K Number
K162633
Device Name
Custom Bars
Date Cleared
2017-07-24

(306 days)

Product Code
Regulation Number
872.3630
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Implant Direct Custom Bars are patient specific devices indicated for attachment to dental implants in the treatment of partially or fully edentulous jaws for the purpose of restoring chewing function. Custom bars are compatible at the implant level with InterActive (3.4mm Platform) & SwishActive (3.4 Platform) System implants. Custom bars are compatible at the abutment level with InterActive (3.4mm Platform) & SwishActive (3.4 Platform) system straight multi-unit abutments.
Device Description
Implant Direct Custom Bars are computer-aided design/computer-aided manufacturing, individually designed prosthetic devices for partially or fully edentulous restorations. The bars and fixation screws are made from Wrought Titanium Alloy conforming to an FDA recognized consensus standard ASTM F136. The Custom Bars consist of two device types: fixed-detachable frameworks and overdenture bars. The bar systems consists of the bars as well as fixation screws to facilitate the attachment to the dental implants. Implant Direct Custom Bars are attached directly to an implant to provide support for the fabricated denture. The implant specific interfaces on the Custom Bars are designed and manufactured with precise mating features in order to the mating surfaces of the implants or abutments. The Implant Direct Custom Bars are designed and produced at Implant Direct under the direction of clinical professionals. The patient requirements and implant locations are obtained conventionally or digitally and a bar is designed, using CAD software, according to established customization parameters. Once the design is finished, the bar design is sent to the clinician for approval before manufacture. After bar design approval is received, the bar design is milled using a precise CAM system, inspected, cleaned, packaged non-sterile, and shipped to the customer where it is finished into the final restoration.
More Information

No
The description mentions CAD/CAM and computer-aided design, but does not include any terms or descriptions indicative of AI or ML technology.

No.
The device is described as a prosthetic device used for restoring chewing function, which falls under restorative rather than therapeutic purposes.

No

Explanation: This device is a prosthetic device used for restoring chewing function, not for diagnosing medical conditions.

No

The device description explicitly states the device is made from Wrought Titanium Alloy and includes fixation screws, indicating it is a physical hardware device. While CAD software is used in the design process, the final product is a manufactured physical implant component.

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

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, or tissue) to provide information for diagnosis, monitoring, or screening.
  • Device Function: The Implant Direct Custom Bars are prosthetic devices designed to be implanted in the oral cavity to restore chewing function by attaching to dental implants. They are a physical component used in a surgical and restorative procedure.
  • Intended Use: The intended use clearly states the purpose is to restore chewing function by attaching to dental implants in the treatment of partially or fully edentulous jaws. This is a mechanical and structural function, not a diagnostic one based on analyzing biological specimens.
  • Device Description: The description details the materials, manufacturing process (CAD/CAM), and how the bars are attached to implants. There is no mention of analyzing biological samples or providing diagnostic information.

Therefore, the Implant Direct Custom Bars fall under the category of a medical device used for treatment and restoration, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

Implant Direct Custom Bars are patient specific devices indicated for attachment to dental implants in the treatment of partially or fully edentulous jaws for the purpose of restoring chewing function.

Custom bars are compatible at the implant level with InterActive (3.4mm Platform) & SwishActive (3.4 Platform) System implants.

ManufacturerImplant LineBody DiameterImplant Platform
Implant DirectInter Active4.3mm, 5.0mm3.4mm
Implant DirectSwishActive4.8mm3.4mm

Custom bars are compatible at the abutment level with InterActive (3.4mm Platform) & SwishActive (3.4 Platform) system straight multi-unit abutments.

ManufacturerImplant LineImplant Platform
Implant DirectInterActive3.4mm
Implant DirectSwishActive3.4mm

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

NHA

Device Description

Implant Direct Custom Bars are computer-aided design/computer-aided manufacturing, individually designed prosthetic devices for partially or fully edentulous restorations. The bars and fixation screws are made from Wrought Titanium Alloy conforming to an FDA recognized consensus standard ASTM F136. The Custom Bars consist of two device types: fixed-detachable frameworks and overdenture bars. The bar systems consists of the bars as well as fixation screws to facilitate the attachment to the dental implants.

Implant Direct Custom Bars are attached directly to an implant to provide support for the fabricated denture. The implant specific interfaces on the Custom Bars are designed and manufactured with precise mating features in order to the mating surfaces of the implants or abutments.

The Implant Direct Custom Bars are designed and produced at Implant Direct under the direction of clinical professionals. The patient requirements and implant locations are obtained conventionally or digitally and a bar is designed, using CAD software, according to established customization parameters. Once the design is finished, the bar design is sent to the clinician for approval before manufacture. After bar design approval is received, the bar design is milled using a precise CAM system, inspected, cleaned, packaged non-sterile, and shipped to the customer where it is finished into the final restoration.

ParameterMinimumMaximum
Number of Cylinders4 Note 110
Bar Span0mm17mm
Distal cantilever extensionNote 20mm10mm
Superstructure Cylinder divergence40° divergence between two implants with no more than 20° angulation for any one implant.
Cylinder height0mm7mm
Wall Section1mmNone

Note 1: Minimum of two (2) implants allowed in mandible without distal extensions and having soft tissue support.
Note 2: No distal cantilevers allowed for bars with 2 or 3 implants. When using an attachment on the extension, a 2mm radius is required under the bar.

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

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)

Non-clinical testing was performed on the proposed device. Testing include mechanical strength, biocompatibility, and cleaning and steam sterilization validation. Results indicated that the subject device is equivalent to the predicate device.

  • Mechanical testing
    • o Fatigue testing was performed on worst-case configuration per ISO 14801. Results indicated that the bar interface successfully completed endurance testing and was equivalent to the predicate device.
    • Bending strength testing was performed on worst-case bar according to a o modified version of ASTM F382. Results indicated that the subject device is equivalent to the predicate device.
  • Biocompatibility testing was performed per ISO 10993-1 and ISO 10993-5.
    • Cytotoxicity testing and comprehensive biocompatibility evaluation was conducted. Results indicate that the device met all biocompatibility requirements for its intended use. The material of subject device conforms to FDA recognized consensus standard ASTM F136 and is equivalent to the reference predicate.
  • The subject devices are provided non-sterile and to be end user sterilized. Steam sterilization validation was performed on the worst case sample per ISO 17665-1 and ISO 17665-2. Results indicated the acceptance criteria was met and the devices can be sterilized per Gravity Displacement and Pre-vacuum cycle parameters.

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.

K122424

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.

K132749, K101582

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 border with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the circumference. Inside the circle is a stylized image of three human profiles facing to the right, stacked on top of each other, with flowing lines extending downward from the bottom profile.

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

July 24, 2017

Implant Direct Sybron Manufacturing, LLC Reina Choi Senior Regulatory Affairs Specialist 3050 East Hillcrest Drive Thousand Oaks, California 91362

Re: K162633

Trade/Device Name: Custom Bars Regulation Number: 21 CFR 872.3630 Regulation Name: Endosseous Dental Implant Abutment Regulatory Class: Class II Product Code: NHA Dated: June 26, 2017 Received: June 27, 2017

Dear Reina Choi:

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 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.

1

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,

Mary S. Runner -S

for Lori Wiggins 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

Indications for Use

Expiration Date: January 31, 2017 See PRA Statement below.

510(k) Number (if known) K162633

Device Name

Custom Bars

Indications for Use (Describe)

Implant Direct Custom Bars are patient specific devices indicated for attachment to dental implants in the treatment of partially or fully edentulous jaws for the purpose of restoring chewing function.

Custom bars are compatible at the implant level with InterActive (3.4mm Platform) & SwishActive (3.4 Platform) System implants.

ManufacturerImplant LineBody DiameterImplant Platform
Implant DirectInter Active4.3mm, 5.0mm3.4mm
Implant DirectSwishActive4.8mm3.4mm

Custom bars are compatible at the abutment level with InterActive (3.4mm Platform) & SwishActive (3.4 Platform) system straight multi-unit abutments.

ManufacturerImplant LineImplant Platform
Implant DirectInterActive3.4mm
Implant DirectSwishActive3.4mm

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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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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"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

3

SECTION 5. 510(k) SUMMARY

1. SUBMITTER

Implant Direct Sybron Manufacturing LLC 3050 East Hillcrest Drive Thousand Oaks, CA 91362

Contact Person:Reina Choi
Telephone Number:818-444-3306
Email Address:reina.choi@implantdirect.com
Alternate Contact:Kwame Ulmer
Telephone Number:818-444-3394
Email Address:kwame.ulmer@implantdirect.com
Date Prepared:July 21, 2017

2. DEVICE

• Proprietary Name:Custom Bars
• Classification Name:Endosseous Dental Implant Abutment
• CFR:21 CFR 872.3630
• Regulatory Class:II
• Product Code:NHA

3. PREDICATE DEVICES

  • Dentsply International ISUS Implant Suprastructures (K122424) Primary . Predicate
  • Nobel Biocare NobelProcera Overdenture Bar (K132749) Reference .
  • Biomet 3i CAM StructSURE Overdenture Bars (K101582) - Reference

4. DEVICE DESCRIPTION

Implant Direct Custom Bars are computer-aided design/computer-aided manufacturing, individually designed prosthetic devices for partially or fully edentulous restorations. The bars and fixation screws are made from Wrought Titanium Alloy conforming to an FDA recognized consensus standard ASTM F136. The Custom Bars consist of two

4

device types: fixed-detachable frameworks and overdenture bars. The bar systems consists of the bars as well as fixation screws to facilitate the attachment to the dental implants.

Implant Direct Custom Bars are attached directly to an implant to provide support for the fabricated denture. The implant specific interfaces on the Custom Bars are designed and manufactured with precise mating features in order to the mating surfaces of the implants or abutments.

The Implant Direct Custom Bars are designed and produced at Implant Direct under the direction of clinical professionals. The patient requirements and implant locations are obtained conventionally or digitally and a bar is designed, using CAD software, according to established customization parameters. Once the design is finished, the bar design is sent to the clinician for approval before manufacture. After bar design approval is received, the bar design is milled using a precise CAM system, inspected, cleaned, packaged non-sterile, and shipped to the customer where it is finished into the final restoration.

ParameterMinimumMaximum
Number of Cylinders4 Note 110
Bar Span0mm17mm
Distal cantilever extensionNote 20mm10mm
Superstructure Cylinder
divergence40° divergence between
two implants with no
more than 20°
angulation for any one
implant.
Cylinder height0mm7mm
Wall Section1mmNone

Customization Parameters

Note 1: Minimum of two (2) implants allowed in mandible without distal extensions and having soft tissue support.

Note 2: No distal cantilevers allowed for bars with 2 or 3 implants. When using an attachment on the extension, a 2mm radius is required under the bar.

5

5. INDICATIONS FOR USE

Implant Direct Custom Bars are patient specific devices indicated for attachment to dental implants in the treatment of partially or fully edentulous jaws for the purpose of restoring chewing function.

Custom bars are compatible at the implant level with InterActive (3.4mm Platform) & SwishActive (3.4mm Platform) System implants.

ManufacturerImplant LineBody DiameterImplant Platform
Implant DirectInterActive4.3mm, 5.0mm3.4mm
Implant DirectSwishActive4.8mm3.4mm

Custom bars are compatible at the abutment level with InterActive (3.4mm Platform) & SwishActive (3.4mm Platform) system straight multi-unit abutments.

ManufacturerImplant LineImplant Platform
Implant DirectInterActive3.4mm
Implant DirectSwishActive3.4mm

6. COMPARISON OF INDICATIONS FOR USE BETWEEN PROPOSED DEVICE AND PRIMARY PREDICATE

| Characte
ristics | Proposed Device
Custom Bars
(K162633) | Primary Predicate
ISUS Implant Suprastructure –
Bars and Hybrids (K122424) |
|-------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Indication
s for Use | Implant Direct Custom Bars
are patient specific devices
indicated for attachment to
dental implants in the
treatment of partially or fully
edentulous jaws for the
purpose of restoring chewing
function. | The ISUS Implant Suprastructure 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. |
| | Custom bars are compatible at
implant level with InterActive
(3.4mm Platform) (D4.3, D5.0)
& Swish Active (3.4mm
Platform) (D4.8) system
implants. | ISUS Implant Suprastructures are
indicated for compatibility with the
following implant and abutment
systems:
Implants: |

6

| Custom bars are compatible at
abutment level with
InterActive (3.4mm Platform)
& Swish Active (3.4mm
Platform) system | * 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: D3.5, 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)
*3I 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
UniAbutmnent 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
*Straumann Bone Level Angled
Abutment:4.0 mm
*3I Low Profile Abutment
*Friadent XiVE MP D3.8, D4.5, D5.5
*Friadent XiVE TG D3.8, D4.5, D5.5 |

-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

The intended use of the proposed Custom Bar is same as the primary predicate except for the interface compatibilities and customization parameters. The devices have differences in compatibility information and are specified within the Indications for Use. The proposed and predicate devices have differences in the customization parameters and are specified in the Instructions for Use. The device compatibility and customization parameters are supported by performance testing and do not affect substantial equivalence to the predicate.

7. COMPARISON OF TECHNOLOGICAL CHARACTERISTICS

CharacteriProposedPrimaryReference DeviceReference
sticsDevicePredicateDevice
Custom Bars
(K162633)ISUS Implant
Suprastructure -
Bars and Hybrids
(K122424)NobelProcera
Overdenture Bar
(K132749)Biomet 3i
CAM
Structure
Overdenture
Bars
(K101582)
Intended
UseAttachment to
dental implants
in the treatment
of partially or
fully edentulous
jaws for the
purpose of
restoring
chewing
function.Attachment to
dental implants or
abutments in the
treatment of
partially or totally
edentulous jaws
for the purpose of
restoring chewing
function.Attachment to
implants or
abutments in the
treatment of
partially or totally
edentulous jaws for
the purpose of
restoring chewing
function.Accessory to
endosseous
dental implants
to support a
prosthetic
device in a
partially or
edentulous
patient.
Anatomical
SiteOral CavityOral CavityOral CavityOral Cavity
General
DesignOne piece
milled bar with
fixation screws
designed to
interface with
multi-unit
abutments or
implants.One piece milled
bar with fixation
screws designed to
interface with
multi-unit
abutments or
implantsOne piece milled bar
with fixation screws
designed to interface
with multi-unit
abutments or
implants.One piece
milled bar with
fixation screws
designed to
interface with
multi-unit
abutments or
implants.
Bar
MaterialTitanium alloyTitanium,
Cobalt-Chromium
AlloyTitanium alloyTitanium alloy
Design
Method Bar
OrderIndividually
designed for
each patient by
order of
prescriptionIndividually
designed for each
patient by order of
prescriptionIndividually
designed for each
patient by order of
prescriptionIndividually
designed for
each patient by
order of
prescription
Restoration
TypeScrew Retained
Bar with PatientScrew Retained
Bar with PatientScrew Retained Bar
with PatientScrew
Retained Bar

7

8

| | Removable
Overdenture or
Fixed
Detachable
Framework | Removable
Overdenture or
Fixed Detachable
Framework | Removable
Overdenture or
Fixed Detachable
Framework | with Patient
Removable
Overdenture or
Fixed
Detachable
Framework |
|-------------------------|-------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Bar Element
Profiles | Metal Lingual,
Traditional
Hybrid, Y Bar, I
Bar, Pawn Bar,
Hader,
Locator/GPS/Ball Bar | Round, Hader,
Dolder (U) “non
resilient”, Dolder
(Y) “resilient”,
Bredent, Bredent
VSP f Bredent
VSP fs, ISUS
Custom | Dolder (Micro,
Macro, Micro -
Resilient, Macro -
Resilient), Hader,
Round, Free Form
Milled, Paris Bar,
Wrap-around Bar,
Montreal Bar,
Montreal with
Metallic Lingual,
Hybrid, Implant
Bridge titanium,
Implant Bridge
Zirconia | Hybrid Bar,
Wraparound
Bar, Freeform
Bar, Canada
Bar, Dolder
Egg Shape
Bar, Dolder
Ushape Bar,
Hader,
Primary Bar,
Combination
Primary/Hader
/Dolder,
Copymilled
Bar/Framework |
| Screw
Material | Titanium Alloy | Titanium Alloy | Titanium Alloy | Titanium
Alloy |
| Sterility | Non-sterile | Non-sterile | Non-sterile | Non-sterile |

The proposed device and predicates have the same general design, similar production methods, same size cylinder wall, allow for the same final restoration types, and have the same sterilization methods.

The differences between the proposed devices and the predicate devices have also been evaluated. The proposed bars have smaller allowable span, equivalent or smaller distal extension, smaller cylinder height, different bar profiles, and larger fixation screws. Performance testing has shown to support substantial equivalence to the reference predicate. Though the material used in subject device is different from the primary predicate, it is equivalent to that of the reference predicate. The differences in Custom Bar parameters and materials, used to construct the proposed device, do not affect substantial equivalence.

8. PERFORMANCE DATA

9

Non-clinical testing was performed on the proposed device. Testing include mechanical strength, biocompatibility, and cleaning and steam sterilization validation. Results indicated that the subject device is equivalent to the predicate device.

  • Mechanical testing
    • o Fatigue testing was performed on worst-case configuration per ISO 14801. Results indicated that the bar interface successfully completed endurance testing and was equivalent to the predicate device.
    • Bending strength testing was performed on worst-case bar according to a o modified version of ASTM F382. Results indicated that the subject device is equivalent to the predicate device.
  • Biocompatibility testing was performed per ISO 10993-1 and ISO 10993-5. ● Cytotoxicity testing and comprehensive biocompatibility evaluation was conducted. Results indicate that the device met all biocompatibility requirements for its intended use. The material of subject device conforms to FDA recognized consensus standard ASTM F136 and is equivalent to the reference predicate.
  • . The subject devices are provided non-sterile and to be end user sterilized. Steam sterilization validation was performed on the worst case sample per ISO 17665-1 and ISO 17665-2. Results indicated the acceptance criteria was met and the devices can be sterilized per Gravity Displacement and Pre-vacuum cycle parameters.

9. CLINICAL PERFORMANCE DATA

Clinical Performance testing was not performed. Clinical data is not required to support substantial equivalence.

10. CONCLUSION

Implant Direct Custom Bars are substantially equivalent to the legally marketed device(s) from Dentsply International ISUS Implant Suprastructures (K122424). The intended use, design features, and materials of the subject devices are equivalent to those of the predicate devices. The fundamental scientific technology of the modified devices has not changed relative to the predicates devices. The application is adequately supported by the substantial equivalence information, materials information, and analysis data provided within this premarket notification. The subject device is substantially equivalent to the declared predicates.