K122519 · Dio Corporation · DZE · May 21, 2013 · Dental
Device Facts
Record ID
K122519
Device Name
DIO UF HSA INTERNAL SUB-MERGED IMPLANT SYSTEM
Applicant
Dio Corporation
Product Code
DZE · Dental
Decision Date
May 21, 2013
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 872.3640
Device Class
Class 2
Attributes
Therapeutic
Indications for Use
The DIO UF HSA Internal Sub-Merged Implant System is indicated for surgical placement in the upper and lower jaw arches, to provide a root form means for single or multiple units' prosthetic attachment to restore a patient's chewing function. The smaller (03.8 ~ (05.5) implants can be placed with a conventional two stage surgival process with an option for transmucosal healing or they can be placed in a single stage surgical process for immediate loading when good primary stability is achieved with appropriate occlusal loading. The larger (Ø6.0 ~ Ø7.0) implants can be placed with a conventional two stage surgical process with an option for transmucosal healing and are indicated for the molar region with delayed loading.
Device Story
System consists of screw-type endosseous dental implants, abutments, and surgical/prosthetic instruments. Implants are surgically inserted into upper or lower jaw bone to serve as artificial tooth roots. Fixtures feature S.L.A. (Sand-blasted Large grit Acid-etched) surface treatment. Abutments connect to implants via tapered-joint. Used by dental clinicians in clinical settings to support prosthetic devices, restoring patient chewing function. Device provides stable foundation for single or multiple-unit restorations. Performance validated via fatigue testing (35° tilt, 14Hz, >5x10^6 cycles, >250N limit).
Clinical Evidence
Bench testing only. Fatigue testing conducted per FDA guidance for root-form endosseous dental implants using worst-case scenario (angled abutment). Results confirmed fatigue limit >250N at 5x10^6 cycles, consistent with predicate device performance.
Technological Characteristics
Screw-type endosseous dental implant. Materials: CP Ti Grade 4 (ASTM F67) for fixtures; CP Ti Grade 3/4 (ASTM F67) and Ti-6Al-4V ELI (ASTM F136) for abutments. Surface: S.L.A. (Sand-blasted Large grit Acid-etched). Connection: Internal Morse Taper. Sterilization: Gamma radiation for fixtures. Dimensions: 3.8-7.0mm diameter, 7-16mm length.
Indications for Use
Indicated for patients requiring single or multiple-unit prosthetic restoration in partially or fully edentulous mandibles and maxillae. Smaller implants (3.8-5.5mm) suitable for immediate loading (with primary stability) or two-stage/transmucosal healing. Larger implants (6.0-7.0mm) indicated for molar region with delayed loading.
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.
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K122519
MAY 2 1 2013
#### Traditional 510(k) Submission
DIO UF HSA Internal Sub-Merged_Implant System
Attachment 4
# 510(k) Summary
This summary of 510(K) safety and effectiveness information is being submitted in accordance with the requirements of 21 CFR Part 807.92.
Preparation date : Feb 15, 2013
| 1. Submitter | DIO Corporation | |
|---------------------------------|------------------------------------------------------|----------------------|
| | 66, Centumseo-ro, Haeundae-gu, Busan, Korea | |
| | Tel.: 82-51-745-7777 | Fax.: 82-51-745-7778 |
| 2. US Agent /<br>Contact Person | DIO, USA Tim C.J. Lee | |
| | 3540 Wilshire Blvd. #1104 Los Angeles, CA 90010, USA | |
| | Tel.: 213-365-2875 | Fax.: 213-365-1595 |
| 3. Trade Name | DIO UF HSA Internal Sub-Merged Implant System | |
| 4. Common Name | Dental Implant | |
| 5. Classification Name | Endosseous Dental Implant | |
| | 21 CFR 872.3640 | |
| | ClassII DZE, NHA | |
| | Endosseous Dental implant abutment | |
| | 21 CFR 872.3640 | |
| | ClassII DZE. NHA | |
| 6. Predicate Devices | Implantium II (510(k) No: K060501) | |
### 7. Device Description
The DIO UF HSA Internal Sub-Merged Implant System is comprised of dental implants, superstructures, instruments for prosthetics and surgical instruments.
The DIO UF HSA Internal Sub-Merged Implant System is specially designed for use in dental implant surgery. A successfully osseointegrated implant will achieve a
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firm implant when surgically implanted under controlled conditions, per well known clinical studies. There are intended for use in partially or fully edentulous mandibles and maxillae, in support of single or multiple-unit restorations.
The DIO UF HSA Internal Sub-Merged Implant System, fixtures are made of pure titanium, grade 4(ASTM F67) which have a a S.L.A commercial (Sand-blasted Large grit Acid-etched) treated surface. These fixtures can be used one-stage surgery method or two-stage surgery method. And that are surgically inserted into the upper and/or lower jaw bone. The fixtures replace tooth root as providing a stable foundation for restorations. The fixtures have the diameter(3.8 ~ 7.0mm)and length.(7 ~ 16mm)
Geometrically, the implant is screw-type. An abutment is connected to the implant through a tapered-joint.
The device functions by being surgically implanted in the bone of the upper or lower iaw arches in order to provide support for a prosthetic device, such as an artificial tooth, in order to restore a patient's chewing function.
With regard to the scientific concepts that form the basis for the device, root-form endosseous dental implant devices are characterized by four geometrically distinct types. The DIO UF HSA Internal Sub-Merged Implant System is a screw endosseous dental implant. With regard to the physical and performance characteristics of The DIO UF HSA Internal Sub-Merged Implant System, the design shape, engaging method, implant surface treatment and dimensions (lengths and diameters) are the same as the lawfully marketed predicate device.
Test performed in air at 24℃. at 14Hz frequency for at least 5×106 cycles. Tilting angles of specimen is 35°. The fatigue limit is over 250N (Fracture or cracks or severe distortion of any parts were not detected.). It is the same fatigue limit of predicate device.
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## Substantial Equivalence Comparison
There are no known technological differences between the DIO UF HSA Internal Sub-Merged Implant System and Implantium II.
| | Subject Device | Predicate Device |
|-------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Manufacturer<br>Name | DIO Corporation | Dentium Co., Ltd. |
| Device Name | DIO UF HSA Internal<br>Sub-Merged Implant System | Implantium II |
| Intended Use | The DIO UF HSA Internal Sub-Merged<br>Implant System is indicated for surgical<br>placement in the upper and lower jaw<br>arches, to provide a root form means for<br>single or multiple units' prosthetic<br>attachment to restore a patient's chewing<br>function. Implants can be placed with a<br>conventional two stage surgical process<br>with an option for transmucosal healing<br>or they can be placed in a single stage<br>surgical process for immediate loading. | Implantium II is intended to be<br>surgically placed in the bone of the<br>upper or lower jaw arches to<br>provide support for prosthetics<br>devices, such as artificial teeth, and<br>to restore the patient's chewing<br>function. |
| Fixture Material | CP Ti Gr4 (ASTM F67) | CP Ti Gr4 (ASTM F67) |
| Design | Internal Type and Morse Tapered | Internal Type and Morse Tapered |
| Implant | | |
| Diameters(mm) | 3.8 ~ 7.0 | 3.6 ~ 5.0 |
| Implant | | |
| Lengths(mm) | 7 ~ 16 | 8 ~ 14 |
| Surface Treatment | S.L.A (Sand-blasted Large grit<br>Acid-etched) | S.L.A (Sand-blasted Large grit<br>Acid-etched) |
| Sterilization Method | Gamma | Gamma |
| Abutment | | |
| Diameters(mm) | 4.0 ~ 7.5 | 4.5 ~ 7.5 |
| Abutment Cuff Lengths(mm) | 1.5 ~ 5.5 | 1.0 ~ 5.5 |
| Abutment Angulation(") | Max. 25° | Max. 25° |
| Abutment Surface Treatment | Machined type | TiN Coating |
| Abutment Sterilization Method | Non Sterilization | Non Sterilization |
| Abutment Material | CP Ti Gr3, Gr4 (ASTM F67)<br>Ti Alloy(ASTM F136:Ti-6Al-4V ELI) | CP Ti Gr2, Gr3, Gr4 (ASTM F67) |
| Attachments | Various abutments and components | Various abutments and components |
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Traditional 510(k) Submission
## 8. Indication for use -
The DIO UF HSA Internal Sub-Merged Implant System is indicated for surgical placement in the upper and lower jaw arches, to provide a root form means for single or multiple units' prosthetic attachment to restore a patient's chewing function. The smaller (03.8 ~ (05.5) implants can be placed with a conventional two stage surgival process with an option for transmucosal healing or they can be placed in a single stage surgical process for immediate loading when good primary stability is achieved with appropriate occlusal loading. The larger (06.0 ~ Ø7.0) implants can be placed with a conventional two stage surgical process with an option for transmucosal healing and are indicated for the molar region with delayed loading.
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#### 9. Review
The DIO UF HSA Internal Sub-Merged Implant System has same material and characteristics as design and technological the indication for used, similar predicate device.
The DIO UF HSA Internal Sub-Merged Implant System has been subjected to safety, performance and product validation prior to release. Safety tests including biocompatibility has been performed to ensure the devices comply with the applicable International and US regulations.
### 10. Summary of nonclinical testing
Fatigue testing was conducted according to the "Guidance for industry and FDA staff Class II Special Controls Guidance Document Root-form Endosseous Dental Implants and Endosseous Dental Abutment" with the worst case scenario of the DIO HSA STEADY Internal Sub-Merged Fixture and an angled abutment.
Therefore, the fatigue test result of DIO UF HSA Internal Sub-Merged Implant System performs as intended.
### 11. Conclusion
The evaluation of the DIO UF HSA Internal Sub-Merged Implant System does not raise any additional concerns regarding safety and effectiveness and may therefore be considered substantially equivalent to its predicate device.
3KC
Date : Feb/ 15/ 2013
Date : Feb/ 15/ 2013
Gab-moon,Jeong/ DIO Corporation RA Staff
signature
Tim C.J. Lee/ DIO, USA Manager
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Image /page/5/Picture/0 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 emblem that resembles an abstract caduceus or a symbol representing health and human services.
#### DEPARTMENT OF HEALTH & HUMAN SERVICES
Public Health Service
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
#### May 21, 2013
DIO Corporation C/O Mr. Timothy C.J. Lee Manager DIO USA 3540 Wilshire Boulevard, #1104 LOS ANGELES CA 90010
Re: K122519
Trade/Device Name: DIO UF HSA Internal Sub-Merged Implant System Regulation Number: 21 CFR 872.3640 Regulation Name: Endosseous Dental Implant Regulatory Class: DZE, NHA Product Code: II Dated: May 6, 2013 Received: May 6, 2013
Dear Mr. Lee:
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.
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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 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.
If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Small Manufacturers, International and Consumer Assistance at its tollfree number (800) 638-2041 or (301) 796-7100 or at its Internet address
http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR 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 Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.
Sincerely yours.
Kwame O. Ulmer -S for
Anthony D. Watson, B.S., M.S., M.B.A. Director
Division of Anesthesiology, General Hospital, Respiratory, Infection Control and
Dental Devices
Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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Attachment 2
# Indications for Use Statement
# 510(K) Number (if known): _ K | 225| 9
Device Name : DIO UF HSA Internal Sub-Merged Implant System
#### Indications For Use:
The DIO UF HSA Internal Sub-Merged Implant System is indicated for surgical placement in the upper and lower jaw arches, to provide a root form means for single or multiple units' prosthetic attachment to restore a patient's chewing function. The smaller (03.8 ~ (05.5) implants can be placed with a conventional two stage surgival process with an option for transmucosal healing or they can be placed in a single stage surgical process for immediate loading when good primary stability is achieved with appropriate occlusal loading. The larger (Ø6.0 ~ Ø7.0) implants can be placed with a conventional two stage surgical process with an option for transmucosal healing and are indicated for the molar region with delayed loading.
Over-The-Counter Use AND/OR Prescription Use S (21 CFR 801 Subpart C) (Part 21 CFR 801 Subpart D)
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE, ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Digitally signed by Mary S. Runner -S
DN: c=US, o=U.S. Government, ou=HHS,
ou=FDA, ou=People, cn=Mary S. Runner -S,
0.9.2342.19200300.100.1.1=1300087950
Date: 2013.05.21 10:55:10 -04'00'
(Division Sign-Off)
Division of Anesthesiology, General Hospital
Infection Control, Dental Devices
| 510(k) Number: | K122519 |
|----------------|---------|
|----------------|---------|
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Page 1 of 1
Two short videos show you everything — or skip straight to the written tutorial if you'd rather read. You can reopen this any time from the Tutorial button in the top bar.
Part 1 — Search, results, and everyday workflows 16 min
Part 2 — Embeddings: the galaxy map 3 min
1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
Where do you find a device's intended use without opening the PDF?
Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.
