BEGO SEMADOS S-LINE

{0}------------------------------------------------ K090716 Premarket notification 510(k) submission BEGO Semados® S-Line 05 CT - 6 2009 #### 510(k) Summary 05 owner's name: address: BEGO Implant Systems GmbH& Co KG Wilhelm Herbst Strasse 1 28359 Bremen +49 412 2028 264 Germany phone: fax numbers: Martin Ellerhorst +49 421 2028 44 264 name of contact person: date the summary was prepared: 2009-09-10 Establishment Registration number: pending name of the device: trade or proprietary name: the classification name: BEGO Semados S-Line BEGO Semados S-Line implant, endosseous, root-form (21 CFR 872.3640 Product Code DZE) > Date: Revision: Page: 2009-09-10 ్లాల 18/ 217 1 of 2 {1}------------------------------------------------ K090716 2.0 05 Legally marketed device to which your firm is claiming equivalence Company: Friadent GmbH Device: XIVE Dental Implant System® 510(k) No.: K032158 ## Device Description BEGO Semados® S-Line with TiPure"155 Surface is a dental implant system that can be placed subgingivally in both the upper and lower jaw using a one- or two-stage surgical procedure. ### Indications: The Bego Semados® S-line threaded endosseous dental implants are indicated for restorations in the upper and lower jaw (single tooth replacement, abutments for bridgework, partial or complete edentolism) > 2009-09-10 Date: Revision: 19/ 217 Page: {2}------------------------------------------------ Image /page/2/Picture/1 description: The image shows a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" written around the edge. In the center of the seal is an eagle-like symbol with three lines extending from its back, resembling wings or feathers. The image is black and white and appears to be a scan or photocopy due to its slightly grainy texture. Food and Drug Administration 10903 New Hampshire Avenne Document Mail Center - WO66-G609 Silver Spring, MD 20993-0002 Mr. Martin Ellerhorst Head of Technical Department BEGO Implant Systems GmbH & Co. KG Wilhelm-Herbst-Straße 1 28359 Bremen GERMANY OCT - 6 2009 Re: K090716 Trade/Device Name: BEGO Semados S-Line Regulation Number: 21 CFR 872.3640 Regulation Name: Endosseous Dental Implant Regulatory Class: II Product Code: DZE Dated: September 10, 2009 Received: September 18, 2009 Dear Mr. Ellerhorst: 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 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. {3}------------------------------------------------ #### Page 2- Mr. Ellerhorst 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 go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. 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/cdrh/mdr/ 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 (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html. Sincerely vours. Nh for Susan Runner, D.D.S., M.A. Acting Division Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health #### Enclosure {4}------------------------------------------------ K090716 1 of i # Indications for Use 510(k) Number (if known): __ K090716__________________________________________________________________________________________________________________________________________ Device Name: BEGO Semados® S-Line Indications: The Bego Semados® S-line threaded endosseous dental implants are indicated for restorations in the upper and lower jaw (single tooth replacement, abutments for bridgework, partial or complete edentolism) 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 OF NEEDED) Concurrence of CDRH, Office of Device Evaluation (ODE) Page 1 of 1 Kai Muluy (Division Sign-Off) Division of Anesthesiology, Gr. aral Hospital Infection Control, Dental Devices 510(k) Number: K090716 2009-09-10 Date: Revision: ਜ 1.7/ 217 Page: