K Number
K172630
Device Name
Kisses Plus Implant System
Date Cleared
2018-04-03

(214 days)

Product Code
Regulation Number
872.3640
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Kisses Plus Implant System is indicated for use in partially or fully edentulous mandibles and maxilla, in support of single or multiple-unit restorations including; cemented retained, screw retained, or overdenture restorations, and terminal or intermediate abutment support for fixed bridgework. The Kisses Plus Implant System is for single and two stage surgical procedures. It is for delayed loading.
Device Description
Kisses Plus Implant System offers three different types of implants: Double Hex, and Kisses Single Hex. The Double Hex type has the doubled hex part to be coupled to the superstructure, whereas, the Single Hex type and Kisses Single Hex type has single hex part. The Double Hex type fixture is a substructure of a dental implant system. It consists of the hex part to be coupled to the superstructure, the macro thread part to be fixed to the bone, and the cutting edge part with the self-tapping function. It offers double hex type. The Single Hex type fixture is a substructure of a dental implant system. It consists of the hex part to be coupled to the superstructure, the macro thread part to be fixed to the bone, and the cutting edge part with the self-tapping function. It offers single hex type. The Kisses Single Hex type fixture is a substructure of a dental implant system. It consists of the hex part to be coupled to the superstructure, the macro thread part to be fixed to the bone, and the cutting edge part with the self-tapping function. It offers single hex type. Kisses Plus Implant System also includes the following components: Angled abutment, Duplex Abutment, Duplex Milling Abutment, Simplex Abutment, Temporary Abutment, Solid Screw Abutment, Ball Abutment, Ball Cap, Cover Screw, Healing Abutment.
More Information

No
The 510(k) summary describes a dental implant system with various components and mechanical testing. There is no mention of AI, ML, image processing, or any software-driven features that would suggest the use of these technologies.

Yes
The device, a dental implant system, directly intervenes in the body by supporting restorations in the mandibles and maxilla, which is a therapeutic function.

No
The device is described as an implant system for supporting dental restorations, which is a therapeutic device, not a diagnostic one.

No

The device description clearly details physical components such as implants, abutments, and screws, which are hardware. The performance studies also focus on physical properties and testing of these hardware components.

Based on the provided information, the Kisses Plus Implant System is not an IVD (In Vitro Diagnostic) device.

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.
  • Kisses Plus Implant System Function: The Kisses Plus Implant System is a dental implant system designed to be surgically implanted into the jawbone to support dental restorations. It is a physical device used in vivo (within the body), not for testing samples in vitro (outside the body).
  • Intended Use: The intended use clearly states it's for supporting dental restorations in the mouth.
  • Device Description: The description details the physical components of the implant and abutments.
  • Performance Studies: The performance studies focus on the physical and mechanical properties of the device (sterilization, shelf life, surface characteristics, strength, fatigue, etc.), not on diagnostic accuracy or analysis of biological samples.

Therefore, the Kisses Plus Implant System falls under the category of a surgical implant device, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Kisses Plus Implant System is indicated for use in partially or fully edentulous mandibles and maxilla, in support of single or multiple-unit restorations including; cemented retained, screw retained, or overdenture restorations, and terminal or intermediate abutment support for fixed bridgework.

The Kisses Plus Implant System is for single and two stage surgical procedures. It is for delayed loading.

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

DZE, NHA

Device Description

Kisses Plus Implant System offers three different types of implants: Double Hex, and Kisses Single Hex. The Double Hex type has the doubled hex part to be coupled to the superstructure, whereas, the Single Hex type and Kisses Single Hex type has single hex part.

The Double Hex type fixture is a substructure of a dental implant system. It consists of the hex part to be coupled to the superstructure, the macro thread part to be fixed to the bone, and the cutting edge part with the self-tapping function. It offers double hex type.

  • 3.8mm Dia. x 7mm L, 8mm L, 9.5mm L, 11mm L, 12.5mm L, 14.5mm L ●
  • 4.2mm Dia. x 7mm L, 8mm L, 9.5mm L, 11mm L, 12.5mm L, 14.5mm L .
  • 4.6mm Dia. x 7mm L, 8mm L, 9.5mm L, 11mm L, 12.5mm L, 14.5mm L ●
  • 5.1mm Dia. x 7mm L, 8mm L, 9.5mm L, 11mm L, 12.5mm L, 14.5mm L ●
  • . 5.5mm Dia. x 7mm L. 8mm L. 9.5mm L. 11mm L. 12.5mm L. 14.5mm L

The Single Hex type fixture is a substructure of a dental implant system. It consists of the hex part to be coupled to the superstructure, the macro thread part to be fixed to the bone, and the cutting edge part with the self-tapping function. It offers single hex type.

  • 3.8mm Dia. x 7mm L, 8mm L, 9.5mm L, 11mm L, 12.5mm L, 14.5mm L
  • 4.2mm Dia. x 7mm L, 8mm L, 9.5mm L, 11mm L, 12.5mm L, 14.5mm L ●
  • 4.6mm Dia. x 7mm L, 8mm L, 9.5mm L, 11mm L, 12.5mm L, 14.5mm L ●
  • 5.1mm Dia. x 7mm L, 8mm L, 9.5mm L, 11mm L, 12.5mm L, 14.5mm L ●
  • 5.5mm Dia. x 7mm L. 8mm L. 9.5mm L. 11mm L. 12.5mm L. 14.5mm L .

The Kisses Single Hex type fixture is a substructure of a dental implant system. It consists of the hex part to be coupled to the superstructure, the macro thread part to be fixed to the bone, and the cutting edge part with the self-tapping function. It offers single hex type.

  • 3.8mm Dia. x 7mm L, 8mm L, 9.5mm L, 11mm L, 12.5mm L, 14.5mm L ●
  • 4.2mm Dia. x 7mm L, 8mm L, 9.5mm L, 11mm L, 12.5mm L, 14.5mm L ●
  • 4.6mm Dia. x 7mm L, 8mm L, 9.5mm L, 11mm L, 12.5mm L, 14.5mm L ●
  • 5.1mm Dia. x 7mm L, 8mm L, 9.5mm L, 11mm L, 12.5mm L, 14.5mm L
  • 5.5mm Dia. x 7mm L, 8mm L, 9.5mm L, 11mm L, 12.5mm L, 14.5mm L .

Kisses Plus Implant System also includes the following components.

  • -Angled abutment
    The abutments and the screws below are manufactured by our company were cleared under K142813 and can be used with the subject fixtures.

  • Duplex Abutment -

  • -Duplex Milling Abutment

  • -Simplex Abutment

  • Temporary Abutment -

  • Solid Screw Abutment -

  • -Ball Abutment

  • Ball Cap -

  • Cover Screw -

  • Healing Abutment -

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

partially or fully edentulous mandibles and maxilla

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)

  • Sterilization validating testing has been performed in accordance with ISO 11137 for gamma sterilization and ISO 17665-1 and ISO 17665-2 for steam sterilization.
  • Five year of shelf life has been validated through accelerating testing.
  • Surface Morphology, Surface Roughness Analysis, and FT-IR Analysis were performed to evaluate the fixture surface characteristics after SLA treatment.
  • Other Performance tests: Visual inspection, Dimension, Packing inspection, Sterility, Adaption accuracy, Marginal adaptation, Compressive strength, Fatigue (ISO 14801), Rotational sheer strength, Screw loosening torque tests
  • Biocompatibility: The fixtures and the abutments of the subject device are the same as the predicate device (BIOGENESIS IMPLANT SYSTEM, K142813) manufactured by our company in terms of raw materials, surface treatment, sterilization method, and the manufacturing processes. No biocompatibility testing was conducted as no new materials, manufacturing or processes were introduced.

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.

K121995, K112045

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.

K142813, K070562

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

§ 872.3640 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/0 description: The image contains the logos of the U.S. Department of Health & Human Services and the Food and Drug Administration (FDA). The Department of Health & Human Services logo is on the left, featuring a stylized eagle. To the right of that is the FDA logo, which includes the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text.

ACHIMHAI Medical Corporation % Priscilla Chung Regulatory Affairs Consultant LK Consulting Group USA, Inc. 690 Roosevelt Irvine, California 92620

Re: K172630

Trade/Device Name: Kisses Plus Implant System Regulation Number: 21 CFR 872.3640 Regulation Name: Endosseous Dental Implant Regulatory Class: Class II Product Code: DZE, NHA Dated: March 1, 2018 Received: March 9, 2018

Dear Priscilla Chung:

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 of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820);

April 3, 2018

1

and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act): 21 CFR 1000-1050.

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.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Mary S. Runner -S

forTina 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

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known)

K172630

Device Name Kisses Plus Implant System

Indications for Use (Describe)

The Kisses Plus Implant System is indicated for use in partially or fully edentulous mandibles and maxilla, in support of single or multiple-unit restorations including; cemented retained, or overdenture restorations, and terminal or intermediate abutment support for fixed bridgework.

The Kisses Plus Implant System is for single and two stage surgical procedures. It is for delayed loading.

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)

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.

FOR FDA USE ONLY

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

3

510(k) Summary (K172630)

This summary of 510(K) information is being submitted in accordance with requirements of 21 CFR Part 807.92.

Date: 04/03/2018

1. Submitter

ACHIMHAI Medical Corporation 28, Namyang-ro, 930beon-gil, Namyang-eup Hwaseong-si, Gyeonggido, Republic of Korea, 18255

2. U.S Agent/Contact Person

Priscilla Chung LK Consulting Group USA, Inc. 690 Roosevelt, Irvine CA 92620 Phone: 714.202.5789 Fax: 714-409-3357 Email: juhee.c@lkconsultinggroup.com

3. Device

  • Trade Name: Kisses Plus Implant System ●
  • Common Name: Dental Implant System
  • Classification Name: Endosseous Dental Implant
  • Product Code: DZE, NHA ●
  • Classification regulation: 21CFR872.3640 ●

4. Predicate Device:

● Primary Predicate Device:

TS Fixture System (K121995) by OSSTEM Implant Co., Ltd. (for fixtures) SimpleLine II Abutment System (K112045) by Dentium (for abutments)

Reference Device: ●

Biogenesis Implant System - Kisses (K142813) by Achimhai Medical Corporation EZ Plus Implant System (K070562) by Megagen

4

5. Description:

Kisses Plus Implant System offers three different types of implants: Double Hex, and Kisses Single Hex. The Double Hex type has the doubled hex part to be coupled to the superstructure, whereas, the Single Hex type and Kisses Single Hex type has single hex part.

The Double Hex type fixture is a substructure of a dental implant system. It consists of the hex part to be coupled to the superstructure, the macro thread part to be fixed to the bone, and the cutting edge part with the self-tapping function. It offers double hex type.

  • 3.8mm Dia. x 7mm L, 8mm L, 9.5mm L, 11mm L, 12.5mm L, 14.5mm L ●
  • 4.2mm Dia. x 7mm L, 8mm L, 9.5mm L, 11mm L, 12.5mm L, 14.5mm L .
  • 4.6mm Dia. x 7mm L, 8mm L, 9.5mm L, 11mm L, 12.5mm L, 14.5mm L ●
  • 5.1mm Dia. x 7mm L, 8mm L, 9.5mm L, 11mm L, 12.5mm L, 14.5mm L ●
  • . 5.5mm Dia. x 7mm L. 8mm L. 9.5mm L. 11mm L. 12.5mm L. 14.5mm L

The Single Hex type fixture is a substructure of a dental implant system. It consists of the hex part to be coupled to the superstructure, the macro thread part to be fixed to the bone, and the cutting edge part with the self-tapping function. It offers single hex type.

  • 3.8mm Dia. x 7mm L, 8mm L, 9.5mm L, 11mm L, 12.5mm L, 14.5mm L
  • 4.2mm Dia. x 7mm L, 8mm L, 9.5mm L, 11mm L, 12.5mm L, 14.5mm L ●
  • 4.6mm Dia. x 7mm L, 8mm L, 9.5mm L, 11mm L, 12.5mm L, 14.5mm L ●
  • 5.1mm Dia. x 7mm L, 8mm L, 9.5mm L, 11mm L, 12.5mm L, 14.5mm L ●
  • 5.5mm Dia. x 7mm L. 8mm L. 9.5mm L. 11mm L. 12.5mm L. 14.5mm L .

The Kisses Single Hex type fixture is a substructure of a dental implant system. It consists of the hex part to be coupled to the superstructure, the macro thread part to be fixed to the bone, and the cutting edge part with the self-tapping function. It offers single hex type.

  • 3.8mm Dia. x 7mm L, 8mm L, 9.5mm L, 11mm L, 12.5mm L, 14.5mm L ●
  • 4.2mm Dia. x 7mm L, 8mm L, 9.5mm L, 11mm L, 12.5mm L, 14.5mm L ●
  • 4.6mm Dia. x 7mm L, 8mm L, 9.5mm L, 11mm L, 12.5mm L, 14.5mm L ●
  • 5.1mm Dia. x 7mm L, 8mm L, 9.5mm L, 11mm L, 12.5mm L, 14.5mm L
  • 5.5mm Dia. x 7mm L, 8mm L, 9.5mm L, 11mm L, 12.5mm L, 14.5mm L .

Kisses Plus Implant System also includes the following components.

  • -Angled abutment
    The abutments and the screws below are manufactured by our company were cleared under K142813 and can be used with the subject fixtures.

  • Duplex Abutment -

  • -Duplex Milling Abutment

  • -Simplex Abutment

  • Temporary Abutment -

5

  • Solid Screw Abutment -
  • -Ball Abutment
  • Ball Cap -
  • Cover Screw -
  • Healing Abutment -

6. Indication for use:

The Kisses Plus Implant System is indicated for use in partially or fully edentulous mandibles and maxilla, in support of single or multiple-unit restorations including; cemented retained, screw retained, or overdenture restorations, and terminal or intermediate abutment support for fixed bridgework.

The Kisses Plus Implant System is for single and two stage surgical procedures. It is for delayed loading.

7. Basis for Substantial Equivalence

Subject DevicePrimary Predicate DeviceReference Device
510(K) Number-K121995K142813
Device NameKisses Plus Implant SystemTS Fixture SystemBiogenesis Implant System -
Kisses
ManufacturerAchimhai Medical CorporationOSSTEM Implant Co., Ltd.Achimhai Medical Corporation
(Note: Our company name
has changed from Biogenesis
to Achimhai.)
TypeInternal hexInternal hexInternal hex
Design & Size Range(Double Hex
Single Hex
Kisses Single Hex)
Diameter: 3.8 – 5.5 mm
Length: 7-14.5 mmDiameter: 3.5 – 6.8 mm
Length: 7-15 mmDiameter: 3.8 – 5.5 mm
Length: 7-14.5 mm
Differences in designTaper angle : 3°
Image: Taper angle 3 degreesTaper angle : about 1°
Image: Taper angle about 1 degreeTaper angle : 3°
Image: Taper angle 3 degrees
Cutting edgeCutting edgeCutting edge
Image: Platform edgeImage: Platform edgeImage: Platform edge
Image: Thread shapeImage: Thread shapeImage: Thread shape
Indications for UseThe Kisses Plus Implant
System is indicated for use in
partially or fully edentulous
mandibles and maxillae, in
support of single or multiple-
unit restorations including;
cemented retained, screw
retained, or overdenture
restorations, and terminal or
intermediate abutment
support for fixed bridgework.The TS Fixture System is
indicated for use in partially or
fully edentulous mandibles
and maxillae, in support of
single or multiple-unit
restorations including;
cemented retained, screw
retained, or overdenture
restorations, and final or
temporary abutment support
for fixed bridgework.The Biogenesis Implant
System -Kisses is indicated
for use in partially or fully
edentulous mandibles and
maxillae, in support of single
or multiple-unit restorations
including; cemented retained,
screw retained, or
overdenture restorations, and
terminal or intermediate
abutment support for fixed
bridgework.
The Kisses Plus Implant
System is for single and two
stage surgical procedures. It
is for delayed loading.It is intended for delayed
loading. TS Fixture System is
compatible with abutment in
the ET/SS Implant System.The Biogenesis Implant
System - Kisses is for single
and two stage surgical
procedures. It is for delayed
loading.
Principle of
OperationThe device is a substructure
of a dental implant system. It
consists of the hex part to be
coupled to the superstructure,
the single thread part to be
fixed to the bone, and the
cutting edge part with the self-
tapping function.The device is a substructure
of a dental implant system. It
consists of the hex part to be
coupled to the superstructure,
the single thread part to be
fixed to the bone, and the
cutting edge part with the self-
tapping function.The device is a substructure
of a dental implant system. It
consists of the hex part to be
coupled to the superstructure,
the single thread part to be
fixed to the bone, and the
cutting edge part with the self-
tapping function.
Material CompositionTi Gr.4(ASTM F67)Ti Gr.4(ASTM F67)Ti Gr.4(ASTM F67)
Surface TreatmentSLA TreatmentSLA TreatmentSLA Treatment
SterileYesYesYes
Sterilization MethodGamma RadiationGamma RadiationGamma Radiation

7.1. Fixture

6

Substantial Equivalence Discussion

Kisses Plus fixture is substantially equivalent to the predicate devices in terms of indications for use and technical characteristics. They have similar design that all the devices are two piece type fixtures with thread part to be fixed to the bone. They are made of the same material and all have cutting edge part for self-tapping function. The size range of the primary predicate device encompasses the size range of the subject device. There are slight differences in design such as taper angle, cutting edge shape, platform edge shape, thread shape. The taper angle of the subject device is different from the primary predicate device, but the same as the reference device.

7

The cutting edge of subject device has spiral shape. On the other hand, that of primary predicate device has pocket shape. However, the function of the cutting edge is the same as that of forming the path through which the bone is scratched when the fixture is placed. The reference device also has spiral cutting edge.

The platform edge of the subject device has different shape from the reference device but is the same as the primary predicate device.

Per the thread design, all the devices have the same pitch (0.8mm) but the angle of the thread is slightly different. However this does not raise an issue in effectiveness with this small difference.

7.2. Abutments
510(K) NumberSubject DevicePrimary Predicate DeviceReference Device
K112045K070562
Device NameKisses Plus Implant SystemSimpleLine II Abutment SystemEZ Plus Implant System
ManufacturerAchimhai Medical CorporationDentiumMegagen
TypeInternalInternalInternal
Indications for UseThe Kisses Plus Implant System is indicated for use in partially or fully edentulous mandibles and maxillae, in support of single or multiple-unit restorations including; cemented retained, screw retained, or overdenture restorations, and terminal or intermediate abutment support for fixed bridgework.
The Kisses Plus Implant System is for single and two stage surgical procedures. It is for delayed loading.The SimpleLine II Abutment system is intended for use as an aid in prosthetic rehabilitation.The EZ Plus Implant Systems are intended to be surgically placed in the upper or lower jaw to support prosthetic devices, such as artificial teeth, and to restore a patient's chewing function. This may be accomplished using either a two stage surgical procedure or a single stage surgical procedure. Large angle abutments (e.g. 25°) on small diameter implants of the EZ Plus internal connection system are intended for the anterior region of the mouth and not intended for use in the posterior region of the mouth due to limited strength of the implant.
Principle of OperationThe abutments are to be coupled to the fixtures to make temporary or final prosthesis.The abutments are to be coupled to the fixtures to make temporary or final prosthesis.The abutments are to be coupled to the fixtures to make temporary or final prosthesis.
Abutment 1- Angled Abutment
Design & Size RangeImage: Hex
Hex
Image: Non-Hex
Non-Hex
Angle : 15-25°
Diameter: 4.0-5.5mm
Post Height : 8.0mm
Gingival Height: 2.0-6.0mmImage: Octa
Octa
Angle : 15-25°
Diameter: 3.8-6.5mm
Post Height : 9.0mm
Gingival Height: 1mmImage: Trip
Trip
Image: Non-Trip
Non-Trip
Angle : 15-25°
Diameter: 4.0 - 6.0mm
Post Height : 7.0mm
Gingival Height: 2.0 - 5.0mm
Difference in designAnti-rotation : HexAnti-rotation : OctaAnti-rotation : Trip
Fixture side
Intended UseCement retained restorationCement retained restorationCement retained restoration
Material CompositionTi Gr.4(ASTM F67)Ti Gr.4(ASTM F67)Ti Gr.4(ASTM F67)
Surface TreatmentAnodizing coloring - Gold
color (Entire Body)NoAnodizing coloring — Gold
color (Entire Body)
SterileNoNoNo

7.2. Abutments

510(k) Submission.

8

Substantial Equivalence Discussion

The subject Angled Abutment is substantially equivalent to the predicate devices in terms of indications for use and technical characteristics. They are material and have similar design. The size range of the predicate devices encompasses the size range of the subject device. Differences in design are anti-rotation feature. The Anti-rotation serves to prevent the rotation of the

prosthesis in a single case. Each device has its own anti-rotation feature design for the subject device. Octa design for the primary predicate device, and the Trip design for the reference device. Even though the design is different among the devices, this feature serves the same function. Also, the test result of the fatigue test supported substantial equivalence despite this difference.

Substantial Equivalence Discussion

Kisses Plus Implant System is substantially equivalent to the predicate devices in terms of indications for use and technical characteristics. The indications for use statement of the subject device is exactly same as the reference device (K142813) made by our company even in wording. When comparing that of the primary predicate device, the wording, "intended for" has changed to "indicated for" but this change does not constitute a new claim. The subject device also a claim for "single and two stage surgical procedures" which the primary predicate device does not have, but the reference device has the same claim. For the abutments, the subject device mentions "terminal or intermediate abutment" in the indications for use which is different from the primary predicate device that uses the term "final or temporary abutment", however, the meaning of the verbiage is not altered. .

They are made of the same material and have similar design. The size range of the predicate device encompasses the size range of the subject device. There are slight differences in design, however, it is very minor not affecting substantial equivalence. We have performed the fatigue test, material/surface characterization, biocompatibility, sterilization validation, shelf life validation studies to make sure the difference in design does not raise an issue in safety and effectiveness and the test result of the test supported substantial equivalence.

Based on the information and test results provided in submission, we conclude that the subject device is substantially equivalent to the predicate devices.

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8. Non-Clinical Testing

  • Sterilization validating testing has been performed in accordance with ISO 11137 for ● gamma sterilization and ISO 17665-1 and ISO 17665-2 for steam sterilization.
  • . Five year of shelf life has been validated through accelerating testing.
  • . Surface Morphology, Surface Roughness Analysis, and FT-IR Analysis were performed to evaluate the fixture surface characteristics after SLA treatment.
  • . Other Performance tests: Visual inspection, Dimension, Packing inspection, Sterility, Adaption accuracy, Marginal adaptation, Compressive strength, Fatigue (ISO 14801), Rotational sheer strength, Screw loosening torque tests
  • . Biocompatibility: The fixtures and the abutments of the subject device are the same as the predicate device (BIOGENESIS IMPLANT SYSTEM, K142813) manufactured by our company in terms of raw materials, surface treatment, sterilization method, and the manufacturing processes. No biocompatibility testing was conducted as no new materials, manufacturing or processes were introduced.

9. Conclusion

The subject devices and the predicate device have the same indications for use and have the same technological characteristics.

Overall, the Kisses Plus Implant System has the following similarities to the predicate device:

    • have the same indications for use,
    • use the same operating principle,
    • incorporate the same design,
    • incorporate the same material and the sterilization method.

Based on the similarities, we conclude that the Kisses Plus Implant System is substantially equivalent to the predicate devices.