K Number
K102034
Device Name
BLUE SKY BIO DENTAL IMPLANT SYSTEM
Manufacturer
Date Cleared
2011-04-19

(274 days)

Product Code
Regulation Number
872.3640
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Intended Use for Two-Piece Implant Systems - For implantation into any area of the fully 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. - Unsplinted narrow implants and angled abutments are not to be used in the posterior areas. . - . Taper Hex Implant System is compatible with NobelActive implants and prosthetics - Double Hex Implant System is compatible with Astra double hex implants and prosthetics . - Square Taper Implant System is compatible with Straumann Bone-Level implants and . prosthetics Intended Use for One-Piece Implant System - For implantation into any area of the fully edentulous maxilla and mandible for the support . of a removable or fixed dental prosthesis - For single tooth or multiple unit prosthesis ● - For single 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. In edentulous cases four or more implants must be used - Overdenture Implants are intended for support of removable prosthesis. .
Device Description
The modification of the Blue Sky Bio Dental Implant System consists of root form dental implants of various lengths and diameters and associated abutment systems, which provide the clinician with cement retained , screw retained and overdenture-type restorative options. The implants and abutments are made out of Ti6Al4V titanium alloy and have an internal anti-rotational geometry or have a one-piece design with the abutment portion being an integral part of the implant. The device also includes exempt accessories such as laboratory analogs and drivers for insertion of the implants. and The activFluor surface treatment of the implants is the same as on Blue Sky Bio's predicate devices and is performed by blasting the surface and chemically etching to enhance the surface roughness for apposition of bone to the implant surface. The implants and components are supplied sterile or not sterile and are labeled accordingly.
More Information

No
The document describes a dental implant system and its components, focusing on materials, design, and compatibility. There is no mention of AI or ML technology in the intended use, device description, or performance studies.

Yes
The device is a dental implant system used for implantation into the maxilla and mandible to support dental prostheses, which is a therapeutic function aimed at treating edentulism.

No

The device is a dental implant system used for supporting dental prostheses, not for diagnosing medical conditions. Its intended use focuses on treatment (implantation) rather than diagnosis.

No

The device description explicitly states the device consists of physical components made of Ti6Al4V titanium alloy (implants and abutments) and includes exempt accessories like laboratory analogs and drivers. This indicates a hardware-based medical device, not a software-only one.

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 a dental implant system for surgical implantation into the jawbone to support dental prostheses. This is a surgical and restorative procedure, not a diagnostic test performed on samples taken from the body.
  • Device Description: The device is described as root form dental implants and associated abutment systems made of titanium alloy. This is a physical implant, not a reagent, instrument, or system intended for use in the examination of specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes.
  • Performance Studies: The performance studies mentioned are related to compatibility and fatigue testing of the physical implant and abutments, not diagnostic performance metrics like sensitivity or specificity.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples, detecting analytes, or providing diagnostic information.

Therefore, this device falls under the category of a medical device used for surgical and restorative purposes, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

Intended Use for Two-Piece Implant Systems

  • For implantation into any area of the fully 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.
  • Unsplinted narrow implants and angled abutments are not to be used in the posterior areas. .
  • . Taper Hex Implant System is compatible with NobelActive implants and prosthetics
  • Double Hex Implant System is compatible with Astra double hex implants and prosthetics .
  • Square Taper Implant System is compatible with Straumann Bone-Level implants and . prosthetics

Intended Use for One-Piece Implant System

  • For implantation into any area of the fully edentulous maxilla and mandible for the support . of a removable or fixed dental prosthesis
  • For single tooth or multiple unit prosthesis .
  • For single 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. In edentulous cases four or more implants must be used
  • Overdenture Implants are intended for support of removable prosthesis. .

Product codes

DZE, NHA

Device Description

The modification of the Blue Sky Bio Dental Implant System consists of root form dental implants of various lengths and diameters and associated abutment systems, which provide the clinician with cement retained , screw retained and overdenture-type restorative options. The implants and abutments are made out of Ti6Al4V titanium alloy and have an internal anti-rotational geometry or have a one-piece design with the abutment portion being an integral part of the implant. The device also includes exempt accessories such as laboratory analogs and drivers for insertion of the implants. and The activFluor surface treatment of the implants is the same as on Blue Sky Bio's predicate devices and is performed by blasting the surface and chemically etching to enhance the surface roughness for apposition of bone to the implant surface. The implants and components are supplied sterile or not sterile and are labeled accordingly.

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)

Compatibility tests with other systems according to Guidance for Industry and FDA Staff - Class II Special Controls Guidance Document; Root-form Endosseous Dental Implants and Endosseous Dental Abutments: These tests were performed to assess compatibility with predicate devices. The tests showed that the new devices are compatible with predicate devices and the fit is adequate.

Fatigue testing for angled abutments and narrow diameter implants: This test has been conducted according to ISO 14801 for predicate devices. The new devices have larger wall thickness and equal or smaller angulation than the predicate devices and are therefore equivalent or stronger than the predicate devices.

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

Not Found

Predicate Device(s)

K051507, K060957, K063874, K073713

Reference Device(s)

K071370, K052997, K062129

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

Image /page/0/Picture/1 description: The image shows an address and contact information. The address is 888 E BELVIDERE, SUITE 212, GRAYSLAKE, IL 60030. The phone number is 718-376 0422, and the fax number is 888-234 3685.

510(K) Summary

APR 1 9 2011

General Information
Classification Name:Endosseous Implant
Common Name:Prosthetic Dental Implant System
Product CodeDZE
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 SummaryJune 2010

Device Description

The modification of the Blue Sky Bio Dental Implant System consists of root form dental implants of various lengths and diameters and associated abutment systems, which provide the clinician with cement retained , screw retained and overdenture-type restorative options. The implants and abutments are made out of Ti6Al4V titanium alloy and have an internal anti-rotational geometry or have a one-piece design with the abutment portion being an integral part of the implant. The device also includes exempt accessories such as laboratory analogs and drivers for insertion of the implants. and The activFluor surface treatment of the implants is the same as on Blue Sky Bio's predicate devices and is performed by blasting the surface and chemically etching to enhance the surface roughness for apposition of bone to the implant surface. The implants and components are supplied sterile or not sterile and are labeled accordingly.

Device Description Chart

Abutment TypePlatformAngle deg.Blue Sky Bio Predicate
Square Taper AngledRegular, Wide15K073713
Square Taper AngledRegular, Wide25K073713
Double Hex AngledNarrow, Regular, Wide15K073713
Double Hex AngledNarrow, Regular, Wide25K073713
Taper Hex AngledNarrow, Regular, Wide15K073713
Taper Hex AngledNarrow, Regular, Wide30K073713
Titanium alloy straight abutmentsPlatformPredicate
Square TaperRegular, WideK051507 , K060957
Double HexNarrow, Regular, WideK051507 , K060957
Taper HexNarrow, Regular, WideK051507 , K060957

1

Attachment 2

888 E BELVIDERE SUITE 212 GRAYSLAKE, IL 60030 Tel: 718-376 0422 Fax: 888-234 3685

UCLA Abutments Square Taper UCLA straight Double Hex UCLA straight Taper Hex UCLA straight

Platform Regular, Wide Narrow, Regular, Wide Narrow, Regular, Wide

BSB Predicate K051507 , K060957 K051507 , K060957 K051507 , K060957

| Implant style | Diameter
mm | Length | Blue Sky Bio
Predicate | Predicate Size
Range |
|----------------------------------|----------------|-----------------------|---------------------------|---------------------------------|
| Square Taper | 3.3 | 8, 10, 12, 14, 16mm | K 051507, K060957 | Ø 3.3mm-6mm;
Length 8-16mm |
| Square Taper | 3.3 | 8, 10, 12, 14, 16mm | K 051507, K060957 | Ø 3.3mm-6mm;
Length 8-16mm |
| Square Taper | 4.1 | 8, 10, 12, 14, 16mm | K 051507, K060957 | Ø 3.3mm-6mm;
Length 8-16mm |
| Square Taper | 4.8 | 8, 10, 12, 14, 16mm | K 051507, K060957 | Ø 3.3mm-6mm;
Length 8-16mm |
| Square Taper | 5.6 | 8, 10, 12, 14, 16mm | K 051507, K060957 | Ø 3.3mm-6mm;
Length 8-16mm |
| Square Taper | 7.0 | 8, 10, 12, 14, 16mm | K 051507, K060957 | Ø 3.3mm-6mm;
Length 8-16mm |
| Square Taper | 8.0 | 8, 10, 12, 14, 16mm | K 051507, K060957 | Ø 3.3mm-6mm;
Length 8-16mm |
| Double Hex | 3.25 | 9, 11, 13, 15, 17mm | K 051507, K060957 | Ø 3.3mm-6mm;
Length 8-16mm |
| Double Hex | 3.5 | 9, 11, 13, 15, 17mm | K 051507, K060957 | Ø 3.3mm-6mm;
Length 8-16mm |
| Double Hex | 4.0 | 9, 11, 13, 15, 17mm | K 051507, K060957 | Ø 3.3mm-6mm;
Length 8-16mm |
| Double Hex | 5.0 | 9, 11, 13, 15, 17mm | K 051507, K060957 | Ø 3.3mm-6mm;
Length 8-16mm |
| Taper Hex | 3.3 | 8, 10, 11.5, 13, 16mm | K 051507, K060957 | Ø 3.3mm-6mm;
Length 8-16mm |
| Taper Hex | 4.3 | 8, 10, 11.5, 13, 16mm | K 051507, K060957 | Ø 3.3mm-6mm;
Length 8-16mm |
| Taper Hex | 5.0 | 8, 10, 11.5, 13, 16mm | K 051507, K060957 | Ø 3.3mm-6mm;
Length 8-16mm |
| Internal Hex | 3.25 | 10, 11.5, 13, 16mm | K 051507, K060957 | Ø 3.3mm-4.8mm;
Length 8-16mm |
| One Piece Implant | 3.0 | 10, 12, 14mm | K051507 | Ø 3.3mm-4.8mm;
Length 8-16mm |
| One Piece Implant
Overdenture | 3.0 | 10, 12, 14mm | K051507 | Ø 3.3mm-4.8mm;
Length 8-16mm |

2

| Blue Sky Bio, LLC | | 888 E BELVIDERE
SUITE 212
GRAYSLAKE, IL 60030
Tel: 718-376 0422
Fax: 888-234 3685 | | |
|-------------------|-------------------|-----------------------------------------------------------------------------------------------|------------------------------|----------------------------|
| Short Implants | Diameter in
mm | Length | Blue Sky
Bio
Predicate | Predicate Size
Range |
| Square Taper | 4.8 | 6mm | K073713 | Ø 4.8-5,6mm;
Length 6mm |
| Square Taper | 5.6 | 6mm | K073713 | Ø 4.8-5,6mm:
Length 6mm |
| Square Taper | 7.0 | 6mm | K073713 | Ø 4.8-5,6mm;
Length 6mm |
| Square Taper | 8.0 | 6mm | K073713 | Ø 4.8-5,6mm;
Length 6mm |

Attachment 2

Intended Use for Two-Piece Implant Systems

  • For implantation into any area of the fully 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.
  • . Unsplinted narrow implants and angled abutments are not to be used in the posterior areas.
  • Taper Hex Implant System is compatible with NobelActive implants and prosthetics .
  • Double Hex Implant System is compatible with Astra double hex implants and prosthetics .
  • . Square Taper Implant System is compatible with Straumann Bone-Level implants and prosthetics

Intended Use for One-Piece Implant System

  • For implantation into any area of the fully edentulous maxilla and mandible for the support of a . removable or fixed dental prosthesis
  • For single tooth or multiple unit prosthesis ●
  • For single 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. In edentulous cases four or more implants must be used
  • Overdenture Implants are intended for support of removable prosthesis. .

3

י

Attachment 2

888 E BELVIDERE SUITE 212 GRAYSLAKE, IL 60030 Tel: 718-376 0422 Fax: 888-234 3685

Technological Characteristic Comparison Two Piece Systems

| Feature | Subject Device
Modified
Blue Sky Bio
Dental
Implant System | Original
Blue Sky Bio Dental
Implant System
K051507,K060957,
K063874, K 73713 | Predicate Devices
Nobel Biocare
Dental Implant
System K071370. | Straumann
Implant System
K062129 |
|-----------------------------------------------------------------------------|----------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------|----------------------------------------------------------|
| Material
(Implants,
abutments, fixation
screws, healing
screws) | Titanium Alloy,
Ti-6Al-4V | CP Titanium Grade 4,
Ti-6Al-4V | CP Titanium | CP Titanium and
Surgical Alloy |
| 1 Stage/ 2 Stage | 1 Stage and 2 Stage | 1 Stage and 2 Stage | 1 Stage and 2 Stage | 1 Stage and 2 Stage |
| Surface | Blasted with
resorbable medium,
or Aluminum Oxide
and Acid Etched | Blasted with
resorbable medium, or
Aluminum Oxide and
Acid Etched | Proprietary galvanic
process | Blasted with
resorbable
medium, and Acid
Etched |
| Body Diameter
(mm) | 3.25 -5.0 Tapered &
Straight and Tapered | 3.3, 4.1, 4.3, 4.8, 5.0,
5.6 and 6.0
Tapered and Straight | 3.5, 4.3, 5.0
Tapered & Straight | 3.3 mm, 4.1mm
and 4.8mm |
| Platform Diameter
(mm) | 3.25-5.0 | 3.5,4.1,4.3, 4.8, 5.0,
6.0, 6.5 | 3.5, 3.9 | 3mm, 3.7mm,
4.7mm |
| Lengths (mm) | 6-16 | 6-16 | 10-15 | 8-16mm |
| External Screw
Threads | Yes | Yes | Yes | Yes |
| Anti-rotational
Feature | Internal Hex with
taper, Internal
Square with taper | Internal taper with ,
internal octagon, or
Trilobe | Internal Hex with
taper | Internal Square
with taper |
| Gamma Sterilized | Yes | Yes | Yes | Yes |
| Two-Piece Screwed
Abutment | Yes | Yes | Yes | Yes |
| Overdenture
Abutment | Yes | Yes | Yes | Yes |
| Cover Screws,
Healing abutments | Yes | Yes | Yes | Yes |
| Instruments
(surgical and
restorative) | Yes | Yes | Yes | Yes |

4

?

Technological Characteristic Comparison One Piece System

| Feature | Subject Device
Modified
Blue Sky Bio Dental
Implant System
(One Piece) | Predicate Devices
Original
Blue Sky Bio Dental
Implant System
K051507 | Predicate Devices
Zimmer One-Piece
Implant
System K052997 |
|-------------------------------------------------------------------------|------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------|--------------------------------------------------------------------|
| Material | Ti-6Al-4V | Ti-6Al-4V | Ti-6Al-4V |
| One Piece | Yes | Yes | Yes |
| Surface | Blasted with
resorbable medium,
or Aluminum Oxide
and Acid Etched | Blasted with
resorbable medium, or
Aluminum Oxide and
Acid Etched | Blasted with
resorbable medium,
and acid washed |
| Body Diameter
(mm) | 3.0mm | 3.3 mm | 3.0 mm, 3.7mm,
4.7mm |
| Externally
Threaded Surface | Yes | Yes | Yes |
| Lengths (mm) | 10, 12, 14 mm | 10 -16 mm | 10-16mm |
| Gamma Sterilized | Yes | Yes | Yes |
| Solid Abutment
attached to
implant for
Cemented
Restoration | Yes | Yes | Yes |

Safety and Efficacy

The material, technology and facilities used to produce the modified Blue Sky Bio Dental Implant Systems are the same. Therefore it is substantially equivalent to other commercially available Dental Implant Systems including predicate devices Blue Sky Bio Dental Implant Systems(K051507, K060957, K063874, K073713 ), Nobel Biocare Dental Implant System (K071370), Zimmer Dental Dental Implant System (K052997) and Straumann Dental Implant System (K062129). The technical comparison charts in Tab 5 list the primary technical aspects and specifications that are pertinent to Dental Implant Systems. The Blue Sky Bio dental implant system is as safe and effective as the predicate devices.

5

Performance Tests

Compatibility tests with other systems according to Guidance for Industry and FDA Staff - Class II Special Controls Guidance Document; Root-form Endosseous Dental Implants and Endosseous Dental Abutments: These tests were performed to assess compatibility with predicate devices. The tests showed that the new devices are compatible with predicate devices and the fit is adequate.

Fatigue testing for angled abutments and narrow diameter implants: This test has been conducted according to ISO 14801 for predicate devices. The new devices have larger wall thickness and equal or smaller angulation than the predicate devices and are therefore equivalent or stronger than the predicate devices.

Conclusion

The Blue Sky Bio Dental Implant system, subject to this submission and the predicate devices are believed to be substantially equivalent. The device constitutes a safe, reliable and effective medical device, meeting all declared requirements of its intended use and the device does not introduce new risks and does not present any adverse health effects or safety risks to patients when used as intended.

6

Image /page/6/Picture/1 description: The image shows the logo for the Department of Health & Human Services USA. The logo consists of a stylized eagle with three lines representing its wings and a circular border containing the text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA". The eagle is facing to the left.

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

Dr. Albert Zickmann Bule Sky Bio. LLC · 888 E Belvidere Road, Suite 212 Grayslake, Illinois 60030

100 million and the comments of the country of the country of the country of the country of the country of the country of the country of the country of the country of the cou

APR 1 9 2011

Re: K102034

. . . .

Trade/Device Name: Blue Sky Bio Dental Implant System Regulation Number: 21 CFR 872.3640 Regulation Name: Endosseous Dental Implant Regulatory Class: II Product Code: DZE, NHA Dated: April 1, 2011 Received: April 11, 2011

. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Dear Dr. Zickmann:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalentafor 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 emeral 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: CDDH, not evaluate information related to contract liability warranties. We remind you, Novever, 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.

7

Page 2- Dr. Zickmann

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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as sct 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.

Ph 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

8

Attachment 1

Indications for Use '

510(k) Number (if known):

Device Name: Blue Sky Bio Dental Implant System

Indications for Use:

Intended Use for Two-Piece Implant Systems

  • For implantation into any area of the fully 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.
  • Unsplinted narrow implants and angled abutments are not to be used in the posterior areas. .
  • . Taper Hex Implant System is compatible with NobelActive implants and prosthetics
  • Double Hex Implant System is compatible with Astra double hex implants and prosthetics .
  • Square Taper Implant System is compatible with Straumann Bone-Level implants and . prosthetics

Intended Use for One-Piece Implant System

  • For implantation into any area of the fully edentulous maxilla and mandible for the support . of a removable or fixed dental prosthesis
  • For single tooth or multiple unit prosthesis .
  • For single 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. In edentulous cases four or more implants must be used
  • Overdenture Implants are intended for support of removable prosthesis. .

Prescription Use X (Part 21 CFR 801 Subpart D)

AND/OR

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

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

Concurrence of CDRH, Office of Device Evaluation (ODE)
--------------------------------------------------------

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

Page 1 of 1

510(k) Number:

K62034