The I Macro 6.0mm X 6.0mm Implant system is intended for implantation in the maxillary or mandibular molar region where bone exists. This Macro implant provides support for fixed or removable dental prostheses in a single tooth, partially edentulous prostheses, or complete arch prostheses. It further adds the option for immediate loading on single and splinted multiple unit restorations when good primary stability is achieved and with proper occlusal loading, to restore the chewing function.
Device Story
I Macro 6.0mm x 6.0mm is a self-tapping, endosseous dental implant; manufactured from commercially pure titanium or titanium alloy; features light grit-blasted or roughened surface. Device implanted in maxillary or mandibular molar regions by dental professionals to support fixed or removable dental prostheses. Provides foundation for single tooth, partially edentulous, or complete arch restorations. Enables immediate loading for single or splinted multiple unit restorations when primary stability and occlusal conditions are met. Restores patient chewing function. Device design and materials are consistent with established dental implant technology.
Clinical Evidence
Bench testing only. No clinical data provided. Substantial equivalence supported by engineering analysis, dimensional analysis, pull-out testing, and static and dynamic compression-bending testing conducted in accordance with ISO 14801.
Technological Characteristics
Materials: Commercially pure (CP) Titanium or Titanium Alloy. Surface: Light grit-blasted or roughened. Dimensions: 6.0mm diameter x 6.0mm length. Design: Self-tapping threaded screw. Testing: ISO 14801 for static and dynamic compression-bending. Sterilization: Standard methods consistent with predicate devices.
Indications for Use
Indicated for patients requiring dental implants in the maxillary or mandibular molar region where bone exists. Supports fixed or removable dental prostheses (single tooth, partially edentulous, or complete arch). Allows for immediate loading on single and splinted multiple unit restorations provided good primary stability and proper occlusal loading are achieved.
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.
Bicon, LLC, Bicon Implants with a 2.5mm Internal Connection (K092035)
Bicon, LLC, The Bicon 5.0 x 5.0mm and 6.0 x 5.0mm Dental Implant (K073368)
Bicon, Inc., The 5.0 x 6.0mm Dental Implant (K062044)
Bicon, Inc., 4.5 x 6.0mm and 6.0 x 6.0mm Dental Implant (K050712)
Bicon, Inc., The 5.0.x 6.0mm Dental Implant (K042637)
Submission Summary (Full Text)
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1 Macro 6.0mm X 6.0mm
510(k) Summary
# APR 0 5 2013
# 510(k) Summary OCO Biomedical, Inc. I Macro 6.0mm X 6.0mm K122198
April 3, 2013
#### ADMINISTRATIVE INFORMATION
| Manufacturer Name | OCO Biomedical, Inc. |
|-------------------|----------------------------------|
| | 9550 San Mateo Blvd. NE, Suite C |
| | Albuquerque, NM 87113 |
| Telephone: | +1 (505) 293-0025 |
| Fax: | +1 (505) 293-0447 |
| Official Contact | David D. Dalise D.D.S. |
David D. Dalise D.D.S. President/ Owner
Representative/Consultant
Linda K. Schulz Floyd G. Larson PaxMed International, LLC 11234 El Camino Real, Suite 200 San Diego, CA 92130 Telephone: +1 (858) 792-1235 Fax: +1 (858) 792-1236 Email: LSchulz@paxmed.com FLarson@paxmed.com
## DEVICE NAME AND CLASSIFICATION
Trade/Proprietary Name Common Name Classification Name Classification Regulation Product Code Classification Panel Reviewing Branch
I Macro 6.0mm X 6.0mm Implant Dental implant Implant, endosseous, root form Class II, 21 CFR 872.3640 DZE Dental Products Panel Dental Devices Branch
#### INTENDED USE
The I Macro 6.0mm X 6.0mm Implant system is intended for implantation in the maxillary or mandibular molar region where bone exists. This Macro implant provides support for fixed or removable dental prostheses in a single tooth, partially edentulous prostheses, or complete arch prostheses. It further adds the option for immediate loading on single and splinted multiple unit restorations when good primary stability is achieved and with proper occlusal loading, to restore the chewing function.
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## DEVICE DESCRIPTION
The I Macro 6.0mm X 6.0mm implants are self-tapping: commercially pure, CP Titanium or Titanium Alloy threaded screws, with light grit blasting or roughened surface treatment. These materials and procedures are exactly the same as cleared in the OCO Biomedical submission K 110337. The I Macro 6.0mm X 6.0mm Implant is available in a 6.0mm diameter and a 6.0mm length.
### EQUIVALENCE TO MARKETED DEVICE
OCO Biomedical, Inc. has submitted information to demonstrate that, for the purposes of FDA's regulation of medical devices, the I Macro 6.0mm Implants are substantially equivalent in indications and design principles to the following legally marketed predicate devices:
OCO Biomedical, I Macro Implant System, K110337 OCO Biomedical, TSI & ERI, K090174 "O" Company, Inc., Immediate Stabilizing Implant (ISI), K033392 "O" Company, Inc., OCO Dental Implant (5.0 mm Diameter), K023336 Implant Direct, LLC, Spectra Dental Implant System, K061319 Southern Implants, Inc., Endosseous Dental Implant System, K071161 Megagen Implant Company, LTD, Rescue External Implant System, K081302 Astra Tech AB, Astra Tech Implant System, K101732 Bicon, Inc., 6.0 x 5.7mm Dental Implant, K010185 Bicon, LLC, Bicon Implants with a 2.5mm Internal Connection, K092035 Bicon, LLC, The Bicon 5.0 x 5.0mm and 6.0 x 5.0mm Dental Implant, K073368 Bicon, Inc., The 5.0 x 6.0mm Dental Implant, K062044 Bicon, Inc., 4.5 x 6.0mm and 6.0 x 6.0mm Dental Implant, K050712 Bicon, Inc., The 5.0.x 6.0mm Dental Implant, K042637
Non-clinical testing data submitted, referenced, or relied upon to demonstrate substantial equivalence included: engineering analysis, dimensional analysis, pull-out testing, and static and dynamic compression-bending testing according to ISO 14801.
The subject device and the predicate devices have the same intended use and have the same technological characteristics. They encompass the same range of physical dimensions, including diameter and length of the implants. The subject and predicate devices are packaged in similar materials and sterilized using similar methods. Any differences in the technological characteristics do not raise new issues of safety or efficacy.
The data included in this submission demonstrate substantial equivalence to the predicate devices listed above..
Overall, I Macro 6 x 6 has the following similarities to the predicate devices:
- . has the same intended use,
- uses the same operating principle,
- . incorporates the same basic design,
- incorporates the same or very similar materials, and .
- has similar packaging and is sterilized using the same materials and processes. .
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DEPARTMENT OF HEALTH & HUMAN SERVICES
Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized eagle with three tail feathers, representing the three levels of government: federal, state, and local. The eagle is surrounded by the words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" in a circular arrangement.
#### April 5, 2013
OCO Biomedical, Incorporated C/O Ms. Linda K. Schulz PaxMed International, Limited Liability Company 11234 El Camino Real. Suite 200 SAN DIEGO CA 92130
Re: K122198
Trade/Device Name: I Macro 6.0mm x 6.0mm Regulation Number: 21 CFR 872.3640 Regulation Name: Endosseous Dental Implant Regulatory Class: II Product Code: DZE Dated: March 15, 2013 Received: March 18, 2013
Dear Ms. Schulz:
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. Ilisting 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.
Public Health Service
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
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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 (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 go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH0ffices/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/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.
Image /page/3/Figure/7 description: The image contains the text "Kwame O. Ulmer - for". The text "FDA" is also present, but it is stylized and difficult to read. The text is arranged in a way that suggests it might be a name or title followed by an affiliation or purpose.
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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I Macro 6.0mm X 6.0mm
#### 510(k) Summary
## Indications for Use
K122198 510(k) Number:
I Macro 6.0mm x 6.0mm Device Name:
Indications for Use:
The I Macro 6.0mm X 6.0mm Implant system is intended for implantation in the maxillary or mandibular molar region where bone exists. This Macro implant provides support for fixed or removable dental prostheses in a single tooth, partially edentulous prostheses, or complete arch prostheses. It further adds the option for immediate loading on single and splinted multiple unit restorations when good primary stability is achieved and with proper occlusal loading, to restore the chewing function.
Prescription Use X (Part 21 CFR 801 Subpart D)
Over-The-Counter Use AND/OR (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)
Page 1 of 1
Mary S. Runner -S
Susan Runner, DOSMA 2013.04:03
08:58:13-04'00'
(Division Sign-Off) Division of Anestheslology, General Hospital Infection Control, Dental Devices
510(k) Number:
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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.
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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).
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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.
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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.
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Reading rule for every project: how many summaries do you read in full?
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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.
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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.
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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.
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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.
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Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
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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.