K Number
K153534
Device Name
NobelProcera HT ML Full Contour Zirconia Crown
Manufacturer
Date Cleared
2016-06-06

(180 days)

Product Code
Regulation Number
872.3920
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
NobelProcera HT ML FCZ Crown is indicated for use as core structure of an artificial prosthesis for partially edentulous patients in the need of prosthetic oral reconstruction in order to restore chewing function. NobelProcera HT ML FCZ Crown is indicated for use as single crown that will be cemented to a natural or artificial tooth abutment.
Device Description
NobelProcera® HT ML FCZ (High Translucent Multi Lavered Full Contour Zirconia) Crown is an individualized dental restoration made from translucent multi-layered zirconia material. NobelProcera® HT ML FCZ Crown is intended to be a replacement for a natural tooth. After finalizing the NobelProcera® HT ML FCZ Crown in the dental laboratory, it is cemented or bonded onto a tooth or artificial abutment, by a clinician, to provide a natural tooth like appearance and to restore chewing functionality in the patient's mouth. To achieve esthetics and required value and chroma of the surrounding natural teeth the NobelProcera® HT ML FCZ Crown is suitable for cut-back (veneering) or stain and glaze techniques. The design of the NobelProcera® HT ML FCZ Crown is determined in a dental laboratory, hospital or dental practice by scanning, designing and ordering the crown using the NobelProcera® system (NobelDesign) or supported third party CAD systems. The crown, once ordered, is sent electronically to one of NobelProcera's centralized milling centers for fabrication.
More Information

No
The summary describes a dental crown made from zirconia and the process of designing and fabricating it. There is no mention of AI or ML being used in the design, fabrication, or intended use of the device.

No
The device restores chewing function, which is a physiological process, but it does not treat or prevent a disease or condition, which is a characteristic of a therapeutic device.

No
Explanation: The device is a dental crown intended to restore chewing function and provide a natural tooth-like appearance. It is a prosthetic device, not one that diagnoses conditions.

No

The device description clearly states it is a physical dental restoration made from zirconia material, which is a hardware component. While software is used in the design process, the final device is a physical object.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections. They are used to provide information for diagnosis, monitoring, or screening.
  • Device Function: The NobelProcera HT ML FCZ Crown is a dental prosthesis designed to replace a natural tooth and restore chewing function. It is a physical device that is placed in the patient's mouth.
  • Intended Use: The intended use is to restore chewing function and provide a natural tooth-like appearance. This is a restorative and functional purpose, not a diagnostic one.
  • Device Description: The description clearly states it is an "individualized dental restoration" and a "replacement for a natural tooth."
  • Anatomical Site: The anatomical site is the oral cavity/tooth, where the device is physically placed.
  • No Biological Samples: There is no mention of the device being used to test biological samples from the patient.

The device is a medical device, specifically a dental prosthesis, but it does not fit the definition of an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

NobelProcera HT ML FCZ Crown is indicated for use as core structure of an artificial prosthesis for partially edentulous patients in the need of prosthetic oral reconstruction in order to restore chewing function.

NobelProcera HT ML FCZ Crown is indicated for use as single crown that will be cemented to a natural or artificial tooth abutment.

Product codes

ELL

Device Description

NobelProcera® HT ML FCZ (High Translucent Multi Lavered Full Contour Zirconia) Crown is an individualized dental restoration made from translucent multi-layered zirconia material.

NobelProcera® HT ML FCZ Crown is intended to be a replacement for a natural tooth. After finalizing the NobelProcera® HT ML FCZ Crown in the dental laboratory, it is cemented or bonded onto a tooth or artificial abutment, by a clinician, to provide a natural tooth like appearance and to restore chewing functionality in the patient's mouth.

To achieve esthetics and required value and chroma of the surrounding natural teeth the NobelProcera® HT ML FCZ Crown is suitable for cut-back (veneering) or stain and glaze techniques.

The design of the NobelProcera® HT ML FCZ Crown is determined in a dental laboratory, hospital or dental practice by scanning, designing and ordering the crown using the NobelProcera® system (NobelDesign) or supported third party CAD systems. The crown, once ordered, is sent electronically to one of NobelProcera's centralized milling centers for fabrication.

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

dental laboratory, hospital or dental practice, clinician

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)

No clinical or non-clinical test data was used to support the substantial equivalence determination.

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

Not Found

Predicate Device(s)

K032562

Reference Device(s)

K143439

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.3920 Porcelain tooth.

(a)
Identification. A porcelain tooth is a prefabricated device made of porcelain powder for clinical use (§ 872.6660) intended for use in construction of fixed or removable prostheses, such as crowns and partial dentures.(b)
Classification. Class II.

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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 two main elements: a circular text element and an abstract symbol. The text element reads "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged in a circular fashion. The abstract symbol is a stylized representation of a human figure, with three overlapping profiles suggesting a sense of community or interconnectedness.

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

June 6. 2016

Nobel Biocare Ab % Charlemagne Chua Senior Regulatory Affairs Manager Nobel Biocare Usa LLC 22715 Savi Ranch Parkway Yorba Linda, California 92887

Re: K153534

Trade/Device Name: Nobelprocera Ht Ml Full Contour Zirconia Crown Regulation Number: 21 CFR 872.3920 Regulation Name: Porcelain Tooth Regulatory Class: Class II Product Code: ELL Dated: December 8, 2015 Received: December 9, 2015

Dear Charlemagne Chua:

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 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

1

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 Runne, 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 (if known)

K153534

Device Name

NobelProcera HT ML Full Contour Zirconia Crown

Indications for Use (Describe)

NobelProcera HT ML FCZ Crown is indicated for use as core structure of an artificial prosthesis for partially edentulous patients in the need of prosthetic oral reconstruction in order to restore chewing function.

NobelProcera HT ML FCZ Crown is indicated for use as single crown that will be cemented to a natural or artificial tooth abutment.

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

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

This section applies only to requirements of the Paperwork Reduction Act of 1995.

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

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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I. SUBMITTER

Submitted by: Nobel Biocare USA LLC 22715 Savi Ranch Parkway Yorba Linda, CA 92887

Contact Person: Charlemagne Chua, Senior Regulatory Affairs Manager Phone: (714) 282-4800 x 7830 Fax: (714) 998-9348

Submitted for: NobelBiocare AB Vastra Hamngatan 1 Goteborg, SE-411 17 Sweden

Date Prepared: June 1, 2016

II. DEVICE

Name of Device: NobelProcera HT ML Full Contour Zirconia Crown Common or Usual Name: Porcelain tooth Classification Name: Porcelain tooth (21 CFR 872.3920) Regulatory Class: II Product Code: ELL

III.PREDICATE DEVICE

Primary predicate: Nobel Biocare - Procera Copings and Pontic (K032562)

Reference predicate: Kuraray Noritake Dental Inc. - Katana Zirconia (K143439)

IV. DEVICE DESCRIPTION

NobelProcera® HT ML FCZ (High Translucent Multi Lavered Full Contour Zirconia) Crown is an individualized dental restoration made from translucent multi-layered zirconia material.

NobelProcera® HT ML FCZ Crown is intended to be a replacement for a natural tooth. After finalizing the NobelProcera® HT ML FCZ Crown in the dental laboratory, it is cemented or bonded onto a tooth or artificial abutment, by a

A.4.

4

clinician, to provide a natural tooth like appearance and to restore chewing functionality in the patient's mouth.

To achieve esthetics and required value and chroma of the surrounding natural teeth the NobelProcera® HT ML FCZ Crown is suitable for cut-back (veneering) or stain and glaze techniques.

The design of the NobelProcera® HT ML FCZ Crown is determined in a dental laboratory, hospital or dental practice by scanning, designing and ordering the crown using the NobelProcera® system (NobelDesign) or supported third party CAD systems. The crown, once ordered, is sent electronically to one of NobelProcera's centralized milling centers for fabrication.

V. INDICATIONS FOR USE

NobelProcera HT ML FCZ Crown is indicated for use as core structure of an artificial prosthesis for partially edentulous patients in the need of prosthetic oral reconstruction in order to restore chewing function.

NobelProcera HT ML FCZ Crown is indicated for use as single crown that will be cemented to a natural or artificial tooth abutment.

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VI. Comparison of Technological Characteristics

CharacteristicCandidatePrimary PredicateReference Predicate
FeaturesNobelProcera Full Contour
Zirconia CrownProcera Coping and Pontic (K032562)Katana Zirconia
(K143439)
MaterialZirconium Oxide (Katana Zirconia
K143439)Zirconium Oxide
Aluminum OxideZirconium Oxide
ShapeFull anatomic contourFixed thicknessN/A
Design
MethodCADCAD and Wax-upN/A
Manufacturing
MethodNobel Biocare in-house CAMNobel Biocare in-house CAMN/A
Intended
Use/Principles of
OperationNobelProcera Full Contour
Zirconia Crowns are intended for
use as an aid in prosthetic
rehabilitationIntended for use as core structures of a prosthetic device
for the oral cavity.Katana Zirconia is used
for the fabrication of the
all-ceramic restorations
(frameworks, FCZ
crowns, FCZ bridges,
inlays, onlays and
veneers.)
Indications for UseNobelProcera HT ML FCZ Crown
is indicated for use as core
structure of an artificial prosthesis
for partially edentulous patients in
the need of prosthetic oral
reconstruction in order to restore
chewing function.
NobelProcera HT ML FCZ Crown
is indicated for use as single
crown that will be cemented to a
natural or artificial tooth abutment.Nobel Biocare's Procera Copings and Pontic are indicated
for use as core structures of an artificial prosthesis, i.e. a
three-unit bridge, for partially edentulous patients in the
need of prosthetic oral reconstruction in order to restore
chewing function.
The Pontic is indicated as the core structure of the center
unit and the Copings are indicated as the core structures of
the two side crowns, thereby forming the three-unit bridge.
The Copings are also indicated for use as single crowns
that will be cemented to a natural or artificial tooth
abutment in the treatment of partially edentulous patients in
order to restore chewing function.KATANA Zirconia is
used for the fabrication
of the all-ceramic
restorations
(frameworks, FCZ
crowns, FCZ bridges,
inlays, onlays and
veneers.)
Thickness0.4mm (Anterior)
0.7 mm (Pre-molar and Molar)0.4 mm and 0.6 mmN/A

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Analysis of Differences Between Subiect Device and Predicates

The predicate Nobel Biocare Procera Copings and Pontic contain both crown and pontic. When two copings are used in conjunction with a pontic a three-unit bridge may be made. In addition to the use as a three-unit bridge the copings of the predicate, when used independently, are indicated for use as a single crown. The subject device is only indicated for single crown use. The change in Indication for Use for the subject device to only a single crown does not affect the determination of substantial equivalence since single crown use is within the previously cleared predicate Indications for Use.

The NobelProcera HT ML Full Contour Zirconia Crown is made entirely of the Katana Zirconia predicate material (K143439) which is cleared for the fabrication of full contour crowns such as the subject device.

The primary difference between the NobelProcera HT ML Full Contour Zirconia Crown and the predicate Procera Coping and Pontic (K032562) is that the subject device is made in an anatomic full contour tooth shape or a cut-back. The full contour crown is produced with the intention to create the final tooth shape, made entirely from solid zirconia. The predicate NobelProcera Coping looks more like a "shell" that must be built up with dental ceramic so that the dental technician can create the final tooth shape.

Intended Use:

The difference between the subject device and predicate intended uses are related to the specific role within the process of making a crown that the device is intended to fulfill. In the case of the Procera Coping and Pontic (K032562) the coping is the core of a crown rather than the full crown shape of the subject device. The Katana Zirconia (K143439) intended use is that of a porcelain powder for clinical use (872.6660) used in the manufacture of the subject device.

Summary:

The changes detailed above do not raise different questions to support substantial equivalence determination.

VII. PERFORMANCE DATA

No clinical or non-clinical test data was used to support the substantial equivalence determination.

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VIII. CONCLUSIONS

The NobelProcera HT ML Full Contour Zirconia Crown was evaluated for substantial equivalence. Based on technological characteristics, the NobelProcera HT ML Full Contour Zirconia Crown has been shown to be substantially equivalent to the NobelProcera Coping and Pontic.