K Number
K161197
Date Cleared
2016-12-21

(237 days)

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

The Orthodontic Screw is indicated for use as 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 single use only

Device Description

This product is orthodontic screw used for straightening of irregular teeth. It is designed for indications such as malocclusion treatment, straightening of irregular teeth, improvement of intermaxillary space and occlusion, and maintenance after orthodontic treatment.
It is surgically placed in the bone of the upper or lower jaw arches to provide support for orthodontic devices and it is used temporarily and is removed after orthodontic treatment has been completed.
Orthodontic screw is designed to facilitate placement of orthodontic appliances such as wires, springs, and elastic ligatures.
The Orthodontic Screw is a dental device made of titanium alloy metal intended to be used as a fixed anchorage point for attachment of orthodontic appliances to facilitate the orthodontic movement of teeth.
It is 1.2, 1.4, 1.6 and 1.8mm in screw diameter and 6, 8, 10mm in length.
It is made of Titanium alloy (Ti-6Al-4V ELI).
There are two types of surface treatment one is non-treated (Machineed) another one is Acid etching

AI/ML Overview

The provided text describes the regulatory submission for an Orthodontic Screw, which is a medical device, and includes a summary of nonclinical testing. It does not contain information about acceptance criteria for AI/ML performance, nor does it describe a study involving an AI device or human readers. Therefore, I cannot fulfill the request as it pertains to AI/ML device performance.

However, I can extract information regarding the nonclinical testing performed for this Orthodontic Screw:

1. A table of acceptance criteria and the reported device performance:

The document mentions three types of performance tests conducted. It states "We conducted performance test due to addition of smaller diameter Ø1.2mm Fracture load Test, Rotational fracture torque test, Axial pull-out strength test." However, the specific acceptance criteria (e.g., minimum fracture load, torque, or pull-out strength) and the reported device performance values are not provided in the document. The document only lists the types of tests performed.

2. Sample sized used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective):

The document does not provide details on the sample size used for these performance tests, nor the data provenance (country of origin, retrospective/prospective).

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience):

This information is not applicable as the tests described are mechanical performance tests of a physical device, not an AI/ML system requiring expert ground truth for imaging or diagnostic tasks.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set:

Not applicable for mechanical performance tests.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance:

Not applicable. This is a physical medical device, not an AI system that assists human readers.

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

Not applicable. This is a physical medical device.

7. The type of ground truth used (expert concensus, pathology, outcomes data, etc):

For the three performance tests (Fracture load Test, Rotational fracture torque test, Axial pull-out strength test), the "ground truth" would be the experimentally measured physical properties of the Orthodontic Screw under specific load conditions. These measurements are typically derived from standardized testing procedures, not from expert consensus, pathology, or outcomes data in the context of device performance claims.

8. The sample size for the training set:

Not applicable. This is a physical device, not an AI/ML system.

9. How the ground truth for the training set was established:

Not applicable. This is a physical device.

Additional Information from the Document:

  • Biocompatibility: Demonstrated by reference to K122171.
  • Sterilization Validation: Demonstrated by reference to K072896 (gamma irradiation process).
  • Surface Treatment Characterization: Demonstrated by reference to K122171.
  • Clinical Studies: "No clinical studies are submitted."
  • Substantial Equivalence: The claim of substantial equivalence is based on the device having the same principles of operation, material (Titanium alloy Ti-6Al-4V ELI, ASTM F 136), indication for use, and similar design to predicate devices. The performance tests were conducted due to the addition of a smaller diameter (Ø1.2mm) and new head types (Small Head, Bracket Head) and a change in surface treatment (Acid etching).

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Image /page/0/Picture/1 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 image of three human profiles facing to the right, stacked on top of each other, with flowing lines representing hair or clothing.

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

December 21, 2016

Osstem Implant Co., Ltd. % David Kim Manager Hiossen Inc. 85 Ben Fairless Dr. Fairless Hills. Pennsylvania 19030

Re: K161197

Trade/Device Name: Orthodontic Screw Regulation Number: 21 CFR 872.3640 Regulation Name: Endosseous Dental Implant Regulatory Class: Class II Product Code: OAT Dated: November 23, 2016 Received: November 23, 2016

Dear David Kim:

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.

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 devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in

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the quality systems (OS) 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 Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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 Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Michael J. Ryan -S

for Tina Kiang, Ph.D. Acting Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control, and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Image /page/2/Picture/1 description: The image shows the logo and contact information for OSSTEM Implant Co., Ltd. The logo includes the company name and the word "IMPLANT" in orange. The contact information includes the company's address at 66-16, Bansong-ro 513beon-gil, Haeundae-gu, Busan, Republic of Korea, as well as their telephone number +82 51 850-2500, fax number +82 51 850-4341 and website www.osstem.com.

Indications for Use Statement

Indications for Use

510(k) Number : K161197

Device Name : Orthodontic Screw

Indication for use : The Orthodontic Screw is indicated for use as 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 single use only

Prescription Use X (Per 21CFR801 Subpart D) OR Over-The-Counter Use (Per 21CFR807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

QS-QI-505-2(Rev.0)

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Image /page/3/Picture/1 description: The image shows the logo for Osstem Implant. The logo is orange and features the word "OSSTEM" in a bold, sans-serif font. Below the word "OSSTEM" is the word "IMPLANT" in a smaller, gray, sans-serif font. The logo is simple and modern.

'EM Implant Co., Lt

Haeundae-gu, Busan, Republic of Korea Tel: +82 51 850-2500 Fax: +82 51 850-4341 www.osstem.com

510(k) Summary

Date: December 13, 2016

  1. Company and Correspondent making the submission:
- Submitter's Name :OSSTEM Implant Co., Ltd.
- Address :66-16, Bansong-ro 513beon-gil, Haeundae-gu
Busan, Republic of Korea
- Contact :Mr. Hee Kwon Son
- Phone:+82 51 850 2575
- Correspondent's Name:HIOSSEN Inc.
- Address:85 Ben Fairless Dr. Fairless Hills, PA 19030
- Contact:DAVID KIM
- Phone:267 759 7031
- Device :
Trade or (Proprietary) Name :Orthodontic Screw
Device Name :Implant, Endosseous, Orthodontic
Regulation Name :Endosseous Dental Implant
Regulation Number :21 CFR 872.3640
Device Classification:Class II
Product Code:OAT
    1. Predicate Device :
      Primary Predicate K103105, Orthodontic screw, Osstem implant co.,Ltd

Reference predicate K122171, MS SA Implant System, Osstem implant co.,Ltd K060126, Absoanchor Microimplant, Dentos Inc

    1. Device Description :
      This product is orthodontic screw used for straightening of irregular teeth. It is designed for indications such as malocclusion treatment, straightening of irregular teeth, improvement of intermaxillary space and occlusion, and maintenance after orthodontic treatment.

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Image /page/4/Picture/1 description: The image shows the logo for Osstem Implant. The logo is in two lines, with the word "OSSTEM" in orange on the top line. The word "IMPLANT" is in gray on the bottom line. The logo is simple and modern.

OSSTEM Implant Co., Ltd.

66-16, Bansong-ro 513beon-gil, Haeundae-gu, Busan, Republic of Korea Tel: +82 51 850-2500 Fax: +82 51 850-4341 www.osstem.com

It is surgically placed in the bone of the upper or lower jaw arches to provide support for orthodontic devices and it is used temporarily and is removed after orthodontic treatment has been completed.

Orthodontic screw is designed to facilitate placement of orthodontic appliances such as wires, springs, and elastic ligatures.

The Orthodontic Screw is a dental device made of titanium alloy metal intended to be used as a fixed anchorage point for attachment of orthodontic appliances to facilitate the orthodontic movement of teeth.

It is 1.2, 1.4, 1.6 and 1.8mm in screw diameter and 6, 8, 10mm in length.

It is made of Titanium alloy (Ti-6Al-4V ELI).

There are two types of surface treatment one is non-treated (Machineed) another one is Acid etching

Product NameContent
Orthodontic Screw(Simple Head)Head FeaturesLow head height(1.95mm) and smooth curved head
MaterialTitanium alloy, Ti-6Al-4V ELI
Diameter (mm)Ø1.2, 1.4, 1.6, 1.8
Length (mm)6, 8, 10
SurfaceMachined (Not acid etched)
Orthodontic Screw(Through Hole)Head FeaturesHead height(2.15mm) and smooth curved headWire Can be used up to 022" wire using by holeHole diameter : Ø0.8
MaterialTitanium alloy, Ti-6Al-4V ELI
Diameter (mm)Ø1.2, 1.4, 1.6, 1.8
Length (mm)6, 8, 10
SurfaceMachined (Not acid etched)
Orthodontic Screw(Small Head)Head FeaturesMin. Head Size(1.48mm) and Head height(1.95mm)smooth curved head
MaterialTitanium alloy, Ti-6Al-4V ELI
Diameter (mm)Ø1.4, 1.6, 1.8
Length (mm)6, 8, 10
SurfaceMachined (Not acid etched)
Orthodontic Screw(Bracket Head)Head FeaturesWire compatibility through cross-shaped slot
MaterialTitanium alloy, Ti-6Al-4V ELI
Diameter (mm)Ø1.4, 1.6, 1.8
Length (mm)6, 8, 10
SurfaceMachined (Not acid etched)
Orthodontic Screw(Half Etched-Simple Head)Head FeaturesLow head height(1.95mm) and smooth curved head
MaterialTitanium alloy, Ti-6Al-4V ELI
Diameter (mm)Ø1.2, 1.4, 1.6, 1.8
Length (mm)6, 8, 10
SurfaceAcid etching

QS-QI-505-3(Rev.0)

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Image /page/5/Picture/0 description: The image contains the logo for Osstem Implant. The logo is in orange and gray. The word "OSSTEM" is in orange, and the word "IMPLANT" is in gray and is located below the word "OSSTEM". There is a small orange circle above and to the right of the word "OSSTEM".

OSSTEM Implant Co., Ltd.

66-16, Bansong-ro 513beon-gil, Haeundae-gu, Busan, Republic of Korea Tel: +82 51 850-2500 Fax: +82 51 850-4341 www.osstem.com

Orthodontic Screw(Half Etched-Through Hole)Head FeaturesHead height(2.15mm) and smooth curved headWire Can be used up to 022" wire using by holeHole diameter : Ø0.8
MaterialTitanium alloy, Ti-6Al-4V ELI
Diameter (mm)Ø1.2, 1.4, 1.6, 1.8
Length (mm)6, 8, 10
SurfaceAcid etching
Orthodontic Screw(Half Etched-Small Head)Head Features
Material
Diameter (mm)Ø1.4, 1.6, 1.8
Length (mm)6, 8, 10
SurfaceAcid etching
Orthodontic Screw(Half Etched-Bracket Head)Head FeaturesWire compatibility through cross-shaped slot
MaterialTitanium alloy, Ti-6Al-4V ELI
Diameter (mm)Ø1.4, 1.6, 1.8
Length (mm)6, 8, 10
SurfaceAcid etching

- Substantial Equivalence Matrix

The Orthodontic screw system has same material and indication for use and similar design and technological characteristics as the predicate device.

Orthodontic screwPrimary PredicateReference predicateOrthodontic screwOrthodontic screwMS SA Implant System
Orthodontic screwAbsoanchorMicroimplant510(K) No.K161197K103105K122171
510(K) No.K161197K103105K060126ManufacturerOSSTEM Implant Co.,Ltd.OSSTEM Implant Co.,Ltd.OSSTEM Implant Co.,Ltd.
ManufacturerOSSTEM Implant Co.,Ltd.OSSTEM ImplantCo., Ltd.Dentos IncDesignImage: Orthodontic screw designImage: Orthodontic screw designImage: MS SA Implant System design
DesignImage: Orthodontic screwsImage: Orthodontic screwsImage: Absoanchor MicroimplantIntended useThe Orthodontic Screw isindicated for use as afixed anchorage point forattachment of orthodonticappliances to facilitate theorthodontic movement ofteeth. It is usedtemporarily and isremoved after orthodontictreatment has beencompleted. Screws areintended for single useonlyThe Orthodontic Screw isindicated for use as afixed anchorage point forattachment of orthodonticappliances to facilitate theorthodontic movement ofteeth. It is usedtemporarily and isremoved after orthodontictreatment has beencompleted. Screws areintended for single useonlyThe MS SA Implant(Narrow Ridge) isintended to use in thetreatment of missingmandibular central andlateral incisors to supportprosthetic device, such asartificial teeth, in order torestore chewing functionin partially edentulouspatients. The MS SAImplant (Narrow Ridge) isintended for single useonly. It is intended fordelayed loading.
Intended useThe Orthodontic Screw isindicated for use as a fixedanchorage point forattachment of orthodonticappliances to facilitate theorthodontic movement ofteeth. It is usedtemporarily and isremoved after orthodontictreatment has beenThe OrthodonticScrew is indicated foruse as a fixedanchorage point forattachment oforthodontic appliancesto facilitate theorthodontic movementof teeth. It is usedtemporarily and isProvide a fixedanchorage point forattachment oforthodontic appliances tofacilitate the orthodonticmovement of teeth.Head structureSimple Head, ThroughHole, Small Head,Bracket HeadSimple Head, ThroughHole-
Head structurecompleted. Screws areintended for single useonlyremoved afterorthodontic treatmenthas been completed.Screws are intendedfor single use only1.Small head2.No head3.Long head4.Circle head5.Fixation head6.Bracket head7.Bracket head-lefthanded screw8.OMASmushroomBody Diameter (D)$ Ø $ 1.2mm, $ Ø $ 1.4mm,$ Ø $ 1.6mm, $ Ø $ 1.8mm$ Ø $ 1.4mm, $ Ø $ 1.6mm,$ Ø $ 1.8mm$ Ø $ 2.5mm, $ Ø $ 2.9mm
Body Diameter(D)$Ø$ 1.2mm, $Ø$ 1.4mm,$Ø$ 1.6mm, $Ø$ 1.8mm$Ø$ 1.4mm, $Ø$ 1.6mm,$Ø$ 1.8mm$Ø$ 1.2mm - $Ø$ 1.8mmLength (mm)6mm, 8mm, 10mm6mm, 8mm, 10mm8.5, 10.0, 11.5, 13.0mm
Length (mm)6mm, 8mm, 10mm6mm, 8mm, 10mm4mm -10mm & 12mmMaterial of FixtureTitanium alloy Ti-6Al-4V ELI, ASTM F 136Titanium alloy Ti-6Al-4V ELI, ASTM F 136Titanium alloy Ti-6Al-4V ELI, ASTM F 136
Material ofFixtureTi-6Al-4V ELI, ASTM F136Ti-6Al-4V ELI,ASTM F 136Ti-6Al-4V ELI,ASTM F 136SurfaceAcid etchingMachinedSA $(Sandblasting and Acidetching)$ .
SurfaceMachinedMachined-SterilizationRadiation SterileRadiation SterileRadiation Sterile
SterilizationRadiation SterileRadiation SterileNon-Sterile ;Steam Sterilizebefore useShelf life8 years5 years8 years
Shelf life8 years5 years-TargetProfessional use only -Professional use only -Professional use only -
TargetpopulationProfessional use only -qualified dentists.Strictly reserved tospecialized and trainedusers.Professional use only- qualified dentists.Strictly reserved tospecialized and trainedusers.Professional use only- qualified dentists.Strictly reserved tospecialized and trainedusers.
principles ofoperationOrthodontic screw isinserted into either jaw tohelp the orthodontistmove the correct teeth andstop the wrong teeth frommoving in the wrongdirection.Orthodontic screw isinserted into either jawto help theorthodontist move thecorrect teeth and stopthe wrong teeth frommoving in the wrongdirection.
SEOrthodontic screw has been predicated by 510(K), K103105 but It isresubmitted to add $Ø$ 1.2mm Diameter and Small Head, Bracket Head typeorthodontic screwWe conducted performance test due to addition of smaller diameter $Ø$ 1.2mmFracture load Test, Rotational fracture torque test, Axial pull-out strength testWe state Orthodontic screw is not different from predicate, the Orthodonticscrew (K103105) and Absoanchor Microimplant (K060126) on the safetyand effectiveness.

QS-QI-505-3(Rev.0)

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Image /page/6/Picture/0 description: The image contains the logo for Osstem Implant. The logo is orange and features the word "OSSTEM" in a bold, sans-serif font. Below the word "OSSTEM" is the word "IMPLANT" in a smaller, thinner font. There is a registered trademark symbol next to the word "OSSTEM".

OSSTEM Implant Co., Ltd.

OSSTEM Implant Co., Ltd.
66-16, Bansong-ro 513beon-gil, Haeunda-gu, Busan, Republic of Korea
Tel: +82 51 850-2500 Fax: +82 51 850-4341 www.osstem.com

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Image /page/7/Picture/1 description: The image shows the logo for Osstem Implant. The logo is orange and gray. The word "OSSTEM" is in orange, and the word "IMPLANT" is in gray. There is a small orange circle in the upper right corner of the logo.

OSSTEM Implant Co., Ltd.

66-16, Bansong-ro 513beon-gil, Haeundae-gu, Busan, Republic of Korea Tel: +82 51 850-2500 Fax: +82 51 850-4341 www.osstem.com

Because Orthodontic screw has the same principles of operation, material, indication for use and similar design (Diameter and length are also included in dimension range of predicate) as the predicate

QS-QI-505-3(Rev.0)

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Image /page/8/Picture/1 description: The image shows the logo for Osstem Implant. The logo is orange and gray. The word "OSSTEM" is in orange, and the word "IMPLANT" is in gray. The logo is simple and modern.

EM Implant Co., Lt

aeundae-on Busan Republic of +82 51 850-2500 Fax: +82 51 850-4341 www.osstem.com

populationqualified dentists.Strictly reserved tospecialized and trainedusers.qualified dentists.Strictly reserved tospecialized and trainedusers.qualified dentists.Strictly reserved tospecialized and trainedusers.
principles ofoperationOrthodontic screw isinserted into either jawto help the orthodontistmove the correct teethand stop the wrongteeth from moving inthe wrong direction.Orthodontic screw isinserted into either jawto help the orthodontistmove the correct teethand stop the wrongteeth from moving inthe wrong direction.
S EOrthodontic screw has been predicated by 510(K), K103105 but It isresubmitted to add Ø1.2mm Diameter, and Small Head, Bracket Head typeorthodontic screw and change surface that is Acid etchingWe conducted performance test due to addition of smaller diameter Ø1.2mm.Surface treatment of Orthodontic screw is same with MS SA Implant Systemexcept Sand Blasting process of MS SA Fixture, Therefore we certify thatOrthodontic Screw is same with MS SA Fixture from a Biocompatibilitypoint of viewWe state Orthodontic screw is not different from predicate, the Orthodonticscrew (K103105) and Absoanchor Microimplant (K060126) on the safetyand effectiveness.Because Orthodontic screw has the same principles of operation, material,indication for use and similar design (Diameter and length are also includedin dimension range of predicate) as the predicate

5. Indication for use :

The Orthodontic Screw is indicated for use as 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 single use only

6. Summary of nonclinical testing

The Orthodontic screw system has been subjected to safety, performance, and product validations prior to release. Safety tests including biocompatibility have been considered to ensure the devices comply with the applicable International and US regulations.

Performance Testing of Orthodontic screw is conducted

  • Fracture load Test
  • Rotational fracture torque test
  • Axial pull-out strength test

Biocompatibility for the Orthodontic screw is demonstrated by the reference to K122171. Validation of the gamma irradiation process is demonstrated by the reference to K072896. Surface treatment characterization testing is demonstrated by the reference to K122171.

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Image /page/9/Picture/1 description: The image shows the logo and contact information for OSSTEM Implant Co., Ltd. The address is 66-16, Bansong-ro 513beon-gil, Haeundae-gu, Busan, Republic of Korea. The telephone number is +82 51 850-2500, the fax number is +82 51 850-4341, and the website is www.osstem.com.

    1. Summary of clinical testing No clinical studies are submitted
    1. Conclusions

In accordance with the Federal Food, Drug and Cosmetic Act, 21 CFR Part 807, and based on the information provided in this premarket notification Osstem Implant Co., Ltd. concludes that the Orthodontic screw is substantially equivalent to the predicate devices as described herein.

§ 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.