K Number
K113650
Device Name
ORTHOFIX SCREW
Date Cleared
2012-10-03

(296 days)

Product Code
Regulation Number
872.3640
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The proposed OrthoFix Screw is intended to provide a fixed anchorage point for attachment of orthodontic appliances to facilitate the orthodontic movement of teeth. It is used temporarily and is removed after orthodontic treatment has been completed. Screws are intended for a single use only. For use in adolescents greater than age 12 and adults.
Device Description
The OrthoFix Screw is fabricated from titanium Alloy, which meets the material requirements specified in the ASTM standard ASTM F-136-08. The head on the proximal portion of the screw incorporates a recess, which provides an option for the orthodontist to pass through a wire and tie it in the neck of the OrthoFix Screw in the orthodontic treatment. Distal to the recess is a square indentation that is used as a screw head for screwing the OrthoFix Screw with an instrument, insertion handle tip that is connected to a commercially available insertion handle. The insertion handle tip is manufactured with a medical grade stainless steel 316L. The smooth neck distal to the proximal head employs a hole through which a wire can be passed to fix the mandible and maxilla in orthodontic treatment. Distal to the neck is the collar, which has a tapered design to protect the soft tissue. The distal portion of the proposed OrthoFix Screw is threaded for quick insertion and provides stability and bio mechanic retention once the screw is fully inserted. The distal tip of the screw is machined with high precision manufacturing to aid the orthodontist in self screwing or self drilling.
More Information

No
The device description and performance studies focus solely on the mechanical properties and design of a physical screw for orthodontic anchorage. There is no mention of software, algorithms, or data processing that would indicate the use of AI/ML.

Yes

The 'Intended Use / Indications for Use' states that the device is "intended to provide a fixed anchorage point for attachment of orthodontic appliances to facilitate the orthodontic movement of teeth." This directly describes a therapeutic function (facilitating orthodontic movement of teeth).

No

The device description clearly states its purpose is to provide a fixed anchorage point for orthodontic appliances to facilitate tooth movement, indicating a treatment rather than a diagnostic function.

No

The device description clearly details a physical implant fabricated from titanium alloy with specific features for insertion and attachment of orthodontic appliances. This is a hardware device, not software.

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

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening.
  • OrthoFix Screw Function: The OrthoFix Screw is an implantable device used within the body to provide a physical anchorage point for orthodontic appliances. It directly interacts with the patient's bone and tissue.
  • Lack of Specimen Analysis: The description of the OrthoFix Screw and its intended use does not involve the analysis of any biological specimens.

The OrthoFix Screw is a Class II medical device (based on the predicate devices and its function) used for orthodontic treatment, not an IVD.

N/A

Intended Use / Indications for Use

The proposed OrthoFix Screw is intended to provide a fixed anchorage point for attachment of orthodontic appliances to facilitate the orthodontic movement of teeth. It is used temporarily and is removed after orthodontic treatment has been completed. Screws are intended for a single use only. For use in adolescents greater than age 12 and adults.

Product codes

OAT

Device Description

The OrthoFix Screw is fabricated from titanium Alloy, which meets the material requirements specified in the ASTM standard ASTM F-136-08. The head on the proximal portion of the screw incorporates a recess, which provides an option for the orthodontist to pass through a wire and tie it in the neck of the OrthoFix Screw in the orthodontic treatment. Distal to the recess is a square indentation that is used as a screw head for screwing the OrthoFix Screw with an instrument, insertion handle tip that is connected to a commercially available insertion handle. The insertion handle tip is manufactured with a medical grade stainless steel 316L. The smooth neck distal to the proximal head employs a hole through which a wire can be passed to fix the mandible and maxilla in orthodontic treatment. Distal to the neck is the collar, which has a tapered design to protect the soft tissue. The distal portion of the proposed OrthoFix Screw is threaded for quick insertion and provides stability and bio mechanic retention once the screw is fully inserted. The distal tip of the screw is machined with high precision manufacturing to aid the orthodontist in self screwing or self drilling.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

intraorally

Indicated Patient Age Range

adolescents greater than age 12 and adults

Intended User / Care Setting

orthodontist

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)

Torque testing performed on the OrthoFix Screw demonstrated that the torque value at fracture for the OrthoFix Screw is substantially equivalent to the predicate Dual Top Anchor screw of Jeil Medical Corp. Additionally, Shear Cut and Tensile Strength (Axial) tests showed that the implant was able to withstand loads close to 80kg without presenting any kind of damage, well above the 300grs maximum load present in typical orthodontical applications.

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

Not Found

Predicate Device(s)

K093299, K033767

Reference Device(s)

K093299, K033767

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.

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Page 11 of 94

SECTION 3

K113652J

510(k) Summary

510(k) Summary

3 2012

ОСТ

Device Name:OrthoFix Screw
Date Prepared:September 15, 2011
Sponsor:BONAFIX Surgical and Dental Implants, LLC
118 W Prive Cr.
Delray Beach Fl, 33445
Contact:Juan Tezak
Juan@Bonafixsdi.com
(561) 789-2411
Product Code:OAT
Classification
Name:Class II
Classification
Panel:Dental
Regulation
Number:872.3640
Common Name:Endosseous Dental Implant

Common Name: Endosseous Dental Implant

Predicate Devices:

  • Screw Anchor of the SYNTHES Orthodontic Bone Anchor . System; SYNTHES (USA) - (reference 510(k) K093299 determined substantially equivalent on December 16, 2010).
  • Dual Top Anchor System Screw; Jeil Medical Corp. -. (reference 510(k) K033767, determined substantially equivalent on February 24, 2004).
  • Device

Description: The OrthoFix Screw is fabricated from titanium Alloy, which meets the material requirements specified in the ASTM standard ASTM F-136-08. The head on the proximal

1

portion of the screw incorporates a recess, which provides an option for the orthodontist to pass through a wire and tie it in the neck of the OrthoFix Screw in the orthodontic treatment. Distal to the recess is a square indentation that is used as a screw head for screwing the OrthoFix Screw with an instrument, insertion handle tip that is connected to a commercially available insertion handle. The insertion handle tip is manufactured with a medical grade stainless steel 316L. The smooth neck distal to the proximal head employs a hole through which a wire can be passed to fix the mandible and maxilla in orthodontic treatment. Distal to the neck is the collar, which has a tapered design to protect the soft tissue. The distal portion of the proposed OrthoFix Screw is threaded for quick insertion and provides stability and bio mechanic retention once the screw is fully inserted. The distal tip of the screw is machined with high precision manufacturing to aid the orthodontist in self screwing or self drilling.

Intended

Use: '

The proposed OrthoFix Screw is intended to provide a fixed anchorage point for attachment of orthodontic appliances to facilitate the orthodontic movement of teeth. It is used temporarily and is removed after orthodontic treatment has been completed. Screws are intended for a single use only. For use in adolescents greater than age 12 and adults.

| Non-Clinical
Test Data: | Torque testing performed on the OrthoFix Screw demonstrated
that the torque value at fracture for the OrthoFix Screw is
substantially equivalent to the predicate Dual Top Anchor screw of
Jeil Medical Corp. |
|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Additionally, Shear Cut and Tensile Strength (Axial) tests showed
that the implant was able to withstand loads close to 80kg without
presenting any kind of damage, well above the 300grs maximum
load present in typical orthodontical applications. | |

Substantial Equivalence to Predicate Devices:

The proposed OrthoFix Screw is substantially equivalent to predicates devices identified above in terms of indications, principles of operation. design, geometry and materials. The table that follows provides additional details on the equivalence of the three devices

2

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Comparison of the Proposed OrthoFix Screw to Predicate Devices
Device NamePredicate Screw Anchor of the
SYNTHES Orthodontic Bonc
Anchor System SYNTHES
USAPredicate Dual Top Anchor
System Screw Jeil Medical
K033767Proposed OrthoFix Screw
BonaFix Surgical & Dental
Implants, LLC
This Submission
510(k)
MaterialK093299
Medical Grade Titanium Alloy
ASTM Std. unknownMedical Grade Titanium Allov
(ASTM 136 98)Medical Grade
Titanum Alloy
ASTM 136 08)
Design
Screw Head
Neck
Collar
ThreadHex tupe
Through hole
Regular
Self Drilling and
Selt TappingIncorporates a recess
Through hole
Tapered
Self Drilling and Self TappingIncorporates a recess
Through hole
Tapered
Self Drilling and self Tapping
Principle of OperationProvide fixed anchorage for
orthodontic movement of tecthProvide fixed anchorage for
orthodontic movement of teethProvide fixed anchorage for
orthodontic movement of teeth
Sizes
Diameter
Length
Indications for Usel .55 mm
6 and 8 mm
The orthodontic Bone Anchor
System Screw Anchors are
mended to be implanted
intraorally for orthodontic
procedures in adolescents
greater than age 12 and adults1 4, 1 6 & 2.0 mm
    1. 10 & 12 mm
      The device is intended to
      provide fixed anchorage point
      for attachment of orthodontic
      appliances to facilitate the
      orthodontic movement of teeth.
      It is used temporarily and is
      removed after orthodontic
      treatment has been completed
      Screws are intended for single
      use only. For use in adults
      over the age of 12 | 1 6 and 1.8 mm
      6, 9 and 11 mm
      The device is intended to
      provide fixed anchorage point
      for attachment of orthodontic
      appliances to facilitate the
      orthodontic movement of teeth.
      It is used temporarily and is
      removed after orthodontic
      treatment has been completed.
      Screws are intended for single
      use only For use in
      adolescents greater than age 12
      and adults | | |
      | Single use
      Sterility | Yes
      Provided
      Non sterile | Yes
      Provided
      Non sterile | Yes
      Provided
      sterile | | |

Conclusion:

The information provided demonstrates that the proposed device is substantially equivalent to the identified predicate devices.

:

3

Image /page/3/Picture/0 description: The image is a black and white seal for the Department of Health & Human Services USA. The seal is circular with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" around the perimeter. Inside the circle is an abstract image of an eagle.

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

3 2012

OCT

Mr. Juan Tezak President Bonafix Surgical and Dental Implants, Limited Liability Company 118 West Prive Circle Delray Beach, Florida 33445

Re: K113650

Trade/Device Name: OrthoFix Screw Regulation Number: 21 CFR 872.3640 Regulation Name: Endosseous Dental Implant Regulatory Class: II Product Code: OAT Dated: September 20, 2012 Received: September 26, 2012

Dear Mr. Tezak:

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- Mr. Tezak

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 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 yours,

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

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SECTION 2

Indications for Use

510(k) Number (if known): K113650

Device Name: OrthoFix Screw

Indications For Use:

The proposed OrthoFix Screw is intended to provide a fixed anchorage point for attachment of orthodontic appliances to facilitate the orthodontic movement of teeth. It is used temporarily and is removed after orthodontic treatment has been completed. Screws are intended for a single use only. For use in adolescents greater than age 12 and adults.

Prescription Use × (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 IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Susan Runne

Page 1 of 1

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

510(k) Number: K113652