K Number
K130310
Device Name
CERTAIN BELLATEK PROVISIONAL ABUTMENTS
Manufacturer
Date Cleared
2013-06-21

(134 days)

Product Code
Regulation Number
872.3630
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Provisional Abutments are intended for use as an accessory to endosseous dental implants to support a prosthetic device in a partially or fully edentulous patient. They are intended for use to support a prosthesis in the mandible or maxilla for up to 180 days during endosseous and gingival healing, and are for non occlusal loading of provisional restorations. The prosthesis will be mechanically retained to the abutment system.
Device Description
The Certain® BellaTek™ Provisional Abutment is a two piece temporary healing abutment that consists of a machined provisional titanium alloy (6AL-4V) post, a PEEK provisional cap, and a machined stainless steel (316L) retaining screw with gold plating.
More Information

No
The summary describes a mechanical dental abutment and its performance in standard mechanical tests. There is no mention of software, algorithms, or any technology that would suggest AI/ML is involved.

No.
The device is an accessory to dental implants used to support a prosthetic device, which is not a therapeutic function itself but rather a temporary structural support.

No

The device is a provisional abutment for dental implants designed to support a prosthetic device during healing, not to diagnose a condition.

No

The device description explicitly states it is a two-piece temporary healing abutment consisting of machined titanium alloy, PEEK, and stainless steel components, indicating it is a physical medical device, not software.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states that the Provisional Abutments are "intended for use as an accessory to endosseous dental implants to support a prosthetic device in a partially or fully edentulous patient." This describes a device used in vivo (within the body) to support a physical structure.
  • Device Description: The description details the physical components of the abutment (titanium post, PEEK cap, stainless steel screw). These are physical components for implantation and support, not reagents or instruments used to examine specimens in vitro.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens (like blood, tissue, or urine) outside of the body to provide information about a patient's health status, diagnose a condition, or monitor treatment.

IVD devices are specifically designed to perform tests on biological samples in vitro. This device is a physical implant component used in vivo.

N/A

Intended Use / Indications for Use

The Certain® BellaTek™ Provisional Abutment is intended for use in the anterior and posterior areas of the mouth.
Provisional Abutments are intended for use as an accessory to endosseous dental implants to support a prosthetic device in a partially or fully edentulous patient. They are intended for use to support a prosthesis in the mandible or maxilla for up to 180 days during endosseous and gingival healing, and are for non occlusal loading of provisional restorations. The prosthesis will be mechanically retained to the abutment system.

Product codes

NHA

Device Description

The Certain® BellaTek™ Provisional Abutment is a two piece temporary healing abutment that consists of a machined provisional titanium alloy (6AL-4V) post, a PEEK provisional cap, and a machined stainless steel (316L) retaining screw with gold plating.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

anterior and posterior areas of the mouth, mandible or maxilla

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Performance Test Summary-New Device:

  • Static Bend: Passed (ISO 14801)
  • Fatigue: Passed (ISO 14801)
  • Snap on/off Force Testing: Passed
  • Screw Torque: Passed

Comparative Performance Information Summary:

  • Static Bend/ Fatigue: Exceeds (ISO 14801) compared to Predicate Device K060291

No clinical testing was necessary for a determination of substantial equivalence. The results of mechanical testing indicated the devices performed within the intended use, did not raise any new safety and efficacy issues and were found to be substantially equivalent to the predicate devices.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K072642, K071551, K061177, K060291

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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.)

0

510(K) SUMMARY K130310: Certain® BellaTek™ Provisional Abutment

A summary of 510(k) safety and effectiveness information in accordance with the requirements of 21 CFR §807.92

Submitter Information
NameBIOMET 3i™
Address4555 Riverside Drive Palm Beach Gardens, Florida 33410
Phone number(561) 776-6840
Fax number(561) 514-6316
Establishment Registration
Number1038806
Name of contact personJacquelyn A. Hughes, RAC
Date preparedFebruary 1, 2013
Name of Device
Trade or proprietary nameCertain® BellaTek™ Provisional Abutment
Common or usual nameDental Abutments
Submission Information
Classification nameEndosseous Dental Implant Abutment
Classification panelDental
Regulation21CFR §872.3630
Product Code(s)NHA
Legally marketed device(s) to
which equivalence is claimedK072642 BIOMET3i™ Dental Abutments and Restorative
Components K071551 QuickBridge® Cylinder and Cap
K061177 PROVIDE® Temporary Cylinder K060291
PreFormance® Temporary Cylinder
Reason for 510(k) submissionAddition to BIOMET 3i™ abutment product line to include a two
piece temporary provisional healing abutment (cylinder and cap)
that will support a single prosthesis and will incorporate the
Encode® impression system.
Device descriptionThe Certain® BellaTek™ Provisional Abutment is a two piece
temporary healing abutment that consists of a machined
provisional titanium alloy (6AL-4V) post, a PEEK provisional
cap, and a machined stainless steel (316L) retaining screw with
gold plating.
Intended use of the deviceThe Certain® BellaTek™ Provisional Abutment is intended for
use in the anterior and posterior areas of the mouth.
Indications for useProvisional Abutments are intended for use as an accessory to
endosseous dental implants to support a prosthetic device in a
partially or fully edentulous patient. They are intended for use to
support a prosthesis in the mandible or maxilla for up to 180 days
during endosseous and gingival healing, and are for non occlusal
loading of provisional restorations. The prosthesis will be
mechanically retained to the abutment system.

JUN 2 1 2013

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1

510(K) SUMMARY K130310: Certain® BellaTek™ Provisional Abutment

·

.

.

CharacteristicNew DeviceK060291K072642K071551K061177
Abutment Post
MaterialTitanium Alloy
/ASTM F136Titanium Alloy /ASTM F136 and
PEEK/ASTM F2026Titanium Alloy
/ASTM F136Titanium Alloy
/ASTM F136Titanium Alloy
/ASTM F136
Surface
ModificationsTitanium Nitride
Coated AnodizedN/ALaser marking
on Abutment
PostN/AAnodized
Abutment
Height5.44mm
Abutment with
Cap 6mm12mm (can be
prepped to
desired
height)3, 4, 6, 8mm5.8mm5, 6, 7, 8, 9mm
Emergence
Profile3.6mm, 4.5mm,
5.5mm4.0, 5.0, 5.6,
6.6mm3.8, 4.1, 5.0,
5.6, 6.0, 7.5mm4.8mm4.8, 6.5mm
Platform
Diameter3.4, 4.1, 5.0mm3.4, 4.1, 5.0,
6.0mm3.4, 4.1, 5.0,
6.0mm4.8mm4.1, 5.0, 6.0mm
Collar Height2mm1.5mmVaries
depending on
size (ranges
from 0.25mm
to 9.1mm)1.5mm1, 2, 3, 4mm
DesignSingle unitSingle Unit/
Multi-UnitSingle unitMulti-unitSingle unit
TypeAbutment and cap
systemCylinder that
can be
preppedAbutment onlyCylinder and cap
systemAbutment and
temporary
cylinder option
Occlusal
LoadingNon-occlusalNonocclusalNonocclusalNon-occlusalNon-occlusal
Abutment
retention to
implantScrewScrewScrewN/A - part of
multi constructScrew
Connection to
implantInternalInternal
ExternalInternal
ExternalN/A - part of
multi constructInternal
Abutment Cap
MaterialPolyetheretherketone
(PEEK)/ ASTM
F2026N/AN/APolyetheretherketone
(PEEK)/ ASTM
F2026Polyetheretherketone
(PEEK)/ ASTM F2026
Surface FinishInternalInternal
ExternalInternal
ExternalN/A - part of
multi constructInternal
Cap Height4.0mmN/AN/A5.1mm6.5mm
Cap Margin
Diameter4.0mm, 4.9mm,
5.9mmN/AN/A4.8mm4.8, 6.5mm
ShapeConicalN/AN/AConicalConical
Retention to
abutmentSnapN/AN/ASnap/ cementCemented

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2

510(K) SUMMARY K130310: Certain® BellaTek™ Provisional Abutment

Summary of the technological characteristics of the device compared to the predicate
CharacteristicNew DeviceK060291K072642K071551K061177
Retention to prosthesis (crown)MechanicalN/AN/AMechanicalMechanical/cement
Performance Data
Summary of Non-Clinical Tests Conducted for Determination of Substantial Equivalence
Performance Test Summary-New Device
CharacteristicStandard/Test/FDA GuidanceResults Summary
Static BendISO 14801Passed
FatigueISO 14801Passed
Snap on/off Force TestingPassed
Screw TorquePassed
Comparative Performance Information Summary
CharacteristicRequirementNew DevicePredicate Device
Static Bend/ FatigueISO 14801ExceedsK060291
Summary of Clinical Tests Conducted for Determination of Substantial Equivalence and/or of Clinical Information
Clinical Performance Data/Information: N/A
Conclusions Drawn from Non-Clinical and Clinical Data
No clinical testing was necessary for a determination of substantial equivalence. The results of mechanical testing indicated the devices performed within the intended use, did not raise any new safety and efficacy issues and were found to be substantially equivalent to the predicate devices.

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Image /page/3/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" arranged around the perimeter. Inside the circle is an abstract symbol resembling an eagle or bird in flight, composed of three curved lines representing the wings and body. The logo is rendered in black and white.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MI) 20993-0002

June 21. 2013

Ms. Jacquelyn A. Hughes Director, Regulatory Affairs & Clinical Research BIOMET 3i 4555 Riverside Drive PALM BEACH GARDENS, FL 33410

Re: K130310

Trade/Device Name: Certain® BellaTek™ Provisional Abutments Regulation Number: 21 CFR 872.3630 Regulation Name: Endosseous Dental Implant Abutment Regulatory Class: Il Product Code: NHA Dated: May 20, 2013 Received: May 23, 2013

Dear Ms. Hughes:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced aboye 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.

ff 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.

4

Page 2 - Ms. Hughes

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 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 vou desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Small Manufacturers, International and Consumer Assistance at its tollfree number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21

CFR Part 803). please go to

http://www.fda.gov/MedicalDevices/Safety/Reportal?roblem/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.

Susan Runner DDS, MA
Mary S.
Runner -S

Kwame Ulmer, M.S. Acting Division Director Division of Anesthesiology. General Hospital. Respiratory. Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

INDICATIONS FOR USE STATEMENT

510(k) Number (if known): K130310

Device Name: Certain® BellaTek™ Provisional Abutment

Indications for Use:

Provisional Abutments are intended for use as an accessory to endosseous deatal implants to support a prosthetic device in a partially or fully edentulous patient. They are intended for use to support a prosthesis in the mandible or maxilla for up to 180 days during endosseous and gingival healing, and are for non occlusal loading of provisional restorations. The prosthesis will be mechanically retained to the abutment system.

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

Over-The-Counter Use _ NO (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Andrew I. Steens 2013.06.21 13:27:46 -04/00

(Division Sign-Off) (Division of Anestheslotogy, General Hospital Infaction Control, Dental Devices

510(q) Number: KB0310

Indications for Use Statement: Page 1 of 1