K Number
K143515
Device Name
Inclusive® Zirconia Abutments compatible with: Zimmer Screw-Vent, Biomet 3i Certain and Nobel Biocare NobelReplace Implants
Date Cleared
2015-10-01

(294 days)

Product Code
Regulation Number
872.3630
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Inclusive® Zirconia Abutments are premanufactured prosthetic components directly connected to endosseous dental implants and are intended for use as an aid in prosthetic rehabilitation. Inclusive® Zirconia Abutments are compatible with the following bone-level implants: - Biomet 3i™ Certain® internal hex implants with 3.4, 4.1, 5.0, 6.0 mm platform diameters - Nobel Biocare NobelReplace® straight and tapered internal connection implants with NP, RP, WP, 6.0 mm platform diameters - Zimmer Dental Screw-Vent® and Tapered Screw-Vent® internal hex implants with 3.5, 4.5, 5.7 mm platform diameters (excluding 3.3 mmD Screw-Vent implants)
Device Description
Inclusive Zirconia 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. The purpose of this 510(k) filing is to validate our inclusive abutment screw to be used with our Inclusive® Zirconia Abutments that are compatible with the following bone-level implants: - Biomet 3i™ Certain® internal hex implants with 3.4, 4.1, 5.0, 6.0 mm platform diameters - Nobel Biocare NobelReplace® straight and tapered internal connection implants with NP, RP, WP, 6.0 mm platform diameters - Zimmer Dental Screw-Vent® and Tapered Screw-Vent® internal hex implants with 3.5, 4.5, 5.7 mm platform diameters (excluding 3.3 mmD Screw-Vent implants) The predicate device utilizes an OEM abutment screw vs. the inclusive abutment screw used by the proposed device.
More Information

No
The 510(k) summary describes a physical dental abutment and screw, with no mention of software, algorithms, or any AI/ML related terms or functionalities. The performance studies focus on mechanical testing.

No
The device is described as a prosthetic component and an aid in prosthetic rehabilitation, not as a device used for treating a disease or medical condition.

No.

The device is described as a premanufactured prosthetic component for dental implants, intended to provide support for prosthetic rehabilitation. There is no mention of it being used to identify or diagnose a condition.

No

The device description clearly states that the device is a physical component (abutment) and screw, not software.

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

Here's why:

  • Definition of IVD: In vitro diagnostics are tests performed on samples such as blood, urine, or tissue that have been taken from the human body to detect diseases or other conditions.
  • Device Description: The description clearly states that the Inclusive® Zirconia Abutments are "premanufactured prosthetic components directly connected to endosseous dental implants" and are "placed into the dental implant to provide support for a prosthetic restoration." This describes a physical medical device used in vivo (within the body), not a test performed in vitro (outside the body).
  • Intended Use: The intended use is "as an aid in prosthetic rehabilitation," which is a clinical procedure involving the restoration of missing teeth, not a diagnostic test.
  • Lack of IVD Characteristics: The text does not mention any analysis of biological samples, detection of biomarkers, or any other activity typically associated with IVD devices.

Therefore, the Inclusive® Zirconia Abutments are a dental prosthetic device, not an IVD.

N/A

Intended Use / Indications for Use

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

Inclusive® Zirconia Abutments are compatible with the following bone-level implants:

  • Biomet 3i™ Certain® internal hex implants with 3.4, 4.1, 5.0, 6.0 mm platform diameters
  • Nobel Biocare NobelReplace® straight and tapered internal connection implants with NP, RP, WP, 6.0 mm platform diameters
  • Zimmer Dental Screw-Vent® and Tapered Screw-Vent® internal hex implants with 3.5, 4.5, 5.7 mm platform diameters (excluding 3.3 mmD Screw-Vent implants)

Product codes

NHA

Device Description

Inclusive Zirconia 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.

The purpose of this 510(k) filing is to validate our inclusive abutment screw to be used with our Inclusive® Zirconia Abutments that are compatible with the following bone-level implants:

  • Biomet 3i™ Certain® internal hex implants with 3.4, 4.1, 5.0, 6.0 mm platform diameters
  • Nobel Biocare NobelReplace® straight and tapered internal connection implants with NP, RP, WP, 6.0 mm platform diameters
  • Zimmer Dental Screw-Vent® and Tapered Screw-Vent® internal hex implants with 3.5, 4.5, 5.7 mm platform diameters (excluding 3.3 mmD Screw-Vent implants)

The predicate device utilizes an OEM abutment screw vs. the inclusive abutment screw used by the proposed device.

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 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 Fatigue Testing and Static Load Failure Testing of finished assembled implant/abutment systems.

The testing performed demonstrated implant to abutment compatibility and has been used to support the substantial equivalence of the subject device to the identified predicate.

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

Not Found

Predicate Device(s)

K083480

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

Image /page/0/Picture/1 description: The image shows the seal of the U.S. Department of Health and Human Services. The seal features a stylized representation of three human profiles facing right, stacked on top of each other. The profiles are black and are set against a white background. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the left side of the seal.

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

October 1, 2015

Prismatik Dentalcraft, Inc. Mr. Brandon Shepard Regulatory Affairs & Quality Assurance Specialist 2212 Dupont Dr., Suite P Irvine, California 92612

Re: K143515

Trade/Device Name: Inclusive® Zirconia 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: August 27, 2015 Received: August 28, 2015

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 devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (OS) 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/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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, Tina Kiang S

for 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

2

| Form Approved: OMB No. 0910-0120 | DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration |
|---------------------------------------------------------------|-------------------------------------------------------------------------|
| Expiration Date: January 31, 2017
See PRA Statement below. | Indications for Use |

510(k) Number (if known)K143515
Device NameInclusive® Zirconia Abutments compatible with: Zimmer Screw-Vent, Biomet 3i Certain and Nobel Biocare NobelReplace Implants.
Indications for Use (Describe)Inclusive® Zirconia Abutments are premanufactured prosthetic components directly connected to endosseous dental
implants and are intended for use as an aid in prosthetic rehabilitation.

Inclusive® Zirconia Abutments are compatible with the following bone-level implants:
Biomet 3i™ Certain® internal hex implants with 3.4, 4.1, 5.0, 6.0 mm platform diametersNobel Biocare NobelReplace® straight and tapered internal connection implants with NP, RP, WP, 6.0 mm platform diametersZimmer Dental Screw-Vent® and Tapered Screw-Vent® internal hex implants with 3.5, 4.5, 5.7 mm platform diameters (excluding 3.3 mmD Screw-Vent implants) |
| Type of Use (Select one or both, as applicable) | Prescription Use (Part 21 CFR 801 Subpart D) Over-The-Counter Use (21 CFR 801 Subpart C) |

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.

FOR FDA USE ONLY

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Image /page/3/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 several sections, each with a different color. The company name is written in blue, with "PRISMATIK" on the top line and "DENTALCRAFT, INC." on the bottom line.

Image /page/3/Picture/1 description: The image shows a blue rectangle with the number 005 in white font. The rectangle is set against a white background. A thin gray line is visible below the blue rectangle, adding a subtle border to the design.

510(k) Summary

[As Required by 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
Primary Contact Person:Marilyn Pourazar, (949) 225-1269
Senior Director, RA/QA
Date Summary Prepared:September 30, 2015
DEVICE IDENTIFICATION
Trade/Proprietary Name:Inclusive® Zirconia 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

IDENTIFICATION OF PREDICATE DEVICE C.

Trade/Proprietary Name:

  • · Inclusive Zirconia Abutment Blanks (K083480)

DEVICE DESCRIPTION D.

Inclusive Zirconia Abutments are endosseous implant abutments which are placed into the dental implant to provide support for a prosthetic restoration. The

4

Image /page/4/Picture/0 description: The image shows the logo for Prismatik Dentalcraft, Inc. The logo consists of a triangle with a gradient of colors, ranging from pink to blue to yellow. To the right of the triangle is the text "PRISMATIK DENTALCRAFT, INC." in a blue sans-serif font. The text is stacked, with "PRISMATIK" on the top line and "DENTALCRAFT, INC." on the bottom line.

abutment is placed over the implant shoulder and is fastened into the implant with a screw.

The purpose of this 510(k) filing is to validate our inclusive abutment screw to be used with our Inclusive® Zirconia Abutments that are compatible with the following bone-level implants:

  • · Biomet 3i™ Certain® internal hex implants with 3.4, 4.1, 5.0, 6.0 mm platform diameters
  • · Nobel Biocare NobelReplace® straight and tapered internal connection implants with NP, RP, WP, 6.0 mm platform diameters
  • · Zimmer Dental Screw-Vent® and Tapered Screw-Vent® internal hex implants with 3.5, 4.5, 5.7 mm platform diameters (excluding 3.3 mmD Screw-Vent implants)

The predicate device utilizes an OEM abutment screw vs. the inclusive abutment screw used by the proposed device.

E. INDICATIONS FOR USE

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

Inclusive® Zirconia Abutments are compatible with the following bone-level implants:

  • · Biomet 3i™ Certain® internal hex implants with 3.4, 4.1, 5.0, 6.0 mm platform diameters
  • · Nobel Biocare NobelReplace® straight and tapered internal connection implants with NP, RP, WP, 6.0 mm platform diameters
  • · Zimmer Dental Screw-Vent® and Tapered Screw-Vent® internal hex implants with 3.5, 4.5, 5.7 mm platform diameters (excluding 3.3 mmD Screw-Vent implants)

F. NON-CLINICAL TESTING

Non-clinical test data was used to 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. Fatigue Testing and Static Load Failure Testing of finished assembled implant/abutment systems.

5

Image /page/5/Picture/0 description: The image shows the logo for Prismatik Dentalcraft, Inc. On the left is a triangle with a color gradient that includes pink, red, yellow, green, and blue. To the right of the triangle is the company name, "PRISMATIK DENTALCRAFT, INC." in blue font.

The testing performed demonstrated implant to abutment compatibility and has been used to support the substantial equivalence of the subject device to the identified predicate.

G. SUBSTANTIAL EQUIVALENCE

Inclusive® Zirconia Abutments compatible with: Zimmer Screw-Vent, Biomet 3i Certain and Nobel Biocare NobelReplace Implants are substantially equivalent to the Inclusive Zirconia Abutment Blanks (K083480) identified in Section C above. They are substantially equivalent in intended use, materials, design and performance. To confirm the substantial equivalence, applicable performance tests such as Static Failure Load Testing and Fatigue Strength Testing have been performed, and the testing results and evaluations demonstrate the compatibility between the proposed and predicate devices. The detailed discussion and the testing procedure can be found in Section 018 (Performance Testing-Bench). The applicable standards that are used in this submission are listed below:

Applicable Standards
ASTM F136-12aStandard for Wrought Titanium-
6Aluminum-4Vanadium ELI (Extra
Low Interstitial) Alloy for Surgical
Implant Applications
AAMI/ANSI/ISO 10993-1:2009Biological Evaluation of Medical
Devices - Part 1: Evaluation and Testing
within a Risk Management Process
(Biocompatibility)
ISO14801:2007Dentistry - Implants - Dynamic fatigue
test for endosseous dental implants
AAMI/ANSI 17665:-1:2006Sterilization of health care products -
Moist Heat - Part 1: Requirements for
the development, validation and routine
control of a sterilization process for
medical devices
AAMI/ANSI/ISO 17665-2:2009Sterilization of Health Care Products -
Radiation - Part 2: Guidance of on the
application of ISO 17665-1
ANSI/AAMI ST79:2010 &A1:2010 &
A2:2011 & A3:2012 & A4:2013(Consolidated Text) Comprehensive
guide to steam sterilization and sterility
assurance in health care facilities

(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 blue, pink, 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.

AttributesPredicate DeviceProposed Device
Inclusive Zirconia Abutment
Blanks
(K083480)Inclusive Zirconia Abutments
compatible with: Zimmer Screw-
Vent PlatformSimilarities and Differences
ManufacturerPrismatik Dentalcraft, Inc.Prismatik Dentalcraft, Inc.Same
Dimensions of
AbutmentHex Dimensions:
2.4mm Across Flats
3.0mm Across FlatsHex Dimensions:
2.4mm Across Flats
3.0mm Across FlatsSame
Abutment Screw
ManufacturerZimmer (OEM)Prismatik Dentalcraft, Inc.The proposed device includes
the inclusive abutment screw
Dimensions of
Abutment ScrewLength 9mm; 1-72 UNF-2A ThreadLength 9mm; 1-72 UNF-2A ThreadSame
Indications for UseThe Inclusive Zirconia Abutment
Blank is intended to be used in
conjunction with endosseous implant
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 Zirconia 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.
Platform
CompatibilityZimmer Dental Screw-Vent 3.5, 4.5,
5.7mmZimmer Dental Screw-Vent 3.5, 4.5,
5.7mm (not compatible with
3.3mmD implant)Same
ConnectionInternal HexInternal HexSame
Design/ConstructionMachinedMachinedSame
Anatomical SiteOral CavityOral CavitySame
Abutment Angle0°-20°0°-20°Same
Implant SeatSits on a taperSits on a taperSame
Screw SeatSits on a flatSits on a flatSame
MaterialZirconiaZirconiaSame

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

7

AttributesPredicate DeviceProposed Device
Inclusive Zirconia Abutment Blanks
(K083480)Inclusive Zirconia Abutments
compatible with: Biomet 3i Certain
Implant SystemSimilarities and Differences
ManufacturerPrismatik Dentalcraft. Inc.Prismatik Dentalcraft, Inc.Same
Dimensions of
AbutmentHex Dimensions:
2.2mm Across Flats
2.7mm Across FlatsHex Dimensions:
2.2mm Across Flats
2.7mm Across FlatsSame
Abutment Screw
ManufacturerBiomet 3i (OEM)Prismatik Dentalcraft, Inc.The proposed device includes
the inclusive abutment screw
Dimensions of
Abutment ScrewLength 10mm; M1.6 ThreadLength 10mm; M1.6 ThreadSame
Indications for UseThe Inclusive Zirconia Abutment
Blank is intended to be used in
conjunction with endosseous implant
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 Zirconia 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.
Platform
CompatibilityBiomet 3i Certain 3.4, 4.1, 5.0, 6.0mmBiomet 3i Certain 3.4, 4.1, 5.0, 6.0mmSame
ConnectionInternal HexInternal HexSame
Design/ConstructionMachinedMachinedSame
Anatomical SiteOral CavityOral CavitySame
Abutment Angle0°-20°0°-20°Same
Implant SeatSits on a flatSits on a flatSame
Screw SeatSits on a flatSits on a flatSame
MaterialZirconiaZirconiaSame
AttributesPredicate DeviceProposed Device
Inclusive Zirconia Abutment
Blanks
(K083480)Inclusive Zirconia Abutments
compatible with: Nobel Biocare
NobelReplace Implant SystemSimilarities and Differences
ManufacturerPrismatik Dentalcraft, Inc.Prismatik Dentalcraft, Inc.Same
Dimensions of
AbutmentCylindrical Diameter: 9.4mm
Connection Length: .8mmCylindrical Diameter: 9.4mm
Connection Length: .8mmSame
Abutment Screw
ManufacturerNobel Biocare (OEM)Prismatik Dentalcraft, Inc.The proposed device includes
the inclusive abutment screw
Dimensions of
Abutment ScrewLength 8.3mm; M1.8 ThreadLength 8.3mm; M1.8 ThreadSame
Indications for UseThe Inclusive Zirconia Abutment
Blank is intended to be used in
conjunction with endosseous implant
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 Zirconia 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.
Platform
CompatibilityNobel Biocare NobelReplace NP,
RP, WP, 6.0Nobel Biocare NobelReplace NP, RP,
WP, 6.0Same
ConnectionInternal TrilobeInternal TrilobeSame
Design/ConstructionMachinedMachinedSame
Anatomical SiteOral CavityOral CavitySame
Abutment Angle0°-20°0°-20°Same
Implant SeatSits on a flatSits on a flatSame
Screw SeatSits on a flatSits on a flatSame
MaterialZirconiaZirconiaSame

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

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Image /page/8/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 of different colors, including pink, red, yellow, green, blue, and purple. The company name is written in a sans-serif font, with the words "PRISMATIK" and "DENTALCRAFT, INC." stacked on top of each other.

Comparison of Predicate and Proposed Devices: Nobel Biocare NobelReplace Platform