K Number
K140934
Device Name
HIOSSEN IMPLANT SYSTEM
Manufacturer
Date Cleared
2014-11-12

(215 days)

Product Code
Regulation Number
872.3640
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The HIOSSEN Implant System is indicated for use in partially or fully edentulous mandibles and maxillae, in support of single or multiple-unit restorations including; cemented retained, screw retained, or overdenture restorations, and final or temporary abutment support for fixed bridgework. It is intended for delayed loading. ETIII SA Ultra Wide Fixture is intended to be used in the molar region.
Device Description
The HIOSSEN Implant System is similar to other commercially available products based on the intended use, the technology used, the claims, the material composition employed and performance characteristics. The HIOSSEN Implant System include length 18mm implant. The HIOSSEN Implant System is a revised product that Dimension and code(art#) are changed and added from predicate product, ETII SA Fixture, HTIII SA Fixture and ETIII SA Ultra Wide Fixture therefore there is no difference about material, indication for use and design from predicate as above. And the subject devices and the predicate devices encompass the same range of physical dimensions except length 18mm and characteristics, including implant diameter and surface treatment.
More Information

Not Found

No
The summary describes a dental implant system and its physical characteristics, materials, and mechanical testing. There is no mention of software, algorithms, or any technology related to AI or ML.

No.
The device description indicates it is an implant system used for supporting dental restorations, which is a structural component rather than a device for treating a disease or condition.

No

Explanation: The device description states it is an implant system used in support of restorations, which is a therapeutic rather than diagnostic function. There is no mention of it being used to detect, diagnose, or monitor a medical condition.

No

The device description clearly states it is an "Implant System" and describes physical components like "length 18mm implant," "implant diameter," and "surface treatment." The performance studies also detail "static and dynamic compression-bending testing" and "fatigue testing," which are tests performed on physical hardware.

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

Here's why:

  • Intended Use: The intended use clearly states the device is for supporting dental restorations in the mouth (mandibles and maxillae). This is a surgical implant, not a device used to examine specimens derived from the human body for diagnostic purposes.
  • Device Description: The description focuses on the physical characteristics, materials, and dimensions of a dental implant.
  • Lack of IVD Indicators: There is no mention of analyzing biological samples, detecting substances, or providing diagnostic information based on in vitro testing.

IVD devices are used to perform tests on samples like blood, urine, or tissue outside of the body to diagnose diseases or conditions. This device is a physical implant placed within the body.

N/A

Intended Use / Indications for Use

The HIOSSEN Implant System is indicated for use in partially or fully edentulous mandibles and maxillae, in support of single or multiple-unit restorations including; cemented retained, screw retained, or overdenture restorations, and final or temporary abutment support for fixed bridgework. It is intended for delayed loading. ETIII SA Ultra Wide Fixture is intended to be used in the molar region.

Product codes (comma separated list FDA assigned to the subject device)

DZE, NHA

Device Description

The HIOSSEN Implant System is similar to other commercially available products based on the intended use, the technology used, the claims, the material composition employed and performance characteristics.

The HIOSSEN Implant System include length 18mm implant Length 18mm implant has already predicated in K063341, 3i OSSEOTITE® Certain® Dental Implants (Length 7mm~20mm).

ETIII SA Fixture: Intended to be surgically placed in the bone of the upper or lower jaw arches. Fixture is supplied sterile. Material: Pure Titanium (ASTM F 67). Surface: SA surface treatment. Dimensions: Diameter (mm) 3.77, 3.75, 4.25, 4.65, 4.63, 4.6, 5.1, 5.08, 5.05. Length (mm) 8.7, 10.2, 11.7, 13.2, 15.2, 18.2, 7.2, 6.2.

ETIII SA Ultra-Wide Fixture: Intended to be surgically placed in the bone of the upper or lower jaw arches. Fixture is supplied sterile. Material: Pure Titanium (ASTM F 67). Surface: SA surface treatment. Dimensions: Diameter (mm) 5.95, 5.92, 6, 6.8. Length (mm) 6.2, 9.7, 11.2, 12.7, 7.2, 8.2.

ETII SA Fixture: Intended to be surgically placed in the bone of the upper or lower jaw arches. Fixture is supplied sterile. Material: Pure Titanium (ASTM F 67). Surface: SA surface treatment. Dimensions: Diameter (mm) 3.5, 4.2, 4.45, 5.0, 4.9. Length (mm) 8.7, 10.2, 11.7, 13.2, 15.2, 18.2, 7.2, 6.2.

Cover Screw: Used to protect the exposed platform of the implant during healing period. Material: Pure Titanium (ASTM F 67). Surface: Anodizing. Diameters: 3.03, 3.58, 3.25, 3.4, 3.75, 3.9. Lengths: 5.25, 5.9, 6.25, 6.85, 6.9, 7.5.

Healing Abutment: Used to make a soft tissue in a funnel shape before setting up prosthetics and removing cover screw after osseointegration. Material: Pure Titanium (ASTM F 67). Surface: None. Diameters: 4.3, 4.8, 5.3, 6.3, 7.3. Lengths: 7.5, 8.5, 9.5, 11.5, 12.5.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

partially or fully edentulous mandibles and maxillae, molar region

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)

Non-clinical testing data submitted, referenced, or relied upon to demonstrate substantial equivalence includes engineering analysis, dimensional analysis, static and dynamic compression-bending testing according to "Guidance for industry and FDA staff Class II Special Controls Guidance Document Root-form Endosseous Dental Implants and Endosseous Dental Abutment" with the worst case scenario. Fatigue testing in air demonstrated the subject device to the tested predicate because shape and minimum diameter of subject devices are the same with predicate.

No clinical studies are submitted.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K101096, K123471, K103537, K121585, K083633, K120847, K063341

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc)

Not Found

§ 872.3640 Endosseous dental implant.

(a)
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.(b)
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.

0

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

November 12,2014

Mr. Patrick Lim Manager HIOSSEN, Incorporated 85 Ben Fairless Drive Fairless Hills, PA 19030

Re: K140934

Trade/Device Name: HIOSSEN Implant System Regulation Number: 21 CFR 872.3640 Regulation Name: Endosseous Dental Implant Regulatory Class: II Product Code: DZE, NHA Dated: October 6, 2014 Received: October 10, 2014

Dear Mr. Lim:

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

Page 2 - Mr. Lim

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 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/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,

Susan Runno DDS, MA

Erin I. Keith, M.S. Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

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Image /page/2/Picture/0 description: The image shows the logo for Hiossen. The logo is composed of the word "Hiossen" in a stylized font. The "H" and "I" are in red, while the rest of the letters are in gray. There is a red swoosh above the "O" in "Hiossen."

Hiossen Inc. 85 Ben Fairless Dr. Fairless Hills, PA 19030 Tel : 1-888-678-0001 / Fax : 1-267-759-7004 www.hiossen.com

Indications for Use Statement

K140934 510(k) Number K

Device Name : HIOSSEN Implant System

Indication for use :

The HIOSSEN Implant System is indicated for use in partially or fully edentulous mandibles and maxillae, in support of single or multiple-unit restorations including; cemented retained, screw retained, or overdenture restorations, and final or temporary abutment support for fixed bridgework. It is intended for delayed loading. ETIII SA Ultra Wide Fixture is intended to be used in the molar region.

Prescription Use X (Per 21CFR801 Subpart D) Over-The-Counter Use (Per 21CFR807 Subpart C)

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

OR

Concurrence of CDRH, Office of Device Evaluation (ODE)

Section 004

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Image /page/3/Picture/0 description: The image shows the Hiossen logo. The "HI" part of the logo is in red, and the "OSSEN" part is in gray. There is a red swoosh above the "HI" part of the logo. The logo is simple and modern.

Section 003

K140934

Hiossen Inc. 85 Ben Fairless Dr. Fairless Hills, PA 19030 Tel : 1-888-678-0001 / Fax : 1-267-759-7004 www.hiossen.com 510(k) Summary

This summary of 510(k) substantial equivalence information is being submitted in accordance with requirements of 21 CFR Part 807.92.

Date : November 15, 2013

  1. Company and Correspondent making the submission:
- Submitter's Name :HiOSSEN Inc.
- Address :85 Ben Fairless Dr.
Fairless Hills PA 19030
- Telephone No.888 678 0001
- Contact :Mr. Patrick Lim
    1. Device :
Trade or (Proprietary) Name :HIOSSEN Implant System
Common or usual name :Dental Implant
Classification Name :Endosseous Dental Implant
21CFR872.3640
Class II
DZE. NHA
  1. Predicate Device :

HT III SA FIXTURE SYSTEM, HIOSSEN Inc. K101096 ETII SA Fixture System. HiOSSEN Inc.. K123471 ETIII SA Ultra Wide System, HiOSSEN Inc., K103537 TS Implant System, OSSTEM CO., LTD., K121585 HSII Short Fixture System, OSSTEM CO., LTD., K083633 ET SS Implant System, OSSTEM CO., LTD., K120847 3i OSSEOTITE® Certain® Dental Implants, Implant Innovations, Inc., K063341

    1. Description :
  1. The HIOSSEN Implant System is similar to other commercially available products based on the intended use, the technology used, the claims, the material composition employed and performance characteristics.

  2. The HIOSSEN Implant System include length 18mm implant Length 18mm implant has already predicated in K063341, 3i OSSEOTITE® Certain® Dental Implants( Length 7mm~20mm)

4

Image /page/4/Picture/0 description: The image shows the logo for HIOSSEN. The letters "HI" are in red, and the rest of the word is in gray. There is a red swoosh above the "HI".

Hiossen Inc.

85 Ben Fairless Dr. Fairless Hills, PA 19030 Tel : 1-888-678-0001 / Fax : 1-267-759-7004 www.hiossen.com

  1. ETIII SA Fixture

| Device
Description | Intended to be surgically placed in the bone of the upper or lower jaw arches. Fixture is
supplied sterile. | | |
|-----------------------|----------------------------------------------------------------------------------------------------------------|----------------------------------------|------------------------|
| Material | Pure Titanium (ASTM F 67) | | |
| Surface | SA surface treatment | | |
| Dimension | Diameter (mm) | Length (mm) | added/modified |
| | 3.77 | 8.7 | Diameter is modified |
| | 3.75 | 10.2, 11.7, 13.2, 15.2, 18.2 | Length 18.2mm is added |
| | 4.25 | 7.2, 8.7, 10.2, 11.7, 13.2, 15.2, 18.2 | Length 18.2mm is added |
| | 4.65 | 7.2 | None |
| | 4.63 | 8.7 | Diameter is modified |
| | 4.6 | 10.2, 11.7, 13.2, 15.2, 18.2 | Length 18.2mm is added |
| | 5.1 | 6.2, 7.2 | Length 6.2mm is added |
| | 5.08 | 8.7 | None |
| | 5.05 | 10.2, 11.7, 13.2, 15.2 | None |

4) ETIII SA Ultra-Wide Fixture

| Device

DescriptionIntended to be surgically placed in the bone of the upper or lower jaw arches. Fixture is supplied sterile.
MaterialPure Titanium (ASTM F 67)
SurfaceSA surface treatment
DimensionDiameter (mm)Length (mm)added/modified
5.956.2, 9.7Diameter is modified/
Length 6.2mm is added
5.9211.2, 12.7Diameter is modified
67.2, 8.2None
6.86.2, 7.2, 8.2, 9.7, 11.2, 12.7Diameter is modified/
Length 6.2mm is added

5) ETII SA Fixture

DeviceIntended to be surgically placed in the bone of the upper or lower jaw arches. Fixture is
Descriptionsupplied sterile.
MaterialPure Titanium (ASTM F 67)
SurfaceSA surface treatment
DimensionDiameter (mm)Length (mm)added/modified
3.58.7, 10.2, 11.7, 13.2, 15.2, 18.2Length 18.2mm is added
4.27.2, 8.7, 10.2, 11.7, 13.2, 15.2, 18.2Length 18.2mm is added
4.457.2, 8.7, 10.2, 11.7, 13.2, 15.2None
5.06.2None
4.97.2, 8.7, 10.2, 11.7, 13.2, 15.2None

5

Image /page/5/Picture/0 description: The image shows the word "HIOSSEN" in a stylized font. The "HIO" portion of the word is in red, while the "SSEN" portion is in gray. There is a red swoosh above the "HIO" portion of the word, adding a dynamic element to the logo. The overall design is clean and modern.

Hiossen Inc.

85 Ben Fairless Dr. Fairless Hills, PA 19030 Tel : 1-888-678-0001 / Fax : 1-267-759-7004 www.hiossen.com

  1. Cover Screw

| Device

DescriptionUsed to protect the exposed platform of the implant during healing period.
MaterialPure Titanium (ASTM F 67)
SurfaceAnodizing
diameters3.03, 3.58, 3.25, 3.4, 3.75, 3.9
lengths5.25, 5.9, 6.25, 6.85, 6.9, 7.5
Change content
as compared to
the predicate
deviceProducts code, Art(#)s are changed & Design Change of screw bottom

7) Healing Abutment

| Device
Description | Used to make a soft tissue in a funnel shape before setting up prosthetics
and removing cover screw after osseointegration. |
|-------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------|
| Material | Pure Titanium (ASTM F 67) |
| Surface | None |
| diameters | 4.3, 4.8, 5.3, 6.3, 7.3 |
| lengths | 7.5, 8.5, 9.5, 11.5, 12.5 |
| Change content
as compared to
the predicate
device | Addition of Ø4.5mm abutment.
Shape of middle part is changed |

- Substantial Equivalence Matrix

| | The HIOSSEN Implant
System | Predicate devices | |
|--------------|-------------------------------|-----------------------------------------------------|------------------------|
| | | HTIII SA Fixture
/ ETIII SA Ultra Wide
System | ETII SA Fixture System |
| 510(K) No. | - | K101096 / K103537 | K123471 |
| Manufacturer | HIOSSEN Inc. | HIOSSEN Inc. | HIOSSEN Inc. |

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Image /page/6/Picture/0 description: The image shows the word "HIOSSEN" in a stylized font. The "HI" is in red, and the rest of the word is in gray. There is a red swoosh above the "HI".

Section 003

Hiossen Inc.

85 Ben Fairless Dr. Fairless Hills, PA 19030 Tel : 1-888-678-0001 / Fax : 1-267-759-7004 www.hiossen.com

Design
Intended
UseThe HIOSSEN Implant
System is indicated for use in
partially or fully edentulous
mandibles and maxillae, in
support of single or multiple-
unit restorations including:
cemented retained, screw
retained, or overdenture
restorations, and final or
temporary abutment support
for fixed bridgework. It is
intended for delayed loading.
ETIII SA Ultra-Wide Fixture
is intended to be used in the
molar region.The HTIII Fixture System is
indicated for use in partially
or fully edentulous mandibles
and maxillae, in support of
single or multiple-unit
restorations including;
cemented retained, screw
retained, or overdenture
restorations, and final or
temporary abutment support
for fixed bridgework. It is
intended for delayed loading.
Ultra wide Fixture System is
intended to be used in the
molar region.The ETII Fixture System is
indicated for use in partially
or fully edentulous mandibles
and maxillae, in support of
single or multiple-unit
restorations including:
cemented retained, screw
retained, or overdenture
restorations, and final or
temporary abutment support
for fixed bridgework. It is
intended for delayed loading.
Structure- Internal Hex-connected
  • Submerged Fixture
  • Tapered body shape &
    Straight body shape | - Internal Hex-connected
  • Submerged Fixture
  • Tapered body shape &
    Straight body shape | - Internal Hex-connected
  • Submerged Fixture
  • Straight body shape |
    | Diameter (D) | 3.5, 3.75, 3.77, 4.2, 4.25, 4.45,
    4.6, 4.63, 4.65, 4.9, 5.0,
    5.05, 5.08, 5.1, 5.92, 5.95, 6,
    6.8 | 3.75, 4.25, 4.6, 5.05, 5.08,
    5.1, 6, 5.92, 5.95, 6.8, 6.82 | 3.5, 4.2, 4.45, 4.9, 5.0 |
    | Length (mm) | 6.2, 7.2, 8.7, 10.2, 11.7, 13.2,
    15.2, 18.2 | 7.2, 8.7, 10.2, 11.7, 13.2, 15.2 | 6.2, 7.2, 8.7, 10.2, 11.7, 13.2,
    15.2 |
    | Material of
    Fixture | Pure Titanium Grade 4
    (ASTM F67) | Pure Titanium Grade 4
    (ASTM F67) | Pure Titanium Grade 4
    (ASTM F67) |
    | Surface | SA | SA | SA |
    | Sterilization | Radiation Sterile | Radiation Sterile | Radiation Sterile |
    | Shelf life | 8 Years | 5 Years | 5 Years |

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Image /page/7/Picture/0 description: The image contains the logo for HIOSSEN. The logo is composed of the letters "HIOSSEN" in a stylized font. The "HI" portion of the logo is in red, while the "OSSEN" portion is in gray. The "H" and "I" are connected by a red swoosh.

Hiossen Inc.

85 Ben Fairless Dr. Fairless Hills, PA 19030 Tel : 1-888-678-0001 / Fax : 1-267-759-7004 www.hiossen.com

| SE | The HIOSSEN Implant System is revised product that Dimension and code(art#) are changed
and added from predicate product, ETII SA Fixture, HTIII SA Fixture and ETIII SA Ultra Wide
Fixture therefore there is no difference about material, indication for use and design from
predicate as above
And the subject devices and the predicate devices encompass the same range of physical
dimensions except length 18mm and characteristics, including implant diameter and surface
treatment therefore The HIOSSEN Implant System is substantially equivalent to the predicate
devices |

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

5. Indication for use :

The HIOSSEN Implant System is indicated for use in partially or fully edentulous mandibles and maxillae, in support of single or multiple-unit restorations including; cemented retained, screw retained, or overdenture restorations, and final or temporary abutment support for fixed bridgework. It is intended for delayed loading. ETIII SA Ultra-Wide Fixture is intended to be used in the molar region.

6. Review :

The HIOSSEN Implant System has same material, indication for use, similar design and technological characteristics as the predicate device.

7. Summary of nonclinical testing

Non-clinical testing data submitted, referenced, or relied upon to demonstrate substantial equivalence includes engineering analysis, dimensional analysis, static and dynamic compression-bending testing according to "Guidance for industry and FDA staff Class II Special Controls Guidance Document Root-form Endosseous Dental Implants and Endosseous Dental Abutment" with the worst case scenario. Fatigue testing in air demonstrated the subject device to the tested predicate because shape and minimum diameter of subject devices are the same with predicate.

8. Summary of clinical testing

No clinical studies are submitted

9. Conclusions

In accordance with the Federal Food, Drug and Cosmetic Act, 21 CFR Part 807, and based on the information provided in this premarket notification HiOSSEN Inc. concludes that the The HIOSSEN Implant System is substantially equivalent to the predicate devices as described herein