K Number
K191919
Device Name
Elos Accurate Hybrid Base
Date Cleared
2020-02-10

(207 days)

Product Code
Regulation Number
872.3630
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Elos Accurate® Hybrid Base™ is intended for attaching to dental implants in order to provide basis for single or multiple tooth prosthetic restorations. The Hybrid Base™ is used as an interface between a dental implant and a zirconia superstructure and will be attached to the implant using the included prosthetic screw and attached to the zirconia superstructure by cementing. The Elos Accurate® Hybrid Base™ is compatible with the implant systems listed in Table 1. All digitally designed zirconia superstructures for use with the Elos Accurate® Hybrid Base™ are only intended to be sent and manufactured at an FDA registered Elos Medtech approved milling facility.
Device Description
The Elos Accurate Hybrid Base is a titanium base designed to interface with a dental implant and to support a patient-specific ceramic superstructure or a multi-unit direct restoration cemented to the base. The base and the superstructure form a patient-specific abutment that will support a definitive restoration, either a single crown or a multi-unit restoration. The Elos Accurate Hybrid Base Engaging is intended for single-unit restorations and Elos Accurate Hybrid Base Nonengaging is intended for multi-unit restorations. Alternatively, a definitive multi-unit restoration may be cemented directly to the Elos Accurate Hybrid Base. Manufacture of the final finished device will be at an Elos Medtech-approved milling facility that is registered with FDA as a medical device manufacturer and is qualified as a contract manufacturer to Elos Medtech. This submission includes a two-piece abutment (titanium base and zirconia superstructure) and abutment screws compatible with OEM implants from Dentsply Implants (Astra Tech TX, Astra Tech EV), Nobel Biocare (Nobel Active/Conical Connection and Nobel Replace) and Institut Straumann (Straumann Bone Level NC and RC). Abutments compatible with Astra Tech implants are available in engaging (anti-rotational) designs, and all others are available in both engaging and non-engaging designs.
More Information

No
The document describes a physical dental implant component and its manufacturing process, with no mention of AI or ML technology.

No.
The document describes the device as an interface between a dental implant and a zirconia superstructure to support prosthetic restorations, without mentioning any therapeutic function.

No
The device is a dental abutment designed to interface with dental implants and support prosthetic restorations. Its function is primarily structural and restorative, not diagnostic.

No

The device description clearly states it is a "titanium base" and discusses manufacturing at a "milling facility," indicating it is a physical hardware device.

Based on the provided text, the Elos Accurate® Hybrid Base™ is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • Intended Use: The intended use is to provide a basis for dental prosthetic restorations by attaching to dental implants. This is a mechanical function within the body, not a test performed on samples taken from the body.
  • Device Description: The device is described as a titanium base designed to interface with a dental implant and support a superstructure. This is a physical component for a dental restoration.
  • Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing samples (blood, urine, tissue, etc.)
    • Detecting or measuring substances in samples
    • Providing information for diagnosis, monitoring, or screening of diseases or conditions

The device is clearly a dental prosthetic component intended for implantation and mechanical support of a restoration.

N/A

Intended Use / Indications for Use

The Elos Accurate® Hybrid Base™ is intended for attaching to dental implants in order to provide basis for single or multiple tooth prosthetic restorations. The Hybrid Base™ is used as an interface between a dental implant and a zirconia superstructure and will be attached to the implant using the included prosthetic screw and attached to the zirconia superstructure by cementing.

The Elos Accurate® Hybrid Base™ is compatible with the implant systems listed in Table 1.

All digitally designed zirconia superstructures for use with the Elos Accurate® Hybrid Base™ are only intended to be sent and manufactured at an FDA registered Elos Medtech approved milling facility.

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

NHA

Device Description

The Elos Accurate Hybrid Base is a titanium base designed to interface with a dental implant and to support a patient-specific ceramic superstructure or a multi-unit direct restoration cemented to the base. The base and the superstructure form a patient-specific abutment that will support a definitive restoration, either a single crown or a multi-unit restoration. The Elos Accurate Hybrid Base Engaging is intended for single-unit restorations and Elos Accurate Hybrid Base Nonengaging is intended for multi-unit restorations. Alternatively, a definitive multi-unit restoration may be cemented directly to the Elos Accurate Hybrid Base.

Manufacture of the final finished device will be at an Elos Medtech-approved milling facility that is registered with FDA as a medical device manufacturer and is qualified as a contract manufacturer to Elos Medtech.

This submission includes a two-piece abutment (titanium base and zirconia superstructure) and abutment screws compatible with OEM implants from Dentsply Implants (Astra Tech TX, Astra Tech EV), Nobel Biocare (Nobel Active/Conical Connection and Nobel Replace) and Institut Straumann (Straumann Bone Level NC and RC).

Abutments compatible with Astra Tech implants are available in engaging (anti-rotational) designs, and all others are available in both engaging and non-engaging designs.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

maxillary or mandibular arch

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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

Not Found

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

Not Found

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

Non-clinical data submitted to demonstrate substantial equivalence include: biocompatibility evaluation and confirmatory cytotoxicity testing according to ISO 10993-5 Biological evaluation of medical devices - Part 5: Tests for in vitro cytotoxicity, and dynamic compression-bending testing according to ISO 14801 Dentistry - Implants - Dynamic fatigue test for endosseous dental implants. No clinical data were included in this submission.

Substantial equivalence with regard to compatibility with OEM components is supported by engineering and dimensional analysis of OEM implant bodies, OEM abutments and OEM abutment fixation screws to confirm compatibility.

Substantial equivalence with regard to mechanical performance is supported by dynamic testing according to ISO 14801 Dentistry – Implants – Dynamic fatigue test for endosseous dental implants.

The coatings used on selected screws are identical to coatings on previously cleared devices. The Medicarb coating is identical to the Medicarb (DLC) coating on reference device K171799 and the Nobel DLC coating is identical to the DLC coating on compatible device K071370. Sterilization validation of the reprocessing instructions were conducted in accordance to ISO 17665-1 and ISO 17665-2.

Minor differences in the designs, dimensions, sizes, or compatible OEM implant lines among the subject device, the primary predicate device, and the reference devices do not affect substantial equivalence. These minor differences do not impact a determination of substantial equivalence because these differences are related to the compatible OEM implant designs or are mitigated by the mechanical performance testing.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K173908

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

K151621, K171799, K183518, K080396, K053384, K120414, K102436, K071370, K133731, K023113, K062129, K130436

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 872.3630 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

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

February 10, 2020

Elos Medtech Pinol A/S % Floyd Larson President PaxMed International, LLC 12264 El Camino Real, Suite 400 San Diego, California 92130

Re: K191919

Trade/Device Name: Elos Accurate® Hybrid Base Regulation Number: 21 CFR 872.3630 Regulation Name: Endosseous Dental Implant Abutment Regulatory Class: Class II Product Code: NHA Dated: January 6, 2020 Received: January 7, 2020

Dear Floyd Larson:

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 (OS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely.

for

Srinivas Nandkumar, Ph.D. Director DHT1B: Division of Dental Devices OHT1: Office of Ophthalmic, Anesthesia, Respiratory, ENT and Dental Devices Office of Product Evaluation and Ouality Center for Devices and Radiological Health

Enclosure

2

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: January 31, 2017 See PRA Statement below.

510(k) Number (if known)

Device Name

Elos Accurate® Hybrid Base

K191919

Indications for Use (Describe)

The Elos Accurate® Hybrid Base™ is intended for attaching to dental implants in order to single or multiple tooth prostheto restorations. The Hybrid Base" is used as an interface between a dental implant and a zirconia superstructure and will be attached to the included prosthetic screw and attached to the zirconia superstructure by cementing.

The Elos Accurate® Hybrid Base™ is compatible with the implant systems listed in Table 1.

Table 1.
Implant Platform compatibilityPlatform diameter [mm]Implant Body diameter [mm]
Nobel Replace NP3.53.5
Nobel Replace RP4.34.3
Nobel Replace WP55
Nobel Replace 6.066
Nobel CC 3.033
Nobel CC NP3.53.5 & 3.75
Nobel CC RP3.94.3 & 5
Nobel CC WP5.15.5
Straumann Bone Level NC3.33.3
Straumann Bone Level RC4.1 & 4.84.1 & 4.8
Astra Tech 3.033
Astra Tech 3.5/4.03.5 & 43.5 & 4
Astra Tech 4.5/5.04.5 & 54.5 & 5
Astra Tech EV 3.033
Astra Tech EV 3.63.63.6
Astra Tech EV 4.24.23.6 & 4.2
Astra Tech EV 4.84.84.2 & 4.8
Astra Tech EV 5.45.45.4

All digitally designed zirconia superstructures for use "Hybrid Base" are only intended to be sent and manufactured at an FDA registered Elos Medtech approved milling facility.

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)

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

K191919

Elos Medtech Pinol A/S Elos Accurate® Hybrid Base™

February 10, 2020

ADMINISTRATIVE INFORMATION

| Manufacturer Name | Elos Medtech Pinol A/S
Engvej 33
DK-3330 Gørløse, Denmark
Telephone +45 48 21 64 69 | | | |
|---------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--|--|--|
| Official Contact | Tina Friis Poulsen, Head of Compliance | | | |
| Representative/Consultant | Floyd G. Larson, MS, MBA
Kevin A. Thomas, PhD
PaxMed International, LLC
12264 El Camino Real, Suite 400
San Diego, CA 92130
Telephone: +1 858-792-1235
Fax: +1 858-792-1236
Email: flarson@paxmed.com
kthomas@paxmed.com | | | |

DEVICE NAME AND CLASSIFICATION

Trade/Proprietary NameElos Accurate® Hybrid Base™
Common NameDental implant abutment
Regulation Number21 CFR 872.3630
Regulation NameEndosseous dental implant abutment
Regulatory ClassClass II
Product CodeNHA
Classification PanelDental Products Panel
Reviewing DivisionDHT1B: Division of Dental Devices

PREDICATE DEVICE INFORMATION

Primary Predicate K173908, DESS Dental Smart Solutions, Terrats Medical SL

Reference Devices K151621, BioHorizons CAD/CAM Abutments, BioHorizons Implant Systems, Inc. K171799, Elos Accurate® Customized Abutment, Elos Medtech Pinol A/S K183518, Preat Abutments, Preat Corporation K080396, OsseoSpeed Narrow, Dentsply Sirona K053384, Fixture MicroThread OsseoSpeed, Dentsply Sirona K120414, OsseoSpeed Plus, Dentsply Sirona K102436, NobelActive 3.0, Nobel Biocare AB

4

K071370. NobelActive Internal Connection Implant. Nobel Biocare AB K133731, NobelActive Wide Platform (WP), Nobel Biocare AB K023113, Replace TiUnite Endoessous Implant, Nobel Biocare AB K062129, P.0004 Implants (Straumann Dental Implant System), Institut Straumann K130436, Multilink Hybrid Abutment Cement, Ivoclar Vivadent AG

INDICATIONS FOR USE

The Elos Accurate® Hybrid Base" is intended for attaching to dental implants in order to provide basis for single or multiple tooth prosthetic restorations. The Hybrid Base" is used as an interface between a dental implant and a zirconia superstructure and will be attached to the implant using the included prosthetic screw and attached to the zirconia superstructure by cementing.

Table 1.
Implant Platform compatibilityPlatform
diameter
[mm]Implant Body
diameter
[mm]
Nobel Replace NP3.53.5
Nobel Replace RP4.34.3
Nobel Replace WP55
Nobel Replace 6.066
Nobel CC 3.033
Nobel CC NP3.53.5 & 3.75
Nobel CC RP3.94.3 & 5
Nobel CC WP5.15.5
Straumann Bone Level NC3.33.3
Straumann Bone Level RC4.1 & 4.84.1 & 4.8
Astra Tech 3.033
Astra Tech 3.5/4.03.5 & 43.5 & 4
Astra Tech 4.5/5.04.5 & 54.5 & 5
Astra Tech EV 3.033
Astra Tech EV 3.63.63.6
Astra Tech EV 4.24.23.6 & 4.2
Astra Tech EV 4.84.84.2 & 4.8
Astra Tech EV 5.45.45.4

The Elos Accurate® Hybrid Base™ is compatible with the implant systems listed in Table 1.

All digitally designed zirconia superstructures for use with the Elos Accurate® Hybrid Base™ are only intended to be sent and manufactured at an FDA registered Elos Medtech approved milling facility.

DEVICE DESCRIPTION

The Elos Accurate Hybrid Base is a titanium base designed to interface with a dental implant and to support a patient-specific ceramic superstructure or a multi-unit direct restoration cemented to the base. The base and the superstructure form a patient-specific abutment that will support a definitive restoration, either a single crown or a multi-unit restoration. The Elos Accurate Hybrid Base Engaging is intended for single-unit restorations and Elos Accurate Hybrid Base Nonengaging is intended for multi-unit restorations. Alternatively, a definitive multi-unit restoration may be cemented directly to the Elos Accurate Hybrid Base.

5

Manufacture of the final finished device will be at an Elos Medtech-approved milling facility that is registered with FDA as a medical device manufacturer and is qualified as a contract manufacturer to Elos Medtech.

This submission includes a two-piece abutment (titanium base and zirconia superstructure) and abutment screws compatible with OEM implants from Dentsply Implants (Astra Tech TX, Astra Tech EV), Nobel Biocare (Nobel Active/Conical Connection and Nobel Replace) and Institut Straumann (Straumann Bone Level NC and RC).

Abutments compatible with Astra Tech implants are available in engaging (anti-rotational) designs, and all others are available in both engaging and non-engaging designs.

PERFORMANCE DATA

Non-clinical data submitted to demonstrate substantial equivalence include: biocompatibility evaluation and confirmatory cytotoxicity testing according to ISO 10993-5 Biological evaluation of medical devices - Part 5: Tests for in vitro cytotoxicity, and dynamic compression-bending testing according to ISO 14801 Dentistry - Implants - Dynamic fatigue test for endosseous dental implants. No clinical data were included in this submission.

Substantial equivalence with regard to compatibility with OEM components is supported by engineering and dimensional analysis of OEM implant bodies, OEM abutments and OEM abutment fixation screws to confirm compatibility.

Substantial equivalence with regard to mechanical performance is supported by dynamic testing according to ISO 14801 Dentistry – Implants – Dynamic fatigue test for endosseous dental implants.

The coatings used on selected screws are identical to coatings on previously cleared devices. The Medicarb coating is identical to the Medicarb (DLC) coating on reference device K171799 and the Nobel DLC coating is identical to the DLC coating on compatible device K071370. Sterilization validation of the reprocessing instructions were conducted in accordance to ISO 17665-1 and ISO 17665-2.

Minor differences in the designs, dimensions, sizes, or compatible OEM implant lines among the subject device, the primary predicate device, and the reference devices do not affect substantial equivalence. These minor differences do not impact a determination of substantial equivalence because these differences are related to the compatible OEM implant designs or are mitigated by the mechanical performance testing.

6

EQUIVALENCE TO MARKETED DEVICE

Overall, the subject device has the following similarities to the predicate devices:

  • has the same intended use,
  • o uses the same operating principle,
  • o incorporates the same basic design,
  • . incorporates the same or very similar materials, and
  • has similar packaging and is sterilized using the same materials and processes. .

The basis for the belief of Elos Medtech Pinol A/S that the subject device is substantially equivalent to the predicate devices is summarized in the following Table of Substantial Equivalence.

7

Subject DevicePrimary PredicateReference DeviceReference DeviceReference Device
K173908K151621K171799K183518
Elos Accurate® Hybrid BaseTMDESS Dental Smart SolutionsBioHorizons CAD/CAM AbutmentsElos Accurate® Customized Abutment,Preat Abutments
BioHorizons Implant Systems, Inc.Elos Medtech Pinol A/SPreat Corporation
Elos Medtech Pinol A/STerrats Medical SL
The Elos Accurate® Hybrid BaseTM is intended for attaching to dental implants in order to provide basis for single or multiple tooth prosthetic restorations. The Hybrid BaseTM is used as an interface between a dental implant and a zirconia superstructure and will be attached to the implant using the included prosthetic screw and attached to the zirconia superstructure by cementing.DESS Dental Smart Solutions abutments are intended to be used in conjunction with endosseous dental implants in the maxillary or mandibular arch to provide support for prosthetic restorations.
All digitally designed custom abutments for use with AurumTM Abutment or Pre-milled Blank are to be sent to a Terrats Medical validated milling center for manufacture.BioHorizons CAD/CAM Abutments are dental abutments placed onto a dental implant to provide support for dental prosthetic restorations. The abutments include: 1) Titanium abutment blanks with a pre-machined implant connection where the upper portion may be custom-milled in accordance with a patient-specific design using CAD/CAM techniques; and 2) Titanium bases with a pre-machined implant connection upon which a CAD/CAM designed superstructure may be fitted to complete a two-piece dental abutment. The abutments include an abutment screw for fixation to the underlying implant. The abutments may be used for single-unit (single-tooth) or multiple-unit (bridges and bars) restorations and are compatible for use with BioHorizons Internal and Tapered Internal implant systems and Zimmer® Dental Screw-Vent® and Tapered Screw-Vent® implants with 3.5mm, 4.5mm and 5.7mm internal hex-connection mating platform diameters.
All digitally designed abutments and/or copings for use with BioHorizons CAD/CAM Abutments are intended to be sent to a BioHorizons-validated milling center for manufacture. BioHorizons abutments designed using CAD/CAM techniques must fulfill the BioHorizons allowable range of design parameters.The Elos Accurate® Customized Abutments are intended for attaching to dental implants in order to provide basis for single or multiple tooth prosthetic restorations. The Elos Accurate® Customized Abutment will be attached to a dental implant using the included Elos Prosthetic screw.
The Elos Accurate® Customized Abutments are compatible with the following implant systems:Preat Abutments are intended to be used in conjunction with endosseous dental implants in the maxillary or mandibular arch to provide support for single-unit on multi-unit prosthetic restorations. The Titanium Base abutments consists of two major parts. Specifically, the titanium base and mesostructured components make up a two-piece abutment.
All digitally designed custom abutments, superstructures, and/or hybrid crowns for use with Titanium Base or Titanium Blank are to be sent to a Preat validated milling center for manufacture.
The Elos Accurate® Hybrid BaseTM is compatible with the implant systems listed in Table 1.Compatible Implant SystemsCompatible Implant Systems
Table 1.
Implant Platform
compatibilityPlatform
diameter
[mm]Implant
Body
diameter
[mm]Implant System
CompatibilityImplant BodyImplant
PlatformRef. No.Platform
compatibilityImplant
diameterCompatible Implant SystemImplant Body
Diameter (mm)Implant
Platform
Diameter
(mm)
Nobel Replace NP3.53.53i Certain®3.25, 4.0, 5.03.4, 4.1, 5.0AB-BRA411213-USNobel Biocare®/
Brånemark® RP3.75 mm
& 4 mm3i OSSEOTITE® Certain®3.253.4
Nobel Replace RP4.34.33i OSSEOTITE®3.25, 3.75,
4.0, 5.03.4, 4.1, 5.0AB-BRA351213-USNobel Biocare®/
Brånemark® RP3.3 mm4.04.1
Nobel Replace WP55OsseoSpeedTM3.5, 4.0, 5.03.5/4.0, 4.5/5.0AB-BRA511213-USNobel Biocare®/
Brånemark® RP5 mm5.05.0
Nobel Replace 6.066FRIADENT XIVE3.4, 3.8, 4.53.4, 3.8, 4.5All digitally designed Elos Accurate® Customized
Abutments are intended to be manufactured at an Elos
Medtech approved milling facility.6.06.0
Nobel CC 3.033NobelActive®3.5, 4.3, 5.0NP, RPAstra Tech OsseoSpeedTM3.03.0
Nobel CC NP3.53.5 & 3.75NobelReplace
Conical3.5, 4.3, 5.0NP, RP3.5, 4.03.5/4.0
Nobel CC RP3.94.3 & 5Nobel Replace
Trilobe3.5, 4.3, 5.0NP, RP, WP4.5, 5.04.5/5.0
Nobel CC WP5.15.5Brånemark3.5, 3.75/4.0,
5.0NP, RP, WPBioHorizons Tapered Internal3.03.0
Straumann Bone Level NC3.33.3Straumann® Bone
Level3.3, 4.1, 4.8NC, RC3.53.5
Straumann Bone Level RC4.1 & 4.84.1 & 4.8Straumann® Tissue
Level3.3, 4.1, 4.8RN, WN4.04.5
Astra Tech 3.033Tapered Screw-
Vent®3.7, 4.1, 4.7,
6.03.5, 4.5, 5.7HIOSSEN ET III3.5Mini
Astra Tech 3.5/4.03.5 & 43.5 & 44.0, 4.5, 5.0, 6.0, 7.0Regular
Astra Tech 4.5/5.04.5 & 54.5 & 5Implant Direct Legacy3.23.0
Astra Tech EV 3.0333.7, 4.23.5
Astra Tech EV 3.63.63.64.7, 5.24.5
Astra Tech EV 4.24.23.6 & 4.25.7, 7.05.7
Astra Tech EV 4.84.84.2 & 4.8MegaGen AnyRidge3.5, 4.0, 4.5, 5.0, 5.53.5
Astra Tech EV 5.45.45.4Neoss3.5, 4.0, 4.5, 5.0, 5.54.1
All digitally designed zirconia superstructures for use with the Elos Accurate® Hybrid BaseTM are only intended to be sent and manufactured at an FDA registered Elos Medtech approved milling facility.NobelActive®3.5NP
4.3, 5.0RP
Nobel ReplaceTM3.5NP
4.0, 4.3, 5.0RP
5.0WP
6.06.0
Straumann® Bone Level3.3NC
4.1, 4.8RC
Straumann® Tissue Level3.3, 4.1, 4.8RN
4.8, 6.5WN
Zimmer Screw-Vent®/Tapered
Screw-Vent®3.3, 3.7, 4.13.5
4.74.5
6.05.7

Table of Substantial Equivalence – Indications for Use Statement

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ComparisonSubject DevicePrimary PredicateReference DeviceReference DeviceReference Device
Elos Accurate® Hybrid BaseTMK173908
DESS Dental Smart SolutionsK151621
BioHorizons CAD/CAM AbutmentsK171799
Elos Accurate® Customized AbutmentK183518
Preat Abutments
Elos Medtech Pinol A/STerrats Medical SLBioHorizons Implant Systems, Inc.Elos Medtech Pinol A/SPreat Corporation
Intended UseSupport of a prosthesis to restore
chewing functionSupport of a prosthesis to restore
chewing functionSupport of a prosthesis to restore
chewing functionSupport of a prosthesis to restore
chewing functionSupport of a prosthesis to restore
chewing function
Reason for
Predicate/ReferenceNot applicableAbutment designAbutment designMedicarb (DLC) coating on screwsPerformance testing data
Abutment DesignsTitanium Base EngagingTitanium Base EngagingTitanium Base EngagingTitanium Blank EngagingTitanium Base Engaging
Titanium Base Non-EngagingTitanium Base Non-EngagingTitanium Base Non-EngagingTitanium Base Non-Engaging
OthersOthers
Prosthesis AttachmentCement-retainedCement-retainedCement-retainedCement-retainedCement-retained
Screw retained
RestorationSingle-unit
Multi-unitSingle-unit
Multi-unitSingle-unit
Multi-unitSingle-unit
Multi-unitSingle-unit
Multi-unit
Abutment/Implant
Platform Diameter (mm)3.0 - 6.53.3 - 6.53.0 - 5.73.5 - 5.13.0 - 5.7
Abutment Angle20° maximumStraight (0°)20° maximum20° maximum30° maximum
Abutment/ Implant
InterfaceInternal connectionInternal connection;
External connectionInternal connectionInternal connectionInternal connection
Materials
AbutmentTi-6Al-4V alloy
Zirconia according to ISO 13356Ti-6Al-4V alloy
Zirconia according to ISO 13356Ti-6Al-4V alloy
Zirconia according to ISO 13356Ti-6Al-4V alloyTi-6Al-4V alloy
Zirconia according to ISO 13356
ScrewTi-6Al-4V alloyTi-6Al-4V alloyTi-6Al-4V alloyTi-6Al-4V alloyTi-6Al-4V alloy
SurfaceAnodized, non-anodized,
Medicarb coating on screwAnodizedAnodizedNon-anodized,
Medicarb coating on screwNon-anodized

Table of Substantial Equivalence – Technological Characteristics