STRAUMANN BONE LEVEL TAPERED IMPLANT
K140878 · Straumann USA, LLC · DZE · Aug 20, 2014 · Dental
Device Facts
| Record ID | K140878 |
| Device Name | STRAUMANN BONE LEVEL TAPERED IMPLANT |
| Applicant | Straumann USA, LLC |
| Product Code | DZE · Dental |
| Decision Date | Aug 20, 2014 |
| Decision | SESE |
| Submission Type | Traditional |
| Regulation | 21 CFR 872.3640 |
| Device Class | Class 2 |
| Attributes | Therapeutic |
Intended Use
Straumann® dental implants are indicated for oral endosteal implantation in the upper and lower jaw and for the functional and esthetic oral rehabilitation of edentulous and partially dentate patients. Straumann dental implants can also be used for immediate or early implantation following extraction or loss of natural teeth. Implants can be placed with immediate function on single-tooth and/or multiple tooth applications when good primary stability is achieved and with appropriate occlusal loading, to restore chewing function. The prosthetic restorations used are single crowns, bridges and partial or full dentures, which are connected to the implants by the corresponding elements (abutments). In cases of fully edentulous patients, 4 or more implants must be used in immediately loaded cases.
Device Story
Straumann Bone Level Tapered Implants are endosseous dental implants designed for surgical placement into the jawbone by dental professionals. The device serves as an artificial root to support prosthetic restorations, including crowns, bridges, and dentures. The implants feature a tapered apical thread design with cutting flutes to facilitate placement into the osteotomy site. The device is provided with a snap-fit Loxim transfer piece to assist in handling and insertion. The implants are available in various diameters and lengths, manufactured from commercially pure titanium or titanium-zirconium alloy (Roxolid). By providing a stable foundation in the bone, the implants restore chewing function and improve esthetics for patients with missing teeth. The device is used in a clinical setting; the healthcare provider evaluates the patient's bone quality and stability to determine suitability for immediate or early loading protocols.
Clinical Evidence
Bench testing only. Dynamic fatigue performance was evaluated consistent with FDA guidance and ISO 14801 standards. No clinical data was required or provided to support this 510(k) submission.
Technological Characteristics
Materials: Grade 4 CP Titanium (ISO 5832-2) or Ti-13Zr alloy (Roxolid). Transfer piece: Ti-6Al-7Nb (ISO 5832-11). Design: Endosseous root-form implant with tapered apical thread and cutting flutes. Surface: SLA or SLActive. Sterilization: Gamma irradiation (25 kGy min, SAL 10^-6). Dimensions: 3.3-4.8mm diameter, 8-16mm length. Connection: CrossFit (NC/RC).
Indications for Use
Indicated for oral endosteal implantation in upper/lower jaw for functional/esthetic rehabilitation of edentulous or partially dentate patients. Suitable for immediate/early implantation post-extraction/tooth loss. Supports immediate function on single/multiple tooth applications with good primary stability and appropriate occlusal loading. Prosthetic options include crowns, bridges, and partial/full dentures. For fully edentulous patients, minimum 4 implants required for immediate 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.
Predicate Devices
- Straumann P.004 Implants – Ti Bone Level implants (K062129)
- Straumann Dental Implant System – 3.3mm NC TiZr Bone Level implants (K083550)
- Straumann Dental Implant System – 4.1& 4.8mm TiZr Bone Level implants (K121131)
- Straumann Dental Implant System (K123784)
- Straumann Dental Implant System (K130222)
- Straumann Tissue Level Titanium Implants (K983742)
- Straumann NC Anatomic Abutment (K071357)
- Straumann NC Cares Abutments (K081005)
- Nobel Biocare, NobelSpeedy (K050406)
- Nobel Biocare, NobelActive (K071370)
Related Devices
- K153758 — Straumann Bone Level Tapered Implants · Institut Straumann AG · Mar 23, 2016
- K191256 — Straumann BLX Ø3.5 mm Implants · Institut Straumann AG · Dec 27, 2019
- K210852 — Noris Medical Dental Implants System - Cortical · Noris Medical , Ltd. · Jun 24, 2022
- K230108 — Straumann® BLC and TLC Implants · Institut Straumann AG · Sep 14, 2023
- K142260 — NobelActive · Nobel Biocare AB · May 11, 2015
Submission Summary (Full Text)
{0}------------------------------------------------
Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a circular seal with the text "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. The profiles are facing to the right and are stacked on top of each other.
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
August 20, 2014
Straumann USA, LLC Mr. Christopher Klaczyk Director of Regulatory Affairs and Clinical Research 60 Minuteman Road Andover, MA 01810
Re: K140878
Trade/Device Name: Straumann® Bone Level Tapered Implants Regulation Number: 21 CFR 872.3640 Regulation Name: Endosseous Dental Implant Regulatory Class: II Product Code: DZE Dated: July 22, 2014 Received: July 23, 2014
Dear Mr. Klaczyk:
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.
{1}------------------------------------------------
Page 2 - Mr. Klaczyk
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 (reporting of medical device-related 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/ResourcesforYou/Industry/default.htm.
Sincerely yours,
## Mary S. Runner -S
Erin I. Keith, M.S. Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health
{2}------------------------------------------------
## 4. Indications For Use
510(k) Number (if known): K140878
Straumann® Bone Level Tapered Implant Device Name: Roxolid SLActive
Indications for Use:
Straumann® dental implants are indicated for oral endosteal implantation in the upper and lower jaw and for the functional and esthetic oral rehabilitation of edentulous and partially dentate patients. Straumann dental implants can also be used for immediate or early implantation following extraction or loss of natural teeth. Implants can be placed with immediate function on single-tooth and/or multiple tooth applications when good primary stability is achieved and with appropriate occlusal loading, to restore chewing function. The prosthetic restorations used are single crowns, bridges and partial or full dentures, which are connected to the implants by the corresponding elements (abutments).
Prescription Use X (Part 21 CFR 801 Subpart D)
AND/OR
Over-The-Counter Use (21 CFR 801 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
{3}------------------------------------------------
510(k) Number (if known): K140878 Straumann® Bone Level Tapered Implant Device Name: Titanium SLA
Indications for Use:
Straumann® dental implants are indicated for oral endosteal implantation in the upper and lower jaw and for the functional and esthetic oral rehabilitation of edentulous and partially dentate patients. Straumann dental implants can also be used for immediate or early implantation following extraction or loss of natural teeth. Implants can be placed with immediate function on single-tooth and/or multiple tooth applications when good primary stability is achieved and with appropriate occlusal loading, to restore chewing function. The prosthetic restorations used are single crowns, bridges and partial or full dentures, which are connected to the implants by the corresponding elements (abutments). In cases of fully edentulous patients, 4 or more implants must be used in immediately loaded cases.
Prescription Use X (Part 21 CFR 801 Subpart D)
AND/OR
Over-The-Counter Use (21 CFR 801 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
{4}------------------------------------------------
## 5. 510(k) Summary
| Submitter: | Straumann USA, LLC (on behalf of Institut Straumann AG)<br>60 Minuteman Road<br>Andover, MA 01810<br>Registration No.: 1222315 Owner/Operator No.: 9005052 |
|-----------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact Person: | Christopher Klaczyk<br>Director of Regulatory Affairs and Clinical Research |
| Date Prepared: | April 22, 2014 |
| Product Code(s): | DZE (21 CFR 872.3640) |
| Device Class: | II<br>(21 CFR 872.3640) |
| Classification Panel: | Dental |
| Classification Name: | Endosseous dental implant (21 CFR 872.3640) |
| Proprietary Name: | Straumann® Bone Level Tapered Implants |
| Predicate Device(s): | ● Straumann P.004 Implants – Ti Bone Level implants (K062129)<br>● Straumann Dental Implant System – 3.3mm NC TiZr Bone Level implants (K083550)<br>● Straumann Dental Implant System – 4.1& 4.8mm TiZr Bone Level implants (K121131)<br>● Straumann Dental Implant System (K123784)<br>● Straumann Dental Implant System (K130222)<br>● Straumann Tissue Level Titanium Implants (K983742)<br>● Straumann NC Anatomic Abutment (K071357)<br>● Straumann NC Cares Abutments (K081005)<br>● Nobel Biocare, NobelSpeedy (K050406)<br>● Nobel Biocare, NobelActive (K071370) |
| Device Description: | The subject devices represent a line extension of the previously<br>cleared Bone Level implants of the Straumann Dental Implant<br>System (K062129, K083550 and K121131). The subject<br>devices have the same diameters (3.3, 4.1 and 4.8 mm), the<br>same implant-to-abutment interfaces (NC, RC) the same lengths<br>(8 to 14 mm), the same materials (CP Ti and Ti-13Zr) and the<br>same surface finishes (SLA, SLActive) as the identified<br>predicate devices. The subject devices differ in that the apical<br>aspect of the implants incorporate a tapering thread form, the |
{5}------------------------------------------------
apical aspect of the implants incorporate three cutting flutes, an additional length of 16mm and the transfer piece is of a new design.
| Intended Use:<br>Roxolid SLActive | Straumann® dental implants are indicated for oral endosteal<br>implantation in the upper and lower jaw and for the functional<br>and esthetic oral rehabilitation of edentulous and partially<br>dentate patients. Straumann dental implants can also be used<br>for immediate or early implantation following extraction or loss<br>of natural teeth. Implants can be placed with immediate<br>function on single-tooth and/or multiple tooth applications<br>when good primary stability is achieved and with appropriate<br>occlusal loading, to restore chewing function. The prosthetic<br>restorations used are single crowns, bridges and partial or full<br>dentures, which are connected to the implants by the<br>corresponding elements (abutments). |
|-----------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Intended Use:<br>Titanium SLA | Straumann® dental implants are indicated for oral endosteal<br>implantation in the upper and lower jaw and for the functional<br>and esthetic oral rehabilitation of edentulous and partially<br>dentate patients. Straumann dental implants can also be used<br>for immediate or early implantation following extraction or loss<br>of natural teeth. Implants can be placed with immediate<br>function on single-tooth and/or multiple tooth applications<br>when good primary stability is achieved and with appropriate<br>occlusal loading, to restore chewing function. The prosthetic<br>restorations used are single crowns, bridges and partial or full<br>dentures, which are connected to the implants by the<br>corresponding elements (abutments). In cases of fully<br>edentulous patients, 4 or more implants must be used in<br>immediately loaded cases. |
| Materials: | Versions of the subject devices will be produced from either<br>grade 4 commercially pure titanium conforming with ISO 5832-<br>2 or a titanium-13zirconium alloy, trade named Roxolid®, as<br>previously reviewed and cleared to market per premarket<br>notification submissions K083550 and K121131 for the<br>predicate devices, as well as K081419, K111357 and K122855. |
| | The transfer piece is produced from titanium-6aluminum-<br>7niobium alloy (TAN) conforming with ISO 5832-11. This is<br>the same material as for the predicate transfer pieces cleared to<br>market per premarket notification submissions K062129,<br>K083550 and K121131. |
{6}------------------------------------------------
| Technological | The subject devices have the same Indications For Use, |
|------------------|-----------------------------------------------------------------|
| Characteristics: | diameters (3.3, 4.1 and 4.8 mm), lengths (8 to 14 mm), implant- |
| | to-abutment connections (NC, RC), materials (CP Ti and Ti- |
| | 13Zr), surface finishes (SLA, SLActive), coronal thread form, |
| | packaging, sterilization process and dynamic fatigue |
| | performance as the identified Bone Level predicate devices (see |
| | comparison below). |
The subject devices have an equivalent apical tapered thread form with cutting flutes as the identified Nobel predicates.
| Feature | Predicate Devices<br>Bone Level Implants<br>(K062129, K083550, K121131) | Subject Devices<br>Bone Level Tapered Implants |
|-----------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Implant-to-Abutment<br>Connection | Narrow CrossFit® (NC)<br>Regular CrossFit® (RC) | Narrow CrossFit® (NC)<br>Regular CrossFit® (RC) |
| Implant Diameter | Ø3.3mm, Ø4.1mm, Ø4.8mm | Ø3.3mm, Ø4.1mm, Ø4.8mm |
| Implant Length | 8, 10, 12, 14mm | 8, 10, 12, 14, 16mm |
| Coronal Thread Form | Constant major and minor thread diameters<br>(i.e., parallel wall)<br>0.8mm thread pitch | Constant major and minor thread diameters<br>(i.e., parallel wall)<br>0.8mm thread pitch |
| Apical Thread Form | Constant major and minor thread diameters<br>(i.e., parallel wall)<br>0.8mm thread pitch | Angled major and minor thread diameters<br>(i.e., tapered wall), with the major and<br>minor diameters have differing angles such<br>that the depth increases toward the apical<br>end of the implant and the addition of<br>cutting flutes.<br>0.8mm thread pitch |
| Surface Finish | SLA, SLActive | SLA, SLActive |
| Transfer Piece | Thread mount transfer piece<br>Intended to support the implant while in the<br>primary package, to aid in the removal of<br>the implant from the primary package, and<br>to aid in placement of the implant into the<br>osteotomy site. | Snap fit mount Loxim™ transfer piece<br>Intended to support the implant while in the<br>primary package, to aid in the removal of<br>the implant from the primary package, and<br>to aid in placement of the implant into the<br>osteotomy site. |
| Material | Commercially pure grade 4 titanium &<br>Titaniun-13Zirconium alloy (Roxolid®) | Commercially pure grade 4 titanium &<br>Titaniun-13Zirconium alloy (Roxolid®) |
| Primary Package<br>SLActive | Vial of styrene-butadiene block copolymer<br>(Styrolux), vial cap of LDPE and an<br>implant holder of Grilamid TR70<br>polyamide.<br>As delivered, the package is filled with<br>aqueous NaCl solution. | Vial of styrene-butadiene block copolymer<br>(Styrolux), vial cap of LDPE and an<br>implant holder of Grilamid TR70<br>polyamide.<br>As delivered, the package is filled with<br>aqueous NaCl solution. |
| Sterilization | Gamma Irradiation, 25 kGy minimum<br>Validated per ISO 11137-1 and ISO 11137-<br>2 to an SAL of 1 x 10-6 | Gamma Irradiation, 25 kGy minimum<br>Validated per ISO 11137-1 and ISO 11137-<br>2 to an SAL of 1 x 10-6 |
{7}------------------------------------------------
| Performance Data: | Per Guidance for Industry and FDA Staff - Class II Special<br>Controls Guidance Document: Root-form Endosseous Dental<br>Implants and Endosseous Dental Abutments dated May 12,<br>2004, the substantial equivalence of the subject device(s) are<br>satisfactorily addressed via bench studies. Dynamic fatigue test<br>data consistent with FDA guidance and ISO 14801 have been<br>referenced in support of this submission. This data shows that<br>the subjects devices provide performance that is substantially<br>equivalent to the identified predicate devices. |
|-------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Conclusions: | Based upon our assessment of the design and applicable |
performance data, the subject devices have been determined to be substantially equivalent to the identified predicate devices.
- Straumann USA, LLC