K Number
K093894
Device Name
ANTHOGYR IMPULSION IMPLANTOLOGY CONTRA-ANGLE
Manufacturer
Date Cleared
2010-03-03

(75 days)

Product Code
Regulation Number
872.4200
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
ANTHOGYR's fully autoclavable contra-angles Implantology « Impulsion » are devices intended for a wide range of dental procedures including: Implant surgery such as perforating the bone, tapping and threading procedures This range can be used with special accessories like depth stop.
Device Description
ANTHOGYR has developed a full range of surgical contra angle intended to be used in implantology. The name of the range is « Impulsion » . ANTHOGYR Contra angles design, size and performance conform to NF EN ISO 7785-2 "Dental Handpieces -Part 2: Straight and geared angle handpieces".
More Information

No
The summary describes a mechanical dental handpiece and does not mention any AI or ML components or functions.

No
This device is a surgical contra-angle used for dental procedures like implant surgery (perforating bone, tapping, threading), which is an intervention, not a therapeutic treatment itself.

No

The document describes a surgical contra-angle used for procedures like bone perforation and threading in implant surgery, not for detecting or identifying a medical condition.

No

The device description explicitly states it is a "full range of surgical contra angle" and mentions conforming to standards related to "Dental Handpieces" and "Surgical and dental hand instruments," indicating a physical, hardware-based device.

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

Here's why:

  • Intended Use: The intended use clearly describes the device as being used for "Implant surgery such as perforating the bone, tapping and threading procedures." These are surgical procedures performed directly on the patient's body.
  • Device Description: The device is described as a "surgical contra angle" used in implantology. This further reinforces its use in surgical procedures.
  • 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 treatment.

IVD devices are specifically designed to be used in vitro (outside the body) to analyze biological samples. This device is used in vivo (inside the body) during surgical procedures.

N/A

Intended Use / Indications for Use

ANTHOGYR's fully autoclavable contra-angles Implantology « Impulsion » are devices intended for a wide range of dental procedures including: Implant surgery such as perforating the bone, tapping and threading procedures This range can be used with special accessories like depth stop.

Product codes

EFA

Device Description

ANTHOGYR has developed a full range of surgical contra angle intended to be used in implantology. The name of the range is « Impulsion » . ANTHOGYR Contra angles design, size and performance conform to NF EN ISO 7785-2 "Dental Handpieces -Part 2: Straight and geared angle handpieces".

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

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)

ANTHOGYR Contra angles & Handpieces conform to the following FDA recognized Consensus standards: ISO 14971 (2001) Medical devices - Application of risk management to medical devices" (Recognition List Number: 005 Effective Date: 05/04/2001); ISO 15223 (2000) « Medical devices Symbols to be used with medical device labels, labeling and information to be supplied » (Recognition List Number: 008 Effective Date: 10/29/2003); ISO 13402 (2002) « Surgical and dental hand instruments Determination of resistance against autoclaving, corrosion and thermal exposure » (recognized Recognition List Number: 001 Effective Date: 02/19/1998); V ISO 7785-2 (1995) "Dental Handpieces Part 2: Straight and geared angle handpieces" (Recognition List Number: 003 Effective Date: 05/03/1999); ISO 3964 (1982) "Dental Handpieces - Coupling dimensions" (Recognition List Number: 003 Effective Date: 05/03/1999); ISO 7153-1 (1999) « Surgical instruments - Metallic materials - Part 1 : stainless steel » (Recognition List Number: 006 Effective Date: 10/01/2001).
In addition, ANTHOGYR Contra angles & Handpieces conform to the following standards: I ISO 13485 (1996) Medical devices Particular requirements for the application of the ISO 9001"; NF EN ISO 1797-1 (1995) "Dental rotatory instruments - Shanks - Par 1: Shanks made of metal"; NF EN ISO 17664 (2004) « Sterilization of medical devices Information to be provided by the manufacturer for the processing of resterilizable medical devices »

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

Not Found

Predicate Device(s)

K040674

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.4200 Dental handpiece and accessories.

(a)
Identification. A dental handpiece and accessories is an AC-powered, water-powered, air-powered, or belt-driven, hand-held device that may include a foot controller for regulation of speed and direction of rotation or a contra-angle attachment for difficult to reach areas intended to prepare dental cavities for restorations, such as fillings, and for cleaning teeth.(b)
Classification. Class I.

0

MAR - 3 2010

SPECIAL 510(k) - MODIFICATION TO K040674 ANTHOGYR DENTAL CONTRA-ANGLES

anthogyr

510(K) SUMMARY OF SAFETY AND EFFECTIVENESS

1. GENERAL INFORMATION

SubmitterANTHOGYR (Registration number 8020776)
2237, avenue André Lasquin
74700 SALLANCHES FRANCE
Phone: 33(0)4 50 58 02 37 Fax: 33(0)4 50 93 78 60
Web : www.anthogyr.com
ContactsSabine BRAYETTE (QULITY INGINEER IN CHARGE OF
REGULATORY AFFAIRS)
sabine.brayette.prod@anthogyr.com
Trade NamesANTHOGYR « Impulsion » Implantology Contra-angles
Legally marketed
predicate devicesAnthogyr Implantology Contra angles K040674
Classification NameDental handpiece and accessories
ClassI
Product CodeEFA
CFR section872.4200
Intended UseANTHOGYR'S fully autoclavable contra-angles
Implantology « Impulsion » are devices intended for a wide
range of dental procedures including:
Implant surgery such as perforating the bone, tapping and
threading procedures

2. INTENDED USE

ANTHOGYR's fully autoclavable contra-angles Implantology « Impulsion » are devices intended for a wide range of dental procedures including:

  • Implant surgery such as perforating the bone, tapping and threading procedures. >

1

SPECIAL 510(k) - MODIFICATION TO K040674 ANTHOGYR DENTAL CONTRA-ANGLES

anthogyr

3. DEVICE DESCRIPTION

ANTHOGYR has developed a full range of surgical contra angle intended to be used in implantology. The name of the range is « Impulsion » . ANTHOGYR Contra angles design, size and performance conform to NF EN ISO 7785-2 "Dental Handpieces -Part 2: Straight and geared angle handpieces".

4. PERFORMANCE DATA

ANTHOGYR Contra angles & Handpieces conform to the following FDA recognized Consensus standards:

  • ISO 14971 (2001) *Medical devices - Application of risk management to medical devices" (Recognition List Number: 005 Effective Date: 05/04/2001)

  • ISO 15223 (2000) « Medical devices Symbols to be used with medical device labels, labeling and information to be supplied » (Recognition List Number: 008 Effective Date: 10/29/2003)
  • ISO 13402 (2002) « Surgical and dental hand instruments Determination of resistance against autoclaving, corrosion and thermal exposure » (recognized Recognition List Number: 001 Effective Date: 02/19/1998)
  • V ISO 7785-2 (1995) "Dental Handpieces Part 2: Straight and geared angle handpieces" (Recognition List Number: 003 Effective Date: 05/03/1999)
  • ISO 3964 (1982) "Dental Handpieces - Coupling dimensions" (Recognition List Number: 003 Effective Date: 05/03/1999)

  • ISO 7153-1 (1999) « Surgical instruments - Metallic materials - Part 1 : stainless steel » (Recognition List Number: 006 Effective Date: 10/01/2001)

In addition, ANTHOGYR Contra angles & Handpieces conform to the following standards:

  • I ISO 13485 (1996) *Medical devices Particular requirements for the application of the ISO 9001"
  • NF EN ISO 1797-1 (1995) "Dental rotatory instruments - Shanks - Par 1: Shanks made of metal"

2

SPECIAL 510(k) -- MODIFICATION TO K040674 anthogyr dental contra-angles

anthogyr

  • NF EN ISO 17664 (2004) « Sterilization of medical devices Information to be > provided by the manufacturer for the processing of resterilizable medical devices »

5. SUBSTANTIAL EQUIVALENCE

The ANTHOGYR « Impulsion » Implantology Contra-angles have the same fundamental scientific technology, operating principle and intended use as predicate devices.

December 15, 2009 Summary preparation date:

3

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized caduceus symbol, which is a staff with two snakes entwined around it. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the symbol.

MAR - 3 2010

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

Ms. Sabine Brayette Quality Engineer in Charge of Regulatory Affairs Anthogyr 2237 Avenue André Lasquin Sallanches FRANCE 74700

Re: K093894

Trade/Device Name: Anthogyr Contra Angles and Handpieces Regulation Number: 21 CFR 872.4200 Regulation Name: Dental Handpiece and Accessories Regulatory Class: I Product Code: EFA Dated: January 20, 2010 Received: February 1, 2010

Dear Ms. Brayette:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to 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.

4

Page 2 - Ms. Bravette

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that I DA 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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to

http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely vours.

Wh for

Anthony D. Watson, B.S., M.S., M.B.A. Director

Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and

Radiological Health

Enclosure

5

SPECIAL 510(k) - MODiFICATION TO K040674 ANTHOGYR DENTAL CONTRA-ANGLES

thogyr

Indications for Use

510(k) Number (if known):

Device Name: ANTHOGYR CONTRA ANGLES AND HANDPIECES

  • / Indications for Use: ANTHOGYR's fully autoclavable contra-angles Implantology « Impulsion » are devices intended for a wide range of dental procedures including:

Implant surgery such as perforating the bone, tapping and threading procedures This range can be used with special accessories like depth stop.

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

Over-The-Counter Use (21 CFR 801 Subpart C)

Concurrence of CDRH, Office of Device Evaluation (ODE)

RSher DDS for Dr. K.P. Mulvey
(Division Sign-Off)

Page 1 of 1

Division of Anesthesiology, General Hospital Infection Control, Dental Devices

510(k) Number:

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