K Number
K151564
Device Name
Telio CAD Abutment Solutions
Date Cleared
2015-09-21

(103 days)

Product Code
Regulation Number
872.3630
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Telio CAD Abutment Solutions is intended for single hybrid abutment crowns for temporary restoration (up to 12 months). The system comprises three parts: - Telio CAD Abutment Solution - Ti base and - CAD/CAM software Telio CAD Abutment Solutions is cemented to the Ti base and used in conjunction with endosseous dental implants.
Device Description
Telio CAD Abutment Solutions are resin blocks with an interface hole in Small and large sizes to accommodate Sirona Ti bases (K100152 and K111421) in the fabrication of temporary hybrid abutment crowns. The Device is milled using CAD/CAM Technology then cemented to the Sirona Ti base and used for the purpose of temporary hybrid abutment crowns in coniunction with endosseous dental implants. Hybrid abutment crowns are characterized by combining a Ti base and monolithic crown in one piece. Telio® CAD Abutment Solutions are CAD/CAM-fabricated implant-supported hybrid restorations for individual, temporary single-tooth reconstructions. The material consists of a cross-linked polymer block (PMMA), enabling the fabrication of individual, monolithic hybrid abutment crowns which are directly cemented to a Ti base. Shape, esthetics and emergence profile can be easily designed and adjusted any time.
More Information

No
The summary describes a CAD/CAM system for fabricating temporary dental restorations using resin blocks and a Ti base. While it uses CAD/CAM technology, there is no mention of AI or ML in the device description, intended use, or performance studies. The focus is on material properties and mechanical performance.

Yes

The device is intended for temporary restoration of single hybrid abutment crowns, used in conjunction with dental implants. Its function of providing a temporary dental restoration is a therapeutic purpose.

No

The device is a temporary restoration (hybrid abutment crowns) for dental implants, not a tool used for diagnosis. Its purpose is to physically replace missing dental structures temporarily.

No

The device description clearly states it is a resin block (PMMA) and mentions physical testing (flexural strength, hardness, fatigue, biocompatibility), indicating it is a physical material/device, not solely software. While CAD/CAM software is mentioned as part of the system, the device itself is the physical resin block.

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 "single hybrid abutment crowns for temporary restoration" and is "cemented to the Ti base and used in conjunction with endosseous dental implants." This describes a device used in vivo (within the body) for structural support and restoration, not for testing samples in vitro (outside the body) to diagnose a condition.
  • Device Description: The description details a "resin block" that is "milled using CAD/CAM Technology then cemented to the Sirona Ti base and used for the purpose of temporary hybrid abutment crowns." This further reinforces its use as a physical component for dental restoration.
  • Lack of Diagnostic Function: There is no mention of the device being used to analyze biological samples (blood, urine, tissue, etc.) or to provide information for the diagnosis, monitoring, or treatment of a disease or condition based on such analysis.
  • Performance Studies: The performance studies focus on mechanical properties (flexural strength, hardness, fatigue) and biocompatibility, which are relevant for a device used in vivo for structural purposes, not for an IVD.

In summary, the device is a dental prosthetic component used for temporary restoration in conjunction with dental implants, which falls under the category of a medical device used in vivo, not an IVD.

N/A

Intended Use / Indications for Use

Telio CAD Abutment Solutions is intended for single hybrid abutment crowns for temporary restoration (up to 12 months). The system comprises three parts:

  • Telio CAD Abutment Solution -
  • Ti base and -
  • CAD/CAM software -

Telio CAD Abutment Solutions is cemented to the Ti base and used in conjunction with endosseous dental implants.

The compatible implant systems, CAD/CAM Systems and Ti bases are shown below:

Implant Systems: Straumann Bone Level Implant (K053088), Biomed 3i Certain (K014235)

CAD/CAM Systems: Sirona inLab and CEREC SW 4.2 and above

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

NHA

Device Description

Telio CAD Abutment Solutions are resin blocks with an interface hole in Small and large sizes to accommodate Sirona Ti bases (K100152 and K111421) in the fabrication of temporary hybrid abutment crowns. The Device is milled using CAD/CAM Technology then cemented to the Sirona Ti base and used for the purpose of temporary hybrid abutment crowns in coniunction with endosseous dental implants. Hybrid abutment crowns are characterized by combining a Ti base and monolithic crown in one piece.

Telio® CAD Abutment Solutions are CAD/CAM-fabricated implant-supported hybrid restorations for individual, temporary single-tooth reconstructions. The material consists of a cross-linked polymer block (PMMA), enabling the fabrication of individual, monolithic hybrid abutment crowns which are directly cemented to a Ti base. Shape, esthetics and emergence profile can be easily designed and adjusted any time.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

edentulous mandibles and maxillae

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)

Testing Summary:

  • (a) The device has been tested for flexural strength. Flexural modulus. Water absorption and Solubility according to EN ISO 10477:2004 Dentistry - Polymer based crown and bridge materials and the results are comparable to the predicate Device TelioCAD.
  • (b) An internal Ball Hardness test was also conducted and showed comparable results with the predicate.
  • (c) Dynamic fatigue testing for these implant systems (worst case) with Telio CAD Abutment Solutions has been carried out according to EN ISO 14801:2007 Dentistry – Implants – Dynamic fatigue test for endosseous dental implants (ISO 14801:2007) and shows the performance to be suitable for use as a temporary abutment and comparable to the predicate device.
  • (d) Biocompatibility testing and evaluation was also carried out according to ISO 10993-1 and ISO 7504.

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.

IPS e.max CAD Abutment Solutions (K132209), Straumann CARES Variobase Temporary Abutments (K120822), Telio CAD (K093708)

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.

K120822

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.)

0

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an image of three stylized human profiles facing to the right, with a stylized eagle above them.

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

September 21,2015

Ivoclar Vivadent Ag % Donna Hartnett Director OA/Regulatory Affairs Ivoclar Vivadent, Inc. 175 Pineview Drive Amherst, New York 14228

Re: K151564

Trade/Device Name: Telio CAD Abutment Solutions Regulation Number: 21 CFR 872.3630 Regulation Name: Endosseous Dental Implant Abutment Regulatory Class: Class II Product Code: NHA Dated: August 19, 2015 Received: August 20, 2015

Dear Ms. Hartnett:

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.

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

1

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,

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

2

Indications for Use

510(k) Number (if known) K151564

Device Name

Telio CAD Abutment Solutions

Indications for Use (Describe)

Telio CAD Abutment Solutions is intended for single hybrid abutment crowns for temporary restoration (up to 12 months). The system comprises three parts:

  • Telio CAD Abutment Solution

  • Ti base and

  • CAD/CAM software

Telio CAD Abutment Solutions is cemented to the Ti base and used in conjunction with endosseous dental implants. The compatible implant system, CAD/CAM Systems and Ti bases arc shown below:

Implant Systems: Straumann Bone Level Implant (K0530g8), Biomed 3i Certain (K014235)

CAD/CAM System & Software: Sirona inLab and CEREC SW 4.2 and above (K100152 and K111421).

Titanium bases (K100152 and K111421):
Implant ManufacturerImplant SystemImplant DiameterTiBaseSirona RefInterface Size
StraumannBone Level RC4.1/4.8S BL 4.16308337L
Biomct 3iCertain3.4BC 3.46308048S
Certain4.1BC 4.16308097L
Certain5.0DC 5.06308121L

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

3

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The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

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4

510(K) SUMMARY Rev 8.19.2015 Telio CAD Abutment Solutions

Image /page/4/Picture/1 description: The image shows the logo for Ivoclar Vivadent, a dental company. The logo features the company name in blue and green, with the words "passion vision innovation" written in a smaller font below. Above the company name are several green and blue circles and squares. The logo is simple and modern, and it conveys a sense of professionalism and innovation.

Contact: Donna Marie Hartnett

Company:Ivoclar Vivadent, AG
Bendererstrasse 2, Schaan, FL-9494, Liechtenstein
+423-235-3535
Date Prepared:August 19, 2015
Proprietary Name:Telio CAD Abutment Solutions
Classification Name:Abutment, Implant dental endosseous (872.3630)
(Classification Code NHA)
Predicate Device:IPS e.max CAD Abutment Solutions (K132209)
Straumann CARES Variobase Temporary Abutments (K120822)
Telio CAD (K093708)

Device Description: Telio CAD Abutment Solutions are resin blocks with an interface hole in Small and large sizes to accommodate Sirona Ti bases (K100152 and K111421) in the fabrication of temporary hybrid abutment crowns. The Device is milled using CAD/CAM Technology then cemented to the Sirona Ti base and used for the purpose of temporary hybrid abutment crowns in coniunction with endosseous dental implants. Hybrid abutment crowns are characterized by combining a Ti base and monolithic crown in one piece.

Telio® CAD Abutment Solutions are CAD/CAM-fabricated implant-supported hybrid restorations for individual, temporary single-tooth reconstructions. The material consists of a cross-linked polymer block (PMMA), enabling the fabrication of individual, monolithic hybrid abutment crowns which are directly cemented to a Ti base. Shape, esthetics and emergence profile can be easily designed and adjusted any time.

Intended Use:

Telio CAD Abutment Solutions is intended for single hybrid abutment crowns for temporary restoration (up to 12 months). The system comprises three parts:

  • Telio CAD Abutment Solution -
  • Ti base and -
  • CAD/CAM software -

Telio CAD Abutment Solutions is cemented to the Ti base and used in conjunction with endosseous dental implants.

The compatible implant systems, CAD/CAM Systems and Ti bases are shown below:

Implant Systems: Straumann Bone Level Implant (K053088), Biomed 3i Certain (K014235)

CAD/CAM Systems: Sirona inLab and CEREC SW 4.2 and above

5

510(K) SUMMARY Rev 8.19.2015 Telio CAD Abutment Solutions

Image /page/5/Picture/1 description: The image shows the logo for Ivoclar Vivadent. The logo is in blue and green. The word "ivoclar" is in blue, and the word "vivadent" is in blue below it. Above the words are a series of green and blue dots and squares arranged in an arc.

passion vision innovation

| Implant
Mfg. | Implant
System | Implant
Diameter (mm) | Ti Base | Sirona Ref. | Interface size |
|-----------------|-------------------|--------------------------|----------|-------------|----------------|
| Straumann | Bone Level RC | 4.1/4.8 | S BL 4.1 | 6308337 | L |
| Biomet 3i | Certain | 3.4 | BC 3.4 | 6308048 | S |
| | | 4.1 | BC 4.1 | 6308097 | L |
| | | 5.0 | BC 5.0 | 6308121 | L |

Titanium bases (K100152 and K111421):

Technological Characteristics: Telio CAD Abutment Solutions is a PMMA temporary restorative material (for periods up to 12 months) used with the Sirona Ti base. The device is currently indicated for use with a limited range of implant systems. Telio CAD Abutment Solutions is currently also limited to hybrid abutment crowns (i.e. top half of abutment mixed with full crown over Ti base abutment bottom-half). The contraindications are consistent with those of IPS e.max CAD Abutment Solutions and reflect the temporary usage of Telio CAD Abutment Solutions.

Specific design parameters for optimum performance are recommended. These are compared with those of the predicate device Straumann CARES Variobase Temporary Abutments (also a PMMA material). The following minimum thicknesses are defined for the hybrid abutment crown restoration:

Occlusal: minimum 1.5 mm Circular: minimum 0.8 mm in the transition area to the Ti base rim: minimum 0.5 mm Maximum angle 20º

The width of the hybrid abutment crown is limited to 6.0 mm from the axial height of contour to the screw channel. Depending on the dimensions of the Ti base interface (S or L) the block is selected to match. The recommendations of the implant manufacturer regarding maximum height must be observed.

Concerning the recommended sterilization procedure these are the same as the previously cleared predicate Straumann CARES Variobase Temporary Abutments, which is also a PMMA temporary abutment material.

Testing Summary:

  • (a) The device has been tested for flexural strength. Flexural modulus. Water absorption and Solubility according to EN ISO 10477:2004 Dentistry - Polymer based crown and bridge materials and the results are comparable to the predicate Device TelioCAD.
  • (b) An internal Ball Hardness test was also conducted and showed comparable results with the predicate.
  • (c) Dynamic fatigue testing for these implant systems (worst case) with Telio CAD Abutment Solutions has been carried out according to EN ISO 14801:2007 Dentistry – Implants – Dynamic fatigue test for endosseous dental implants (ISO 14801:2007) and shows the performance to be suitable for use as a temporary abutment and comparable to the predicate device.
  • (d) Biocompatibility testing and evaluation was also carried out according to ISO 10993-1 and ISO 7504.

6

510(K) SUMMARY

Image /page/6/Picture/1 description: The image shows the logo for Ivoclar Vivadent. The logo is in blue and green. The word "ivoclar" is on top of the word "vivadent". Above the words are a series of green and blue circles and squares.

passion vision innovation

Summary Substantial Equivalence compared to Predicate Device
Device NameTelio CAD Abutment
Solutions K151564Primary predicate:
IPS e.max CAD
Abutment Solutions
K132209Straumann
CARES
Variobase
Temporary
abutments
K120822Telio CAD
K093708
Company NameIvoclar Vivadent AGIvoclar Vivadent AGStraumannIvoclar Vivadent
AG
510(k) No.K151564K132209K120822K093708
Product CodeNHANHANHAEBG
Compatible Implant
TypesSt Bone Level RC
4.1,4.8 (K053088)
Biomet Certain 3.4
Biomet Certain 4.1
Biomet Certain 5.0
(K014235)NB Replace NP 3.5
NB Replace RP 4.3
NB Replace WP 5.0
NB Replace 6.0
NB Active NP 3.5
NB Active RP 4.3,5.0
St Bone Level NC 3.3
St Bone Level RC
4.1,4.8
Biomet Certain 3.4
Biomet Certain 4.1
Biomet Certain 5.0Straumann NNC,
RN, WN, NC, RCNot relevant
Indications for Use
or Intended useSingle hybrid abutment
crowns for temporary
restoration (up to 12
months)In partially or fully
edentulous mandibles
and maxillae in support
of single cement-
retained restorations.Temporary
restoration (up to
180 days) of a
Straumann dental
implantFor temporary
crowns and
bridges
Custom Design
Maximal abutment
angulation20°20°No informationNot relevant
Abutment diameterLimited by oral situation.
Max width is limited to
6mm from axial height
of contour to the screw
channelLimited by oral situation.
Max width is limited to
6mm from axial height
of contour to the screw
channelNo informationNot relevant
Abutment heightFollow recommendation
of implant manufacturerFollow recommendation
of implant manufacturerNo informationNot relevant
RetentionAbutment parts luted
with self-curing luting
compositeAbutment parts luted
with self-curing luting
compositeCoping cemented
to abutmentRestoration
luted with dual
cure temporary
luting composite
to core
Abutment fixationScrewedScrewedScrewedNot relevant
1 or 2 piece
abutment2 piece: Telio CAD with
TiBase2 piece: IPS e.max CAD
with TiBase2 piece: coping
with abutmentNot relevant
CAD/CAM
processingTelioCAD milled with
Sirona CEREC/inLab
TiBase milled in
manufacturer's
production facilityIPS e.max CAD milled
with Sirona
CEREC/inLab
TiBase milled in
manufacturer's
production facilityStraumann
CARES Scan,
Straumann milling
centreSirona
CEREC/inLab,
PlanMill
Device NameTelio CAD Abutment
Solutions K151564Primary predicate:
IPS e.max CAD
Abutment Solutions
K132209Straumann
CARES
Variobase
Temporary
abutments
K120822Telio CAD
K093708
Material
AbutmentMetal Base titanium
Coping - PMMA
Screw - TitaniumMetal Base - titanium
Coping - Ceramic
Screw - TitaniumPMMA + titanium-
aluminium-
niobium alloyNot relevant
ScrewPart of implant systemPart of implant systemTitanium-
aluminium-
niobiumNot relevant
Mechanical TestingDynamic fatigue testing.Dynamic fatigue
testing.Dynamic fatigue
testing. The test
specimens
passed the
predefined
acceptance
criteria.Physical
property testing.
The test
specimens pass
the predefined
acceptance
criteria.
SterileNoNoNoNo
ReusableNoNoNoNo
Principles of
Operation (for the
Dentist/Technician)Scanning
Designing
Milling
Luting
FinishingScanning
Designing
Milling
Luting
FinishingScanning
Designing
Screwing.
Milling, luting and
finishing providedScanning
Designing
Milling
Finishing
Temporary

7

510(K) SUMMARY Rev 8.19.2015 Telio CAD Abutment Solutions

Image /page/7/Picture/1 description: The image shows the logo for Ivoclar Vivadent. The logo is in blue and green. The word "ivoclar" is in blue, and the word "vivadent" is in blue below it. Above the words are a series of green and blue dots and squares.

passion vision innovation

CONCLUSION: Telio CAD Abutment Solutions is a variation on the previously cleared predicate Telio CAD. Telio CAD Abutment Solutions is used as a temporary hybrid abutment crown in conjunction with the Sirona Ti base which can later be permanently restored using IPS e.max CAD Abutment Solutions. The subject device differs from the primary predicate device KK132209 in that the primary predicate is a permanent abutment. This difference is addressed by use of a reference predicate K120822 which is also a temporary abutment device. The subject device also is intended for use up to 12 months, while the reference predicate K120882 is intended for use up to 6 months; the sponsor performed additional and extensive testing to support the additional 6 months temporary use of the subject device. The documentation show that Telio CAD Abutment Solutions is substantially equivalent to the predicate devices, IPS e.max CAD Abutment Solutions, Straumann CARES Variobase Temporary Abutments and Telio CAD.