ENDOSSOUS IMPLANTS

K021322 · Intra-Lock International · DZE · Jul 24, 2002 · Dental

Device Facts

• Record ID: K021322
• Device Name: ENDOSSOUS IMPLANTS
• Applicant: Intra-Lock International
• Product Code: DZE · Dental
• Decision Date: Jul 24, 2002
• Decision: SESE
• Submission Type: Abbreviated
• Regulation: 21 CFR 872.3640
• Device Class: Class 2
• Attributes: Therapeutic

Indications for Use

The Intra-Lock Implant System has been designed to restore partially or fully edentulous patients. The implants have been designed to be used in either the mandible or maxilla and to support removable or fixed prosthesis, from single tooth replacement to full arch reconstruction.

Device Story

Intra-Lock Dental Implant System comprises root form dental implants, restorative components, and surgical instrumentation. Implants feature surface treatment via resorbable blast media and acid passivation to increase surface roughness. System supports fixed or removable prostheses for single-tooth to full-arch reconstruction. Used by clinicians in surgical settings for osseointegration procedures. Prosthetic options include screw-retained and removable overdenture solutions. Implants are provided sterile with cover screws and placement instruments; prosthetic components packaged separately for clinician selection post-osseointegration.

Clinical Evidence

No clinical data provided. Substantial equivalence is supported by bench testing and adherence to the FDA Class II Special Controls Guidance Document for Root-form Endosseous Dental Implants and Abutments.

Technological Characteristics

Root-form endosseous dental implants. Surface treatment: resorbable blast media blasting followed by acid passivation. Includes surgical drills, hand instruments, surgical trays, and handpiece adapters. Sterile packaging for implants. Non-electronic, mechanical device.

Indications for Use

Indicated for partially or fully edentulous patients requiring dental restoration in the mandible or maxilla, supporting removable or fixed prostheses ranging from single tooth replacement to full arch reconstruction.

Regulatory Classification

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.

Special Controls

*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.

Predicate Devices

• Branemark Dental Implant System (K944683)
• Branemark MkII Dental Implants (K945398)
• Lifecore Self Tapping Implants (K950624)
• Lifecore Stage 1 RBM Implants (K003226)
• ITI Strauman One Part Implants (K994104)

Submission Summary (Full Text)

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## JUL 2 4 2002

## 510(k) Summary

Pursuant to 512(i)(3)(A) of the Food, Drug and Cosmetic Act, International is required to submit with this Premarket Notification either an "...adequate summary of any information respecting safety and effectiveness or state that information will be made available upon request of any person." Intra-Lock International chooses to submit a summary of the safety and effectiveness information. The summary is as follows:

| Trade Name: | Intra-Lock System |
|----------------------|-----------------------------------------------------------------------------------------------------------------------------|
| Sponsor: | Intra-Lock International<br>1200 North Federal Highway<br>Suite 200<br>Boca Raton, FL 33432<br>Registration No.: 3003631996 |
| Device Generic Name: | Dental Implants |
| Classification: | According to Section 513 of the Federal Food, Drug, and<br>Cosmetic Act, the device classification is Class III. |

Predicate Devices:

| Branemark Dental Implant System | K944683 |
|---------------------------------|---------|
| Branemark MkII Dental Implants | K945398 |
| Lifecore Self Tapping Implants | K950624 |
| Lifecore Stage 1 RBM Implants | K003226 |
| ITI Strauman One Part Implants | K994104 |

#### Product Description:

The Intra-Lock International Dental Implant System consists of root form dental implants and restorative components which provide the clinician with screw retained and removable overdenutre This system also includes prosthetic instrumentation, surgical drills, hand type restorative options. instruments, surgical trays and handpiece adapters for use in the surgical procedures. The implants are sterile packaged and include cover screws and a placement instrument. Prosthetic devices are packaged separately to allow the clinician to choose the appropriate means for restoration after osseointegration. Implant bodies are subjected to a surface treatment of blasting with resorbable blast media and then acid passivation to roughen the surface.

#### Indications for Use:

The Intra-Lock Implant System has been designed to restore partially or fully edentulous patients. The implants have been designed to be used in either the maxilla and to support removable or fixed prosthesis, from single tooth replacement to full arch reconstruction.

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#### Safety and Performance:

This submission is a Special 510(k): Abbreviated 510(k) as described in FDA 's guidance document entitled "The New 510(k) Paradigm - Alternate Approaches to Demonstrating Substantial Equivalence in Premarket Notifications." In support of this 510(k), Intra-Lock International has provided information to demonstrate conformity with FDA's guidance document entitled: Class II Special Controls Guidance Document: Root-form Endosseous Dental Implants and Abutments Draft Guidance for Industry and FDA.

#### Conclusion:

Based on the indications for use, technological characteristics, and comparison to predicate devices, the Intra-Lock Dental Implant System has been shown to be safe and effective for its intended use.

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Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

# JUL 2 4 2002

Mr. Jeffery Sakoff Director of Operations Intra-Lock International 1200 N. Federal Highway, Suite 200 Boca Raton, Florida 33432

Re: K021322

Trade/Device Name: Intra-Lock Dental Implant System Regulation Number: 872.3640 Regulation Name: Endosseous Implant Regulatory Class: III Product Code: DZE Dated: April 19, 2002 Received: April 25, 2002

Dear Mr. Sakoff:

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.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), 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 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.

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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); 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.

This letter will allow you to begin marketing your device as described in your Section 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 21 CFR Part 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at [phone]. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.qov/cdrh/dsma/dsmamain.html

Sincerely yours,

Timothy A. Ulatowski

Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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510(k) Number (if known): ____________________________________________________________________________________________________________________________________________________

Intra-Lock Dental Implant System Device Name:

Indications for Use:

The Intra-Lock Implant System has been designed to restore partially or fully edentulous patients. The implants have been designed to be used in either the mandible or maxilla and to support removable or fixed prosthesis, from single tooth replacement to full arch reconstruction.

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Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use (Per 21 CFR 801.109)

OR

Over-the -Counter Use

Robert S. Betz, DDS for Dr. Susan Renner

(Division Sign-Off) Division of Dental, Infection Control, and General Hospital, Innection Con 510(k) Number _ KO2