K Number
K190849
Date Cleared
2019-08-14

(135 days)

Product Code
Regulation Number
872.3640
Panel
Dental
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
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

AI/ML Overview

This document is a 510(k) Premarket Notification from the FDA, asserting the substantial equivalence of the Neobiotech IS-III active System S-narrow Type dental implant system to legally marketed predicate devices.

This document describes a premarket notification for a dental implant system. It does NOT contain information about an AI/ML-driven medical device or a study involving human-in-the-loop performance, expert consensus, or ground truth establishment for a test set.

Therefore, I cannot provide the requested information regarding acceptance criteria and a study proving the device meets those criteria, as this document does not pertain to such a device or study.

The provided document focuses on:

  • Device Description: What the dental implant system is composed of (fixtures, abutments, screws), materials used (Titanium ELI), dimensions, and surface treatments.
  • Indications for Use: Where and how the device is intended to be used in dental procedures.
  • Substantial Equivalence Comparison: A detailed comparison of the subject device (IS-III active System S-narrow Type) with various predicate devices (both primary and reference predicates) across technological characteristics such as device name, classification, materials, design, dimensions, surface treatment, sterilization, and principle of operation.
  • Non-Clinical Testing Data: A list of performance tests conducted on the subject device (e.g., sterilization validation, shelf life, bacterial endotoxin) and tests leveraged from predicate devices (e.g., biocompatibility testing). The conclusion states that these tests met the criteria of the standards and demonstrated substantial equivalence.

Without information on an AI/ML component or a clinical study that evaluates its performance against acceptance criteria using a human-in-the-loop or standalone approach, I cannot fulfill the request for the specific points listed.

{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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

{3}------------------------------------------------

510(k) Summary

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

NameDiameter(mm)Platformdiameter (mm)Length (mm)GingivaHeight (mm)Angulation
IS Cover Screw_S-NarrowTypeØ 3.0-4.8/5.8/6.40.4/1.4/2.0
Ø 3.02.617.4/9.4/11.43.0/5.0/7.0
IS Healing Abutment_S-Narrow TypeØ 3.87.4/9.4/11.4
Ø 4.32.617.4/8.4/9.4/3.0/4.0/5.0/
11.4/13.47.0/9.0
IS Cemented Abutment_S-Narrow TypeØ 3.52.617.02.0
Ø 4.05.5/7.0
IS Temporary Abutment_S-Narrow TypeØ 3.02.6114.1/13.51.5
IS Abutment Screw_S-Narrow TypeØ 2.0-10.2-

The dimensions of abutments are as following:

The features of each abutment are as following:

NameUsesSurfaceTreatmentConnection
IS Cover Screw_S-Narrow TypeIt is used for protecting inner hole and connectingpart with exposed upper part of structure during thehealing period after inserting dental implant fixtureN/AScrewRetained
IS Healing Abutment_S-Narrow TypeUsed to formation appropriate gingival shapeduring the soft tissue healing period combined withimplantN/AScrewRetained
IS Cemented Abutment_S-Narrow TypeThe Abutment is connected with fixture and itTiN-CoatingHex,Non-Hex
IS Temporary Abutment_S-Narrow Typesupports prosthesis which restores tooth function.N/AHex,Non-Hex
IS Abutment Screw_S-Narrow TypeIt is used to fix Abutment at the top of fixtureN/AScrewRetained

{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 DentalSolutions Ltd.Neobiotech Co., Ltd.Sterngold Dental, LLC
DeviceNameIS-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
DeviceClassificationNameImplant, Endosseous,Root-FormImplant, Endosseous,Root-FormImplant, Endosseous,Root-FormImplant, Endosseous, Root-Form
ProductCodeDZE, NHADZE, NHADZEDZE, NHA
RegulationNumber872.3640872.3640872.3640872.3640
IntendedUseThe IS-III activeSystem S-narrow Type isindicated for use insurgical and restorativeapplications for placementin the mandibular central,lateral incisor andmaxillary lateral incisorregions of partiallyedentulous jaws where thehorizontal space is limitedby the adjacent teeth androots, to provide supportfor prosthetic devices,such as artificial teeth, inorder to restore thepatient's chewingfunction.The IS-III activeSystem S-narrow Type isThe Paltop NarrowImplant is indicated foruse in surgical andrestorative applicationsfor placement in themandibular central,lateral incisor andmaxillary lateral incisorregions of partiallyedentulous jaws wherethe horizontal space islimited by the adjacentteeth and roots, toprovide support forprosthetic devices, suchas artificialteeth, in order to restorethe patient's chewingfunction. The PaltopNarrow Implant isThe S-mini activeFixture is indicatedfor use in thetreatment of missingmaxillary lateralincisors or themandibular centraland lateral incisors toserve as temporarysupport prostheticdevices during thehealing phase ofpermanentendosseous dentalimplant, such asartificial teeth, inorder to restorechewing function inpartially edentulouspatients.The MORTM implants are intended to be used for oralrehabilitation of edentulous and partially dentate patientsin the maxilla and mandible to support single unit, andmultiple unit restorations. Implant retained restorationsmay consist of single crowns or bridges as well ascomplete or partial dentures. These implants are intendedfor delayed loading. Immediate loading is indicated whenthere is good primary stability and an appropriateocclusal load. The MORTM implants are only intended foruse with straight abutments. The implant body is intendedto be placed such no angle correction is necessary.The PUR Implants are intended to be used for oralrehabilitation of edentulous and partially dentate patientsin the maxilla and mandible to support single unit, andmultiple unit restorations. Implant retained restorationsmay consist of single crowns or bridges as well ascomplete or partial dentures. These implants are intended
indicated also forimmediate loading whengood primary stability isachieved and withappropriate occlusalloading.indicated also forimmediate loading whengood primary stability isachieved and withappropriate occlusalloading.for delayed loading. Immediate loading is indicated whenthere is good primary stability and an appropriateocclusal load. The PUR implants are only intended foruse with straight abutments. The implant body is intendedto 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-RotationalFeatureInternal 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
SurfaceTreatmentSLASLASLARoughened-blasted and acid etched
SterilizationGamma SterilizationGamma SterilizationGamma SterilizationGamma Sterilization
Principle ofOperationThis product is a root-typefixture which is insertedin the alveolar bone. Itreplaces the functions ofthe missing teeth as adental implant fixture.This product is a root-typefixture which is insertedin the alveolar bone. Itreplaces the functions ofthe missing teeth as adental implant fixtureThis product is aroot-type fixturewhich is inserted inthe alveolar bone. Itreplaces the functionsof the missing teethas a dental implantfixture.This product is a root-type fixture which is inserted in thealveolar bone. It replaces the functions of the missingteeth 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 methodare similar.
Differences8.5mm length of the device are smaller than the primary predicates. To support this discrepancy, K171728 was added as a reference devicethat 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 thissubmission.

{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 ofASTM F136Ti-6Al-4V ELI ofASTM 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
SurfaceTreatmentN/AN/A
SterilizationGamma SterilizationGamma Sterilization
Principle ofOperationIt is used for protecting inner hole andconnecting part with exposed upper part ofstructure during the healing period afterinserting dental implant fixture. Wheninserting the Abutment, Cover screw isremoved.It is used for protecting inner hole andconnecting part with exposed upper part ofstructure during the healing period afterinserting dental implant fixture. Wheninserting the Abutment, Cover screw isremoved.
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 SystemS-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/
SurfaceTreatmentN/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 ASTMF136Ti-6Al-4V ELI of ASTMF136Ti-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
HexNon-HexHexNon-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
SurfaceTreatmentTiN-CoatingTiN-CoatingTiN-Coating
SterilizationN/AN/AN/A
Principle ofOperationIt is indicated for screw-retained single tooth orcement retained single toothand bridge restorations.It is indicated for screw-retained single tooth orcement retained single toothand bridge restorations.It is indicated for screw-retained single tooth or cementretained single tooth and bridgerestorations.
Shelf LifeN/AN/AN/A
SimilaritiesThe subject and primary predicate have same indications for use, functions, materials, surfacetreatment, 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 DesignImage: Non-Hex DesignImage: DesignImage: Hex DesignImage: Non-Hex Design
HexHex
Non-HexNon-Hex
Diameters(Ø)3.03.04.5
Length(mm)14.1/13.512.011.1/13.1
SurfaceTreatmentN/AN/AN/A
SterilizationN/AN/AN/A
Principle ofOperationIt is dental Abutmentsdesigned to serve as atemporary dental prosthesisduring the healing process untila permanent crown is made.It is dental Abutmentsdesigned to serve as atemporary dental prosthesisduring the healing process untila permanent crown is made.It is dental Abutments designedto serve as a temporary dentalprosthesis during the healingprocess until a permanentcrown is made.
Shelf LifeN/AN/AN/A
SimilaritiesThe subject and primary predicate have same indications for use, functions, materials, surfacetreatment, 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 NarrowImplant 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}------------------------------------------------

SurfaceTreatmentN/AN/AN/A
SterilizationN/AN/AN/A
Principle ofOperationThis product is a screw forconnected with Abutment andfixture.This product is a screw forconnected with Abutment andfixture.This product is a screw forconnected with Abutment andfixture.
Shelf LifeN/AN/AN/A
SimilaritiesThe subject and primary predicate have same indications for use, functions, materials, surfacetreatment, 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 <161>, . and USP <85>

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.

§ 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.