K Number
K200573
Device Name
BoneTrust Mini Implant System
Date Cleared
2021-05-14

(435 days)

Product Code
Regulation Number
872.3640
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The BoneTrust® Mini and Mini+ Implants are intended to be loaded immediately in partially or fully edentulous mandibles and maxilla to serve as temporary support for provisional prosthetic device during the healing phase of permanent endosseous dental implant(s). Use of BoneTrust® Mini and Mini+ Implants is not to exceed one hundred and eighty (180) days. BoneTrust® Mini Esthetic abutments and BoneTrust® Mini Crown Base Abutments are intended for use with BoneTrust® Mini / Mini+ Dental Implants to provisional prosthetic reconstructions during the healing phase of permanent endosseous dental implants. Use of BoneTrust® Mini Esthetic abutments and BoneTrust® Mini Crown Base Abutments is not to exceed one hundred and eighty (180) days. BoneTrust® Mini Ball Attachments are intended to be used with BoneTrust® Mini / Mini+ Dental Implants to support and/or retain provisional removable dental prostheses during the healing phase of permanent endosseous dental implants. Use of BoneTrust® Ball Attachments is not to exceed one hundred and eighty (180) days.
Device Description
The BoneTrust® Mini Implant System is a two-piece dental implant system including various sizes of threaded root-form dental implants and abutments to provide temporary support of prosthetic restorations in edentulous or partially edentulous patients during the healing phase of permanent endosseous dental implant(s). The maximum duration of intraoral use of all members of the BoneTrust® Mini Implant System is 180 days.
More Information

No
The summary describes a physical dental implant system and does not mention any software, algorithms, or data processing that would indicate the use of AI/ML.

Yes
The device is described as providing "temporary support for provisional prosthetic device during the healing phase of permanent endosseous dental implant(s)," which directly addresses a physiological condition (healing) and assists in the recovery process by supporting a prosthetic.

No

The device is described as a dental implant system intended for temporary support of provisional prosthetic devices during the healing phase of permanent dental implants. Its purpose is to provide structural support, not to diagnose a medical condition or disease.

No

The device description clearly states it is a "two-piece dental implant system including various sizes of threaded root-form dental implants and abutments," which are physical hardware components.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body (like blood, urine, or tissue) to provide information about a person's health.
  • Device Description and Intended Use: The BoneTrust® Mini and Mini+ Implant System is a dental implant system intended for temporary support of prosthetic devices within the patient's mouth (mandibles and maxilla). It is a physical device implanted into the body, not a test performed on a sample outside the body.

The description clearly indicates a device used for a surgical and prosthetic purpose within the patient, which is the opposite of an in vitro diagnostic.

N/A

Intended Use / Indications for Use

The BoneTrust® Mini and Mini+ Implants are intended to be loaded immediately in partially or fully edentulous mandibles and maxilla to serve as temporary support for provisional prosthetic device during the healing phase of permanent endosseous dental implant(s). Use of BoneTrust® Mini and Mini+ Implants is not to exceed one hundred and eighty (180) days.

BoneTrust® Mini Esthetic abutments and BoneTrust® Mini Crown Base Abutments are intended for use with BoneTrust® Mini / Mini+ Dental Implants to provisional prosthetic reconstructions during the healing phase of permanent endosseous dental implants. Use of BoneTrust® Mini Esthetic abutments and BoneTrust® Mini Crown Base Abutments is not to exceed one hundred and eighty (180) days.

BoneTrust® Mini Ball Attachments are intended to be used with BoneTrust® Mini / Mini+ Dental Implants to support and/or retain provisional removable dental prostheses during the healing phase of permanent endosseous dental implants. Use of BoneTrust® Ball Attachments is not to exceed one hundred and eighty (180) days.

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

DZE, NHA

Device Description

The BoneTrust® Mini Implant System is a two-piece dental implant system including various sizes of threaded root-form dental implants and abutments to provide temporary support of prosthetic restorations in edentulous or partially edentulous patients during the healing phase of permanent endosseous dental implant(s). The maximum duration of intraoral use of all members of the BoneTrust® Mini Implant System is 180 days.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

mandibles and maxilla

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)

Summary of Clinical Testing

No clinical studies were performed for the BoneTrust® Mini Implant System

Summary of non-Clinical Testing

The following nonclinical testing data were provided or relied upon in support of the substantial equivalence determination.

Biocompatibility

BoneTrust® Mini Implants and prosthetic components are manufactured using the same manufacturing process and same well established materials as Implants and prosthetic components of the BoneTrust® Implant System previously cleared under #K182313. Therefore it is believed that additional biocompatibility testing in order to support the biological safety of the BoneTrust® Mini Implant System is not necessary.

Testing for Bacterial endotoxins

Periodic testing for bacterial endotoxins on BoneTrust® Mini Implants and prosthetic components is performed in accordance with USP (limits 2.15 EU / sample). Historical test data has shown that BoneTrust® Mini implants continuously maintain acceptable levels of bacterial endotoxins. Therefore, a sampling plan including quarterly testing for endotoxins has been considered appropriate based on established process-consistency.

Fatigue testing.

The BoneTrust® Mini Implant system does not contain angulated abutments. As per FDA Guidance Document: Class II Special Controls Guidance Document: Root-Form Endosseous Dental Implants and Endosseous Dental Implant Abutments fating has not been deemed necessary to support substantial equivalence

Sterilization

The BoneTrust® Mini and Mini+ implants are Beta-radiation sterilized for a SAL (Sterility Assurance Level) of 10% with a validated sterilization procedure according to ISO 11137-1:2006 (Sterilization of health care products - Radiation - Part 1: Requirement, validation and routine control of a sterilization process for medical devices) and 11137-2:2013 (Sterilization of health care products - Radiation - Part 2: Establishing the sterilization dose).

The manufacturing, packaging and sterilization process applied to the BoneTrust® Mini Implants is identical to the sterilization process for BoneTrust® Implants previously cleared under #K182313. Therefore it is believed that no additional validation studies are necessary to support sterilization efficacy of the BoneTrust® Mini Implants.

BoneTrust® Mini prosthetic components are delivered unsterile and intended to be sterilized by the enduser prior to their clinical use. Device design as well as indicated methods and process-parameters for end-user sterilization are identical to BoneTrust® prosthetic components previously cleared under #K182313. Therefore it is believed that no additional validation studies are necessary to support end-user sterilization efficacy of the BoneTrust® Mini prosthetic components.

Shelf life

BoneTrust® Mini and Mini+ Implants are delivered sterile with a shelf life of 5 years. The packaging system used for the BoneTrust® Mini Implants is identical to the packaging system used for the BoneTrust® implants previously cleared under #K182313. Therefore it is believed that no additional validation studies are necessary to support Shelf-Life of the BoneTrust® mini Implant packaging system. Instead, validation activities performed on the BoneTrust® Implants cleared under #K182313 apply to the BoneTrust® Mini Implants.

Implant Surface Analysis

BoneTrust® Mini and Mini+ Implants feature the same surface modification as BoneTrust® Implants, previously cleared under #K182313. Investigation of the implant surface included Energy Dispersive X-ray Spectroscopy (EDX) and SEM (Scanning Electron Microscopy) analysis. Results support substantial equivalence of the BoneTrust® Mini implants to legally marketed predicate devices.

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.

#K191751

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.

#K092434, #K182313, #K182228, #K161435, #K122171

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

§ 872.3640 Endosseous dental implant.

(a)
Identification. An endosseous dental implant is a prescription device made of a material such as titanium or titanium alloy that is intended to be surgically placed in the bone of the upper or lower jaw arches to provide support for prosthetic devices, such as artificial teeth, in order to restore a patient's chewing function.(b)
Classification. (1) Class II (special controls). The device is classified as class II if it is a root-form endosseous dental implant. The root-form endosseous dental implant is characterized by four geometrically distinct types: Basket, screw, solid cylinder, and hollow cylinder. The guidance document entitled “Class II Special Controls Guidance Document: Root-Form Endosseous Dental Implants and Endosseous Dental Implant Abutments” will serve as the special control. (See § 872.1(e) for the availability of this guidance document.)(2)
Classification. Class II (special controls). The device is classified as class II if it is a blade-form endosseous dental implant. The special controls for this device are:(i) The design characteristics of the device must ensure that the geometry and material composition are consistent with the intended use;
(ii) Mechanical performance (fatigue) testing under simulated physiological conditions to demonstrate maximum load (endurance limit) when the device is subjected to compressive and shear loads;
(iii) Corrosion testing under simulated physiological conditions to demonstrate corrosion potential of each metal or alloy, couple potential for an assembled dissimilar metal implant system, and corrosion rate for an assembled dissimilar metal implant system;
(iv) The device must be demonstrated to be biocompatible;
(v) Sterility testing must demonstrate the sterility of the device;
(vi) Performance testing to evaluate the compatibility of the device in a magnetic resonance (MR) environment;
(vii) Labeling must include a clear description of the technological features, how the device should be used in patients, detailed surgical protocol and restoration procedures, relevant precautions and warnings based on the clinical use of the device, and qualifications and training requirements for device users including technicians and clinicians;
(viii) Patient labeling must contain a description of how the device works, how the device is placed, how the patient needs to care for the implant, possible adverse events and how to report any complications; and
(ix) Documented clinical experience must demonstrate safe and effective use and capture any adverse events observed during clinical use.

0

Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo is a blue square with the letters "FDA" in white, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue.

Medical Instinct Deutschland GmbH % André Weingerl RA Consultant WRC Consulting Am Hohstetter 1a Steißlingen, Baden Württemberg 78256 GERMANY

Re: K200573

Trade/Device Name: BoneTrust® Mini Implant System Regulation Number: 21 CFR 872.3640 Regulation Name: Endosseous Dental Implant Regulatory Class: Class II Product Code: DZE, NHA Dated: April 8, 2021 Received: April 12, 2021

Dear André Weingerl:

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 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.

Andrew I. Steen Assistant Director DHT1B: Division of Dental and ENT 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) K200573

Device Name BoneTrust® Mini Implant System

Indications for Use (Describe)

The BoneTrust® Mini and Mini+ Implants are intended to be loaded immediately in partially or fully edentulous mandibles and maxilla to serve as temporary support for provisional prosthetic device during the healing phase of permanent endosseous dental implant(s). Use of BoneTrust® Mini and Mini+ Implants is not to exceed one hundred and eighty (180) days.

BoneTrust® Mini Esthetic abutments and BoneTrust® Mini Crown Base Abutments are intended for use with BoneTrust® Mini / Mini+ Dental Implants to provisional prosthetic reconstructions during the healing phase of permanent endosseous dental implants. Use of BoneTrust® Mini Esthetic abutments and BoneTrust® Mini Crown Base Abutments is not to exceed one hundred and eighty (180) days.

BoneTrust® Mini Ball Attachments are intended to be used with BoneTrust® Mini / Mini+ Dental Implants to support and/or retain provisional removable dental prostheses during the healing phase of permanent endosseous dental implants. Use of BoneTrust® Ball Attachments is not to exceed one hundred and eighty (180) days.

Type of Use (Select one or both, as applicable)
☑ Prescription Use (Part 21 CFR 801 Subpart D)☐ Over-The-Counter Use (21 CFR 801 Subpart C)

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K200573

VOLUME 006

510(k) Summary

Date of Submission 2021-14-05

APPLICANT: Medical Instinct Deutschland GmbH Graseweg 24 37120 Bovenden Germany Tel.: +49 5593 95196 Fax.: +49 5593 95195

E-Mail: info@medical-instinct.de Internet: www.medical-instinct.de

CONTACT PERSON: Jan Worlitz Managing Director Tel.: +49 5593 95196 E-Mail: worlitz@medical-instinct.de

4

1. Device Name

Trade Name:BoneTrust® Mini Implant System
Classification Name:Endosseous dental implant - Endosseous dental implant abutment

2. Classification Product Code / Subsequent Code

BoneTrust® Mini Implant system can be classified according to following Device Name and Product Code:

Product Code:DZE
Device Class:2
Classification Panel:Dental
Regulation number:21 CFR 872.3640
Secondary Product Code:NHA

3. Predicate device(s)

Primary Predicate Device .

EM Provisional; Hiossen, Inc.#K191751
• Reference Devices
Sterngold 2.2mm Angled Micro ERA Dental Implant System, Sterngold#K092434
BoneTrust® Implant Systems, Medical Instinct Deutschland GmbH#K182313
MIS LOCKIT Abutments System, OT-Equators and Ball Attachments,#K182228
MIS Implants Technologies Ltd.
Temporary Snap Abutment, Nobel Biocare AB#K161435
MS SA Implant System, OSSTEM Implant Co. Ltd.#K122171

5

Device Description 4.

The BoneTrust® Mini Implant System is a two-piece dental implant system including various sizes of threaded root-form dental implants and abutments to provide temporary support of prosthetic restorations in edentulous or partially edentulous patients during the healing phase of permanent endosseous dental implant(s). The maximum duration of intraoral use of all members of the BoneTrust® Mini Implant System is 180 days

4.1. Implants Description

The BoneTrust® Mini Implants are root form implants manufactured from commercially pure titanium (Grade 4) per ISO 5832-2 and are supplied either with a machined surface or a sand-blasted, acid-etched surface treatment. All BoneTrust® Mini Implant types feature an external torx connection for fitment of BoneTrust® Mini cement-type abutments or ball type attachments

The following types of BoneTrust® Mini Implants are available:

BoneTrust® Mini implant

Image /page/5/Figure/8 description: The image shows a close-up of a dental implant. The implant is made of a metallic material and has a screw-like shape. The implant is designed to be inserted into the jawbone to support a dental prosthesis, such as a crown, bridge, or denture.

The BoneTrust® Mini Implant is a self-tapping straight body implant manufactured from commercially pure titanium with a machined surface. The implant features an external torx Implant-abutment connection.

BoneTrust® Mini+ Implant

Image /page/5/Figure/11 description: The image shows a close-up of a dental implant. The implant is made of metal and has a screw-like shape. The top of the implant is smooth and rounded, while the bottom is threaded. The implant is designed to be inserted into the jawbone to support a dental prosthesis, such as a crown, bridge, or denture.

The BoneTrust® Mini+ Implant is a self-tapping tapered body implant manufactured from commercially pure titanium with a microstructured surface by means of sandblasting / acid-etching surface-treatment followed by passivation. The implant features an external torx Implant-abutment connection.

DescriptionBoneTrust® Mini implantBoneTrust® Mini+ Implant
Design / ShapeScrew type implant, straight Body, self-tappingScrew type implant, tapered Body, self-tapping
Sizes - Diameter
x length (mm)2.3 x 11.5
2.3 x 13.02.5 x 10.0
2.5 x 13.0
Cuff height (mm)2.253.50
MaterialUnalloyed titanium grade 4
(ISO 5832-2:1999 / ASTM F67-06:2006)Unalloyed titanium grade 4
(ISO 5832-2:1999 / ASTM F67-06:2006)
SurfaceMachined surfaceMicrostructured blasted etched surface passivated
Prosthetic PlatformBall Attachment (Denture O-Ball),
Abutments for temporary cement-type restorationsBall Attachment (Denture O-Ball),
Abutments for temporary cemented restorations
Abutment ConnectionExternal Torx ConnectionExternal Torx Connection
Packaging /
SterilizationSterile packed in blister; Sterilized by irradiationSterile packed in blister; Sterilized by irradiation
Duration of useMax 180 daysMax 180 days

6

4.2. Abutments

BoneTrust® Mini Abutments are pre-manufactured single-piece Abutments directly connected to the BoneTrust® Mini Dental Implants and intended for use as an aid in the temporary prosthetic rehabilitation during the healing phase of permanent dental implants. BoneTrust® mini Abutments include Ball-type connections intended for support of removable overdentures and bridges as well as Cement-type connections for fixed temporary prosthetic restorations.

4.2.1. BoneTrust® Mini Esthetic Abutment

Image /page/6/Picture/5 description: The image shows a gray, cone-shaped object. The object appears to be made of a smooth material, possibly plastic or metal. The cone shape is wider at the bottom and tapers towards the top. There are some horizontal lines near the bottom of the cone, creating a layered effect.

The BoneTrust® Mini Esthetic Abutments are pre-manufactured Abutments manufactured from Ti-6Al-4V Alloy as per ISO 5832-3 / ASTM F136 standard. The Abutments are available in straight shape. They are characterized by an anatomical garland-shaped course which replaces the need for customization to a greatest possible extent. They are intended for single tooth restoration as well as bridge restorations. The abutment might be shortened up to a minimum abutment post height of 4 mm. The abutments are not intended for angular correction, correction of diameter or taper.

DescriptionMini Esthetic Abutment
Angulation (°)0
Available SizesPlatform DiameterGingival Height (GH)
2.7 mm1.0 mm
Total Abutment Height [mm]5.5
DesignExternal torx connection
MaterialTitanium alloy Ti-6AI-4V (ISO 5832-3 / ASTM F136)
SurfaceMachined
Packaging / Sterilizationpacked in an individual PE bag - Must be sterilized by the user.
Duration of useMax 180 days
End User ModificationWall thickness/diameterNo modifications allowed
Post heightShortening to a minimum Abut-
ment Post Height of 4 mm al-
lowed
Angulation and divergenceNo modifications allowed
Gingival heightNo modifications allowed
Connection platformNo modifications allowed
Method of modificationHand Tools only

7

4.2.2. BoneTrust® Mini Crown Base Abutment

Image /page/7/Figure/3 description: The image shows a close-up of a metal dental implant. The implant is cylindrical and has a series of threads running along its length. The threads are evenly spaced and appear to be designed to grip the bone. The implant has a smooth, polished surface and is likely made of titanium or a titanium alloy.

BoneTrust® Mini Crown Base Abutments are premanufactured Abutments manufactured from Ti-6Al-4V Alloy as per ISO 5832-3 / ASTM F136 standard. The Abutments are available in straight shape and intended to be used for dentures and screw retained bridge constructions. The abutment might be shortened up to a minimum abutment post height of 4 mm. The abutments are not intended for angular correction, correction of diameter or taper.

DescriptionMini Crown Base Abutment
Angulation (°)0
Platform DiameterGingival Height (GH)
Available Sizes2.7 mm1.0 mm
Total Abutment Height [mm]7.5
Connection TypeExternal torx connection
MaterialTitanium alloy Ti-6Al-4V (ISO 5832-3 / ASTM F136)
Surfacemachined
Packaging / Sterilizationpacked in an individual PE bag - Must be sterilized by the user.
Duration of useMax 180 days
Wall thickness/diameterNo modifications allowed
Post heightShortening to a minimum Abut-
ment Post Height of 4 mm al-
lowed
End User ModificationAngulation and divergenceNo modifications allowed
Gingival heightNo modifications allowed
Connection platformNo modifications allowed
Method of modificationHand Tools only

8

4.2.3. BoneTrust® Mini Ball-Attachments

Image /page/8/Picture/3 description: The image shows a dental implant and its abutment. The implant is a screw-shaped device that is surgically placed into the jawbone to support a dental prosthesis, such as a crown, bridge, or denture. The abutment is a connector that attaches to the implant and provides a base for the prosthesis. The implant and abutment are made of titanium, a biocompatible material that is well-tolerated by the body. The implant has a rough surface to promote bone growth and integration, while the abutment has a smooth surface to prevent plaque accumulation.

BoneTrust® Mini Ball-Attachments are indicated for the use of temporary nonsplinted, removable dentures in the treatment of partially or totally edentulous patients to restore chewing function. They consist of the Ball type Attachment and the O-Ring matrix. The Ball type Attachment is manufactured from Ti-6Al-4V Alloy as per ISO 5832-3 / ASTM F136 standard with a machined surface. This attachment is mounted on the implant by a screw-locking mechanism and serves as the male part of the removable BoneTrust® Mini Ball-Attachment system. The retaining female counterpart, the O-rinq matrix is manufactured from Ti-6Al-4V Alloy as per ISO 5832-3 / ASTM F136 with a machined surface. The O-Ring matrix is incorporated into an existing prosthesis via polymerization, engages the outside of the ball shape and allows retention of the prosthesis to the denture.

All components of the BoneTrust® Mini Ball-Attachment Abutments are not intended for any kind of modification by the user.

DescriptionMini Ball-Attachments
Angulation (°)0
Platform diameter (mm)2.7
Body diameter (mm)2.3
Connection TypeInternal locking screw fixation
MaterialTitan Grade 5 (ISO 5832-3 / ASTM F136)
Surfacemachined
Packaging / Sterilizationpacked in an individual PE bag - Must be sterilized by the user.
Duration of useMax 180 days

4.3. BoneTrust® Mini Retaining Screw

Image /page/8/Picture/8 description: The image shows a close-up of a small, metallic screw. The screw has a cylindrical head and a threaded shaft. The metal appears to be a light gray color. The screw is likely used for fastening or joining materials together.

The BoneTrust® Mini Retaining Screw is manufactured from Ti-6Al-4V Alloy as per ISO 5832-3 / ASTM F136 standard with a machined surface. It is used to firmly connect BoneTrust® Mini Abutments with BoneTrust® Mini Implants via the implant's and abutment's torx-connection.

The BoneTrust® Mini Retaining Screw is delivered sterile and supplied with each BoneTrust® Mini Implant.

The BoneTrust® Mini Retaining Screw is not intended for any kind of modification by the user.

DescriptionMini Retaining Screw
Angulation (°)0
Total Length (mm)4.4
Diameter (mm)1.8
Connection TypeM1,4x0,25
MaterialTitanium alloy Ti-6AI-4V (ISO 5832-3 / ASTM F136)
Surfacemachined
Packaging / SterilizationSterile packed in blister; Sterilized by irradiation
Duration of useMax 180 days

9

5. Indications for Use

The BoneTrust® Mini and Mini+ Implants are intended to be loaded immediately in partially or fully edentulous mandibles and maxilla to serve as temporary support for provisional prosthetic device during the healing phase of permanent endosseous dental implant(s). Use of BoneTrust® Mini and Mini+ Implants is not to exceed one hundred and eighty (180) days.

BoneTrust® Mini Esthetic abutments and BoneTrust® Mini Crown Base Abutments are intended for use with BoneTrust® Mini / Mini+ Dental Implants to provisional prosthetic reconstructions during the healing phase of permanent endosseous dental implants. Use of BoneTrust® Mini Esthetic abutments and BoneTrust® Mini Crown Base Abutments is not to exceed one hundred and eighty (180) days.

BoneTrust® Mini Ball Attachments are intended to be used with BoneTrust® Mini / Mini+ Dental Implants to support and/or retain provisional removable dental prostheses during the healing phase of permanent endosseous dental implants. Use of BoneTrust® Ball Attachments is not to exceed one hundred and eighty (180) days.

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Image /page/10/Picture/1 description: The image shows the logo for "medical instinct". The words are in gray, except for the plus sign in the middle, which is orange. The logo also includes a registered trademark symbol in the upper right corner.

6. Technological Characteristics and Substantial Equivalence

6.1. Comparison of indications for use and Technological Characteristics

The indications for use as well as technologics of the proposed devices are compared to the primary predicate and reference devices in the following tables:

| Company | Proposed Device:
Medical Instinct Deutsch-
land GmbH | Primary Predicate De-
vice:
Hiossen Inc. | Reference Device:
Sterngold | Reference Device:
Medical Instinct Deutsch-
land GmbH | Reference Device:
OSSTEM Implant Co.
Ltd. | Result |
|------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Device
Name | BoneTrust® Mini / Mini+
Implant System | EM Provisional | Sterngold 2.2mm Angled
Micro ERA Dental Implant
System | BoneTrust® Implant Sys-
tems | MS SA Implant System,
Type: Narrow ridge | -- |
| 510(K)
number | -- | K191751 | K092434 | K182313 | K122171 | -- |
| Intended
use | The BoneTrust® Mini and
Mini+ Implants are intended
to be loaded immediately in
partially or fully edentulous
mandibles and maxilla to
serve as temporary support
for provisional prosthetic
device during the healing
phase of permanent endos-
seous dental implant(s). Use
of BoneTrust® Mini and
Mini+ Implants is not to
exceed one hundred and
eighty (180) days. | The EM Provisional is
intended to be loaded
immediately in partially or
fully edentulous mandibles
and maxilla to serve as
temporary support for
provisional prosthetic
device during the healing
phase of permanent en-
dosseous dental im-
plant(s). | The Sternqold 2.2mm Angled
ERA dental implants are intend-
ed for long term as well as
temporary surgical implantation
in the bone of the patient's upper
or lower arch to provide immedi-
ate load or delayed load of
prosthetic systems, such as
artificial teeth, in order to restore
the patient's chewing function.
Immediate loading of the ERA
Implant should only occur when
the position of the implants
provides adequate bone quantity
and quality to allow proper
immediate mechanical stabiliza-
tion of the self-tapping screw
into the bone and where occlu-
sal and lateral forces can be
limited with appropriate occlusal
design and a soft diet. | Bone Trust® Dental Im-
plants are medical devices
intended to be surgically
placed in the bone of the
maxillary and/or mandibular
arches to provide support for
prosthetic restorations
(crowns, bridges or overden-
ture) in edentulous or partial-
ly edentulous patients to
restore a patients' chewing
function.
Bone Trust® Dental Im-
plants are in-tended for
immediate or delayed load-
ing after 12 weeks. | The MIS SA Implant (Nar-
row Ridge) is intended to
use in the treatment of
missing mandibular central
and lateral incisors to
support prosthetic device;
such as artificial teeth, in
order to restore chewing
function in partially eden-
tulous patients. The MIS
SA Implant (Narrow
Ridge) is intended for
single use only. It is in-
tended for delayed loading | Similar to primary
predicate device.
The primary predi-
cate device contains
limitations of implant
duration in the label-
ing.
The additional limita-
tion of implant dura-
tion is similar to
reference devices
and does not change
the intended use of
the device |

6.1.1. BoneTrust® Mini / Mini+ Implants

11

Image /page/11/Picture/1 description: The image shows the logo for "medical instinct". The words are in lowercase letters and are gray, except for the plus sign between "ins" and "tinct", which is orange. A small "®" symbol is located to the right of the word "instinct".

| Company | Proposed Device:
Medical Instinct Deutsch-
land GmbH | Primary Predicate De-
vice:
Hiossen Inc. | Reference Device:
Sterngold | Reference Device:
Medical Instinct Deutsch-
land GmbH | Reference Device:
OSSTEM Implant Co.
Ltd. | Result |
|--------------------------------------|------------------------------------------------------------|------------------------------------------------|--------------------------------------------|-------------------------------------------------------------|-------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Implant
material | Titanium Grade 4 ASTM
F67 | Titanium Grade 4 ASTM
F67 | Commercially pure Titanium | Titanium Grade 4 ASTM
F67 | Titanium Alloy Ti-6Al-4V
(ASTM F 136) | Identical to reference
device K182313 |
| Implant
Type | Screw-type | Screw-type | Screw-type | Screw-type | Screw-type | Identical |
| Design | straight body / tapered Body | straight body | straight body | straight body / tapered body | straight body | Identical to reference
device K182313 |
| Screw type | Self-tapping | Self-tapping | Self-tapping | Self-tapping | Self-tapping | Identical |
| Distal End | With thread | With thread | With thread | With thread | With thread | Identical |
| Single or
two piece | Two piece design | One piece design | Two piece design | Two piece design | One piece design | Identical to reference
devices K092434
and K182313 |
| Implant to
abutment
connection | Eternal Torx Implant / Abut-
ment fixture | Not applicable (One piece
design) | External hex Implant / Abutment
fixture | Cylindrical Internal Hexagon
or and conical torx | Not applicable (One piece
design) | The implant-
Abutment connection
geometry does not
raise any concerns in
regard to safety and
effectiveness of the
implant abutment
interface |

12

Image /page/12/Picture/1 description: The image shows the logo for "medical instinct". The words are in lowercase letters and gray. The plus sign in the middle of the word "instinct" is orange. There is a registered trademark symbol in the upper right corner of the logo.

| Company | Proposed Device:
Medical Instinct Deutsch-
land GmbH | Primary Predicate De-
vice:
Hiossen Inc. | Reference Device:
Sterngold | Reference Device:
Medical Instinct Deutsch-
land GmbH | Reference Device:
OSSTEM Implant Co.
Ltd. | Result |
|-------------------------------------------------|--------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------|
| Implant
Dimensions
(Diameter X
Length) | Ø2.3 X 11.5
Ø2.3 X 13.0
Ø2.5 X 10.0
Ø2.5 X 13.0 | Ø1.8 mm X 10.0 mm
Ø1.8 mm X 13.0 mm
Ø1.8 mm X 15.0 mm
Ø2.5 mm X 10.0 mm
Ø2.5 mm X 13.0 mm
Ø2.5 mm X 15.0 mm | Ø2.2 mm X 10.0 mm
Ø2.2 mm X 13.0 mm
Ø2.2 mm X 15.0 mm | Ø3.4 X 8
Ø3.4 X 10
Ø3.4 X 11,5
Ø3.4 X 13
Ø3.4 X 14,5
Ø4 X 6.5
Ø4 X 8
Ø4 X 10
Ø4 X 11.5
Ø4 X 13
Ø4 X 14.5
Ø5 X 6.5
Ø5 X 8
Ø5 X 10
Ø5 X 11.5
Ø5 X 13 | Ø2.5 mm X 8.5 mm
Ø2.5 mm X 10.0 mm
Ø2.5 mm X 11.5 mm
Ø2.5 mm X 13.0 mm
Ø2.9 mm X 8.5 mm
Ø2.9 mm X 10.0 mm
Ø2.9 mm X 11.5 mm
Ø2.9 mm X 13.0 mm | Sizes are within
range of primary
predicate device |
| Surface
treatment | Machined /
Microstructured blasted
etched surface passivated | Machined | Microstrucured, acid-etched
Surface | Microstructured blasted
etched surface, passivated | Sand blasting and acid
etching | Identical to K191751
and K182313 |
| Sterilization | Beta Radiation | Gamma Radiation | Gamma Radiation | Beta Radiation | Radiation sterile | Identical to K182313 |

13

| Company | Candidate:
Medical Instinct Deutschland
GmbH | Reference Device:
Nobel Biocare AB | Reference Device:
Sterngold | Reference Device:
Medical Instinct Deutschland
GmbH | Result |
|-----------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Device Name | BoneTrust® Mini Esthetic Abut-
ments, Crown Base Abutments | Temporary Snap Abutment | Sterngold 2.2mm Angled Micro
ERA Dental Implant System | BoneTrust® Esthetic Abutments | -- |
| Code | NHA | NHA | DZE | NHA | -- |
| 510(K) number | -- | K161435 | K092434 | K182313 | -- |
| Indications | BoneTrust® Mini Esthetic abutments
and BoneTrust® Mini Crown Base
Abutments are intended for use with
BoneTrust® Mini / Mini+ Dental
Implants to provide support for
provisional prosthetic reconstruc-
tions during the healing phase of
permanent endosseous dental
implants. Use of BoneTrust® Mini
Esthetic abutments and BoneTrust®
Mini Crown Base Abutments is not
to exceed one hundred and eighty
(180) days. | The Temporary Snap Abutment is
intended to be used to fabricate
and support provisional restora-
tions that aid in creating an esthetic
emergence through the gingiva
during the healing period and prior
to final restoration. The Temporary
Snap Abutment can be used for
cement retained or screw-retained
provisional restorations. The abut-
ments can be used for single-unit
and multi-unit restorations. Use of
the temporary Snap Abutment is
not to exceed one hundred and
eighty (180) days. | The Sterngold 2.2mm Angled ERA
dental implants are intended for
long term as well as temporary
surgical implantation in the bone of
the patient's upper or lower arch to
provide immediate load or delayed
load of prosthetic systems, such as
artificial teeth, in order to restore
the patient's chewing function.
Immediate loading of the ERA
Implant should only occur when the
position of the implants provides
adequate bone quantity and quality
to allow proper immediate mechan-
ical stabilization of the self-tapping
screw into the bone and where
occlusal and lateral forces can be
limited with appropriate occlusal
design and a soft diet. | Bone Trust® Abutments and Pros-
thetic parts are intended for use
with Bone Trust Dental Implants in
the maxillary and/or mandibular
arches to provide support for
crowns, bridges or overdenture for
edentulous or partially edentulous
patients. | Substantially
Equivalent to
K161435.
Indications of
K092434 include
temporary and
permanent use and
thus cover all indi-
cations claimed for
the proposed de-
vice. The more
restrictive indica-
tions of the pro-
posed device do
not raise any con-
cerns in regard to
safety and effec-
tiveness
Minor differences in
language do not
impact the safety
and effectiveness
of the subject de-
vice |
| Company | Candidate:
Medical Instinct Deutschland
GmbH | Reference Device:
Nobel Biocare AB | Reference Device:
Sterngold | Reference Device:
Medical Instinct Deutschland
GmbH | Result |
| Duration of use | Temporary use | Temporary use | Temporary use / Permanent use | Permanent use | Identical to
K161435
Indications of
K092434 include
temporary and
permanent use and
thus cover all indi-
cations claimed for
the proposed de-
vice. The more
restrictive indica-
tions of the pro-
posed device do
not raise any con-
cerns in regard to
safety and effec-
tiveness |
| Material | Titanium alloy Ti6AI4V (ASTM F136) | Abutments and screws -
Titanium vanadium alloy
(ASTM F1472, ASTM F136) | Wrought Titanium
6AL-4V ELI | Titanium alloy Ti6AI4V
(ASTM F136) | Identical |
| Surface | Machined | Machined | Machined | Machined | Identical |
| Size | Platform Diameter: 2.7mm
Body Diameter: 3.9mm, 4.2mm
Gingival Height: 1.0mm | Platform Diameter: Narrow Plat-
form (NP), Regular Platform (RP),
Wide Platform (WP)
Body Diameter: 4.0, 4.5, 6.0mm
Collar height: 1.5mm, 3mm | Platform Diameter: 2.2mm (Implant
thread major diameter)
Cuff Height: 0,76 – 4mm | Platform Diameter: ø 3.4 - 4.0 -
5.0mm
Body Diameter: 4.5mm
Gingival Height: 0.5 - 0.7 - 2.5 -
4.5mm | Reference device
K092434 has been
used to address
any dimensions not
cleared in the
reference Device
K161435 submis-
sion. |
| Company | Candidate:
Medical Instinct Deutschland
GmbH | Reference Device:
Nobel Biocare AB | Reference Device:
Sterngold | Reference Device:
Medical Instinct Deutschland
GmbH | Result |
| Connection | Eternal Torx Implant / Abutment
fixture | Internal conical connection | Internal Connection | Cylindrical external Hexagon or
conical torx | The implant-
Abutment connec-
tion geometry does
not raise any con-
cerns in regard to
safety and effec-
tiveness of the
implant abutment
interface |
| Angulation | 0° | 0° | 0°, 5°, 11°, 17° | 0° - 15° - 20° | Identical to
K161435 |
| sterility | Unsterile | Unsterile | Unsterile | Unsterile | Identical |

6.1.2. BoneTrust® Mini Esthetic Abutments / Mini Crown base Abutments

14

Image /page/14/Picture/1 description: The image shows the logo for "medical instinct". The words are in lowercase letters and are gray, except for the plus sign between "ins" and "tinct", which is orange. A small "®" symbol is located to the right of the word "instinct".

15

510(K) BoneTrust® Mini Implant System

Image /page/15/Picture/1 description: The image shows the logo for "medical instinct". The words are in lowercase letters and are gray, except for the plus sign between "ins" and "tinct", which is orange. A small "®" symbol is located to the right of the word "instinct".

16

Image /page/16/Picture/1 description: The image shows the logo for "medical instinct". The words are in lowercase letters and are gray, except for the plus sign between "ins" and "tinct", which is orange. A small "®" symbol is located to the right of the word "instinct".

6.1.3. BoneTrust® Mini Ball Attachment

Candidate:Reference Device:Result
CompanyMedical Instinct Deutschland GmbHMIS Implants Technologies Ltd.
Device NameBoneTrust® Ball AttachmentsMIS LOCKIT Abutments System, OT-Equators and Ball Attachments--
CodeNHANHA--
510(K) number--K182228--
IndicationsBoneTrust® Mini Ball Attachments are intended to be
used with BoneTrust® Mini / Mini+ Dental Implants to
support and/or retain provisional removable dental prostheses during the healing phase of permanent endosseous dental implants. Use of BoneTrust® Ball Attachments is not to exceed one hundred and eighty (180) days.Dental implant abutments are intended to be used in the upper or lower jaw and used for supporting tooth replacements to restore chewing function. The abutments in combination with endosseous implants are used as the foundation for anchoring tooth replacements in either jaw. For fully edentulous jaw retaining a tissue-supported overdenture.Both devices are intended for the support of removable dental prostheses.
Reference Device is indicated for long-term intraoral use, whereas the proposed device is indicated for provisional use. These differences do not impact the safety and effectiveness of the proposed device
MaterialTitanium alloy Ti6Al4V (ASTM F136)Ti 6AI 4V ELI per ASTM F136Identical
SurfacemachinedTiN coating after machinedResults of biocompatibility assessment and testing support that differences in surface treatment do not raise any concerns in regard to safety and effectiveness of the proposed device
SizePlatform Diameter: 2.7mm
Body Diameter: 4.5mm
Gingival Height: 1.0mmPlatform Diameter: 3.3mm, 3.75mm, 4.2mm, 5.0mm, 6.0mm
Body Diameter: 4.0mm, 4.1mm, 5.0mm
Gingival Height: 1.0mm, 2.0mm, 3.0mm, 4.0mm, 5.0mmPlatform Sizes are adapted to platform diameter of the implant system. Minor differences do not raise any concerns in regard to safety and effectiveness of the proposed device
ConnectionInternal locking screw fixationInternal hexagonThe implant-Abutment connection geometry does not raise any concerns in regard to safety and effectiveness of the implant abutment interface.
AngulationIdentical
sterilityNon SterileNon SterileIdentical

17

7. Performance testing

Summary of Clinical Testing 7.1.

No clinical studies were performed for the BoneTrust® Mini Implant System

7.2. Summary of non-Clinical Testing

The following nonclinical testing data were provided or relied upon in support of the substantial equivalence determination.

7.2.1. Biocompatibility

BoneTrust® Mini Implants and prosthetic components are manufactured using the same manufacturing process and same well established materials as Implants and prosthetic components of the BoneTrust® Implant System previously cleared under #K182313. Therefore it is believed that additional biocompatibility testing in order to support the biological safety of the BoneTrust® Mini Implant System is not necessary.

7.2.1.1. Testing for Bacterial endotoxins

Periodic testing for bacterial endotoxins on BoneTrust® Mini Implants and prosthetic components is performed in accordance with USP (limits 2.15 EU / sample). Historical test data has shown that BoneTrust® Mini implants continuously maintain acceptable levels of bacterial endotoxins. Therefore, a sampling plan including quarterly testing for endotoxins has been considered appropriate based on established process-consistency.

7.2.2. Fatigue testing.

The BoneTrust® Mini Implant system does not contain angulated abutments. As per FDA Guidance Document: Class II Special Controls Guidance Document: Root-Form Endosseous Dental Implants and Endosseous Dental Implant Abutments fating has not been deemed necessary to support substantial equivalence

7.2.3. Sterilization

The BoneTrust® Mini and Mini+ implants are Beta-radiation sterilized for a SAL (Sterility Assurance Level) of 10% with a validated sterilization procedure according to ISO 11137-1:2006 (Sterilization of health care products - Radiation - Part 1: Requirement, validation and routine control of a sterilization process for medical devices) and 11137-2:2013 (Sterilization of health care products - Radiation - Part 2: Establishing the sterilization dose).

The manufacturing, packaging and sterilization process applied to the BoneTrust® Mini Implants is identical to the sterilization process for BoneTrust® Implants previously cleared under #K182313. Therefore it is believed that no additional validation studies are necessary to support sterilization efficacy of the BoneTrust® Mini Implants.

BoneTrust® Mini prosthetic components are delivered unsterile and intended to be sterilized by the enduser prior to their clinical use. Device design as well as indicated methods and process-parameters for end-user sterilization are identical to BoneTrust® prosthetic components previously cleared under #K182313. Therefore it is believed that no additional validation studies are necessary to support end-user sterilization efficacy of the BoneTrust® Mini prosthetic components.

18

7.2.4. Shelf life

BoneTrust® Mini and Mini+ Implants are delivered sterile with a shelf life of 5 years. The packaging system used for the BoneTrust® Mini Implants is identical to the packaging system used for the BoneTrust® implants previously cleared under #K182313. Therefore it is believed that no additional validation studies are necessary to support Shelf-Life of the BoneTrust® mini Implant packaging system. Instead, validation activities performed on the BoneTrust® Implants cleared under #K182313 apply to the BoneTrust® Mini Implants.

7.2.5. Implant Surface Analysis

BoneTrust® Mini and Mini+ Implants feature the same surface modification as BoneTrust® Implants, previously cleared under #K182313. Investigation of the implant surface included Energy Dispersive X-ray Spectroscopy (EDX) and SEM (Scanning Electron Microscopy) analysis. Results support substantial equivalence of the BoneTrust® Mini implants to legally marketed predicate devices.

8. Conclusion as to Substantial Equivalence:

Based on the comparison of the indications for use, the technological characteristics and the nonclinical testing it can be concluded that the BoneTrust® Mini Implant System is substantially equivalent to the predicate devices.