OSSEOSTAP Microdrill System (control unit and handpiece), OSSEOSTAP control unit (foot pedal), OSSEOSTAP handpiece
K143492 · Bien-Air Surgery SA · ERL · Mar 4, 2015 · Ear, Nose, Throat
Device Facts
Record ID
K143492
Device Name
OSSEOSTAP Microdrill System (control unit and handpiece), OSSEOSTAP control unit (foot pedal), OSSEOSTAP handpiece
Applicant
Bien-Air Surgery SA
Product Code
ERL · Ear, Nose, Throat
Decision Date
Mar 4, 2015
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 874.4250
Device Class
Class 2
Attributes
Therapeutic
Indications for Use
The OSSEOSTAP system has been designed for the light drilling of bones as part of surgical operations such as stapedotomy or ossiculoplasty.
Device Story
OSSEOSTAP Microdrill System comprises a battery-operated foot control unit and a handpiece with an integrated micromotor; drives various burs for light bone drilling. Used by medical professionals in ENT otology procedures (e.g., stapedotomy, ossiculoplasty). Foot control regulates rotation speed via drill cable. Device provides mechanical drilling action to bone tissue. Benefits include precise bone removal in delicate middle ear surgeries. Handpiece and burs are steam autoclavable; stainless steel construction.
Clinical Evidence
No clinical data. Bench testing only. Performance validated via handling, cutting, and noise level comparisons against predicate. Biocompatibility evaluated per ISO 10993-1. Cleaning and sterilization validated via protein marker testing and cycle testing. Electrical safety and EMC certified per IEC 60601-1 and IEC 60601-1-2.
Technological Characteristics
Materials: Stainless steel (handpiece), stainless steel/diamond/carbide (burs). Energy: Battery-operated electrical. Max speed: 12,000 rpm. Connectivity: Wired foot control to handpiece. Sterilization: Steam autoclavable. Software: Micro-controller in foot control, minor level of concern.
Indications for Use
Indicated for medical professionals performing light bone drilling during ENT otology surgical procedures, specifically stapedotomy or ossiculoplasty.
Regulatory Classification
Identification
An ear, nose, and throat electric or pneumatic surgical drill is a rotating drilling device, including the handpiece, that is intended to drive various accessories, such as an ear, nose, and throat bur (§ 874.4140), for the controlled incision or removal of bone in the ear, nose, and throat area.
{0}------------------------------------------------
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
Bien-Air Surgery SA % Mr. Roland Hasler, CEO Rue de l'Ouest 2b 2340 Le Noirmont Switzerland
Re: K143492
> Trade/Device Name: OSSEOSTAP Microdrill System (Control Unit, Handpiece and Burs) Regulation Number: 21 CFR 874.4250 Regulation Name: Ear, Nose, and Throat Electric Or Pneumatic Surgical Drill Regulatory Class: Class II Product Code: ERL, EQJ Dated: December 3, 2014 Received: December 8, 2014
Dear Mr. Hasler:
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}------------------------------------------------
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 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 Industry and Consumer Education 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. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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 Industry and Consumer Education 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,
# Eric A. Mann -S
for Malvina B. Eydelman, M.D. Director Division of Ophthalmic and Ear, Nose and Throat Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
{2}------------------------------------------------
# Indications for Use
510(k) Number (if known) K143492
Device Name OSSEOSTAP Microdrill System
Indications for Use (Describe)
The OSSEOSTAP system has been designed for the light drilling of bones as part of surgical operations such as stapedotomy or ossiculoplasty.
Type of Use (Select one or both, as applicable)
2 Prescription Use (Part 21 CFR 801 Subpart D)
_ Over-The-Counter Use (21 CFR 801 Subpart C)
# PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.
#### FOR FDA USE ONLY
Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)
This section applies only to requirements of the Paperwork Reduction Act of 1995.
#### *DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.*
The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:
> Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov
"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."
{3}------------------------------------------------
Image /page/3/Picture/0 description: The image is a logo for Bien-Air Surgery. The logo is in blue and green, with the words "Bien Air" in a stylized font. Below that, the word "Surgery" is written in a smaller, sans-serif font. There is a green line that runs underneath the word "Bien Air". There is a red cross in a white circle in the upper right corner of the image.
# 510(k) Summary
| Date prepared: | December 1, 2014 |
|----------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Submitter: | Bien-Air Surgery SA<br>Rue de l'Ouest 2b<br>2340 Le Noirmont Switzerland<br>Phone: +41 32 953 35 35<br>Fax: +41 32 953 35 37 |
| Contact person: | Hugues Froidevaux, Quality and Regulatory Affairs Manager<br>Email: hugues.froidevaux@bienair.com |
| Device Name: | |
| Proprietary name: | OSSEOSTAP Microdrill System |
| Common names: | Electrical surgical drill, ENT drill<br>Burs |
| Classification name: | Drill, Surgical, ENT (electric or pneumatic) including handpiece<br>(21 CFR 874.4250, Product code ERL), Class II<br><br>Burs<br>Bur, Ear, Nose and Throat<br>(21 CFR 874.4140, Product code EQJ), Class I |
# Predicate device:
Primary predicate device:
| Device | Classification | Manufacturer |
|--------------------------------------|----------------------------------------------------------------------------------------------------------------------|----------------------|
| Skeeter Ultra-Lite<br>Oto-Tool Drill | 874.4250, ERL, Class 2<br>Drill, Surgical, ENT (electric or<br>pneumatic) including handpiece.<br>Covered by K041523 | Medtronic Xomed Inc. |
Substantial equivalence is claimed to the skeeter OTO-Tool drill, which is an accessory to the XPS3000 console, which is the subject of K041523.
The description of the Skeeter (from the IFU of Medtronic XPS 3000 system), is as follows:
SKEETER® ULTRA-LITE OTO-TOOL -- A slender, lightweight drill handpiece and burs specifically used in middle ear surgical procedures, including stapes footplate procedures. The Skeeter® may be powered from the XPS® 3000 console, XPS® 2000 console, or from a battery powered variable speed foot control.
§5_510(k) summary OSSEOSTAP revised 20150224.doc
{4}------------------------------------------------
Reference device:
| Fisch Drill System | 874.4250, ERL, Class 2<br>Drill, Surgical, ENT (electric or<br>pneumatic) including handpiece | Jedmed Instrument Co.<br>(original applicant, K792159) |
|--------------------|-----------------------------------------------------------------------------------------------|--------------------------------------------------------|
|--------------------|-----------------------------------------------------------------------------------------------|--------------------------------------------------------|
# Device Description:
The OSSEOSTAP Microdrill System consists of a foot control unit and a handpiece, with an integrated micromotor, to drive various burs. The battery-operated foot control unit, connected via the drill cable, regulates the rotation speed.
# Intended use of the Device:
The OSSEOSTAP system has been designed for use by medical professionals for the light drilling of bone as part of surgical ENT otology procedures, such as stapedotomy or ossiculoplasty.
### Summary of technological characteristics:
| Characteristic | Skeeter Ultra-Lite<br>Oto-Tool Drill<br>Medtronic Xomed Inc.<br>(Accessory of K041523) | Fisch Drill System<br>Jedmed Instrument<br>Co.<br>(K792159) | OSSEOSTAP<br>Microdrill<br>Bien-Air Surgery SA |
|----------------------------------------|----------------------------------------------------------------------------------------|-------------------------------------------------------------|------------------------------------------------|
| Intended Use | Light drilling of bone | Drilling, cutting and<br>shaping bone | Light drilling of bone |
| Control Unit | Foot pedal | Foot pedal | Foot pedal |
| Energy source | Electrical (batteries) | Electrical (AC) | Electrical (batteries) |
| Rotation speed | Max. 12,000 rpm | Max. 40,000 rpm | Max. 12,000 rpm |
| Steam<br>autoclavable<br>handpieces | Yes | Yes | Yes |
| Direct patient<br>contact<br>materials | Stainless steel | Stainless steel | Stainless steel |
| Burs<br>biocompatible | Yes | n.a. | Yes |
The characteristics of the OSSEOSTAP are comparable to those of the predicate device.
The Fisch, Skeeter and OSSEOSTAP drills are all indicated for use in otology (e.g. middle ear) surgical procedures. The maximum rotation speed of the Fisch drill is higher because it can be used for a broader range of indications (including mastoid and plastic surgery).
{5}------------------------------------------------
#### Performance Data (non-clinical tests):
The OSSEOSTAP was bench tested in parallel with the predicate device Skeeter to confirm that handling, cutting performance and noise level were at least as good.
The OSSEOSTAP bur resistance has been evaluated on the basis of repeated running, traction tests and repeated sterilization cycles.
Functionality of the OSSOSTAP handpiece after multiple reprocessing has been confirmed with a cycle test.
Cleaning validation of the OSSEOSTAP handpiece has been validated in an external lab using proteins as marker. Moist heat sterilization has been validated based on lab validation of 2 related devices sharing similar components but featuring more complex geometry.
For the dedicated reusable burs, both the cleaning and the steam sterilization have been validated by an external lab.
Biocompatibility of the OSSEOSTAP was evaluated according to ISO 10993-1. The curved tip of the handpiece as well as the burs are in direct contact with bone or tissue for a limited duration. Materials are stainless steel for the handpiece, stainless steel and diamond, respectively carbide for the burs.
The software that controls the micro-controller in the OSSEOSTAP footcontrol has been classified as minor level of concern. All validation documents are available.
The electrical safety of the OSSEOSTAP System has been certified through the standards IEC 60601-1 30 edition, which includes an EMC certification according to IEC 60601-1-2.
No clinical performance data was deemed necessary for this 510(k)
#### Substantial Equivalence:
The OSSEOSTAP Microdrill System has the same intended use and operating principle as the predicate device. Through comparison of technical and performance characteristics, the OSSEOSTAP is considered to be as safe and effective as the predicate device, and therefore, substantially equivalent.
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.