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

All digitally-designed custom abutments for use with Interface CAD-CAM abutments are to be sent to a S.I.N. - validated milling center for manufacture.

Device Description

The purpose of this submission is to add to the S.I.N. Dental Implant System components cleared in K170392 and K170398. The K170392 submission included dental implants with a Morse taper abutment interface, mating abutments, abutment screws, and other associated components. Components cleared in K 170392 included the Unitite line of dental implants that have a threaded endosseous surface produced by acid-etching followed by application of a hydroxyapatite coating (HA""). All other dental implants cleared in K170392 had a threaded endosseous surface that was acid-etched only (no HA100).

This submission adds the following components to the S.I.N. Dental Implant System: the identical HA1000 coating to the Strong SW CM (Morse taper) implant line cleared in K170392; the identical HA™® coating to the Strong SW HE (external hexagon) implant line cleared in K170398; the identical HA-"00 coating to the Strong SW HI (internal hexagon) implant line cleared in K170398: a new implant line, Tryon Conic HE, with an external hexagon abutment interface; a series of conventional (not CAD-CAM) prosthetic components that are compatible with implants from the S.I.N. Dental Implant System; and a series of CAD-CAM prosthetic components for fabrication of patient-specific restorations that are compatible with implants from the S.I.N. Dental Implant System.

AI/ML Overview

This document is a 510(k) Premarket Notification from the FDA regarding the S.I.N. Dental Implant System. It primarily focuses on demonstrating substantial equivalence to previously cleared predicate devices, rather than presenting a study proving a device meets specific acceptance criteria based on performance data.

Therefore, most of the requested information regarding acceptance criteria, study design, sample sizes, ground truth establishment, and MRMC studies is not available and cannot be extracted from the provided text.

Specifically:

A table of acceptance criteria and the reported device performance: This information is not provided. The document outlines design and material specifications for various components and compares them to predicate devices, but it does not list specific numerical acceptance criteria or performance metrics for the device itself. The "PERFORMANCE DATA" section states "Non-clinical data submitted, referenced, or relied upon to demonstrate substantial equivalence include: sterilization validation... bacterial endotoxin testing and shelf life testing... biocompatibility data... and biocompatibility testing for the ISO 13356 zirconia material... No clinical data were included in this submission." This indicates that performance data generally refers to compliance with standards (e.g., ISO, ASTM) and physical/biological characteristics, not clinical performance metrics against acceptance criteria.
Sample size used for the test set and the data provenance (e.g., country of origin of the data, retrospective or prospective): Not applicable. No clinical or performance study with a "test set" and corresponding sample size is described. The non-clinical data mentioned are related to validation and biocompatibility, not a clinical performance study.
Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g., radiologist with 10 years of experience): Not applicable. There is no mention of a test set requiring expert ground truth.
Adjudication method (e.g., 2+1, 3+1, none) for the test set: Not applicable. No test set requiring adjudication is described.
If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance: Not applicable. This document is for a dental implant system, not an AI software or system that involves human readers and AI assistance.
If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable. This document is for a dental implant system, not an algorithm.
The type of ground truth used (expert consensus, pathology, outcomes data, etc.): Not applicable. No clinical ground truth is established for performance evaluations in this submission, as it relies on substantial equivalence to predicate devices based on design and material similarities, and compliance with recognized standards.
The sample size for the training set: Not applicable. This is not an AI/algorithm submission requiring a training set.
How the ground truth for the training set was established: Not applicable. This is not an AI/algorithm submission requiring a training set.

In summary, the provided text describes a 510(k) submission for a dental implant system, which focuses on demonstrating substantial equivalence through comparisons of design, materials, and intended use with already cleared devices and adherence to relevant non-clinical standards (sterilization, biocompatibility, etc.). It explicitly states that "No clinical data were included in this submission." Therefore, the detailed information requested about acceptance criteria, study design, and performance metrics in the context of clinical or comparative effectiveness studies is not present.

Summary

{0}------------------------------------------------

Image /page/0/Picture/0 description: The image contains the logos of the Department of Health & Human Services and the U.S. Food & Drug Administration (FDA). The Department of Health & Human Services logo is on the left, featuring a stylized human figure. To the right is the FDA logo, with the acronym "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG" in a larger, bolder font, and "ADMINISTRATION" in a smaller font below.

May 14, 2020

S.I.N. -Sistema de Implante Nacional S.A. % Kevin Thomas Vice President and Director of Regulatory Affairs PaxMed International, LLC 12264 El Camino Real, Suite 400 San Diego, California 92130

Re: K193096

Trade/Device Name: S.I.N. Dental Implant System Regulation Number: 21 CFR 872.3640 Regulation Name: Endosseous Dental Implant Regulatory Class: Class II Product Code: DZE, NHA Dated: April 27, 2020 Received: April 28, 2020

Dear Kevin Thomas:

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

510(k) Number (if known) K193096

Device Name

S.I.N. Dental Implant System

Indications for Use (Describe)

All digitally-designed custom abutments for use with Interface CAD-CAM abutments are to be sent to a S.I.N. - validated milling center for manufacture.

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 K193096 S.I.N. - Sistema de Implante Nacional S.A. S.I.N Dental Implant System

May 12, 2020

ADMINISTRATIVE INFORMATION

Manufacturer Name	S.I.N. – Sistema de Implante Nacional S.A.Avenida Vereador Abel Ferreira, 1100São Paulo, São Paulo03340-000 BrazilTelephone: +55-11-21693000 ext 3236
Official Contact	Denise Domiciano, Quality and Regulatory Manager
Representative/Consultant	Kevin A. Thomas, PhDFloyd G. Larson, MS, MBAPaxMed International, LLC12264 El Camino Real, Suite 400San Diego, CA 92130Telephone: +1 858-792-1235Fax: +1 858-792-1236Email: kthomas@paxmed.com flarson@paxmed.com

DEVICE NAME AND CLASSIFICATION

Trade/Proprietary NameCommon Names	S.I.N. Dental Implant SystemEndosseous dental implant
Regulation Number	21 CFR 872.3640
Regulation Name	Endosseous dental implant
Regulatory Class	Class II
Product Code	DZE
Secondary Product Code	NHA
Classification Panel	Dental
Reviewing Office	Office of Health Technology 1 (Ophthalmic, Anesthesia, Respiratory,ENT and Dental Devices)
Reviewing Division	Division of Health Technology 1 B (Dental Devices)

PREDICATE DEVICE INFORMATION

Primary Predicate Device: K170398, S.I.N. Dental Implant System, S.I.N. – Sistema de Implante Nacional S.A.

{4}------------------------------------------------

Reference Devices:

K170392, S.I.N. Dental Implant System, S.I.N. - Sistema de Implante Nacional S.A. K051859, Sistema de Implante Nacional Dental Implant Systema de Implante Nacional Ltda K183518, Preat Abutments, Preat Corporation

INDICATIONS FOR USE STATEMENT

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

All digitally-designed custom abutments for use with Interface CAD-CAM abutments are to be sent to a S.I.N.-validated milling center for manufacture.

DEVICE DESCRIPTION

Subject Device Implants

The subject device dental implants are summarized in the following table.

Implant Line	Body Ø, mm	Platform Ø, mm	Length, mm
Strong SW CM Plus(Morse Taper)with HAnano surface	3.5	3.5	8.5	10	11.5	13	15
	3.8	3.8	8.5	10	11.5	13	15
	4.5	4.5	8.5	10	11.5	13	15
	5.0	5.0	8.5	10	11.5	13	15
Strong SW HE Plus(External hex)with HAnano surface	3.5	3.65	7	8.5	10	11.5	13	15
	3.75	4.1	7	8.5	10	11.5	13	15
	4.0	4.1	7	8.5	10	11.5	13	15
	4.5	4.5		8.5	10	11.5	13	15
	5.0	5.0	7	8.5	10	11.5	13	15
Strong SW HI Plus(Internal Hex)with HAnano surface	3.8	3.8		8.5	10	11.5	13	15
	4.5	4.5		8.5	10	11.5	13	15
	5.0	5.0		8.5	10	11.5	13	15
Tryon Conic HE(External Hex)	4.0	4.0		8.5	10	11.5	13	15
	5.0	5.0		8.5	10	11.5	13	15

{5}------------------------------------------------

All subject device dental implants are made of the same unalloyed titanium as the dental implants cleared in K170398 and K170392, and the identical HA **** surface cleared in K170392 (Tryon Conic HE implants so not have the HA"ano surface).

Conventional Abutments

The subject device conventional abutments are summarized in the following table.

Types	Platform Ø, mm	Prosthetic Platform Ø, mm	Materials	Compatible with
Universal Cemented Abutment(External hex)	3.65	3.3	Titanium alloy	Implants:Strong SW HEStrong SW HE Plus
Cemented Abutment SIT(Morse Taper, CM)	3.34.5	3.34.5	Titanium alloy	Implants:Strong SW CMStrong SW CM Plus
Healing Abutment(External hex)	3.65	n/a	Titanium alloy	Implants:Strong SW HEStrong SW HE Plus
Provisional Abutment(External hex)	3.65	n/a	Titanium alloy	Implants:Strong SW HEStrong SW HE Plus
UCLA-type Abutment(External hex)	3.65	4.0	Co-Cr alloy	Implants:Strong SW HEStrong SW HE Plus
UCLA-type Abutment(Internal hex)	3.84.5	4.54.7	Co-Cr alloy	Implants:Strong SW HIStrong SW HI Plus
Micro-Mini Abutments(External hex)	3.65	3.5	Titanium alloy	Implants:Strong SW HEStrong SW HE Plus
Abutment Protectors	n/a	n/a	Titanium alloy	n/a

All subject device conventional abutments are manufactured from the same titanium alloy or cobaltchromium alloy materials used to manufacture S.I.N. Dental Implant System conventional abutments cleared in K170398 and K170392. All subject device conventional abutments are provided in straight designs and are not intended for any angulation correction.

Universal Cemented Abutment (HE connection) is a titanium alloy abutment for cement-retained prostheses, provided in gingival heights of 2, 3, and 4 mm, each with a prosthetic post height or 4 mm or 6 mm. The Universal Cemented Abutment with a 4 mm prosthetic post is not to be modified; the Universal Cemented Abutment with a 6 mm prosthetic post may be modified to a minimum height of 4 mm.

Cemented Abutment SIT (CM connection) is a titanium alloy abutment for cement-retained prostheses, provided in a range of gingival heights from 0.8 mm to 5.5 mm (6 heights). The Cemented Abutment SIT is provided with the System Intelligent Transfer (SIT) prosthetic post design, cleared in K170392, that allows for placement of the precision SIT Provisional Cap (also cleared in K170392). The SIT post design is provided in a height of 4 mm and 6 mm.

Healing Abutments (HE connection) are provided in gingival heights of 2, 4, and 6 mm.

Provisional Abutments (HE connection) are titanium alloy abutments for screw-retained or cementretained provisional restorations. Provisional Abutments are provided in designs for single-unit restorations (anti-rotational design) or multi-unit restorations (rotational design).

{6}------------------------------------------------

UCLA-type Abutment (HE connection; HI connection) are two-part cast-on abutments consisting of a cobalt-chromium alloy base and a polyoxymethylene (POM) burn-out sleeve. The POM burn-out sleeve can be cast in cobalt-chromium alloy or nickel-chromium alloy. UCLA-type Abutments are designed for screw-retained or cement-retained crown and bridge restorations. For the HE connection, the UCLA-type Abutments are provided with a 1 mm gingival height, and for the HI connection, the UCLA-type Abutments are provided with a gingival height of 0.5 mm or 1 mm.

Micro-Mini Abutments (HE connection) are multi-unit, non-indexed abutments, provided in gingival heights of 2, 3, and 4 mm.

Abutment Protectors (HE connection: CM connection) are for the healing period between implant placement and abutment placement. The Abutment Protectors are provided with three interfaces for Morse taper (CM), HE, and Micro-Mini abutments.

CAD-CAM Abutments

The subject device CAD-CAM abutments are summarized in the following table.

Types	Platform Ø, mm	ProstheticPlatform Ø, mm	Materials	Compatible with
Interface Conical Abutment	Matches Conical Abutment;used as extensions/sleeves connectedto the coronal geometry of the ConicalAbutment to extend the post height	5.5	Co-Cr alloyTitanium alloy	Conical Abutments
Interface Morse Taper Abutment(CM, Strong)	3.53.5	3.54.25	Titanium alloy	Implants:Strong SW CMStrong SW CM Plus
Interface Morse Taper Abutment(CM, Unitite)	3.53.5	3.54.25	Titanium alloy	Implants:Unitite CM
Interface External Hex Abutment(HE, Strong, Tryon)	3.43.654.14.1	4.14.14.35.0	Co-Cr alloyTitanium alloy	Implants:Strong SW HEStrong SW HE PlusTryon
Interface Internal Hex Abutment(HI, Strong)	3.83.8	4.14.3	Co-Cr alloyTitanium alloy	Implants:Strong SW HIStrong SW HI Plus
Interface Mini Abutments	Matches Mini Abutments;used as extensions/sleeves connectedto the coronal geometry of the MiniAbutments to extend the post height	5.5	Co-Cr alloyTitanium alloy	Mini Abutments
Interface Micro Mini Abutments	Matches Micro Mini Abutments;used as extensions/sleeves connectedto the coronal geometry of the MicroMini Abutments to extend the postheight	3.8	Co-Cr alloyTitanium alloy	Micro MiniAbutments
Interface External HexAbutment, non-indexed(HE, Strong, Tryon)	3.654.1	4.14.3	Co-Cr alloyTitanium alloy	Implants:Strong SW HEStrong SW HE PlusTryon

The subject device CAD-CAM abutments are used as the apical base of a two-piece abutment. The coronal portion of the two-piece abutment is designed and manufactured using CAD-CAM techniques. For the titanium alloy CAD-CAM abutments, the coronal portion is a coping manufactured from zirconia conforming to ISO 13356 Implants for surgery – Ceramic materials based on yttria-stabilized tetragonal zirconia (Y TZP). For the Co-Cr alloy CAD-CAM abutments, CAD-CAM is used to design and fabricate

{7}------------------------------------------------

a wax-up model, and the final abutment is cast using traditional techniques as described below.

All subject device CAD-CAM abutments are manufactured from the same titanium alloy or cobaltchromium allov materials used to manufacture S.I.N. Dental Implant System abutments cleared in K170398 and K170392. All subject device CAD-CAM abutments are provided in straight designs and are not intended for any angulation correction. No superstructure for use with any titanium alloy subject device CAD-CAM abutment is to be fabricated to create a final abutment with angulation or to correct for angulation. The limits of fabrication for the required superstructure for the titanium alloy CAD-CAM abutments are the same as the limits of fabrication for the superstructure for K183518. The material of the superstructure for the subject device CAD-CAM abutments is zirconia conforming to ISO 13356; this is same zirconia that is specified for superstructures in K183518. Panavia Universal Dual-Cure Cement (Kuraray; Japan) bonding cement is recommended to assemble the zirconia coping to the titanium alloy abutment base.

The Co-Cr alloy CAD-CAM abutments are provided in straight designs and are not intended for any angulation correction. The Co-Cr alloy CAD-CAM abutments will not be fabricated to create a final abutment with angulation or to correct for angulation. The workflow for the Co-Cr alloy abutments is to use CAD-CAM to design and fabricate the desired wax-up model, then use traditional casting to fabricate the final finished abutment; a zirconia coping is not used with the Co-Cr alloy CAD-CAM abutments.

Interface Conical Abutments are abutment-level prosthetic components provided in designs for use with previously-cleared Conical Abutments with external hexagon, and Morse taper implant interfaces (K051859, K170392, and K170398). Interface Conical Abutments are provided with straight cone in indexed (anti-rotational) or non-indexed designs, and a prosthetic post height of 7.5 mm or 9.5 mm.

Interface Morse Taper Abutments are provided in designs compatible with the Strong implant series Morse taper interface and compatible with the Unitite implant series Morse taper interface, with a prosthetic post height of 4.0, 4.7, or 6.0 mm.

Interface External Hex Abutments are compatible with the HE (external hex) implant interface and are provided with an indexed/anti-rotational design for single-unit restorations. Interface External Hex Abutments are provided with a prosthetic post height of 2.5, 4.0, 4.7, or 6.0 mm.

Interface Internal Hex Abutments are compatible with the HI (internal hex) implant interface and have an indexed/anti-rotational design for single-unit restorations. Internal Hex Abutments are provided with a prosthetic post height of 4.0, 4.7, or 6.0 mm.

Interface Mini Abutments are abutment-level prosthetic components provided in designs for use with previously-cleared Mini Conical Abutments with external hexagon, internal hexagon, and Morse taper implant interfaces (K051859, K170392, and K170398). Interface Mini Abutments are provided with straight, non-indexed cone design and a prosthetic post height of 6 mm or 8 mm.

Interface Micro Mini Abutments are abutment-level prosthetic components provided in designs for use with Micro Mini Conical Abutments with Morse taper implant interfaces cleared in K170392. Interface Micro Mini Abutments are provided with straight, non-indexed cone design and a prosthetic post height of 4 mm or 6 mm.

{8}------------------------------------------------

Interface External Hex Abutments are compatible with the HE (external hex) implant interface and also are provided with a non-indexed/rotational design for multi-unit restorations. The Interface External Hex Abutments with this rotational design are provided with a prosthetic post height of 2.5, 4.0, or 6.0 mm.

Abutment Screws

Four abutments screws are included in this submission, all with the same external thread (M1.8x0.35), in overall lengths of 10.2 mm, 11.2 mm, and 13.2 mm. These screws are compatible with Conical Abutments cleared previously in K051859.

PERFORMANCE DATA

The subject device was evaluated and tested as recommended in the FDA guidance documents Root Form Endosseous Dental Implants and Endosseous Dental Implant Abutments (issued May 12, 2004), and Use of International Standard ISO 10993-1, "Biological evaluation of medical devices – Part 1: Evaluation and testing within a risk management process" (issued June 16, 2016).

Non-clinical data submitted, referenced, or relied upon to demonstrate substantial equivalence include: sterilization validation according to ISO 11137-1, 11137-2, 17665-1, and 17665-2 (referenced from K170398 and K170392); bacterial endotoxin testing and shelf life testing (referenced from K170398 and K170392); biocompatibility data for the ASTM F136 titanium alloy and ASTM F1537 Co-Cr alloy (referenced from K170398 and K170392); and biocompatibility testing for the ISO 13356 zirconia material used to fabricate copings for titanium alloy CAD-CAM abutments (cytotoxicity testing according to ISO 19003-5).

No clinical data were included in this submission.

EQUIVALENCE TO MARKETED DEVICES

The subject device is substantially equivalent in indications and design principles to the primary predicate device and the reference devices listed above. Provided at the end of this summary is a table comparing the Indications for Use Statements and the technological characteristics of the subject device, the primary predicate device, and the reference devices.

The Indications for Use Statement (IFUS) for the subject device is substantially equivalent to that of the primary predicate K170398 and the reference device K170392; slight differences in language of the Indications for Use statements do not affect the intended use as an endosseous dental implant abutment for support of a prosthesis to restore chewing function.

The minor differences between the IFUS for the subject device and the primary predicate K170398 include the requirement for a validated milling center (subject device), and language concerning Revolution Compact implant (K170398). Minor differences between the IFUS for the subject device and the reference device K170392 include the exact wording regarding immediate loading, the requirement for a validated milling center (subject device), and language concerning implants less than 7 mm in length. Minor differences between the IFUS for the subject device and the reference device K051859 include the exact wording regarding single-unit or multi-unit restorations (subject device) or "crowns. bridges, or overdentures (K051859), and language concerning immediate loading. Minor differences between the IFUS for the subject device and the reference device K183518 included the specific

{9}------------------------------------------------

description of the abutments in K183518, specific language regarding the validated milling center, and the list of compatible OEM implant systems.

None of these minor differences impact safety or effectiveness because both IFUS express equivalent intended use to facilitate dental prosthetic restorations, and the indications are expressed equivalently using different specific wording.

Subject Device Dental Implants

The subject device Strong SW CM Plus implants are identical in design and sizes to the Strong SW CM implants cleared in K170392, and have the identical HA1ª00 surface also cleared in K170392.

The subject device Strong SW HE Plus implants are identical in design and sizes to the Strong SW HE implants cleared in K170398, and have the identical HA100 surface cleared in K170392.

The subject device Strong SW HI Plus implants are identical in design and sizes to the Strong SW HI implants cleared in K170398, and have the identical HA"100 surface cleared in K170392.

The subject device Tryon Conic HE implants are substantially equivalent in design and sizes to the TryOn HE implants cleared in K170398. The Tryon Conic HE implants have similar designs, the same external hex interface, and the same range of body/platform sizes and lengths as the predicate device TryOn HE implants.

The subject device dental implants are made of the same unalloyed titanium as the dental implants cleared in K170398 and K170392, and the identical HA™® surface cleared in K170392 (all implants except Tryon Conic HE).

Subject Device Conventional Abutments

The subject device conventional abutments with an external hex interface (Universal Cemented Abutments, Healing Abutments, Provisional Abutments, UCLA-type Abutments) are substantially equivalent to the corresponding abutment designs (with an external hex interface) cleared in K170398, having the same sizes or ranges of sizes for platform diameter, prosthetic platform diameter, and gingival height.

The subject device Cemented Abutment SIT with a Morse taper (CM) interface is substantially equivalent to the corresponding abutment design, Abutment Cemented SIT (with CM interface) cleared in K170392, having the same sizes or ranges of sizes for platform diameter, prosthetic platform diameter, and gingival height. The subject device Cemented Abutment SIT with gingival heights of 0.8 mm and 5.5 mm are substantially equivalent to the range of gingival heights for the Conical Abutments (CM interface) also cleared in K170392.

The subject device UCLA-type Abutment with an internal hex (HI) interface is substantially equivalent to the corresponding UCLA-type Abutment with HI interface cleared in K051859, having the same sizes for platform diameter, prosthetic platform diameter, and gingival height. The subject device UCLA-type

{10}------------------------------------------------

Abutment, HI interface with a gingival height of 1 mm is substantially equivalent to the gingival height of the UCLA-type Abutment with external hex (HE) interface cleared in K170398.

The subject device Micro-Mini Abutment with an external hex (HE) interface is substantially equivalent to the Micro-Mini Abutment with CM interface cleared in K170392, having the same sizes of sizes for prosthetic platform diameter and gingival height.

The subject device Abutment Protectors with external hex (HE) and internal hex (HI) interfaces are substantially equivalent to Abutment Protectors with HE and HI interfaces cleared in K170398. The subject device Abutment Protectors with a Morse taper (CM) interface are substantially equivalent to Abutment Protectors with a CM interface cleared in K170392. The subject device Abutment Protectors have the same ranges of sizes for platform diameter and maximum diameter as the devices cleared in K170398 and K170392, except for the components with a 6 mm maximum diameter. Because the Abutment Protectors are temporary healing covers, this minor difference in diameter does not impact substantial equivalence.

Subject Device CAD-CAM Abutments

The subject device Interface Conical Abutments are abutment-level prosthetic components that are substantially equivalent to corresponding prosthetic components used with Conical Abutments cleared in K170398 (external hex interface), K170392 (Morse taper interface), and K051859 (external hex and internal hex interfaces). The subject device Interface Conical Abutments have the same sizes of sizes for platform diameter, prosthetic platform diameter, and gingival height as the predicate device and reference devices. Because the Interface Conical Abutments are abutment-level prosthetic components that are incorporated into the final restoration, the minor difference in prosthetic platform diameter (of the subject device compared to the predicate device and reference devices) does not impact safety, effectiveness, or substantial equivalence. The subject device Interface Conical Abutments are manufactured from the same titanium alloy as the devices cleared in K170398 and K070392, or are manufactured from the same cobalt-chromium alloy as the devices cleared in K051859.

The subject device Interface Morse Taper Abutments for the Strong SW CM and Strong SW CM Plus implants are substantially equivalent in material, design, and sizes or ranges of sizes to the Abutment Cemented (SIT/Prepable) Abutments cleared in K170392 for use with Strong SW CM implants.

The subject device Interface Morse Taper Abutments for the Unitite CM implants are substantially equivalent in material, design, and sizes or ranges of sizes to the Abutment Cemented (SIT/Prepable) Abutments cleared in K170392 for use with the Unitite CM implants.

The subject device Interface External Hex Abutments (with an indexed design), are substantially equivalent in materials and designs to the Cemented Abutments with external hex interfaces cleared in K170398 and K051859. The CAD-CAM design feature and range of sizes of the subject device Interface External Hex Abutments (with an indexed design), are substantially equivalent to the Titanium Base Engaging devices cleared in K183518.

The subject device Internal Hex Abutments are substantially equivalent in materials and designs to the Cemented Abutments and UCLA Abutments with internal hex interfaces cleared in K051859. The CAD-CAM design feature and range of sizes of the subject device Internal Hex Abutments are substantially equivalent to the Titanium Base Engaging devices cleared in K183518.

{11}------------------------------------------------

The subject device Interface Mini Abutments are substantially equivalent to the corresponding prosthetic components used with Mini Abutments cleared in K170398 (external hex internal hex interfaces), K170392 (Morse taper interface), and K051859 (external hex and internal hex interfaces). The subject device Interface Conical Abutments have the same or similar designs as the predicate device and reference devices cited. Because the Interface Mini Abutment-level prosthetic components that are incorporated into the final restoration, the minor difference in prosthetic platform diameter or gingival height (of the subject device compared to the predicate device and reference devices) does not impact safety, effectiveness, or substantial equivalence. The subject device Interface Mini Abutnents are manufactured from the same titanium alloy as the devices cleared in K170398 and K070392, or are manufactured from the same cobalt-chromium alloy as devices cleared in K051859.

The subject device Interface Micro Mini Abutments are substantially equivalent to the corresponding prosthetic components used with the Micro-Mini Abutments cleared in K170392. Because the Interface Micro Mini Abutments are abutment-level prosthetic components that are incorporated into final restoration, the minor difference in prosthetic platform diameter (of the subject device compared to the cited reference device) does not impact safety, effectiveness, or substantial equivalence. The subject device Interface Mini Abutments are manufactured from the same titanium alloy as the devices cleared in K070392, or are manufactured from the same cobalt-chromium alloy as devices cleared in K051859.

The subject device Interface External Hex Abutments (with a non- indexed design), are substantially equivalent in materials and designs to the Cemented Abutments with external hex interfaces cleared in K170398 and K051859. The CAD-CAM design feature and range of sizes of the subject device Interface External Hex Abutments (with a non-indexed design), are substantially equivalent to the Titanium Base Engaging devices cleared in K183518.

For all subject device CAD-CAM abutments, the limits of fabrication for the required superstructure are the same as the limits of fabrication for the superstructure for K183518. The material for fabrication of the superstructure for the subject device CAD-CAM abutments also is the same zirconia that is specified for superstructures in K183518.

All subject device abutments are provided only in straight designs, with no pre-angled conventional abutments or pre-angled CAD-CAM abutments. No subject device abutment is to be customized to create an angled abutment or to correct for angulation, and no superstructure for use with any subject device CAD-CAM abutment is to be fabricated to create a final abutment with angulation or to correct for angulation. Therefore, minor differences in the exact dimensions of the subject device abutments as compared to the predicate and reference devices does not impact safety, effectiveness, or substantial equivalence.

Similarly, minor differences in the exact dimensions of the subject device dental implants as compared to the predicate and reference devices does not impact safety, effectiveness, or substantial equivalence.

The subject device abutments screws are to be used with Conical Abutments cleared in K051859 and the subject device abutments screws are substantially equivalent in material and designs to abutment screws also cleared in K051859.

Selected conventional abutments manufactured from titanium alloy and all CAD-CAM abutments manufactured from titanium alloy are anodized using a standard anodization process is identical to the anodization process used on abutments cleared in K170398 and K170392.

{12}------------------------------------------------

All subject device dental implants and various abutments and prosthetic components are provided sterile by gamma irradiation, the same as the dental implants in K170398, and K051859. Abutments and prosthetic components that are provided nonsterile are to be sterilized by the end user by the same validated moist heat sterilization method as in K170398 and K170392.

CONCLUSION

The subject device, the primary predicate device, and the reference devices have the same intended use, have similar technological characteristics, and are made of identical or similar materials. The subject device, the primary predicate, and reference device encompass the same range of physical dimensions, are packaged in similar materials, and are sterilized using similar methods.

The data included in this submission demonstrate substantial equivalence to the predicate devices listed above.

{13}------------------------------------------------

	Subject Device	Primary Predicate Device	Reference Device	Reference Device	Reference Device
	S.I.N. Dental Implant System	K170398S.I.N. Dental Implant System	K170392S.I.N. Dental Implant System	K051859Sistema de Implante Nacional Dental ImplantSystem	K183518Preat Abutments
	S.I.N. - Sistema de Implante Nacional S.A.	S.I.N. - Sistema de Implante Nacional S.A.	S.I.N. - Sistema de Implante Nacional S.A.	Sistema de Implante Nacional Ltda	Preat Corporation
Indications for Use Statement	S.I.N. Dental Implant System is intended for placement inthe maxillary or mandibular arch to provide support forsingle-unit or multi-unit restorations. When a one-stagesurgical approach is applied, the S.I.N. Dental ImplantSystem is intended for immediate loading when goodprimary stability is achieved and with appropriateocclusal loading.All digitally-designed custom abutments for use withInterface CAD-CAM abutments are to be sent to a S.I.N .-validated milling center for manufacture.	S.I.N. Dental Implant System is intended for placement inthe maxillary or mandibular arch to provide support forsingle-unit or multi-unit restorations. When a one-stagesurgical approach is applied, the S.I.N. Dental ImplantSystem is intended for immediate loading when goodprimary stability is achieved and with appropriateocclusal loading. Revolution Compact with a 6 mmlength is intended for delayed loading only.	S.I.N. Dental Implant System is intended for placement inthe maxillary or mandibular arch to provide support forsingle-unit or multi-unit restorations. When a one-stagesurgical approach is applied, the S.I.N. Dental ImplantSystem is intended for immediate loading when goodprimary stability is achieved and with appropriateocclusal loading. Implants with lengths less than 7 mmare intended for delayed loading only.	The Sistema de Implante Nacional Dental Implant Systemis intended to be surgically placed in the bone of themaxillary and/or mandibular arch to provide support forcrowns, bridges or overdentures. Implants may be placedimmediately after tooth extraction or following bonehealing. Restorations supported by two or more Sistemade Implante Nacional implants may be loadedimmediately after implant placement if primary implantstability has been achieved.	Preat Abutments are intended to be used in conjunctionwith endosseous dental implants in the maxillary ormandibular arch to provide support for single-unit ormulti-unit prosthetic restorations. The Titanium Baseabutments consists of two major parts. Specifically, thetitanium base and mesostructured components make up atwo-piece abutment.All digitally designed custom abutments, superstructures,and/or hybrid crowns for use with Titanium Base orTitanium Blank are to be sent to a Preat validated millingcenter for manufacture.(Table of Compatible Implant Systems, see informationfor K183518 provided in this section)
Reason for Predicate Device /Reference Device	Not applicable	Implant designs; abutment designs	Implant designs; abutment designs;HAnano implant surface	Abutment designs	Abutment designs
Product Codes	DZE, NHA	DZE, NHA	DZE, NHA	DZE, NHA	NHA
Intended Use	Functional and esthetic rehabilitation of theedentulous mandible or maxilla	Functional and esthetic rehabilitation of theedentulous mandible or maxilla	Functional and esthetic rehabilitation of theedentulous mandible or maxilla	Functional and esthetic rehabilitation of theedentulous mandible or maxilla	Functional and esthetic rehabilitation of theedentulous mandible or maxilla
Implant Designs
Prosthetic Interface Connections	External hex (HE), Internal hex (HI),Morse taper (CM)	External hex (HE), Internal hex (HI)	Morse taper (CM)	External hex (HE), Internal hex (HI)	Multiple interface connections(n=10 OEM implant systems)
Body/Platform Diameters, mmLengths, mmInterface	Strong SW CM Plus3.5/3.5; 3.8/3.8; 4.5/4.5; 5.0/5.08.5, 10, 11.5, 13, 15Morse taper interface (CM)		Strong SW CM3.5/3.5; 3.8/3.8; 4.5/4.5; 5.0/5.08.5, 10, 11.5, 13, 15Morse taper interface (CM)
Body/Platform Diameters, mmLengths, mmInterface	Strong SW HE Plus3.5/3.65; 3.75/4.1; 4.0/4.1; 4.5/4.5; 5.0/5.07, 8.5, 10, 11.5, 13, 15 no 7 mm length for 4.5 mm bodyExternal hex interface (HE)	Strong SW HE3.5/3.65; 3.75/4.1; 4.0/4.1; 4.5/4.5; 5.0/5.07, 8.5, 10, 11.5, 13, 15 no 7 mm length for 4.5 mm bodyExternal hex interface (HE)	Unitite, Unitite Slim, Unitite CompactVarious sizes, 2.9/2.9 to 6.0/6.0Various lengths, 5 mm to 15 mmReference device for HAnano surfaceMorse taper (different from Strong SW CM)
Body/Platform Diameters, mmLengths, mmInterface	Strong SW HI Plus3.8/3.8; 4.5/4.5; 5.0/5.08.5, 10, 11.5, 13, 15Internal hex interface (HI)	Strong SW HI3.8/3.8; 4.5/4.5; 5.0/5.08.5, 10, 11.5, 13, 15Internal hex interface (HI)
Body/Platform Diameters, mmLengths, mm	Tryon Conic HE4.0/4.0; 5.0/5.08.5, 10, 11.5, 13, 15	TryOn HE3.25/4.1; 3.75/4.1; 4.0/4.1; 5.0/5.07, 8.5, 10, 11.5, 13, 15 no 7 mm length for 3.25 mm body
Interface	External hex interface (HE)	External hex interface (HE)
Implant Material	All implants: unalloyed titanium, ASTM F67	All implants: unalloyed titanium, ASTM F67	All implants: unalloyed titanium, ASTM F67
Implant Endosseous Surface	All implants: acid-etched + HAnano applied,except Tryon Conic HE acid-etch only	All implants: acid-etched	All implants: acid-etched;HAnano applied to the Unitite dental implant lines
Conventional Abutment Designs
Cemented Abutment	Universal Cemented AbutmentExternal hex interface (HE)Platform/Prosthetic platform Ø: 3.65/3.3 mmGingival height: 2, 3, 4 mmTitanium alloy, ASTM F136	Abutment CementedExternal hex interface (HE)Platform/Prosthetic platform Ø: 3.65/5 mmGingival height: 1, 2, 3, 4 mmTitanium alloy, ASTM F136
Cemented Abutment SIT	Cemented Abutment SITMorse taper interface (CM)Platform/Prosthetic platform Ø: 3.3/3.3, 4.5/4.5mmGingival height: 0.8, 1.5, 2.5, 3.5, 4.5, 5.5 mmTitanium alloy, ASTM F136		Abutment Cemented SITMorse taper interface (CM)Prosthetic platform Ø 3.3 mm, 4.5 mmGingival height: 1, 2, 3, 4, 5, mmTitanium alloy, ASTM F136
	Subject Device	Primary Predicate Device	Reference Device	Reference Device
	S.I.N. Dental Implant System	K170398S.I.N. Dental Implant System	K170392S.I.N. Dental Implant System	K051859Sistema de Implante NacionalSystem
	S.I.N. – Sistema de Implante Nacional S.A.	S.I.N. – Sistema de Implante Nacional S.A.	S.I.N. – Sistema de Implante Nacional S.A.	Sistema de Implante Nacional S.A.
Healing Abutment	Healing AbutmentExternal hex interface (HE)Platform Ø: 3.65 mmProsthetic platform Ø: n/aGingival height: 2, 4, 6 mmTitanium alloy, ASTM F136	Healing AbutmentExternal hex interface (HE)Platform Ø 3.65, 4.1, 5.0 mmProsthetic platform Ø: n/aGingival height: 2, 4, 6, 8 mmTitanium alloy, ASTM F136
Provisional Abutment	Provisional AbutmentExternal hex interface (HE)Platform/Prosthetic platform Ø:3.65/3.6 mmGingival height: 1.2 mmTitanium alloy, ASTM F136	Provisional AbutmentExternal hex interface (HE)Platform/Prosthetic platform Ø:3.65/4.45, 4.1/4.45, 5.0/5.45 mmGingival height: 1.2 mmTitanium alloy, ASTM F136
UCLA-type Abutment (External hex)	UCLA-type AbutmentExternal hex interface (HE)Platform/Prosthetic platform Ø:3.65/4.0 mmGingival height: 1 mmCobalt-chromium alloy, ASTM F1537	UCLA-type AbutmentExternal hex interface (HE)Platform/Prosthetic platform Ø:3.65/4.7, 4.1/4.7 mmGingival height: 1 mmCobalt-chromium alloy, ASTM F1537
UCLA-type Abutment (Internal hex)	UCLA-type AbutmentInternal hex interface (HI)Platform/Prosthetic platform Ø:3.8/4.5, 4.5/4.7 mmGingival heights: 0.5 mm and 1 mmCobalt-chromium alloy, ASTM F1537			UCLA-type AbutmentInternal hex interface (HI)Platform/Prosthetic platform Ø:3.8/4.5, 4.5/4.7, 5.5/5.7 mmGingival height: 0.5 mmCobalt-chromium alloy, ASTM F1537
Micro-Mini Abutments	Micro-Mini AbutmentExternal hex interface (HE)Platform/Prosthetic platform Ø: 3.65/3.5 mmGingival heights: 2, 3, 4 mmTitanium alloy, ASTM F136		Micro-Mini AbutmentMorse taper interface (CM)Prosthetic platform Ø: 3.5 mmGingival heights: 0.8 mm – 5 mmTitanium alloy, ASTM F136
Abutment Protectors	Abutment ProtectorsFor abutments with HE, HI, CM interfacePlatform Ø: 3.65 mm, 4.8 mmMaximum Ø: 3.65, 4.5, 6 mmTitanium alloy, ASTM F136	Abutment ProtectorsFor abutments with HE and HI interfacePlatform Ø: 4.8 mmMaximum Ø: 5 mmTitanium alloy, ASTM F136	Abutment ProtectorsFor abutments with CM interfacePlatform Ø: 3.5 mm, 4.8 mmMaximum Ø: 3.5 mm, 5 mmTitanium alloy, ASTM F136
CAD-CAM Abutment Designs
Interface Conical Abutments	Fits Conical AbutmentsPlatform Ø: matches compatible ConicalAbutmentsProsthetic platform Ø: 5.5 mmGingival height: 0.35 mmCobalt-chromium alloy, ASTM F1537 andTitanium alloy, ASTM F136	Conical AbutmentsExternal hex interface (HE)Platform Ø: 3.65 mmProsthetic platform Ø: 4.8 mmGingival height: 1, 2, 3, 4 mmTitanium alloy, ASTM F136	Conical AbutmentsMorse taper interface (CM)Prosthetic platform Ø: 4.8 mmGingival height: 0.8 mm – 5.5 mmTitanium alloy, ASTM F136	Conical AbutmentsExternal hex interface (HE)Platform Ø: 4.1 mm, 5.0 mmInternal hex interface (HI)Platform Ø: 3.8, 4.5, 5.5 mmProsthetic platform Ø: 4.8 mmGingival height: 1, 2, 3, 4 mmUnalloyed titanium, ASTM F67
Interface Morse Taper Abutments	For Strong SW CM and Strong SW CM PlusImplantsMorse taper interface (CM)Platform/Prosthetic platform Ø:3.5/3.5, 3.5/4.25 mmGingival height: 0.5, 0.8, 2, 3 mmTitanium alloy, ASTM F136		Abutment Cemented (SIT/Prepable)Strong SW CMMorse taper interface (CM)Platform/Prosthetic platform Ø:3.5/3.5, 4.5/4.5 mmGingival height: 1, 2, 3, 4, 5 mmTitanium alloy, ASTM F136

{14}------------------------------------------------

evice	Reference Device
nal Dental Implant	K183518Preat Abutments
Nacional Ltda	Preat Corporation
Ø:
l
1 F1537



m
m
(all HE, HI)
(all HE, HI)
7

{15}------------------------------------------------

Table of Substantial Equivalence
	Subject Device	Primary Predicate Device		Reference Device	Reference Device		Reference Device
	S.I.N. Dental Implant System	K170398S.I.N. Dental Implant System		K170392S.I.N. Dental Implant System	K051859Sistema de Implante Nacional Dental ImplantSystem		K183518Preat Abutments
	S.I.N. - Sistema de Implante Nacional S.A.	S.I.N. - Sistema de Implante Nacional S.A.		S.I.N. - Sistema de Implante Nacional S.A.	Sistema de Implante Nacional Ltda		Preat Corporation
Interface Morse Taper Abutments	For Unitite CM ImplantsMorse taper interface (CM)Platform/Prosthetic platform Ø:$3.5/3.5$ , $3.5/4.25$ mmGingival height: 0.5, 0.8, 2, 3 mmTitanium alloy, ASTM F136			Abutment Cemented (SIT) for Unitite CMMorse taper interface (CM)Platform/Prosthetic platform Ø:$3.3/3.3$ , $4.5/4.5$ mmGingival height: 0.8 mm – 5.5 mmTitanium alloy, ASTM F136
Interface External Hex (HE)Abutments(indexed)	For Strong SW HE, Strong SW HE Plus, andTryon ImplantsExternal hex interface (HE)Platform/Prosthetic platform Ø:$3.4/4.1$ , $3.65/4.1$ , $4.1/4.3$ , $4.1/5.0$ mmGingival height: 0.6, 1.0 mmCobalt-chromium alloy, ASTM F1537 andTitanium alloy, ASTM F136	Cemented AbutmentExternal hex interface(HE)Platform/Prostheticplatform Ø: $3.65/5.0$ mmGingival height: 1-4 mmTitanium alloy,ASTM F136	UCLA AbutmentExternal hex interface(HE)Platform/Prostheticplatform Ø: $3.65/4.7$ mmGingival height: 1 mmCobalt-chromium alloy,ASTM F1537		Cemented AbutmentExternal hex interface(HE)Platform/Prostheticplatform Ø: $4.1/5.0$ ,$4.1/6.0$ , $5.0/5.5$ , $5.0/6.0$mmGingival height: 1–4 mmUnalloyed titanium,ASTM F67	UCLA AbutmentExternal hex interface(HE)Platform/Prostheticplatform Ø: $4.1/4.5$ ,$5.0/5.5$ mmGingival height: 1, 1.2 mmUnalloyed titanium,ASTM F67;Cobalt-chromium alloy,ASTM F1537;Gold alloy	Titanium Base EngagingMultiple interface connections(n=10 OEM implant systems)Platform Ø: 3.0 mm – 6.0 mmProsthetic platform Ø: not in 510(k) SummaryGingival height: not in 510(k) SummaryTitanium alloy, ASTM F136
Interface Internal Hex (HI) Abutments	For Strong SW HI and Strong SW HI PlusImplantsInternal hex interface (HI)Platform/Prosthetic platform Ø: $3.8/4.1$ , $3.8/4.3$mmGingival height: 0.5 mmCobalt-chromium alloy, ASTM F1537 andTitanium alloy, ASTM F136				Cemented AbutmentInternal hex interface (HI)Platform/Prostheticplatform Ø: $3.8/3.8$ ,$4.5/5.1$ , $5.5/6.0$ mmGingival height: 1–4 mmTitanium alloy,ASTM F136	UCLA AbutmentInternal hex interface (HI)Platform/Prostheticplatform Ø: $3.8/4.5$ ,$4.5/4.9$ , $5.5/5.9$ mmGingival height: 0.5 mmCobalt-chromium alloy,ASTM F1537	Titanium Base EngagingMultiple interface connections(n=10 OEM implant systems)Platform Ø: 3.0 mm - 6.0 mmProsthetic platform Ø: not in 510(k) SummaryGingival height: not in 510(k) SummaryTitanium alloy, ASTM F136
Interface Mini Abutments	For Mini AbutmentsPlatform Ø: matches Mini AbutmentsProsthetic platform Ø: 5.5 mmGingival height: 0.35 mmCobalt-chromium alloy, ASTM F1537 andTitanium alloy, ASTM F136	Mini AbutmentExternal hex interface(HE)Platform/Prostheticplatform Ø: $3.65/4.8$ mmGingival height: 1-4 mmTitanium alloy,ASTM F136	Mini AbutmentInternal hex interface (HI)Platform/Prostheticplatform Ø: $4.5/4.8$ mmGingival height: 1 - 4 mmTitanium alloy,ASTM F136	Mini AbutmentsMorse taper interface (CM)Prosthetic platform Ø: 4.8 mmGingival height: 0.8 - 5.5 mmTitanium alloy, ASTM F136	Mini AbutmentExternal hex interface(HE)Platform/Prostheticplatform Ø: $4.1/4.8$ ,$5.0/4.8$ mmGingival height: 1–4 mmUnalloyed titanium,ASTM F67	Mini AbutmentInternal hex interface (HI)Platform/Prostheticplatform Ø: $3.8/4.8$ ,$4.5/4.8$ , $5.5/4.8$ mmGingival height: 1 - 4 mmUnalloyed titanium,ASTM F67
Interface Micro-Mini Abutments	For Micro Mini AbutmentsPlatform Ø: matches Micro Mini AbutmentsProsthetic platform Ø: 3.8 mmGingival height: 0.5 mmCobalt-chromium alloy, ASTM F1537 andTitanium alloy, ASTM F136			Micro-Mini AbutmentMorse taper interface (CM)Prosthetic platform Ø: 3.5 mmGingival heights: 0.8 mm - 5 mmMorse taper interface (CM)Titanium alloy, ASTM F136
Interface External Hex (HE)Abutments(non-indexed)	For Strong SW HE, Strong SW HE Plus, andTryon ImplantsExternal hex interface (HE)Platform/Prosthetic platform Ø:$3.65/4.1$ 、 $4.1/4.3$ mmGingival height: 1.0 mmCobalt-chromium alloy, ASTM F1537 andTitanium alloy, ASTM F136	Cemented AbutmentExternal hex interface(HE)Platform/Prostheticplatform Ø: $3.65/5.0$ mmGingival height: 1-4 mmTitanium alloy,ASTM F136	UCLA AbutmentExternal hex interface(HE)Platform/Prostheticplatform Ø: $3.65/4.7$ mmGingival height: 1 mmCobalt-chromium alloy,ASTM F1537		Cemented AbutmentExternal hex interface(HE)Platform/Prostheticplatform Ø: $4.1/5.0$ ,$5.0/5.5$ , $5.0/6.0$ mmGingival height: 1–4 mmUnalloyed titanium,ASTM F67	UCLA AbutmentExternal hex interface(HE)Platform/Prostheticplatform Ø: $4.1/4.5$ ,$5.0/5.5$ mmGingival height: 1, 1.2 mmUnalloyed titanium,ASTM F67;Cobalt-chromium alloy,ASTM F1537	Titanium Base Non-EngagingMultiple interface connections(n=10 OEM implant systems)Platform Ø: 3.0 mm – 6.0 mmProsthetic platform Ø: not in 510(k) SummaryGingival height: not in 510(k) SummaryTitanium alloy, ASTM F136
Abutment Materials	Titanium alloy, ASTM F136Cobalt-chromium alloy, ASTM F1537Zirconia (Y-TZP), ISO 13356 (superstructures)	Titanium alloy, ASTM F136Cobalt-chromium alloy, ASTM F1537		Titanium alloy, ASTM F136Cobalt-chromium alloy, ASTM F1537	Titanium alloy, ASTM F136Unalloyed titanium, ASTM F67		Titanium alloy, ASTM F136Zirconia (Y-TZP), ISO 13356 (superstructures)
Abutment Screw Materials	Titanium alloy, ASTM F136	Titanium alloy, ASTM F136		Titanium alloy, ASTM F136	Titanium alloy, ASTM F136; gold alloy

S.I.N Dental Implant System

K193096

{16}------------------------------------------------

	Subject Device	Primary Predicate Device	Reference Device	Reference Device	Reference Device
	S.I.N. Dental Implant System	K170398S.I.N. Dental Implant System	K170392S.I.N. Dental Implant System	K051859Sistema de Implante Nacional Dental ImplantSystem	K183518Preat Abutments
	S.I.N. - Sistema de Implante Nacional S.A.	S.I.N. - Sistema de Implante Nacional S.A.	S.I.N. - Sistema de Implante Nacional S.A.	Sistema de Implante Nacional Ltda	Preat Corporation
How Provided
Implants	All sterile by gamma irradiation	All sterile by gamma irradiation	All sterile by gamma irradiation	All sterile by gamma irradiation	All provided non-sterile
Abutments	All sterile by gamma irradiation, except:Provisional and UCLA-type abutments;CAD-CAM abutments in cobalt-chromium alloyNon-sterile components to be moist heat sterilizedby end user	All sterile by gamma irradiation, except:Provisional and UCLA-type abutmentsNon-sterile components to be moist heat sterilizedby end user	All sterile by gamma irradiation, except:Provisional, SIT Provisional Cap, and UCLA-typeabutmentsNon-sterile components to be moist heat sterilizedby end user	All sterile by gamma irradiation	All provided non-sterileTo be moist heat sterilized by end user
Abutment Screws	All sterile by gamma irradiation, except:Screws for UCLA-type abutmentsNon-sterile components to be moist heat sterilizedby end user	All sterile by gamma irradiation	All sterile by gamma irradiation	All sterile by gamma irradiation	All provided non-sterileTo be moist heat sterilized by end user
Usage	Single patient, single use	Single patient, single use	Single patient, single use	Single patient, single use	Single patient, single use

S.I.N Dental Implant System

K193096

Regulation Number and Section

§ 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.