K Number
K142115
Device Name
INCLUSIVE TITANIUM ABUTMENTS COMPATIBLE WITH: ZIMMER, BIOMET 3I, AND NOBEL BIOCARE IMPLANT
Date Cleared
2014-11-13

(101 days)

Product Code
Regulation Number
872.3630
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Inclusive® Titanium Abutments are premanufactured prosthetic components directly connected to endosseous dental implants and are intended for use as an aid in prosthetic rehabilitation. Inclusive® Titanium Abutments are compatible with: - Biomet: 3i Certain internal hex implants in 3.4, 4.1, 5.0, 6.0 mm sizes - - -Nobel Biocare: NobelReplace straight and tapered internal connection implants in NP, RP, WP, 6.0 mm sizes - -Zimmer: Screw-Vent and Tapered Screw-Vent internal hex implants in 3.5, 4.5, 5.7 mm sizes
Device Description
Inclusive Titanium Abutments are endosseous implant abutments which are placed into the dental implant to provide support for a prosthetic restoration. The abutment is placed over the implant shoulder and is fastened into the implant with a screw. Abutments are made of titanium grade 23 (Ti-6AL-4V ELI) and meet ASTM F-136 Standard.
More Information

Not Found

No
The device description and performance studies focus on the mechanical properties and compatibility of a physical dental abutment, with no mention of software, algorithms, or data processing that would indicate AI/ML.

No
The device is described as a prosthetic component that aids in prosthetic rehabilitation by supporting a prosthetic restoration. It replaces a missing body part and provides a function that mimics the natural one. It is not listed as a device that treats or prevents a disease.

No

Explanation: The device description states that "Inclusive® Titanium Abutments are premanufactured prosthetic components directly connected to endosseous dental implants and are intended for use as an aid in prosthetic rehabilitation." This indicates the device is for restorative and prosthetic purposes, not for diagnosing conditions.

No

The device description clearly states the device is made of titanium and is a physical component (abutment) placed into a dental implant. There is no mention of software as the primary or sole component.

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

Here's why:

  • Intended Use: The intended use is for "prosthetic rehabilitation" by connecting to dental implants. This is a surgical/restorative procedure performed directly on a patient.
  • Device Description: The device is a physical component (abutment) placed into a dental implant.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, tissue, etc.) to provide information for diagnosis, monitoring, or screening.

IVD devices are used outside the body to analyze biological samples. This device is a medical device used inside the body as part of a dental restoration.

N/A

Intended Use / Indications for Use

Inclusive® Titanium Abutments are premanufactured prosthetic components directly connected to endosseous dental implants and are intended for use as an aid in prosthetic rehabilitation.

Inclusive® Titanium Abutments are compatible with:

  • Biomet: 3i Certain internal hex implants in 3.4, 4.1, 5.0, 6.0 mm sizes -Nobel Biocare: NobelReplace straight and tapered internal connection implants in NP, RP, WP, 6.0 mm sizes

  • Zimmer: Screw-Vent and Tapered Screw-Vent internal hex implants in 3.5. 4.5. 5.7 mm sizes

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

NHA

Device Description

Inclusive Titanium Abutments are endosseous implant abutments which are placed into the dental implant to provide support for a prosthetic restoration. The abutment is placed over the implant shoulder and is fastened into the implant with a screw. Abutments are made of titanium grade 23 (Ti-6AL-4V ELI) and meet ASTM F-136 Standard.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Oral Cavity

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 test data was used to evaluate the device's safety and effectiveness, and determine substantial equivalence with predicate devices.

Non-clinical testing was performed in accordance with FDA Guidance "Class II Special Controls Guidance Document: Root-form Endosseous Dental Implants and Endosseous Dental Implant Abutments" and it consisted of Reliability Calculation, Fatigue Testing and Static Load Failure Testing of finished assembled implant/abutment systems.

In addition, sterilization validation information and a recommended sterilization method based on ANSI/AAMI ST79 and ISO 17665-1 is provided in the Information for Use.

The testing performed demonstrated implant to abutment compatibility and established that the predicate device is as safe, as effective, and performs as well as the predicate device(s).

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.

K073217, K091756, K072642, K092403

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

§ 872.3630 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.)

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Image /page/0/Picture/1 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 a stylized image of three human profiles facing to the right, stacked on top of each other.

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

November 13,2014

Prismatik Dentalcraft, INC Brandon Shepard Regulatory Affairs & Ouality Assurance Specialist 2212 Dupont Dr. Suite P Irvine, California 92612

Re: K142115

Trade/Device Name: Inclusive® Titanium Abutments, compatible with Zimmer Screw-Vent, Biomet 3i Certain, and Nobel Biocare NobelReplace Implants Regulation Number: 21 CFR 872.3630 Regulation Name: Endosseous dental implant abutment Regulatory Class: II Product Code: NHA Dated: October 10, 2014 Received: October 14, 2014

Dear Mr. Shepard:

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

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 Industry and Consumer Education 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. 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 Industry and Consumer Education 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

Enclosure

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Indications for Use

510(k) Number: K142115

Device Name: Inclusive® Titanium Abutments, compatible with Zimmer Screw-Vent, Biomet 3i Certain, and Nobel Biocare NobelReplace Implants

Indications for Use:

Inclusive® Titanium Abutments are premanufactured prosthetic components directly
connected to endosseous dental implants and are intended for use as an aid in prosthetic rehabilitation.

Inclusive® Titanium Abutments are compatible with:

  • Biomet: 3i Certain internal hex implants in 3.4, 4.1, 5.0, 6.0 mm sizes -Nobel Biocare: NobelReplace straight and tapered internal connection implants in NP, RP, WP, 6.0 mm sizes

  • Zimmer: Screw-Vent and Tapered Screw-Vent internal hex implants in 3.5. 4.5. 5.7 mm sizes

Prescription Use 1 (Part 21 CFR 801 Subpart D)

Concurrence of CDRH, Office of Device Evaluation (ODE)

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Image /page/3/Picture/0 description: The image shows the logo for Prismatik Dentalcraft, Inc. On the left is a triangle with a gradient of colors, including pink, blue, and yellow. To the right of the triangle is the text "PRISMATIK DENTALCRAFT, INC." in a sans-serif font.

00551
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10(k) Summary

[As Required by 21 CFR 807.92]

This 510(k) summary of safety and effectiveness information is being submitted in accordance with the requirements 21 CFR 807.92.

SUBMITTER INFORMATION A.

B.

Company Name:PRISMATIK DENTALCRAFT, INC.
Company Address:2212 Dupont Dr., Suite P
Irvine, CA 92612
Company Phone / Fax:(949) 225-1269 / (978) 313-0850
Contact Person:Primary Contact:
• Brandon Shepard, (949) 225-1243
Secondary Contact:
• Marilyn Pourazar, (949) 225-1269
Date Summary Prepared:August 1, 2014

DEVICE IDENTIFICATION

| Trade/Proprietary Name: | Inclusive ® Titanium Abutments
compatible with: Zimmer Screw-Vent, Biomet 3i
Certain, and Nobel Biocare NobelReplace Implants |
|-------------------------|------------------------------------------------------------------------------------------------------------------------------------------------|
| Common Name: | Endosseous Dental Implant Abutment |
| Regulation Number: | 872.3630 |
| Product Code: | NHA |
| Device Class: | 2 |
| Review Panel: | Dental |

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Image /page/4/Picture/0 description: The image contains the logo for Prismatik Dentalcraft, Inc. On the left is a triangle with a rainbow gradient. To the right of the triangle is the company name, "PRISMATIK" on the top line and "DENTALCRAFT, INC." on the bottom line. The text is in a blue sans-serif font.

C. IDENTIFICATION OF PREDICATE DEVICE

Trade/Proprietary Name:

  • · Inclusive 110 Abutment for Zimmer, 3i and Nobel Biocare Implants (K073217)
  • · NobelProcera Ti Abutment (K091756)
  • · BIOMET 3i Dental Abutments and Restorative Components (K072642)
  • · Zimmer Ti Prepable Abutment (K092403).

D. DEVICE DESCRIPTION

Inclusive Titanium Abutments are endosseous implant abutments which are placed into the dental implant to provide support for a prosthetic restoration. The abutment is placed over the implant shoulder and is fastened into the implant with a screw. Abutments are made of titanium grade 23 (Ti-6AL-4V ELI) and meet ASTM F-136 Standard.

E. INDICATIONS FOR USE

Inclusive® Titanium Abutments are premanufactured prosthetic components directly connected to endosseous dental implants and are intended for use as an aid in prosthetic rehabilitation.

Inclusive® Titanium Abutments are compatible with:

  • Biomet: 3i Certain internal hex implants in 3.4, 4.1, 5.0, 6.0 mm sizes -
  • -Nobel Biocare: NobelReplace straight and tapered internal connection implants in NP, RP, WP, 6.0 mm sizes
  • -Zimmer: Screw-Vent and Tapered Screw-Vent internal hex implants in 3.5, 4.5, 5.7 mm sizes

NON-CLINICAL TESTING F.

Non-clinical test data was used to evaluate the device's safety and effectiveness, and determine substantial equivalence with predicate devices.

Non-clinical testing was performed in accordance with FDA Guidance "Class II Special Controls Guidance Document: Root-form Endosseous Dental Implants and Endosseous Dental Implant Abutments" and it consisted of Reliability Calculation, Fatigue Testing and Static Load Failure Testing of finished assembled implant/abutment systems.

In addition, sterilization validation information and a recommended sterilization method based on ANSI/AAMI ST79 and ISO 17665-1 is provided in the Information for Use.

The testing performed demonstrated implant to abutment compatibility and established that the predicate device is as safe, as effective, and performs as well as the predicate device(s).

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Image /page/5/Picture/0 description: The image shows the logo for Prismatik Dentalcraft, Inc. The logo consists of a colorful triangle on the left and the company name on the right. The triangle is divided into sections of different colors, including pink, purple, blue, green, and yellow. The company name is written in blue, with "PRISMATIK" on the top line and "DENTALCRAFT, INC." on the bottom line.

SUBSTANTIAL EQUIVALENCE G.

Inclusive® Titanium Abutments, compatible with Zimmer Screw-Vent, Biomet 3i Certain and Nobel Biocare NobelReplace Implants are substantially equivalent to the Inclusive™ Abutment for Zimmer, 3i and Nobel Biocare Implants (K073217) and the OEM predicates, (K091756, K072642, and K092403), identified in Section C above. They are substantially equivalent in intended use, materials, design and performance.

(See Comparison Tables below).

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Image /page/6/Picture/0 description: The image contains the logo for Prismatik Dentalcraft, Inc. The logo consists of a colorful triangle on the left and the company name on the right. The triangle is divided into sections with different colors, including pink, purple, blue, and yellow. The company name is written in a sans-serif font, with "PRISMATIK" on the first line and "DENTALCRAFT, INC." on the second line.

Predicate Device (1)Predicate Device (2)Proposed Device
Ti Prepable Abutment
(K092403)Inclusive Abutment for
Zimmer, 3i, and Nobel Biocare
Implants (K073217)Inclusive Titanium
Abutments compatible
with: NobelReplace
ImplantsSimilarities and
Differences
ManufacturerZimmer DentalPrismatik Dentalcraft, Inc.Prismatik Dentalcraft, Inc.N/A
Dimensions of
AbutmentHex Dimensions:
2.4mm Across Flats
3.0mm Across FlatsCylindrical Diameter: 9.4mm
Hex Dimensions:
2.4mm Across Flats
3.0mm Across FlatsCylindrical Diameter: 9.4mm
Hex Dimensions:
2.4mm Across Flats
3.0mm Across FlatsSame
Abutment Screw
ManufacturerOEM (Zimmer)OEM (Zimmer)Inclusive (Prismatik)Equivalent screw
from different
manufacturer
Dimensions of
Abutment ScrewLength 8.2mm; 1-72 UNF-2A
ThreadLength 8.2mm; 1-72 UNF-2A
ThreadLength 8.2mm; 1-72 UNF-2A
ThreadSame
Indications for UseThe Ti Prepable Abutments are
designed for use as a terminal or
intermediate abutment for cement
retained prosthesis. It allows for
preparation for the crown to be
attached. It can be used for a
single or multiple-unit restoration.
The abutment is intended to be
prepared and placed with patient
specific margins.The Inclusive Abutment is
intended to be used in
conjunction with endosseous
implants in the maxillary and/or
mandibular arch to provide
support for crowns, bridges or
overdenture prostheses. The
prosthesis can be cement
retained to the abutment. The
abutment screw is intended to
secure the abutment to the
endosseous implant.Inclusive Titanium
Abutments are
premanufactured prosthetic
components directly
connected to endosseous
dental implants and are
intended for use as an aid in
prosthetic rehabilitation.Same Intended
Use. Different
wording in the
Indications for
Use
Platform
CompatibilityZimmer Dental Screw-Vent
3.5, 4.5, 5.7mmZimmer Dental Screw-Vent
3.5, 4.5, 5.7mmZimmer Dental Screw-Vent
3.5, 4.5, 5.7mmSame
ConnectionInternal HexInternal HexInternal HexSame
Design/ConstructionMachinedMachinedMachinedSame
Anatomical SiteOral CavityOral CavityOral CavitySame
Abutment Angle0°-20°0°-30°Similar; increased
angulation range
Implant SeatFlatFlatFlatSame
Screw SeatFlatFlatFlatSame
MaterialTitanium AlloyTitanium AlloyTitanium AlloySame
Predicate Device (1)Predicate Device (2)Proposed Device
Biomet 3i Dental Abutments &
Restorative Components (K072642)Inclusive Abutment for
Zimmer, 3i, and Nobel Biocare
Implants (K073217)Inclusive Titanium
Abutments compatible with:
Biomet 3i Certain ImplantsSimilarities and
Differences
ManufacturerBiometPrismatik Dentalcraft, Inc.Prismatik Dentalcraft, Inc.N/A
Dimensions of
AbutmentHex Dimensions:
2.2mm Across Flats
2.7mm Across FlatsCylindrical Diameter: 9.4mm
Hex Dimensions:
2.2mm Across Flats
2.7mm Across FlatsCylindrical Diameter: 9.4mm
Hex Dimensions:
2.2mm Across Flats
2.7mm Across FlatsSame
Abutment Screw
ManufacturerOEM (Biomet 3i)OEM (Biomet 3i)Inclusive (Prismatik)Equivalent screw
from different
manufacturer
Dimensions of
Abutment ScrewLength: 8.4mm; M1.6 ThreadLength: 8.4mm; M1.6 ThreadLength: 8.4mm; M1.6 ThreadSame
Indications for UseBiomet 3i Dental Abutments are
intended for use as accessories to
endosseous dental implant to support
a prosthetic device in a partially or
completely edentulous patient. A
dental abutment is intended for use to
support single and multiple tooth
prosthesis, in the mandible or maxilla.
The prosthesis can be screw retained
or cement retained.The Inclusive Abutment is
intended to be used in
conjunction with endosseous
implants in the maxillary and/or
mandibular arch to provide
support for crowns, bridges or
overdenture prostheses. The
prosthesis can be cement
retained to the abutment. The
abutment screw is intended to
secure the abutment to the
endosseous implant.Inclusive Titanium Abutments
are premanufactured prosthetic
components directly connected
to endosseous dental implants
and are intended for use as an
aid in prosthetic rehabilitation.Same Intended
Use. Different
Indications for
Use statement.
Platform
CompatibilityBiomet 3i Certain
3.4, 4.1, 5.0, 6.0mmBiomet 3i Certain
3.4, 4.1, 5.0, 6.0mmBiomet 3i Certain
3.4, 4.1, 5.0, 6.0mmSame
ConnectionInternal HexInternal HexInternal HexSame
Design/ConstructionMachinedMachinedMachinedSame
Anatomical SiteOral CavityOral CavityOral CavitySame
Abutment Angle0°-15°0°-20°0°-30°Similar; increased
angulation range
Implant SeatFlatFlatFlatSame
Screw SeatFlatFlatFlatSame
MaterialTitanium AlloyTitanium AlloyTitanium AlloySame
Predicate Device (1)Predicate Device (2)Proposed Device
NobelProcera Ti Abutment
(K091756)Inclusive Abutment for
Zimmer, 3i, and Nobel
Biocare Implants
(K073217)Inclusive Titanium
Abutments compatible
with: Nobel Biocare
NobelReplace ImplantsSimilarities and
Differences
ManufacturerNobel BiocarePrismatik Dentalcraft, Inc.Prismatik Dentalcraft, Inc.N/A
Dimensions of
AbutmentConnection Length: 2.9mmCylindrical Diameter: 9.4mm
Connection Length: 2.9mmCylindrical Diameter: 9.4mm
Connection Length: 2.9mmSame
Abutment Screw
ManufacturerOEM (Nobel Biocare)OEM (Nobel Biocare)Inclusive (Prismatik)Equivalent screw from
different manufacturer
Dimensions of
Abutment ScrewLength 8.3mm; M1.8 ThreadLength 8.3mm; M1.8 ThreadLength 8.3mm; M1.8 ThreadSame
Indications for UseThe NobelProcera Ti
Abutments are
premanufactured prosthetic
components directly connected
to endosseous dental implants
and are intended for use as an
aid in prosthetic rehabilitation.The Inclusive Abutment is
intended to be used in
conjunction with endosseous
implants in the maxillary
and/or mandibular arch to
provide support for crowns,
bridges or overdenture
prostheses. The prosthesis can
be cement retained to the
abutment. The abutment
screw is intended to secure the
abutment to the endosseous
implant.Inclusive Titanium
Abutments are
premanufactured prosthetic
components directly
connected to endosseous
dental implants and are
intended for use as an aid in
prosthetic rehabilitation.Same Intended Use.
Different Indications
for Use statement.
Platform
CompatibilityNobel Biocare NobelReplace
NP, RP, WP, 6.0Nobel Biocare NobelReplace
NP, RP, WP, 6.0Nobel Biocare NobelReplace
NP, RP, WP, 6.0Same
ConnectionInternal TrilobeInternal TrilobeInternal TrilobeSame
Design/ConstructionMachinedMachinedMachinedSame
Anatomical SiteOral CavityOral CavityOral CavitySame
Abutment Angle0°-30°0°-20°0°-30°Similar; increased
angulation range
Implant SeatFlatFlatFlatSame
Screw SeatFlatFlatFlatSame
MaterialTitanium AlloyTitanium AlloyTitanium AlloySame

Comparison of Predicate and Proposed Devices: Zimmer Screw-Vent Platform

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Image /page/7/Picture/0 description: The image shows the logo for Prismatik Dentalcraft, Inc. On the left is a triangle with different colors. The text "PRISMATIK DENTALCRAFT, INC." is on the right in a blue sans-serif font.

Comparison of Predicate and Proposed Devices: Biomet 3i Certain Platform

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Image /page/8/Picture/0 description: The image shows the logo for Prismatik Dentalcraft, Inc. The logo consists of a colorful triangular prism on the left and the company name on the right. The prism is made up of various colors, including pink, purple, blue, and green. The company name is written in a sans-serif font.

Comparison of Predicate and Proposed Devices: Nobel Biocare NobelReplace Platform