K Number
K190040
Device Name
Straumann BLX Line Extension - New Abutments
Date Cleared
2019-04-08

(90 days)

Product Code
Regulation Number
872.3630
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Straumann BLX Healing Abutments for Bars and Bridges: Straumann Healing abutments are indicated to be placed in the patient's mouth at the end of the implant placement to protect the inner configuration of the implant and to form, maintain and stabilize the soft tissue during the healing process. Healing abutments should be used only with suitable implant connections. Healing components have a maximum duration of usage of 6 months. Straumann BLX Temporary Abutments for Bars and Bridges: Prosthetic components directly or indirectly connected to the endosseous dental implant are intended for use as an aid in prosthetic rehabilitations. Temporary components can be used prior to the insertion of the final components to maintain, stabilize and shape the soft tissue during the healing phase; they may not be placed into occlusion. Final abutments may be placed into occlusion when the implant is fully osseointegrated. BLX Temporary Abutments have a maximum duration of usage of 180 days. Straumann BLX Variobase Abutments for Bar and Bridges: Straumann® Variobase® prosthetic components directly or indirectly connected to the endosseous dental implant are intended for use as an aid in prosthetic rehabilitations. The prosthetic restoration (bridge or overdenture) can be cemented on the Straumann® Variobase® prosthetic components. A temporary restoration can be used prior to the insertion of the final components to maintain, stabilize and form the soft tissue during the healing phase. They may not be placed into occlusion. Final abutments and restorations may be placed into occlusion when the implant is fully osseointegrated. Straumann BLX Variobase Abutments AS: The Straumann Variobase for Crown AS is a titanium base placed onto Straumann dental implants to provide support for customized prosthetic restorations. Straumann Variobase for Crown AS are indicated for screw retained single tooth or cement-retained single tooth and bridge restorations. A temporary restoration can be used prior to the insertion of the final components to maintain, stabilize and form the soft tissue during the healing phase. Temporary restorations are indicated to be placed out of occlusion. All digitally designed copings and/or crowns for use with the Straumann Variobase for Crown AS are intended to be sent to Straumann for manufacture at a validated milling center. Straumann BLX Novaloc Abutments: The Straumann® Retentive System is indicated for the attachment of full or partial dentures on Straumann dental implants. Straumann BLX CARES Abutments: The Straumann CARES Abutments are indicated for single tooth replacement and multiple tooth restorations. The prosthetic restoration can be cemented or directly veneered/screw-retained.
Device Description
BLX Healing Abutments for Bars and Bridges: Healing abutments are screwed into the implant in cases of transmucosal healing to protect the inner configuration of the implant and maintain, stabilize and form the soft tissue during the healing process. They are placed out of occlusion and have a maximum duration of usage of 180 days. Unlike the predicate RB/WB healing abutments (K173961), the subject healing abutments are intended to shape the soft tissue for posterior placement of bridge restorations instead of single crowns. The subject healing abutments are manufactured from Titanium Grade 4 and are anodized in violet. BLX Temporary Abutments for Bars and Bridges: Temporary Abutments are intended to be placed into Straumann dental implants to provide support for temporary restorations. Temporary components can be used prior to the insertion of the final components to maintain, stabilize and shape the soft tissue during the healing phase, as well as provide a temporary esthetic solution. They support a temporary restoration and may not be placed into of occlusion. Straumann BLX Temporary Abutments have a maximum duration of usage of 180 days. Unlike the predicate RB/WB temporary abutments (K173961), the subject temporary abutments are intended to shape the soft tissue for posterior placement of bridge restorations instead of sinqle crowns. The subject temporary abutment cannot be shortened. The Temporary abutment for bar/bridge is a non-engaging device intended to support multiple-unit restoration. The subject temporary abutment is manufactured from TAN and is anodized in violet. The temporary abutments are fixed in the implant by means of a basal screw which is also manufactured from TAN. BLX Variobase Abutments for Bars and Bridges: Variobase Abutments for Bars and Bridges are intended to be placed into Straumann implants to provide support for multi-unit restorations. The prosthetic restoration (bar/bridge) must be cemented onto the Variobase abutments, which is then screwed onto the implants. A temporary restoration can be used prior to the insertion of the final components to maintain, stabilize and shape the soft tissue during the healing phase; they must be placed out of occlusion. Final abutments and restorations may be placed into occlusion when the implant is fully osseointegrated. Unlike the predicate Variobase abutments (K173968), the subject Variobase abutments present 3 retention features in the chimney instead of 4. The Variobase abutments for bar/bridges are non-engaging devices intended to support multiple-unit restorations. The subject Variobase abutments are manufactured from TAN and are anodized in violet. The Variobase abutments are fixed in the implant by means of a basal screw which is also manufactured from TAN. BLX Variobase Abutments AS for Crowns: Variobase abutments AS for crowns are intended to be placed into Straumann implants to provide support for single-unit restorations. The prosthetic restoration (crown) must be cemented onto the Variobase abutment, which is then screwed onto the implant. A temporary restoration can be used prior to the insertion of the final components to maintain, stabilize and shape the soft tissue during the healing phase; they must be placed out of occlusion. Final abutments and restorations may be placed into occlusion when the implant is fully osseointegrated. The Variobase abutments are manufactured from TAN and are anodized in violet or in brown according to the compatible BLX implant platform (RB/WB or RB). Unlike the predicate Variobase abutments (K173961/K173379), the subject Variobase abutments present 3 retention features in the chimney instead of 4. The chimney presents a cutout window to facilitate the handling of the screw driver in an angulated position. The Variobase abutments AS for crown are engaging devices intended to support single-unit restorations. The Variobase abutments are fixed in the implant by means of a basal screw which is also manufactured from TAN. The Variobase abutments for crown AS are titanium bases to be used as the lower part of two-piece abutments. The upper part of the two-piece abutment is a CAD/CAM designed and manufactured restoration. The planning and milling of the customized restoration must be made using the validated Straumann CARES Visual, Dental Wings software using the Straumann CARES Visual Plug-In. All digitally designed copings and/or crowns for use on the Variobase abutments are intended to be manufactured at a validated milling center. BLX Novaloc Abutments: Novaloc Abutments are intended to be placed into Straumann dental implants to provide support for full arch detachable restorations (over-denture). The Novaloc abutments are manufactured from TAV (Ti-6Al-4V, Titanium-Aluminum-Vanadium) and are anodized in violet. The restoration is connected to the Novaloc abutment through a snap-on fixture provided by a negative shape of Novaloc snap-on fixture embedded into the final restoration. The snap-on feature is TiN coated. Unlike the reference Novaloc abutments (K173902), the subject Novaloc abutments are not only provided in a straight version but also angulated. The Novaloc abutments are provided non-sterile with instructions for end user sterilization. Angled models: are composed of an abutment body with a coupled basal screw. They are engaging devices. Straight models: both body and thread parts are machined in one piece. They are nonengaging devices. BLX CARES Abutments: CARES Abutments are intended to be placed into Straumann implants to provide support for prosthetic reconstructions such as crowns and bridges. The final abutment, fabricated from a pre-milled blank, is designed to allow for individual customization regarding function and esthetics. The blank, manufactured from TAN and CoCr, is composed of a pre-milled implant-toabutment connection (TorcFit) and a cylindrical body with enough material volume to create a wide range of geometries for the final abutment. Inside the abutment, a screw channel provides access to the internal thread feature of the implant, such that the component can be firmly attached while providing fit between screw, abutment and implant. The planning and milling of the customized restoration must be made using the validated Straumann CARES Visual, Dental Wings software using the Straumann CARES Visual Plug-In. The maximum angulation allowed is 30° and the minimum wall thickness allowed is 0.4 mm. All digitally designed abutments are intended to be manufactured at a validated milling center. BLX Basal Screws: Basal screws are used to fix abutments to dental implant, and can also be used during lab procedures to fix lab prosthetic parts on implant analogs. They are provided along the abutments and also provided as standalone screws. The subject Basal Screws are manufactured from TAN. The Basal Screw for Variobase AS is anodized in green since this color identifies Straumann devices pertaining to AS system.
More Information

No
The document describes physical dental abutments and their intended use, materials, and manufacturing processes. There is no mention of software, algorithms, or any technology that would suggest the use of AI or ML. The "digitally designed" components refer to CAD/CAM processes, which are not inherently AI/ML.

No
The device is described as an aid in prosthetic rehabilitations, protecting and shaping soft tissue during the healing process, and providing support for prosthetic restorations. While it aids in healing and rehabilitation, it does not directly "treat" a disease or condition in the way a therapeutic device typically would. Its primary function is mechanical support and tissue management, not active treatment or mitigation of a disease.

No

Explanation: The provided text describes various dental abutments and screws intended for use in prosthetic rehabilitations to support restorations, protect implants, and manage soft tissue during healing. There is no mention of these devices being used to diagnose conditions or gather diagnostic information.

No

The device description clearly details physical components made of materials like Titanium Grade 4, TAN, TAV, and CoCr, which are implanted or connected to implants in the patient's mouth. While some components are designed using software (CAD/CAM), the device itself is a physical medical device, not software-only.

Based on the provided information, these devices are not IVDs (In Vitro Diagnostics).

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, or tissue) to provide information for diagnosis, monitoring, or screening.
  • Device Description and Intended Use: The descriptions clearly state that these devices are implanted into the patient's mouth to support dental prosthetics and aid in the healing process. They are physical components placed within the body, not used to test samples outside the body.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples, using reagents, or providing diagnostic information based on laboratory testing.

These devices fall under the category of dental implants and prosthetic components, which are medical devices but not IVDs.

N/A

Intended Use / Indications for Use

Straumann BLX Healing Abutments for Bars and Bridges

"Straumann Healing abutments are indicated to be placed in the patient's mouth at the end of the implant placement to protect the inner configuration of the implant and to form, maintain and stabilize the soft tissue during the healing process.

Healing abutments should be used only with suitable implant connections.

Healing components have a maximum duration of usage of 6 months."

Straumann BLX Temporary Abutments for Bars and Bridges

"Prosthetic components directly or indirectly connected to the endosseous dental implant are intended for use as an aid in prosthetic rehabilitations. Temporary components can be used prior to the insertion of the final components to maintain, stabilize and shape the soft tissue during the healing phase; they may not be placed into occlusion. Final abutments may be placed into occlusion when the implant is fully osseointegrated.

BLX Temporary Abutments have a maximum duration of usage of 180 days."

Straumann BLX Variobase Abutments for Bar and Bridges

"Straumann® Variobase® prosthetic components directly or indirectly connected to the endosseous dental implant are intended for use as an aid in prosthetic rehabilitations. The prosthetic restoration (bridge or overdenture) can be cemented on the Straumann® Variobase® prosthetic components. A temporary restoration can be used prior to the insertion of the final components to maintain, stabilize and form the soft tissue during the healing phase. They may not be placed into occlusion. Final abutments and restorations may be placed into occlusion when the implant is fully osseointegrated."

Straumann BLX Variobase Abutments AS

"The Straumann Variobase for Crown AS is a titanium base placed onto Straumann dental implants to provide support for customized prosthetic restorations. Straumann Variobase for Crown AS are indicated for screw retained single tooth or cement-retained single tooth and bridge restorations. A temporary restoration can be used prior to the insertion of the final components to maintain, stabilize and form the soft tissue during the healing phase. Temporary restorations are indicated to be placed out of occlusion. All digitally designed copings and/or crowns for use with the Straumann Variobase for Crown AS are intended to be sent to Straumann for manufacture at a validated milling center."

Straumann BLX Novaloc Abutments

"The Straumann® Retentive System is indicated for the attachment of full or partial dentures on Straumann dental implants."

Straumann BLX CARES Abutments

"The Straumann CARES Abutments are indicated for single tooth replacement and multiple tooth restorations.

The prosthetic restoration can be cemented or directly veneered/screw-retained."

Product codes

NHA

Device Description

BLX Healing Abutments for Bars and Bridges
"Healing abutments are screwed into the implant in cases of transmucosal healing to protect the inner configuration of the implant and maintain, stabilize and form the soft tissue during the healing process. They are placed out of occlusion and have a maximum duration of usage of 180 days.

Unlike the predicate RB/WB healing abutments (K173961), the subject healing abutments are intended to shape the soft tissue for posterior placement of bridge restorations instead of single crowns. The subject healing abutments are manufactured from Titanium Grade 4 and are anodized in violet."

BLX Temporary Abutments for Bars and Bridges
"Temporary Abutments are intended to be placed into Straumann dental implants to provide support for temporary restorations. Temporary components can be used prior to the insertion of the final components to maintain, stabilize and shape the soft tissue during the healing phase, as well as provide a temporary esthetic solution. They support
a temporary restoration and may not be placed into of occlusion. Straumann BLX Temporary Abutments have a maximum duration of usage of 180 days.

Unlike the predicate RB/WB temporary abutments (K173961), the subject temporary abutments are intended to shape the soft tissue for posterior placement of bridge restorations instead of sinqle crowns. The subject temporary abutment cannot be shortened. The Temporary abutment for bar/bridge is a non-engaging device intended to support multiple-unit restoration. The subject temporary abutment is manufactured from TAN and is anodized in violet.

The temporary abutments are fixed in the implant by means of a basal screw which is also manufactured from TAN."

BLX Variobase Abutments for Bars and Bridges
"Variobase Abutments for Bars and Bridges are intended to be placed into Straumann implants to provide support for multi-unit restorations. The prosthetic restoration (bar/bridge) must be cemented onto the Variobase abutments, which is then screwed onto the implants. A temporary restoration can be used prior to the insertion of the final components to maintain, stabilize and shape the soft tissue during the healing phase; they must be placed out of occlusion. Final abutments and restorations may be placed into occlusion when the implant is fully osseointegrated.

Unlike the predicate Variobase abutments (K173968), the subject Variobase abutments present 3 retention features in the chimney instead of 4. The Variobase abutments for bar/bridges are non-engaging devices intended to support multiple-unit restorations. The subject Variobase abutments are manufactured from TAN and are anodized in violet.

The Variobase abutments are fixed in the implant by means of a basal screw which is also manufactured from TAN."

BLX Variobase Abutments AS for Crowns
"Variobase abutments AS for crowns are intended to be placed into Straumann implants to provide support for single-unit restorations. The prosthetic restoration (crown) must be cemented onto the Variobase abutment, which is then screwed onto the implant. A temporary restoration can be used prior to the insertion of the final components to
maintain, stabilize and shape the soft tissue during the healing phase; they must be placed out of occlusion. Final abutments and restorations may be placed into occlusion when the implant is fully osseointegrated.

The Variobase abutments are manufactured from TAN and are anodized in violet or in brown according to the compatible BLX implant platform (RB/WB or RB).

Unlike the predicate Variobase abutments (K173961/K173379), the subject Variobase abutments present 3 retention features in the chimney instead of 4. The chimney presents a cutout window to facilitate the handling of the screw driver in an angulated position. The Variobase abutments AS for crown are engaging devices intended to support single-unit restorations. The Variobase abutments are fixed in the implant by means of a basal screw which is also manufactured from TAN.

The Variobase abutments for crown AS are titanium bases to be used as the lower part of two-piece abutments. The upper part of the two-piece abutment is a CAD/CAM designed and manufactured restoration. The planning and milling of the customized restoration must be made using the validated Straumann CARES Visual, Dental Wings software using the Straumann CARES Visual Plug-In. All digitally designed copings and/or crowns for use on the Variobase abutments are intended to be manufactured at a validated milling center."

BLX Novaloc Abutments
"Novaloc Abutments are intended to be placed into Straumann dental implants to provide support for full arch detachable restorations (over-denture).

The Novaloc abutments are manufactured from TAV (Ti-6Al-4V, Titanium-Aluminum-Vanadium) and are anodized in violet. The restoration is connected to the Novaloc abutment through a snap-on fixture provided by a negative shape of Novaloc snap-on fixture embedded into the final restoration. The snap-on feature is TiN coated.

Unlike the reference Novaloc abutments (K173902), the subject Novaloc abutments are not only provided in a straight version but also angulated.

The Novaloc abutments are provided non-sterile with instructions for end user sterilization.
Angled models: are composed of an abutment body with a coupled basal screw. They are engaging devices.

Straight models: both body and thread parts are machined in one piece. They are nonengaging devices."

BLX CARES Abutments
"CARES Abutments are intended to be placed into Straumann implants to provide support for prosthetic reconstructions such as crowns and bridges. The final abutment, fabricated from a pre-milled blank, is designed to allow for individual customization regarding function and esthetics.

The blank, manufactured from TAN and CoCr, is composed of a pre-milled implant-toabutment connection (TorcFit) and a cylindrical body with enough material volume to create a wide range of geometries for the final abutment.

Inside the abutment, a screw channel provides access to the internal thread feature of the implant, such that the component can be firmly attached while providing fit between screw, abutment and implant.

The planning and milling of the customized restoration must be made using the validated Straumann CARES Visual, Dental Wings software using the Straumann CARES Visual Plug-In. The maximum angulation allowed is 30° and the minimum wall thickness allowed is 0.4 mm. All digitally designed abutments are intended to be manufactured at a validated milling center."

BLX Basal Screws
"Basal screws are used to fix abutments to dental implant, and can also be used during lab procedures to fix lab prosthetic parts on implant analogs. They are provided along the abutments and also provided as standalone screws.

The subject Basal Screws are manufactured from TAN.

The Basal Screw for Variobase AS is anodized in green since this color identifies Straumann devices pertaining to AS system."

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Dental implants

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)

Performance data to support substantial equivalence:

  • Sterilization Validation and Shelf Life: The BLX Healing abutments are provided sterile via gamma irradiation at a dose of 25 kilogray (2.5 Mrad) minimum. Sterility assurance level (SAL) of 10-6 validated per ISO 11137-1:2006. Packaging equivalent to predicate and reference device, shelf life 5 years. Other subject abutments are provided non-sterile and need end-user moist heat (steam) sterilization per ISO 17665-1 and ISO 17665-2.
  • Biocompatibility Testing: Performed per ISO 10993-1:2009 and FDA Guidance. Subject devices have equivalent nature of body contact, contact duration, material formulation, and sterilization methods compared to primary and reference devices.
  • Bench Testing: Dynamic fatigue and static strength tests performed per "Guidance for Industry and FDA Staff – Class II Special Controls Guidance Document: Root-form Endosseous Dental Implants and Endosseous Dental Abutments". Demonstrated equivalence of Straumann BLX Implant System to predicate and reference devices. Test environment for temporary abutments, Novaloc abutments, and CARES Abutments (TAN) was ambient air. For remaining abutments, 0.9% NaCl at 37°.
  • Clinical data: No device specific clinical data submitted.

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

Not Found

Predicate Device(s)

K173961

Reference Device(s)

K173968, K173379, K173902, K172798, K151157, K150899

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.3630 Endosseous dental implant abutment.

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

0

Straumann® BLX Line Extension - New Abutments

510(k) Summary – K190040

510(k) Summary 5

Submitter's Contact Information 5.1

Straumann USA, LLC (on behalf of Institut Straumann AG)

60 Minuteman Road

Andover, MA 01810

Phone Number:1-978-747-2509
-------------------------------

Fax Number: 1-978-747-0023

Contact Person: Jennifer M. Jackson, MS

Prepared by: Ana Carolina Martins Vianna

Date of Submission: April 8, 2019

5.2 Name of the Device

Trade Names:Straumann® BLX Line Extension - New Abutments
Common Name:Endosseous Dental Implant Abutment
Classification Name:Endosseous Dental Implant Abutment
Regulation Number:21 CFR 872.3630
Classification:Class II
Product Codes:NHA

Predicate Device(s) 5.3

Primary Predicate:

  • . K173961 – Straumann BLX Implant System

Reference Devices:

  • K173968 - Straumann Variobase for Bridge/Bar Cylindrical
  • K173379 Straumann Variobase for Crown AS .
  • . K173902 – Neodent Implant System - GM Line
  • K172798 Straumann CARES Abutments CoCr ●
  • K151157 Straumann Variobase Abutment for Bars/Bridges ●

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Straumann® BLX Line Extension - New Abutments

510(k) Summary - K190040

  • K150899 Straumann® CARES Titanium Alloy (TAN) Abutment .

5.4 Indications for Use

Straumann BLX Healing Abutments for Bars and Bridges

Straumann Healing abutments are indicated to be placed in the patient's mouth at the end of the implant placement to protect the inner configuration of the implant and to form, maintain and stabilize the soft tissue during the healing process.

Healing abutments should be used only with suitable implant connections.

Healing components have a maximum duration of usage of 6 months.

Straumann BLX Temporary Abutments for Bars and Bridges

Prosthetic components directly or indirectly connected to the endosseous dental implant are intended for use as an aid in prosthetic rehabilitations. Temporary components can be used prior to the insertion of the final components to maintain, stabilize and shape the soft tissue during the healing phase; they may not be placed into occlusion. Final abutments may be placed into occlusion when the implant is fully osseointegrated.

BLX Temporary Abutments have a maximum duration of usage of 180 days.

Straumann BLX Variobase Abutments for Bar and Bridges

Straumann® Variobase® prosthetic components directly or indirectly connected to the endosseous dental implant are intended for use as an aid in prosthetic rehabilitations. The prosthetic restoration (bridge or overdenture) can be cemented on the Straumann® Variobase® prosthetic components. A temporary restoration can be used prior to the insertion of the final components to maintain, stabilize and form the soft tissue during the healing phase. They may not be placed into occlusion. Final abutments and restorations may be placed into occlusion when the implant is fully osseointegrated.

Straumann BLX Variobase Abutments AS

The Straumann Variobase for Crown AS is a titanium base placed onto Straumann dental implants to provide support for customized prosthetic restorations. Straumann Variobase for Crown AS are indicated for screw retained single tooth or cement-retained single tooth

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Straumann® BLX Line Extension - New Abutments

510(k) Summary - K190040

and bridge restorations. A temporary restoration can be used prior to the insertion of the final components to maintain, stabilize and form the soft tissue during the healing phase. Temporary restorations are indicated to be placed out of occlusion. All digitally designed copings and/or crowns for use with the Straumann Variobase for Crown AS are intended to be sent to Straumann for manufacture at a validated milling center.

Straumann BLX Novaloc Abutments

The Straumann® Retentive System is indicated for the attachment of full or partial dentures on Straumann dental implants.

Straumann BLX CARES Abutments

The Straumann CARES Abutments are indicated for single tooth replacement and multiple tooth restorations.

The prosthetic restoration can be cemented or directly veneered/screw-retained.

5.5 Device Description

BLX Healing Abutments for Bars and Bridges

Healing abutments are screwed into the implant in cases of transmucosal healing to protect the inner configuration of the implant and maintain, stabilize and form the soft tissue during the healing process. They are placed out of occlusion and have a maximum duration of usage of 180 days.

Unlike the predicate RB/WB healing abutments (K173961), the subject healing abutments are intended to shape the soft tissue for posterior placement of bridge restorations instead of single crowns. The subject healing abutments are manufactured from Titanium Grade 4 and are anodized in violet.

BLX Temporary Abutments for Bars and Bridges

Temporary Abutments are intended to be placed into Straumann dental implants to provide support for temporary restorations. Temporary components can be used prior to the insertion of the final components to maintain, stabilize and shape the soft tissue during the healing phase, as well as provide a temporary esthetic solution. They support

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Straumann® BLX Line Extension – New Abutments

510(k) Summary - K190040

a temporary restoration and may not be placed into of occlusion. Straumann BLX Temporary Abutments have a maximum duration of usage of 180 days.

Unlike the predicate RB/WB temporary abutments (K173961), the subject temporary abutments are intended to shape the soft tissue for posterior placement of bridge restorations instead of sinqle crowns. The subject temporary abutment cannot be shortened. The Temporary abutment for bar/bridge is a non-engaging device intended to support multiple-unit restoration. The subject temporary abutment is manufactured from TAN and is anodized in violet.

The temporary abutments are fixed in the implant by means of a basal screw which is also manufactured from TAN.

BLX Variobase Abutments for Bars and Bridges

Variobase Abutments for Bars and Bridges are intended to be placed into Straumann implants to provide support for multi-unit restorations. The prosthetic restoration (bar/bridge) must be cemented onto the Variobase abutments, which is then screwed onto the implants. A temporary restoration can be used prior to the insertion of the final components to maintain, stabilize and shape the soft tissue during the healing phase; they must be placed out of occlusion. Final abutments and restorations may be placed into occlusion when the implant is fully osseointegrated.

Unlike the predicate Variobase abutments (K173968), the subject Variobase abutments present 3 retention features in the chimney instead of 4. The Variobase abutments for bar/bridges are non-engaging devices intended to support multiple-unit restorations. The subject Variobase abutments are manufactured from TAN and are anodized in violet.

The Variobase abutments are fixed in the implant by means of a basal screw which is also manufactured from TAN.

BLX Variobase Abutments AS for Crowns

Variobase abutments AS for crowns are intended to be placed into Straumann implants to provide support for single-unit restorations. The prosthetic restoration (crown) must be cemented onto the Variobase abutment, which is then screwed onto the implant. A temporary restoration can be used prior to the insertion of the final components to

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Straumann® BLX Line Extension – New Abutments

510(k) Summary - K190040

maintain, stabilize and shape the soft tissue during the healing phase; they must be placed out of occlusion. Final abutments and restorations may be placed into occlusion when the implant is fully osseointegrated.

The Variobase abutments are manufactured from TAN and are anodized in violet or in brown according to the compatible BLX implant platform (RB/WB or RB).

Unlike the predicate Variobase abutments (K173961/K173379), the subject Variobase abutments present 3 retention features in the chimney instead of 4. The chimney presents a cutout window to facilitate the handling of the screw driver in an angulated position. The Variobase abutments AS for crown are engaging devices intended to support single-unit restorations. The Variobase abutments are fixed in the implant by means of a basal screw which is also manufactured from TAN.

The Variobase abutments for crown AS are titanium bases to be used as the lower part of two-piece abutments. The upper part of the two-piece abutment is a CAD/CAM designed and manufactured restoration. The planning and milling of the customized restoration must be made using the validated Straumann CARES Visual, Dental Wings software using the Straumann CARES Visual Plug-In. All digitally designed copings and/or crowns for use on the Variobase abutments are intended to be manufactured at a validated milling center.

BLX Novaloc Abutments

Novaloc Abutments are intended to be placed into Straumann dental implants to provide support for full arch detachable restorations (over-denture).

The Novaloc abutments are manufactured from TAV (Ti-6Al-4V, Titanium-Aluminum-Vanadium) and are anodized in violet. The restoration is connected to the Novaloc abutment through a snap-on fixture provided by a negative shape of Novaloc snap-on fixture embedded into the final restoration. The snap-on feature is TiN coated.

Unlike the reference Novaloc abutments (K173902), the subject Novaloc abutments are not only provided in a straight version but also angulated.

The Novaloc abutments are provided non-sterile with instructions for end user sterilization.

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Straumann® BLX Line Extension - New Abutments

510(k) Summary - K190040

Angled models: are composed of an abutment body with a coupled basal screw. They are engaging devices.

Straight models: both body and thread parts are machined in one piece. They are nonengaging devices.

BLX CARES Abutments

CARES Abutments are intended to be placed into Straumann implants to provide support for prosthetic reconstructions such as crowns and bridges. The final abutment, fabricated from a pre-milled blank, is designed to allow for individual customization regarding function and esthetics.

The blank, manufactured from TAN and CoCr, is composed of a pre-milled implant-toabutment connection (TorcFit) and a cylindrical body with enough material volume to create a wide range of geometries for the final abutment.

Inside the abutment, a screw channel provides access to the internal thread feature of the implant, such that the component can be firmly attached while providing fit between screw, abutment and implant.

The planning and milling of the customized restoration must be made using the validated Straumann CARES Visual, Dental Wings software using the Straumann CARES Visual Plug-In. The maximum angulation allowed is 30° and the minimum wall thickness allowed is 0.4 mm. All digitally designed abutments are intended to be manufactured at a validated milling center.

BLX Basal Screws

Basal screws are used to fix abutments to dental implant, and can also be used during lab procedures to fix lab prosthetic parts on implant analogs. They are provided along the abutments and also provided as standalone screws.

The subject Basal Screws are manufactured from TAN.

The Basal Screw for Variobase AS is anodized in green since this color identifies Straumann devices pertaining to AS system.

5.6 Technological Characteristics

6

Straumann® BLX Line Extension – New Abutments

510(k) Summary – K190040

The technological characteristics of the subject devices are compared to the primary

predicate and reference devices in the following tables:

Healing Abutments for Bars and Bridges

| FEATURE | PROPOSED DEVICE
Subject Device | REFERENCE DEVICE
K173961 |
|--------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Indications for Use | Straumann Healing abutments are indicated to be placed in the patient's mouth at the end of the implant placement to protect the inner configuration of the implant and to form, maintain and stabilize the soft tissue during the healing process. Healing abutments should be used only with suitable implant connections. Healing components have a maximum duration of usage of 6 months. | Straumann Closure Caps and Healing Abutments are indicated to be placed in the patient's mouth at the end of the implant placement to protect the inner configuration of the implant and to shape, maintain and stabilize the soft tissue during the healing process. Closure caps and healing abutments should be used only with suitable implant connections. Straumann Closure Caps and Healing Abutments have a maximum duration of usage of 6 months. |
| Material | Titanium Grade 4 | Titanium Grade 4 |
| Implant to Abutment Connection | BLX
(with conical fitting) | BLX
(with conical fitting) |
| Diameter | 4.5 and 5.5 mm | 4.0 to 7.5 mm |
| Gingival height | 1.5 mm | 1.5 to 3.5 mm |
| Abutment height | 2 to 4 mm | 2 to 4 mm |
| BLX Platform | RB/WB | RB/WB
WB |
| Sterilization Method | Irradiation | Irradiation |
| Surface | Anodized | Anodized |

Table 1 – Comparison matrix: subject device versus reference device (Healing Abutments

for Bars and Bridges)

7

Straumann® BLX Line Extension – New Abutments

510(k) Summary – K190040

Temporary Abutments for Bars and Bridges

FEATUREPROPOSED DEVICEREFERENCE DEVICE
Subject DeviceK173961
Indications for
UseProsthetic components directly or indirectly
connected to the endosseous dental
implant are intended for use as an aid in
prosthetic rehabilitations. Temporary
components can be used prior to the
insertion of the final components to
maintain, stabilize and shape the soft
tissue during the healing phase; they may
not be placed into occlusion. Final
abutments may be placed into occlusion
when the implant is fully osseointegrated.
BLX Temporary Abutments have a
maximum duration of usage of 180 days.Prosthetic components directly or indirectly
connected to the endosseous dental
implant are intended for use as an aid in
prosthetic rehabilitations. Temporary
components can be used prior to the
insertion of the final components to
maintain, stabilize and shape the soft
tissue during the healing phase; they may
not be placed into occlusion. Final
abutments may be placed into occlusion
when the implant is fully osseointegrated.
BLX Temporary Abutments have a
maximum duration of usage of 180 days.
MaterialTi-6Al-7NbTi-6Al-7Nb
Implant to
Abutment
ConnectionTorcFit connectionTorcFit connection
Diameter4.5 mm3.8, 4.5, 5.5 and 6 mm
Gingival
height1.5 mm0.75, 1.5, 2.5 and 3.5 mm
Abutment
height5.5 mm10 mm
(can be shortened up to 6 mm)
BLX PlatformRB/WBRB/WB
WB
AngulationStraightStraight
Sterilization
MethodNon-sterile/
End user sterilizedNon-sterile/
End user sterilized
SurfacePartially anodizedPartially anodized
PROPOSED DEVICEREFERENCE DEVICE
FEATURESubject DeviceK173968
Indications for
UseStraumann Variobase prosthetic components
directly or indirectly connected to the
endosseous dental implant are intended for
use as an aid in prosthetic rehabilitations. The
prosthetic restoration (bridge or overdenture)
can be cemented on the Straumann®
Variobase™ prosthetic components. A
temporary restoration can be used prior to the
insertion of the final components to maintain,
stabilize and form the soft tissue during the
healing phase. They may not be placed into
occlusion. Final abutments and restorations
may be placed into occlusion when the implant
is fully osseointegrated.Straumann Variobase for Bridge/Bar Cylindrical
prosthetic components directly connected to the
endosseous dental implants are indicated for
use as an aid in prosthetic rehabilitations. The
patient-specific prosthetic restoration (bridge or
overdenture) can be cemented on the
Straumann Variobase for Bridge/Bar Cylindrical
prosthetic components. A temporary restoration
can be used prior to the insertion of the final
components to maintain, stabilize and form the
soft tissue during the healing phase. They may
not be placed into occlusion. Straumann®
Variobase for Bridge/Bar Cylindrical and patient-
specific restorations may be placed into
occlusion when the implant is fully
osseointegrated.
MaterialTi-6Al-7NbTi-6Al-7Nb
Implant to
Abutment
ConnectionTorcFit connectionCrossFit (NC)
Diameter4.5 mm4.5 - 7.0 mm
Abutment
height3.5 mm3.5 – 4.5 mm
Abutment
height design3 retention features4 retention features
Type of
recommended
restorationBars/BridgesBars/Bridges
Abutment
AngulationStraightStraight
Design
WorkflowWax-up or
Straumann CARES Visual, Dental Wings
software using the Straumann CARES
Visual Plug-InWax-up or
Straumann CARES Visual, Dental Wings
software using the Straumann CARES
Visual Plug-In
Manufacturing
WorkflowDigital workflow via Straumann milling
centerDigital workflow via Straumann milling
center
Coping/
Crown
MaterialMaterials cleared by the FDA under 21
CFR 872.6660 or exempt materials as
described under 21 CFR 872.3060 (Noble
metal alloys) and 21 CFR 872.3710 (Base
metal alloys)Materials cleared by the FDA under 21
CFR 872.6660 or exempt materials as
described under 21 CFR 872.3060 (Noble
metal alloys) and 21 CFR 872.3710 (Base
metal alloys)
Coping/
Crown
AngulationUp to 30°Up to 30°
Sterilization
MethodNon-sterile/
End user sterilizedNon-sterile/
End user sterilized
SurfacePartially anodizedMachined
PROPOSED DEVICEREFERENCE DEVICEREFERENCE DEVICE
FEATURESubject DeviceK173379K173961
Indications for
UseThe Straumann Variobase
for Crown AS is a titanium
base placed onto
Straumann dental implants
to provide support for
customized prosthetic
restorations. Straumann
Variobase for Crown AS
are indicated for screw
retained single tooth or
cement-retained single
tooth and bridge
restorations. A temporary
restoration can be used
prior to the insertion of the
final components to
maintain, stabilize and form
the soft tissue during the
healing phase. Temporary
restorations are indicated
to be placed out of
occlusion. All digitally
designed copings and/or
crowns for use with the
Straumann Variobase for
Crown AS are intended to
be sent to Straumann for
manufacture at a validated
milling center.The Straumann Variobase
for Crown AS is a titanium
base placed onto
Straumann dental implants
to provide support for
customized prosthetic
restorations. Straumann
Variobase for Crown AS
are indicated for screw
retained single tooth or
cement-retained single
tooth and bridge
restorations. A temporary
restoration can be used
prior to the insertion of the
final components to
maintain, stabilize and form
the soft tissue during the
healing phase. Temporary
restorations are indicated
to be placed out of
occlusion. All digitally
designed copings and/or
crowns for use with the
Straumann Variobase for
Crown AS are intended to
be sent to Straumann for
manufacture at a validated
milling center.Straumann Variobase
prosthetic components
directly or indirectly
connected to the
endosseous dental implant
are intended for use as an
aid in prosthetic
rehabilitations. The
prosthetic restoration
(crowns) can be cemented
onto the Straumann
Variobase prosthetic
components. A temporary
restoration can be used
prior to the insertion of the
final components to
maintain, stabilize and
shape the soft tissue during
the healing phase. They
may not be placed into
occlusion. Final abutments
and restorations may be
placed into occlusion when
the implant is fully
osseointegrated.. All
digitally designed copings
and/or crowns for use with
the Straumann Variobase
Abutment system are
intended to be sent to
Straumann for manufacture
at a validated milling
center.
MaterialTi-6Al-7NbTi-6Al-7NbTi-6Al-7Nb
Implant to
Abutment
ConnectionTorcFit connectionNC/RC (CrossFit)TorcFit connection
Diameter4.5 and 5.5 mm3.8 mm - 7.0 mm3.8 to 5.5 mm
Gingival
height1.5 mm1.0 – 3.0 mm0.75 – 2.5 mm
Abutment
height5.5 mm3.5 mm – 6.5 mm5.5 mm
(can be reduced until 3.5
mm)
Abutment
height designCylindrical, with cutout
windowCylindrical, with cutout
windowCylindrical, without cutout
window
Type of
recommended
restorationCrownsCrownsCrowns
PROPOSED DEVICEREFERENCE DEVICEREFERENCE DEVICE
FEATURESubject DeviceK173379K173961
Design
WorkflowWax-up or
Straumann CARES Visual,
Dental Wings software
using the Straumann
CARES Visual Plug-InStraumann CARES VisualWax-up or
Straumann CARES Visual,
Dental Wings software
using the Straumann
CARES Visual Plug-In
Manufacturing
WorkflowDigital workflow via
Straumann milling centerTraditional casting or
pressing or Straumann
MillingDigital workflow via
Straumann milling center
Coping/
Crown
MaterialZerion LTCast materials:
  • Type 4 metals (ISO
  • Base metal alloys (e.g.,
    cobalt-chromium (CoCr))
  • Noble metal alloys (e.g.,
    gold alloy)
    Press materials:
  • IPS e.max® Press
    Ceramic
    Digital materials:
  • coron®
  • zerion® LT
  • polycon® ae
  • zerion ML
  • zerion UTML
  • IPS e.max® CAD Ceramic
  • nlce | IPS e.max CAD
    Polycon ae |
    | Abutment
    Angulation | Up to 30° | Up to 30° | Up to 30° |
    | Sterilization
    Method | Non-sterile/
    End user sterilized | Non-sterile/
    End user sterilized | Non-sterile/
    End user sterilized |
    | Surface | Partially anodized | Machined | Partially anodized |
    | FEATURE | PROPOSED DEVICE | REFERENCE DEVICE | REFERENCE DEVICE |
    | | Subject Device | K173902 | K173968 |
    | Indications for
    Use | The Straumann®
    Retentive System is
    indicated for the
    attachment of full or
    partial dentures on
    Straumann dental
    implants. | 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. | Straumann Variobase for
    Bridge/Bar Cylindrical
    prosthetic
    components directly
    connected to the endosseous
    dental implants are indicated
    for use as an aid in prosthetic
    rehabilitations. The patient-
    specific prosthetic restoration
    (bridge or overdenture)
    can be cemented on the
    Straumann Variobase for
    Bridge/Bar Cylindrical
    prosthetic components. A
    temporary restoration can be
    used prior to the insertion of
    the final components to
    maintain, stabilize and form
    the soft tissue during the
    healing phase. They may not
    be placed into occlusion.
    Straumann®
    Variobase for Bridge/Bar
    Cylindrical and patient-specific
    restorations may be placed
    into occlusion when the
    implant
    is fully osseointegrated. |
    | Material | Ti-6Al-4V | Ti-6Al-4V | Ti-6Al-7Nb |
    | Implant to
    Abutment
    Connection | TorcFit connection | Neodent GM connection | CrossFit (NC) |
    | Diameter | 4.5 mm | 3.3 mm | 4.5 – 7.0 mm |
    | Gingival
    height | 1.5 to 6.5 mm | 1.5 to 5.5 mm | NA |
    | Abutment-to-
    restoration
    connection | Snap on feature | Snap on feature | Cement-retained |
    | Type of
    recommended
    restoration | Multi-unit | Multi-unit | Multi-unit |
    | Abutment
    Angulation | 0 and 15° | Straight | Straight |
    | Sterilization
    Method | Non-sterile/
    End user sterilized | Non-sterile/
    End user sterilized | Non-sterile/
    End user sterilized |
    | Surface | Partially anodized /
    TiN coated | TiN coated | Machined |
    | FEATURE | PROPOSED DEVICE | REFERENCE DEVICE | REFERENCE DEVICE |
    | | Subject Device | K172798 | K150899 |
    | Indications for
    Use | The Straumann CARES
    Abutments are indicated for
    single tooth replacement
    and multiple tooth
    restorations.
    The Straumann CARES
    TAN and CoCr abutment
    restoration can be
    cemented or directly
    veneered/screw-retained.
    The Straumann CARES
    Golden Ti/TiN abutment
    restoration is cement-
    retained. | The Straumann CARES
    Abutments CoCr are
    indicated for single tooth
    replacement and multiple
    tooth restorations.
    The prosthetic restoration
    can be cemented or directly
    veneered/ screw-retained | The Straumann CARES
    TAN abutments are
    indicated for single tooth
    replacement and multiple
    tooth restorations. The
    prosthetic restoration can
    be cemented or directly
    veneered/ screw-retained. |
    | Material | TAN
    CoCr | CoCr | TAN |
    | Implant to
    Abutment
    Connection | TorcFit connection | CrossFit (NC/RC) | CrossFit (NC/RC) |
    | Type of
    recommended
    restoration | Crowns and bridges | Crowns and bridges | Crowns and bridges |
    | Design
    Workflow | Wax-up or
    Straumann CARES Visual,
    Dental Wings software
    using the Straumann
    CARES Visual Plug-In | Wax-up or
    Straumann CARES Visual.
    Dental Wings software
    using the Straumann
    CARES Visual Plug-In | Wax-up or
    Straumann CARES Visual,
    Dental Wings software
    using the Straumann
    CARES Visual Plug-In |
    | Manufacturing
    Workflow | Digital workflow via
    Straumann milling center | Digital workflow via
    Straumann milling center | Digital workflow via
    Straumann milling center |
    | Abutment
    Angulation | Up to 30° | Up to 30° | Up to 30° |
    | Sterilization
    Method | Non-sterile/
    End user sterilized | Non-sterile/
    End user sterilized | Non-sterile/
    End user sterilized |
    | Surface finish | Partially anodized | Machined | Machined |

Table 2 – Comparison matrix: subject device versus reference device (Temporary

Abutments for Bars and Bridges)

8

Straumann® BLX Line Extension – New Abutments

510(k) Summary – K190040

Variobase Abutments for Bars and Bridges

Table 3 – Comparison matrix: subject device versus reference device (Variobase

Abutments for Bars and Bridges)

9

Straumann® BLX Line Extension – New Abutments

510(k) Summary – K190040

Variobase Abutments AS for Crowns

10

Straumann® BLX Line Extension – New Abutments

510(k) Summary – K190040

Table 4 – Comparison matrix: subject device versus reference device (Variobase

Abutments AS for Crowns)

11

Straumann® BLX Line Extension – New Abutments

510(k) Summary – K190040

Novaloc Abutments

Table 5 – Comparison matrix: subject device versus reference device (Novaloc Abutments)

12

Straumann® BLX Line Extension – New Abutments

510(k) Summary – K190040

CARES Abutments

Table 6 – Comparison matrix: subject device versus reference device (CARES Abutments)

Performance Testing 5.7

The following performance data support the substantial equivalence determination.

5.7.1 Sterilization Validation and Shelf Life

The BLX Healing abutments are provided sterile via gamma irradiation at a dose of 25 kilogray (2.5 Mrad) minimum. A sterility assurance level (SAL) of 10-6 has been validated in accordance with ISO 11137-1:2006, Sterilization of health care products – Radiation - Part 1: Requirements for development, validation and routine control of a

13

Straumann® BLX Line Extension - New Abutments

510(k) Summary - K190040

sterilization process for medical devices, 2006-04-05. The validation method used was the over kill bioburden method in accordance with ISO 11137-2:2013, Sterilization of health care products – Radiation – Part 2: Establishing the sterilization dose.

The packaging of the BLX Healing abutments is equivalent to the packaging of the predicate and reference device and the shelf life is 5 years when considering that the materials are not adversely affected by time.

There are no changes to the sterilization method or processes when compared to the Straumann predicate devices.

The other subject abutments are provided non-sterile and need to be sterilized by moist heat (steam) by the end-user. The recommended sterilization method has been validated according to ISO 17665-1 and ISO 17665-2 applicable recommendations in the FDA guidance document "Reprocessing Medical Devices in Health Care Settings: Validation Methods and Labeling, issued on March 17, 2015".

Pyrogenicity information provided is based on FDA Guidance on "Submission and Review of Sterility Information in Premarket Notification (510(k)) Submission for Devices Labeled as Sterile, issued on 21 January 2016." The method used to determine the device meets pyrogen limit specifications is LAL Endotoxin Analysis with testing limit of 20 EU/device, based on a blood contacting and implanted device.

5.7.2 Biocompatibility Testing

Biological assessment has been performed according to ISO 10993-1:2009 "Biological evaluation of medical devices – Part 1: Evaluation and testing within a risk management process" and to the FDA Guidance document "Use of International Standard ISO 10993-1, 'Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process', Guidance for Industry and Food and Drug Administration Staff, Document issued on: June 16, 2016" for each of the subject devices.

The subject devices have equivalent nature of body contact, contact duration, material formulation and sterilization methods compared to the primary and reference devices.

14

Straumann® BLX Line Extension - New Abutments

510(k) Summary – K190040

Bench Testing 5.7.3

Dynamic fatigue and static strength tests were conducted according to the FDA guidance document "Guidance for Industry and FDA Staff – Class II Special Controls Guidance Document: Root-form Endosseous Dental Implants and Endosseous Dental Abutments" and demonstrated the Straumann BLX Implant System is equivalent to the predicate and reference devices. The test environment for the temporary abutments, Novaloc abutments, and CARES Abutments (TAN) was ambient air. The test environment for the remaining abutments was 0.9% NaCl at 37°.

5.7.4 Clinical data

No device specific clinical data has been submitted to demonstrate substantial equivalence.

5.8 Conclusion

The documentation submitted in this premarket notification demonstrates the subject Straumann BLX Abutments are substantially equivalent to the primary predicate and reference devices.

15

Image /page/15/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 and 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.

April 8, 2019

Institut Straumann AG % Jennifer Jackson Director, Regulatory Affairs Straumann USA, LLC 60 Minuteman Road Andover, Massachusetts 01810

Re: K190040

Trade/Device Name: Straumann® BLX Line Extension - New Abutments Regulation Number: 21 CFR 872.3630 Regulation Name: Endosseous Dental Implant Abutment Regulatory Class: Class II Product Code: NHA Dated: January 7, 2019 Received: January 8, 2019

Dear Jennifer Jackson:

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.

16

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) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/CombinationProducts/GuidanceRegulatoryInformation/ucm597488.htm); 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 http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm.

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,

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

17

Indications for Use

510(k) Number (if known)

K190040

Device Name

Straumann® BLX Line Extension - New Abutments

Indications for Use (Describe)

Straumann BLX Healing Abutments for Bars and Bridges

Straumann Healing abutments are indicated to be placed in the patient's mouth at the implant placement to protect the inner configuration of the implant and to form, maintain and stabilize the soft tissue during the healing process.

Healing abutments should be used only with suitable implant connections.

Healing components have a maximum duration of usage of 6 months.

Straumann BLX Temporary Abutments for Bar and Bridges

Prosthetic components directly connected to the endosseous dental implant are intended for use as an aid in prosthetic rehabilitations. Temporary components can be used prior to the final components to maintain, stabilize and shape the soft tissue during the healing phase; they may not be placed into occlusion. Final abutments may be placed into occlusion when the implant is fully osseointegrated.

BLX Temporary Abutments have a maximum duration of usage of 180 days.

Straumann BLX Variobase Abutments for Bar and Bridges

Straumann® Variobase™ prosthetic components directly or indirectly connected to the endosseous dental implant are intended for use as an aid in prosthetic restoration (bridge or overdenture) can be cemented on the Straumann® Variobase™ prosthetic components. A temporary restoration can be used prior to the insertion of the final components to maintain, stabilize and form the healing phase. They may not be placed into occlusion. Final abutments and restorations may be placed into occlusion when the implant is fully osseointegrated.

Straumann BLX Variobase Abutments AS

The Straumann Variobase for Crown AS is a titanium base placed onto Straumann dental implants to provide support for customized prosthetic restorations. Straumann Variobase for Crown AS are indicated for screw retained single tooth or cement-retained single tooth and bridge restoration can be used prior to the insertion of the insertion of the final components to maintain, stabilize and form the soft tissue during the healing phase. Temporary restorations are indicated to be placed out of occlusion. All digitally designed copings and/or crowns for use with the Straumann Variobase for Crown AS are intended to be sent to Straumann for manufacture at a validated milling center.

Straumann BLX Novaloc Abutments

The Straumann® Retentive System is indicated for the attachment of full or partial dentures on Straumann dental implants.

Straumann BLX CARES Abutments

The Straumann CARES Abutments are indicated for single tooth replacement and multiple tooth restorations. The prosthetic restoration can be cemented or directly veneered/screw-retained.

18

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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