K Number
K981562
Device Name
SPLINE DENTAL IMPLANT SYSTEM - SPLINE XI IMPLANT
Date Cleared
1998-07-30

(90 days)

Product Code
Regulation Number
872.3690
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Sulzer Calcitek Dental Implant Systems are designed for use in edentulous mandibles or maxillae for attachment of complete denture prostheses, or as a terminal or intermediary abutment for fixed or removable bridgework, or as a free standing single tooth replacement. The use of the 5.0mm implant is recommended when the quantity and density of bone would dictate the use of an implant larger than 4.0mm.
Device Description
Spline XI implants are available both with and without HA-coating. They are available in 3.75mm or 5.0mm diameters and are available in five lengths: 8, 10, 13, 15 and 18mm. A total of four surface styles are available: HA-coated, HAcoated/textured, HA-coated/machined and textured/machined. The implants are supplied sterile.
More Information

Not Found

Not Found

No
The summary describes a dental implant system and its physical characteristics, with no mention of software, algorithms, or any technology that would typically incorporate AI/ML.

No
The device, a dental implant system, is intended to replace missing teeth and provide support for dental prostheses rather than to treat or cure a disease or condition.

No
The device, Sulzer Calcitek Dental Implant Systems, is described for use in edentulous mandibles or maxillae for attachment of complete denture prostheses, bridgework, or single tooth replacement. Its function is to replace missing teeth, not to diagnose a condition or disease.

No

The device description clearly describes physical implants made of materials and available in different sizes and surface styles. It is a hardware device.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples such as blood, urine, or tissue that have been taken from the human body to detect diseases, conditions, or infections.
  • Device Description and Intended Use: The description clearly states that the Sulzer Calcitek Dental Implant Systems are designed for surgical implantation into the jawbone (mandibles or maxillae) to support dental prostheses. This is an implantable medical device used directly within the body, not a test performed on a sample outside the body.

The information provided focuses on the physical characteristics of the implant and its surgical application, which is consistent with a medical device intended for implantation, not an in vitro diagnostic.

N/A

Intended Use / Indications for Use

Calcitek Dental Implant Systems are designed for use in edentulous mandibles or maxillae for attachment of complete denture prostheses, or as a terminal or intermediary abutment for fixed or removable bridgework, or as a free standing single tooth replacement. The use of the 5.0mm implant is recommended when the quantity and density of bone would dictate the use of an implant larger than 4.0mm.

Product codes

EBF

Device Description

Spline XI implants are available both with and without HA-coating. They are available in 3.75mm or 5.0mm diameters and are available in five lengths: 8, 10, 13, 15 and 18mm. A total of four surface styles are available: HA-coated, HAcoated/textured, HA-coated/machined and textured/machined. The implants are supplied sterile.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

edentulous mandibles or maxillae

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)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.3690 Tooth shade resin material.

(a)
Identification. Tooth shade resin material is a device composed of materials such as bisphenol-A glycidyl methacrylate (Bis-GMA) intended to restore carious lesions or structural defects in teeth.(b)
Classification. Class II.

0

JUL 30 1998

510(K) SUMMARY

Pursuant to 513(i) of the Federal Food, Drug, and Cosmetic Act, as Amended.

Company Name:Sulzer Calcitek Inc.
Address:2320 Faraday Avenue, Carlsbad, CA 92008
Telephone Number:(760) 431-9515
Registration Number:2023141
Contact Person:Foster Boop
Date Summary Prepared:April 30, 1998
Classification Name:Implant, Endosseous (76DZE)
Common/Usual Name:Dental Implant System
Device Trade Name:Spline Dental Implant System - Spline XI

The primary device used for comparison purposes in this summary is Sulzer Calcitek's existing Spline Dental Implant System: HA-coated implants and uncoated textured self-tapping threaded implants. All implant systems are manufactured in the i same facility located in Carlsbad, California.

The statements of intended use are identical. 1. Intended Use:

Calcitek Dental Implant Systems are designed for use in edentulous mandibles or maxillae for attachment of complete denture prostheses, or as a terminal or intermediary abutment for fixed or removable bridgework, or as a free standing single tooth replacement. The use of the 5.0mm implant is recommended when the quantity and density of bone would dictate the use of an implant larger than 4.0mm.

2. Description:

Spline XI implants are available both with and without HA-coating. They are available in 3.75mm or 5.0mm diameters and are available in five lengths: 8, 10, 13, 15 and 18mm. A total of four surface styles are available: HA-coated, HAcoated/textured, HA-coated/machined and textured/machined. The implants are supplied sterile.

3. Technological Characteristics:

There has been a modification to the apical portion of the implant body to provide the implant with self-tapping capabilities. The implant/abutment interface remains unchanged. There has been no change to the materials of this device or to the implant/abutment interface.

510(k) Summary Page 1 of 2

1

4. Comparison Analysis:

1

ﺷﻴﺮ ﺍﻟﻤﺴﺘﺸﻴﺮ ﺍﻟﻤﺴﺘﻘﻠﺔ ﺍﻟﻤﺘﻮﺳﻂ ﺍﻟﻤﺘﻮﺳﻂ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ

The overall design of the Spline XI implants are identical to the predicate implants.

FeatureSpline XI implantPredicate Implants
Implant body geometryscrew type endosseous
implantsscrew type endosseous
implants
Implant lengths8, 10, 13, 15, 18mm8, 10, 13, 15, 18mm
Implant diameters3.75, 5.0mm3.75, 5.0mm
Implant body materialTitanium alloyTitanium alloy
Implant/abutment
interfacespline - 6 tinesspline - 6 tines
Manufacturing siteCarlsbad, CACarlsbad, CA
HA CoatingAvailable on some designsAvailable on some designs
Sterile,YesYes

... ... ...

510(k) Summary Page 2 of 2

2

Spline Dental Implant System - Spline XI

  • For submissions claiming substantial equivalence to a device which has been (i) classified into class III under section 513(b) of the act:
    • (1) Which was introduced or delivered for introduction into interstate commerce for commercial distribution before December 1, 1990: and
    • (2) For which no final regulation requiring premarket approval has been issued under section 515(b) of the act, a summary of the types of safety and effectiveness problems associated with the type of devices being compared and a citation to the information upon which the summary is based (Class III Summary). The 510(k) submitter shall also certify that a reasonable search of all information known or otherwise available about the class III device and other similar legally marketed devices has been conducted (Class III Certification), as described in Sec. 807.94.

A Class III Certification and Summary is provided on the following pages.

3

PREMARKET NOTIFICATION CLASS III CERTIFICATION AND SUMMARY

(As Required by 21 CFR 807.94)

I certify, in my capacity as Regulatory Affairs Associate, of Sulzer Calcitek Inc, that I have conducted a reasonable search of all information known or otherwise available about the types and causes of safety or effectiveness problems that have been reported for the endosseous dental implant. I further certify that I am aware of the types of problems to which the endosseous dental implant is susceptible and that, to the best of my knowledge, the following summary of the types and causes of safety or effectiveness problems about the endosseous dental implant is complete and accurate. Such search is defined as examining:

  • the FDA proposal to require the filing of premarket approval applications (PMAs) for endosseous dental implants, section D, "Degree of Risk," (Federal Register, Vol. 54, No. 234, 12/7/89, p. 50593).
  • article titles and abstracts for the citations found when using search strategy for items which include dental implant(s) or endosseous, and fail?, complicat?, risk? hazard?, safety, effectiveness, side effect? adverse? problem? or success rate? using Medline database, 1989-present, accessed using PubMed at http:\ www.ncbi.nlm.nih.gov in March 1998.
    • relevant company documents, including product labeling, concerning the safety and effectiveness information of endosseous implants.

Attached to this certification is a summary of and citation to the adverse safety and effectiveness data found in that search.

Name of individual signing the certification: Foster Boop

April 30, 1998

Signature: Title:

TustunBove
Regulatory Affairs Associate

Company Name: Address: Phone Number:

Sulzer Calcitek Inc. 2320 Faraday Avenue, Carlsbad, California 92008 (760) 431-9515

Date:

4

Spline Dental Implant System – Spline XI

:

ಕಾರಿ ಮಾತ್ರವ

| SUMMARY OF POSSIBLE COMPLICATIONS ASSOCIATED

WITH DENTAL IMPLANTS
Reported Adverse S&E
InformationPossible CausesCitation
Local soft tissue degeneration1) gingivitis
  1. infection | · Federal Register (FR), 54 (234),
    12/7/89, p. 50593.
    · Int J Oral Maxillofac Implants,
    Winter 1992, 7 (4), p. 477-84. | |
    | Bone resorption | 1) infection (see below)
  2. poor oral hygiene
  3. mal-distribution of occlusal
    forces:
    a) poorly designed prosthetics
    (nonpassive fit, which may
    cause micro-movement, tension
    on the implants, and/or
    prosthetic loosening, overload,
    etc.)
    b) traumatic occlusal forces
  4. inadequate bone at the time of
    placement
  5. bone necrosis due to
    inadequate cooling during
    drilling | · Federal Register (FR), 54 (234),
    12/7/89, p. 50593.
    · Dent Clin North Am, Jan 1992,
    36 (1), p. 27-37.
    · J Osaka Univ Dent Sch, Dec
    1990, 30, p. 86-96.
    · Quintessence Int, Dec 1992, 23
    (12), p. 811-6.
    · J Prosthet Dent, Aug 1993, 70
    (2), p. 135-40.
    · Curr Opin Periodontol, 1994, p.
    194-204.
    · Int J Oral Maxillofac Implants,
    V10 N3, 1995, pp. 373-8.
    · Int J oral Maxillofac Implants,
    V10 N3, 1995 May-Jun, pp. 303-

· Biomaterials, Aug 1995, 16(2),
917-20 | |
| Perforation of the maxillary
sinus/oroantral fistula/oronasal
fistula | 1) poor bone quality
2) inadequate bone quantity or
misjudgment of available bone
3) improper drill length
selection | · Federal Register (FR), 54 (234),
12/7/89. p. 50593.
· Dtsch Zahnarztl Z (Germany),
Jan 1990, 45 (1), p. 58-60
· AORN J, Mar 1990, 51 (3), p.
729, 731, 733-4 passim.
· J Oral Maxillofac Surg, Nov
1993, 5 (11), p. 1198-203. | |
| Perforation of the labial and
lingual plates | 1) poor bone quality
2) inadequate ridge width
3) improper placement/
alignment of device | · Federal Register (FR), 54 (234),
12/7/89. p. 50593. | |
| SUMMARY OF POSSIBLE COMPLICATIONS ASSOCIATED
WITH DENTAL IMPLANTS | | | |
| Reported Adverse S&E
Information | Possible Causes | Citation | |
| Paresthesia/nerve injury | 1) improper placement of device
causing impingement of the
nerve
2) poor bone quality allowing
accidental displacement into the
mandibular canal
3) repositioning of the nerve for
placement of the device
4) damage to the nerve during
drilling of site | · Federal Register (FR), 54 (234),
12/7/89. p. 50593.
· Int J Oral Maxillofac Implants,
Fall 1991, 6 (3), p. 264-9.
· Oral Surg Oral Med Oral
Pathol, Jul 1990, 70 (1), p. 24-8.
· Ohio Dent J, Spring-Summer
1992, 66 (1), p. 16-7, 19-25.
· J Prosthet Dent, Oct 1992, 68
(4), p. 664-71.
· Int J Oral Maxillofac Implants,
Spring 1992, 7 (1), p. 45-50.
· Int J Oral Maxillofac Implants,
Mar-Apr 1994, 9 (2), p. 249-54.
· J Oral Maxillofac Surg, V53
N3, 1995 Mar, pp. 264-8.
· J Prosthetic Dent Dec 1997,
78(6), p. 537-41 | |
| Exfoliation (post-restoration) | (See bone resorption risk above)

  1. infection (see below)
  2. poor oral hygiene
  3. mal-distribution of occlusal
    forces:
    a) poorly designed prosthetics
    (nonpassive fit, which may
    cause micro-movement, tension
    on the implants, and/or
    prosthetic loosening, overload,
    etc.)
    b) traumatic occlusal forces
  4. inadequate bone at the time of
    placement
  5. bone necrosis due to
    inadequate cooling during
    drilling | · Federal Register (FR), 54 (234),
    12/7/89. p. 50593.
    · J Prosthet Dent, Feb 1992, 67
    (2), p. 236-45.
    · J Parodontol, May 1991, 10 (2),
    p. 219-25.
    · Pract Periodontics Aesthet
    Dent, Aug 1993, 5 (6), p. 11-20.
    · Int J Oral Maxillofac Implants,
    1993, 8 (1), p. 92-7.
    · Int J Oral Maxillofac Implants,
    V10 N1, 1995 Jan-Feb, pp. 33-

· Biomaterials V16 N12, Aug
1995, pp. 917-920.
· J Oral Maxillofac Surg, V52
N9, PP. 937-43.
· Int J Oral Maxillofac Implants,
Jan-Feb 1995, V10 N1, pp. 74-8,
89-98. | |
| SUMMARY OF POSSIBLE COMPLICATIONS ASSOCIATED
WITH DENTAL IMPLANTS | | | |
| Reported Adverse S&E
Information | Possible Causes | Citation | |
| Local and systemic infection | 1) poor oral hygiene
2) contaminated surgical field
3) device not sterile | • Federal Register (FR), 54 (234),
12/7/89. p. 50593.
• Clin Oral Implants Res, Dec
1992, 3 (4), p. 162-8.
• J Oral Implantol, 1993, 19 (4),
p. 321-35.
• J Periodontol V66 N1, 1995
Jan, pp. 69-74.
• Int J Oral Maxillofac Implants
V9 N2, 1994 mar-Apr, pp. 197-
206.
• Head Neck, Mar-Apr 1996, 18
(2), p. 192-6.
• Int J Oral Maxillofac Implants,
Mar-Apr 1996, 11(2), P. 205-9. | |
| Maxillary sinusitis | perforation of the maxillary
sinus | • J Oral Maxillofac Surg, Mar
1992, 50 (3), p. 285-7.
• J Oral Implantol, 1992, 18 (1),
p. 15-23.
• J Laryngol Otol, Apr 1990
104(4), p. 333-4 | |
| Implant fracture | 1) inadequate structural strength
2) inadequate bony support:
a) insufficient bone at
placement
b) bone resorption | • Federal Register (FR), 54 (234),
12/7/89. p. 50593.
• Int J Oral Maxillofac Implants,
Fall 1989, 4 (3), p. 255-6.
• Int J Oral Maxillofac Implants,
1993, 8 (4), p. 409-14.
• Int J Oral Maxillofac Implants
V10 N3, 1995 May-Jun, pp. 326-
34.
• Clin Oral Implants Res V5 N1,
1994 Mar, pp. 9-18. | |
| Dental bur fracture | 1) inadequate structural strength
2) improper use, including not
drilling in an up-and-down
motion | • Sulzer Calcitek customer
feedback | |
| SUMMARY OF POSSIBLE COMPLICATIONS ASSOCIATED
WITH DENTAL IMPLANTS | | | |
| Reported Adverse S&E
Information | Possible Causes | Citation | |
| Abutment fracture | 1) inadequate structural strength
2) inadequate bony support:
a) insufficient bone at
placement
b) bone resorption
3) poorly designed prosthesis
4) traumatic or destructive
occlusal forces | · Federal Register (FR), 54 (234),
12/7/89. p. 50593.
· J Prosthet Dent, Jul 1992, 68
(1), p. 93-5.
· J Oral Rehabil, Jul 1993, 20 (4),
p. 413-22. | |
| Hemorrhage | lacerations or transections of the
facial and/or lingual arteries in
the floor of the mouth during
drilling | · J Am Dent Assoc., Nov 1990,
121 (5), p. 599-60.
· J Oral Maxillofac Surg, Feb
1990, 48 (2), p. 201-4.
· J Am Dent Assoc., Jan 1991,
122 (1), p. 22-4, 26-8.
· Int J Oral Maxillofac Implants,
1993, 8 (3), p. 329-34. | |
| Mandibular fracture | 1) inadequate bone width
2) poor bone quality | · J Oral Maxillofac Surg, Mar
1990, 48 (3), p. 311-7.
· Int J Oral Maxillofac Implants,
Fall 1991, 6 (3), p. 264-9.
· Acta Stomatol Belg V90 N4,
1993 Dec. pp. 251-8. | |
| Air embolism5 | introduction of compressed
coolant air via a surgical bur | · Can J Anaesth, Jan 1990, 37
(1), p. 112-21.
· Int J Oral Implantol, 1989, 6
(1), p. 50-63.
· J Periodontol, Jan 1992, 63 (1),
p. 63.
· Chest, Feb 1992, 101 (2), p.
561-2.
· J Oral Rehabil V21 N6, 1994
Nov, pp. 721-2. | |
| SUMMARY OF POSSIBLE COMPLICATIONS ASSOCIATED
WITH DENTAL IMPLANTS | | | |
| Reported Adverse S&E
Information | Possible Causes | Citation | |
| Subcutaneous emphysema | introduction of air via cleaning
instrument | Rev Belge Med Dent, 1991, 46
(3), p. 64-71. | |
| Injury to adjacent teeth and
supporting structures | 1) damage to tooth root or
surgical trauma during drilling
or placement
2) poor prosthetic design
3) traumatic occlusion | • AORN J, Mar 1990, 51 (3), p.
729, 731, 733-4 passim.
• Int J Oral Maxillofac Implants,
Fall 1991, 6 (3), p. 270-6.
• Int J Prosthodont, Jan-Feb
1990, 3 (1), p. 89-92.
• J Dent, Aug 1993, 21 (4), p.
203-8. | |
| Gingivitis | poor oral hygiene | • Ned Tijdschr Tandheelkd. Aug
1990, 97 (8), p. 327-31.
• Shigaku, Oct 1989, 77 (SPEC)
p. 1235-45.
• J Prosthet Dent V72 N2, 1994
Aug, pp. 144-51. | |
| Hyperplasia
formation/granuloma | 1) exuberant healing process
2) poor oral hygiene | • Int J Oral Maxillofac Implants,
Summer 1991, 6 (2), p. 215-7.
• Shigaku, Oct 1989, 77 (SPEC)
p. 1235-45.
• Clin Oral Implants Res, Dec
1992, 3 (4), p. 149-61.
• Implant Dent, Spring 1993, 2
(1), p. 27-30. | |
| Delayed healing/ failure to
integrate (exfoliation prior to
restoration) | 1) poor bone quality or other
patient factors (e.g., systemic
disease, excessive
tobacco/alcohol use, etc.)
2) healing not passive
3) site not properly prepared
4) inadequate bone at the time of
implant placement
5) bone necrosis due to
inadequate cooling during
drilling
6) infection | • Int J Oral Maxillofac Implants,
Fall 1990, 5 (3), p. 272-81.
• J Periodontol, Apr 1993, 64 (4),
P. 306-10.
• Int J Oral Maxillofac Implants,
1993, 8 (1), p. 92-7.
• Calcitek product labeling
• J Prosthet Dent V71 N4, 1994
Apr, pp. 375-8.
• J Endo (United States), Mar
1996, 22 (3), p. 135-9. | |
| SUMMARY OF POSSIBLE COMPLICATIONS ASSOCIATED
WITH DENTAL IMPLANTS | | | |
| Reported Adverse S&E
Information | Possible Causes | Citation | |
| Hyperesthesia/Hypoesthesia | 1) improper placement of device
involving impingement of the
nerve
2) repositioning of the nerve for
device placement
3) damage to the nerve during
drilling
4) poor bone quality allowing
accidental displacement into the
mandibular canal | · Sulzer Calcitek product labeling | |
| Laryngeal obstruction,
pneumothorax | screwdriver (tool) aspiration | · Int J Oral Maxillofac Surg, Dec
1992, 21 (6), p. 339-41
· Int J Oral Maxillofac Surg, Sept
1996, 11 (5), p. 679-81. | |
| Edema, hematoma | possible surgical side effects | · Sulzer Calcitek product labeling | |
| Mal-positioned implants | 1) poor bone quality allowing
accidental displacement
2) insufficient bone quantity | · Sulzer Calcitek customer
feedback
· J Prosthet Dent V71 N4, 1994
Apr, pp. 359-63.
· J Oral Maxillofac Surg V52 N9,
1994 Sep, pp. 937-43.
· Int J Oral Maxillofac Implants,
Jul-Aug 1995, V10 N4, pp. 485-
90. | |
| Psychological rejection of
implants | poor patient screening | · Sulzer Calcitek customer
feedback | |
| Local and generalized allergic
reaction 6 | hypersensitivity | · Sulzer Calcitek product labeling | |

5

6

7

5 Investigation supported the hypothesis that air was introduced via the dental burs due to use of compressed coolant air driven systems. The College of Dental Surgeons of British Columbia has recommended to its members involved in the placement of implants that they review their technique to ensure that compressed air is not introduced into the surgical site via a surgical bur. A similar recommendation is included in the instructions for use of this product.

8

9

6 No reports of allergic reaction have been received to date.

10

Image /page/10/Picture/1 description: The image shows the logo for the Department of Health & Human Services USA. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES · USA" arranged around the perimeter. Inside the circle is an abstract image of an eagle with three human profiles incorporated into its design.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUL 3 0 1998

Mr. Foster Boop Requlatory Affairs Associate Sulzer Calcitek, Incorporated 2320 Faraday Avenue Carlsbad, California 92008-7216

Re : K981562 Spline Dental Implant System - Spline XI Trade Name: Requlatory Class: III Product Code: EBF Dated: April 30, 1998 Received: May 1, 1998

Dear Mr. Boop:

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, Druq, 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 registration, 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 regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially -equivalent-determination-assumes compliance with the Good Manufacturing Practice for Medical Devices: General (GMP) regulation (21 CFR Part 820) and that, through periodic GMP inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements 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 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

11

Page 2 - Mr. Boop

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) 594-4692. 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,

S. Autman Jr

Timothy A. Ulatowski Director Division of Dental, Infection Control, and General Hospital Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

12

198156 510 (K) Number (if known) : Device Name: Spline Dental Implant_System - Spline XI

Indications For Use:

Sulzer Calcitek Dental Implant Systems are designed for use in edentulous mandibles or maxillae for attachment of complete denture prostheses, or as a terminal or intermediary abutment for fixed or removable bridgework, or as a free standing single tooth replacement. The use of the 5.0mm implant is recommended when the quantity and density of bone would dictate the use of an implant larger than 4.0mm.

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

Concurrence of CDRH, Office of Device Evaluation (ODE) MADITE (Division Sign-Off) Division of Dental, Infection Control, and General Hospital Dev 5100k) Number Prescription Use OR Over-The-Counter Use (Per 21 CFR 801.109)

(Optional Format 1-2-96)