K Number
K163634
Device Name
External Hex Implants
Date Cleared
2017-11-06

(319 days)

Product Code
Regulation Number
872.3640
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Southern Implants' External Hex Implants are intended for surgical placement in the upper or lower jaw to provide a means for prosthetic attachment of crowns, bridges or overdentures utilizing delayed or immediate loading. Southern Implants' External Hex Implants are intended for immediate function when good primary stability with appropriate occlusal loading is achieved.
Device Description
The subject device consists of four product lines, External Hex Tapered Implants, External Hex Tapered Internal Drive Implants, External Hex Cylindrical Internal Drive Implants, and External Hex Co-Axis Tapered Implants. Internal drive implants are inserted with a removable tool as opposed to a fixture mount. All product line implants have an external hex implant/abutment connection and a grit-blasted surface. External Hex Tapered Implants and CoAxis Implants come in an MSC design with a machined coronal portion. One product line implant, Co-Axis Tapered, has an angled coronal portion. Each product line includes corresponding abutments in multiple designs (Cover Screws, Healing Caps, Healing Abutments, Titanium Abutments, Anatomic Abutments, Cosmetic Abutments, Gold Abutments, Chrome Cobalt Abutments, Compact Conical Abutments, Passive Abutments) for cement-retained and screw-retained restorations. All retaining screws compatible with the subject device have been previously cleared in K053478. Retaining screws TSHZ3 and TSH1 were used for mechanical testing according to ISO 14801. Compact Conical Abutments and Chrome Cobalt Abutments are designed for multi-unit restorations. Compact Conical Abutment is available in straight, 17°, and 30° designs. Cosmetic abutments are available in 12° and 24°. All other abutments are straight (0°). Subject Device components are made of unalloyed titanium, titanium alloy, gold alloy, or cobalt-chromium alloy. Material standards for the subject device components are ASTM F67, ASTM F136, ASTM 1537, and ASTM F1562. Small diameter implants and angled abutments are not recommended for the posterior region
More Information

Not Found

No
The summary describes a physical dental implant system and its components, with no mention of software, algorithms, or data processing that would indicate the use of AI/ML.

Yes
The device is described as "Intended for surgical placement in the upper or lower jaw to provide a means for prosthetic attachment of crowns, bridges or overdentures," which indicates it is used for the treatment or alleviation of a condition (tooth loss).

No

The device description indicates it is a set of dental implants and corresponding abutments intended for surgical placement in the jaw for prosthetic attachment. It does not perform any diagnostic function.

No

The device description clearly outlines physical components made of various materials (titanium, gold alloy, cobalt-chromium alloy) and includes details about mechanical testing and sterilization, indicating it is a hardware device.

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

Here's why:

  • Intended Use: The intended use clearly states the device is for surgical placement in the jaw to provide prosthetic attachment. This is a surgical and prosthetic function, not a diagnostic one.
  • Device Description: The description details the physical components of the implants and abutments, which are mechanical devices for surgical implantation and prosthetic support.
  • Lack of Diagnostic Elements: There is no mention of the device being used to test samples (blood, urine, tissue, etc.) or to provide information about a patient's health status through in vitro analysis.
  • Performance Studies: The performance studies focus on mechanical strength, sterilization, shelf life, and biocompatibility – all relevant to a surgically implanted device, not an IVD.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device does not fit that description.

N/A

Intended Use / Indications for Use

Southern Implants' External Hex Implants are intended for surgical placement in the upper or lower jaw to provide a means for prosthetic attachment of crowns, bridges or overdentures utilizing delayed or immediate loading.

Southern Implants' External Hex Implants are intended for immediate function when good primary stability with appropriate occlusal loading is achieved.

Product codes

DZE, NHA

Device Description

The subject device consists of four product lines, External Hex Tapered Implants, External Hex Tapered Internal Drive Implants, External Hex Cylindrical Internal Drive Implants, and External Hex Co-Axis Tapered Implants. Internal drive implants are inserted with a removable tool as opposed to a fixture mount. All product line implants have an external hex implant/abutment connection and a grit-blasted surface. External Hex Tapered Implants and CoAxis Implants come in an MSC design with a machined coronal portion. One product line implant, Co-Axis Tapered, has an angled coronal portion.

Each product line includes corresponding abutments in multiple designs (Cover Screws, Healing Caps, Healing Abutments, Titanium Abutments, Anatomic Abutments, Cosmetic Abutments, Gold Abutments, Chrome Cobalt Abutments, Compact Conical Abutments, Passive Abutments) for cement-retained and screw-retained restorations. All retaining screws compatible with the subject device have been previously cleared in K053478. Retaining screws TSHZ3 and TSH1 were used for mechanical testing according to ISO 14801. Compact Conical Abutments and Chrome Cobalt Abutments are designed for multi-unit restorations. Compact Conical Abutment is available in straight, 17°, and 30° designs. Cosmetic abutments are available in 12° and 24°. All other abutments are straight (0°). Subject Device components are made of unalloyed titanium, titanium alloy, gold alloy, or cobalt-chromium alloy. Material standards for the subject device components are ASTM F67, ASTM F136, ASTM 1537, and ASTM F1562. Small diameter implants and angled abutments are not recommended for the posterior region

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

upper or lower jaw

Indicated Patient Age Range

Not Found

Intended User / Care Setting

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 data submitted or relied upon to demonstrate substantial equivalence included: radiation sterilization validation according to ISO 11137-1 and 11137-2 and steam sterilization according to ISO 17665-1 and ISO 17665-2, demonstrating a sterility assurance level (SAL) of 10-6; Shelf life testing according to ISO, 11607-1, ISO 11607-2, ASTM F88, ASTM 1929, and ASTM 1980; bacterial endotoxin testing to AAMI/ANSI ST 72, demonstrating acceptable endotoxin limits; biocompatibility testing according to ISO 10993-5 (cytotoxicity), demonstrating acceptable biocompatibility; and mechanical testing according to ISO 14801, demonstrating that the subject device is strong enough for its intended use.

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

Not Found

Predicate Device(s)

K133049, K003620, K020617, K082651, K053478, K070841, K070905, K092341, K160244, K150669, K120414

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.3640 Endosseous dental implant.

(a)
Identification. An endosseous dental implant is a prescription device made of a material such as titanium or titanium alloy that is intended to be surgically placed in the bone of the upper or lower jaw arches to provide support for prosthetic devices, such as artificial teeth, in order to restore a patient's chewing function.(b)
Classification. (1) Class II (special controls). The device is classified as class II if it is a root-form endosseous dental implant. The root-form endosseous dental implant is characterized by four geometrically distinct types: Basket, screw, solid cylinder, and hollow cylinder. The guidance document entitled “Class II Special Controls Guidance Document: Root-Form Endosseous Dental Implants and Endosseous Dental Implant Abutments” will serve as the special control. (See § 872.1(e) for the availability of this guidance document.)(2)
Classification. Class II (special controls). The device is classified as class II if it is a blade-form endosseous dental implant. The special controls for this device are:(i) The design characteristics of the device must ensure that the geometry and material composition are consistent with the intended use;
(ii) Mechanical performance (fatigue) testing under simulated physiological conditions to demonstrate maximum load (endurance limit) when the device is subjected to compressive and shear loads;
(iii) Corrosion testing under simulated physiological conditions to demonstrate corrosion potential of each metal or alloy, couple potential for an assembled dissimilar metal implant system, and corrosion rate for an assembled dissimilar metal implant system;
(iv) The device must be demonstrated to be biocompatible;
(v) Sterility testing must demonstrate the sterility of the device;
(vi) Performance testing to evaluate the compatibility of the device in a magnetic resonance (MR) environment;
(vii) Labeling must include a clear description of the technological features, how the device should be used in patients, detailed surgical protocol and restoration procedures, relevant precautions and warnings based on the clinical use of the device, and qualifications and training requirements for device users including technicians and clinicians;
(viii) Patient labeling must contain a description of how the device works, how the device is placed, how the patient needs to care for the implant, possible adverse events and how to report any complications; and
(ix) Documented clinical experience must demonstrate safe and effective use and capture any adverse events observed during clinical use.

0

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract image of three human profiles facing to the right.

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

November 6, 2017

Southern Implants (Pty) Ltd. % Linda Schulz Senior Regulatory Affairs Specialist PaxMed International, LLC 12264 El Camino Real Suite 400 San Diego, California 92130

Re: K163634

Trade/Device Name: External Hex Implants Regulation Number: 21 CFR 872.3640 Regulation Name: Endosseous Dental Implant Regulatory Class: Class II Product Code: DZE, NHA Dated: October 23, 2017 Received: October 24, 2017

Dear Linda Schulz:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food. Drug. and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA), You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act

1

or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely,

Mary S. Runner -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

Indications for Use

510(k) Number (if known)

K163634

Device Name

External Hex Implants

Indications for Use (Describe)

Southern Implants' External Hex Implants are intended for surgical placement in the upper or lower jaw to provide a means for prosthetic attachment of crowns, bridges or overdentures utilizing delayed or immediate loading.

Southern Implants' External Hex Implants are intended for immediate function when good primary stability with appropriate occlusal loading is achieved.

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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3

510(k) Summary

K163634

External Hex Implants

Southern Implants (Pty) Ltd.

November 6, 2017

ADMINISTRATIVE INFORMATION
Manufacturer NameSouthern Implants (Pty) Ltd.
1 Albert Road
Irene, South Africa 0062
Telephone: +011 27 12 667 1046
Fax: +011 27 12 667 1029
Official ContactLauranda Breytenbach
Regulatory Affairs and Quality
Representative/ConsultantLinda K. Schulz, BSDH, RDH
Floyd G. Larson, MS, MBA
PaxMed International, LLC
12264 El Camino Real, Suite 400
San Diego, CA 92130
Telephone: +1-858-792-1235
Fax: +1-858-792-1236
Email: lschulz@paxmed.com
flarson@paxmed.com

DEVICE NAME AND CLASSIFICATION

Trade/Proprietary NameExternal Hex Implants
Common NameDental implant
Dental implant abutment
Classification NameImplant, endosseous, root form
Endosseous dental implant abutment
Classification Regulations21 CFR 872.3640, Class II
Product CodeDZE, NHA
Classification Panel
Reviewing BranchDental Products Panel
Dental Devices Branch

4

Primary PredicateDevice NameK Number
Biomet 3i (Primary)3i T3 External Hex Dental implantsK133049
Reference Predicates
NSI IncEndosseous implant and accessories (NSI Hexed and Non-Hexed Implant System)K003620
NSI IncEndosseous implant and accessories (NSI Hexed and Non-Hexed Implant System)K020617
Southern Implants Inc.Endosseous implant and accessoriesK082651
Northern Implants, LLCEndosseous implant and accessoriesK053478
Southern Implants Inc.Endosseous implant and accessoriesK070841
Southern Implants Inc.Endosseous implant and accessoriesK070905
Biomet 3iLow Profile AbutmentK092341
Thommen Medical AGVARIOuniteK160244
Neoss, Ltd.Neoss TiBase and CoCr AbutmentsK150669
AstraTech AB [Dentsply]OsseoSpeed™ PlusK120414

PREDICATE DEVICE INFORMATION

INDICATIONS FOR USE

Southern Implants' External Hex Implants are intended for surgical placement in the upper or lower jaw to provide a means for prosthetic attachment of crowns, bridges or overdentures utilizing delayed or immediate loading.

Southern Implants' External Hex Implants are intended for immediate function when good primary stability with appropriate occlusal loading is achieved.

SUBJECT DEVICE DESCRIPTION

The subject device consists of four product lines, External Hex Tapered Implants, External Hex Tapered Internal Drive Implants, External Hex Cylindrical Internal Drive Implants, and External Hex Co-Axis Tapered Implants. Internal drive implants are inserted with a removable tool as opposed to a fixture mount. All product line implants have an external hex implant/abutment connection and a grit-blasted surface. External Hex Tapered Implants and CoAxis Implants come in an MSC design with a machined coronal portion. One product line implant, Co-Axis Tapered, has an angled coronal portion.

Implant LineDiameter (mm)Length (mm)Implant Angle
Ex Hex Tapered3.258.5, 10, 11.5, 13, 15, 18NA
Ex Hex Tapered4.06, 8.5, 10, 11.5, 13, 15, 18NA
Ex Hex Tapered5.06, 8.5, 10, 11.5, 13, 15, 18NA
Ex Hex Tapered - MSC3.258.5, 10, 11.5, 13, 15, 18NA
Ex Hex Tapered - MSC4.06, 8.5, 10, 11.5, 13, 15NA
Ex Hex Tapered - MSC5.06, 8.5, 10, 11.5, 13, 15NA
Ex Hex Tapered Internal Drive4.08.5, 10, 11.5, 13, 15, 18NA
Ex Hex Tapered Internal Drive4.710, 11.5, 13, 15, 18NA
Ex Hex Tapered Internal Drive5.710, 11.5, 13, 15, 18NA
Ex Hex Cylindrical Internal Drive3.757, 8.5, 10, 11.5, 13, 15, 18, 20NA
Ex Hex Cylindrical Internal Drive5.06, 7, 8.5, 10, 11.5, 13, 15, 18NA
Ex Hex Cylindrical Internal Drive6.07, 8.5, 10, 11.5, 13, 15NA
Ex Hex CoAxis Tapered3.258.5, 10, 11.5, 13, 15, 1812°
Ex Hex CoAxis Tapered4.08.5, 10, 11.5, 13, 15, 1812°
Ex Hex CoAxis Tapered4.08.5, 10, 11.5, 13, 15, 18, 2024°
Ex Hex CoAxis Tapered4.78.5, 10, 11.5, 13, 15, 1812°
Ex Hex CoAxis Tapered4.78.5, 10, 11.5, 13, 15, 1824°
Ex Hex CoAxis Tapered - MSC3.258.5, 10, 11.5, 13, 15, 1812°
Ex Hex CoAxis Tapered - MSC4.08.5, 10, 11.5, 13, 15, 1812°, 24°
Ex Hex CoAxis Tapered - MSC4.78.5, 10, 11.5, 13, 15, 1812°, 24°

Implants are available in the following diameters and lengths

5

Each product line includes corresponding abutments in multiple designs (Cover Screws, Healing Caps, Healing Abutments, Titanium Abutments, Anatomic Abutments, Cosmetic Abutments, Gold Abutments, Chrome Cobalt Abutments, Compact Conical Abutments, Passive Abutments) for cement-retained and screw-retained restorations. All retaining screws compatible with the subject device have been previously cleared in K053478. Retaining screws TSHZ3 and TSH1 were used for mechanical testing according to ISO 14801. Compact Conical Abutments and Chrome Cobalt Abutments are designed for multi-unit restorations. Compact Conical Abutment is available in straight, 17°, and 30° designs. Cosmetic abutments are available in 12° and 24°. All other abutments are straight (0°). Subject Device components are made of unalloyed titanium, titanium alloy, gold alloy, or cobalt-chromium alloy. Material standards for the subject device components are ASTM F67, ASTM F136, ASTM 1537, and ASTM F1562. Small diameter implants and angled abutments are not recommended for the posterior region

Abutment ModelAbutment Connection PlatformDiameters (mm)AngulationHeight (mm)
Cover screwsExternal Hex3.5, 5.004.4, 4.35
External Hex5.004.35
Healing CapsCompact Conical4.804.6, 6.2
Compact Conical6.004.6, 6.2
Compact Conical7.004.6, 6.2
Compact Conical9.004.6, 6.2
Healing abutmentsExternal Hex4.502.2, 3, 4, 5, 6, 8
External Hex5.52.2, 3, 4, 5, 6, 8, 12
External Hex6.502.2, 3, 4, 5, 6, 8, 12
External Hex7.52.2, 3, 4, 5, 6, 8, 12
Titanium AbutmentsExternal Hex; Engaging and non-engaging5.001, 5
External Hex; Engaging and non-engaging6.001, 5
Anatomic AbutmentsExternal Hex; Engaging and non-engaging3.402, 3, 5
External Hex; Engaging and non-engaging3.4302, 3, 5
External Hex; Engaging and non-engaging4.0502, 3, 5
External Hex; Engaging and non-engaging5.002, 3, 5
External Hex; Engaging and non-engaging6.002, 3, 5
Cosmetic AbutmentsExternal Hex; Engaging3.4312°, 24°2.9, 3.5
External Hex; Engaging4.0512°, 24°3.0
External Hex; Engaging5.012°, 24°2.0, 2.6
External Hex; Engaging6.012°, 24°2.6
Gold AbutmentsExternal Hex; Compact Conical
Engaging and non-engaging4.0500.5
External Hex; Compact Conical
Engaging and non-engaging5.000.5
External Hex; Compact Conical
Engaging and non-engaging6.000.5
Chrome Cobalt
AbutmentsExternal Hex; Non-engaging3.4001.5
External Hex; Non-engaging4.0501.5
Compact Conical
AbutmentsExternal Hex; Engaging (angled)
Non-engaging (straight)3.002, 3, 4, 5
External Hex
Engaging (angled) Non-engaging (straight)3.4317°3.0
External Hex
Engaging (angled) Non-engaging (straight)4.0517°2.9, 3.9
External Hex
Engaging (angled) Non-engaging (straight)4.054, 5, 6,
External Hex
Engaging (angled) Non-engaging (straight)5.030°
External Hex
Engaging (angled) Non-engaging (straight)5.01.58, 2, 3, 4, 5.5
External Hex
Engaging (angled) Non-engaging (straight)5.017°2.9, 3.9
External Hex5.030°4, 5, 6,
Engaging (angled) Non-engaging (straight)
External Hex6.01.58, 2, 3, 4, 5.5
Engaging (angled) Non-engaging (straight)
External Hex6.017°308, 4.08
Engaging (angled) Non-engaging (straight)
External Hex6.030°4.3, 5.3, 6.3
Engaging (angled) Non-engaging (straight)
Passive AbutmentsExternal Hex6.000.4 - 0.6
Compact Conical

6

PERFORMANCE DATA

Non-clinical testing data submitted or relied upon to demonstrate substantial equivalence included: radiation sterilization validation according to ISO 11137-1 and 11137-2 and steam sterilization according to ISO 17665-1 and ISO 17665-2, demonstrating a sterility assurance level (SAL) of 10-6; Shelf life testing according to ISO, 11607-1, ISO 11607-2, ASTM F88, ASTM 1929, and ASTM 1980; bacterial endotoxin testing to AAMI/ANSI ST 72, demonstrating acceptable endotoxin limits; biocompatibility testing according to ISO 10993-5 (cytotoxicity), demonstrating acceptable biocompatibility; and mechanical testing according to ISO 14801, demonstrating that the subject device is strong enough for its intended use.

EQUIVALENCE TO MARKETED DEVICE

The subject device is substantially equivalent in indications and design principles to the predicate devices shown above. Below are summary tables comparing the Indications for Use and the technological characteristics of the subject device and the predicate devices.

Subject DeviceIndications for Use Statement
External Hex ImplantsSouthern Implants' External Hex Implants are intended for surgical placement in the upper or lower
jaw to provide a means for prosthetic attachment of crowns, bridges or overdentures utilizing delayed
or immediate loading.
Southern Implants' External Hex Implants are intended for immediate function when good primary
stability with appropriate occlusal loading is achieved.
Primary Predicate Device
K133049
3i T3 External Hex Dental
implants
Biomet 3i3i T3® Dental Implants are intended for surgical placement in the upper or lower jaw to provide a
means for prosthetic attachment in single tooth restorations and in partially or fully edentulous spans
with multiple single teeth utilizing delayed or immediate loading, or as a terminal or intermediary
abutment for fixed or removable bridgework, and to retain overdentures.
3i T3® Dental Implants are intended for immediate function on single tooth and/or multiple tooth
applications when good primary stability is achieved, with appropriate occlusal loading, in order to
restore chewing function.
Reference Predicate
Devices
K003620
Endosseous implant and
accessories (NSI Hexed
and Non-Hexed Implant
System)
NSI Inc
K020617
Endosseous implant and
accessories (NSI Hexed
and Non-Hexed Implant
System)
NSI IncIndication for Use: The NSI Implant System is intended to be implanted in the upper or
lower jaw arches to provide support for fixed or removable dental prostheses in a single tooth,
partially edentulous prostheses, or full arch prostheses.
Comparison of Indications for Use Statements
--------------------------------------------------------

7

| K082651 | Indication for Use: The 24° Co-Axis implant is intended to be implanted in the upper or lower
jaw arches to provide support for fixed or removable dental prostheses in a single tooth, partially
edentulous prostheses, or full arch prostheses. It further adds the option for immediate placement
and function on single and splinted multiple unit restorations when good primary stability is
achieved and with appropriate occlusal loading, to restore chewing function.
This implant is not intended, nor should it be used, in conjunction with an angled abutment. |
|---------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Endosseous implant and
accessories | |
| Southern Implants Inc. | |
| K053478 | Indication for Use: The NSI Implant System is intended to be implanted in the upper or lower jaw
arches to provide support for fixed or removable dental prostheses in a single tooth, partially
edentulous prostheses, or full arch prostheses. It further adds the option for immediate loading on
single and splinted multiple unit restorations when good primary stability is achieved and with
appropriate occlusal loading, to restore chewing function. |
| Endosseous implant and
accessories | |
| Northern Implants, LLC | |
| K070841 | Indication for Use: The NSI Implant System is intended to be implanted in the upper or lower jaw
arches to provide support for fixed or removable dental prostheses in a single tooth, partially
dentulous prostheses, or full arch prostheses. It further adds the option for immediate loading on
single and splinted multiple unit restorations when good primary stability is achieved and with
appropriate occlusal loading, to restore chewing function. |
| Endosseous implant and
accessories | |
| Southern Implants Inc. | |
| K070905 | Indication for Use: The NSI Implant System is intended to be implanted in the upper or lower
jaw arches-to provide support for fixed or removable dental prostheses in a single tooth, partially
edentulous prostheses, or full arch prostheses. It further adds the option for immediate loading on
single and splinted multiple unit restorations when good primary stability is achieved and with
appropriate occlusal loading, to restore chewing function. |
| Endosseous implant and
accessories | |
| Southern Implants Inc. | |
| K092341 | BIOMET 3i Low Profile Abutments are intended for use as accessories to endosseous dental
implants to support a prosthetic device in a partially or completely edentulous patient. A dental
abutment is intended for use to support single and multiple tooth prosthesis, in the mandible or
maxilla. The prosthesis is screw retained to the abutment. |
| Low Profile Abutment | |
| Southern Implants Inc. | |
| K160244 | VARIOflex |
| VARIOunite | Thommen Medical VARIOflex abutments are intended to be used in conjunction with Thommen
System dental implants in the maxillary and/or mandibular arch to provide support for crowns,
bridges and overdentures. |
| Thommen Medical AG | |
| | VARIOtemp |
| | Thommen Medical VARIOtemp abutments are intended to be used in conjunction with Thommen
System dental implants in the maxillary and/or mandibular arch to provide support for crowns,
bridges and overdentures. |
| K150669 | Neoss TiBase: |
| Neoss TiBase and CoCr
Abutments | Neoss Abutments are designed to be connected to the Neoss Implants and intended for use as an aid
in prosthetic rehabilitation.
The Neoss TiBase is compatible with the Sirona Dental System inCoris ZI Meso L. All digitally
designed copings and/or crowns for use with the Neoss TiBase Abutments are to be designed and
milled using the Sirona Dental CAD/CAM System.
Neoss CoCr Abutments:
Neoss abutments are designed to be connected to the Neoss Implants and intended for use as an aid in
prosthetic rehabilitation. |
| Neoss, Ltd. | |
| K120414 | The Astra Tech Dental Implants are intended for both one- and two-stage surgical procedures in the
following situations and with the following clinical protocols:

  • replacing single and multiple missing teeth in the mandible and 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 loading in all indications, except in single tooth situations on implants shorter than
    8 mm, or in soft bone (type IV) where implant stability may be difficult to obtain and immediate
    loading may not be appropriate.
    The intended use for OsseoSpeed™ Plus 3.0S is limited to replacement of maxillary lateral incisors
    and mandibular incisors. |
    | OsseoSpeed™ Plus | |
    | Astra Tech AB
    [Dentsply] | |

8

The subject device and predicate devices are substantially equivalent in intended use, design and function. All predicates are implant systems placed in the maxilla or mandible for single or multi-unit restorations with possible immediate loading. Minor differences in the Indications for Use Statement between the subject device and the primary predicate device do not change the intended use of implant placement and function. Compared to the primary predicate, the subject device Indications for Use statement simplifies repeated references to different types of restorations, in varying language, to say crowns, bridges or overdentures.

Subject device implants have an external hex implant/abutment interface and threaded design substantially equivalent to K133049, K003620, K020617, K082651, K053478, K070905. They have the same implant surface as K003620, K020617, K082651, K053478, K070841, and K070905. CoAxis implants have the same or a substantially equivalent angle as K082651. Subject device abutments are substantially equivalent in design and material to K053478, K070905, K092341, K150669 and K120414. Further detail is outlined in the table of technological characteristics below.

9

Comparison of Technological Characteristics

Subject DevicePrimary PredicateReference Predicates
External Hex Implants3i T3
External Hex Dental
implantsEndosseous implant and
accessories (NSI Hexed
and Non-Hexed Implant
System)Endosseous implant
and accessories (NSI
Hexed and Non-Hexed
Implant System)Endosseous implant and
accessoriesEndosseous Dental
Implant SystemEndosseous Dental
Implant SystemEndosseous Dental
Implant SystemLow Profile AbutmentVARIOuniteNeoss TiBase and CoCr
AbutmentsOsseoSpeed™ Plus
Astra Tech AB
[Dentsply]
ComparisonSouthern Implants (Pty) Ltd.Biomet 3iNSI IncNSI IncSouthern Implants, Inc.Northern Implants,
LLCSouthern Implants, Inc.Southern Implants, IncBiomet 3iThommen Medical AGNeoss, Ltd.
510(k) NumberK163634K133049K003620K020617K082651K053478K070841K070905K092341K160244K150669K120414
IMPLANTS
Implant DesignStraight, Threaded;
Angled (12°, 24°), ThreadedStraight, ThreadedStraight, ThreadedStraight, ThreadedStraight, Threaded;
Angled (24°), ThreadedStraight, ThreadedStraight, Threaded;
Angled (12°), ThreadedStraight, ThreadedNANANAStraight, Threaded
Implant Lengths (mm)6, 7, 8.5, 10, 11.5, 13, 15, 16,
18, 206.5, 8.5, 10, 11.5, 13, 15,
187, 8.5, 10, 11.5, 13, 15,
16, 18, 207, 10, 11.5, 13, 1510, 11.5, 13, 15, 188.5, 10, 11.5, 13, 15, 188.5, 10, 11.5, 13, 15, 1810.5, 13.5, 16.5NANANA6, 8, 9, 11, 13, 15, 17
Implant Body Diameters
(mm)3.25, 3.75, 4.0, 4.7, 5.0, 5.7,
6.03.25, 4.0, 5.0, 6.03.75, 4.0, 5.04.7, 5.7, 6.04.7, 5.73.254.03.5, 4.3, 5.0NANANA3.0, 3.6, 4.2, 4.8, 5.4
Implant Angle0°, 12°, 24°NANANA24°NA12°NANANANA
Implant MaterialCPTiCPTiCPTiCPTiCPTiCPTiCPTiCPTiNANANACPTi
Implant SurfaceGrit blasted
Machine collar versions
availableOsseotite, NanoTiteGrit blastedGrit blastedGrit blastedGrit blastedGrit blastedGrit blastedNANANAOsseoSpeed
Implant/ Abutment
InterfaceExternal hexExternal hexExternal hexExternal hexExternal hexExternal hexExternal hexTri-lobeExternal hex, InternalInternalInternalInternal
Implant SterilizationSterile - irradiationSterile - irradiationSterile - irradiationSterile - irradiationSterile - irradiationSterile - irradiationSterile - irradiationSterile - irradiationNANANASterile - irradiation
ABUTMENTS
Abutment Angle0°, 12°, 17°, 24°, 30°0°, 15°, 17°, 25°NA0°, 17°, 30°20°0°, 15°, 20°, 30°
Abutment Design /
SterilizationSterile: Cover Screw , Healing
Caps, Healing Abutments,
Titanium Abutments, Anatomic
Abutments, Cosmetic Abutments,
Compact Conical Abutments
Non-sterile: Gold Abutments,
Chrome Cobalt Abutments,
Passive AbutmentsSpecific Abutments not
identified in 510(k) SummaryNo 510(k) Summary
AvailableSpecific Abutments not
identified in 510(k)
SummaryNASpecific Abutments not
identified in 510(k)
SummarySpecific Abutments not
identified in 510(k)
SummarySpecific Abutments not
identified in 510(k)
SummaryNon-Sterile Titanium
AbutmentsNon-Sterile Titanium
AbutmentsNon-Sterile TiBase
Abutments and CoCr
AbutmentsSterile and Non-Sterile
Abutments: Cover screw
Healing Abutments,
Temporary Abutments,
Cast-To Abutments, Ball
Abutments, Straight and
Angled Abutments
Abutment Diameters3.43, 3.5, 3.6, 4.05, 4.5, 4.6, 4.8,
5.0, 5.2, 5.5, 6.0, 6.2, 6.4, 6.5, 7.0,
7.5Specific Abutments not
identified in 510(k) SummaryNo 510(k) Summary
AvailableSpecific Abutments not
identified in 510(k)
SummaryNASpecific Abutments not
identified in 510(k)
SummarySpecific Abutments not
identified in 510(k)
SummarySpecific Abutments not
identified in 510(k)
Summary3.4, 4.1, 5.03.5, 4.0, 4.5, 5.0 6.04.13.0, 3.6, 4.2, 4.8, 5.4
Surface TreatmentSmooth, GroovedNANANANASmooth, GroovedSmoothNANANASmoothNA
RestorationSingle-unit or multi-unitSingle-unit or multi-unitSingle-unit or multi-unitSingle-unit or multi-unitNASingle-unit or multi-unitMulti-unitSingle-unit or multi-unitSingle-unit or multi-unitSingle-unit or multi-unitSingle-unit or multi-unitSingle-unit or multi-unit
Abutment MaterialCPTi, Titanium alloy, Gold,
CoCrTitanium alloyGold alloyTitanium alloy,
Gold alloyNACPTi,
Titanium alloy, Gold
alloyCPTi or
Titanium alloyTitanium alloy, Gold
alloy, Stainless SteelTitanium alloyTitanium alloyTitanium alloy, CoCrTitanium alloy, Gold
Zirconia, PEEK

10

CONCLUSION

The subject device and the predicate devices have intended use, have similar technological characteristics, and are made of similar materials. The subject devices encompass the same range of physical dimensions, including diameter, length and angle of the abutments. The subject and predicate devices are packaged in similar materials and are to be sterilized using similar methods.

The data included in this submission demonstrate substantial equivalence to the predicate devices listed above.