K Number
K161416
Device Name
Multi-unit Abutment Plus
Manufacturer
Date Cleared
2017-03-16

(297 days)

Product Code
Regulation Number
872.3630
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Multi-unit Abutment Plus is a pre-manufactured prosthetic component directly connected to the endosseous dental implant and is intended for use as an aid in prosthetic rehabilitation.
Device Description
The Multi-unit Abutment Plus are transmucosal abutments used for multiple unit screw retained restorations. The abutment family consists of straight and angled abutments in varying collar heights. The non-angled abutments have a built in screw and the angled abutments are co-packed with a separate abutment screw. The Multi-unit Abutment Plus is compatible with the Nobel Biocare dental implants that have the internal conical connection. The Multi-unit Abutment Plus is available for Internal Conical Connection implants with the Narrow Platform (NP), Regular Platform (RP) and Wide Platforms (WP). The Multi-unit Abutment Plus is available with collar heights of 1.5, 2.5, 3.5, and 4.5 mm and angulations of 0°, 17°, 30°.
More Information

No
The device description and performance studies focus on the mechanical and material properties of a dental abutment, with no mention of software, algorithms, or data processing that would indicate the use of AI/ML.

No
This device is a prosthetic component used in dental rehabilitation, intended to aid in the restoration of dental function, not to directly treat a disease or condition.

No

The device is described as a "pre-manufactured prosthetic component directly connected to the endosseous dental implant and is intended for use as an aid in prosthetic rehabilitation." It is a physical abutment used for dental restorations, not for diagnosing medical conditions.

No

The device description clearly outlines physical components (transmucosal abutments, screws) made of a material (Titanium vanadium alloy) and subject to physical testing (fatigue limit, sterilization, packaging, shelf life, biocompatibility). This indicates a hardware medical device, not a software-only one.

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

Here's why:

  • Intended Use: The intended use clearly states it's a "pre-manufactured prosthetic component directly connected to the endosseous dental implant and is intended for use as an aid in prosthetic rehabilitation." This describes a device used in vivo (within the body) for structural support and restoration, not for testing samples in vitro (outside the body) to diagnose conditions.
  • Device Description: The description details a physical component (abutment) used in dental procedures, not a reagent, instrument, or system for analyzing biological samples.
  • Lack of IVD Characteristics: The document does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Providing diagnostic information
    • Using reagents or assays
    • Measuring biomarkers

The information provided describes a medical device used in dentistry for prosthetic purposes.

N/A

Intended Use / Indications for Use

The Multi-unit Abutment Plus is a pre-manufactured prosthetic component directly connected to the endosseous dental implant and is intended for use as an aid in prosthetic rehabilitation.

The Multi-unit Abutment Plus in combination with endosseous implants are intended for multiple unit reconstructions when screw retained prosthetics is preferred.

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

NHA

Device Description

The Multi-unit Abutment Plus are transmucosal abutments used for multiple unit screw retained restorations. The abutment family consists of straight and angled abutments in varying collar heights. The non-angled abutments have a built in screw and the angled abutments are co-packed with a separate abutment screw. The Multi-unit Abutment Plus is compatible with the Nobel Biocare dental implants that have the internal conical connection.

The Multi-unit Abutment Plus is available for Internal Conical Connection implants with the Narrow Platform (NP), Regular Platform (RP) and Wide Platforms (WP). The Multi-unit Abutment Plus is available with collar heights of 1.5, 2.5, 3.5, and 4.5 mm and angulations of 0°, 17°, 30°.

Snap Temporary Coping Multi-Unit Titanium: The Temporary Snap Coping is a premanufactured dental abutment directly connected to the Multi-unit abutment plus. The temporary coping is co-packed with a prosthetic screw. It is used as a temporary aid in prosthetic rehabilitation until the final restoration is attached. Maximum intraoral use is 180-days.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

dental implant

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)

Summary of Non-Clinical Testing:
Since the subject device does not represent a new worst case, data from the predicate device was leveraged in the following aspects of the 510(k).

  • Sterile Device Information
    • The sterilization method for the subject device is the same as the predicate. The sterilization method is Gamma radiation and has been validated in accordance with ANSI/AAMI/ISO 11137. Therefore, no additional testing was required.
    • The Temporary Snap Coping is delivered non-sterile. A sterilization validation was performed to ensure sterility of the subject device when processed by the end user. Sterilization validations were performed using fractionated pre-vacuum and gravity displacement. Sterilization validations were performed with the worst case dental devices.
  • Device Packaging
    • The packaging for the subject device is the same as the predicate. This is a thermoform tray with peel top lid. Therefore, no additional testing was required.
  • Shelf Life
    • The packaging for the subject device is the same as the predicate and is labeled with a 3 year expiration date. Real time aging was used to determine the expiration dating. Therefore, no additional testing was required.
  • Biocompatibility
    • The subject device is manufactured from the same material as the predicate (K072570, Nobel Biocare), uses the same manufacturing method as the predicate, has the same intended use, and the same patient contact type and duration. Therefore, no additional testing was required.

The fatigue limit of the Multi-unit Abutment Plus was determined using a modified version of ISO 14801. The modifications to ISO 14801 were done to reflect the likely worst-case clinical use of the device. Both the subject and predicate device were tested under identical conditions. The results of the testing were used to address questions related to substantial equivalence based on difference in design between the subject and predicate devices.

Conclusion:
The Multi-unit Abutment Plus was evaluated for substantial equivalence using standard and/or comparative testing. In cases where the Multi-unit Abutment Plus could be shown to not represent a worst-case with respect to the predicates, data from these predicate devices was leveraged to support the subject device. Based on technological characteristics and non-clinical test data included in this submission, the Multi-unit Abutment Plus has been shown to be substantially equivalent to the NobelActive Multi Unit Abutment (K072570).

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.

K072570

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.

K133731

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 872.3630 Endosseous dental implant abutment.

(a)
Identification. An endosseous dental implant abutment is a premanufactured prosthetic component directly connected to the endosseous dental implant and is intended for use as an aid in prosthetic rehabilitation.(b)
Classification. Class II (special controls). The guidance document entitled “Class II Special Controls Guidance Document: Root-Form Endosseous Dental Implants and Endosseous Dental Implant Abutments” will serve as the special control. (See § 872.1(e) for the availability of this guidance document.)

0

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo 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

March 16, 2017

Nobel Biocare AB c/o Mr. Charlemagne Chua Senior Regulatory Affairs Manager Nobel Biocare USA LLC 22715 Savi Ranch Parkway Yorba Linda, CA 92887

Re: K161416

Trade/Device Name: Multi-unit Abutment Plus Regulation Number: 21 CFR 872.3630 Regulation Name: Endosseous Dental Implant Abutment Regulatory Class: Class II Product Code: NHA Dated: February 10, 2017 Received: February 13, 2017

Dear Mr. 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,

Michael J. 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

2

наPSC Publishing Services (301) 443-6740Page 1 of 1Artis For For 1888 (1744
şərarın qurğuna mərkəzi ərazi var. Bu bir və mənisə çərənin mənalı və mənisələr mənalı mən
and the may be and sund of the spensive of beteritse as notiermonity on not only not and the sent medium of theDepartment of Health and Human Services
Paperwork Reduction Act (PRA) Stati
Office of Chief Information Officerthis information collection, including suggestions for reducting this burden, to:
้าง แต่เวอร์เดอ ย , ว่า ทิตตุลา การเล่น ค.ศ. 2017 ค.ศ. 2017 ค.ศ. 2017 ค.ศ. 2019 ค.ศ. 2019 ค.ศ. 2019 ค.ศ. 2019 ค.ศ. 2019 ค.ศ. 2019 ค.ศ. 2019 ค.ศ. 2019 ค.ศ. 2019 ค.ศ. 2019 ค.ศ
A moja a market and source of the on MAO comments on one and
sing to to A noticules only the Peninentante Reading Actives sing
information unless it significative a currently valid OMB number
Food and Drug Administration
PRASSISTINGOfdations.gov
FOR FDA USE ONLYConcerters of Centre for Derigoloibes and Radiological (Signing (Signing
PART PERSELLER
Over-The-Counter Use (21 CFFR 801 Subpart C)2 Presscription Use (Fart 21 CFR 801 Support DType of Use (Select one or both, as applicable)
The Multified button Plus is a pre-ments streng surficedly connected to the endosseous sentimplant and is intended for use as an aid in proothetic rehabilitation
Multi-unit Abutunent Plus
Indications for Use (Describe,
Device Name
510(k) Number (if known
1161416
ormandes : OMB No. 0910-0120
one the parties damusly 31, 2017
PRA Statement belowDEPARTMENT OF FEATH AND HUMA SERVICES
ndications for Use
Food and Drug Administration

· · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · ·

11:10:30 %

ຣຸຟິຈິກອີການປັກ

్లాల

3

I. SUBMITTER

Nobel Biocare AB Vastra Hamngatan 1 Goteborg, SE-411 17 Sweden

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

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

Date Prepared: March 15, 2017

II. DEVICE

Name of Device: Multi-unit Abutment Plus Common or Usual Name: Endosseous Dental Implant Abutment Classification Name: Endosseous Dental Implant Abutment (21 CFR 872.3630) Requlatory Class: II Product Code: NHA

III. PREDICATE DEVICE

Primary Predicate: NobelActive Multi Unit Abutment - K072570

Reference Predicate NobelActive Wide Platform (WP) - K133731

IV. DEVICE DESCRIPTION

Multi Unit Abutment Plus

The Multi-unit Abutment Plus are transmucosal abutments used for multiple unit screw retained restorations. The abutment family consists of straight and angled abutments in varying collar heights. The non-angled abutments have a built in screw and the angled abutments are co-packed with a separate abutment screw. The Multi-unit Abutment Plus is compatible with the Nobel Biocare dental implants that have the internal conical connection.

A.4.

4

The Multi-unit Abutment Plus is available for Internal Conical Connection implants with the Narrow Platform (NP), Regular Platform (RP) and Wide Platforms (WP). The Multi-unit Abutment Plus is available with collar heights of 1.5, 2.5, 3.5, and 4.5 mm and angulations of 0°, 17°, 30°.

Snap Temporary Coping Multi-Unit Titanium

The Temporary Snap Coping is a premanufactured dental abutment directly connected to the Multi-unit abutment plus. The temporary coping is co-packed with a prosthetic screw. It is used as a temporary aid in prosthetic rehabilitation until the final restoration is attached. Maximum intraoral use is 180-days.

V. INDICATIONS FOR USE

The Multi-unit Abutment Plus is a pre-manufactured prosthetic component directly connected to the endosseous dental implant and is intended for use as an aid in prosthetic rehabilitation.

| Technological

characteristicsSubject DevicePredicate
Multi-unit Abutment PlusNobelActive Multi Unit Abutment
(K072570)
Design FeaturesCompatible
Implant
PlatformNobel Biocare Internal Conical Connection
  • Narrow Platform (NP)
  • Regular Platform (RP)
  • Wide Platform (WP) | Nobel Biocare Internal Conical
    Connection
  • Narrow Platform (NP)
  • Regular Platform (RP) |
    | | Device Material | Abutments and screws – Titanium
    vanadium alloy | Abutments and screws – Titanium
    vanadium alloy |
    | | Abutment collar
    height | 1.5, 2.5, 3.5, 4.5 mm | 1.5, 2.5, 3.5, 4.5 mm |
    | | Abutment width | 4.8 mm | 4.8 mm |
    | | Abutment
    Angulation | 0°, 17°, 30° | 0°, 17°, 30° |
    | | Intended use | Multi-unit Abutment Plus in combination
    with endosseous implants are intended for
    multiple unit reconstructions when screw
    retained prosthetics is preferred. | Multi-unit Abutment in combination
    with endosseous implants are intended
    for multiple unit reconstructions when
    screw retained prosthetics is preferred. |
    | Indication for Use | | The Multi-unit Abutment Plus is a pre-
    manufactured prosthetic component
    directly connected to the endosseous
    dental implant and is 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. |

VI. Comparison of Technological Characteristics

5

Analysis of Differences Between Subject Device and Predicate

The Multi-unit Abutment Plus is an evolution of the predicate NobelActive Multi Unit Abutment. It differs from the predicate in the addition of a Wide Platform (WP) abutment (K133731, NobelActive WP, as a reference predicate) and through integration of a snap coping feature. The snap feature, when used with corresponding coping, facilitates try-in by allowing the provisional restoration to be positioned without using screws. Once fitting of the restoration is completed the restoration is secured with prosthetic screws.

Summary:

The documentation submitted in the premarket notification demonstrates that the Multi Unit Plus is substantially equivalent to the predicate device. Differences in technology were evaluated through comparative performance testing.

VII. PERFORMANCE DATA

Summary of Non-Clinical Testing:

Since the subject device does not represent a new worst case, data from the predicate device was leveraged in the following aspects of the 510(k).

  • Sterile Device Information
    • o The sterilization method for the subject device is the same as the predicate. The sterilization method is Gamma radiation and has been validated in accordance with ANSI/AAMI/ISO 11137. Therefore, no additional testing was required.
    • o The Temporary Snap Coping is delivered non-sterile. A sterilization validation was performed to ensure sterility of the subject device when processed by the end user. Sterilization validations were performed using fractionated pre-vacuum and gravity displacement. Sterilization validations were performed with the worst case dental devices.
  • Device Packaging -
    • The packaging for the subject device is the same as the predicate. O This is a thermoform tray with peel top lid. Therefore, no additional testing was required.
  • -Shelf Life
    • The packaging for the subject device is the same as the predicate and o is labeled with a 3 year expiration date. Real time aging was used to determine the expiration dating. Therefore, no additional testing was required.

6

  • Biocompatibilitv
    • o The subject device is manufactured from the same material as the predicate (K072570, Nobel Biocare), uses the same manufacturing method as the predicate, has the same intended use, and the same patient contact type and duration. Therefore, no additional testing was required.

The fatigue limit of the Multi-unit Abutment Plus was determined using a modified version of ISO 14801. The modifications to ISO 14801 were done to reflect the likely worst-case clinical use of the device. Both the subject and predicate device were tested under identical conditions. The results of the testing were used to address questions related to substantial equivalence based on difference in design between the subiect and predicate devices.

VIII. CONCLUSIONS

The Multi-unit Abutment Plus was evaluated for substantial equivalence using standard and/or comparative testing. In cases where the Multi-unit Abutment Plus could be shown to not represent a worst-case with respect to the predicates, data from these predicate devices was leveraged to support the subject device. Based on technological characteristics and non-clinical test data included in this submission, the Multi-unit Abutment Plus has been shown to be substantially equivalent to the NobelActive Multi Unit Abutment (K072570).