K Number
K954758
Device Name
ROOTFORM DENTAL IMPLANT SYSTEM
Date Cleared
1997-08-18

(672 days)

Product Code
Regulation Number
872.3640
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Rootform Dental Implant is an endosseous dental implant intended to provide support for prosthetic attachments. The Rootform Dental Implant is surgically placed in the bone of the upper or lower jaw arches to provide attachment and support for an abetment and prosthetic devices including artificial teeth, bridges, and dentures.
Device Description
The Rootform Dental Implant System has two "families" -- one without a hex top with 3.3 mm and 3.8 mm diameter cylinders and a second with a hex lock top with 3.3 mm and 4.0 mm diameters. The components of each system are as follows: Rootform 3.3 mm and 3.8 mm Non-Hex Top Implant System - Implants with internal thread - Cover screws - Healing abutments - Prepable abutments - Bar or tissue abutments - Abutment screws - Tissue abutment with cap - Prosthetic attachment screws Rootform 3.3 mm and 4.0 mm Universal Hex Top Implant System - Implants with internal thread - Cover screws - Fixation screws - Healing abutments - Straight abutments - Angled abutments
More Information

Not Found

No
The 510(k) summary describes a standard dental implant system with various components and does not mention any AI or ML capabilities.

No
The device is a dental implant intended to support prosthetic attachments, not to treat a disease or condition.

No
The device is described as a dental implant system intended to provide support for prosthetic attachments, not to diagnose any condition.

No

The device description explicitly lists physical components such as implants, cover screws, abutments, and screws, 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 clearly states that the device is a dental implant surgically placed in the bone to support prosthetic attachments. This is a surgical device used in vivo (within the body).
  • Device Description: The description details the physical components of the implant system, which are all hardware intended for surgical implantation.
  • 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 samples, etc.) to provide information for diagnosis, monitoring, or treatment.

IVD devices are used in vitro (outside the body) to analyze biological samples. This device is a surgical implant used in vivo.

N/A

Intended Use / Indications for Use

The Rootform Dental Implant is an endosseous dental implant intended to provide support for prosthetic attachments. The Rootform Dental Implant is surgically placed in the bone of the upper or lower jaw arches to provide attachment and support for an abetment and prosthetic devices including artificial teeth, bridges, and dentures."

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

DZE

Device Description

The Rootform Dental Implant System has two "families" -- one without a hex top with 3.3 mm and 3.8 mm diameter cylinders and a second with a hex lock top with 3.3 mm and 4.0 mm diameters.

The components of each system are as follows:

Rootform 3.3 mm and 3.8 mm Non-Hex Top Implant System

  • Implants with internal thread
  • Cover screws
  • Healing abutments
  • Prepable abutments
  • Bar or tissue abutments
  • Abutment screws
  • Tissue abutment with cap
  • Prosthetic attachment screws

Rootform 3.3 mm and 4.0 mm Universal Hex Top Implant System

  • Implants with internal thread
  • Cover screws
  • Fixation screws
  • Healing abutments
  • Straight abutments
  • Angled abutments

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

bone of the upper or 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)

Not Applicable. The determination of substantial equivalence was not based on an assessment of performance data.

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.

K912262, K921966, K926101

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

§ 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

1954758 510(k) SUMMARY

AUG 1 9 1997

In accordance with the Safe Medical Devices Act (SMDA) of 1990 and Title 21 of the Code of Federal Regulations Part 807 (21 CFR § 807), and in particular § 807.92, the following summary of safety and effectiveness information is provided:

Submitted By

Swiss Dental Center 567 Marsh Street San Luis Obispo, California 93401 Telephone: (805) 541-1004 Telefacsimile: (805) 541-2523 Carol L. Phillips, D.D.S. Contact: Date Prepared: October 13, 1995

Device Name

Trade or Proprietary Name:Rootform Dental Implant System
Common or Usual Name:Dental Implant
Classification Name:Endosseous Implant (per 21 CFR § 872.3640)

1

Predicate Devices

510(k)SponsorDevice Name
K912262Imtec Corp.Mini and Universal
Implants
K921966Steri-OssHA and TPS Coated
Cylindrical Implants
K926101Phoenix Dental, Inc.Opti-Max Dental Implant
K926102

Device Description

The Rootform Dental Implant System has two "families" -- one without a hex top with 3.3 mm and 3.8 mm diameter cylinders and a second with a hex lock top with 3.3 mm and 4.0 mm diameters.

The components of each system are as follows:

Rootform 3.3 mm and 3.8 mm Non-Hex Top Implant System

Implants with internal thread

  • Cover screws
  • Healing abutments
  • Prepable abutments
  • Bar or tissue abutments
  • Abutment screws
  • Tissue abutment with cap
  • Prosthetic attachment screws

Rootform 3.3 mm and 4.0 mm Universal Hex Top Implant System

  • Implants with internal thread
  • Cover screws
  • Fixation screws
  • Healing abutments
  • Straight abutments
  • Angled abutments

2

Image /page/2/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 right, with flowing lines connecting them.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Les Phillips Swiss Dental Center 567 Marsh Street San Luis Obispo, Californía 93401

AUG 1. 1997'

Re: K954758 Rootform Dental Implant System Trade Name: Requlatory Class: III Product Code: DZE Dated: June 6, 1997 Received: June 12, 1997

Dear Mr. Phillips

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). You may, therefore, market the device, subject to the general controls provisions The general controls provisions of the Act of the Act. include requirements for annual reqistration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major requlations affecting your device can be found in the Code of Federal Requlations, Title 21, Parts 800 to 895. ਬੈ substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirement, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic (QS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP requlation may result in regulatory In addition, FDA may publish further announcements action. concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531

3

Page 2 - Mr. Phillips

through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or requlations.

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4618. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours

Colaturo

Ulatowski hv A Diredtor Division of Dental, Infection Control and General Hospital Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

Intended Use

The Rootform Dental Implant is an endosseous dental implant intended to provide support for prosthetic attachments. The Rootform Dental Implant is surgically placed in the bone of the upper or lower jaw arches to provide attachment and support for an abetment and prosthetic devices including artificial teeth, bridges, and dentures."

Comparison to Predicate Devices

The technological characteristics of the current device closely parallel those of the predicate devices. For example, the current device and each of the predicate device implants as well as their associated prosthetic components are manufactured from the same material, titanium alloy (Ti6AL4V). The designs are also similar in that each implant is a two-stage, rootform, cylindrical, press-fit - type implant. As such they share many common features in addition to design principles including surgical implantation and loading procedures and restorative methods and techniques.

Summary of Nonclinical Tests

(( )

Not Applicable. The determination of substantial equivalence was not based on an assessment of performance data.

Summary of Clinical Tests

Not Applicable. The determination of substantial equivalence was not based on an assessment of performance data.

Conclusions of Nonclinical and Clinical Tests

Not Applicable

(Divizion Sign-Off)
Division of Dental, Infection Control,
and General Hospital Devices
510(k) Number