Predicate Devices

Reference Devices

K192436, K161689, K182091, K120847, K152509

AI/ML (Artificial Intelligence / Machine Learning)

No
The description focuses on the physical design, materials, and intended use of dental implants and abutments. There is no mention of software, algorithms, or data processing that would indicate the use of AI or ML.

Therapeutic

Yes

The device, an "IM/ST Fixture System," is indicated for use in supporting single or multiple-unit restorations in partially or fully edentulous mandibles and maxillae, including cemented retained, screw retained, or overdenture restorations, and as final or temporary abutment support for fixed bridgework, which directly addresses a health condition (edentulousness) and restores function (dentition).

Diagnostic

No

Explanation: The device is an implant system used for restoration in partially or fully edentulous mandibles and maxillae, not for diagnosing medical conditions.

SaMD (Software as a Medical Device)

No

The device description clearly details physical components made of titanium and titanium alloy, such as dental implants, abutments, and abutment screws. This indicates it is a hardware medical device, not software-only.

IVD (In Vitro Diagnostic)

Based on the provided text, 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 detect diseases, conditions, or infections.
Device Description: The description clearly states that the IM/ST Fixture System is a dental implant system intended for surgical implantation into the jawbone (mandibles and maxillae) to support dental restorations.
Intended Use: The intended use is for supporting dental restorations in partially or fully edentulous patients. This is a surgical and prosthetic application, not a diagnostic test performed on a sample outside the body.

The device is a surgically implanted medical device, not an in vitro diagnostic device.

PCCP (Predetermined Change Control Plan) Authorized

N/A

Overview

Intended Use / Indications for Use

The IM/ST Fixture System is indicated for use in partially or fully edentulous mandibles and maxillae, in support of single or multiple-unit restorations including; cemented retained, or overdenture restorations, and final or temporary abutment support for fixed bridgework. It is intended for delayed loading.

Product codes

DZE, NHA

Device Description

The proposed device, IM/ST Fixture System, is indicated for use in partially or fully edentulous mandibles and maxillae, in support of single or multiple-unit restorations including; cemented retained, screw retained, or overdenture restorations, and final or temporary abutment support for fixed bridgework. It is intended for delayed loading.

Implant system contain dental implant and abutment. The dental implant system, IM Implant System and ST Implant System, both of which are divided into mini implant and regular implant. IM Implant and ST Implant have different designs for the external thread section. The external thread part of IM implant is composed of conical shape, double thread and spiral groove, while The external thread part of ST implant is composed of conical shape, single thread, neck micro thread and cutting groove. Both IM implant and ST implant are available in diameters of 3.75, 4.2, 4.6 and 5.05mm and lengths of 7, 8.5, 10, 11.5, 13 and 15mm, and both are bone level. The "mini" and "regular" differ in size, but abutments are cross-compatible with both IM and ST implant types, and the abutment is attached to the implant by abutment screw and fastened to the implant. The material of abutment screw is Titanium Alloy (Ti-6A1-4V, ASTM F136).

The implants are bone level. The implants were made of Pure Titanium Grade 4 and underwent sandblasting and acid etching process. Modified surface testing (SEM/EDS) for blasted/etched surfaces was conducted to demonstrate removal of particles and chemicals from implant surface.

Abutment can be divided into healing abutment, straight abutment, multi-abutment, multi-angled abutment and temporary abutment. And it is divided into mini abutment and regular abutment. In addition, abutment also has three types of cylinder, angled cylinder and temporary cylinder.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

mandibles and maxillae

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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

Not Found

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

Not Found

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

Non clinical tests were conducted to verify that the proposed device met all design specifications as was compared to the predicate device and reference device. The test results demonstrated that the proposed device complies with the following standards:

ISO 10993-1:2018 Biological evaluation of medical devices Part 1: Evaluation and testing within a risk management process
ISO 14801:2016 Dentistry-Implants-Dynamic fatigue test for endosseous dental implants
USP Bacterial Endotoxin Test
ASTM F136-13, Standard Specification for Wrought Titanium-6 Aluminum-4 Vanadium ELI (Extra Low Interstitial) Alloy for Surgical Implant Applications
ASTM F67-13 (Reapproved 2017), Standard Specification for Unalloyed Titanium for Surgical Implant Applications
ISO 17665-1:2006 Sterilization of health care products - Moist heat - Part 1: Requirements for the development, validation and routine control of a sterilization process for medical devices
ISO 17665-2:2009 Sterilization of health care products - Moist heat - Part 2: Guidance on the application of ISO 17665-1
ISO 11137-2:2013 Sterilization of health care products - Radiation - Part 2: Establishing the sterilization dose
ISO 11137-1:2006 Sterilization of health care products - Radiation - Part 1: Requirements for development, validation and routine control of a sterilization process for medical devices [Including: Amendment 1 (2013) and Amendment 2 (2018)]
ASTM F1980:2016 Standard Guide for Accelerated Aging of Sterile Barrier Systems for Medical Devices

Non-clinical worst-case MRI review was performed to evaluate the IM/ST Fixture System devices in the MRI environment using scientific rationale and published literature (e.g., Woods, Terry O., Jana G. Delfino, and Sunder Rajan. "Assessment of Magnetically Induced Displacement Force and Torque on Metal Alloys Used in Medical Devices." Journal of Testing and Evaluation 49.2 (2019): 783-795), based on the entire system including all variations (all compatible implant bodies, dental abutments, and fixation screws) and material composition. Rationale addressed parameters per the FDA guidance "Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment," including magnetically induced displacement force and torque.

No clinical study is included in this submission.

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

Not Found

Predicate Device(s)

K121995

Reference Device(s)

K192436, K161689, K182091, K120847, K152509

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

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.

Summary

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 in blue and includes the letters "FDA" in a square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION".

Guilin FiTeeth Medical Instrument Co., Ltd. % Diana Hong General Manager Mid-Link Consulting Co., Ltd P.O. Box 120-119 Shanghai. 200120 CHINA

Re: K212702

Trade/Device Name: IM/ST Fixture System Regulation Number: 21 CFR 872.3640 Regulation Name: Endosseous Dental Implant Regulatory Class: Class II Product Code: DZE, NHA Dated: September 15, 2022 Received: September 15, 2022

Dear Diana Hong:

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 Ouality Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known) K212702

Device Name IM/ST Fixture System

Indications for Use (Describe)

The IM/ST Fixture System is indicated for use in partially or fully edentulous mandibles and maxillae, in support of single or multiple-unit restorations including; cemented retained, or overdenture restorations, and final or temporary abutment support for fixed bridgework. It is intended for delayed loading.

Type of Use (Select one or both, as applicable)

区 Prescription Use (Part 21 CFR 801 Subpart D)

__ Over-The-Counter Use (21 CFR 801 Subpart C)

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510(k) Summary

This 510(k) Summary of 510(k) safety and effectiveness information is being submitted in accordance with requirements of Title 21, CFR Section 807.92.

The assigned 510(k) Number: K212702

1. Date of Preparation: 10/13/2022
1. Sponsor Identification

Guilin FiTeeth medical instrument Co., Ltd.

Southeast side of Renmin road extension line, Yangtang industrial park, Lingui district, Guilin city, Guangxi zhuang autonomous region

Establishment Registration Number: Not yet registered

Contact Person: Jun Zhou Position: Project Manager Tel: +86-773-2350558 Fax: +86-773-5822450 Email: 364883667@qq.com

1. Designated Submission Correspondent
  Ms. Diana Hong (Primary Contact Person) Ms. Ying Xu (Alternative Contact Person)

Mid-Link Consulting Co., Ltd

P.O. Box 120-119, Shanghai, 200120, China

Tel: +86-21-22815850 Fax: 360-925-3199 Email: info@mid-link.net

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4. Identification of Proposed Device

Trade Name: IM/ST Fixture System Common Name: Dental Implant

Regulatory Information Classification Name: Endosseous Dental Implant Classification: II Product Code: DZE, NHA Regulation Number: 21 CFR 872.3640 Review Panel: Dental

Indications for Use

The IM/ST Fixture System is indicated for use in partially or fully edentulous mandibles and maxillae, in support of single or multiple-unit restorations including; cemented retained, or overdenture restorations, and final or temporary abutment support for fixed bridgework. It is intended for delayed loading.

Device Description

The proposed device, IM/ST Fixture System, is indicated for use in partially or fully edentulous mandibles and maxillae, in support of single or multiple-unit restorations including; cemented retained, screw retained, or overdenture restorations, and final or temporary abutment support for fixed bridgework. It is intended for delayed loading.

Implant system contain dental implant and abutment. The dental implant system, IM Implant System and ST Implant System, both of which are divided into mini implant and regular implant. IM Implant and ST Implant have different designs for the external thread section. The external thread part of IM implant is composed of conical shape, double thread and spiral groove, while The external thread part of ST implant is composed of conical shape, single thread, neck micro thread and cutting groove. Both IM implant and ST implant are available in diameters of 3.75, 4.2, 4.6 and 5.05mm and lengths of 7, 8.5, 10, 11.5, 13 and 15mm, and both are bone level. The "mini" and "regular" differ in size, but abutments are cross-compatible with both IM and ST implant types, and the abutment is attached to the implant by abutment screw and fastened to the implant. The material of abutment screw is Titanium Alloy (Ti-6A1-4V, ASTM F136).

The implants are bone level. The implants were made of Pure Titanium Grade 4 and underwent sandblasting and acid etching process. Modified surface testing (SEM/EDS) for blasted/etched surfaces was conducted to demonstrate removal of particles and chemicals from implant surface.

5

Abutment can be divided into healing abutment, straight abutment, multi-abutment, multi-angled abutment and temporary abutment. And it is divided into mini abutment and regular abutment. In addition, abutment also has three types of cylinder, angled cylinder and temporary cylinder.

ર. Identification of Primary Predicate Device
510(k) Number: K121995 Product Name: TS FIXTURE SYSTEM Manufacturer: OSSTEM IMPLANT CO.,LTD
1. Identification of Reference Devices
  Reference Device 1 510(k) Number: K192436 Device Name: Healing Abutments and Cover Screws Manufacturer: Dentium Co., Ltd.

Reference Device 2 510(k) Number: K161689 Device Name: OSSTEM Implant System - Abutment Manufacturer: OSSTEM IMPLANT Co., Ltd.

Reference Device 3 510(k) Number: K182091 Device Name: Osstem Abutment System Manufacturer: OSSTEM IMPLANT CO., LTD

Reference Device 4 510(k) Number: K120847 Device Name: ET/SS IMPLANT SYSTEM Manufacturer: OSSTEM IMPLANT CO., LTD

Reference Device 5 510(k) Number: K152509 Device Name: CAMLOG and CONELOG Abutments for Screw-retained Restorations (ASR) Manufacturer: ALTATEC GMBH

1. Non-Clinical Test Conclusion

6

Non clinical tests were conducted to verify that the proposed device met all design specifications as was compared to the predicate device and reference device. The test results demonstrated that the proposed device complies with the following standards:

ISO 10993-1:2018 Biological evaluation of medical devices Part 1: Evaluation and testing within > a risk management process
ISO 14801:2016 Dentistry-Implants-Dynamic fatigue test for endosseous dental implants
USP Bacterial Endotoxin Test
ASTM F136-13, Standard Specification for Wrought Titanium-6 Aluminum-4 Vanadium ELI (Extra Low Interstitial) Alloy for Surgical Implant Applications
ASTM F67-13 (Reapproved 2017), Standard Specification for Unalloyed Titanium for Surgical Implant Applications
ISO 17665-1:2006 Sterilization of health care products - Moist heat - Part 1: Requirements for the development, validation and routine control of a sterilization process for medical devices
ISO 17665-2:2009 Sterilization of health care products - Moist heat - Part 2: Guidance on the application of ISO 17665-1
ISO 11137-2:2013 Sterilization of health care products - Radiation - Part 2: Establishing the sterilization dose
ISO 11137-1:2006 Sterilization of health care products - Radiation - Part 1: Requirements for development, validation and routine control of a sterilization process for medical devices [Including: Amendment 1 (2013) and Amendment 2 (2018)]
A ASTM F1980:2016 Standard Guide for Accelerated Aging of Sterile Barrier Systems for Medical Devices

" Non-clinical worst-case MRI review was performed to evaluate the IM/ST Fixture System devices in the MRI environment using scientific rationale and published literature (e.g., Woods, Terry O., Jana G. Delfino, and Sunder Rajan. "Assessment of Magnetically Induced Displacement Force and Torque on Metal Alloys Used in Medical Devices." Journal of Testing and Evaluation 49.2 (2019): 783-795), based on the entire system including all variations (all compatible implant bodies, dental abutments, and fixation screws) and material composition. Rationale addressed parameters per the FDA guidance "Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment," including magnetically induced displacement force and torque.

1. Clinical Test Conclusion
  No clinical study is included in this submission.

7

9. Summary of Technological characteristics

Item	Proposed Device	Predicate Device K121995	Remark
Device Class	II	II	Similar
Product Code	DZE	DZE	Similar
Regulation Number	872.3640	872.3640	Similar
Indications for Use	The IM/ST Fixture System is
indicated for use in partially or fully
edentulous mandibles and maxillae,
in support of single or multiple-unit
restorations including; cemented
retained, screw retained, or
overdenture restorations, and final or
temporary abutment support for fixed
bridgework. It is intended for delayed
loading.	The TS Fixture System is indicated for
use in partially or fully edentulous
mandibles and maxillae, in support of
single or multiple-unit restorations
including; cemented retained, screw
retained, or overdenture restorations, and
final or temporary abutment support for
fixed bridgework. It is intended for
delayed loading.
TS Fixture System is compatible with
abutment in the ET/SS Implant System.	Similar
Surgery type	One or two stage Surgery	One or two stage Surgery	Similar
Structure	- Internal Hex-Connected

Submerged Fixture
Tapered body shape
3 sided cutting edge with
self-tapping | - Internal Hex-Connected
Submerged Fixture
Tapered body shape and straight body
shape
4 sided cutting edge with self-tapping | Different |
| Body Diameter (D) | 3.75, 4.2, 4.6, 5.05 | TSIII SA Fixture: 3.75, 3.77, 4.2, 4.25,
4.6, 4.63, 4.65, 5.05, 5.08, 5.1, 5.92,
5.95, 6, 6.8 | Different |
| Implant
Length
(mm) | 3.75mm diameter:
Length: 8.5, 10, 11.5, 13, 15;
4.2mm diameter:
Length: 7, 8.5, 10, 11.5, 13, 15;
4.6mm diameter:
Length: 7, 8.5, 10, 11.5, 13, 15;
5.05mm diameter:
Length: 7, 8.5, 10, 11.5, 13, 15; | For 3.75 to 5.1mm implant
Length: 7.015.0
For 5.92 to 6.8mm implant
Length: 7.012.5 | Different |
| Material of Fixture | Pure Titanium Grade 4 (ASTM F67) | Pure Titanium Grade 4 (ASTM F67) | Similar |
| Surface | SA | SA | Similar |
| Sterilization | Radiation Sterile | Radiation Sterile | Similar |
| Shelf life | 5 years | 8 years | Different |

Table 1 Characteristic Comparison for Implant
-----------------------------------------------	--	--

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Different - Structure

The structure of the proposed device is different from the predicated device. The proposed device is 3 sided cutting edge with self-tapping, while the predicate device is a 4 sided cutting edge with self-tapping. However, mechanical test has been conducted on the proposed device and predicate device and the test result does not show any significant difference in regard of mechanical strength. Therefore, this difference will not affect substantially equivalence.

Different - Body Diameter

The body diameter of the proposed device is not same as the predicate device. However, the proposed diameter range can be covered by the predicated device. This difference will not affect substantially equivalence.

Different - Implant Length

The implant length for each diameter size of the proposed device is not same as the predicate device. However, the proposed implant length for each diameter size can be covered by the predicated device. Therefore, this difference will not affect substantially equivalence.

Different - Shelf life

The shelf life of the proposed device is different from the predicate device. The shelf life is based on an assessment of the seal integrity of the sterile barrier packaging and mechanical strength test of the aged samples. The assessment showed that the proposed device can maintain its performance and package integrity during the period of shelf life. Therefore, this difference will not affect substantially equivalence.

9

Table 2 Characteristic Comparison of Abutment
Healing Abutment
ITEM	Proposed Device	Reference Device K192436	Remark
Dimension
(mm)	D(Ø)	Diameter: 4.04 / 4.12 / 4.14 / 4.20 /
4.50 / 4.54 / 4.64 / 4.70 / 4.80/5.50
/ 5.45 / 5.64 / 5.75 / 6.50 / 6.54 /
6.64 / 6.74 / 7.54 / 7.64 / 8.54 /
8.64 / 9.54 / 9.64	Different
	Length	Length:
6.15/6.30/7.15/7.30/8.15/8.30/8.88
/ 8.89 / 8.90 / 9.15/9.30/10.81 /
10.83/ 10.96 / 11.05 / 11.06 / 11.09
/ 12.31 / 12.34 /12.45 / 12.55 /
12.56 / 12.57 / 14.32 / 14.34 /
14.51/ 14.56
	4.8
7.5,8.5,9.5,10.5,11.5
	5.3
8.5,9.5,10.5,11.5,12.5
6.3
8.5,9.5,10.5,11.5,12.5
7.3
8.5,9.5,10.5,11.5,12.5
Materials	Titanium Alloy (Ti-6Al-4V,
ASTM F136)	Titanium Alloy (Ti-6Al-4V,
ASTM F136)	Similar
Principle of
operation	Healing abutments are screwed
into the implant to protect the
inner configuration	Healing abutments are screwed
into the implant to protect the inner
configuration	Similar
Straight Abutment
ITEM	Proposed Device	Reference Device K161689	Remark
Materials	Titanium Alloy (Ti-6Al-4V,
ASTM F136)	Titanium Alloy (Ti-6Al-4V,
ASTM F136)	Similar
Principle of
operation	Use for marking general
cement-type prosthesis	Use for marking general
cement-type prosthesis	Similar
Dimension
(mm)	D(Ø)	D(Ø)	Different
	G/H	G/H
	H	H
	4.6
1, 2, 3, 4, 5
5.5	4.6
1, 2, 3, 4, 5
5.5, 7
	5
1, 2, 3, 4, 5
4.0, 5.5, 7.0	5
1, 2, 3, 4, 5
4.0, 5.5, 7.0
	6
1, 2, 3, 4, 5
4.0, 5.5, 7.0	6
1, 2, 3, 4, 5
4.0, 5.5, 7.0
	7
1, 2, 3, 4, 5
5.5	7
1, 2, 3, 4, 5
5.5
Angle Abutment
ITEM	Proposed Device	Reference Device K182091	Remark
Materials	Titanium Alloy (Ti-6Al-4V,	Titanium Alloy (Ti-6Al-4V, ASTM	Similar
	ASTM F136)	F136)
Principle of operation	Using making general cement type prosthesis when a prosthetic's path adjustment is necessary.	Using making general cement type prosthesis when a prosthetic's path adjustment is necessary.	Similar
Angle	17°	17°	Similar
Diameter (mm)	4.5, 5, 6	4, 4.5, 5, 6	Different
Height (mm)	8	8	Similar
Design feature	A type, B type, Non-Hex	A type, B type, Non-Hex	Similar
Multi Abutment
ITEM	Proposed Device	Reference Device K152509	Remark
Materials	Titanium Alloy (Ti-6Al-4V, ASTM F136)	Titanium Alloy (Ti-6Al-4V, ASTM F136)	Similar
Principle of operation	Use for fabricating screw retained prosthesis	The Multi-unit Abutment is used for fabricating screw retained prosthesis	Similar
Dimension (mm)	D(Ø) G/H
4 1, 2, 3, 4
4.8 1, 2, 3, 4
5 1, 2, 3, 4
5.5 1, 2, 3, 4,
6 1, 2, 3, 4	D(Ø) G/H
3.3 0.5, 2.0, 4
3.8 0.5, 2.0, 4
4.3 0.5, 2.0, 4
5.0 0.5, 2.0, 4
6.0 0.5, 2.0, 4	Different
Multi-Angled Abutment
ITEM	Proposed Device	Reference Device K152509	Remark
Materials	Titanium Alloy (Ti-6Al-4V, ASTM F136)	Titanium Alloy (Ti-6Al-4V, ASTM F136)	Similar
Principle of operation	Multi Angled Abutment is used fabricating screw retained prosthesis and correcting the prosthetic angulation of implant.	The Multi-unit Angled Abutment is used for fabricating screw retained prosthesis and correcting the prosthetic angulation of implant.	Similar
Angle	17°, 30°	17°, 30°	Similar
Diameter (mm)	4.8	3.3, 3.8, 4.3, 5.0	Different
GH (mm)	2.5, 3, 3.5, 4, 5	2.5, 3.5, 4.0, 5.0	Different
Design feature	Hex	Hex	Similar
Temporary Abutment
ITEM	Proposed Device	Reference Device K161689	Remark
Materials	Alloy
Titanium
(Ti-6Al-4V,
ASTM F136)	Similar
Principle
of
operation	Cement/screw
retained
restoration;
using
making
temporary prosthesis to maintain
aesthetic appearance until final
prosthesis is made.	Cement/screw retained restoration;
using making temporary prosthesis
to maintain aesthetic appearance
until final prosthesis is made.	Similar
Dimension
(mm)	D(Ø)
G/H
4
1, 3
4.5
1, 3	D(Ø)
G/H
4
1, 3
4.5
1, 3	Similar
Design feature	Hex, Non-Hex	Hex, Non-Hex	Similar
Straight Cylinder
ITEM	Proposed Device	Reference Device K120847	Remark
Materials	Titanium
Alloy
ASTM F136)	(Ti-6Al-4V,
Titanium Gr. 3 (ASTM F67)
Principle
of
operation	Using
making
combination
retained type prosthesis with
using Multi Abutment or Mutli-
Angled Abutment together by
creating framework of the final
prosthesis to be fixed on top of
the abutment.	Similar
Diameter
(mm)	4, 5, 6, 4.8, 5.5	4.2~6.3	Different
Length (mm)	7.0	7	Similar
Angled Cylinder
ITEM	Proposed Device	Reference Device K182091	Remark
Materials	Titanium
Alloy
(Ti-6Al-4V,
ASTM F136)	Titanium Gr. 3 (ASTM F67)	Different
Principle
of
operation	Using
making
combination
retained type prosthesis by using
with Multi Abutment together
path
adjustment
when
is
necessary.	Using
making
combination
retained type prosthesis by using
Convertible
Abutment
with
together when path adjustment is
necessary.	Similar
Diameter
(mm)	4, 5, 6	4.2, 5.0, 6.3	Different
Length (mm)	8	7.8
Angle (° )	17	17	Similar
Design feature	Hex	Hex, Non-Hex, Octa.	Different
Temporary Cylinder
ITEM	Proposed Device	Reference Device K182091	Remark
Materials	Titanium Alloy (Ti-6Al-4V, ASTM F136)	Titanium Gr. 3 (ASTM F67)	Different
Principle of operation	Screw retained restoration; using making temporary prosthesis before loading final prosthesis by connected with Multi Abutment, or Mutli- Angled Abutment to make overdenture and bridge as multiple cases	Screw retained restoration; using making temporary prosthesis before loading final prosthesis by connected with Multi Abutment, US Multi Angled Abutment or Esthetic-low Abutment to make overdenture and bridge as multiple cases	Similar
Diameter (mm)	4.8, 5.5	4.8, 5.5	Similar
Height (mm)	12	12	Similar
Design feature	Non-Hex	Hex, Non-Hex	Different
Abutment Screw
ITEM	Proposed Device	Reference Device K161689	Remark
Materials	Titanium Alloy (Ti-6Al-4V, ASTM F136)	Titanium Alloy (Ti-6Al-4V, ASTM F136)	Similar
Principle of operation	Abutment screw is used to connect an abutment to the fixture	Abutment screw is used to connect an abutment to the fixture	Similar
Dimension (mm)	D(Ø)	D(Ø)	Similar
	Post height	Post height
	2
2.2
2.32	7.5, 9.6
10.2
8.36
	2
2.2
2.3	7.5, 9.6
10.2
8.35
Cylinder Screw
ITEM	Proposed Device	Reference Device K182091	Remark
Materials	Titanium Alloy (Ti-6Al-4V, ASTM F136)	Titanium Alloy (Ti-6Al-4V, ASTM F136)	Similar
Principle of operation	Cylinder screw is used to connect a cylinder to the abutment.	Cylinder screw is used to connect a cylinder to the abutment.	Similar
Dimension (mm)	D(Ø)	D(Ø)	Different
	G/H	G/H
	2.2
2.4	4.3
4.3
	2.5	4.3

Table 2 Characteristic Comparison of Abutment

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11

12

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Different - Dimension of Healing Abutment

The diameter and height of the proposed healing abutment is not same as the reference device, however, the proposed diameter and length range can be covered by the reference device K192436. Therefore, this difference does not affect substantially equivalence.

Similar – Diameter of Straight Abutment

The diameter of the proposed straight abutment is the same as the reference device, while the height of the proposed 4.6mm straight abutment is not same as the reference device. However, the proposed height range can be covered by the reference device K161689. Therefore, this difference does not affect substantially equivalence.

Similar - Diameter of Angle Abutment

The diameter of the proposed angle abutment is less than the reference device, however, the diameter range can be covered by the reference device K182091. Therefore, this difference does not affect substantially equivalence.

Similar - Dimension of Multi Abutment

The diameter of the proposed multi abutment is not same as the reference device. However, the proposed diameter range and gingiva height range can be covered by the reference device K152509. Therefore, this difference does not affect substantially equivalence.

Different - Diameter of Multi-Angled Abutment

The diameter of the proposed multi-angled abutment is not same as the reference device. However, the proposed diameter can be covered by the reference device K152509. Therefore, this difference does not affect substantially equivalence.

Similar - Gingiva Height of Multi-Angled Abutment

The gingiva height of the proposed multi-angled abutment is not same as the reference device. However, the proposed gingiva height range can be covered by the reference device K152509. Therefore, this difference does not affect substantially equivalence.

Different - Materials of Straight Cylinder

The material of the proposed straight cylinder is different from the reference device K120847. However, the biocompatibility evaluation was performed on the proposed device and the result demonstrate that this material does not cause any adverse effects. Therefore, this difference does not affect substantially equivalence.

Similar - Diameter of Straight Cylinder

14

The diameter of the proposed straight cylinder is not same as the reference device, however, diameter of the proposed straight cylinder can be covered by the reference device K120847. Therefore, this difference does not affect substantially equivalence.

Different - Materials of Angled Cylinder

The material of the proposed angled cylinder is different from the reference device K182091. However, the biocompatibility evaluation was performed on the proposed device and the result demonstrate that this material does not cause any adverse effects. Therefore, this difference does not affect substantially equivalence.

Similar - Diameter and Length of Angled Cylinder

Although the diameter and length of the proposed angled cylinder is different from the reference device K182091. The proposed diameter range can be covered by the reference device and the proposed length is very approach to the reference device. The difference is very slight. In addition, mechanical test has been conducted on the proposed device and the test result does not show any sigmificant difference in regard of mechanical strength. Therefore, this difference does not affect substantially equivalence.

Similar - Design feature of Angled Cylinder

The design of angled cylinder is hexagonal design, which can be covered by the design of reference device K182091 including hexagonal, non-hexagonal design. Therefore, this difference does not affect substantially equivalence.

Different - Materials of Temporary Cylinder

The material of the proposed temporary cylinder is different from the reference device K182091. However, the biocompatibility evaluation was performed on the proposed device and the result demonstrate that this material does not cause any adverse effects. Therefore, this difference does not affect substantially equivalence.

Different - Design feature of Temporary Cylinder

The design of temporary cylinder is non-hexagonal design, which can be covered by the design of reference device K182091 including hexagonal and non-hexagonal design. Therefore, this difference does not affect substantially equivalence.

Similar - Dimension of Cylinder Screw

The diameter of the proposed cylinder screw is not same as the reference device, the proposed device is available in an additional size, 2.4mm. However, the proposed diameter range can be covered by the reference device K182091. And the proposed device provides more options for clinical situations.

The gingiva height of the proposed cylinder screw is different from the reference device K182091. The gingiva height of the proposed cylinder screw only has a size of 4.3mm, which is slightly different from the 4.35mm of the reference device K182091. In addition, mechanical test has been conducted on the

15

proposed device and the test result does not show any significant difference in regard of mechanical strength. Therefore, this difference does not affect substantially equivalence.

1. Conclusion
  The conclusions drawn from the non-clinical tests demonstrate that the subject device is substantially equivalent to legally marketed reference device and predicate device