixed dental prosthesis
  • . For single tooth or multiple unit prosthesis
  • . For single stage or two stage surgical procedure
  • For immediate placement and immediate function when multiple units are splinted and for single . units when adequate initial stability is achieved in type I or type II bone and under appropriate occlusal loading. Multiple units may be splinted with a bar. In edentulous cases restored with a fixed prosthesis, four or more implants must be used.
  • Abutments are intended for use in conjunction with compatible Implant System in partially or . fully edentulous mandibles and maxillae, in support of single or multiple-unit cement retained restoration.

1

Image /page/1/Picture/1 description: The image is a black and white logo for the Department of Health & Human Services USA. The logo features a stylized eagle with its wings spread, and the words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" are arranged in a circle around the eagle. The eagle is composed of three thick, curved lines that suggest feathers.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAR 2 8 2008

Ms. Michele Vovolka Blue Sky Bio, LLC 888 East Belvidere Road, Suite 212 Grayslake, Illinois 60030

Re: K073713

Trade/Device Name: Blue Sky Bio Dental Implant System Regulation Number: 872.3640 Regulation Name: Endosseous Dental Implant Regulatory Class: II Product Code: DZE, NHA Dated: March 29, 2006 Received: December 31, 2007

Dear Ms. Vovolka:

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.

2

Page 2 - Ms. Vovolka

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 vour 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,

Sattie Y. Michie Ons.

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

3

Indications for Use Statement

Page 1_of 1

K073713 510(k) Number (if Known):_

Device Name: Blue Sky Bio Dental Implant System

Indications for Use:

  • For implantation into any area of the fully edentulous maxilla and mandible for the support of a . removable or fixed dental prosthesis
  • . For implantation into any area of the partially edentulous maxilla and mandible for the support of a removable or fixed dental prosthesis
  • . For single tooth or multiple unit prosthesis
  • . For single stage or two stage surgical procedure
  • For immediate placement and immediate function when multiple units are splinted and for single . units when adequate initial stability is achieved in type I or type II bone and under appropriate occlusal loading. Multiple units may be splinted with a bar. In edentulous cases restored with a fixed prosthesis, four or more implants must be used.
  • Abutments are intended for use in conjunction with compatible Implant System in partially or . fully edentulous mandibles and maxillae, in support of single or multiple-unit cement retained restoration.

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

Division Sign Off

ision Sign-Off Concurrence of CDRH, Office of Device Evaluation (ODE) Division of Anesthesiology, General Hospital Infection Control, Dental Devices

510(k) Number: K073713

Prescription Use ਮ (Per 21 CFR 801.109)

OR

Over-The-Counter Use (Optional Format 1-2-96)

Blue Sky Bio, LLC 510(k)

Blue Sky Bio, LLC 510(k)

Page 10-Proprietary & Confidential

December 2007