K Number
K120792
Date Cleared
2012-09-05

(174 days)

Product Code
Regulation Number
872.3640
Panel
Dental
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

TiXos dental implants are permanent devices for single use only that are intended to be surgically placed in the bone of the mandibular and/or maxillary dental arches of the patient in order to restore their original dental function and aesthetic features by providing support for fixed and/or removal prosthesis. TiXos dental implants can support single tooth, multiple tooth, or total prosthesis restorations and are compatible with the following dental abutments manufactured by Leader Italia that were previously cleared under K062931.

Device Description

Leader Italia's line of TiXos dental implants are titanium endosseous implants that are fabricated by a process called Direct Laser Metal Forming ("DLMF"). This fabrication process results in the production of an implant with a porous surface characterized by open intercommunicating cavities and networks. The implants are intended to be surgically placed in the bone of the mandibular and/or maxillary dental arches of the patient to provide support to be their fixed and/or removal prosthesis, and to restore their original dental and/or masticatory function. TiXos dental implants are permanent devices for single use and can support single tooth, multiple tooth, or total prosthesis restorations. These implants are designed to be used exclusively with Leader Italia's line of prosthetic abutments and surgical instruments. TiXos dental implants are gamma sterilized, have two basic model configurations called Cylindrical and S-Type, and a number of different sizes and diameters as shown below.

AI/ML Overview

The provided text describes the submission of the TiXos Implant System for 510(k) clearance, asserting its substantial equivalence to the predicate IMPLUS Implant System. The document focuses on demonstrating that the new device does not raise new questions of safety and effectiveness, primarily through non-clinical bench testing and a summary of existing clinical literature.

Here's a breakdown of the requested information based on the provided text:

1. Table of Acceptance Criteria and Reported Device Performance

The document does not explicitly state "acceptance criteria" for the device in the form of specific quantitative thresholds for performance metrics. Instead, the approach is focused on demonstrating "substantial equivalence" to a predicate device (IMPLUS Implant System). The performance is shown by stating that the TiXos implants were "compared to the predicate device and found it to be similar" in fatigue testing and met other applicable standards.

Acceptance Criteria (Implicit)Reported Device Performance
Fatigue Resistance: To simulate worst-case loading conditions and demonstrate similar performance to the predicate device per ISO 14801."Testing was performed on the TiXos dental implants to simulate worst-case loading conditions and was compared to the predicate device and found it to be similar." (Tested in dry environment).
Biocompatibility: To meet regulatory requirements."TiXos dental implants also underwent extensive validation activities for biocompatibility... in accordance with Guidance for Industry and FDA Staff -Class II Special Controls Guidance Document... and all applicable recognized FDA consensus standards for dental implants, including but not limited to, ISO 10993-5."
Cleaning, Packaging, Shelf-life, and Sterilization: To meet regulatory requirements."TiXos dental implants also underwent extensive validation activities for... cleaning, packaging, shelf-life and sterilization in accordance with Guidance for Industry and FDA Staff -Class II Special Controls Guidance Document... and all applicable recognized FDA consensus standards for dental implants."

2. Sample Size Used for the Test Set and Data Provenance

  • Test Set Sample Size: The document mentions that a "number of its dental implants" were submitted for fatigue testing. It also refers to a "prospective summary report, and radiographic images, to the FDA that were part of its European clinical study" and "201 Direct Laser Metal Forming Implants" in one of the cited clinical articles. However, specific sample sizes for each non-clinical bench test or the full clinical study report are not provided within this summary.
  • Data Provenance:
    • Non-Clinical Data: Likely conducted in a laboratory setting, not explicitly stated as retrospective or prospective given it's bench testing.
    • Clinical Data: "European clinical study" and "prospective summary report." One cited article mentions a "1-Year Prospective Multicenter Study." This indicates some clinical data is prospective and originates from Europe.

3. Number of Experts Used to Establish the Ground Truth for the Test Set and Their Qualifications

The document does not describe the establishment of a ground truth for a "test set" in the context of an algorithm or AI performance. The clinical data cited are from existing peer-reviewed studies which would have had their own methods for diagnosis and outcome assessment, implicitly involving medical experts. However, the exact number and qualifications of experts for the purpose of establishing ground truth in this submission are not specified.

4. Adjudication Method for the Test Set

Since the document does not detail a process for establishing ground truth for an AI algorithm's test set, there is no mention of an adjudication method (like 2+1 or 3+1). The "ground truth" in the clinical studies cited would have been established through standard clinical practice for dental implant outcomes (e.g., radiographic analysis, clinical examination, histological analysis).

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done, and the effect size

No MRMC comparative effectiveness study is mentioned. This submission is for a medical device (dental implant), not an AI algorithm intended for human-in-the-loop assistance for diagnosis or treatment planning. Therefore, there is no discussion of human reader improvement with or without AI assistance.

6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) was done

No, this document describes a physical medical device (dental implant), not an AI algorithm. Therefore, no standalone algorithm performance study was performed or is relevant to this submission.

7. The Type of Ground Truth Used

For the clinical data, the "ground truth" for the effectiveness and safety of the dental implants appears to be based on:

  • Clinical outcomes: Restoration of original dental function and aesthetic features, osseointegration.
  • Radiographic images: Used in the European clinical study.
  • Histological reports: One cited study is titled "Early Human Bone Response to Laser Metal Sintering Surface Topography: A Histological Report."
  • Histomorphometric studies: One cited study mentions "A Histomorphometric Study In Humans."
  • SEM and X-Ray Dispersive Spectrometry Evaluation: Mentioned in a case series for surface and bone interface.

8. The Sample Size for the Training Set

This question is not applicable as the document describes a physical medical device and not an AI algorithm requiring a training set.

9. How the Ground Truth for the Training Set was Established

This question is not applicable as the document describes a physical medical device and not an AI algorithm requiring a training set.

{0}------------------------------------------------

Image /page/0/Picture/0 description: The image shows the word "LEADER" spelled out in individual boxes. Each letter is in a separate box, and the boxes are arranged in a row. The word is written in a simple, sans-serif font. The background of the boxes is white, and the letters are black.

5. 510(K) Summary

Submission Correspondent

Company Name:

Company Address:

Company Contact:

Country:

Phone:

Fax:

Submission Date:

Website:

Submission Sponsor

Company Name:

Company Address:

Country: Phone:

Fax:

:

Website:

Image /page/0/Picture/17 description: The image shows the logo for Emergo Group, which is displayed above a world map. The text "EMERGO GROUP" is in all caps. Below the logo and map is the text "K120797".

5 2012 SEP

Emergo Group, Inc.

611 West 5th Street Third Floor Austin, TX 78701

Stuart R. Goldman Senior Consultant project.management@emergogroup.com

USA

512.327.9997

512.327.9998

March 8, 2012

www.emergogroup.com

Leader Italia, Srl

Via Aquileja 43/B Ciniseilo Balsamo (MI) 20092

Italy

39 02 618651

39 02 61290676

www.leaderitalia.it

{1}------------------------------------------------

Image /page/1/Picture/0 description: The image shows the word "LEADER" spelled out in individual boxes. Each letter is separated by a vertical line. The letters are in a sans-serif font and are all capitalized. The background of the boxes is white, and the letters are black.

Image /page/1/Picture/1 description: The image shows the logo for Emergo Group. The logo consists of the words "EMERGO GROUP" in a sans-serif font, with a stylized globe symbol in between the two words. A faded world map is in the background.

Device Classification

Device Sponsor:Leader Italia, Srl
Device Trade Name:TiXos Implant System (dental implants)
Product Classification Name:Implant, Endosseous, Root-Form
Product Code:DZE
Regulation Number:872.3640
Classification Panel:Dental Devices
Regulatory Class:Class 2

Predicate Device

IMPLUS Implant System (K062931) manufactured by Leader Italia, Srl

Indications for Use

TiXos dental implants are permanent devices for single use only that are intended to be surgically placed in the bone of the mandibular and/or maxillary dental arches of the patient in order to restore their original dental function and aesthetic features by providing support for fixed and/or removal prosthesis. TiXos dental implants can support single tooth, multiple tooth, or total prosthesis restorations and are compatible with the following dental abutments manufactured by Leader Italia that were previously cleared under K062931.

ABUTMENT CODEABUTMENT NAME
Tixos Internal Hex Ø 3.3Platform Size (mm): 3.5
01ATI33Straight Abutment Ø 4.5
01ATIF33Frictioning Abutment Ø 4.5
01AS33Shoulder Abutment Ø 4.5
01ASF33Shoulder Frictioning Abutment Ø 4.5
01AP153315° Angled Abutment Ø 4.5
01AP60153315° Angled Abutment Ø 6
01AP15F3315° Angled Frictioning Abutment Ø 4.5
01AP253325° Angled Abutment Ø 4.5
01AP60253325° Angled Abutment Ø 6
01AP25F3325° Angled Frictioning Abutment Ø 4.5
01AB332, 01AB33301AB334, 01AB335Ball Abutment Ø 4.5
01ABA332, 01ABA33301ABA334, 01ABA335Ball Abutment with Antirotation Base Ø 4.5
01ATS331, 01ATS332Tissue Abutment Ø 4.5 for Screw-Retained Denture
01AATI331A,01AATI332AAntirotation Abutment
Tixos Internal Hex Ø 3.75Platform Size (mm): 4
01ATIC4Straight Abutment Ø 4.5
01ATIC6Straight Abutment Ø 6
ABUTMENT CODEABUTMENT NAME
Tixos Internal Hex Ø 4.5Platform Size (mm): 5
01ATI5Straight Abutment Ø 5
01ATIF5Frictioning Abutment Ø 5
01AP156015° Angled Abutment Ø 6
01AB502, 01AB50301AB504Ball Abutment Ø 5
01AATI451AAntirotation Abutment
01ATI5Straight Abutment Ø 5
Tixos Internal Hex Ø 5.5Platform Size (mm): 6
01AB602, 01AB60301AB604Ball Abutment Ø 6
01ATI6055Straight Abutment Ø 6
01ATI60F55Frictioning Abutment Ø 6
01AATI551AAntirotation Abutment
Tixos External Hex Ø 3.3/3.75Platform Size (mm): 4.1
01ATIX33Straight Abutment Ø 4.5
01ATI60X33Straight Abutment Ø 6
01ATIXF33Straight Frictioning Abutment Ø 4.5
01AXS33Shoulder Abutment Ø 4.5
01AXS6033Shoulder Abutment Ø 6
01AXSF33Shoulder Frictioning Abutment Ø 4.5

{2}------------------------------------------------

Image /page/2/Picture/0 description: The image shows the word "LEADER" spelled out using individual letter tiles. Each letter is printed in black ink on a white tile. Vertical black lines separate each letter, creating a distinct visual break between them.

01ATICF4Frictioning Abutment Ø 4.5
01ASC4Shoulder Abutment Ø 4.5
01ASC6Shoulder Abutment Ø 6
01ASCF4Shoulder Frictioning Abutment Ø 4.5
01APC154015° Angled Abutment Ø 4.5
01APC60154015° Angled Abutment Ø 6
01APC254025° Angled Abutment Ø 4.5
01APC60254025° Angled Abutment Ø 6
01APC15F4015° Angled Frictioning Abutment Ø 4.5
01APC25F4025° Angled Frictioning Abutment Ø 4.5
01ATIM4Multi-function Abutment
01ABC452, 01ABC453Ball Abutment Ø 4.5
01ABC454, 01ABC455Ball Abutment with Antirotation Base
01ABA402, 01ABA403
01ABA404, 01ABA405Ø 4.5
01AC1A, 01AC2AAntirotation Abutment
01APX153315° Angled Abutment Ø 4.5
01APX253325° Angled Abutment Ø 4.5
01ABX332, 01ABX333Ball Abutment Ø 4.5
01ABX334, 01ABX335
01ABXA2, 01ABXA3Ball Abutment with Antirotation Base
01ABXA4, 01ABXA5
01AATIX331A,01AATIX332AAntirotation Abutment
Tixos External Hex Ø 5Platform Size (mm): 4.1
01AATIX501AAntirotation Abutment
01ATIX5Straight Abutment Ø 5
01ATIXF5Straight Frictioning Abutment Ø 5

Device Description

Leader Italia's line of TiXos dental implants are titanium endosseous implants that are fabricated by a Eeader frails 3 line of 17xos detal Forming ("DLMF"). This fabrication process results in the production of process cance Direct asser wisee characterized by open intercommunicating cavities and networks. The implant with a porous surface only placed in the bone of the mandibular and/or maxillary dental implants are intended to be interest to be their fixed and/or removal prosthesis, and to restore their arches of the putient to provental and/or masticatory function. TiXos dental implants are permanent original devices for single use and can support single tooth, multiple tooth, or total prosthesis dental devices for single ass and our on on on on endexclusively with Leader Italia's line of restorations: These implants and surgical instruments. TiXos dental implants are gamma sterilized, have a five prostheticulabatinents and submit wo basic model configurations called Cylindrical and S-Type, and a number of different sizes and diameters as shown below.

TiXos Implants
Models & Sizes
TiXos Cylindrical Line
Internal ConnectionØ 3.3 mm / L 8, 10, 11.5, 13, 16 mm
Ø 3.75 mm / L 8, 10, 11.5, 13, 16 mm
Ø 4.5 mm / L 8, 10, 11.5, 13, 16 mm
Ø 5.5 mm / L 8, 10, 11.5, 13 mm
External Connection - LongØ 3.3 mm / L 10, 11.5, 13, 16 mm
Ø 3.75 mm / L 8, 10, 11.5, 13, 16 mm
Ø 5.0 mm / L 8, 10, 11.5, 13 mm
TiXos S-Type Line
S-TypeØ 3.75 mm / L 10, 11.5, 13 mm
Ø 4.5 mm / L 10, 11.5, 13 mm

{3}------------------------------------------------

Image /page/3/Picture/0 description: The image shows the word "LEADER" spelled out using individual letters. Each letter is printed in black ink on a white rectangular card. Vertical black lines separate each letter, creating distinct boxes for each character.

Image /page/3/Picture/1 description: The image shows the logo for Emergo Group. The logo consists of the words "EMERGO" and "GROUP" in a sans-serif font, with a stylized globe symbol in between. A faded world map is in the background.

Predicate Device Comparison

Aside from the slight differences in sizes (i.e., diameter and length) between TiXos and the predicate implants, TiXos implants are manufactured using Leader Italia's Direct Laser Metal Forming process as opposed to the more conventional machining and acid etching techniques the company uses to produce its IMPLUS implants.

Both TiXos and IMPLUS implants are single use, permanent dental devices that are surgically placed in either the mandibular and/or maxillary dental arches of the patient; both implants are cleaned, enckaged and gamma sterilized in identical manners; use the same abutments that have been designed and manufactured by Leader Italia, and have identical implant-to-abutment interface connections; and can be implanted using the same surgical instruments.

Some select properties and characteristics of the subject and predicate devices are compared side-byside as shown below.

Substantial Equivalence ComparisonSelected Properties Of IMPLUS vs. TiXos Dental Implants
FeatureLeader ItaliaIMPLUS ImplantsLeader ItaliaTiXos Implants
510(k):K062931Pending
Product Code:DZEDZE
Regulation Number:872.3640872.3640
Regulation Name:Implant, Endosseous, Root-FormImplant, Endosseous, Root-Form
Implant Material:Ti grade 4Ti-6Al-V4
Raw Material Form:Rod StockPowder
Implant Fabrication Method:Traditional CNC MachiningDirect Laser Metal Forming
Surface Formed By:Acid EtchingDirect Laser Metal Forming
Implant Geometries:VariousVarious
Designed For ProstheticAbutments:YesYes
Implant/abutment Interface:Internal and ExternalInternal, External, andIntegrated Abutment
Implant Diameters (mm):3.3, 3.75, 4.5, 4.75, 5.05.5, 5.75, 63.3, 3.75,4.5, 5.0, 5.5
Implant Lengths (mm):8, 10, 11.5, 13, 16, 208, 10, 11.5, 13, 16
Single Use:YesYes
Sterile:YesYes
Intended Use:Titanium endosseous implants tobe surgically placed in the boneof the mandibular and/ormaxillary dental arches in orderto provide support for fixedTitanium endosseous implants tobe surgically placed in the boneof the mandibular and/ormaxillary dental arches in orderto provide support for fixed

{4}------------------------------------------------

Image /page/4/Picture/0 description: The image shows the word "LEADER" spelled out in individual boxes. Each letter is separated by a vertical line. The letters are all capitalized and in a sans-serif font. The background of the boxes is white.

Image /page/4/Picture/1 description: The image shows the logo for Emergo Group. The logo consists of the words "EMERGO" and "GROUP" in a sans-serif font, with a stylized symbol in between. The symbol appears to be a stylized "E" within a circle. A faded world map is in the background.

and/or removal prosthesis torestore the original aestheticfeatures, dental and/ormasticatory function to thepatient after osseointegrationhas taken place.and/or removal prosthesis torestore the original aestheticfeatures, dental and/ormasticatory function to thepatient after osseointegrationhas taken place.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Non-Clinical Data - Bench Testing & Device Validations

As part of demonstrating the safety and effectiveness of TiXos dental implants and in showing substantial equivalence to its IMPLUS implants, Leader Italia submitted a number of its dental implants for fatigue testing in accordance with ISO 14801, Dentistry - Implants - Dynamic Fatigue Test for Endosseous Dental Implants, where their implants were tested in dry (i.e., air) environment. Testing was performed on the TiXos dental implants to simulate worst-case loading conditions and was compared to the predicate device and found it be similar.

Further, TiXos dental implants also underwent extensive validation activities for biocompatibility, cleaning, packaging, shelf-life and sterilization in accordance with Guidance for Industry and FDA Staff -Class II Special Controls Guidance Document: Root-form Endosseous Dental Implants and Endosseous Dental Abutments, and all applicable recognized FDA consensus standards for dental implants, including but not limited to, ISO 10993-5, Biological Evaluation of Medical Devices - Part 5: Test for in vitro Cytotoxicity.

Clinical Data

As part of demonstrating the safety and effectiveness of its TiXos dental implants, Leader Italia submitted a prospective summary report, and radiographic images, to the FDA that were part of its European clinical study and represent follow-up data for their implants at different time intervals after the implants were loaded with their prosthetic abutments. Results of this clinical information have been published in a number of peer reviewed scientific dental journals as shown below.

Tixos Implants
Summary of In-Vivo Clinical Articles
TitlePublication
Early Human Bone Response to Laser Metal Sintering Surface Topography:A Histological ReportJournal of Oral ImplantologyVol. XXXVI/No. Two, 2010
Influence of Direct Laser Fabrication Implant Topography on Type IV Bone:A Histomorphometric Study In HumansJournal of Biomedical MaterialsResearch, Part A, 9 July, 2009
SEM and X-Ray Dispersive Spectrometry Evaluation of Direct Laser MetalSintering Surface and Human Bone Interface: A Case SeriesLasers In Medical Science, 2011
Single-Tooth Direct Laser Metal Forming (Dlmf) Titanium Implants: ResultsFrom A 1- Year Prospective Multicenter StudyLasers in Medical Science
Report on a Screw on Sintered Titanium, Removed After Two Months ofOsseointegrationThe University of Insubria, Varese,Italy - Department of HumanMorphology, 2008

{5}------------------------------------------------

Image /page/5/Picture/0 description: The image shows the word "LEADER" spelled out using individual letter tiles. Each letter is printed in black ink on a white tile. Vertical black lines separate each letter, creating a distinct visual break between them. The tiles are arranged horizontally, forming the complete word.

Image /page/5/Picture/1 description: The image shows the logo for Emergo Group. The logo consists of the company name in capital letters, with a stylized globe symbol in the center. The logo is set against a faded map of the world.

Prospective Clinical Evaluation of 201 Direct Laser Metal Forming Implants:Results From a 1 Year Multicenter StudyLasers in Medical Science, acceptedon February 2011
Dental implants from laser fusion of titanium microparticles: from researchto clinical applicationsJournal of Osseointegration
Immediate Loading of Mandibular Overdentures Supported by UnsplintedDirect Laser Metal-Forming Implants: Results From a 1-Year ProspectiveStudyJournal of Periodontol

Substantially Equivalence

By definition, a device is substantially equivalent to a predicate device when the device has the same intended use and the same technological characteristics as the previously cleared predicate device, or has the same intended use and different technological characteristics, but it can be demonstrated that the new device is substantially equivalent to the predicate device, and that the new device does not raise different questions regarding its safety and effectiveness compared to the predicate device.

It has been shown in this 510(k) submission that the differences between the TiXos and IMPLUS dental implants do not raise any questions regarding its safety and effectiveness. Leader Italia's TiXos Implant System, as designed and manufactured, is therefore determined to be substantially equivalent to their IMPLUS Implant System previously cleared under K062931.

{6}------------------------------------------------

Image /page/6/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo features a stylized eagle with its wings spread, symbolizing protection and care. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the eagle, emphasizing the department's name and national affiliation.

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

Leader Italia S.R.L. C/O Mr. Stuart R. Goldman Senior Consultant Emergo Group, Incorporated 611 West 5TH Street, Third Floor Austin, Texas 78701

Re: K120792

Trade/Device Name: TiXos Implant System (Dental Implants) Regulation Number: 21 CFR 872.3640 Regulation Name: Endosseous Dental Implant Regulatory Class: II Product Code: DZE Dated: August 1, 2012 Received: August 3, 2012

Dear Mr. Goldman:

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.

SEP 5 2012

{7}------------------------------------------------

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

{8}------------------------------------------------

Indications For Use

510(k) Number (if known): 120792

TiXos dental implants are permanent devices for single use only that are intended to be surgically placed in the bone of the mandibular and/or maxillary dental arches of the patient in order to restore their m inc bental function and aesthetic features by providing support for fixed and/or removal prosthesis. onginal dental implants can support single tooth, multiple tooth, or total prosthesis restorations and are r noo deliter with the following dental abutments manufactured by Leader Italia that were previously cleared under K062931.

ABUTMENT CODEABUTMENT NAMEABUTMENT CODEABUTMENT NAME
Tixos Internal Hex Ø 3.3Platform Size (mm): 3.5Tixos Internal Hex Ø 4.5Platform Size (mm): 5
01ATI33Straight Abutment Ø 4.501ATISStraight Abutment Ø 5
01ATIF33Frictioning Abutment Ø 4.501ATIFSFrictioning Abutment Ø 5
01AS33Shoulder Abutment Ø 4.501AP156015° Angled Abutment Ø 6
01ASF33Shoulder Frictioning Abutment Ø 4.501AB502, 01AB50301AB504Ball Abutment Ø 5
01AP153315° Angled Abutment Ø 4.501AATI451AAntirotation Abutment
01AP60153315° Angled Abutment Ø 601ATISStraight Abutment Ø 5
01AP15F3315° Angled Frictioning Abutment Ø 4.5Tixos Internal Hex Ø 5.5Platform Size (mm): 6
01AP253325° Angled Abutment Ø 4.501AB602, 01AB60301AB604Ball Abutment Ø 6
01AP60253325° Angled Abutment Ø 6
01AP25F3325° Angled Frictioning Abutment Ø 4.501ATI6055Straight Abutment Ø 6
01AB332, 01AB33301AB334, 01AB335Ball Abutment Ø 4.501ATI60F55Frictioning Abutment Ø 6
01ABA332, 01ABA33301ABA334, 01ABA335Ball Abutment with Antirotation BaseØ 4.501AATI551AAntirotation Abutment
01ATS331, 01ATS332Tissue Abutment Ø 4.5 for Screw-Retained DentureTixos External Hex Ø 3.3/3.75Platform Size (mm): 4.1
01AATI331A,01AATI332AAntirotation Abutment01ATIX33Straight Abutment Ø 4.5
Tixos Internal Hex Ø 3.75Platform Size (mm): 401ATI60X33Straight Abutment Ø 6
01ATIC4Straight Abutment Ø 4.501ATIXF33Straight Frictioning Abutment Ø 4.5
01ATIC6Straight Abutment Ø 601AXS33Shoulder Abutment Ø 4.5
01ATICF4Frictioning Abutment Ø 4.501AXS6033Shoulder Abutment Ø 6
01ASC4Shoulder Abutment Ø 4.501AXSF33Shoulder Frictioning Abutment Ø 4.5
01ASC6Shoulder Abutment Ø 601APX153315° Angled Abutment Ø 4.5
01ASCF4Shoulder Frictioning Abutment Ø 4.501APX253325° Angled Abutment Ø 4.5
01APC154015° Angled Abutment Ø 4.501ABX332, 01ABX33301ABX334, 01ABX335Ball Abutment Ø 4.5
01APC60154015° Angled Abutment Ø 601ABXA2, 01ABXA301ABXA4, 01ABXA5Ball Abutment with Antirotation Base
01APC254025° Angled Abutment Ø 4.501AATIX331A,01AATIX332AAntirotation Abutment
01APC60254025° Angled Abutment Ø 6Tixos External Hex Ø 5Platform Size (mm): 4.1
01APC15F4015° Angled Frictioning Abutment Ø 4.501AATIX501AAntirotation Abutment
01APC25F4025° Angled Frictioning Abutment Ø 4.501ATIX5Straight Abutment Ø 5
01ATIM4Multi-function Abutment01ATIXF5Straight Frictioning Abutment Ø 5
01ABC452, 01ABC45301ABC454, 01ABC455Ball Abutment Ø 4.5
01ABA402, 01ABA40301ABA404, 01ABA405Ball Abutment with Antirotation BaseØ 4.5

Suer Reiser

gn-Om)
Anesthesiology, General Hospital

510(k) Number:

{9}------------------------------------------------

Over-The-Counter Use _

·

(21 CFR 801 Subpart C)

Prescription Use 区

AND/OR

(Part 21 CFR 801 Subpart D)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED) Concurrence of CDRH, Office of Device Evaluation (ODE)

.

.

.

.

.

. .

§ 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.