(237 days)
ATLANTIS™ ISUS Implant Suprastructures are indicated for attachment to dental implants or abutments in the treatment of partially or totally edentulous jaws for the purpose of restoring chewing function.
ATLANTIS™ ISUS Implant Suprastructures are intended for attachment to a minimum of two (2) implants and are indicated for compatibility with the following implant and abutment systems:
Implants:
Biomet 3i Certain 3.25, 4/3 - Prevail 3/4/3, 4/3
Biomet 3i Certain 4.0, 5/4 – Prevail 4/5/4. 5/4
Biomet 3i Certain 5.0, XP 4/5 - Prevail 5/6/5, 6/5
Biomet 3i Certain 6.0, XP 5/6
BioHorizons Internal/Tapered 3.5, 4.5, 5.7
Camlog Screw-line Implant 3.3
Camlog Screw-line / Root-line Implant 3.8, 4.3, 5.0, 6.0
DENTSPLY Implants XiVE S 3.0, S 3.4, S 3.8, S 4.5, S 5.5
DENTSPLY Implants OsseoSpeed™ TX 3.0, 3.5/4.0, 4.5/5.0
DENTSPLY Implants Osseospeed™ Profile TX 4.5/5.0
DENTSPLY Implants Osseospeed™ EV 3.0, 3.6, 4.2, 4.8, 5.4
DENTSPLY Implants Osseospeed™ Profile EV 4.2, 4.8
Keystone Dental PrimaConnex SD 3.3/3.5
Keystone Dental PrimaConnex RD 4.0/4.1
Keystone Dental PrimaConnex WD 5.0
Keystone Dental Genesis 3.8, 4.5, 5.5/6.5
Nobel Biocare NobelActive NP 3.5 - RP 4.3, 5.0
Nobel Biocare NobelReplace NP-3.5 - RP 4.3 - WP 5.0 – 6.0
Straumann Bone Level 3.3 NC - 4.1, 4.8 NC
Straumann Standard Plus 3.5 NN
Straumann Standard / Standard Plus 4.8 RN – 4.8 WN
Zimmer Dental Tapered Screw Vent S-V 3.5/S-V 3.3, 3.7 / S-V 4.5/ S-V 4.5
Zimmer Dental Tapered Screw Vent 5.7
Abutments:
Biomet 3i Low Profile Abutment
DENTSPLY Implants ATIS Uni Abutment EV
DENTSPLY Implants ATIS UniAbutment 20°, ATIS UniAbutment 45°
DENTSPLY Implants ATIS Angled Abutment EV
DENTSPLY Implants ATIS Angled Abutment 20°
DENTSPLY Implants ANKYLOS Balance Base Narrow D4.2, Balance Base D5.5
DENTSPLY Implants XiVE MP 3.4, MP 3.8, MP 4.5, MP 5.5
DENTSPLY Implants XiVE TG 3.4, TG 3.8, TG 4.5
Nobel Biocare Multi-Unit Abutment RP
Straumann Bone Level Multi-Base Angled Abutment
Straumann Bone Level Multi-Base Abutment D3.5, D4.5
Straumann RN Abutment Level, WN Abutment Level
Straumann Screw-Retained Abutment 3.5, 4.6
Zimmer Dental Tapered Abutment
The ATLANTIS™ ISUS Implant Suprastructures include new implant and abutment interfaces of the predicate ISUS Implant Suprastructures, cleared in K122424.
The ATLANTIS™ ISUS Implant Suprastructures are patient-specific restorative devices that are intended to be attached to dental implants or abutments to facilitate prosthetic restoration in the treatment of partially and totally edentulous patients. The design of the subject device is derived from patient dental models and completed by DENTSPLY technicians using computer-assisted design (CAD) according to the clinician's prescription. The final CAD design of the ATLANTIS™ ISUS suprastructures are fabricated using computer-assisted manufacturing (CAM) to produce a customized, patient-specific device.
The subject ATLANTIS™ ISUS Implant Suprastructures are available in the same design types as cleared for the predicate ISUS Implant Suprastructures in K122424:
- Bar Intended as a fixed supporting structure for a removable dental prosthesis.
- Bridge Intended for direct veneering using dental ceramics or resin composites resulting in a fixed, screw-retained prosthesis.
- Hybrid Intended as a fixed denture framework.
Screws are available for all compatible implant and abutments systems to screw the ATLANTIS™ ISUS Implant Suprastructures into the implant or onto the abutment.
In addition to the introduction of the new interfaces of the ATLANTIS™ ISUS Implant Suprastructures, the product reference names of the compatible interfaces are adjusted in the indications for use for the currently marketed ATLANTIS™ ISUS Implant Suprastructures to better reflect the original manufacturer's product description.
The provided document describes a 510(k) premarket notification for a medical device, specifically the ATLANTIS™ ISUS Implant Suprastructures. This type of submission aims to demonstrate that a new device is as safe and effective as a legally marketed predicate device, rather than proving novel effectiveness. Therefore, the information provided focuses on demonstrating substantial equivalence through non-clinical testing and comparison to existing devices, rather than a clinical study establishing acceptance criteria in the traditional sense of AI performance metrics like sensitivity, specificity, or AUC.
Based on the document, here's a breakdown of the requested information:
1. A table of acceptance criteria and the reported device performance
Since this is a 510(k) for a dental implant component, the "acceptance criteria" are related to mechanical and material equivalence to predicate devices, and "device performance" refers to its ability to meet these engineering standards. There are no performance metrics like sensitivity or specificity.
| Acceptance Criteria (Demonstrated through testing/analysis) | Reported Device Performance (as stated in the submission) |
|---|---|
| Sufficient strength for intended use (based on mechanical design analysis, dimensional analysis, and static and dynamic compression-bending testing). | The new interfaces of the ATLANTIS™ ISUS Implant Suprastructures are determined to have sufficient strength for their intended use. |
| Compatibility with specified implant and abutment systems. | Compatibility analysis shows that the subject ATLANTIS™ ISUS Implant Suprastructures are compatible with the predicate implant and abutment systems. |
| Material composition unchanged compared to predicate device K122424, leading to valid biocompatibility. | The material used for the ATLANTIS™ ISUS Implant Suprastructures, including the corresponding screws, and the manufacturing process remained unchanged compared to the predicate device, ISUS Implant Suprastructures (K122424). The results of biocompatibility testing conducted for the primary predicate device, ISUS Implant Suprastructures (K122424), are therefore valid and no additional biocompatibility testing has been performed. |
| Equivalent intended use and fundamental technology to predicate devices. | The ATLANTIS™ ISUS Implant Suprastructures have the same intended use, composed of the same or similar materials and incorporates the same fundamental technology as the predicate devices (listed K122424, K121810, K931767, K101732, K120414, K080156, K130999, K071638, K000099, K000100, K051614, K101545, K133421). |
2. Sample sized used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)
This information is not applicable or not provided in the context of an AI device. This document is for a physical medical device (dental suprastructures). The testing performed is non-clinical, involving mechanical and dimensional analysis of device components themselves, rather than testing on a "test set" of patient data.
3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)
This information is not applicable or not provided. "Ground truth" in the context of an AI device, established by experts, is not relevant here as this is a physical medical device. The "ground truth" for this device's performance would be the universally accepted engineering standards for dental prosthetics and the demonstrable properties of the materials and design.
4. Adjudication method (e.g. 2+1, 3+1, none) for the test set
This information is not applicable or not provided. Adjudication methods are typically used in clinical studies or for establishing ground truth in AI studies. The testing described is non-clinical performance data (mechanical design analysis, dimensional analysis, static and dynamic compression-bending testing).
5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance
This information is not applicable or not provided. This is not an AI device, and therefore, an MRMC study comparing human readers with and without AI assistance is not relevant.
6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done
This information is not applicable or not provided. This is not an algorithm-only device.
7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)
The "ground truth" here is the established engineering standards for dental prosthetics. This includes:
- Mechanical standards: ISO 14801 Dentistry -- Implants -- Dynamic fatigue test for endosseous dental implants.
- Material standards: Properties of CPTi, CoCr, Ti-6Al-4V ELI, Ti-6Al-7Nb (as listed for abutment and screw materials).
- Biocompatibility: Demonstrated equivalence to the predicate device (K122424) which had prior biocompatibility testing.
- Design principles: Comparison to existing, legally marketed predicate devices to establish substantial equivalence in intended use and fundamental technology.
8. The sample size for the training set
This information is not applicable or not provided. As this is a physical device submission, there is no "training set" in the context of machine learning. The device's design is "derived from patient dental models and completed by DENTSPLY technicians using computer-assisted design (CAD) according to the clinician's prescription," and then fabricated using computer-assisted manufacturing (CAM).
9. How the ground truth for the training set was established
This information is not applicable or not provided. There is no machine learning training set for this device. The "ground truth" for the CAD/CAM design process would be the clinician's prescription and the patient's dental models, which guide the creation of the patient-specific device.
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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 features a stylized caduceus symbol, which is often associated with healthcare. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the symbol.
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
September 21, 2016
DENTSPLY International, Inc. Helen Lewis Director, Corporate Regulatory Affairs 221 West Philadelphia St., Suite 60 York, Pennsylvania 17401
Re: K160207
Trade/Device Name: ATLANTIS™ ISUS Implant Suprastructures Regulation Number: 21 CFR 872.3630 Regulation Name: Endosseous dental implant abutment Regulatory Class: Class II Product Code: NHA Dated: August 19, 2016 Received: August 22, 2016
Dear Helen Lewis,
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
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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 (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/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,
Michael D/Ryan -S
for Tina Kiang, Ph.D. Acting 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)
Device Name
ATLANTIS ISUS™ Implant Suprastructures
Indications for Use (Describe)
ATLANTIS™ ISUS Implant Suprastructures are indicated for attachment to dental implants or abutments in the treatment of partially or totally edentulous jaws for the purpose of restoring chewing function.
ATLANTIS™ ISUS Implant Suprastructures are intended for attachment to a minimum of two (2) implants and are indicated for compatibility with the following implant and abutment systems:
Implants:
| Manufacturer | Name of Implant | Size |
|---|---|---|
| Biomet 3i | Certain | 3.25, 4/3 - Prevail 3/4/3, 4/3 |
| Certain | 4.0, 5/4 – Prevail 4/5/4. 5/4 | |
| Certain | 5.0, XP 4/5 - Prevail 5/6/5, 6/5 | |
| Certain | 6.0, XP 5/6 | |
| BioHorizons | Internal/Tapered | 3.5, 4.5, 5.7 |
| Camlog | Screw-line Implant | 3.3 |
| Screw-line / Root-line Implant | 3.8, 4.3, 5.0, 6.0 | |
| DENTSPLY Implants | XiVE | S 3.0, S 3.4, S 3.8, S 4.5, S 5.5 |
| OsseoSpeed™ TX | 3.0, 3.5/4.0, 4.5/5.0 | |
| Osseospeed™ Profile TX | 4.5/5.0 | |
| Osseospeed™ EV | 3.0, 3.6, 4.2, 4.8, 5.4 | |
| Osseospeed™ Profile EV | 4.2, 4.8 | |
| Keystone Dental | PrimaConnex | SD 3.3/3.5 |
| PrimaConnex | RD 4.0/4.1 | |
| PrimaConnex | WD 5.0 | |
| Genesis | 3.8, 4.5, 5.5/6.5 | |
| Nobel Biocare | NobelActive | NP 3.5 - RP 4.3, 5.0 |
| NobelReplace | NP-3.5 - RP 4.3 - WP 5.0 – 6.0 | |
| Straumann | Bone Level | 3.3 NC - 4.1, 4.8 NC |
| Standard Plus | 3.5 NN | |
| Standard / Standard Plus | 4.8 RN – 4.8 WN | |
| Zimmer Dental | Tapered Screw Vent | S-V 3.5/S-V 3.3, 3.7 / S-V 4.5/ S-V 4.5 |
| Tapered Screw Vent | 5.7 |
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| Manufacturer | Name of Abutment |
|---|---|
| Biomet 3i | Low Profile Abutment |
| DENTSPLY Implants | ATIS Uni Abutment EV |
| DENTSPLY Implants | ATIS UniAbutment 20°, ATIS UniAbutment 45° |
| DENTSPLY Implants | ATIS Angled Abutment EV |
| DENTSPLY Implants | ATIS Angled Abutment 20° |
| DENTSPLY Implants | ANKYLOS Balance Base Narrow D4.2, Balance Base D5.5 |
| DENTSPLY Implants | XiVE MP 3.4, MP 3.8, MP 4.5, MP 5.5 |
| DENTSPLY Implants | XiVE TG 3.4, TG 3.8, TG 4.5 |
| Nobel Biocare | Multi-Unit Abutment RP |
| Straumann | Bone Level Multi-Base Angled Abutment |
| Straumann | Bone Level Multi-Base Abutment D3.5, D4.5 |
| Straumann | RN Abutment Level, WN Abutment Level |
| Straumann | Screw-Retained Abutment 3.5, 4.6 |
| Zimmer Dental | Tapered Abutment |
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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SECTION 5. 510(k) SUMMARY
for ATLANTIS™ ISUS Implant Suprastructures
1. Submitter Information:
DENTSPLY International Susquehanna Commerce Center 221 West Philadelphia Street, Suite 60W York, PA 17401
| Contact Person: | Helen Lewis |
|---|---|
| Telephone Number: | 717-487-1332 |
| Fax Number: | 717-849-4343 |
Date Prepared: September 20, 2016
2. Device Name:
- . Proprietary Name:
- Classification Name: .
- CFR Number: .
- . Device Class:
- Product Code: . NHA
3. Predicate Device:
The subject device is substantially equivalent in indications and design principles to the following legally marketed predicate devices:
Class II
21 CFR 872.3630
ATLANTIS™ ISUS Implant Suprastructures
Endosseous dental implant abutment
Primary Predicate Device:
| Predicate Device Name | 510(k) | Company Name |
|---|---|---|
| ISUS Implant Suprastructures | K122424 | DENTSPLY International, Inc. |
Reference Predicate Devices:
| Predicate Device Name | 510(k) | Company Name |
|---|---|---|
| Astra Tech OsseoSpeed Angled Abutment EV | K121810 | DENTSPLY International, Inc.(former: ASTRA TECH AB) |
| Astra Tech Implants-Dental System | K931767 | DENTSPLY International, Inc.(former: ASTRA TECH AB) |
| Astra Tech Implant System | K101732 | DENTSPLY International, Inc.(former: ASTRA TECH AB) |
| Astra Tech OsseoSpeed Plus | K120414 | DENTSPLY International, Inc.(former: ASTRA TECH AB) |
| Astra Tech OsseoSpeed Profile System | K080156 | DENTSPLY International, Inc.(former: ASTRA TECH AB) |
| Astra Tech OsseoSpeed Profile EV | K130999 | DENTSPLY International, Inc.(former: ASTRA TECH AB) |
| BioHorizons Tapered Internal Implant System | K071638 | BioHorizons Implant Systems, Inc. |
| Camlog Screw Implant System | K000099 | Altatec Biotechnologies |
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| Predicate Device Name | 510(k) | Company Name |
|---|---|---|
| Camlog Rootform Implant System | K000100 | Altatec Biotechnologies |
| Lifecore PrimaConnex Internal ConnectionImplant System | K051614 | Keystone Dental, Inc.(former: Lifecore Biomedical, Inc.) |
| Genesis Implant System | K101545 | Keystone Dental, Inc. |
| Straumann Magellan Screw-RetainedAbutment System | K133421 | Institut Straumann AG |
4. Description of Device:
The ATLANTIS™ ISUS Implant Suprastructures include new implant and abutment interfaces of the predicate ISUS Implant Suprastructures, cleared in K122424.
The ATLANTIS™ ISUS Implant Suprastructures are patient-specific restorative devices that are intended to be attached to dental implants or abutments to facilitate prosthetic restoration in the treatment of partially and totally edentulous patients. The design of the subject device is derived from patient dental models and completed by DENTSPLY technicians using computer-assisted design (CAD) according to the clinician's prescription. The final CAD design of the ATLANTIS™ ISUS suprastructures are fabricated using computer-assisted manufacturing (CAM) to produce a customized, patient-specific device.
The subject ATLANTIS™ ISUS Implant Suprastructures are available in the same design types as cleared for the predicate ISUS Implant Suprastructures in K122424:
-
- Bar Intended as a fixed supporting structure for a removable dental prosthesis.
-
- Bridge Intended for direct veneering using dental ceramics or resin composites resulting in a fixed, screw-retained prosthesis.
-
- Hybrid Intended as a fixed denture framework.
Screws are available for all compatible implant and abutments systems to screw the ATLANTIS™ ISUS Implant Suprastructures into the implant or onto the abutment.
In addition to the introduction of the new interfaces of the ATLANTIS™ ISUS Implant Suprastructures, the product reference names of the compatible interfaces are adjusted in the indications for use for the currently marketed ATLANTIS™ ISUS Implant Suprastructures to better reflect the original manufacturer's product description.
{6}------------------------------------------------
5. Indications for Use:
ATLANTIS™ ISUS Implant Suprastructures are indicated for attachment to dental implants or abutments in the treatment of partially or totally edentulous jaws for the purpose of restoring chewing function.
ATLANTIS™ ISUS Implant Suprastructures are intended for attachment to a minimum of two (2) implants and are indicated for compatibility with the following implant and abutment systems:
| Manufacturer | Name of Implant | Size |
|---|---|---|
| Biomet 3i | Certain | 3.25, 4/3 - Prevail 3/4/3, 4/3 |
| Certain | 4.0, 5/4 - Prevail 4/5/4, 5/4 | |
| Certain | 5.0, XP 4/5 - Prevail 5/6/5, 6/5 | |
| Certain | 6.0, XP 5/6 | |
| BioHorizons | Internal/Tapered | 3.5, 4.5, 5.7 |
| Camlog | Screw-line Implant | 3.3 |
| Screw-line / Root-line Implant | 3.8, 4.3, 5.0, 6.0 | |
| DENTSPLY Implants | XiVE | S 3.0, S 3.4, S 3.8, S 4.5, S 5.5 |
| OsseoSpeed™ TX | 3.0, 3.5/4.0, 4.5/5.0 | |
| Osseospeed™ Profile TX | 4.5/5.0 | |
| Osseospeed™ EV | 3.0, 3.6, 4.2, 4.8, 5.4 | |
| Osseospeed™ Profile EV | 4.2, 4.8 | |
| Keystone Dental | PrimaConnex | SD 3.3/3.5 |
| PrimaConnex | RD 4.0/4.1 | |
| PrimaConnex | WD 5.0 | |
| Genesis | 3.8, 4.5, 5.5/6.5 | |
| Nobel Biocare | NobelActive | NP 3.5 - RP 4.3, 5.0 |
| NobelReplace | NP-3.5 - RP 4.3 – WP 5.0 – 6.0 | |
| Straumann | Bone Level | 3.3 NC - 4.1, 4.8 NC |
| Standard Plus | 3.5 NN | |
| Standard / Standard Plus | 4.8 RN - 4.8 WN | |
| Zimmer Dental | Tapered Screw Vent | S-V 3.5/S-V 3.3, 3.7 / S-V 4.5/ S-V4.5 |
| Tapered Screw Vent | 5.7 |
Implants:
Abutments:
| Manufacturer | Name of Abutment |
|---|---|
| Biomet 3i | Low Profile Abutment |
| DENTSPLY Implants | ATIS Uni Abutment EV |
| DENTSPLY Implants | ATIS UniAbutment 20°, ATIS UniAbutment 45° |
| DENTSPLY Implants | ATIS Angled Abutment EV |
| DENTSPLY Implants | ATIS Angled Abutment 20° |
| DENTSPLY Implants | ANKYLOS Balance Base Narrow D4.2, Balance Base D5.5 |
| DENTSPLY Implants | XiVE MP 3.4, MP 3.8, MP 4.5, MP 5.5 |
| DENTSPLY Implants | XiVE TG 3.4, TG 3.8, TG 4.5 |
| Nobel Biocare | Multi-Unit Abutment RP |
| Straumann | Bone Level Multi-Base Angled Abutment |
| Straumann | Bone Level Multi-Base Abutment D3.5, D4.5 |
| Straumann | RN Abutment Level, WN Abutment Level |
| Straumann | Screw-Retained Abutment 3.5, 4.6 |
| Zimmer Dental | Tapered Abutment |
ATLANTIS™ ISUS Implant Suprastructures
DENTSPLY International Inc.
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6. Substantial Equivalence:
Technological Characteristics.
An overview of the similarities and differences between the subject and predicate devices is given in Table 1: Indications for Use for the proposed and the predicate devices and Table 2: Similarities and Differences between the proposed and the predicate devices
Non-Clinical Performance Data.
Non-clinical testing data submitted, referenced, or relied upon to demonstrate substantial equivalence includes: mechanical design analysis, dimensional analysis and static and dynamic compression-bending testing according to ISO 14801 Dentistry -- Implants -- Dynamic fatigue test for endosseous dental implants. The new interfaces of the ATLANTIS™ ISUS Implant Suprastructures are determined to have sufficient strength for their intended use. Compatibility analysis shows that the subject ATLANTIS™ ISUS Implant Suprastructures are compatible with the predicate implant and abutment systems.
The material used for the ATLANTIS™ ISUS Implant Suprastructures, including the corresponding screws, and the manufacturing process remained unchanged compared to the predicate device, ISUS Implant Suprastructures (K122424). The results of biocompatibility testing conducted for the primary predicate device, ISUS Implant Suprastructures (K122424), are therefore valid and no additional biocompatibility testing has been performed.
No clinical performance data were submitted.
Conclusion Regarding Substantial Equivalence
The ATLANTIS™ ISUS Implant Suprastructures are patient-specific restorative devices that are intended to be attached to dental implants or abutments to facilitate prosthetic restoration in the treatment of partially and totally edentulous patients. The ATLANTIS™ ISUS Implant Suprastructures have the same intended use, composed of the same or similar materials and incorporates the same fundamental technology as the predicate devices, K122424, K121810, K931767, K101732, K120414, K080156, K130999, K071638, K000099, K000100, K051614, K101545, K133421.
Thus, it can be concluded that the subject ATLANTIS™ ISUS Implant Suprastructures are substantially equivalent to the predicate devices.
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Table 1: Indications for Use for the proposed and the predicate devices
| SubjectDevice | Indications for Use |
|---|---|
| DENTSPLYInternational, Inc. | ATLANTIS™ ISUS Implant Suprastructures are indicated for attachment to dental implants or abutments in the treatment of partially ortotally edentulous jaws for the purpose of restoring chewing function. |
| ATLANTISTMISUS ImplantSuprastructures | ATLANTIS™ ISUS Implant Suprastructures are intended for attachment to a minimum of two (2) implants and are indicated forcompatibility with the following implant and abutment systems: |
| K122424 | Implants: |
| Biomet 3i Certain 3.25, 4/3 - Prevail 3/4/3, 4/3Biomet 3i Certain 4.0, 5/4 - Prevail 4/5/4, 5/4Biomet 3i Certain 5.0,XP4/5 - Prevail 5/6/5, 6/5Biomet 3i Certain 6.0, XP 5/6 | |
| BioHorizons Internal/Tapered 3.5, 4.5, 5.7 | |
| Camlog Screw-line Implant 3.3Camlog Screw-line / Root-line Implant 3.8, 4.3, 5.0, 6.0 | |
| DENTSPLY Implants XiVE S 3.0, S 3.4, S 3.8, S 4.5, S 5.5DENTSPLY Implants OsseoSpeed™ TX 3.0, 3.5/4.0, 4.5/5.0DENTSPLY Implants OsseoSpeed™ Profile TX 4.5/5.0DENTSPLY Implants OsseoSpeed™ EV 3.0, 3.6, 4.2, 4.8, 5,4DENTSPLY Implants OsseoSpeed™ Profile EV 4.2, 4.8 | |
| Keystone Dental PrimaConnex SD 3.3/3.5Keystone Dental PrimaConnex RD 4.0/4.1Keystone Dental PrimaConnex WD 5.0Keystone Dental Genesis 3.8, 4.5, 5.5/6.5 | |
| Nobel Biocare NobelActive NP 3.5 - RP 4.3, 5.0Nobel Biocare NobelReplace NP 3.5 - RP 4.3 - WP 5.0 - 6.0Straumann Bone Level 3.3 NC - 4.1, 4.8 RCStraumann Standard Plus 3.5 NNStraumann Standard/Standard Plus 4.8 RN - 4.8 WN | |
| Zimmer Dental Tapered S-V 3.5/ S-V 3.3, 3.7 / S-V 4.5/ S-V 4.5Zimmer Dental Tapered Screw-Vent 5.7 | |
| Abutments:Biomet 3i Low Profile AbutmentDENTSPLY Implants ATIS Uni Abutment EVDENTSPLY Implants ATIS UniAbutment 20°, ATIS UniAbutment 45°DENTSPLY Implants ATIS Angled Abutment EVDENTSPLY Implants ATIS Angled Abutment 20°DENTSPLY Implants ANKYLOS Balance Base Narrow D4.2, Balance Base D5.5DENTSPLY Implants XiVE MP 3.4, MP 3.8, MP 4.5, MP 5.5DENTSPLY Implants XiVE TG 3.4, TG 3.8, TG 4.5 | |
| Nobel Biocare Multi-Unit Abutment RP | |
| Straumann Bone Level Multi-Base Angled AbutmentStraumann Bone Level Multi-Base Abutment D3.5, D4.5Straumann RN Abutment Level, WN Abutment LevelStraumann Screw-Retained Abutment 3.5, 4.6Zimmer Dental Tapered Abutment | |
| DENTSPLYInternational, Inc. | The ISUS Implant Suprastructures are indicated for attachment to dental implants or abutments in the treatment of partially or totally edentulous jaws for the purpose of restoring chewing function. The ISUS Implant Suprastructures are intended for attachment to a minimum of two (2) implants. |
| ISUS ImplantSuprastructures | ISUS Implant Suprastructures are indicated for compatibility with the following implant and abutment systems: |
| K122424 | Implants:* Nobel Biocare Replace Select: NP (3.5mm), RP (4.3mm), WP (5.0mm), and Replace Select 6.0mm* Nobel Biocare Active Internal: NP (3.5mm), RP (4.3mm, 5.0mm)*Zimmer Screw Vent: 1D3.5, D4.5, D5.7*Straumann: NN (3.5mm), RN (4.8mm), WN (6.0mm)*Straumann Bone Level: NC (3.3mm), RC (4.1 mm, 4.8mm)*31 Internal Connection: D3.4, D4.1, D5, D6*Friadent XiVE S: D3, D3.4, D3.8, D4.5, D5.5 |
| Abutments:*Astra Tech- 20° and 45° UniAbutment*Astra Tech UniAbutment EV: 3.6*ANKYLOS Balance Base Abutment D5.5 and Narrow Abutment D4.2*Nobel Biocare Multi -Unit Abutment RP: 4.0 mm*Zimmer Tapered Abutment: 4.5mm | |
| *Straumann RN(4.8mm), WN (6.5 mm)*Straumann Bone Level: Multi-Base Abutment D3.5, D4.5 |
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| *Straumann Bone Level Angled Abutment:4.0 mm | |
|---|---|
| *31 Low Profile Abutment | |
| *Friadent XiVE MP D3.8, D4.5, D5.5 | |
| *Friadent XiVE TG D3.8, D4.5, D5.5 | |
| DENTSPLYInternational, Inc. | OsseoSpeed™ Angled Abutment EV is intended to be used in conjunction with Astra TechImplant System BY in fully edentulous or |
| partially edentulous maxillary and/ar mandibular arches to provide support for bridges or overdentures. | |
| Astra TechOsseoSpeed AngledAbutment EV | The Atlantis™ Abutment is intended for use with an endosseous implant to support a prosthetic device in a partially or completelyedentulous patient. It is intended for use to support single and multiple tooth prostheses, in the mandible or maxilla. The prosthesis can becemented, screw retained or friction fit to the abutment. The abutment screw is intended to secure the abutment tothe endosseous implant. |
| K121810 | The Atlantis™ Crown Abutment in Zircania is intended for use with an endosseous implant to function as a substructure that also servesas the final restoration, in -partially or completely edentulous patients. The prosthesis is screw retained. The abutment screw is intended tosecure the crown abutment to the endosseous implant. |
| Atlantis™ Abutment and Atlanis™ Crown Abutment are compatible with 05.4 Astra Tech Implant System EV. | |
| DENTSPLYInternational, Inc. | Astra Tech Implant System Angled Abutment 20° is indicated when there is a marked inclination of the fixture in the bucco lingualdirection. The use of angled abutment prevents from a situation of penetrating the buccal veneer of the crown when setting the bridge. |
| Astra Tech Implants-Dental System | |
| K931767 | |
| DENTSPLYInternational, Inc. | The OsseoSpeed™ implants are intended to be used: |
| • to replace missing teeth in single or multiple unit applications within the mandible or maxilla | |
| Astra Tech ImplantSystem | • for immediate placement in extraction sites and partially or completely healed alveolar ridge situations |
| • for both one- and two-stage surgical procedures | |
| • especially well in soft bone applications where implants with other implant surface treatments may be less effective | |
| K101732 | • together with immediate loading protocol in all indications, except in single tooth situations in soft bone (type IV) where implant stabilitymay be difficult to obtain and immediate loading may not be appropriate |
| • together with immediate loading protocol for single-tooth restorations on implants 8 mm or longer | |
| • with its 3.0 S product line for maxillary lateral incisors and mandibular lateral and central incisors. | |
| DENTSPLYInternational, Inc. | The OsseoSpeed™ EV implants are intended to be used for both one- and two-stage surgical procedures inthe following situations and with the following clinical protocols: |
| • replacing single and multiple missing teeth in the mandible and maxilla, | |
| Astra TechOsseoSpeed Plus | • immediate placement in extraction sites and in situations with a partially or completely healed alveolar ridge, |
| • especially indicated for use in soft bone applications where implants with other implant surface treatments may be less effective. | |
| K120414 | • immediate loading in all indications, except in single tooth situations on implants shorter than 8 mm or in soft bone (type IV) whereimplant stability may be difficult to obtain and immediate loading may not be appropriate.The intended use for OsseoSpeedTM Plus 3.05 is limited to replacement of maxillary lateralincisors and mandibular incisors. |
| DENTSPLYInternational, Inc.Astra TechOsseoSpeed ProfileSystemK080156 | OsseoSpeed TX Profile is intended to be used to replace missing masticatory functional units (teeth) in single or multiple unit applicationswithin the mandible or maxilla. The device may be used equally well in a single-stage or two-stage surgical procedure. It is indicated forimmediate implantation in extraction sites or implantation in partially healed or completely healed alveolar ridge situations. When a one-stage surgical approach is applied, the implant may be immediately loaded when good primary stability is achieved and the functional loadis appropriate. |
| DENTSPLYInternational, Inc.Astra TechOsseoSpeed ProfileEVK130999 | OsseoSpeed Profile EV implants are intended for both one- and two-stage surgical procedures in the following situations and with thefollowing clinical protocols:• replacing missing teeth in single or multiple unit applications in the mandible or maxilla.• immediate placement in extraction sites and in situations with a partially or completely healed alveolar ridge• especially indicated for use in soft bone applications where implants with other implant surface treatments may be less effective• immediate and early loading for all indications• together with immediate loading protocol in all indications, except in single tooth situations in soft bone (type IV) where implant stabilitymay be difficult to obtain and immediate loading may not be appropriate |
| BioHorizonsImplantSystems,Inc.BioHorizonsTapered InternalImplant SystemK071638 | The BioHorizons Tapered Internal Implant System is intended for use in the mandible or maxilla for use as an artificial root structure forsingle tooth replacement or for fixed bridgework and dental retention.The BioHorizons Tapered Internal Implant System may be restored immediately1) with a temporary prosthesis that is not in functional occlusion or2) when splinted together for multiple tooth replacement or when stabilized with an overdenture supported by multiple implants. |
| AltatecBiotechnologiesCamlog ScrewImplant SystemK000099 | Camlog Screw-Line Implant is intended for endosseous use in the maxilla and mandible for functional aesthetic rehabilitation in partial orfully edentulous patients.Immediate and delayed implantation, as well as immediate or delayed loading. |
| AltatecBiotechnologiesCamlog RootformImplant SystemK000100 | Camlog Root-Line implants are indicated for single tooth replacement, as immediate abutments on long span to bridge work, as distalabutments on free-end edentulous areas to be restored with fixed bridgework, to support overdentures in totally or partially edentulousarches, and as abutments supporting a full arch fixed prosthesis on the totally edentulous mandible or maxilla. |
| Keystone Dental, Inc.LifecorePrimaConnexInternal ConnectionImplant SystemK051614 | Lifecore Biomedical Dental Implant System implants are intended for use in partially or fully edentulous mandibles and maxillae, insupport of single or multiple-unit restorations including: cement retained, screw retained, or overdenture restorations, and terminal orintermediate abutment support for fixed bridgework.The PrimaConnexr Internal Connection Implant is a threaded implant that is intended for immediate placement and can be restored with atemporary prosthesis in single tooth and multiple tooth applications with good quality bone.The PrimaConnex Internal Connection Implant is intended for immediate provisionalization,non-occlusal load. ImmediateProvisionalization is defined by the International Congress of Oral Implantologists (ICOI) as a clinical protocol for the placement of aninterim prosthesis with or without occlusal contact with the opposing dentition, at the same clinical visit of implant placement. ThePrimaConnex Internal Connection Implant can be restored with a temporary prosthesis in single tooth and multiple tooth applications withgood quality bone. |
| Keystone Dental, Inc.Genesis ImplantSystem K101545 | The Genesis Implant System is intended for use in single-stage or two-stage surgical procedures in all types of bone in partially or fullyedentulous mandibles and maxillae. The Genesis Implant System supports single or multiple-unit restorations to re-establish patientchewing function and esthetics. Genesis implants are intended for placement following natural tooth loss or for immediate placement intoan extraction socket. Immediate function may be achieved when good primary stability is established and appropriate occlusal loadingis applied. |
| Institut StraumannAGStraumann MagellanScrew-RetainedAbutment SystemK133421 | The Straumann Magellan abutments are indicated to be placed into Straumann dental implants to provide support for prostheticreconstructions such as crowns, bridges and bars. The final processed devices have the purpose of restoring chewing function. Magellanabutments are indicated for screw-retained restorations. |
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| SubjectDevice | Predicate Devices | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DENTSPLYInternational, Inc | DENTSPLYInternational,Inc. | DENTSPLYInternational,Inc. | DENTSPLYInternational,Inc. | DENTSPLYInternational,Inc. | DENTSPLYInternational,Inc. | DENTSPLYInternational,Inc. | DENTSPLYInternational,Inc. | BioHorizonsImplantSystems, Inc. | AltatecBiotechno-logies | AltatecBiotechnolo-gies | KeystoneDental, Inc. | KeystoneDental, Inc. | InstitutStraumannAG | ||
| Atlantis™ ISUSImplantSuprastructures | ISUS ImplantSuprastructures | Astra TechOsseoSpeedAngledAbutment EV | Astra TechImplantsDentalSystem | Astra TechImplantsSystem | Astra TechOsseoSpeedPlus | Astra TechOsseoSpeedProfileSystem | Astra TechOsseoSpeedProfile EV | BioHorizonsTaperedInternalImplantSystem | CamlogScrewImplantSystem | CamlogRootformImplantSystem | Keystone DentalPrima ConnexImplants | GenesisImplantSystem | StraumannMagellanScrew-RetainedAbutmentSystem | ||
| K122424 | K121810 | K931767 | K101732 | K120414 | K080156 | K130999 | K071638 | K000099 | K000100 | K051614 | K101545 | K133421 | |||
| Design | |||||||||||||||
| ProsthesisAttachment | Screw-retained | Screw-retained | Screw-retained | Screw-retained | Screw &Cement-retained | Screw &Cement-retained | Screw &Cement-retained | Screw &Cement-retained | Screw &Cement-retained | Screw &Cement-retained | Screw &Cement-retained | Screw &Cement-retained | Screw &Cement-retained | Screw-retained | |
| Restoration | Multi-unit | Multi-unit | Multi-unit | Multi-unit | Single orMulti-unit | Single orMulti-unit | Single orMulti-unit | Single orMulti-unit | Single orMulti-unit | Single orMulti-unit | Single orMulti-unit | Single orMulti-unit | Single orMulti-unit | Single orMulti-unit | |
| PlatformDiameter | 3.0 - 6.5 | 3.0 - 6.5 | 3.6, 4.2,4.8,5.4 | 3.5/4.0,4.5/5.0 | 3.0, 3.5/4.0,4.5/5.0,5.0S | 3.0, 3.5,4.0, 4.5, 5.0 | 4.5/5.0 | 4.2, 4.8 | 3.5, 4.5,5.7 | 3.3, 3.8,4.3, 5.0, 6.0 | 3.3, 3.8,4.3, 5.0, 6.0 | 3.5, 4.1, 5.0 | 3.8,4.5,5.5,6.5 | 3.5, 4.6 | |
| Connectionsuprastructure-implant/abutment | Internal,External | Internal,External | External | External | Internal | Internal | Internal | Internal | Internal | Internal | Internal | Internal | Internal | External | |
| Material | |||||||||||||||
| Abutment | CPTi,CoCr | CPTi,CoCr, | Ti-6Al-4VELI | Ti-6Al-4VELI | N/A | N/A | N/A | N/A | N/A | N/A | N/A | Ti-6Al-4VELI | Ti-6Al-4VELI | Ti-6Al-7Nb | |
| Screw | Ti-6Al-4VELI | Ti-6Al-4VELI | Ti-6Al-4VELI | Ti-6Al-4VELI | N/A | N/A | N/A | N/A | N/A | N/A | N/A | Ti-6Al-4VELI | Ti-6Al-4VELI | Ti-6Al-7Nb |
Table 2: Similarities and Differences between the proposed and the predicate devices
§ 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.)