K Number
K151608
Device Name
4plus6Line Abutment System
Manufacturer
Date Cleared
2016-04-13

(303 days)

Product Code
Regulation Number
872.3630
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The 4plus6Line Abutment is a premanufactured prosthetic component intended for use as an aid in prosthetic rehabilitation.
Device Description
The abutment is available in several diameters and angulations. The straight and the 17° angled versions are available as compatible with implant bodies in diameters of 3.8mm, 4.1, and 5.0. A 30° angled version is also available for the 4.1mm and 5.0 diameter implant bodies. All abutments are made from titanium grad 5 acc. to ASTM F-136. The abutments are compatible with implant bodies contained in the OT-F" Implant System. The abutment system contains both titanium and POM cylinders as well as healing abutments.
More Information

No
The device description and performance studies focus on the mechanical properties and compatibility of a dental abutment, with no mention of AI/ML or related concepts.

No
Explanation: The device is a prosthetic component (abutment) for dental implants, which aids in prosthetic rehabilitation by connecting aprosthesis to an endosseous dental implant. It is not designed to treat or cure a disease or condition itself, but rather to support a prosthetic restoration.

No
The device is described as a "premanufactured prosthetic component intended for use as an aid in prosthetic rehabilitation," which indicates it is a therapeutic or reconstructive device, not a diagnostic one.

No

The device description clearly states it is a premanufactured prosthetic component made from titanium, indicating it is a physical hardware device, not software.

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

Here's why:

  • Intended Use: The intended use is "as an aid in prosthetic rehabilitation," specifically for use with an endosseous dental implant system. This is a therapeutic or restorative purpose, not a diagnostic one.
  • Device Description: The device is a premanufactured prosthetic component (an abutment) made of titanium. This is a physical component used in a surgical/dental procedure.
  • Lack of Diagnostic Elements: There is no mention of the device being used to test samples (blood, urine, tissue, etc.) or to provide information about a patient's health status or disease.
  • Anatomical Site: The anatomical site is an "Endosseous Dental Implant System," which is a physical location in the body where the device is implanted or attached.
  • Performance Studies: The performance studies mentioned are engineering studies related to fatigue testing, which are relevant to the structural integrity of a physical implant component, not the diagnostic accuracy of a test.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device does not fit that description.

N/A

Intended Use / Indications for Use

The 4plus6Line Abutment is a premanufactured prosthetic component intended for use as an aid in prosthetic rehabilitation.

Product codes

NHA

Device Description

The abutment is available in several diameters and angulations. The straight and the 17° angled versions are available as compatible with implant bodies in diameters of 3.8mm, 4.1, and 5.0. A 30° angled version is also available for the 4.1mm and 5.0 diameter implant bodies. All abutments are made from titanium grad 5 acc. to ASTM F-136. The abutments are compatible with implant bodies contained in the OT-F" Implant System. The abutment system contains both titanium and POM cylinders as well as healing abutments.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

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)

Brief Discussion of Clinical Studies were not conducted, or deemed necessary, for the purpose of this 510(k) submission.
Engineering studies were conducted as per ISO standard 14801:2003 (E) – (Dentistry – Fatigue test for endosseous dental implants). Testing revealed a stable screw joint at the highest forces tested.

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

Not Found

Predicate Device(s)

K072570

Reference Device(s)

K113113, K151432

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.)

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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 is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract image of three faces in profile, stacked on top of each other, forming a stylized human figure.

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

April 13, 2016

OT medical GmbH Ms. Martina Behlau Quality Manager/Manager Regulatory Affairs Konsul-Smidt-Straße 8b Bremen 28217 GERMANY

Re: K151608

Trade/Device Name: 4plus6Line Abutment System Regulation Number: 21 CFR 872.3630 Regulation Name: Endosseous Dental Implant Abutment Regulatory Class: Class II Product Code: NHA Dated: March 15, 2016 Received: March 16, 2016

Dear Ms. Martina Behlau:

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.

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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 vours.

Erin | Keith -S

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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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: January 31, 2017 See PRA Statement below.

510(k) Number (if known) K151608

Device Name

4plus6Line Abutment System for Endosseous Dental Implant System OT-F2

Indications for Use (Describe)

The 4plus6Line Abutment is a premanufactured prosthetic component intended for use as an aid in prosthetic rehabilitation.

Type of Use (Select one or both, as applicable)

X Prescription Use (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 801 Subpart C)

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DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

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510(K) PREMARKET NOTIFICATION SUMMARY K151608

Name/Address of submitter: OT medical GmbH Konsul-Smidt-Str. 8b D-28217 Bremen/Germany

Establishment Registration Number: 10033109

Contact Person: Martina Behlau Phone ++49-421-557161-15 Fax ++49-421-557161-95

Date Summary Prepared: April 11, 2016

Trade Name: 4plus6Line Abutment System

Common name: Dental Abutment

Device Classification Name: Endosseous dental implant abutment

Device Classification Regulation Number: CFR 872.3630

Classification Product code: NHA

Device Regulatory Status: Class II Special Controls

Purpose: The purpose of this 510(k) is to obtain clearance for sale in the U.S.A. for the 4plus6Line Abutment System as an extension of the dental abutments previously cleared in the OT-F2 Dental Implant System.

Predicate Devices: K072570 Nobelactive Multi Unit Abutment (primary predicate) K113113 OT medical Endosseous Dental Implant System as reference predicate K151432 OT medical NaturalLine Abutment (Endosseous Dental Implant Abutment) as reference predicate for fatigue testing

Device Description: The abutment is available in several diameters and angulations. The straight and the 17° angled versions are available as compatible with implant bodies in diameters of 3.8mm, 4.1, and 5.0. A 30° angled version is also available for the 4.1mm and 5.0 diameter implant bodies. All abutments are made from titanium grad 5 acc. to ASTM F-136. The abutments are compatible with implant bodies contained in the OT-F" Implant System. The abutment system contains both titanium and POM cylinders as well as healing abutments.

Indication for Use: The 4plus6 Line Abutment is a premanufactured prosthetic component intended for use as an aid in prosthetic rehabilitation.

Technological Characteristics: The physical properties and designs of the abutment for the 4plus6Line Abutment System were compared with the legally marketed predicate devices. The technological characteristics were comparable:

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Comparison of Properties and Features of OT medical's 4plus6Line Abutment System to Predicate device

OT-F2 4plus6LineMulti Unit Abutment (K072570)
Specification of MaterialAll abutments: Titanium Grade 5
acc. to ASTM-F 136Angled Abutments: Titanium Grade
5 acc. to ASTM-F 136
Straight abutments and Temporary
Coping: Titan Grade 1 (pure
Titanium)
Abutment Angle:0° / 17° / 30°0° / 17° / 30°
Exterior geometry:Straight abutments non-engagingStraight abutments non-engaging
Angled abutments engagingAngled abutments engaging
Socket heights1,5 / 3mm1,5 / 2,5 / 3,5 / 4,5 mm
surface treatmentPure machined surface with
anodization in the implant-
connecting-areaPure machined surface
Sterilization0°, 17° and 30° abutments are
sterilized by irradiation0°, 17° and 30° abutments are
sterilized by irradiation
Cylinder Titan is sold unsterileTemporary Coping is sold unsterile
Accessories for abutmentsabutment screw for each
abutment includedabutment screw for each abutment
included
Cylinder Titan inclusive Prosthetic
screwTemporary Coping Multi-unit
Abutment (with Prosthetic screw)
IndicationsThe 4plus6 Line Abutment is a
premanufactured
prosthetic
component intended for use as
an aid in prosthetic
rehabilitation.NobelActive Multi Unit Abutment is
a pre-manufactured prosthetic
component directly connected to
the endosseous dental implant and
is intended for use as an aid in
prosthetic rehabilitation.

Brief Discussion of Clinical Studies were not conducted, or deemed necessary, for the purpose of this 510(k) submission.

Non-Clinical Testing:

Submitted on
Validation Sterilization
- Microbiological Performance MDS Test 103706-10Oct. 19, 2011
- Dose mappingDec 04, 2012
Packaging validation
- Ageing Study over 5 years by MDS, Test 094466-10Oct. 19, 2011
- Ageing Study real time aging 5 years by MDS, Test 142775-10 (dye penetration test)June 04, 2014
- Ageing Study real time aging 5 years by MDS, Test 151504-10 (microbial properties)April 09, 2015
Surface analysis:

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- Test Cytotoxicity abutments, MDS report no. 123335-20July 30, 2012
- Report cleaning validation_2013RV02-2010Sept 18, 2013

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Brief Discussion of Engineering Studies: Engineering studies were conducted as per ISO standard 14801:2003 (E) – (Dentistry – Fatigue test for endosseous dental implants). Testing revealed a stable screw joint at the highest forces tested.

Conclusions Drawn: The OT-F² 4plus6Line Abutment System and associated components have the same intended use as, and technological characteristics similar to, the legally marketed predicate devices. The information and data provided in the submission demonstrates that the proposed device is substantially equivalent to its declared predicate.