K Number
K161548
Device Name
Osseointegrated Fixtures
Date Cleared
2016-12-01

(181 days)

Product Code
Regulation Number
878.3680
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Southern Implants Osseointegrated Fixtures are indicated for the attachment of an external on prosthesis for the restoration of a physical defect when other means of attachment are inadequate. The endosseous implant provides the bone anchorage for the prosthetic attachment. These devices are in the maxillo-craniofacial region (including ear, nose and eye).
Device Description
The device 'Osseointegrated Fixtures' refers to a system involving endosseous implants and their accessories. The endosseous implants are solid, screw-type, self-tapping implants made from commercially pure titanium, with the same enhanced surface as the Southern Implants dental implants. The accessories include drills to prepare the site, abutments and attachments to aid the prosthetic retention, placement tools, instruments and laboratory components.
More Information

Not Found

No
The description focuses on the physical components and materials of the osseointegrated fixtures and their accessories, with no mention of AI or ML capabilities.

Yes
The device is described as an "Osseointegrated Fixtures" system that provides "bone anchorage for the prosthetic attachment" to restore a "physical defect". This indicates a therapeutic function of replacing or restoring a missing body part or function.

No

The device is an implantable fixture used for prosthetic attachment, providing bone anchorage. It is not used to diagnose a medical condition or disease.

No

The device description explicitly states it involves physical components like endosseous implants, drills, abutments, and instruments, which are hardware.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is for the attachment of an external prosthesis for the restoration of a physical defect, providing bone anchorage for prosthetic attachment in the maxillo-craniofacial region. This is a surgical implant used directly in the body.
  • Device Description: The device is described as a system involving endosseous implants and accessories like drills, abutments, and placement tools. These are all components used in a surgical procedure.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or treatment.

IVD devices are used outside the body to analyze samples and provide diagnostic information. This device is implanted inside the body for structural support and prosthetic attachment.

N/A

Intended Use / Indications for Use

Southern Implants Osseointegrated Fixtures are indicated for the attachment of an external on prosthesis for the restoration of a physical defect when other means of attachment are inadequate. The endosseous implant provides the bone anchorage for the prosthetic attachment. These devices are in the maxillo-craniofacial region (including ear, nose and eye).

Product codes (comma separated list FDA assigned to the subject device)

FZE

Device Description

The device 'Osseointegrated Fixtures' refers to a system involving endosseous implants and their accessories. The endosseous implants are solid, screw-type, self-tapping implants made from commercially pure titanium, with the same enhanced surface as the Southern Implants dental implants. The accessories include drills to prepare the site, abutments and attachments to aid the prosthetic retention, placement tools, instruments and laboratory components.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

maxillo-craniofacial region (including ear, nose and eye)

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)

Not Found

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K020617, K003620, K090630, K990458

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 878.3680 Nose prosthesis.

(a)
Identification. A nose prosthesis is a silicone rubber solid device intended to be implanted to augment or reconstruct the nasal dorsum.(b)
Classification. Class II.

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Image /page/0/Picture/1 description: The image is a seal for the Department of Health & Human Services - USA. The seal is circular and contains the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the seal is an abstract image of three human profiles facing to the right. The profiles are stacked on top of each other and are connected by a series of lines.

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

December 1, 2016

Southern Implants % Ms. Yolanda Smith Smith Associates 1468 Harwell Ave Crofton, Maryland 21114

Re: K161548

Trade/Device Name: Osseointegrated Fixtures Regulation Number: 21 CFR 878.3680 Regulation Name: Nose Prosthesis Regulatory Class: Class II Product Code: FZE Dated: November 1, 2016 Received: June 3, 2016

Dear Ms. Smith:

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 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.

1

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,

David Krause -S

for

Binita S. Ashar, M.D., M.B.A., F.A.C.S. Director Division of Surgical Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known) K161548

Device Name Osseointegrated Fixtures

Indications for Use (Describe)

Southern Implants Osseointegrated Fixtures are indicated for the attachment of an external on prosthesis for the restoration of a physical defect when other means of attachment are inadequate. The endosseous implant provides the bone anchorage for the prosthetic attachment. These devices are in the maxillo-craniofacial region (including ear, nose and eye).

Type of Use (Select one or both, as applicable)
X Prescription Use (Part 21 CER 801 Subpart D)☐ Over-The-Counter Use (21 CFR 801 Subpart C)

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P.O. Box 605 Irene 0062 South Africa Tel: +27 12 667 1046 Fax: +27 12 667 1029

Osseointeqrated Fixtures 510(k) Application

SECTION 5 - 510(k) Summary

Submitter

Southern Implants (Pty) Ltd. 1 Albert Road Irene 0062 South Africa Tel: +27 12 667 1046 Fax: +27 12 667 1029

Contact person

Miss Lauranda Breytenbach +27 12 667 1046 Lauranda.B@southernimplants.com

Date prepared: December 1, 2016

Name of the device

Trade name:Osseointegrated Fixtures
Common name:Implants for prosthetic retention External
Classification name:Nose prosthesis
Regulation Number:21 CFR 878.3680
Product Code:FZE
Device Class:Class II

Legally marketed devices to which equivalence is claimed (predicate devices)

ManufacturerDevice NameK Number
NSI, Inc.
(Manufactured by Southern
Implants)NSI Hexed and Non-Hexed Implant SystemK020617
NSI, Inc.
(Manufactured by Southern
Implants)NSI Hexed and Non-Hexed Implant SystemK003620
Nobel BiocareNobel Biocare Endosseous Implants
(Maxillofacial Indications)K090630
Straumann USAStraumann Extraoral Implant SystemK990458

Device Description

The device 'Osseointegrated Fixtures' refers to a system involving endosseous implants and their accessories. The endosseous implants are solid, screw-type, self-tapping implants made from commercially pure titanium, with the same enhanced surface as the Southern Implants dental implants. The accessories include drills to prepare the site, abutments and attachments to aid the prosthetic retention, placement tools, instruments and laboratory components.

Indications for Use

Southern Implants Osseointegrated Fixtures is indicated for the attachment of an external aesthetic restoration prosthesis for the restoration of a physical defect when other means of attachment are inadequate. The endosseous implant provides the bone anchorage for the prosthetic attachment. These devices are indicated for use in the maxillo-craniofacial region (including ear, nose and eye).

4

K161548 P.O. Box 605 South Africa Tel. +27 12 667 1046 Fax: +27 12 667 1029

Osseointearated Fixtures 510(k) Application

SECTION 5 - 510(k) Summary

Intended use

The implants are placed in bone and are intended to osseointegrate to provide an attachment for an external aesthetic restoration prosthesis. The device provides a solution for the prosthetic restoration of a cosmetic defect when other means (such as adhesives or suction) are inadequate to retain the prosthesis.

COMPARISON OF TECHNICAL CHARACTERISTICS

Substantial equivalence

This device and the predicates are all used in the same way: they are screwed into bone where they are intended to osseointegrate to provide an attachment for a prosthesis. The material for all implants is titanium and the operating principle which is primary fixation by means of an external thread, and permanent fixation by osseointegration are the same. Torque for placement is transferred through the connection interface in the implants. Osseointegration is enhanced by means of a moderately rough titanium surface

In comparison to predicates NSI Hexed and Non-Hexed Implant System (K020617 & K003620) are indicated for the attachment of dental prosthetics, and the Southern Implants Osseointegrated Fixtures are used to attach extraoral cosmetic prosthetics. Thus, it will not be subject to the kind of loads experienced by dental implants. Additionally, the extraoral environment is typically biologically cleaner than the oral environment.

The Nobel Biocare Endosseous Implants (Maxillofacial Indications) (K090630) and Straumann Extraoral Implant System are indicated for the attachment of an external aesthetic restoration prosthesis in the maxillofacial region. In comparison, the use of the Southern Implants Osseointegrated Fixtures is not restricted to the craniofacial region. However, its use remains the same, for the mechanical retention of a cosmetic prosthesis. This device enables other external aesthetic prosthetic restorations which would benefit from the availability of bone-anchorage in the same way as maxillofacial/craniofacial prostheses do.

After safety and testing was performed, Southern Implants has concluded that the device does not introduce any significant questions of safety and is substantially equivalent to the predicate devices.

StandardStandard Title
ISO 11137-1Sterilization of Health Care Products – Radiation – Part 1: Requirements for
Development, Validation & Routine Control of a Sterilization Process for Medical
Devices
ISO 11137-2Sterilization of Health Care Products – Radiation – Part 1: Establishing the Sterilization
Dose
ISO 11737-1Sterilization of Medical Devices – Microbiological Methods – Part 1: Estimation of
Population of Microorganisms on Products
ISO 11737-2Sterilization of medical devices - Microbiological Methods - Part 2: Tests of Sterility
Performed
in the Validation of a Sterilization Process
EN 556-1Sterilization of Medical Devices - Requirements for Medical Devices to be designated

Safety Testing

5

K161548 P.O. Box 605 Irene 0062 South Africa Tel: +27 12 667 1046
Fax: +27 12 667 1029

Osseointegrated Fixtures 510(k) Application

SECTION 5 - 510(k) Summary

SECTION 5 – 510(k) Summary
"STERILE" - Part 1: Requirements for Terminally Sterilized Medical Devices
ISO 10993-1Biological evaluation of medical devices- part 1: Evaluation and testing within a risk
management process
ISO 14971Medical Devices - Application of Risk Management to Medical Devices
ISO 10993-5Biological evaluation of medical devices – Part 5; Tests for in vitro cytotoxicity
ISO 10993-18Biological evaluation of medical devices – Part 18: Chemical characterization of
materials.
ISO 11607-1Packaging for terminally sterilized medical devices - part 1: requirements for materials,
sterile barrier systems and packaging systems [including: amendment 1
(2014)]. (Sterility)
ISO 11607-2Packaging for terminally sterilized medical devices - part 2: validation requirements for
forming, sealing and assembly processes [including: amendment 1 (2014)]. (Sterility)
ASTM D4169-14Standard practice for performance testing of shipping containers and systems. (Sterility)
ASTM F1929-12Standard test method for detecting seal leaks in porous medical packaging by dye
penetration. (Sterility)
ASTM
F88/F88M-09Standard test method for seal strength of flexible barrier materials. (Sterility)
ASTM F1980-07Standard guide for accelerated aging of sterile barrier systems for medical
devices. (Sterility)
ISO 5832-
3:1996Implants for surgery -- metallic materials -- part 3: wrought titanium 6-aluminium 4-
vanadium alloy. (Materials)
ASTM F136-13Standard specification for wrought titanium-6 aluminum-4 vanadium ELI (extra low
interstitial) alloy for surgical implant applications (Uns R56401). (Materials)
ASTM F67-13Standard specification for unalloyed titanium for surgical implant applications (Uns
R50250, Uns R50400, Uns R50550, Uns R50700). (Materials)
IEC 62366-1Medical devices - part 1: application of usability engineering to medical
devices. (General I (QS/RM))
ISO 14644-1Cleanrooms and associated controlled environments - part 1: classification of air
cleanliness. (Sterility)
ISO 15223-1Medical devices - symbols to be used with medical device labels, labelling, and
information to be supplied - part 1: general requirements. (General I (QS/RM))
BS EN 1041Information supplied by the manufacturer of medical devices
ASTM E899-12hStandard Specification for Wrought Stainless Steels for Surgical Instruments

CONCLUSION

The technological characteristics of this device and its predicates are substantially equivalent. They are all composed of commercially pure titanium, with a moderately rough surface for osseointegration. They are all self-tapping, screw-type implants. They all have similar systems of drills, abutments, placement tools and prosthetic aids. After safety testing was performed, Southern Implants has concluded that the device does not introduce any significant questions of safety and is substantially equivalent to the predicate devices.