K Number
K231087
Device Name
Guided Surgery Kit
Date Cleared
2023-08-16

(121 days)

Product Code
Regulation Number
872.4120
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Guided Surgery Kit is designed to hold various dental surgical drills and instruments to organize, steam sterilize, and transport between uses. The guided surgical drills are intended to cut into maxilla or mandible to create an osteotomy for endosseous dental implant placement. The kit is to be enclosed in a FDA cleared steam sterilizable wrap (maximum thickness KC300) and sterilized in a FDA cleared sterilizer for one of the following cycles: (1) Prevacuum Steam – At 132°C for 4 minutes with a 20 minute dry time. (2) Gravity Steam At 132°C for 15 minutes with a 30 minute dry time. · The kit is intended for sterilization of non-porous loads. · Do not stack kits during sterilization. · Implant Direct Sybron Manufacturing LLC does not make any lumen claims for the Sterilizable Guided kit.
Device Description
The Guided Surgery Kit is offered in 2 complete kit variations for 3 implant systems: Legacy, Simply lconic, and InterActive as a reusable perforated tray for purposes of transport, steam sterilization and storage of dental instruments, similar to the reference device Standard Sterilizable Tray (K202524). The kit is sold non-sterile and contains site preparation instruments, dental driving tools, prosthetic driving tools and ratchet tool which can be used for implant placement. The proposed Guided Surgical Drills are reusable surgical instruments designed to prepare an osteotomy for a dental implant procedure. The features remain unchanged from the predicate Surgical Drills (K200265) except for the addition of a Guide Body and Shoulder Stop. The addition of a Guide Body allows the proposed drills to function with guide sleeves which can be integrated into an existing surgical quide template to assist in the drilling sequence and placement of dental implants.
More Information

No
The summary describes a kit for organizing and sterilizing dental surgical instruments and drills, with no mention of AI or ML capabilities. The device description focuses on the physical components and their function in guided surgery, sterilization, and storage.

No.
The device is a kit designed to organize, sterilize, and transport dental surgical drills and instruments, and the drills themselves are intended to cut into bone for implant placement. While the drills perform a surgical action, the kit and its components are considered surgical tools rather than devices that provide therapy or treatment for a disease or condition.

No

The device is a surgical kit designed to hold and sterilize dental surgical instruments for implant placement, not for diagnosing medical conditions.

No

The device description clearly outlines physical components like trays, drills, and instruments, and the performance studies focus on biocompatibility, sterilization, and physical characteristics, not software validation.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Function: The description clearly states the device is a "Guided Surgery Kit" designed to hold, sterilize, and transport dental surgical drills and instruments. The drills are used to "cut into maxilla or mandible" to create an osteotomy for dental implant placement. This is a surgical procedure performed directly on the patient's body, not a test performed on a sample outside the body.
  • Lack of IVD Characteristics: The text does not mention any analysis of biological samples, detection of biomarkers, or diagnostic purposes.

Therefore, the device falls under the category of surgical instruments and accessories, not in vitro diagnostics.

N/A

Intended Use / Indications for Use

The Guided Surgery Kit is designed to hold various dental surgical drills and instruments to organize, steam sterilize, and transport between uses. The guided surgical drills are intended to cut into maxilla or mandible to create an osteotomy for endosseous dental implant placement.

The kit is to be enclosed in a FDA cleared steam sterilizable wrap (maximum thickness KC300) and sterilized in a FDA cleared sterilizer for one of the following cycles:

  • (1) Prevacuum Steam At 132°C for 4 minutes with a 20 minute dry time.
  • (2) Gravity Steam At 132°C for 15 minutes with a 30 minute dry time.
  • · The kit is intended for sterilization of non-porous loads.
  • · Do not stack kits during sterilization.
  • · Implant Direct Sybron Manufacturing, LLC does not make any lumen claims for the Sterilizable Guided kit.

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

DZI, KCT

Device Description

The Guided Surgery Kit is offered in 2 complete kit variations for 3 implant systems: Legacy, Simply Iconic, and InterActive as a reusable perforated tray for purposes of transport, steam sterilization and storage of dental instruments, similar to the reference device Standard Sterilizable Tray (K202524). The kit is sold non-sterile and contains site preparation instruments, dental driving tools, prosthetic driving tools and ratchet tool which can be used for implant placement. The proposed Guided Surgical Drills are reusable surgical instruments designed to prepare an osteotomy for a dental implant procedure. The features remain unchanged from the predicate Surgical Drills (K200265) except for the addition of a Guide Body and Shoulder Stop. The addition of a Guide Body allows the proposed drills to function with guide sleeves which can be integrated into an existing surgical guide template to assist in the drilling sequence and placement of dental implants.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

maxilla or mandible

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)

Non-clinical testing was evaluated on the Subject device Guided Surgery Kit:

  • Verification of biocompatibility of the final device in accordance with ISO 10993-1 and the results demonstrated the subject device is biocompatible.
  • Cleaning and Steam sterilization validation in accordance with AAMI TIR12 and ISO 17665-1 and the results demonstrated the subject device can achieve a SAL of 10-6.
  • Performance testing (i.e., scratch test, SEM analysis, etc.) with comparative analysis of the critical dimensions of the design characteristics of the worst-case drill included in the scope of the submission and predicate device submission.

Clinical performance data is not required to establish substantial equivalence for the subject device.

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.

K200265

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.

K202524

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

§ 872.4120 Bone cutting instrument and accessories.

(a)
Identification. A bone cutting instrument and accessories is a metal device intended for use in reconstructive oral surgery to drill or cut into the upper or lower jaw and may be used to prepare bone to insert a wire, pin, or screw. The device includes the manual bone drill and wire driver, powered bone drill, rotary bone cutting handpiece, and AC-powered bone saw.(b)
Classification. Class II.

0

Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food & Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo features the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text.

August 16, 2023

Implant Direct Sybron Manufacturing, LLC Reina Choi Regulatory Affairs Manager 3050 East Hillcrest Drive Thousand Oaks, California 91362

Re: K231087

Trade/Device Name: Guided Surgery Kit Regulation Number: 21 CFR 872.4120 Regulation Name: Bone Cutting Instrument And Accessories Regulatory Class: Class II Product Code: DZI, KCT Dated: May 18, 2023 Received: May 19, 2023

Dear Reina Choi:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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.

1

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 device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely.

Michael E. Adjodha -S

Michael Adjodha, M.ChE. Assistant Director DHT1B: Division of Dental and ENT Devices OHT1: Office of Ophthalmic, Anesthesia, Respiratory, ENT and Dental Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known) K231087

Device Name

Guided Surgery Kit

Indications for Use (Describe)

The Guided Surgery Kit is designed to hold various dental surgical drills and instruments to organize, and transport between uses. The guided surgical drills are intended to cut into maxilla or mandible to create an osteotomy for endosseous dental implant placement.

The kit is to be enclosed in a FDA cleared steam sterilizable wrap (maximum thickness KC300) and sterilized in a FDA cleared sterilizer for one of the following cycles:

(1) Prevacuum Steam – At 132°C for 4 minutes with a 20 minute dry time.

  • (2) Gravity Steam At 132°C for 15 minutes with a 30 minute dry time.
  • · The kit is intended for sterilization of non-porous loads.
  • · Do not stack kits during sterilization.
  • · Implant Direct Sybron Manufacturing LLC does not make any lumen claims for the Sterilizable Guided kit.

| Model Name | Model
Number | Max # of
Instruments | Mass (g) | Vent to Volume
Ratio (in-1) |
|-------------------------------|-----------------|-------------------------|----------|--------------------------------|
| Guided Surgical Kit - Legacy | GSK-L | 51 | 446.52 | 0.032 |
| Guided Surgical Kit - Conical | GSK-C | 48 | 442.01 | 0.033 |
| Guided Surgical Kit - Empty | GSK-E | N/A | 299.94 | 0.033 |

Type of Use (Select one or both, as applicable)
---------------------------------------------------

X Prescription Use (Part 21 CFR 801 Subpart D)

| Over-The-Counter Use (21 CFR 801 Subpart C)

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Image /page/3/Picture/0 description: The image shows the logo for Implant Direct. The logo consists of a gray text that reads "IMPLANT DIRECT" with the trademark symbol next to the word "DIRECT". To the left of the text is a gray and orange graphic that resembles a screw.

510(k) Summary – K231087

i. Submitter Information

Submitter:Implant Direct Sybron
Manufacturing, LLC
3050 E. Hillcrest Drive
Thousand Oaks, CA
91362, USA
Contact Person:Reina Choi, Sr. Regulatory Affairs Manage
E-Mail:Reina.choi@envistaco.com
Telephone Number:(818) 307-3132
Prepared By:Reina Choi, Sr. Regulatory Affairs Manage
Date PreparedAugust 15, 2023

ii. Device Name

Proprietary name:Guided Surgery Kit
Manufacturer:Implant Direct Sybron Manufacturing, LLC
Common Name:Endosseous Dental Implant Drills
Classification Name:Bone cutting instrument and accessories
Regulation Number:21 CFR 872.4120
Device Class:II
Primary Product Code:DZI
Secondary Product Code:KCT

iii. Predicate Devices

Predicate Device
510(k) #:K200265
Propriety Name:Surgical Drills
Manufacturer:Implant Direct Sybron Manufacturing, LLC
Common Name:Endosseous Dental Implant Drills
Classification Name:Bone cutting instrument and accessories
Regulation Number:21 CFR 872.4120
Device Class:Class II
Product Code:DZI

4

Reference Device
510(k) #:K202524
Propriety Name:Standard Sterilizable Tray
Manufacturer:Implant Direct Sybron Manufacturing, LLC
Common Name:Sterilization Wrap Containers, Trays, Cassettes & Other Accessories
Classification Name:Sterilization Wrap
Regulation Number:21 CFR 880.6850
Device Class:Class II
Product Code:KCT

iv. Device Description

The Guided Surgery Kit is offered in 2 complete kit variations for 3 implant systems: Legacy, Simply lconic, and InterActive as a reusable perforated tray for purposes of transport, steam sterilization and storage of dental instruments, similar to the reference device Standard Sterilizable Tray (K202524). The kit is sold non-sterile and contains site preparation instruments, dental driving tools, prosthetic driving tools and ratchet tool which can be used for implant placement. The proposed Guided Surgical Drills are reusable surgical instruments designed to prepare an osteotomy for a dental implant procedure. The features remain unchanged from the predicate Surgical Drills (K200265) except for the addition of a Guide Body and Shoulder Stop. The addition of a Guide Body allows the proposed drills to function with guide sleeves which can be integrated into an existing surgical quide template to assist in the drilling sequence and placement of dental implants.

Note: The guide sleeves are not included in the scope of the clearance.

v. Principle of Operation / Mechanism of Action

The principal of operation is based on the placement of a Sleeve over an existing surgical guide template which allows all the instruments within the guided surgery kit to be quided for position, anqulation, and depth. The instruments found in the quided surqery kit share a common Guide Hub that has a Shoulder to act as a Stop. The Guided Drill is inserted into the Sleeve and the Guide Body portion of the Drill engages with the Sleeve prior to patient contact. Once the Guide Body is engaged with the Sleeve the Drill is now Guided to aid in drilling the osteotomy until the Shoulder contacts the Sleeve which prevents the drilling too deep. Once the osteotomy drilling is complete, the same Sleeve can be immediately used with the Guided Driver the implant into the planned site.

vi. Compatible Devices and Accessories

The Guided Surgery Kit is intended to be used with previously cleared or exempt accessories/devices from Implant Direct.

5

vii. Patient Contacting Components

Following the assessment set forth in ISO 10993-1:2018 Biological Evaluation of Medical Devices, Annex A, it was determined that the devices in scope of this submission do contain patient contacting components. The patient contacting components have direct patient contact for (≤ 24 hours and typically less than five (5) minutes in single clinical application to complete the surgical procedure).

Table 0-2 - Patient Contacting Materials

Product NameMaterial DescriptionColorant
Dental DrillsStainless Steel 455 per ASTM F899 with Diamond Like
Coating (DLC)N/A

viii. Indications for Use

The Guided Surgery Kit is designed to hold various dental surgical drills and instruments to organize, steam sterilize, and transport between uses. The quided surgical drills are intended to cut into maxilla or mandible to create an osteotomy for endosseous dental implant placement.

The kit is to be enclosed in a FDA cleared steam sterilizable wrap (maximum thickness KC300) and sterilized in a FDA cleared sterilizer for one of the following cycles:

  • (1) Prevacuum Steam At 132°C for 4 minutes with a 20 minute dry time.
  • (2) Gravity Steam At 132°C for 15 minutes with a 30 minute dry time.
  • · The kit is intended for sterilization of non-porous loads.
  • · Do not stack kits during sterilization.
  • · Implant Direct Sybron Manufacturing, LLC does not make any lumen claims for the Sterilizable Guided kit.

6

| Model Name | Model
Number | Max # of
Instruments | Mass (g) | Vent to Volume
Ratio (in-1) |
|----------------------------------|-----------------|-------------------------|----------|--------------------------------|
| Guided Surgical Kit -
Legacy | GSK-L | 51 | 446.52 | 0.032 |
| Guided Surgical Kit -
Conical | GSK-C | 48 | 442.01 | 0.033 |
| Guided Surgical Kit -
Empty | GSK-E | N/A | 299.94 | 0.033 |

ix. Summary of Substantial Equivalence

The similarities and differences between the Subject Device, Guided Surgery Kit and the Predicate Devices as described in Table 0-3 are as follows:

The similarities between the Guided Surgery Kit (Subject Device), Predicate Device Surgical Drills (K200265) and Reference Device Standard Sterilizable Tray (K202524), listed in the table below are the Indications for Use, Mode of Action, material, and general design features. Exterior dimensions, surface finish, and mated surface of kit lid opens/closes via side hinges on the kit are the same. Also, Biocompatibility testing, Cleaning and Sterilization testing are the same.

There are no major differences however there are minor differences between the Guided Surgery Kit (Subject Device) and Predicate Device Surgical Drills and Reference Device Standard Sterilizable Tray as follows:

  1. subject device has additional integrated guided body and guide hub compared to predicate; 2) subject device has DLC coating covering the entire cutting flutes area, while predicate is only partially coated with DLC; 3) subject device has same outer tray dimensions and slight different inner tray layout from reference device; 4) subject device has larger maximum number of instruments, but smaller maximum sterilization load compared to reference device; 5) subject device has larger vent to volume ratio than reference device; 6) the total number of instruments surface area of the subject device is slightly larger by 3% than the reference device.

Conclusion:

Based on a comparison of intended use, indications for use, technological characteristics, principle of operation, features, and performance data, the Guided Surgery Kit is deemed to be substantially equivalent to the predicate devices as it satisfies all criteria of substantial equivalence and does not raise new concerns regarding substantial equivalence: (1) Indications for Use, (2) Technological Characteristics, and (3) Performance Data. The new device does not introduce a fundamentally new scientific technology and the nonclinical tests demonstrate that the device is substantial equivalent.

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Table 0-3: Guided Surgery Kit Comparison Table

| Description | Subject Device
Guided Surgery Kit | Predicate
Surgical Drills
(K200265) | Reference Device
Standard Sterilizable Tray
(K202524) | Comparison |
|------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Manufacturer | Implant Direct | Implant Direct | Implant Direct | Same |
| Pictorial
Representation | Image: Guided Surgery Kit | Image: Surgical Drills | Image: Standard Sterilizable Tray | N/A |
| Regulatory Classification | | | | |
| Regulation # | 21 CFR 872.4120
21 CFR 880.6850 | 21 CFR
872.4120 | 21 CFR 880.6850 | Same |
| Regulation Title | Bone cutting instrument and
accessories;
Sterilization Wrap | Bone cutting
instrument and
accessories | Sterilization Wrap | Same |
| Regulation
Class | II | II | II | Same |
| Product Code | DZI, KCT | DZI | KCT | Same |
| Indications for Use/Intended Use | | | | |
| Indications for
Use /
Intended Use | The Guided Surgery Kit is designed to
hold various dental surgical drills and
instruments to organize, steam
sterilize, and transport between uses.
The guided surgical drills are intended
to cut into maxilla or mandible to
create an osteotomy for endosseous
dental implant placement.

The kit is to be enclosed in an FDA
cleared steam sterilizable wrap
(maximum thickness KC300) and
sterilized in an FDA cleared sterilizer
for one of the following cycles:
(1) Prevacuum Steam – At 132°C for 4
minutes with a 20 minute dry time.
(2) Gravity Steam – At 132°C for 15
minutes with a 30 minute dry time.
• The kit is intended for sterilization of
non-porous loads.
• Do not stack kits during sterilization.
• Implant Direct Sybron Manufacturing
LLC does not make any lumen claims
for the Guided Surgery Kit | The Surgical
Drills are
intended to cut
into maxilla or
mandible to
create an
osteotomy for
endosseous
dental implant
placement. | The Standard Sterilizable Tray is
designed to hold various dental
surgical and prosthetic instruments in
order to organize, steam sterilize, and
transport the instruments between
uses. The tray is to be enclosed in an
FDA cleared steam sterilizable wrap
(maximum thickness KC300) and
sterilized in an FDA cleared sterilizer
for one of the following cycles:
(1) Prevacuum Steam – At 132°C for
4 minutes with a 20 minutes dry time.
(2) Gravity Steam – At 132°C for 15
minutes with a 30 minutes dry time.

  • The tray is intended for sterilization
    of non-porous loads.
  • Do not stack trays during
    sterilization.
  • The tested Tray represents the worst
    case validated load of 667.52 grams.
  • Implant Direct Sybron Manufacturing
    LLC does not make any lumen claims
    for the Standard Sterilizable Tray. | Same as
    Predicate
    and
    Reference
    Device,
    except
    subject
    device has
    larger # of
    instruments,
    smaller max
    load, and
    larger vent to
    volume ratio. |
    | Description | Subject Device
    Guided Surgery Kit | Predicate
    Surgical Drills
    (K200265) | Reference Device
    Standard Sterilizable Tray
    (K202524) | Comparison |
    | | Guided
    Surgery
    Kit -
    Legacy | | | |
    | | GSK-L | | Standa
    rd
    Surgica
    I Kit | |
    | | 51 | | CSSK | |
    | | 446.52 | | 46 | |
    | | 0.032 | | 667.52 | |
    | | | | 0.021 | |
    | | Guided
    Surgery
    Kit -
    Conical | | Standa
    rd
    Surgica
    I Kit | |
    | | GSK-C | | SSK | |
    | | 48 | | | |
    | | 442.01 | | 385.2 | |
    | | 0.033 | | 0.021 | |
    | | Guided
    Surgery
    Kit -
    Empty | | Empty
    InterAct
    ive
    Surgica
    I Kit | |
    | | GSK-E | | CISK | |
    | | N/A | | 34 | |
    | | 299.94 | | 662.70 | |
    | | 0.033 | | 0.021 | |
    | | | | InterAct
    ive
    Surgica
    I Kit
    Empty | |
    | | | | ISK | |
    | | | | 384.2 | |
    | | | | 0.021 | |
    | Technological Characteristics | | | | |
    | Drill General
    Design | Multiple cutting edges and flutes to
    create an osteotomy. Shank to fit with
    hand piece. | Multiple cutting
    edges and
    flutes to create
    an osteotomy.
    Shank to fit
    with hand
    piece. | N/A | Same as
    predicate |
    | Drill Material | Stainless Steel | Stainless Steel | N/A | Same as
    predicate |
    | Drill Coating | DLC (Diamond Like Coating) | No Coating or
    DLC (Diamond
    Like Coating) | N/A | Same as
    predicate |
    | Kit General
    Design | Plastic tray with locking lid co-molded
    silicone and silicone grommet | N/A | Plastic tray with locking lid co-molded
    silicone and silicone grommet | Same as
    reference |
    | Kit Material | Radel R-5000 polyphenylsulfone | N/A | Radel R-5000 polyphenylsulfone | Same as
    reference |
    | Kit Dimensions | 190mm X 145mm X 68mm | N/A | 190mm X 145mm X 68mm | Same as
    reference |
    | Surface Finish | 63 μin | N/A | 63 μin | Same as
    Predicate |
    | Mated surface
    via side hinges | Yes | N/A | Yes | Same as
    Predicate |
    | Sterility | Non-sterile | Non-sterile | Non-sterile | Same |
    | Vent to Volume
    Ratio | GSK-L: 0.032 (in-1)
    GSK-C: 0.033 (in-1)
    GSK-E: 0.033 (in-1) | N/A | 0.021 (in-1) | Similar to
    reference |
    | Reusable or
    single use | Reusable | Reusable | Reusable | Same |
    | Performance Testing | | | | |
    | Biocompatibility | ISO 10993-1:2018 | ISO 10993-
    1:2018 | ISO 10993-1:2018 | Same |
    | Sterilization
    Validation | ISO 17665-1:2006 | ISO 17665-
    1:2006 | ISO 17665-1:2006 | Same |

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x. Performance Testing Data

Non-clinical Test

Non-clinical testing was evaluated on the Subject device Guided Surgery Kit:

  • Verification of biocompatibility of the final device in accordance with ISO 10993-1 and the . results demonstrated the subject device is biocompatible.
  • Cleaning and Steam sterilization validation in accordance with AAMI TIR12 and ISO 17665-1 and the results demonstrated the subject device can achieve a SAL of 10-6.
  • Performance testing (i.e., scratch test, SEM analysis, etc.) with comparative analysis of the critical dimensions of the design characteristics of the worst-case drill included in the scope of the submission and predicate device submission.

Clinical Performance Data:

Clinical performance data is not required to establish substantial equivalence for the subject device.

xi. Conclusion

Based on a comparison of indications for use, material composition, technological characteristics, principle of operation, features and performance data, the Guided Surgery Kit is deemed to be substantially equivalent to the Predicate Devices.