K Number
K122519
Device Name
DIO UF HSA INTERNAL SUB-MERGED IMPLANT SYSTEM
Manufacturer
Date Cleared
2013-05-21

(277 days)

Product Code
Regulation Number
872.3640
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The DIO UF HSA Internal Sub-Merged Implant System is indicated for surgical placement in the upper and lower jaw arches, to provide a root form means for single or multiple units' prosthetic attachment to restore a patient's chewing function. The smaller (03.8 ~ (05.5) implants can be placed with a conventional two stage surgival process with an option for transmucosal healing or they can be placed in a single stage surgical process for immediate loading when good primary stability is achieved with appropriate occlusal loading. The larger (Ø6.0 ~ Ø7.0) implants can be placed with a conventional two stage surgical process with an option for transmucosal healing and are indicated for the molar region with delayed loading.
Device Description
The DIO UF HSA Internal Sub-Merged Implant System is comprised of dental implants, superstructures, instruments for prosthetics and surgical instruments. The DIO UF HSA Internal Sub-Merged Implant System is specially designed for use in dental implant surgery. A successfully osseointegrated implant will achieve a firm implant when surgically implanted under controlled conditions, per well known clinical studies. There are intended for use in partially or fully edentulous mandibles and maxillae, in support of single or multiple-unit restorations. The DIO UF HSA Internal Sub-Merged Implant System, fixtures are made of pure titanium, grade 4(ASTM F67) which have a a S.L.A commercial (Sand-blasted Large grit Acid-etched) treated surface. These fixtures can be used one-stage surgery method or two-stage surgery method. And that are surgically inserted into the upper and/or lower jaw bone. The fixtures replace tooth root as providing a stable foundation for restorations. The fixtures have the diameter(3.8 ~ 7.0mm)and length.(7 ~ 16mm). Geometrically, the implant is screw-type. An abutment is connected to the implant through a tapered-joint. The device functions by being surgically implanted in the bone of the upper or lower iaw arches in order to provide support for a prosthetic device, such as an artificial tooth, in order to restore a patient's chewing function.
More Information

Not Found

No
The 510(k) summary describes a standard dental implant system and its mechanical properties. There is no mention of AI or ML in the intended use, device description, or performance studies.

Yes
The device is a dental implant system used for surgical placement in the jaw arches to restore a patient's chewing function, addressing a medical condition (edentulism) and providing a therapeutic benefit.

No

The device is a dental implant system used for surgical placement to support prosthetic teeth, restoring chewing function. It is a therapeutic device, not one that diagnoses conditions.

No

The device description explicitly states it is comprised of dental implants, superstructures, and instruments, which are physical hardware components.

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, or tissue) to provide information about a person's health. This testing is done outside of the body.
  • Device Description: The provided text clearly describes a device that is surgically implanted into the patient's jawbone. It functions as a replacement for tooth roots to support prosthetic teeth. This is an in vivo (within the living body) device.
  • Intended Use: The intended use is to restore chewing function by providing a root form for prosthetic attachment. This is a functional restoration within the body, not a diagnostic test performed on a specimen.

The information provided describes a dental implant system, which is a type of medical device used for surgical implantation, not for in vitro diagnostic testing.

N/A

Intended Use / Indications for Use

The DIO UF HSA Internal Sub-Merged Implant System is indicated for surgical placement in the upper and lower jaw arches, to provide a root form means for single or multiple units' prosthetic attachment to restore a patient's chewing function. The smaller (03.8 ~ (05.5) implants can be placed with a conventional two stage surgival process with an option for transmucosal healing or they can be placed in a single stage surgical process for immediate loading when good primary stability is achieved with appropriate occlusal loading. The larger (Ø6.0 ~ Ø7.0) implants can be placed with a conventional two stage surgical process with an option for transmucosal healing and are indicated for the molar region with delayed loading.

Product codes

DZE, NHA

Device Description

The DIO UF HSA Internal Sub-Merged Implant System is comprised of dental implants, superstructures, instruments for prosthetics and surgical instruments.

The DIO UF HSA Internal Sub-Merged Implant System is specially designed for use in dental implant surgery. A successfully osseointegrated implant will achieve a firm implant when surgically implanted under controlled conditions, per well known clinical studies. There are intended for use in partially or fully edentulous mandibles and maxillae, in support of single or multiple-unit restorations.

The DIO UF HSA Internal Sub-Merged Implant System, fixtures are made of pure titanium, grade 4(ASTM F67) which have a a S.L.A commercial (Sand-blasted Large grit Acid-etched) treated surface. These fixtures can be used one-stage surgery method or two-stage surgery method. And that are surgically inserted into the upper and/or lower jaw bone. The fixtures replace tooth root as providing a stable foundation for restorations. The fixtures have the diameter(3.8 ~ 7.0mm)and length.(7 ~ 16mm)

Geometrically, the implant is screw-type. An abutment is connected to the implant through a tapered-joint.

The device functions by being surgically implanted in the bone of the upper or lower iaw arches in order to provide support for a prosthetic device, such as an artificial tooth, in order to restore a patient's chewing function.

With regard to the scientific concepts that form the basis for the device, root-form endosseous dental implant devices are characterized by four geometrically distinct types. The DIO UF HSA Internal Sub-Merged Implant System is a screw endosseous dental implant. With regard to the physical and performance characteristics of The DIO UF HSA Internal Sub-Merged Implant System, the design shape, engaging method, implant surface treatment and dimensions (lengths and diameters) are the same as the lawfully marketed predicate device.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

upper and lower jaw arches

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)

Fatigue testing was conducted according to the "Guidance for industry and FDA staff Class II Special Controls Guidance Document Root-form Endosseous Dental Implants and Endosseous Dental Abutment" with the worst case scenario of the DIO HSA STEADY Internal Sub-Merged Fixture and an angled abutment.

Therefore, the fatigue test result of DIO UF HSA Internal Sub-Merged Implant System performs as intended.

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

Not Found

Predicate Device(s)

Implantium II (510(k) No: K060501)

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.3640 Endosseous dental implant.

(a)
Identification. An endosseous dental implant is a prescription device made of a material such as titanium or titanium alloy that is intended to be surgically placed in the bone of the upper or lower jaw arches to provide support for prosthetic devices, such as artificial teeth, in order to restore a patient's chewing function.(b)
Classification. (1) Class II (special controls). The device is classified as class II if it is a root-form endosseous dental implant. The root-form endosseous dental implant is characterized by four geometrically distinct types: Basket, screw, solid cylinder, and hollow cylinder. The guidance document entitled “Class II Special Controls Guidance Document: Root-Form Endosseous Dental Implants and Endosseous Dental Implant Abutments” will serve as the special control. (See § 872.1(e) for the availability of this guidance document.)(2)
Classification. Class II (special controls). The device is classified as class II if it is a blade-form endosseous dental implant. The special controls for this device are:(i) The design characteristics of the device must ensure that the geometry and material composition are consistent with the intended use;
(ii) Mechanical performance (fatigue) testing under simulated physiological conditions to demonstrate maximum load (endurance limit) when the device is subjected to compressive and shear loads;
(iii) Corrosion testing under simulated physiological conditions to demonstrate corrosion potential of each metal or alloy, couple potential for an assembled dissimilar metal implant system, and corrosion rate for an assembled dissimilar metal implant system;
(iv) The device must be demonstrated to be biocompatible;
(v) Sterility testing must demonstrate the sterility of the device;
(vi) Performance testing to evaluate the compatibility of the device in a magnetic resonance (MR) environment;
(vii) Labeling must include a clear description of the technological features, how the device should be used in patients, detailed surgical protocol and restoration procedures, relevant precautions and warnings based on the clinical use of the device, and qualifications and training requirements for device users including technicians and clinicians;
(viii) Patient labeling must contain a description of how the device works, how the device is placed, how the patient needs to care for the implant, possible adverse events and how to report any complications; and
(ix) Documented clinical experience must demonstrate safe and effective use and capture any adverse events observed during clinical use.

0

K122519

MAY 2 1 2013

Traditional 510(k) Submission

DIO UF HSA Internal Sub-Merged_Implant System

Attachment 4

510(k) Summary

This summary of 510(K) safety and effectiveness information is being submitted in accordance with the requirements of 21 CFR Part 807.92.

Preparation date : Feb 15, 2013

1. SubmitterDIO Corporation
66, Centumseo-ro, Haeundae-gu, Busan, Korea
Tel.: 82-51-745-7777Fax.: 82-51-745-7778
2. US Agent /
Contact PersonDIO, USA    Tim C.J. Lee
3540 Wilshire Blvd. #1104 Los Angeles, CA 90010, USA
Tel.: 213-365-2875Fax.: 213-365-1595
3. Trade NameDIO UF HSA Internal Sub-Merged Implant System
4. Common NameDental Implant
5. Classification NameEndosseous Dental Implant
21 CFR 872.3640
ClassII DZE, NHA
Endosseous Dental implant abutment
21 CFR 872.3640
ClassII DZE. NHA
6. Predicate DevicesImplantium II (510(k) No: K060501)

7. Device Description

The DIO UF HSA Internal Sub-Merged Implant System is comprised of dental implants, superstructures, instruments for prosthetics and surgical instruments.

The DIO UF HSA Internal Sub-Merged Implant System is specially designed for use in dental implant surgery. A successfully osseointegrated implant will achieve a

1

firm implant when surgically implanted under controlled conditions, per well known clinical studies. There are intended for use in partially or fully edentulous mandibles and maxillae, in support of single or multiple-unit restorations.

The DIO UF HSA Internal Sub-Merged Implant System, fixtures are made of pure titanium, grade 4(ASTM F67) which have a a S.L.A commercial (Sand-blasted Large grit Acid-etched) treated surface. These fixtures can be used one-stage surgery method or two-stage surgery method. And that are surgically inserted into the upper and/or lower jaw bone. The fixtures replace tooth root as providing a stable foundation for restorations. The fixtures have the diameter(3.8 ~ 7.0mm)and length.(7 ~ 16mm)

Geometrically, the implant is screw-type. An abutment is connected to the implant through a tapered-joint.

The device functions by being surgically implanted in the bone of the upper or lower iaw arches in order to provide support for a prosthetic device, such as an artificial tooth, in order to restore a patient's chewing function.

With regard to the scientific concepts that form the basis for the device, root-form endosseous dental implant devices are characterized by four geometrically distinct types. The DIO UF HSA Internal Sub-Merged Implant System is a screw endosseous dental implant. With regard to the physical and performance characteristics of The DIO UF HSA Internal Sub-Merged Implant System, the design shape, engaging method, implant surface treatment and dimensions (lengths and diameters) are the same as the lawfully marketed predicate device.

Test performed in air at 24℃. at 14Hz frequency for at least 5×106 cycles. Tilting angles of specimen is 35°. The fatigue limit is over 250N (Fracture or cracks or severe distortion of any parts were not detected.). It is the same fatigue limit of predicate device.

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2

Substantial Equivalence Comparison

There are no known technological differences between the DIO UF HSA Internal Sub-Merged Implant System and Implantium II.

Subject DevicePredicate Device
Manufacturer
NameDIO CorporationDentium Co., Ltd.
Device NameDIO UF HSA Internal
Sub-Merged Implant SystemImplantium II
Intended UseThe DIO UF HSA Internal Sub-Merged
Implant System is indicated for surgical
placement in the upper and lower jaw
arches, to provide a root form means for
single or multiple units' prosthetic
attachment to restore a patient's chewing
function. Implants can be placed with a
conventional two stage surgical process
with an option for transmucosal healing
or they can be placed in a single stage
surgical process for immediate loading.Implantium II is intended to be
surgically placed in the bone of the
upper or lower jaw arches to
provide support for prosthetics
devices, such as artificial teeth, and
to restore the patient's chewing
function.
Fixture MaterialCP Ti Gr4 (ASTM F67)CP Ti Gr4 (ASTM F67)
DesignInternal Type and Morse TaperedInternal Type and Morse Tapered
Implant
Diameters(mm)3.8 ~ 7.03.6 ~ 5.0
Implant
Lengths(mm)7 ~ 168 ~ 14
Surface TreatmentS.L.A (Sand-blasted Large grit
Acid-etched)S.L.A (Sand-blasted Large grit
Acid-etched)
Sterilization MethodGammaGamma
Abutment
Diameters(mm)4.0 ~ 7.54.5 ~ 7.5
Abutment Cuff Lengths(mm)1.5 ~ 5.51.0 ~ 5.5
Abutment Angulation(")Max. 25°Max. 25°
Abutment Surface TreatmentMachined typeTiN Coating
Abutment Sterilization MethodNon SterilizationNon Sterilization
Abutment MaterialCP Ti Gr3, Gr4 (ASTM F67)
Ti Alloy(ASTM F136:Ti-6Al-4V ELI)CP Ti Gr2, Gr3, Gr4 (ASTM F67)
AttachmentsVarious abutments and componentsVarious abutments and components

3

Traditional 510(k) Submission

8. Indication for use -

The DIO UF HSA Internal Sub-Merged Implant System is indicated for surgical placement in the upper and lower jaw arches, to provide a root form means for single or multiple units' prosthetic attachment to restore a patient's chewing function. The smaller (03.8 ~ (05.5) implants can be placed with a conventional two stage surgival process with an option for transmucosal healing or they can be placed in a single stage surgical process for immediate loading when good primary stability is achieved with appropriate occlusal loading. The larger (06.0 ~ Ø7.0) implants can be placed with a conventional two stage surgical process with an option for transmucosal healing and are indicated for the molar region with delayed loading.

4

9. Review

The DIO UF HSA Internal Sub-Merged Implant System has same material and characteristics as design and technological the indication for used, similar predicate device.

The DIO UF HSA Internal Sub-Merged Implant System has been subjected to safety, performance and product validation prior to release. Safety tests including biocompatibility has been performed to ensure the devices comply with the applicable International and US regulations.

10. Summary of nonclinical testing

Fatigue testing was conducted according to the "Guidance for industry and FDA staff Class II Special Controls Guidance Document Root-form Endosseous Dental Implants and Endosseous Dental Abutment" with the worst case scenario of the DIO HSA STEADY Internal Sub-Merged Fixture and an angled abutment.

Therefore, the fatigue test result of DIO UF HSA Internal Sub-Merged Implant System performs as intended.

11. Conclusion

The evaluation of the DIO UF HSA Internal Sub-Merged Implant System does not raise any additional concerns regarding safety and effectiveness and may therefore be considered substantially equivalent to its predicate device.

3KC

Date : Feb/ 15/ 2013

Date : Feb/ 15/ 2013

Gab-moon,Jeong/ DIO Corporation RA Staff

signature

Tim C.J. Lee/ DIO, USA Manager

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5

Image /page/5/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" around the perimeter. Inside the circle is a stylized emblem that resembles an abstract caduceus or a symbol representing health and human services.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

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

May 21, 2013

DIO Corporation C/O Mr. Timothy C.J. Lee Manager DIO USA 3540 Wilshire Boulevard, #1104 LOS ANGELES CA 90010

Re: K122519

Trade/Device Name: DIO UF HSA Internal Sub-Merged Implant System Regulation Number: 21 CFR 872.3640 Regulation Name: Endosseous Dental Implant Regulatory Class: DZE, NHA Product Code: II Dated: May 6, 2013 Received: May 6, 2013

Dear Mr. Lee:

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.

6

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 of medical devicerelated 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 contact the Division of Small Manufacturers, International and Consumer Assistance at its tollfree number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm. 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.

Kwame O. Ulmer -S for

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

Division of Anesthesiology, General Hospital, Respiratory, Infection Control and

Dental Devices

Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

7

Attachment 2

Indications for Use Statement

510(K) Number (if known): _ K | 225| 9

Device Name : DIO UF HSA Internal Sub-Merged Implant System

Indications For Use:

The DIO UF HSA Internal Sub-Merged Implant System is indicated for surgical placement in the upper and lower jaw arches, to provide a root form means for single or multiple units' prosthetic attachment to restore a patient's chewing function. The smaller (03.8 ~ (05.5) implants can be placed with a conventional two stage surgival process with an option for transmucosal healing or they can be placed in a single stage surgical process for immediate loading when good primary stability is achieved with appropriate occlusal loading. The larger (Ø6.0 ~ Ø7.0) implants can be placed with a conventional two stage surgical process with an option for transmucosal healing and are indicated for the molar region with delayed loading.

Over-The-Counter Use AND/OR Prescription Use S (21 CFR 801 Subpart C) (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)

Digitally signed by Mary S. Runner -S

DN: c=US, o=U.S. Government, ou=HHS,

ou=FDA, ou=People, cn=Mary S. Runner -S,

0.9.2342.19200300.100.1.1=1300087950

Date: 2013.05.21 10:55:10 -04'00'

(Division Sign-Off)

Division of Anesthesiology, General Hospital

Infection Control, Dental Devices

510(k) Number:K122519
-------------------------
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