K Number
K183024
Device Name
Implacil Implant System
Date Cleared
2020-02-13

(469 days)

Product Code
Regulation Number
872.3640
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Implacil Implant System is intended for placement in the maxillary or mandibular arch to provide support for single-unit and/or multi-unit restorations. When a one-stage surgical is applied, the Implacil Implant System is intended for immediate loading when good primary stability is achieved and with appropriate occlusal loading.
Device Description
Implacil Implant System is composed of three implant lines that are divided according to the implant-toabutment interface: External Hex (HE), Internal Hex (HI) and Morse Taper AR Due Cone (CM AR). HE and HI lines are composed of tissue-level implants while CM AR line of bone-level implants. Each implant line is composed of implants and related prosthetic components available in multiple designs (temporary, screwed, cementable, angled, straight, UCLA, ball). HE implant line implants are available in two root-forms designs: conical (tapered) and cylindrical. Conical implants are available in three diameters and platforms (3.5, 4.0 and 5.0 mm) and five lengths (7.0, 9.0, 11.0, 13.0 and 15.0 mm). Cylindrical implants are provided in four diameters (3.3, 3.75, 4.0 and 4.75 mm), three platforms (3.5, 4.0 and 5.0 mm) and five lengths (8.0, 10.0, 11.5, 13.0 and 15.0 mm). HE cylindrical implants of diameters 3.75 and 4.0 share the same platform of 4.0 mm. HI implant line implants are available in two root-forms designs: conical (tapered) and cylindrical. Conical implants are available in three diameters and platforms (3.5, 4.0 and 5.0 mm). For diameters 3.5 and 4.0 are available in the lengths 8.0, 9.0, 11.0, 13.0 and 15.0 mm, and for diameters 5.0 are available in the lengths 7.0, 9.0, 11.0, 13.0 and 15.0 mm. Cylindrical implants are provided in four diameters (3.3, 3.75, 4.3 and 4.75 mm) and three platforms (3.5, 4.0 and 5.0 mm). For diameter 3.3 are available in the lengths 8.0, 9.0, 11.0, 13.0 and 15.0 mm, and for diameters 3.75 and 4.3 are available in the lengths 7.0, 9.0, 11.0, 13.0 and 15.0 mm. HI cylindrical implants of diameters 3.75 and 4.3 share the same platform of 4.0 mm. CM AR implant line implants are available in conical root-form design only, in four diameters (3.5, 4.0, 4.5 and 5.0 mm) and five lengths (7.0, 9.0, 11.0, 13.0 and 15.0 mm). lmplacil implants are made of commercially pure titanium (ASTM F67). Implacil prosthetic components are made of commercially pure titanium (ASTM F67) or titanium alloy (ASTM F136). Implant System screws (abutment screw, UCLA screws and coping screws) are made of titanium alloy (ASTM F136). The subject device abutments components mate exclusively with the subject implants of the same line (HJ, HE, CM AR).
More Information

No
The 510(k) summary describes a dental implant system composed of physical components (implants, abutments, screws) made of titanium. There is no mention of software, algorithms, image processing, or any terms related to AI or ML. The performance studies focus on mechanical properties, sterilization, and biocompatibility, not computational performance.

Yes
The device is described as an "Implacil Implant System" intended for placement in the maxillary or mandibular arch to provide support for dental restorations, which is a therapeutic function in healthcare.

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

No

The device description clearly details physical components made of titanium and titanium alloy, including implants and prosthetic components. This indicates it is a hardware medical device, not software-only.

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

Here's why:

  • Intended Use: The intended use clearly states that the device is for placement in the maxillary or mandibular arch to provide support for dental restorations. This is a surgical and prosthetic application within the body.
  • Device Description: The description details the physical components of the implant system (implants, abutments, screws) made of titanium. These are physical devices implanted into the bone.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue samples) to provide information for diagnosis, monitoring, or screening.

IVD devices are used outside the body to analyze biological samples. The Implacil Implant System is a medical device intended for surgical implantation within the body.

N/A

Intended Use / Indications for Use

Implacil Implant System is intended for placement in the maxillary or mandibular arch to provide support for single-unit and/or multi-unit restorations. When a one-stage surgical is applied, the Implacil Implant System is intended for immediate loading when good primary stability is achieved and with appropriate occlusal loading.

Product codes

DZE, NHA

Device Description

Implacil Implant System is composed of three implant lines that are divided according to the implant-toabutment interface: External Hex (HE), Internal Hex (HI) and Morse Taper AR Due Cone (CM AR). HE and HI lines are composed of tissue-level implants while CM AR line of bone-level implants. Each implant line is composed of implants and related prosthetic components available in multiple designs (temporary, screwed, cementable, angled, straight, UCLA, ball).

HE implant line implants are available in two root-forms designs: conical (tapered) and cylindrical. Conical implants are available in three diameters and platforms (3.5, 4.0 and 5.0 mm) and five lengths (7.0, 9.0, 11.0, 13.0 and 15.0 mm). Cylindrical implants are provided in four diameters (3.3, 3.75, 4.0 and 4.75 mm), three platforms (3.5, 4.0 and 5.0 mm) and five lengths (8.0, 10.0, 11.5, 13.0 and 15.0 mm). HE cylindrical implants of diameters 3.75 and 4.0 share the same platform of 4.0 mm.

HI implant line implants are available in two root-forms designs: conical (tapered) and cylindrical. Conical implants are available in three diameters and platforms (3.5, 4.0 and 5.0 mm). For diameters 3.5 and 4.0 are available in the lengths 8.0, 9.0, 11.0, 13.0 and 15.0 mm, and for diameters 5.0 are available in the lengths 7.0, 9.0, 11.0, 13.0 and 15.0 mm. Cylindrical implants are provided in four diameters (3.3, 3.75, 4.3 and 4.75 mm) and three platforms (3.5, 4.0 and 5.0 mm). For diameter 3.3 are available in the lengths 8.0, 9.0, 11.0, 13.0 and 15.0 mm, and for diameters 3.75 and 4.3 are available in the lengths 7.0, 9.0, 11.0, 13.0 and 15.0 mm. HI cylindrical implants of diameters 3.75 and 4.3 share the same platform of 4.0 mm.

CM AR implant line implants are available in conical root-form design only, in four diameters (3.5, 4.0, 4.5 and 5.0 mm) and five lengths (7.0, 9.0, 11.0, 13.0 and 15.0 mm).

lmplacil implants are made of commercially pure titanium (ASTM F67). Implacil prosthetic components are made of commercially pure titanium (ASTM F67) or titanium alloy (ASTM F136). Implant System screws (abutment screw, UCLA screws and coping screws) are made of titanium alloy (ASTM F136).

The subject device abutments components mate exclusively with the subject implants of the same line (HJ, HE, CM AR).

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

maxillary or mandibular arch

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 data submitted, referenced, or relied upon to demonstrate substantial equivalence included:

Sterilization validation according to ISO 11137-1, ISO 17665-1, ISO 17665-2. Sterile barrier shelf life testing (accelerated aging according to ASTM F1980); package integrity according to ASTM F1929 and ASTM F88/F88M; sterility of the package content according to ISO 11737-2. The biocompatibility of the subject devices materials was supported by cytotoxicity testing according to ISO 10993-12. Pyrogenicity monitoring according to AAMI/ANSI ST72. Mechanical performance demonstrated through dynamic fatigue testing according to ISO 14801 and static torsional loading test according ISO/TS 13498:2011. No clinical data were included in this submission.

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

Not Found

Predicate Device(s)

K170398

Reference Device(s)

K062931, K072642, K090452, K101207, K101945, K133510, K140440, K163060, K163634, K170392, K170608, K173819, K173902, K180282

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/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

February 13, 2020

Implacil de Bortoli Material Odontologico Ltda c/o Janine Treter Regulatory Affairs Specialist PR Serviços Regulatórios Administrativos Ltda Rua Alice Além Saadi, 855/ 2402 Ribeirão Preto, São Paulo 14096-570 BRAZIL

Re: K183024

Trade/Device Name: Implacil Implant System Regulation Number: 21 CFR 872.3640 Regulation Name: Endosseous Dental Implant Regulatory Class: Class II Product Code: DZE, NHA Dated: January 13, 2020 Received: January 16, 2020

Dear Janine Treter:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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

1

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) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Srinivas "Nandu" Nandkumar, Ph.D. Director DHT1B: Division of Dental Devices OHT1: Office of Ophthalmic, Anesthesia, Respiratory, ENT and Dental Devices Office of Product Evaluation and Quality 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) K183024

Device Name

Implacil Implant System

Indications for Use (Describe)

Implacil Implant System is intended for placement in the maxillary or mandibular arch to provide support for single-unit and/or multi-unit restorations. When a one-stage surgical is applied, the Implacil Implant System is intended for immediate loading when good primary stability is achieved and with appropriate occlusal loading.

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)☑ Prescription Use (Part 21 CFR 801 Subpart D)☐ Over-The-Counter Use (21 CFR 801 Subpart C)
☑ Prescription Use (Part 21 CFR 801 Subpart D)☐ Over-The-Counter Use (21 CFR 801 Subpart C)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

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:

Department of Health and Human Services

Food and Drug Administration

Office of Chief Information Officer

Paperwork Reduction Act (PRA) Staff

PRAStaff@fda.hhs.gov

"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

510(k) Summary

ADMINISTRATIVE INFORMATION

Sponsor
-----------
SponsorImplacil de Bortoli Material Odontologico Ltda
Rua Vicente de Carvalho 178-182
São Paulo, São Paulo, Brazil 01521020

Contact Person and Preparer Janine Treter, PhD Regulatory Affairs Specialist Passarini Regulatory Affairs PR Serviços Regulatórios Administrativos Ltda E-Mail: janine@rapassarini.com.br Telephone +55 (47) 3804 0075

Date Prepared

13/Feb/2020

DEVICE NAME AND CLASSIFICATION

Trade/ Proprietary NameImplacil Implant System
Common NameDental implant and abutment
Primary Classification NameEndosseous dental implant
Primary Classification Regulation21 CFR 872.3640, Class II
Primary Product CodeDZE, NHA
Classification PanelDental Products Panel
Reviewing BranchDental Devices Branch

PREDICATE DEVICE INFORMATION

Primary Predicate Device

Reference Devices

K170398 – S.I.N. Dental Implant System – S.I.N. Sistema de Implante Nacional S.A. K062931 – IMPLUS - LEADER Italia S.R.O K072642 - BIOMET 3i Dental Abutments and Restorative Components - Biomet 3i, Inc.

K090452 - Neoss Implant System 03,25 - Neoss Limited

K101207 - Neodent Implant System -JJGC Industria e Comercio de Materiais Dentarios S.A.

K101945- Neodent Implant System - JJGC Industria e Comercio de Materiais Dentarios S.A.

4

K133510 - Neodent Implant System - JJGC Industria e Comercio de Materiais Dentarios S.A.

K140440 - Noris Medical Dental Implants System - Noris Medical, Ltd.

K163060 -Deep Conical (DC) Implants and Accessories - Southern Implants (Pty) Ltd

K163634 - External Hex Implants - Southern Implants (Pty) Ltd

K170392 - S.I.N. Dental Implant System - S.I.N. Sistema de Implante Nacional S.A.

K170608 - UF(II) Implant System - DIO Corporation

K173819 – MyPlant II Implant System Hager & Meisinger GmbH

K173902 - Neodent Implant System - GM Line - JJGC Industria e Comercio de Materiais Dentarios S.A.

K180282 - MIS Internal Hex Dental Implant System -MIS Implants Technologies Ltd.

INDICATIONS FOR USE

Implacil Implant System is intended for placement in the maxillary or mandibular arch to provide support for single-unit and/or multi-unit restorations. When a one-stage surgical approach is applied, the Implacil Implant System is intended for immediate loading when good primary stability is achieved and with appropriate occlusal loading.

SUBJECT DEVICE DESCRIPTION

Implacil Implant System is composed of three implant lines that are divided according to the implant-toabutment interface: External Hex (HE), Internal Hex (HI) and Morse Taper AR Due Cone (CM AR). HE and HI lines are composed of tissue-level implants while CM AR line of bone-level implants. Each implant line is composed of implants and related prosthetic components available in multiple designs (temporary, screwed, cementable, angled, straight, UCLA, ball).

HE implant line implants are available in two root-forms designs: conical (tapered) and cylindrical. Conical implants are available in three diameters and platforms (3.5, 4.0 and 5.0 mm) and five lengths (7.0, 9.0, 11.0, 13.0 and 15.0 mm). Cylindrical implants are provided in four diameters (3.3, 3.75, 4.0 and 4.75 mm), three platforms (3.5, 4.0 and 5.0 mm) and five lengths (8.0, 10.0, 11.5, 13.0 and 15.0 mm). HE cylindrical implants of diameters 3.75 and 4.0 share the same platform of 4.0 mm.

HI implant line implants are available in two root-forms designs: conical (tapered) and cylindrical. Conical implants are available in three diameters and platforms (3.5, 4.0 and 5.0 mm). For diameters 3.5 and 4.0 are available in the lengths 8.0, 9.0, 11.0, 13.0 and 15.0 mm, and for diameters 5.0 are available in the lengths 7.0, 9.0, 11.0, 13.0 and 15.0 mm. Cylindrical implants are provided in four diameters (3.3, 3.75, 4.3 and 4.75 mm) and three platforms (3.5, 4.0 and 5.0 mm). For diameter 3.3 are available in the lengths 8.0, 9.0, 11.0, 13.0 and 15.0 mm, and for diameters 3.75 and 4.3 are available in the lengths 7.0, 9.0, 11.0, 13.0 and 15.0 mm. HI cylindrical implants of diameters 3.75 and 4.3 share the same platform of 4.0 mm.

5

CM AR implant line implants are available in conical root-form design only, in four diameters (3.5, 4.0, 4.5 and 5.0 mm) and five lengths (7.0, 9.0, 11.0, 13.0 and 15.0 mm).

lmplacil implants are made of commercially pure titanium (ASTM F67). Implacil prosthetic components are made of commercially pure titanium (ASTM F67) or titanium alloy (ASTM F136). Implant System screws (abutment screw, UCLA screws and coping screws) are made of titanium alloy (ASTM F136).

The subject device abutments components mate exclusively with the subject implants of the same line (HJ, HE, CM AR).

TECHNOLOGICAL CHARACTERISTICS

The subject device and the predicate devices have the same intended use as and technological characteristics as shown in the tables below. Differences in the design features between the subject devices and the primary predicate device K170398 are addressed by comparison to the reference devices.

6

Table 5.1: Comparison on indication for use statement
KNUMBER/ MANUFACTURERINDICATION FOR USE STATEMENT
SUBJECT DEVICEK183024 – Implacil Implant System
Implacil de Bortoli Material Odontologico
LtdaImplacil Implant System is intended for placement in the maxillary or mandibular arch to provide support for single-unit and/or multi-unit
restorations. When a one-stage surgical approach is applied, the Implacil Implant System is intended for immediate loading when good
primary stability is achieved and with appropriate occlusal loading.
PRIMARY PREDICATE
DEVICEK170398 - S.I.N. Dental Implant System
S.I.N. Sistema de Implante Nacional S.AS.I.N. Dental Implant System is intended for placement in the maxillary or mandibular arch to provide support for single-unit or multi-unit
restorations. When a one-stage surgical approach is applied, the S.I.N. Dental Implant System is intended for immediate loading when good
primary stability is achieved and with appropriate occlusal loading. Revolution Compact with a 6 mm length is intended for delayed loading
only.
REFERENCE DEVICESK062931 – IMPLUS
LEADER Italia S.R.OIMPLUS implant fixtures are intended to be surgically placed in the bone of the mandibular and/or maxillary dental arches in order to provide
support for fixed and/or removal prosthetics in order to restore original features and masticatory functions.
Implus implant fixtures are indicated for permanent use.
Implus implant fixtures are disposable and are for one-time use only. These fixtures are not to be recleaned or re-sterilized.
K072642 – BIOMET 3i Dental Abutments and
Restorative Components
Biomet 3i, Inc.BIOMET 3i Dental Abutments are intended for use as accessories to endosseous dental implant 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 can be screw retained or cement retained.
Restorative Components
  • Temporary Healing Abutments are intended for use to shape and maintain the soft tissue opening during healing.
  • Castable restorative components are intended for use as accessories to endosseous dental implants to aid in the fabrication of dental
    prosthetics.
  • Screw components are intended for use as accessories to endosseous dental implants for retention of screw retained abutments to the
    dental implant. |
    | | K090452 – Neoss Implant System 03,25
    Neoss Ltd | The Neoss Implant System 03,25 is for single-stage and two-stage surgical procedures and cement or screw retained restorations.
    The Neoss Implant System 03,25 are intended for immediate loading on single tooth and /or multiple tooth applications recognizing sufficient
    bone stability and appropriate occlusal loading, to restore chewing function. Multiple tooth applications may be splinted with a bar.
    The Neoss Implant 03,25 abutments are designed to be connected to the Neoss implants and intended for use as an aid in prosthetic
    rehabilitation. |
    | | K101207 - Neodent Implant System
    JJGC Industria e Comercio de Materiais
    Dentarios S.A. | The Neodent Implant System is intended to be surgically placed in the bone of the upper or lower jaw to provide support for prosthetic
    devices such as artificial teeth, to restore chewing function. It may be used with single-stage or two-stage procedures, for single or multiple
    unit restorations, and may be loaded immediately when good primary stability is achieved and with appropriate occlusal loading. Multiple
    tooth applications may be rigidly splinted. |
    | | KNUMBER/ MANUFACTURER | INDICATION FOR USE STATEMENT |
    | REFERENCE DEVICES | K101945- Neodent Implant System
    JJGC Industria e Comercio de Materiais
    Dentarios S.A. | The Neodent Implant System is intended to be surgically placed in the bone of the upper or lower jaw to provide support for prosthetic
    devices such as artificial teeth, to restore chewing function. It may be used with single-stage or two-stage procedures, for single or multiple
    unit restorations, and may be loaded immediately when good primary stability is achieved and with appropriate occlusal loading. Multiple
    tooth applications may be rigidly splinted. |
    | | K133510 - Neodent Implant System
    JJGC Industria e Comercio de Materiais
    Dentarios S.A. | The Neodent Implant System is intended to be surgically placed in the bone of the upper or lowerjaw to provide support for prosthetic
    devices such as artificial teeth, to restore chewing function. It may be used with single-stage or two-stage procedures, for single or multiple
    unit restorations, and may be loaded immediately when good primary stability is achieved and with appropriate occlusal loading. Multiple
    tooth applications may be rigidly splinted. |
    | | K163060 -Deep Conical (DC) Implants and
    Accessories
    Southern Implants (Pty) Ltd | Southern Implants 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,
    • immediate loading in all indications, except in single tooth situations on implants shorter than 8mm 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 3.0 Deep Conical implants is limited to replacement of maxillary lateral incisors and mandibular incisors |
    | | K163634 - External Hex Implants
    Southern Implants (Pty) Ltd | 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. |
    | | K170608 - UF(II) Implant System
    DIO Corporation | The UF(II) Implant System is indicated for surgical placement in the upper and lower jaw arches, to provide a root form means for single or
    multiple units' prosthetic attachment to restore a patient's chewing function. The UF(II) Implant System (Ø3.8 ~ Ø5.5) can be placed with a
    conventional two stage surgical process with an option for transmucosal healing or they can be placed in a single stage surgical process for
    immediate loading when good primary stability is achieved with appropriate occlusal loading. |
    | | K170392 - S.I.N. Dental Implant System
    S.I.N. Sistema de Implante Nacional S.A | S.I.N. Dental Implant System is intended for placement in the maxillary or mandibular arch to provide support for single-unit or multi-unit
    restorations. When a one-stage surgical approach is applied, the S.I.N. Dental Implant System is intended for immediate loading when good
    primary stability is achieved and with appropriate occlusal loading. Implants with lengths less than 7 mm are intended for delayed loading
    only. |
    | | K173819 – MyPlant II Implant System
    Hager & Meisinger GmbH | The MyPlant II implants are surgically placed in the maxilla or mandible to enable prosthetic restorations in edentulous or partially edentulous
    patients. The implants are to be used exclusively with MyPlant II abutments and prosthetic components. The abutments serve for prosthetic
    restorations and can include individual crowns, bridges, partial or full prostheses. Abutments can be used for single tooth restorations or for
    the restoration of several teeth. The implants are intended for delayed loading with two surgical interventions. In case of appropriate primary
    stability (35 Ncm), immediate temporary restoration with appropriate occlusal load can also be performed. |
    | | KNUMBER/ MANUFACTURER | INDICATION FOR USE STATEMENT |
    | REFERENCE DEVICES | K173902 - Neodent Implant System - GM
    Line | The Neodent Implant System is intended to be surgically placed in the bone of the upper or lower jaw to provide support for prosthetic
    devices such as artificial teeth, to restore chewing function. It may be used with single-stage or two-stage procedures, for single or multiple
    unit restorations, and may be loaded immediately when good primary stability is achieved and with appropriate occlusal loading. |
    | | JJGC Industria e Comercio de Materiais
    Dentarios S.A. | |
    | | K180282 - MIS Internal Hex Dental Implant
    System | MIS dental implant systems are 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 masticatory function. When a one-stage surgical procedure is applied, the implant may be
    immediately loaded when good primary stability is achieved and the occlusal load is appropriate. |
    | | MIS Implants Technologies Ltd. | Narrow implants (Ø3.3mm & UNO) are indicated for use in surgical and restorative applications for placement only in the mandibular central,
    lateral incisor and maxillary lateral incisor regions of partially edentulous jaws, to provide support for prosthetic devices such as artificial
    teeth. Mandibular central and lateral incisors must be splinted if using two or more narrow implants adjacent to one another.
    The long MIS (18 & 20 mm) implants can be used in a tilted manner.
    MIS short implants are to be used only with straight abutments.
    M4 short implants are indicated for delayed loading only. |

7

8

9

Page 7 of 22

Table 5.2: SE comparison on HE implants
SUBJECT DEVICESPRIMARY PREDICATE DEVICEREFERENCE DEVICES
Trade NameK183024 - Implacil Implant
System
Implacil de Bortoli Material
Odontologico LtdaK170398 - S.I.N. Dental Implant
System
S.I.N. Sistema de Implante
Nacional S.A.K101207 – Neodent Implant
System
JJGC Industria e Comercio de
Materiais Dentarios S.A.K062931 - IMPLUS
LEADER Italia S.R.O.K163634 – External Hex Implant
Southern Implants (Pty) Ltd.
November 6, 2017
Information
Implant-to-abutment connectionHE interfaceHE interfaceHE interfaceHE interfaceHE interface
Raw MaterialCPTiCPTiCPTiCPTiCPTi
SurfaceGrit-blasted and acid-etchedAcid-etched and HAGrit-blasted and acid-etchedSand-blasted and acid-etchedGrit-blasted and acid-etched
Machine collar versions
available
Root type designCylindricalCylindricalCylindricalCylindricalCylindrical
TaperedTaperedTaperedTapered
Implant diameter (mm)Cylindrical:
3.3: 8, 10, 11.5, 13, 15
3.75: 8, 10, 11.5, 13, 15
4.0: 8, 10, 11.5, 13, 15
4.75: 8, 10, 11.5, 13, 15

Tapered:
3.5: 7, 9, 11, 13, 15
4.0: 7, 9, 11, 13, 15
5.0: 7, 9, 11, 13, 15 | Cylindrical:
3.25: 8.5, 10, 11.5, 13, 15
3.5: 7, 8.5, 10, 11.5, 13, 15
3.75: 7, 8.5, 10, 11.5, 13, 15
4.0: 6, 7, 8.5, 10, 11.5, 13, 15
4.5: 8.5, 10, 11.5, 13, 15
5.0: 6, 7, 8.5, 10, 11.5, 13, 15 | Cylindrical:
3.3: 9, 11, 13, 15, 17
3.75: 9, 11, 13, 15, 17, 19
4.0: 9, 11, 13, 15, 17, 19
4.5: 9, 11, 13
5.0: 7, 9, 11, 13

Tapered:
3.5: 10, 13, 16
4.3: 10, 13, 16
5.0: 10, 13, 16 | Cylindrical:
3.3: 10, 11.5, 13, 15
3.75: 8, 10, 11.5, 13, 15, 18, 20
5.0: 8, 10, 11.5, 13

Tapered:
4.0: 8, 10, 11.5, 13, 15
5.0: 8, 10, 11.5, 13 | Cylindrical:
3.75: 7, 8.5, 10, 11.5, 13, 15, 18,
20
5.0: 6, 7, 8.5, 10, 11.5, 13, 15
6.0: 7, 8.5, 10, 11.5, 13, 15

Tapered:
3.25: 8.5, 10, 11.5, 13, 15, 18
4.0: 6, 8.5, 10, 11.5, 13, 15
4.7: 10, 11.5, 13, 15, 18
5.0: 6, 8.5, 10, 11.5, 13, 15
5.7: 10, 11.5, 13, 15, 18 |
| Sterilization | Provided sterile by irradiation | Provided sterile by irradiation | Provided sterile by irradiation | Provided sterile by irradiation | Provided sterile by irradiation |

10

Page 8 of 22

Table 5.3: SE comparison on HI implants
SUBJECT DEVICESPRIMARY PREDICATE DEVICEREFERENCE DEVICES
Trade Name
InformationK183024 – Implacil Implant SystemK170398 - S.I.N. Dental Implant SystemK062931 - IMPLUSK180282 - MIS Internal Hex Dental Implant
System
Implacil de Bortoli Material Odontologico
LtdaS.I.N. Sistema de Implante Nacional S.A.LEADER Italia S.R.O.MIS Implants Technologies Ltd.
Implant-to-abutment
connectionHI interfaceHI interfaceHI interfaceHI interface
Raw MaterialCPTiCPTiCPTiTi alloy (TI-6AI-4V ELI)
SurfaceGrit-blasted and acid-etchedAcid-etched and HASand-blasted and acid-etchedAnodized, sand blasted and acid etched
Sand blasted and acid etched
Root type designCylindrical
TaperedCylindricalCylindrical
TaperedCylindrical
Tapered
Diameter: length (mm)Cylindrical
3.3: 8, 9, 11, 13, 15
3.75: 7, 9, 11, 13, 15
4.3: 7, 9, 11, 13, 15
4.75: 7, 9, 11, 13, 15
Tapered:
3.5: 8, 9, 11, 13, 15
4.0: 8, 9, 11, 13, 15
5.0: 7, 9, 11, 13, 15Cylindrical
3.8: 8.5, 10, 11.5, 13, 15
4.5: 8.5, 10, 11.5, 13, 15
5.0: 8.5, 10, 11.5, 13, 15Cylindrical
3.3: 8, 10, 11.5, 13, 16
3.75: 8, 10, 11.5, 13, 16
4.5: 8, 10, 11.5, 13, 16
5.5: 8, 10, 11.5, 13
Tapered:
4.0: 8, 10, 11.5, 13, 16
5.0: 8, 10, 11.5, 13, 16
6.0: 8, 10, 11.5, 13Cylindrical
3.3: 10, 11.5, 13, 16
3.75: 8, 10, 11.5, 13, 16, 18, 20
4.2: 6, 8, 10, 11.5, 13, 16, 18, 20
5.0: 6, 8, 10, 11.5, 13, 16
6.0: 6, 8, 10, 11.5, 13
Tapered:
3.3: 10, 11.5, 13, 16
3.75: 8, 10, 11.5, 13, 16, 18, 20
4.2: 8, 10, 11.5, 13, 16, 18, 20
5.0: 8, 10, 11.5, 13, 16
6.0: 8, 10, 11.5, 13
SterilizationProvided sterile by irradiationProvided sterile by irradiationProvided sterile by irradiationProvided sterile by irradiation

11

Page 9 of 22

Table 5.4: SE comparison on CM AR implants
SUBJECT DEVICESREFERENCE DEVICES
Trade Name
InformationK183024 – Implacil Implant SystemK101945 – Neodent Implant SystemK170608 – UF(II) Implant SystemK163060 -Deep Conical (DC) Implants and
Accessories
Implacil de Bortoli Material Odontologico
LtdaJJGC Industria e Comercio de Materiais
Dentarios S.A.DIO CorporationSouthern Implants (Pty) Ltd
Implant-to-abutment
connectionConical connection (CM AR)Conical connection (CM)Conical connection (CM)Conical connection (Deep Conical)
Raw MaterialCPTiCPTiCPTiCPTi
SurfaceGrit-blasted and acid-etchedGrit-blasted and acid-etchedHybrid Sand-blasted and acid-etchedRoughened surface
Root type designTaperedCylindrical
TaperedTaperedCylindrical
Tapered
Implant-to-abutment
indexation featureDodecagon (double-hexagon)HexagonHexagonDodecagon (double-hexagon)
Implant diameter: lenghts (mm)Tapered:
3.5: 7, 9, 11, 13, 15
4.0: 7, 9, 11, 13, 15
4.5: 7, 9, 11, 13, 15
5.0: 7, 9, 11, 13, 15Cylindrical:
3.5: 7, 8, 9, 11, 13, 15, 17
3.75: 7, 8, 9, 11, 13, 15, 17
4.0: 7, 8, 9, 11, 13, 15, 17, 19
5.0: 7, 8, 9, 11, 13
Tapered:
3.5: 8, 10, 11.5, 13, 16
4.3: 8, 10, 11.5, 13, 16
5.0: 8, 10, 11.5, 13, 16Tapered:
3.8: 8.5, 10, 11.5, 13, 15, 16
4.0: 8.5, 10, 11.5, 13, 15, 16
4.5: 7, 8.5, 10, 11.5, 13, 15, 16
5.0: 7, 8.5, 10, 11.5, 13, 15, 16
5.5: 7, 8.5, 10, 11.5, 13, 15, 16Cylindrical:
3.0: 11, 13, 15
3.5: 8, 9, 11, 13, 15
4.0: 6, 8, 9, 11, 13, 15
5.0: 9, 11, 13, 15
Tapered:
3.0: 9, 11, 13, 15
3.5: 8, 9, 11, 13, 15
4.0: 6, 8, 9, 11, 13, 15
5.0: 9, 11, 13, 15
SterilizationProvided sterile by irradiationProvided sterile by irradiationProvided sterile by irradiationProvided sterile by irradiation

12

Page 10 of 22

Table 5.5: SE comparison on Covers
SUBJECT DEVICESREFERENCE DEVICES
Trade NameK183024 - Implacil Implant SystemK101207 - Neodent Implant
SystemK180282 - MIS Internal Hex
Dental Implant SystemK101945 – Neodent Implant
SystemK170608 - UF(II) Implant System
InformationImplacil de Bortoli Material
Odontologico LtdaJJGC Industria e Comercio de
Materiais Dentarios S.A.MIS Implants Technologies Ltd.JJGC Industria e Comercio de
Materiais Dentarios S.A.DIO Corporation
Implant-to-abutment connection
(Implant line)HE interface
HI interface
Conical interface (CM AR)HE interfaceHI interfaceConical interface (CM)Conical interface (CM)
Diameter (mm)HE: 3.5, 4.0, 5.0
HI: 3.5, 4.0, 5.0
CM AR: 2.5HE: 3.3, 4.1, 4.3, 5.0HI: 3.3, 3.75, 4.7CM: 2.5CM: 2.7, 2.794, 3.6, 3.8
Gingival Height (mm)HE: 0
HI: 0
CM AR: 2HE: 0HI: 0CM: 0, 2CM: 0, 1, 2, 3
Raw materialCPTiTi alloyTi alloyTi alloyCPTi
SurfaceMachinedMachinedMachined and AnodizedMachinedMachined and anodized
Angulation
LoadNo occlusal loadNo occlusal loadNo occlusal loadNo occlusal loadNo occlusal load
SterilityProvided sterile by irradiation.Provided sterile by ethylene
oxide.Provided sterile by irradiationProvided sterile by ethylene
oxide.Provided sterile by irradiation.

13

Page 11 of 22

Table 5.6: SE comparison on Healing Abutments
Trade Name InformationSUBJECT DEVICESPRIMARY PREDICATE DEVICESREFERENCE DEVICES
K183024 – Implacil Implant System
Implacil de Bortoli Material
Odontologico LtdaK170398 – S.I.N. Dental Implant System
S.I.N. Sistema de Implante
Nacional S.A.K101207 – Neodent Implant System
JJGC Industria e Comercio de
Materiais Dentarios S.A.K180282 – MIS Internal Hex Dental
Implant System
MIS Implants Technologies Ltd.K101945 – Neodent Implant System
JJGC Industria e Comercio de
Materiais Dentarios S.A.
Implant-to-abutment connectionHE interface
HI interface
Conical interface (CM AR)HE interface
HI interfaceHE interfaceHI interfaceConical interface (CM)
Diameter (mm)HE: 3.5, 4.0, 5.0
HI: 3.5, 4.0, 5.0
CM AR: 3.5, 4.5HE: 3.6, 4.1, 5.0HE: 3.3, 4.1, 4.3, 5.0HI: 4.0, 4.3, 4.8, 5.0, 5.5, 6.5CM: 3.5, 4.0
Gingival Height (mm)HE: 2, 3, 4, 5, 6, 7
HI: 2, 3, 4, 5, 6, 7
CM AR: 0.8, 1.5, 2.5, 3.5, 4.5, 5.5HE: 1, 2, 4, 6, 8HE: 2, 3, 4, 5, 6HI: 2, 3, 4, 5, 6, 8CM: 0.8, 3.5, 4.5, 5.5, 6.5
Raw materialCPTiTi alloyTi alloyTi alloyTi alloy
SurfaceMachinedMachinedMachinedMachined and AnodizedMachined
Angulation
LoadNo occlusal loadNo occlusal loadNo occlusal loadNo occlusal loadNo occlusal load
SterilityProvided sterile by irradiation.Provided sterile by irradiation.Provided sterile by ethylene
oxide.Provided sterile by irradiationProvided sterile by ethylene
oxide.

Table 5.6: SE comparison on Healing Abutments

14

Table 5.7: SE comparison on Healing Abutment Covers

SUBJECT DEVICESPRIMARY PREDICATE DEVICESREFERENCE DEVICES
Trade Name
InformationK183024 – Implacil Implant System
Implacil de Bortoli Material Odontologico
LtdaK170398 - S.I.N. Dental Implant System
S.I.N. Sistema de Implante Nacional S.A.K180282 – MIS Internal Hex Dental
Implant System
MIS Implants Technologies Ltd.K170392 - S.I.N. Dental Implant System
S.I.N. Sistema de Implante Nacional S.A.
Implant-to-abutment connectionNot applicable
(is mounted on the abutment)Not applicable
(is mounted on the abutment)Not applicable
(is mounted on the abutment)Not applicable
(is mounted on the abutment)
Diameter (mm)3.8, 4.5, 4.84.84.83.3
Total height (mm)5.5, 5.8, 7.554.3Unknown
Raw materialCPTiTi alloyCPTiTi alloy
SurfaceMachinedMachinedMachinedMachined
Angulation
LoadNo occlusal loadNo occlusal loadNo occlusal loadNo occlusal load
SterilityProvided non-sterile. Steam sterilized
prior use.Provided sterile by irradiation.Provided sterile by irradiationProvided sterile by irradiation.

15

Page 13 of 22

SUBJECT DEVICESREFERENCE DEVICE
Trade Name
InformationK183024 - Implacil
Implant SystemK101207 – Neodent
Implant SystemK133510 - Neodent
Implant SystemK062931 - IMPLUSK072642 - BIOMET 3i
Dental Abutments
and Restorative
ComponentsK180282 - MIS
Internal Hex Dental
Implant SystemK101945 - Neodent
Implant SystemK170608 - UF(II)
Implant System
Implacil de Bortoli
Material
Odontologico LtdaJJGC Industria e
Comercio de
Materiais Dentarios
S.A.JJGC Industria e
Comercio de
Materiais Dentarios
S.A.LEADER Italia S.R.O.Biomet 3i, Inc.MIS Implants
Technologies Ltd.JJGC Industria e
Comercio de
Materiais Dentarios
S.A.DIO Corporation
Implant-to-
abutment
connectionHE interface
HI interface
Conical interface
(CM AR)HE interfaceHE interfaceHE interfaceHI interfaceHI interfaceConical interface
(CM)Conical interface
(CM)
Diameter (mm)HE: 3.5, 4.0, 5.0
HI: 3.5, 4.0, 5.0
CM AR: 4.8HE: 4.1, 4.3, 5.0HE: 3.3HE: 4.1HI: 3.4, 5.0, 6.0HI: 4.8CM: 4.8CM: 4.8
Gingival height (mm)HE: 1, 2, 3
HI: 1, 2, 3
CM: 0.8, 1.5, 2.5, 3.5,
4.5, 5.5HE: 1, 2, 3HE: 1, 2, 3HE: 1, 2, 3HI: 1, 2, 3, 4, 5.5HI: 1, 2, 3, 4, 5CM: 0.8, 1.5, 2.5,
3.5, 4.5, 5.5, 6.5Unknown
Anti-rotational
featureYesNoNoNoNoNoNoNo
Raw materialCPTiTi alloyTi alloyTi alloyTi alloyTi alloyTi alloyCPTi
SurfaceMachinedMachinedMachinedMachined/TiNMachinedMachinedMachinedMachined
Angulation0, 17, 30°0, 17°0, 17, 25°0, 15, 25°0, 17, 30°
SterilityProvided non-
sterile, to be steam
sterilized prior use.Provided sterile by
ethylene oxide.Provided sterile by
ethylene oxide.UnknownProvided sterile.
Unknown methodProvided non-
sterile, to be steam
sterilized prior use.Provided sterile by
ethylene oxide.Provided non-
sterile, to be steam
sterilized prior use.

16

Table 5.9: SE comparison on Mini Tapered and Mini Tapered Fit Abutments

SUBJECT DEVICESREFERENCE DEVICE
Trade Name
InformationK183024 – Implacil Implant
SystemK101207 – Neodent Implant
SystemK180282 – MIS Internal Hex
Dental Implant SystemK072642 – BIOMET 3i Dental
Abutments and Restorative
ComponentsK101945 – Neodent Implant
SystemK170608 – UF(II) Implant
System
Implacil de Bortoli Material
Odontologico LtdaJJGC Industria e Comercio de
Materiais Dentarios S.A.MIS Implants Technologies
Ltd.Biomet 3i, Inc.JJGC Industria e Comercio de
Materiais Dentarios S.A.DIO Corporation
Implant-to-abutment
connectionHE interface
HI interface
Conical interface (CM AR)HE interfaceHI interfaceHI interfaceConical interface (CM)Conical interface (CM)
Diameter (mm)HE: 3.5, 4.0, 5.0
HI: 3.5, 4.0, 5.0
CM AR: 4.8HE: 4.1, 4.3, 5.0HI: 4.8HI: 3.4, 5.0, 6.0CM: 4.5CM: 4.8
Gingival height (mm)HE: 1, 2, 3
HI: 1, 2, 3
CM AR: 0.8, 1.5, 2.5, 3.5, 4.5, 5.5HE: 1, 2, 3, 4,HI: 1, 2, 3HI: 1, 2, 3, 4, 5.5CM: 1.5, 2.5, 3.5Unknown
Anti-rotational featureYesNoNoNoYesNo
Raw materialCPTi
Ti alloyTi alloyTi alloyTi alloyTi alloyCPTi
SurfaceMachinedMachinedMachined/ AnodizedMachinedMachinedMachined
Angulation0, 17, 30°0, 17, 30°0, 15°0, 17, 30°
SterilityProvided non-sterile, to be
steam sterilized prior use.Provided sterile by
ethylene oxide.Provided non-sterile, to be
steam sterilized prior use.Provided sterile. Unknown
methodProvided sterile by
ethylene oxide.Provided non-sterile, to be
steam sterilized prior use.

17

Page 15 of 22

Table 5.10: SE comparison on Abutments and Abutment with Collar

| | SUBJECT DEVICES | PRIMARY PREDICATE
DEVICE | REFERENCE DEVICES | | | |
|-----------------------------------|-------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------|----------------------------------------------------------|------------------------------------------------------------|
| Trade Name
Information | K183024 – Implacil Implant
System
Implacil de Bortoli Material
Odontologico Ltda | K170398 – S.I.N. Dental
Implant System
S.I.N. Sistema de Implante
Nacional S.A. | K133510 – Neodent Implant
System
JJGC Industria e Comercio de
Materiais Dentarios S.A. | K180282 – MIS Internal Hex
Dental Implant System
MIS Implants Technologies
Ltd. | K090452 – Neoss Implant
System 03,25
Neoss Limited | K140440 – Noris Medical,
Ltd.
Noris Medical, Ltd. |
| Implant-to-abutment
connection | HE interface
HI interface | HE interface
HI interface | HE interface | HI interface | HI interface | HI interface |
| Diameter (mm) | HE: 3.3, 4.0, 5.0
HI: 3.3, 4.0, 5.0 | HE: 3.6, 4.1, 5.0
HI: 3.8, 4.5 | HE: 3.3, 4.1, 4.3, 5.0 | HI: 3.75, 4.0, 5.5, 6.0, 6.5 | HI: 3.25 | HI: 3.8, 4.0, 5.4 |
| Gingival height (mm) | HE: 1, 2, 3, 4, 5
HI: 1, 2, 3, 4, 5 | HE: 1, 2, 3, 4
HI: 1, 2, 3, 4 | HE:1, 2, 3 | HI: 1, 2, 3 | HI: 1 | HI: 1, 2, 3, 4 |
| Post Height (mm) | 9, 10 | 5, 5.5 | 4, 6 | 4, 6 | 8 | 9.5, 10.5, 11.5, 12.5 |
| Anti-rotational feature | Yes | No | No | No | Yes | No |
| Raw material | CPTi | Ti alloy | Ti alloy | Ti alloy | CPTi | Ti alloy |
| Surface | Machined | Machined/ Anodized | Machined | Machined/Anodized | Machined | Machined |
| Angulation | 0, 15, 25° | 0° | 0, 17, 30° | 0, 10, 15, 20, 25° | 0, 20° | 0, 15, 25° |
| Sterility | Provided non-sterile, to
be steam sterilized prior
use. | Provided sterile for
irradiation. | Provided sterile by
ethylene oxide. | Provided non-sterile, to be
steam sterilized prior use. | Provided sterile by
irradiation | Provided non-sterile, to be
steam sterilized prior use. |

18

Table 5.11: SE comparison on Smart and Ideale abutment

Trade Name InformationSUBJECT DEVICESREFERENCE DEVICES
K183024 – Implacil Implant SystemK101945 – Neodent Implant System
Implacil de Bortoli Material Odontologico LtdaJJGC Industria e Comercio de Materiais Dentarios S.A.
Implant-to-abutment connectionConical interfaceConical interface
Diameter (mm)3.3, 4.53.3, 4.5
Gingival height (mm)0.8, 1.5, 2.5, 3.5, 4.5, 5.50.8, 1.5, 2.5, 3.5, 4.5, 5.5
Cementable Height4, 64, 6
Anti -rotational featureYesYes
Raw materialCPTi
Ti alloyTi alloy
SurfaceMachined/AnodizedMachined
Angulation0°, 17°, 30°0°, 17°, 30°
SterilityProvided non-sterile, to be steam sterilized prior use.Provided sterile by ethylene oxide.

19

Page 17 of 22

Table 5.12: SE comparison on O'ring Abutment

SUBJECT DEVICESPRIMARY PREDICATE DEVICEREFERENCE DEVICE
K183024 - Implacil ImplantK170398 - S.I.N. DentalK101207 - Neodent ImplantK180282 - MIS Internal HexK101945 - Neodent ImplantK173819 - MyPlant II
Trade Name
InformationSystemImplant SystemSystemDental Implant SystemSystemImplant System
Implacil de Bortoli MaterialS.I.N. Sistema de ImplanteJJGC Industria e Comercio deMIS Implants TechnologiesJJGC Industria e Comercio deHager & Meisinger GmbH
Odontologico LtdaNacional S.A.Materiais Dentarios S.A.Ltd.Materiais Dentarios S.A.
Implant-to-abutment
connectionHE interfaceHE interfaceHE interface
HI interfaceHI interfaceHI interface
Conical interface (CM AR)Conical interface (CM)Conical interface (CM)
Diameter (mm)HE: 3.5, 4.0, 5.0HE: 3.4, 4.1, 5.0HE: 4.1, 4.3, 5.0
HI: 3.5, 4.0, 5.0HI: 3.8, 4.5HI: 4.0, 5.0
CM AR: 4.0CM: 3.5Snap Attachment Sphere:
2.25
Height (mm)HE: 1, 2, 3, 4, 5HE: 2, 3HE: 2, 3, 4, 5
HI: 1, 2, 3, 4, 5HI: 2, 3HI: 1, 2, 3, 4, 5
CM AR: 0.8, 1.5, 2.5, 3.5,CM: 1.5, 2.5, 3.5, 4.5, 5.5CM: 1.5, 3.0, 4.5
4.5, 5.5
Anti-rotational featureNoNoNoNoNoNo
Raw materialCPTiTi alloyTi alloyTi alloyTi alloyCPTi
SurfaceMachinedMachinedMachinedMachinedMachinedMachined
Machined/TiN
Angulation0, 15, 25°
SterilityProvided non-sterile, to beUnknownProvided sterile byProvided non-sterile, to beProvided sterile byProvided non-sterile, to be
steam sterilized prior use.ethylene oxide.steam sterilized prior use.ethylene oxide.steam sterilized prior use.

20

Table 5.13: SE comparison on UCLA abutments

SUBJECT DEVICESPRIMARY PREDICATE DEVICEREFERENCE DEVICE
Trade Name
InformationK183024 – Implacil Implant SystemK170398 – S.I.N. Dental Implant SystemK101207 – Neodent Implant SystemK180282 – MIS Internal Hex Dental
Implant SystemK173902 – Neodent Implant
System – GM Line
Implacil de Bortoli Material
Odontologico LtdaS.I.N. Sistema de Implante
Nacional S.A.JJGC Industria e Comercio de
Materiais Dentarios S.A.MIS Implants Technologies Ltd.JJGC Industria e Comercio de
Materiais Dentarios S.A.
Implant-to-abutment
connectionHE interface
HI interface
Conical interfaceHE interface
HI interfaceHE interfaceHI interfaceConical interface
Diameter (mm)3.5, 4.0, 5.03.6, 4.14.1, 4.3, 5.03.75, 5.03.5/3.75, 4.0/4.3, 5.0/6.0
Gingival Height (mm)Not applicableNot applicableNot applicableNot applicableNot applicable
Anti-rotational featureYesYesYesYesYes
Raw materialCPTi
CoCr/POMTi alloy
CoCr/POMTi alloy
Noble/POM
ZirconiaGold/POMCoCr/POM
SurfaceMachinedMachinedMachinedMachinedMachined
Angulation
SterilityProvided non-sterile, to be
steam sterilized prior use.UnknownProvided sterile by ethylene
oxide.Provided non-sterile, to be steam
sterilized prior use.Provided non-sterile, to be steam
sterilized prior use.

21

Page 19 of 22

Table 5.14: SE comparison on Copings

SUBJECT DEVICESPRIMARY PREDICATE DEVICEREFERENCE DEVICE
Trade Name
InformationK183024 – Implacil Implant SystemK170398 – S.I.N. Dental Implant
SystemK101207 – Neodent Implant
SystemK101945 - Neodent Implant
SystemK170608 - UF(II) Implant System
Implacil de Bortoli Material
Odontologico LtdaS.I.N. Sistema de Implante Nacional
S.A.JJGC Industria e Comercio de
Materiais Dentarios S.A.JJGC Industria e Comercio de
Materiais Dentarios S.A.DIO Corporation
Implant-to-abutmentNot applicableNot applicableNot applicableNot applicableNot applicable
connection(is mounted on the abutment)(is mounted on the abutment)(is mounted on the abutments)(is mounted on the abutments)(is mounted on the abutments)
Diameter (mm)3.3, 3.5, 4.0, 4.5, 4.8, 5.03.8, 4.54.1, 5.03.3, 4.1, 4.54.95, 5.8, 6.4, 6.9
Gingival Height (mmNot applicableNot applicableNot applicableNot applicableNot applicable
Cementable height (mm)4, 6UnknownUnknown4, 6Unknown
Anti-rotational featureYesYesYesYesNo
Raw materialCPTi
CoCr/POMTi alloy
CoCr/POMTi alloy
Noble/POM
ZirconiaTi alloy
Noble/POM
POMCPTi
SurfaceMachinedMachinedMachinedMachinedMachined
Angulation
SterilityProvided non-sterile, to be steam
sterilized prior use.Not informedProvided sterile by ethylene
oxide.Provided sterile by ethylene
oxide.Provided non-sterile, to be
steam sterilized prior use.

22

Page 20 of 22

Table 5.15: SE comparison on Screws
SUBJECT DEVICESPRIMARY PREDICATE DEVICEREFERENCE DEVICE
K183024 – Implacil Implant SystemK170398 – S.I.N. Dental Implant SystemK101207 – Neodent Implant SystemK101945 – Neodent Implant System
Trade Name
InformationImplacil de Bortoli Material Odontologico
LtdaS.I.N. Sistema de Implante Nacional S.A.JJGC Industria e Comercio de Materiais
Dentarios S.A.JJGC Industria e Comercio de Materiais
Dentarios S.A.
Implant-to-abutment connectionHE interface
HI interface
Conical interfaceHE interface
HI interfaceHE interfaceConical interface
Implant/Abutment diameter (mm)3.5, 4.0Unknown3.3, 4.1, 4.3, 5.04.1, 5.0
Implant/Abutment gingival height
(mm)2, 3Unknown1, 2, 3Unknown
Cementable height (mm)Not applicableNot applicableNot applicableNot applicable
Anti-rotational featureNot applicableNot applicableNot applicableNot applicable
Raw materialTi alloyTi alloyTi alloyTi alloy
SurfaceMachinedMachined
Machined/ AnodizedMachinedMachined
Angulation
SterilityProvided non-sterile, to be steam
sterilized prior use.UnknownProvided sterile by ethylene oxide.Provided sterile by ethylene oxide.

23

The indication for use of subject and primary predicate device K170398 are identical except for two slight changes.

  1. Inclusion of "and/" in order that the indication for use statement is applicable to all the subject devices instructions for use and not misleading in any way. Currently, the subject devices are divided in 16 instructions for use. For example, many of the subject abutment are indicated for both, single-unit and also multi-unit restorations. The proposed inclusion brings clarity to the cases where both indications are recommended and is also applicable for cases where just one of them is indicated.

  2. The current submission do not have subject implants with length below 7 mm, therefore, the last sentence of the primary predicate instructions for use is not applicable.

The indication for use of subject device is within the scope of the reference devices indications for use.

The subject HE Implants are substantially equivalent to the primary predicate device K170398, and reference devices K101207, K062931 and K163634, in designs and range of dimensions. The subject HI Implants are substantially equivalent to the primary predicate device K170398, and reference devices K062931 and K180282, in designs and range of dimensions. The subject CM AR Implants are substantially equivalent to the reference devices K101945, K170608 and K163060, in designs and range of dimensions.

The subject Covers are substantially equivalent to the reference devices K101207, K180282, K101945 and K170608, in designs and range of dimensions. The subject Healing Abutments are substantially equivalent to the primary predicate K170398 and to the reference devices K101207, K180282 and K101945, in designs and range of dimensions. The subject Healing Abutment Covers are substantially equivalent to the primary predicate K170398 and to the reference devices K180282 and K170392, in designs and range of dimensions.

The subject Tapered Aesthetic Abutments are substantially equivalent to the reference devices K101207, K133510, K062931, K072642, K101945 and K170608, in designs and range of dimensions. The subject Mini Tapered and Mini Tapered Fit Abutments are substantially equivalent to the reference devices K101207, K180282, K072642, K101945 and K170608, in designs and range of dimensions. The subject Abutments are substantially equivalent to the primary predicate device K170398, and reference devices K133510, K180282, K090452 and K140440, in designs and range of dimensions. The subject Smart and Ideale Abutments are substantially equivalent to the reference device K101945, in designs and range of dimensions.

The subject O'ring Abutment is substantially equivalent to the primary predicate device K170398, and reference devices K101207, K180282, K101945 and K173819, in designs and range of dimensions. The reference device K101207 is for the HE connection in the heights not encompassed by the primary predicate device.

The subject UCLA abutment are substantially equivalent to the primary predicate device K170398, and reference devices K101207, K180282 and K173902 in raw material, designs and range of dimensions. The subject Copings are substantially equivalent to the primary predicate device K170398, and reference devices K101207, K101945 and K170608 in raw material, designs and range of dimensions.

The subject Screws are substantially equivalent to the primary predicate device K170398, and reference devices K101207 and K101945 in raw material, designs and range of dimensions.

24

PERFORMANCE DATA

Non-clinical data submitted, referenced, or relied upon to demonstrate substantial equivalence included:

Sterilization validation according to ISO 11137-1, ISO 17665-1, ISO 17665-2. Sterile barrier shelf life testing (accelerated aging according to ASTM F1980); package integrity according to ASTM F1929 and ASTM F88/F88M; sterility of the package content according to ISO 11737-2. The biocompatibility of the subject devices materials was supported by cytotoxicity testing according to ISO 10993-12. Pyrogenicity monitoring according to AAMI/ANSI ST72. Mechanical performance demonstrated through dynamic fatigue testing according to ISO 14801 and static torsional loading test according ISO/TS 13498:2011. No clinical data were included in this submission.

CONCLUSION

The documentation submitted in this premarket notification demonstrates that the subject devices have comparable features and performance and, therefore, are substantially equivalent to the identified primary predicate and reference devices.