K Number
K152787
Device Name
ST Internal Fixture System
Date Cleared
2016-07-22

(301 days)

Product Code
Regulation Number
872.3640
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The ST Internal Fixture System is intended to be placed in the upper or lower jaw to support prosthetic devices, such as artificial teeth, and to restore a patient's chewing function. This may be accomplished using either a two stage surgical procedure or a single stage surgical procedure. The ST Internal Fixture System is intended for use for immediate loading when good primary stability is achieved and with appropriate occlusal loading.
Device Description
The ST Internal Fixtures are made with Grade 4 titanium. The systems consist of one-stage and two-stage root form dental implants, associated with abutment systems, which provide the dentist with screw and cement retained restoration options. The devices covered by this submission are ST internal fixture, screw and abutment. The diameters of ST internal fixtures are 3.5 mm, 4.0 mm, 4.5 mm, and 5.0 mm, and the lengths are 7.0 mm, 8.5 mm, 10.0 mm, 11.5 mm, 13.0 mm, and 15.0 mm.
More Information

No
The 510(k) summary describes a dental implant system made of titanium. There is no mention of AI, ML, image processing, or any software component that would suggest the use of such technologies. The performance studies focus on material properties and mechanical performance.

Yes
The device is described as "supporting prosthetic devices, such as artificial teeth, and to restore a patient's chewing function," which are therapeutic functions.

No
Explanation: The device is a dental implant system intended to support prosthetic devices and restore chewing function, which is a therapeutic rather than diagnostic purpose.

No

The device description explicitly states the device is made of Grade 4 titanium and consists of physical components like fixtures, screws, and abutments. It also details physical dimensions and surface treatments. There is no mention of software as a component or the primary function of the device.

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

Here's why:

  • Intended Use: The intended use is to be placed in the jaw to support prosthetic devices and restore chewing function. This is a surgical implant for a therapeutic purpose.
  • Device Description: The device is a dental implant system made of titanium, designed to be surgically implanted.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or treatment. The device itself is the treatment.

IVD devices are used in vitro (outside the body) to analyze samples. This device is used in vivo (inside the body) as a medical implant.

N/A

Intended Use / Indications for Use

The ST Internal Fixture System is intended to be placed in the upper or lower jaw to support prosthetic devices, such as artificial teeth, and to restore a patient's chewing function. This may be accomplished using either a two stage surgical procedure or a single stage surgical procedure.

The ST Internal Fixture System is intended for use for immediate loading when good primary stability is achieved and with appropriate occlusal loading.

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

DZE, NHA

Device Description

The ST Internal Fixtures are made with Grade 4 titanium. The systems consist of one-stage and two-stage root form dental implants, associated with abutment systems, which provide the dentist with screw and cement retained restoration options.

The devices covered by this submission are ST internal fixture, screw and abutment. The diameters of ST internal fixtures are 3.5 mm, 4.0 mm, 4.5 mm, and 5.0 mm, and the lengths are 7.0 mm, 8.5 mm, 10.0 mm, 11.5 mm, 13.0 mm, and 15.0 mm.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

upper or lower jaw

Indicated Patient Age Range

Not Found

Intended User / Care Setting

dentist

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)

A series of tests were performed to assess the proposed device is substantially equivalent to the predicate devices. All the test results demonstrate that ST Internal Fixture System meets the requirements of its pre-defined acceptance criteria and intended use.

  • Sterilization Test (leveraged from own K132992 predicate)
  • A Shelf Life Test (leveraged from own K052369 predicate)
  • A Biocompatibility testing (leveraged from own K052369 predicate):
    • Cytotoxicity Test
    • Intracutaneous Reactivity Test
    • Maximization Sensitization Test
    • Systemic Injection Test (Intravenous Injection)
    • Pyrogen Test
    • 90-Day Bone Implantation Study
  • Performance testing:
    • Fatigue test
      A fatigue test is required to evaluate the stability of implant system in oral cavity. The fatigue testing has been conducted on the proposed device in accordance with ISO 14801. Test results comply with ISO14801. It approves the proposed device is substantially equivalent to the predicate devices.
    • RBM surface coating
      ST Internal Fixtures and the predicate devices undergo an implant surface treatment of Resorbable Blast Media (RBM). The cleaning validation test and SEM/EDX analysis have been conducted on the proposed device to verify that any particles or chemicals used to remove particles have been washed from the surface.

No additional clinical testing was necessary for a determination of substantial equivalence. The results of non-clinical testing indicated the device was found to be substantially equivalent to the predicate devices.

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.

K132992, K052369

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.

K052369

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

Image /page/0/Picture/1 description: The image shows the logo for the United States Department of Health and Human Services. The logo consists of a circular seal with the text "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

July 22, 2016

T-Plus Implant Tech. Co., Ltd. Dana Cheng Ouality Assurance No. 41, Wuquan 6th Rd., Wugu Dist., New Taipei City, 24889 TAIWAN

Re: K152787

Trade/Device Name: ST Internal Fixture System Regulation Number: 21 CFR 872.3640 Regulation Name: Endosseous Dental Implant Regulatory Class: II Product Code: DZE, NHA Dated: June 17, 2016 Received: June 21, 2016

Dear Dana Cheng:

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,

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

T-Plus Implant Tech. Co., Ltd. 510(k) Notification

ST Internal Fixture System

Indications for Use

510(k) Number (if known): K152787 ST Internal Fixture System Device Name: Indications for Use:

The ST Internal Fixture System is intended to be placed in the upper or lower jaw to support prosthetic devices, such as artificial teeth, and to restore a patient's chewing function. This may be accomplished using either a two stage surgical procedure or a single stage surgical procedure.

The ST Internal Fixture System is intended for use for immediate loading when good primary stability is achieved and with appropriate occlusal loading.

Prescription Use (Part 21 CFR 801 Subpart D)

AND/OR

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

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Page 1 of 1

3

ST Internal Fixture System

510(k) Summary

5.1Type of Submission:Traditional
5.2Preparation Date:06/17/2016
5.3Submitter:T-Plus Implant Tech. Co., Ltd.
No.41, Wuquan 6th Rd., Wugu Dist., New
Taipei City 24889, Taiwan (R.O.C)
Phone: 886-2-22981950
Fax: 886-2-22984353
Contact: Dana Cheng (tplus.dana@gmail.com)

5.4 Identification of the Device: ST Internal Fixture System Proprietary/Trade name: Endosseous dental implant Classification Name: Device Classification: II Dental Panel: 872.3640 Regulation Number: DZE Primary Product code: Subsequent Product code: NHA

5.5 Primary Predicate Device (K132992):

| Predicate Device Name: | Ti Star Implant System
T-Plus Implant Tech. Co., Ltd. |
|--------------------------|----------------------------------------------------------|
| Device Classification: | II |
| Review Panel: | Dental |
| Regulation Number: | 872.3640 |
| Primary Product code: | DZE |
| Subsequent Product code: | NHA |

4

ST Internal Fixture System

5.6Reference Predicate Device (K052369):
Predicate Device Name:ExFeel Dental Implant System
Manufacturer:MegaGen Co., Ltd.
Device Classification:II
Review Panel:Dental
Regulation Number:872.3640
Product Code:DZE

5.7 Intended Use and Indications for Use of the subject device

The ST Internal Fixture System is intended to be placed in the upper or lower jaw to support prosthetic devices, such as artificial teeth, and to restore a patient's chewing function. This may be accomplished using either a two stage surgical procedure or a single stage surgical procedure.

The ST Internal Fixture System is intended for use for immediate loading when good primary stability is achieved and with appropriate occlusal loading.

5.8 Device Description

The ST Internal Fixtures are made with Grade 4 titanium. The systems consist of one-stage and two-stage root form dental implants, associated with abutment systems, which provide the dentist with screw and cement retained restoration options.

The devices covered by this submission are ST internal fixture, screw and abutment. The diameters of ST internal fixtures are 3.5 mm, 4.0 mm, 4.5 mm, and 5.0 mm, and the lengths are 7.0 mm, 8.5 mm, 10.0 mm, 11.5 mm, 13.0 mm, and 15.0 mm.

5

| Component | Specification (mm) | | | | Angulation
range |
|---------------------|----------------------------|-----------|----------------------------|----------------------------|---------------------|
| | D | L | cuff | Post H | |
| ST Cover Screw | 3.15, 3.35,
3.7, 3.9 | N/A | N/A | 0.4, 2.0 | N/A |
| ST Healing screw | 4.0, 4.5, 5.0,
6.0, 7.0 | N/A | N/A | 3.0, 4.0, 5.0,
6.0, 7.0 | N/A |
| ST Abutment screw | 2.3, 2.5 | 10.8, 8.6 | N/A | N/A | N/A |
| ST EZ Post Abutment | 4.5, 5.0, 6.0,
7.0 | N/A | 1.0, 2.0, 3.0,
4.0, 5.0 | 4.0, 5.5, 7.0 | N/A |
| ST Solid Abutment | 4.0, 4.5, 5.0,
6.0, 7.0 | N/A | 1.0, 2.0, 3.0,
4.0, 5.0 | 4.0, 5.5, 7.0 | N/A |
| ST Angled Abutment | 4.0, 5.0, 6.0 | N/A | 1.0, 2.0, 3.0,
4.0, 5.0 | N/A | 15°, 25° |

The range of diameters and angulations for each screw model and abutment model are provided as below:

5.9 Non-clinical Testing

A series of tests were performed to assess the proposed device is substantially equivalent to the predicate devices. All the test results demonstrate that ST Internal Fixture System meets the requirements of its pre-defined acceptance criteria and intended use.

  • Sterilization Test (leveraged from own K132992 predicate)

  • A Shelf Life Test (leveraged from own K052369 predicate)
  • A Biocompatibility testing (leveraged from own K052369 predicate):
    • Cytotoxicity Test ●
    • Intracutaneous Reactivity Test
    • . Maximization Sensitization Test
    • . Systemic Injection Test (Intravenous Injection)
    • Pyrogen Test ●
    • . 90-Day Bone Implantation Study

6

  • Performance testing:

    • Fatigue test

A fatigue test is required to evaluate the stability of implant system in oral cavity. The fatigue testing has been conducted on the proposed device in accordance with ISO 14801. Test results comply with ISO14801. It approves the proposed device is substantially equivalent to the predicate devices.

  • . RBM surface coating
    ST Internal Fixtures and the predicate devices undergo an implant surface treatment of Resorbable Blast Media (RBM). The cleaning validation test and SEM/EDX analysis have been conducted on the proposed device to verify that any particles or chemicals used to remove particles have been washed from the surface.

5.10 Clinical Testing

No additional clinical testing was necessary for a determination of substantial equivalence. The results of non-clinical testing indicated the device was found to be substantially equivalent to the predicate devices.

5.11 Substantial Equivalence Determination

The ST Internal Fixture System submitted in this 510(k) file is substantially equivalent in main materials, implant surface treatment, angulation range, safety and performance claims to the cleared Ti Star Implant System (K132992) and ExFeel Dental Implant system (K052369). Differences of proposed device and predicate devices do not raise new issues of substantial equivalence.

7

ST Internal Fixture System

Proposed devicePredicate devicePredicate device
ItemST Internal Fixture
systemTi Star Implant SystemExFeel Dental
Implant System
ManufacturerT-Plus Implant Tech.
Co., Ltd.T-Plus Implant Tech.
Co., Ltd.MegaGen Co., Ltd.
510(k) NumberK152787K132992K052369
ClassificationClass IIClass IIClass II
Indication for UseThe ST Internal Fixture
System is intended to be
placed in the upper or
lower jaw to support
prosthetic devices, such
as artificial teeth, and to
restore a patient's
chewing function. This
may be accomplished
using either a two stage
surgical procedure or a
single stage surgical
procedure. The ST
Internal Fixture System
is intended for use for
immediate loading when
good primary stability is
achieved and with
appropriate occlusal
loading.The Ti Star Implant
System is intended to be
placed in the upper or
lower jaw to support
prosthetic devices, such
as artificial teeth, and to
restore a patient's
chewing function. This
may be accomplished
using either a two stage
surgical procedure or a
single stage surgical
procedure. The Ti Star
Implant System is
intended for use for
immediate loading when
good primary stability is
achieved and with
appropriate occlusal
loading.The ExFeel Dental
Implant Systems are
intended to be placed in
the upper or lower jaw to
support prosthetic
devices, such as artificial
teeth, and to restore a
patient's chewing
function. This may be
accomplished using
either a two stage
surgical procedure or a
single stage surgical
procedure.

8

ST Internal Fixture System

Implant

Proposed devicePredicate device
ItemST Internal Fixture systemTi Star Implant SystemExFeel Dental Implant System
MaterialC.P Titanium
and Titanium AlloyC.P Titanium
and Titanium AlloyC.P Titanium
and Titanium Alloy
Implant surface
treatmentRBMRBMRBM
Implant to abutment
connectionInternal Hex ConnectionInternal Octa ConnectionInternal and External
Hex
Implant SterileYesYesYes
SterilizationGamma IrradiationGamma IrradiationGamma Irradiation
Implant
size (mm)Diameters3.5, 4.0, 4.5, 5.03.5, 4.1, 4.83.75 - 5.5
Lengths7.0, 8.5, 10.0, 11.5,
13.0, 15.07.0, 8.5, 10.0, 11.5,
13.0, 15.07.0 - 18.0

Abutment model

Proposed devicePredicate device
ItemST Internal Fixture
systemTi Star Implant SystemExFeel Dental
Implant System
MaterialC.P Titanium and
Titanium AlloyC.P Titanium and
Titanium AlloyC.P Titanium and
Titanium Alloy
EZ Post Abutment
Diameters (mm)4.5, 5.0, 6.0, 7.05.54.0, 5.0, 6.0
Cuff1.0, 2.0, 3.0, 4.0, 5.01.5, 2.5, 3.5, 4.5-
Post H4.0, 5.5, 7.05.5-
Solid Abutment
Diameters (mm)4.0, 4.5, 5.0, 6.0, 7.03.5-
Cuff H1.0, 2.0, 3.0, 4.0, 5.0--
Post H4.0, 5.5, 7.04.0, 5.5, 7.0-

9

ST Internal Fixture System

Angled Abutment
Diameters (mm)4.0, 5.0, 6.0-4.0, 5.0, 6.0
Cuff1.0, 2.0, 3.0, 4.0, 5.0-2.0, 4.0
Angulation range$15^\circ$ , $25^\circ$-$15^\circ$ , $25^\circ$
SterilizationNoneNoneNone

5.12 Similarity and differences

The differences between the proposed device and the predicate devices are the design of implant to abutment connection and accessory components. The proposed device was tested, and the results complied with the pre-defined success criteria. Therefore, the differences of proposed device and predicate devices did not raise any problems of substantial equivalence. The proposed device is substantially equivalent to the predicate devices in intended use, design, safety and performance claims.

5.13 Conclusion

After analyzing bench tests, device description and intended use/indications for use, it can be concluded that ST Internal Fixture System is substantially equivalent to the predicate devices.