K Number
K190849
Device Name
IS-III active System_S-narrow Type
Date Cleared
2019-08-14

(135 days)

Product Code
Regulation Number
872.3640
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The IS-III active System S-narrow Type is indicated for use in surgical and restorative applications for placement in the mandibular central, lateral incisor and maxillary lateral incisor regions of partially edentulous jaws where the horizontal space is limited by the adjacent teeth and roots, to provide support for prosthetic devices, such as artificial teeth, in order to restore the patient's chewing function. The IS-III active System S-narrow Type is indicated also for immediate loading when good primary stability is achieved and with appropriate occlusal loading.
Device Description
IS-III active System_S-Narrow System is composed of IS-III active S-Narrow Type fixtures and Abutments. IS-III active Fixture S-Narrow Type is a thread type implant made of Titanium ELI according to ASTM F136 which will be placed in the alveolar bone to replace the function of the missing tooth. This device has connection between the upper prosthesis and the internal hex. Fixture's surface is treated with SLA (Sandblasted with Large-grit and Acid-etching). It is only part to be implanted into bone, and to provide connection of prosthetic devices or other components of a dental implant set with human body. The Fixture's diameters are 3.2 mm and the lengths are 8.5/10.0/11.5/ 13.0/ 15.0 mm. Tolerance of dimension shall be within ± 1% range. IS-III active System S-Narrow Type Abutments are composed as below: IS Cover Screw, IS Healing Abutment, IS Cemented Abutment, IS Temporary Abutment and IS Abutment Screw
More Information

No
The summary describes a dental implant system and its components, focusing on materials, dimensions, and mechanical properties. There is no mention of AI, ML, image processing, or data sets typically associated with AI/ML technologies.

Yes
The device is described as an implantable fixture and abutments used to restore chewing function by supporting prosthetic devices, which falls under the definition of a therapeutic device.

No

Explanation: The device is an implant system (fixture and abutments) used to replace missing teeth and provide support for prosthetic devices, not to diagnose a condition. Its function is restorative and supportive, not diagnostic.

No

The device description clearly states it is composed of physical components (fixtures and abutments made of Titanium ELI) that are implanted into bone. This is a hardware medical device.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Description and Intended Use: The description clearly states that the IS-III active System S-narrow Type is a dental implant system designed to be surgically placed in the bone to support prosthetic devices and restore chewing function. It is a physical implant, not a test performed on a sample.
  • Lack of IVD Characteristics: The text does not mention any analysis of biological samples, detection of biomarkers, or diagnostic purposes.

Therefore, the IS-III active System S-narrow Type is a medical device, specifically a dental implant system, and not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The IS-III active System S-narrow Type is indicated for use in surgical and restorative applications for placement in the mandibular central, lateral incisor and maxillary lateral incisor regions of partially edentulous jaws where the horizontal space is limited by the adjacent teeth and roots, to provide support for prosthetic devices, such as artificial teeth, in order to restore the patient's chewing function.

The IS-III active System S-narrow Type is indicated also for immediate loading when good primary stability is achieved and with appropriate occlusal loading.

Product codes

DZE, NHA

Device Description

IS-III active System_S-Narrow System is composed of IS-III active S-Narrow Type fixtures and Abutments. IS-III active Fixture S-Narrow Type is a thread type implant made of Titanium ELI according to ASTM F136 which will be placed in the alveolar bone to replace the function of the missing tooth. This device has connection between the upper prosthesis and the internal hex.

Fixture's surface is treated with SLA (Sandblasted with Large-grit and Acid-etching). It is only part to be implanted into bone, and to provide connection of prosthetic devices or other components of a dental implant set with human body.

The Fixture's diameters are 3.2 mm and the lengths are 8.5/10.0/11.5/ 13.0/ 15.0 mm. Tolerance of dimension shall be within ± 1% range.

IS-III active System S-Narrow Type Abutments are composed as below: IS Cover Screw, IS Healing Abutment, IS Cemented Abutment, IS Temporary Abutment and IS Abutment Screw

The dimensions of abutments are as following:

| Name | Diameter
(mm) | Platform
diameter (mm) | Length (mm) | Gingiva
Height (mm) | Angulation |
|---|---|---|---|---|---|
| IS Cover Screw_S-Narrow
Type | Ø 3.0 | - | 4.8/5.8/6.4 | 0.4/1.4/2.0 | 0° |
| | Ø 3.0 | 2.61 | 7.4/9.4/11.4 | 3.0/5.0/7.0 | 0° |
| IS Healing Abutment_S-
Narrow Type | Ø 3.8 | | 7.4/9.4/11.4 | | 0° |
| | Ø 4.3 | 2.61 | 7.4/8.4/9.4/ | 3.0/4.0/5.0/ | 0° |
| | | | 11.4/13.4 | 7.0/9.0 | |
| IS Cemented Abutment_S-
Narrow Type | Ø 3.5 | 2.61 | 7.0 | 2.0 | 0° |
| | Ø 4.0 | | 5.5/7.0 | | 0° |
| IS Temporary Abutment_S-
Narrow Type | Ø 3.0 | 2.61 | 14.1/13.5 | 1.5 | 0° |
| IS Abutment Screw_S-
Narrow Type | Ø 2.0 | - | 10.2 | - | 0° |

The features of each abutment are as following:

| Name | Uses | Surface
Treatment | Connection |
|---|---|---|---|
| IS Cover Screw
_S-Narrow Type | It is used for protecting inner hole and connecting
part with exposed upper part of structure during the
healing period after inserting dental implant fixture | N/A | Screw
Retained |
| IS Healing Abutment
_S-Narrow Type | Used to formation appropriate gingival shape
during the soft tissue healing period combined with
implant | N/A | Screw
Retained |
| IS Cemented Abutment
_S-Narrow Type | The Abutment is connected with fixture and it | TiN-Coating | Hex,
Non-Hex |
| IS Temporary Abutment
_S-Narrow Type | supports prosthesis which restores tooth function. | N/A | Hex,
Non-Hex |
| IS Abutment Screw
_S-Narrow Type | It is used to fix Abutment at the top of fixture | N/A | Screw
Retained |

Tolerance of dimension for Abutments shall be within ± 1% range.

The surface of IS Cemented Abutment_S-narrow Type was treated with TiN-Coated.

IS-III active Fixture_S-Narrow type, IS cover screw, and healing Abutments are provided sterilized. And other Abutments are provided non- sterilized.

IS-III active Fixture_S-Narrow Type is enclosed with Cover Screw in a packing. Other Abutments are enclosed with Abutment Screw in a packing.

All of above products including enclosed product are packed separately for convenience.

Materials:
The Fixtures and Abutments are made of Titanium ELI of ASTM F136.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

mandibular central, lateral incisor and maxillary lateral incisor regions of partially edentulous jaws

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Non-clinical testing data:
The subject device was tested to evaluate its substantial equivalence according to the following standards.

  • Sterilization Validation Test on Fixtures according to ISO 11137-1,2,3
  • Shelf Life Test on Fixtures according to ASTM F1980
  • Bacterial Endotoxin Test Report on Fixtures according to ANSVAAMI ST72:2011, USP , . and USP

Below tests were performed for predicate devices and leveraged for the subject device:

  • Sterilization Validation Test on Healing Abutments according to ISO 11137-1,2,3 referenced in K181138
  • Shelf Life Test on Healing Abutments according to ASTM F1980 referenced in K181138
  • End User Sterilization Validation Test Report according to ANSVAAMI ST79, ISO 17665-1. . ISO 17665-2, ISO 11737-1, ISO 11737-2, and ISO 11138-1 referenced in K181138
  • Biocompatibility testing according to ISO 10993-1:2009. ISO 10993-3:2014. ISO 10993- 5:2009, ISO 10993-6:2007, ISO 10993-10:2010 and ISO 10993-11:2006 on fixtures referenced in K181178
  • Biocompatibility testing according to ISO 10993-1:2009, ISO 10993-5:2009, ISO 10993-6:2007, and ISO 10993-10:2010 on TiN Coated abutments referenced in K181138

The results of the above tests have met the criteria of the standards, and demonstrated the substantial equivalence with the predicate device.

The non-clinical testing results demonstrate that the subject device is substantially equivalent to the predicate device.

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

Not Found

Predicate Device(s)

K130462

Reference Device(s)

K150537, K161244, K171728, K181138, K181178

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 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.

August 14, 2019

Neobiotech Co., Ltd. % April Lee Consultant Withus Group Inc 106 Superior Irvine, California 92620

Re: K190849

Trade/Device Name: IS-III active System S-narrow Type Regulation Number: 21 CFR 872.3640 Regulation Name: Endosseous Dental Implant Regulatory Class: Class II Product Code: DZE, NHA Dated: July 7, 2019 Received: July 15, 2019

Dear April Lee:

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.

1

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/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 mediation-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 Nandkumar, Ph.D. Acting Assistant 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

Indications for Use

510(k) Number (if known) K190849

Device Name IS-III active System S-narrow Type

Indications for Use (Describe)

The IS-III active System S-narrow Type is indicated for use in surgical and restorative applications for placement in the mandibular central, lateral incisor and maxillary lateral incisor regions of partially edentulous jaws where the horizontal space is limited by the adjacent teeth and roots, to provide support for prosthetic devices, such as artificial teeth, in order to restore the patient's chewing function.

The IS-III active System S-narrow Type is indicated also 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)

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3

510(k) Summary

Submitter

Neobiotech. Co., Ltd. Young-Ku, Heo 10F, 36, Digital-ro 27 gil Guro-gu, Seoul 08381 South Korea Email: sakim@neobiotech.co.kr Tel. +82-2-582-2885 Fax. +82-2-582-2883

Official Correspondent

Withus Group Inc April Lee 106 Superior. Irvine, CA 92620 USA Email: withus6664@gmail.com Phone: 1-909-274-9971 Fax: 1-909-460-8122

Device Information

  • Trade Name: IS-III active System S-narrow Type
  • Common Name: Endosseous dental implant
  • Classification Name: Endosseous dental implant ●
  • Primary Product Code: DZE ●
  • Secondary Product Code: NHA ●
  • Panel: Dental
  • Regulation Number: 21 CFR 872.3640 ●
  • Device Class: Class II
  • Date Prepared: 08/13/2019 ●

Predicate Devices:

The subject device is substantially equivalent to the following predicate devices:

Primary Predicate

  • K130462, Paltop Narrow Implant manufactured by Paltop Advanced Dental Solutions Ltd. .
    Reference Devices

  • K150537, MiNi Internal Implant System by Megagen Implant Co., Ltd. ●

  • K161244, s-Clean OneQ-SL Narrow Implant System by Dentis Co., Ltd. ●

  • K171728, MOR 3.0mm and PUR NP 3.2mm Implant Systems, MOR 2.1 x 18mm and 2.4x18mm ● by Sterngold Dental, LLC.

  • K181138, IS-III active System by Neobiotech Co., Ltd. ●

  • K181178. S-mini active Fixture by Neobiotech Co., Ltd. ●

Indications for Use:

The IS-III active System S-narrow Type is indicated for use in surgical and restorative applications for placement in the mandibular central, lateral incisor and maxillary lateral incisor regions of partially edentulous jaws where the horizontal space is limited by the adjacent teeth and roots, to provide support for prosthetic devices, such as artificial teeth, in order to restore the patient's chewing function. The IS-III active System S-narrow Type is indicated also for immediate loading when good primary stability is achieved and with appropriate occlusal loading.

4

Device Description

IS-III active System_S-Narrow System is composed of IS-III active S-Narrow Type fixtures and Abutments. IS-III active Fixture S-Narrow Type is a thread type implant made of Titanium ELI according to ASTM F136 which will be placed in the alveolar bone to replace the function of the missing tooth. This device has connection between the upper prosthesis and the internal hex.

Fixture's surface is treated with SLA (Sandblasted with Large-grit and Acid-etching). It is only part to be implanted into bone, and to provide connection of prosthetic devices or other components of a dental implant set with human body.

The Fixture's diameters are 3.2 mm and the lengths are 8.5/10.0/11.5/ 13.0/ 15.0 mm. Tolerance of dimension shall be within ± 1% range.

IS-III active System S-Narrow Type Abutments are composed as below: IS Cover Screw, IS Healing Abutment, IS Cemented Abutment, IS Temporary Abutment and IS Abutment Screw

| Name | Diameter
(mm) | Platform
diameter (mm) | Length (mm) | Gingiva
Height (mm) | Angulation |
|-----------------------------------------|------------------|---------------------------|--------------|------------------------|------------|
| IS Cover Screw_S-Narrow
Type | Ø 3.0 | - | 4.8/5.8/6.4 | 0.4/1.4/2.0 | 0° |
| | Ø 3.0 | 2.61 | 7.4/9.4/11.4 | 3.0/5.0/7.0 | 0° |
| IS Healing Abutment_S-
Narrow Type | Ø 3.8 | | 7.4/9.4/11.4 | | 0° |
| | Ø 4.3 | 2.61 | 7.4/8.4/9.4/ | 3.0/4.0/5.0/ | 0° |
| | | | 11.4/13.4 | 7.0/9.0 | |
| IS Cemented Abutment_S-
Narrow Type | Ø 3.5 | 2.61 | 7.0 | 2.0 | 0° |
| | Ø 4.0 | | 5.5/7.0 | | 0° |
| IS Temporary Abutment_S-
Narrow Type | Ø 3.0 | 2.61 | 14.1/13.5 | 1.5 | 0° |
| IS Abutment Screw_S-
Narrow Type | Ø 2.0 | - | 10.2 | - | 0° |

The dimensions of abutments are as following:

The features of each abutment are as following:

| Name | Uses | Surface
Treatment | Connection |
|-----------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------|-------------------|
| IS Cover Screw
_S-Narrow Type | It is used for protecting inner hole and connecting
part with exposed upper part of structure during the
healing period after inserting dental implant fixture | N/A | Screw
Retained |
| IS Healing Abutment
_S-Narrow Type | Used to formation appropriate gingival shape
during the soft tissue healing period combined with
implant | N/A | Screw
Retained |
| IS Cemented Abutment
_S-Narrow Type | The Abutment is connected with fixture and it | TiN-Coating | Hex,
Non-Hex |
| IS Temporary Abutment
_S-Narrow Type | supports prosthesis which restores tooth function. | N/A | Hex,
Non-Hex |
| IS Abutment Screw
_S-Narrow Type | It is used to fix Abutment at the top of fixture | N/A | Screw
Retained |

5

Tolerance of dimension for Abutments shall be within ± 1% range.

The surface of IS Cemented Abutment_S-narrow Type was treated with TiN-Coated.

IS-III active Fixture_S-Narrow type, IS cover screw, and healing Abutments are provided sterilized. And other Abutments are provided non- sterilized.

IS-III active Fixture_S-Narrow Type is enclosed with Cover Screw in a packing. Other Abutments are enclosed with Abutment Screw in a packing.

All of above products including enclosed product are packed separately for convenience.

Materials:

The Fixtures and Abutments are made of Titanium ELI of ASTM F136.

6

Summaries of Technological Characteristics:

1) IS-III active Fixture_S-Narrow

Subject DevicePrimary PredicateReference DeviceReference Device
CompanyNeobiotech Co., LtdPaltop Advanced Dental
Solutions Ltd.Neobiotech Co., Ltd.Sterngold Dental, LLC
Device
NameIS-III active System_
S-Narrow TypePaltop Narrow ImplantS-mini active FixtureMOR 3.0mm and PUR NP 3.2mm Implant Systems,
MOR 2.1 x 18mm and 2.4x18mm
510(k)
NumberN/AK130462K181178K171728
Device
Classification
NameImplant, Endosseous,
Root-FormImplant, Endosseous,
Root-FormImplant, Endosseous,
Root-FormImplant, Endosseous, Root-Form
Product
CodeDZE, NHADZE, NHADZEDZE, NHA
Regulation
Number872.3640872.3640872.3640872.3640
Intended
UseThe IS-III active
System S-narrow Type is
indicated for use in
surgical and restorative
applications for placement
in the mandibular central,
lateral incisor and
maxillary lateral incisor
regions of partially
edentulous jaws where the
horizontal space is limited
by the adjacent teeth and
roots, to provide support
for prosthetic devices,
such as artificial teeth, in
order to restore the
patient's chewing
function.
The IS-III active
System S-narrow Type isThe Paltop Narrow
Implant is indicated for
use in surgical and
restorative applications
for placement in the
mandibular central,
lateral incisor and
maxillary lateral incisor
regions of partially
edentulous jaws where
the horizontal space is
limited by the adjacent
teeth and roots, to
provide support for
prosthetic devices, such
as artificial
teeth, in order to restore
the patient's chewing
function. The Paltop
Narrow Implant isThe S-mini active
Fixture is indicated
for use in the
treatment of missing
maxillary lateral
incisors or the
mandibular central
and lateral incisors to
serve as temporary
support prosthetic
devices during the
healing phase of
permanent
endosseous dental
implant, such as
artificial teeth, in
order to restore
chewing function in
partially edentulous
patients.The MORTM implants are intended to be used for oral
rehabilitation of edentulous and partially dentate patients
in the maxilla and mandible to support single unit, and
multiple unit restorations. Implant retained restorations
may consist of single crowns or bridges as well as
complete or partial dentures. These implants are intended
for delayed loading. Immediate loading is indicated when
there is good primary stability and an appropriate
occlusal load. The MORTM implants are only intended for
use with straight abutments. The implant body is intended
to be placed such no angle correction is necessary.
The PUR Implants are intended to be used for oral
rehabilitation of edentulous and partially dentate patients
in the maxilla and mandible to support single unit, and
multiple unit restorations. Implant retained restorations
may consist of single crowns or bridges as well as
complete or partial dentures. These implants are intended
indicated also for
immediate loading when
good primary stability is
achieved and with
appropriate occlusal
loading.indicated also for
immediate loading when
good primary stability is
achieved and with
appropriate occlusal
loading.for delayed loading. Immediate loading is indicated when
there is good primary stability and an appropriate
occlusal load. The PUR implants are only intended for
use with straight abutments. The implant body is intended
to be placed such no angle correction is necessary.
MaterialTitanium ELI of ASTM F136Titanium ELI of ASTM F136Titanium ELI of ASTM F136Titanium ELI of ASTM F136
DesignImage: Implant DesignImage: Implant DesignImage: Implant DesignImage: (PUR Implant)
Anti-Rotational
FeatureInternal HexInternal Hex-Internal Hex
Diameters(
$Ø$ )3.23.252.5/3.0/3.53.2
Lengths(mm)8.5/10.0/11.5/13.0/15.010.0/11.5/13.0/16.07.0/8.5/10.0/11.5/13.0/15.08/10/12/14
Surface
TreatmentSLASLASLARoughened-blasted and acid etched
SterilizationGamma SterilizationGamma SterilizationGamma SterilizationGamma Sterilization
Principle of
OperationThis product is a root-type
fixture which is inserted
in the alveolar bone. It
replaces the functions of
the missing teeth as a
dental implant fixture.This product is a root-type
fixture which is inserted
in the alveolar bone. It
replaces the functions of
the missing teeth as a
dental implant fixtureThis product is a
root-type fixture
which is inserted in
the alveolar bone. It
replaces the functions
of the missing teeth
as a dental implant
fixture.This product is a root-type fixture which is inserted in the
alveolar bone. It replaces the functions of the missing
teeth as a dental implant fixture.
Shelf Life5 Years5 Years
SimilaritiesThe IS-III active Fixture_S-Narrow Type has same device characteristics with the Primary predicate devices, Paltop Narrow Implant
(K130462) such as diameters, Length, intended use, material, functions, general shape (Design), structure and applied production method
are similar.
Differences8.5mm length of the device are smaller than the primary predicates. To support this discrepancy, K171728 was added as a reference device
that includes an implant-abutment combination ( $Ø$ 3.2mm X 8.0mm) that meets or exceeds the one ( $Ø$ 3.2mm X 8.5mm) proposed in this
submission.

7

8

Subject DevicePrimary Predicate
CompanyNeobiotech Co., LtdNeobiotech Co., Ltd
Device NameIS-III active System_
S-Narrow TypeIS-III active System
510(k) NumberN/AK181138
MaterialTi-6Al-4V ELI of
ASTM F136Ti-6Al-4V ELI of
ASTM F136
DesignImage: design of subject deviceImage: design of primary predicate
Diameters(Ø)$3.0$$3.45$
Lengths(mm)4.8/5.8/6.45.85/6.85/7.45
Surface
TreatmentN/AN/A
SterilizationGamma SterilizationGamma Sterilization
Principle of
OperationIt is used for protecting inner hole and
connecting part with exposed upper part of
structure during the healing period after
inserting dental implant fixture. When
inserting the Abutment, Cover screw is
removed.It is used for protecting inner hole and
connecting part with exposed upper part of
structure during the healing period after
inserting dental implant fixture. When
inserting the Abutment, Cover screw is
removed.
Shelf Life5 Years5 Years
SimilaritiesThe subject device has same designs, intended use, material, functions, principle of operation,
shelf life and similar design and dimensions.
DifferencesThere are slightly different dimensions.

2) IS Cover Screw_S-Narrow

3) IS Healing Abutment_S-Narrow

Subject DevicePrimary Predicate Device
CompanyNeobiotech Co., LtdNeobiotech Co., Ltd
Device NameIS-III active System
S-Narrow TypeIS-III active System
510(k)
NumberN/AK181138
MaterialTi-6Al-4V ELI of ASTM F136Ti-6Al-4V ELI of ASTM F136
DesignImage: Subject Device DesignImage: Primary Predicate Device Design
Diameters(Ø)3.0/3.8/4.34.0/4.5/4.8/5.5/6.0/6.8/8.0/9.0
Cuff(mm)3.0/5.0/7.02.3/2.8/3.3/3.8/4.3/4.8/5.3/5.8/6.3/6.8/7.8/
Surface
TreatmentN/AN/A
SterilizationGamma SterilizationGamma Sterilization

9

Principle of OperationThis product is healing Abutment to formation appropriate gingival shape during the soft tissue healing period combined with implant. This product should be removed when the superstructure is set up.This product is healing Abutment to formation appropriate gingival shape during the soft tissue healing period combined with implant. This product should be removed when the superstructure is set up.
Shelf Life5 Years5 Years
SimilaritiesThe subject device has same intended use, functions, material, surface treatment, principle of operation, shelf life and similar design and dimensions.

4) IS Cemented Abutment_S-Narrow

Subject DevicePrimary Predicate DeviceReference Predicate Device
CompanyNeobiotech Co., LtdNeobiotech Co., LtdMegaGen Implant Co., Ltd.
Device NameIS-III active System_
S-Narrow TypeIS-III active SystemMiNi Internal Implant System
510(k) NumberN/AK181138K150537
MaterialTi-6Al-4V ELI of ASTM
F136Ti-6Al-4V ELI of ASTM
F136Ti-6Al-4V ELI of ASTM F136
DesignImage: Subject Device Design Hex and Non-HexImage: Primary Predicate Device Design Hex and Non-HexImage: Reference Predicate Device Design
Hex
Non-HexHex
Non-Hex
Diameters(Ø)3.5/4.04.5/5.2/5.7/6.53.5
Lengths(mm)5.5/7.04.0/4.5/5.5/7.0/8.05.0/7.0
Surface
TreatmentTiN-CoatingTiN-CoatingTiN-Coating
SterilizationN/AN/AN/A
Principle of
OperationIt is indicated for screw-
retained single tooth or
cement retained single tooth
and bridge restorations.It is indicated for screw-
retained single tooth or
cement retained single tooth
and bridge restorations.It is indicated for screw-
retained single tooth or cement
retained single tooth and bridge
restorations.
Shelf LifeN/AN/AN/A
SimilaritiesThe subject and primary predicate have same indications for use, functions, materials, surface
treatment, general shape (design) and dimensions.
DifferencesThere are slightly different designs and dimensions.

10

Subject DeviceReference Predicate DeviceReference Device
CompanyNeobiotech Co., LtdMegaGen Implant Co., Ltd.Neobiotech Co., Ltd
Device NameIS-III active System_
S-Narrow TypeMiNi Internal Implant SystemIS-III active System
510(k)
NumberN/AK150537K181138
MaterialTi-6Al-4V ELI of ASTM F136Ti-6Al-4V ELI of ASTM F136Ti-6Al-4V ELI of ASTM F136
DesignImage: Hex Design
Image: Non-Hex DesignImage: DesignImage: Hex Design
Image: Non-Hex Design
HexHex
Non-HexNon-Hex
Diameters(Ø)3.03.04.5
Length(mm)14.1/13.512.011.1/13.1
Surface
TreatmentN/AN/AN/A
SterilizationN/AN/AN/A
Principle of
OperationIt is dental Abutments
designed to serve as a
temporary dental prosthesis
during the healing process until
a permanent crown is made.It is dental Abutments
designed to serve as a
temporary dental prosthesis
during the healing process until
a permanent crown is made.It is dental Abutments designed
to serve as a temporary dental
prosthesis during the healing
process until a permanent
crown is made.
Shelf LifeN/AN/AN/A
SimilaritiesThe subject and primary predicate have same indications for use, functions, materials, surface
treatment, general shape (design) and diameters.
DifferencesLengths of the device are longer than the primary predicates.

5) IS Temporary Abutment_S-Narrow

6) IS Abutment Screw_S-Narrow

Subject DevicePrimary PredicateReference Device
CompanyNeobiotech Co., LtdNeobiotech Co., LtdDentis Co., Ltd
Device NameIS-III active System_
S-Narrow TypeIS-III active Systems-Clean OneQ-SL Narrow
Implant System
510(k)
NumberN/AK181138K161244
MaterialTi-6Al-4V ELI of ASTM F136Ti-6Al-4V ELI of ASTM F136Ti-6Al-4V ELI of ASTM F136
DesignImage: Subject Device DesignImage: Primary Predicate DesignImage: Reference Device Design
Diameters(Ø)2.02.32.03
Length (mm)10.28.89.0

11

| Surface

TreatmentN/AN/AN/A
SterilizationN/AN/AN/A
Principle of
OperationThis product is a screw for
connected with Abutment and
fixture.This product is a screw for
connected with Abutment and
fixture.This product is a screw for
connected with Abutment and
fixture.
Shelf LifeN/AN/AN/A
SimilaritiesThe subject and primary predicate have same indications for use, functions, materials, surface
treatment, general shape (design) and diameters.
DifferencesLength of the device are longer than the primary predicates.

Similarities:

The IS-III active Fixture S-Narrow Type has same device characteristics with the Primary predicate devices, Paltop Narrow Implant (K130462) such as diameters, Length, intended use, general shape (Design), structure, fundamental technologies and applied production method are similar. The IS-III active Abutments_S-Narrow Type are similar to other commercially available products based on the intended use, the technology used, the claims, the material composition employed and performance characteristics as predicate devices. The subject device has been supposed to performance and product validations prior to release. Testing including performance and fatigue test has been finished to ensure the devices comply with the applicable International and US FDA Guidance.

Differences:

The differences between the subject device and the primary predicate device are length. 8.5mm length of the device are smaller than the primary predicates. To support this discrepancy, K171728 was added as a reference device that includes an implant-abutment combination (Ø3.2mm X 8.0mm) that meets or exceeds the one (Ø3.2mm X 8.5mm) proposed in this submission.

Non-clinical testing data:

The subject device was tested to evaluate its substantial equivalence according to the following standards.

  • Sterilization Validation Test on Fixtures according to ISO 11137-1,2,3 ●
  • Shelf Life Test on Fixtures according to ASTM F1980
  • Bacterial Endotoxin Test Report on Fixtures according to ANSVAAMI ST72:2011, USP , . and USP

Below tests were performed for predicate devices and leveraged for the subject device:

  • Sterilization Validation Test on Healing Abutments according to ISO 11137-1,2,3 referenced in K181138
  • Shelf Life Test on Healing Abutments according to ASTM F1980 referenced in K181138
  • End User Sterilization Validation Test Report according to ANSVAAMI ST79, ISO 17665-1. . ISO 17665-2, ISO 11737-1, ISO 11737-2, and ISO 11138-1 referenced in K181138
  • Biocompatibility testing according to ISO 10993-1:2009. ISO 10993-3:2014. ISO 10993-● 5:2009, ISO 10993-6:2007, ISO 10993-10:2010 and ISO 10993-11:2006 on fixtures referenced in K181178
  • Biocompatibility testing according to ISO 10993-1:2009, ISO 10993-5:2009, ISO 10993-6:2007, ● and ISO 10993-10:2010 on TiN Coated abutments referenced in K181138

12

The results of the above tests have met the criteria of the standards, and demonstrated the substantial equivalence with the predicate device.

The non-clinical testing results demonstrate that the subject device is substantially equivalent to the predicate device.

Conclusion

IS-III active System_S-Narrow Type constitutes a substantially equivalent medical device, meeting all the declared requirements of its intended use. This system has the same intended use and fundamental scientific technology as its predicate devices. Therefore, IS-III active System_S-Narrow Type and its predicates are substantially equivalent.