K Number
K111421
Date Cleared
2012-02-17

(273 days)

Product Code
Regulation Number
872.3630
Panel
Dental
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Sirona Dental CAD/CAM System is intended for use in partially or fully edentulous mandibles and maxillae in support of single or multiple-unit cement retained restorations. The system consists of three major parts: TiBase, inCoris mesostructure, and CAD/CAM software. Specifically, the inCoris mesostructure and TiBase components make up a two-piece abutment which is used in conjunction with endosseous dental implants to restore the function and aesthetics in the oral cavity. The inCoris mesostructure may also be used in conjunction with the Camlog Titanium base CAD/CAM (types K2244.xxxx) (K083496) in the Camlog Implant System. The CAD/CAM software is intended to design and fabricate the inCoris mesostructure. The inCoris mesostructure and TiBase two-piece abutment is compatible with the following implants systems:

Device Description

The Sirona Dental CAD/CAM-System takes optical impressions and records the topographical characteristics of teeth, dental impressions, or stone models. Dental restorative prosthetic devices are manufactured using computer aided design and fabrication. The system also features the processing of mesostructures, a dental restorative prosthetic device used in conjunction with endosseous dental implant abutments.
The system that features the processing of mesostructures comprises

  • Titanium bases TiBase and Camlog .
  • . inCoris ZI meso blocks
  • Sirona Dental CAD/CAM Design and fabricating devices .
AI/ML Overview

This is a 510(k) premarket notification for a dental device, not a study evaluating performance against acceptance criteria with a test set and ground truth. Therefore, many of the requested elements (acceptance criteria table, sample size, data provenance, expert adjudication, MRMC study, standalone performance, training set details) are not applicable or not explicitly stated in the provided document.

Instead, the document focuses on demonstrating substantial equivalence to predicate devices through comparisons of intended use, indications, construction materials, principles of operation, features, and technical data.

Here's the relevant information that can be extracted:

1. A table of acceptance criteria and the reported device performance

Since this is a 510(k) submission and not a performance study against specific acceptance criteria, a table directly outlining clinical acceptance criteria and device performance is not provided in this format. The "performance" is implicitly demonstrated through the device's technical specifications aligning with those of the predicate devices and existing standards.

ComponentAcceptance Criteria (Implicit/Standard)Reported Device Performance
TiBase- Material: Ti6Al4V, medical grade 5 (ISO 5832-3:1996)- Made of Ti6Al4V.
- Compatible connection interfaces, anti-rotational features, and screw geometry with specific implant systems.- Compatibility demonstrated with various Nobel Biocare, Straumann, Astra Tech, Friadent, Biomet 3i, and Zimmer implant systems (as detailed in Table 1, 2, and 5). - Connection interfaces, anti-rotational features, and screw geometry are "identical" or "same" as predicate devices for each corresponding implant system (as detailed in Table 5).
inCoris ZI meso blocks- Material Composition & Properties: Complies with ISO 13356:1997 for yttria-stabilized tetragonal zirconia (Y-TZP). - Specific physical properties (Density, CTE, Flexural strength, Fracture toughness, Grain Size) meet or exceed specified values.- Made of zirconium oxide; composition aligns with ISO 13356:1997. - Density: 6.06 g/cm³ - Coefficient of thermal expansion (CTE): 11.0*10⁻⁶ K⁻¹ - Flexural strength: > 900 MPa - Fracture toughness (KIC): 5.9 MPa·m¹/² (K100152 listed 5.8 MPa·m¹/² for predicate) - Grain Size: about 0.5 µm - Bonding Material: Panavia F 2.0
CAD/CAM System (Software)- Functionality for optical impression, data processing, design, milling data export, patient data administration, calibration, online capabilities, and implant interface scanning, consistent with predicate.- No modification from predicate (K100152) in core functionalities: optical impressions, CAD/CAM design, milling data export, patient data administration, calibration, online capabilities, scanning implant interface, custom wax-up, meso-structure preparation, bonding milled zirconia/ceramic, and creation of fitting crown (Table 7). - Software database of titanium bases extended to cover new additional titanium bases.

2. Sample sized used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

  • Sample Size: Not applicable. This document does not describe a clinical performance study with a test set. It describes non-clinical testing for material properties and mechanical fatigue.
  • Data Provenance: Not applicable for a clinical test set. Nonclinical testing implicitly performed by the manufacturer, Sirona Dental Systems GmbH (Germany).

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

  • Not applicable. There was no clinical test set for which ground truth would be established by experts.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

  • Not applicable. There was no clinical test set requiring adjudication.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

  • Not applicable. This is a dental CAD/CAM system for fabricating restorations, not an AI-assisted diagnostic device.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

  • Not applicable. This is a CAD/CAM system, which involves human design and fabrication alongside machine processes. "Standalone" performance in the sense of a diagnostic algorithm is not relevant here. The nonclinical testing for the components (TiBase and inCoris ZI meso) and software functionality demonstrate their individual performance characteristics.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

  • For Nonclinical Tests: The "ground truth" for the material and mechanical tests would be defined by the relevant ISO standards (e.g., ISO 5832-3:1996 for TiBase, ISO 13356:1997 for inCoris ZI meso blocks) and engineering specifications for fatigue analysis and dimensional accuracy. The software validation followed IEC 62304:2006 for medical device software.

8. The sample size for the training set

  • Not applicable. This document describes a new device for which manufacturing and material specifications are compared to predicate devices and standards, not an AI/ML model that requires a training set. The "software database of titanium bases has been extended," which implies data was added, but not in the context of "training data" for a machine learning model.

9. How the ground truth for the training set was established

  • Not applicable. No training set for a machine learning model is mentioned.

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K111421

510(k) Summary

FEB 1 7 2012

for

Sirona Dental Systems

Sirona Dental CAD/CAM System

1 Sponsor

Sirona Dental Systems GmbH

Fabrikstrasse 31

D-64625 Bensheim Germany

Contact Person: Fritz Kolle Telephone: 49 6251 16 32 94

Date Prepared: May 06, 2011

2 Device Name

Proprietary Name:Sirona Dental CAD/CAM-System
Common/Usual Name:Abutment, implant, dental, endosseous
Classification Names:Endosseous dental implant abutment

3 Predicate Devices

Replace® NP, K091756, Brånemark®, K091756, Tissue level NN, K081005, OsseoSpeed™, K081666, Frialit® / Xive®, K032158, Osseotite K072642, Tapered Screw-Vent®, K060880, Nobel Active NP, K102436, Bone Level NC, K062129, Certain®, K073345.

Sirona Dental CAD/CAM System (K100152)

Sirona Dental 510(k) Summary

May 06, 2011

Sirona Dental CAD/CAM System

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Intended Use 4

The Sirona Dental CAD/CAM System is intended for use in partially or fully edentulous mandibles and maxillae in support of single or multiple-unit cement retained restorations. For the titanium bases SSO 3.5 L and SBL 3.3 L, the indication is restricted for replacement of single lateral incisors in the maxilla and lateral and central incisors in the mandible. The system consists of three major parts: TiBase, inCoris mesostructure, and CAD/CAM software. Specifically, the inCoris mesostructure and TiBase components make up a two-piece abutment which is used in conjunction with endosseous dental implants to restore the function and aesthetics in the oral cavity. The inCoris mesostructure may also be used in conjunction with the Camlog Titanium base CAD/CAM (types K2244.xxxx) (K083496) in the Camlog Implant System. The CAD/CAM software is intended to design and fabricate the inCoris mesostructure. The inCoris mesostructure and TiBase two-piece abutment is compatible with the following implants systems:

5 Device Description

The Sirona Dental CAD/CAM-System takes optical impressions and records the topographical characteristics of teeth, dental impressions, or stone models. Dental restorative prosthetic devices are manufactured using computer aided design and fabrication. The system also features the processing of mesostructures, a dental restorative prosthetic device used in conjunction with endosseous dental implant abutments.

The system that features the processing of mesostructures comprises

  • Titanium bases TiBase and Camlog .
    May 06, 2011

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  • . inCoris ZI meso blocks
  • Sirona Dental CAD/CAM Design and fabricating devices .

Titanium bases are used as an implant prosthetic titanium base for adhesion to mesostructures to restore function and aesthetics in the oral cavity.

inCoris ZI meso blocks are used in manufacturing individually designed mesostructures, which are glued to a fitting titanium base after milling and sintering.

Sirona Dental CAD/CAM design and fabricating devices feature the processing of mesostructures, a dental restorative prosthetic device used in conjunction with endosseous dental implant abutments, i.e. it is an accessory to it. This component consists of the devices CEREC3, CEREC AC, inEos, inEos Blue, CEREC MCXL and inLab MCXL.

5.1 TiBase

Device Function 5.1.1

The Sirona TiBase is a premanufactured prosthetic component directly connected to dedicated endosseous dental implants and is intended for use as an aid in prosthetic rehabilitation.

The Sirona offering consists of the titanium base TiBase, the abutment screw and the scanbody. The parts are marketed non-sterile and for single use only.

The Sirona TiBase is bonded to an individually designed mesostructure, a ceramic prosthetic/restoration, that supports the final restoration. The mesostructure is milled from an inCoris ZI meso block with Sirona CAD/CAM milling machines CEREC or inLab, and sintered afterwards.

The two piece abutment is mounted onto the implant and fixed with a screw.

The scope of delivery contains a scanbody (ABS plastic) which is mounted on a TiBase in order to acquire the topographical surface of the area where the endosseous dental implant abutment is located with Sirona Dental CAD/CAM fabricating devices. From the acquired data the position of the implant can be calculated. After an optical impression has been taken the scanbody is removed.

Sirona Dental 510(k) Summary

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Sirona TiBase devices are compatible with following systems (Table 1):

Sirona TiBaseCompatible System
ManufacturerSystemDiameter
NBRS 3.5Nobel BiocareReplace® NP3,5 mm
NBRS 4.3Nobel BiocareReplace® RP4.3 mm
NBRS 5.0Nobel BiocareReplace® WP5.0 mm
NBRS 6.0Nobel BiocareReplace® 6.06.0 mm
NBB 3.4Nobel BiocareBrånemark®3.4 mm
NBB 4.1Nobel BiocareBrånemark®4.1 mm
SSO 3.5StraumannTissue level NN3.5 mm
SSO 4.8StraumannTissue level RN4.8 mm
SSO 6.5StraumannTissue level WN6.5 mm
ATOS 3.5/4.0Astra TechOsseoSpeed™3.5 S / 4.0 S mm
ATOS 4.5/5.0Astra TechOsseoSpeed™4.5 / 5.0 mm
FX 3.4FriadentFrialit® / Xive®3.4 mm
FX 3.8FriadentFrialit® / Xive®3.8 mm
FX 4.5FriadentFrialit® / Xive®4.5 mm
FX 5.5FriadentFrialit® / Xive®5.5 mm
BO 3.4Biomet 3iOsseotite(Connec-tion type:Ex. Hex)3.4 mm
BO 4.1Biomet 3iOsseotite(Connec-tion type:Ex. Hex)4.1 mm
Sirona TiBaseCompatible System
ManufacturerSystemDiameter
BO 5.0Osseotite(Connec-tion type:Ex. Hex)5.0 mm
ZTSV 3.5Tapered Screw-Vent®3.5 mm
ZTSV 4.5ZimmerTapered Screw-Vent®4.5 mm
ZTSV 5.7Tapered Screw-Vent®5.7 mm
NB A 4.5Nobel BiocareNobel Active NP3.5mm
NB A 5.0Nobel BiocareNobel Active NP4.3 / 5.0mm
S BL 3.3Straumann®Bone Level NC3.3mm
S BL 4.1Straumann®Bone Level NC4.1 / 4.8mm
B C 3.4Certain®3.4mm
B C 4.1Biomet 3iCertain®4.1mm
B C 5.0Certain®5.0mm

Table 1: Sirona TiBase Devices Compatibility

Sirona Dental 510(k) Summary

.

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Scientific Concept 5.1.2

The underlying scientific concept is the use of an already introduced technology of a titanium base abutment combined with individually CAD/CAM fabricated ceramic prosthetics.

Physical and Performance Characteristics 5.1.3

5.1.3.1 Design

The TiBase devices have various diameters, are compatible with dedicated implant systems, and fit to compatible implants as provided in Table 2.

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TiBaseImplant-ManufacturerImplant-System510(k) Implant
NBRSNobel BiocareReplaceK020646
NBBNobel BiocareBranemarkK022562
FXFriadentXiveK013867
BOBiomet 3iOsseotiteK980549
ATOSAstra TechOsseoSpeedK091239
ZTSVZimmerTapered Screw-VentK061410
SSOStraumannSynOctaK061176
NB ANobel BiocareNobel ActiveK071370
S BLStraumann®Bone LevelK053088
BCBiomet 3iCertain®K014235

Table 2: Implant Compatibility

5.1.3.2 Material Used

TiBase and abutment screw are made of Ti6Al4V.

5.1.3.3 Physical Properties

TiBase material composition and mechanical properties comply with ISO 5832-3:1996, Implants for surgery -- Metallic materials -- Part 3: Wrought titanium 6aluminium 4-vanadium alloy

Sirona TiBase devices are compatible with systems listed in Table 1.

inCoris ZI meso 5.2

5.2.1 Device Description

The inCoris ZI meso offerings are blocks of various sizes from which individual dental mesostructures are grinded by milling machines (inLab MCXL, CEREC MCXL). The mesostructure is a part of a 2 part endosseous dental implant

{6}------------------------------------------------

abutment which comprises a titanium base and a zirconium oxide mesostructure. The connection geometries are prefabricated.

5.2.2 Scientific Concept

The underlying scientific concept is the use of an already introduced technology of a titanium base abutment combined with individually CAD/CAM fabricated ceramic prosthetics.

Physical and Performance Characteristics 5.2.3

5.2.3.1 Design

The inCoris ZI meso are blocks of various sizes. The marketed ceramic is presintered. One side of a block is mounted to a mandrel that will be inserted in the spindle's clamping chuck of the grinding machine. The connection geometry to titanium bases is prefabricated, i.e. already included in the shipped block. Connection geometries fit on Camlog (type K2244.xxxx) and Sirona (Tibase) titanium bases (Table 3 and Table 4).

Titanium BaseCeramic Block
TiBase(Sirona)REFDiameterinCoris ZImeso(Sirona)REFColorinCoris ZImeso(Sirona)
NBRS 3.562824743,5 mminCoris ZImeso L62 31 81062 31 836F0.5F2
NBRS 4.362824824.3 mminCoris ZImeso L62 31 81062 31 836F0.5F2
NBRS 5.062824905.0 mminCoris ZImeso L62 31 81062 31 836F0.5F2
NBRS 6.062825086.0 mminCoris ZImeso L62 31 81062 31 836F0.5F2
NBB 3.462825163.4 mminCoris ZI62 31 810F0.5
Titanium BaseCeramic Block
TiBase(Sirona)REFDiameterinCoris ZImeso(Sirona)REFColorinCoris ZImeso(Sirona)
meso L62 31 836F2
NBB 4.162825244.1 mminCoris ZImeso L62 31 81062 31 836F0.5F2
SSO 3.562842313.5 mminCoris ZImeso L62 31 81062 31 836F0.5F2
SSO 4.862842494.8 mminCoris ZImeso L62 31 81062 31 836F0.5F2
SSO 6.562842566.5 mminCoris ZImeso L62 31 81062 31 836F0.5F2
ATOS3.5/4.062825323.5 S / 4.0S mminCoris ZImeso L62 31 81062 31 836F0.5F2
ATOS4.5/5.062825404.5 / 5.0mminCoris ZImeso L62 31 81062 31 836F0.5F2
FX 3.462824333.4 mminCoris ZImeso S62 31 80262 31 828F0.5F2
FX 3.862824413.8 mminCoris ZImeso S62 31 80262 31 828F0.5F2
FX 4.562824584.5 mminCoris ZImeso L62 31 81062 31 836F0.5F2
FX 5.562824665.5 mminCoris ZImeso L62 31 81062 31 836F0.5F2
BO 3.462825573.4 mminCoris ZImeso L62 31 81062 31 836F0.5F2
Titanium BaseCeramic Block
TiBase(Sirona)REFDiameterinCoris ZImeso(Sirona)REFColorinCoris ZImeso(Sirona)
BO 4.162825654.1 mminCoris ZImeso L62 31 81062 31 836F0.5F2
BO 5.062825735.0 mminCoris ZImeso L62 31 81062 31 836F0.5F2
ZTSV 3.562825813.5 mminCoris ZImeso L62 31 81062 31 836F0.5F2
ZTSV 4.562825994.5 mminCoris ZImeso L62 31 81062 31 836F0.5F2
ZTSV 5.762826075.7 mminCoris ZImeso L62 31 81062 31 836F0.5F2
NB A 4.563081883.5mminCoris ZImeso L62 31 81062 31 836F0.5F2
NB A 5.063082534.3 / 5.0mminCoris ZImeso L62 31 81062 31 836F0.5F2
S BL 3.363081543.3mminCoris ZImeso L62 31 81062 31 836F0.5F2
S BL 4.163083374.1 / 4.8mminCoris ZImeso L62 31 81062 31 836F0.5F2
B C 3.463080483.4mminCoris ZImeso S62 31 80262 31 828F0.5F2
B C 4.163080974.1 mminCoris ZImeso L62 31 81062 31 836F0.5F2
Titanium BaseCeramic Block
TiBase(Sirona)REFDiameterinCoris ZImeso(Sirona)REFColorinCoris ZImeso(Sirona)
B C 5.063081215.0mminCoris ZImeso L62 31 81062 31 836F0.5F2

Table 3: Sirona inCoris ZI meso - TiBase Devices Compatibility

Sirona Dental 510(k) Summary

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May 06, 2011

Sirona Dental CAD/CAM System

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Table 4: Sirona inCoris ZI meso - Camlog Devices Compatibility

Titanium BaseCeramic Block
CamlogREFDia-meterinCoris ZImeso(Sirona)REFColorinCoris ZImeso(Sirona)
K2244.3348K2244.33483.3inCoris ZImeso S62 31 80262 31 828F0.5F2
K2244.3848K2244.38483.8inCoris ZImeso S62 31 80262 31 828F0.5F2
K2244.4348K2244.43484.3inCoris ZImeso S62 31 80262 31 828F0.5F2
K2244.5048K2244.50485.0inCoris ZImeso L62 31 81062 31 836F0.5F2
K2244.6048K2244.60486.0inCoris ZImeso L62 31 81062 31 836F0.5F2

5.2.3.2 Material Used

The inCoris ZI meso are pre-sintered zirconium oxide ceramic blocks. The metal block holder is made of aluminum. The material is composed of:

Sirona Dental 510(k) Summary

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ZrO2+HfO2+Y2O3> 99.0%
Al2O3< 0.5%
Other oxides< 0.5%

Physical Properties 5.2.3.3

The final technical data of inCoris ZI meso are (after final sintering):

Density:6.06 g/cm³
Coefficient of thermal expansion (CTE):$11.0*10^{-6} K^{-1}$
Flexural strength:> 900 MPa
Fracture toughness (KIC):$5.9 MPa\cdot m^{1/2}$

Sirona Dental CAD/CAM Design and fabrication Devices 5.3

Device Description 5.3.1

The Sirona Dental CAD/CAM Design and fabricating devices for processing mesostructures includes

  • Optical acquisition or recording of the topographical characteristics of dental . impressions, or stone models using the devices Acquisition unit CEREC 3, CEREC AC, and stationary scanning system inEos Blue
  • Design of mesostructures and processing the acquired or recorded data for . these purposes using Sirona Dental CAD/CAM Software which runs on a CEREC 3, CEREC AC or PC. Design is performed by a dentist or dental technician
  • Milling of the mesostructure using CEREC MCXL or inLab MCXL milling . machines from ceramic blocks intended for dental restorations and mesostructures

The Sirona Dental CAD/CAM Design and fabricating devices also processes other dental restorations like crowns, bridge-frameworks, inlays, onlays all regulated under 21 CFR 872.3661, Optical Impression Systems for CAD/CAM, for such intended use.

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5.3.2 Scientific Concept

The underlying scientific concept is the use of CAD/CAM technology for the optical acquisition of the topographical characteristics of dental impressions, and models, the design of individual mesostructures using recorded data (CAD), and eventually fabricating (milling) these designed mesostructures (CAM).

5.3.3 Physical and Performance Characteristics

5.3.3.1 Design

Acquisition unit: the device consists of a camera for acquiring optical topographical characteristics of dental impressions. The recorded data are used for the design of individual mesostructures using CAD techniques specific to the dental field.

Fabricating devices: the devices mill the individual designed mesostructures from incoris ZI meso blocks. For this purpose the chucked block and the milling tools move according to prescribed trajectories to generate the shape which is intended to be milled.

5.3.3.2 Materials Used

Not applicable.

5.3.3.3 Physical Properties

Not applicable.

Summary of the technological characteristics 6

6.1 TiBase

All proposed and predicate titanium bases and screws are made of Ti6AI4V, medical grade 5. Connection interfaces to the implants are identical for each defined diameter and connection type. Connection interfaces to dental restorations differ in that proposed devices have an additional notch.

An extensive list is provided in Table 5.

inCoris ZI meso 6.2

Proposed and predicate (K100152) device are inCoris ZI meso.

Sirona Dental 510(k) Summary

May 06, 2011

Sirona Dental CAD/CAM System

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There has been no modification to inCoris ZI meso from Premarket Notification K100152. Specifically, the following aspects remain identical:

  • Composition .
  • Material properties .
  • Thickness / design restrictions .
  • Shape and bonding surface of connection interfaces to Camlog and Sirona . Tibase for Sirona inCoris ZI meso blocks
  • Bonding material .

InCoris ZI meso is bonded to titanium bases for supporting further dental restorations.

InCoris ZI meso material is made of zirconium oxide. The composition of inCoris complies with ISO standard 13356:1997, "Implants for surgery, Ceramic materials based on yttria-stabilized tetragonal zirconia (Y-TZP)". Such compositions are classified as biocompatible by this standard.

An extensive list is provided in Table 6.

Sirona Dental CAD/CAM Design and fabrication Devices 6.3

There has been no modification to the Sirona Dental CAD/CAM Design and fabricating devices from Premarket Notification K100152. Specifically, the following aspects remain identical:

  • optical impressions record topographical characteristics of teeth, dental . impressions, or stone models for use in the computer aided design and fabrication of dental restorative prosthetic devices in conjunction with endosseous dental implant abutments, i.e. it is an accessory
  • features the transfer of data of the optical impression to a remote milling . machine via internet or exportation/importation of milling data

The software database of titanium bases has been extended to cover new additional titanium bases.

An extensive list is provided in Table 7.

Sirona Dental 510(k) Summary

{13}------------------------------------------------

Sirona Dental CAD/CAM System

May 06, 2011

Sirona Dental 510(k) Summar

APPENDIX H • Page 14 of 32

ProposedDeviceTiBasePredicate Device
ManufacturerSystemDiameterTitanium BasePredicateDevicesK-NumberAbutmentandScrewmadeofTi6Al4VIdenticalconnectiongeometrytoabutmentsConnectiongeometryTypeAnti-rotationalfeaturesScrewgeometry
NBRS 3.5Nobel BiocareReplace® NP3,5 mmNobel Biocareproduct catalog page14.Product-No. 32376K091756yesyesInternal3 te-nonsyessame
NBRS 4.3Nobel BiocareReplace® RP4.3 mmProduct-No. 32377K091756yesyesInternal3 te-yessame

ble 5: Comparison of Sirona TiBase to Predicate Device

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same പ്രാമത
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Devices K091756 K091756 roduct-No. 3237 roduct-No. 3237 Titanlum Base . redicate Device Diameter 6.0 mm 5.0 mm Replace® WP Replace® 6.0 System Nobel Biocare Nobel Biocare Manufacturer NBRS 5.0 NBRS 6.0 Proposed
Device TiBase

.

ﺎﺑ

PPENDIX H • Page 15 of

May 06, 201

rona Dental CAD/CAM Syste

ona Dental 510(k) Summa

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May 06, 2011

Sirona Dental CAD/CAM System

Sirona Dental 510(k) Summary

ProposedDevicePredicate Device
TiBaseManufacturerSystemDiameterTitanium BasePredicate DevicesK-NumberAbutmentandScrewmadeofTi6Al4VIdenticalconnectiongeometrytoabutmentsConnectiongeometryTypeConnectiongeometryAntirotationalfeaturesScrewgeometry
NBB 3.4Nobel BiocareBrånemark®3.4 mmNobel Biocareproduct catalog page14.Product-No. 32396K091756yesyesExternalHexagonalyessame
NBB 4.1Nobel BiocareBrånemark®4.1 mmProduct-No. 32397K091756yesyesExternalHexagonalyessame
Predicate DeviceAbutmentandScrewmadeofTi6Al4VIdenticalconnectiongeometrytoabutmentsConnectiongeometryTypeConnectiongeometryAnti-rotationalfeaturesScrewgeometry
ManufacturerSystemDiameterTitanium BasePredicateDevicesK-Number
StraumannTissue level NN3.5 mmStraumann product catalog page 51.Product-No. 048.505K081005yesyesexternalyessame
StraumannTissue level RN4.8 mmProduct-No. 048.600(p 55)K081005yesyesInternalOctagonalyessame
StraumannTissue level WN6.5 mmProduct-No. 048.606K081005yesyesInternalOctagonalyessame

: :

:

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Sirona Dental CAD/CAM System

May 06, 201 1

Sirona Dental 510(k) Summary

APPENDIX H • Page 17 of 32

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    1991 1991 1991 1991
    1991 1991 1991 1991 1991
    1991 1991 1991 1991
    1991 1991 1991
    1991 1991 1991
    1991 19 nal 를 좀 ㅎㅎㅎㅎㅎㅎㅎㅎㅎ yes yes 흥 합류 등 일 ~ 일 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 ~ 2 yes ycs Predicate
    Devices K-Number 1081666 K081666 . roduct-No. 2428: roduct-No. 2423. Titanium Base (p 62) : redicate Device 3.5 S / 4.0
    S mm Diameter 4.5 / 5.0
    : OsseoSpeed™ OsseoSpeed™ System Astra Tech Astra Tech Manufacturer . · Proposed
    Device ATOS
    4.5/5.0 TiBase soly

:

PPENDIX H • Page 18 of

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May 06, 201

na Dental 510(k) Summa

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same same ជាមួយ
പ്രവർത്തിച്ചു.
അവലംബം
പാല
സ്വാത്രം
അവലംബം
സ്വാത്ര yes yes ប្រជាជន៍បតិបតិបតិបតិបតិបតិបតិបតិបតិបតិបតិបតិបតិបតិបតិបតិបតិបតិបតិបតិបតិបតិបតិបតិបតិបតិបតិបតិបតិបតិបតិបត្តិសាសនា
English Type gonal ព្រះពុទ្ធសន្តិ
អូសន្តអ្វី Teu പാലിക്കുമ
തുടർ
കാലാണ്
1980 pus
Jupur 을 줄 수 있는 글 목록 글 목록 할 yes SSA 일 출발 : 2017-02-08 10:22:20
2017-02-04 10:00
2017-02-04 10:00
2017-02-04 10:00
2019-02-04 10:00
2017-02-04 10:00
2019-02-04 10:00
2019-02-04 10:00
2019-08-08 10:00 10-02-20
2 yes yes Predicate
Devices K-Number K032158 K032158 oduct-No. 46-2132 oduct-No. 46-2141 riadent product
catalog page 32. Titanium Base . . redicate Device Diameter 3.8 mm 3.4 mm rialit® / Xive® rialit® / Xive® System Friadent Manufacturer Friadent ·· Proposed
Device FX 3.8 TiBase FX 3.4

PENDIX H • Page 19 of

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May 06, 2011

Sirona Dental CAD/CAM System

Sirona Dental 510(k) Summar

Predicate Device
ProposedDeviceTiBaseAbut-mentandScrewmadeofTi6Al4VIdenticalconnectiongeometrytoabutmentsConnectiongeometryTypeConnectiongeometryAnti-rotationalfeaturesScrewgeometryManufacturerSystemDiameterTitanium BasePredicateDevicesK-Number
FX 4.5yesInternalHexagonalyessameFriadentFrialit®/Xive®4.5 mmProduct-No. 46-2152K032158
FX 5.5yesInternalHexagonalyessameFriadentFrialit®/Xive®5.5 mmProduct-No. 46-2162K032158
BO 3.4yesExternalyessameBiomet 3iOsseotite(Connec-tion)3.4 mm3i Biomet productcatalog page 25.K072642

APPENDIX H • Page 20 of 32

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Predicate Device
Proposed DeviceTiBaseManufacturerSystem(type: Ex. Hex)DiameterTitanium BasePredicate DevicesK-NumberAbutment and Screw made of Ti6Al4 VIdentical connection geometry to abutmentsConnection geometryTypeAnti-rotational featuresScrew geometry
BO 4.1Biomet 3iOsseotite(Connec-tion type: Ex. Hex)4.1 mmProduct-No.APP452GK072642yesyesHexagonalExternalyessame
BO 5.0Biomet 3iOsseotite(Connec-tion type: Ex. Hex)5.0 mmProduct-No.WPP552GK072642yesyesHexagonalExternalyessame
ProposedDeviceTiBaseManufacturerSystemDiameterTitanium BasePredicate DeviceK-NumberAbutmentandScrewmadeofTi6Al4VIdenticalconnectiongeometrytoabutmentsConnectiongeometryTypeAnti-rotationalfeaturesConnectiongeometryScrewgeometry
ZTSV 3.5ZimmerTapered Screw-Vent®3.5 mmZimmer productcatalog page 9.Product-No.ZOA342SK060880yesyesInternalHexagonalyesyessame
ZTSV 4.5ZimmerTapered Screw-Vent®4.5 mmProduct-No.ZOA442SK060880yesyesInternalHexagonalyesyessame
Proposed DeviceTiBasePredicate Device
ManufacturerSystemDiameterTitanium BasePredicate DevicesK-NumberAbutment and Screw made of Ti6Al4 VIdentical connection geometry to abutmentsConnection geometry TypeAnti-rotational featuresScrew geometry Connection geometry
ZTSV 5.7ZimmerTapered Screw-Vent®5.7 mmProduct-No. ZOA562SK060880yesyesInternalyessame
NB A 4.5Nobel BiocareNobel Active NP3,5mmNobel Biocare productCatalog page 71.Product-No. 34194K102436yesyesInternalHexagonalyessame
Proposed DevicePredicate DeviceScrew geometry
ManufacturerSystemDiameterTitanium BasePredicate DevicesAbutment and Screw made of Ti6Al4 VIdentical connection geometry to abutmentsConnection geometry TypeAnti-rotational featuresConnection geometry
iBaseNobel BiocareNobel Active RP4,3 / 5,0mmProduct-No. 34198K-Number K102436yesyesInternal Hexagonalyessame
Straumann product CatalogInternal 4 slots
StraumannS BL 3.3 ®StraumannBone Level NC3,3mmProduct-No. 022.2102K062129yesyesyessame

APPENDIX H • Page 21 of 32

May 06, 201 1

Sirona Dental CAD/CAM System

Sirona Dental 510(k) Summar

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{22}------------------------------------------------

Sirona Dental CAD/CAM System

rona Dental 510(k) Summar

May 06, 201 l

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: :

May 06, 2011

Sirona Dental CAD/CAM System

Sirona Dental 510(k) Summar

APPENDIX H • Page 24 of 32

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Sirona Dental CAD/CAM System

May 06, 2011

Sirona Dental 510(k) Summary

Predicate Device
SystemDiameterTitanium BasePredicate DevicesK-NumberAbutmentandScrewmadeofTi6Al4VIdenticalconnectiongeometrytoabutmentsConnectiongeometryTypeConnectiongeometryScrewgeometry
Bone Level RC4,1 /4,8mmProduct-No.022.4102K062129yesyesInternal 4slotsyessame
Certain®3,4mmBiomet productCatalog page 5Product-No.IMAP32GK073345yesyesInternalHexagonalyessame
Certain®4,1mmBiomet productK073345yesyesInternalyessame

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May 06, 201 l

Sirona Dental CAD/CAM System

Sirona Dental 510(k) Summar

ProposedDevicePredicate DeviceAbut-mentandScrewmadeofTi6Al4VIden-ticalcon-nec-tiongeo-metrytoabut-mentsCon-nec-tiongeo-metryCon-nec-tiongeo-metryScrewgeo-metry
TiBaseTypeAnti-rota-tionalfea-tures
Manu-facturerSystemDiameterTitanium BasePredicateDevicesK-Number
Catalog page 5Product-No.IAPP452GHexagonal
B C 5.0Biomet 3iCertain®5,0mmBiomet productCatalog page 5Product-No.IWPP562GK073345yesyesyesInternalHexagonalsame

APPENDIX H • Page 26 of 32

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InCoris ZI mesoInCoris ZI meso(K100152)
Intended useinCoris ZI meso blocks are usedin manufacturing individuallydesigned mesostructures, whichare glued to a fitting titaniumbase after milling and sintering.inCoris ZI meso blocks are usedin manufacturing individuallydesigned mesostructures, whichare glued to a fitting titaniumbase after milling and sintering.
ApplicationinCoris ZI mesostructures canonly be used for the intendedtitanium bases or implants.Allocation of the connection sizeto the respective titanium basecan be determined by thescanbody set of the respectiveimplant system.inCoris ZI mesostructures canonly be used for the intendedtitanium bases or implants.Allocation of the connection sizeto the respective titanium basecan be determined by thescanbody set of the respectiveimplant system.
Please observe the indicationsand contraindications of theimplant.Please observe the indicationsand contraindications of theimplant.
Contra-IndicationsInsufficient oral hygiene Insufficient space available Bruxism For mesostructure-geometrywith angulation correctiongreater than 20° to theimplant axis For mesostructure-geometrywith angulation correctionto the implant axis forCamlog only For individual toothrestorations with free endsaddle For restorations with alength to implant lengthratio of more than 1:1.25Insufficient oral hygiene Insufficient space available Bruxism For restorations withangulation correction to theimplant axis For individual toothrestorations with free endsaddle For restorations with alength to implant lengthratio of more than 1:1.25
Technical Data
Block-Material CompositionZrO2+HfO2+Y2O3:> 99.0% Y2O3: 5.2%ZrO2+HfO2+Y2O3:> 99.0% Y2O3: 5.2% HfO2: 2%
InCoris ZI mesoInCoris ZI meso(K100152)
• Al2O3: ≤ 0.05%• Fe2O3: 0.3%• Al2O3: ≤ 0.05%• Fe2O3: 0.3%
Density (sintered)6.06 g/cm³6.06 g/cm³
Coefficient of thermalexpansion (CTE)11.0*10⁻⁶ K⁻¹(20 °C - 500 °C)11.0*10⁻⁶ K⁻¹(20 °C - 500 °C)
Flexural strength> 900MPa> 900MPa
Fracture toughness (KIC)5.8 MPa·m1/25.8 MPa·m1/2
Grain Sizeabout 0.5 µmabout 0.5 µm
Bonding MaterialPanavia F 2.0(www.kuraray-dental.de)Panavia F 2.0(www.kuraray-dental.de)

Table 6: Comparison of InCoris ZI meso to Predicate Device

Sirona Dental 510(k) Summary

May 06, 2011

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{28}------------------------------------------------

Table 7: Comparison of Sirona Dental CAD/CAM Design and fabricating Devices to Predicate Devices

SironaDental CAD/CAM Design andfabricating DevicesSironaDental CAD/CAM Design andfabricating Devices(K100152)
Used forThe Sirona Dental CAD/CAM-System is indicated for takingoptical impressions to record thetopographical characteristics ofteeth, dental impressions, or stonemodels by computer aided designand fabrication in patients thatrequire dental restorativeprosthetic devices. The systemalso features the processing ofmesostructures, a dentalrestorative prosthetic device usedin conjunction with endosseousdental implant abutments.The Sirona Dental CAD/CAM-System is indicated for takingoptical impressions to record thetopographical characteristics ofteeth, dental impressions, or stonemodels by computer aided designand fabrication in patients thatrequire dental restorativeprosthetic devices. The systemalso features the processing ofmesostructures, a dentalrestorative prosthetic device usedin conjunction with endosseousdental implant abutments.
Sirona Dental CAD/CAM Designand fabricating devices feature theprocessing of mesostructures, adental restorative prostheticdevice used in conjunction withendosseous dental implantabutments, i.e. it is an accessoryto it. Devices which feature theprocessing of mesostructurescomprises CEREC3, CEREC AC,inEos, inEos Blue, CERECMCXL and inLab MCXLSirona Dental CAD/CAM Designand fabricating devices feature theprocessing of mesostructures, adental restorative prostheticdevice used in conjunction withendosseous dental implantabutments, i.e. it is an accessoryto it. Devices which feature theprocessing of mesostructurescomprises CEREC3, CEREC AC,inEos, inEos Blue, CERECMCXL and inLab MCXL
Used withSirona Dental CAI/CAMHardwareSirona Dental CAI/CAMHardware
Controlling of recordingprocess (CAI)(optical impression)YesYes
Processing the recordedYesYes
SironaDental CAD/CAM Design andfabricating DevicesSironaDental CAD/CAM Design andfabricating Devices(K100152)
data (data of opticalimpression) (CAD)
Export of milling data tomilling machineYesYes
Administration ofpatient dataYesYes
Further functionsCalibration of CAI/CAMhardwareCalibration of CAI/CAMhardware
Online capabilityOption to upload/download thedata from a web portal (CerecConnect), to have CAI and CAMoperating on two differentlocations connected via InternetOption to upload/download thedata from a web portal (CerecConnect), to have CAI and CAMoperating on two differentlocations connected via Internet
Scan ImplantInterface/surfaceYes(or with mounted scanbody)Yes(or with mounted scanbody)
Scan custom wax-upYesYes
Preparation ofindividual restoration("meso-structure") to bemounted on theabutmentYesYes
Bond of milledzirconia/ceramicindividual meso-structure to metalabutmentYesYes
Creation of fitting crownto be mounted on top ofmeso-structureYesYes
Used withSirona Dental CAI/CAMHardwareSirona Dental CAI/CAMHardware
SironaDental CAD/CAM Design andfabricating DevicesSironaDental CAD/CAM Design andfabricating Devices(K100152)
Used forCAD creation of dentalrestorations including inlays,onlay, venners, crowns, bridgesand meso-structure to be mountedon top of abutmentsCAD creation of dentalrestorations including inlays,onlay, venners, crowns, bridgesand meso-structure to be mountedon top of abutments
Controlling ofmeasurement process(CAI)YesYes
Processing themeasurement data(CAD)YesYes
Export to millingmachineYesYes
Administration ofpatient dataYesYes
Further functionsCalibration of CAI/CAMhardwareCalibration of CAI/CAMhardware

Sirona Dental 510(k) Summary

May 06, 2011

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{30}------------------------------------------------

7 Nonclinical Testing

According to FDA Guidance "Class II Special Controls Guidance Document: Rootform Endosseous Dental Implants and Endosseous Dental Implant Abutments", May 12, 2004, fatigue testing has been performed for angled abutments. A reverseengineering analysis has demonstrated that the devices are identical with their predicates and compatible with their mating implants.

Software validation testing has been performed according to IEC 62304:2006. A warning has been added warning the user that abutments with an angle of greater than 20° are out of specification.

Clinical Testing 8

Clinical testing is not required and has not been performed.

{31}------------------------------------------------

9 Conclusion

Based on a comparison of intended use, indications, construction materials, principal of operations, features and technical data, the Sirona Dental CAD/CAM System which comprises of titanium bases TiBase, inCoris ZI meso blocks and Sirona Dental CAD/CAM Design and fabricating devices are safe and effective their intended use and perform as well as and are substantially equivalent to their Predicate Devices.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/32/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three tail feathers, enclosed in a circle. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged around the top half of the circle.

Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

Mr. Fritz Kolle Sirona Dental Systems GmbH Fabrikstrasse 31 Bensheim Germany D-64625

FEB 1 7 2012

Re: K111421

Trade/Device Name: Sirona Dental CAD/CAM System Regulation Number: 21 CFR 872.3630 Regulation Name: Endosseous Dental Implant Abutment Regulatory Class: II Product Code: NHA Dated: February 14, 2012 Received: February 16, 2012

Dear Mr. Kolle:

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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Page 2- Mr. Kolle

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/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,

Wh for
Anthony D. Watson, BS, MS, MBA

Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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510(k) Number (if known):

Sirona Dental CAD/CAM System Device Name:

Indications for Use:

The Sirona Dental CAD/CAM System is intended for use in partially or fully edentulous mandibles and maxillae in support of single or multiple-unit cement retained restorations. The system consists of three major parts: TiBase, InCoris mesostructure, and CAD/CAM software. Specifically, the InCoris mesostructure and TiBase components make up a two-piece abutment which is used in conjunction with endosseous dental implants to restore the function and aesthetics in the oral cavity. The InCoris mesostructure may also be used in conjunction with the Camlog Titanium base CAD/CAM (types K2244.xxxx) (K083496) in the Camlog Implant System. The CAD/CAM software is intended to design and fabricate the InCoris mesostructure. The InCoris mesostructure and TiBase two-piece abutment is compatible with the following implant systems:

Botz DOS (Division Sign-Off) Division of Anesthesiology, General Hospital

KII1421 510(k) Number:

Infection Control, Dental Devices

OR Prescription Use X (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 807 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NECESSARY)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Sirona Dental Systems 510(k) Sirona Dental CAD/CAM System May 06, 2011

§ 872.3630 Endosseous dental implant abutment.

(a)
Identification. An endosseous dental implant abutment is a premanufactured prosthetic component directly connected to the endosseous dental implant and is intended for use as an aid in prosthetic rehabilitation.(b)
Classification. Class II (special controls). 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.)