K Number
K220251
Device Name
Neodent Implant System - GM Narrow Implant System
Date Cleared
2022-09-06

(218 days)

Product Code
Regulation Number
872.3640
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Neodent Implant System is intended to be surgically placed in the bone of the upper or lower jaw to provide support for prosthetic devices, such as artificial teeth, to restore chewing function. It may be used with single stage procedures, for single- or multiple-unit restorations, and may be loaded immediately when good primary stability is achieved and with appropriate occlusal loading. The Implant Narrow GM is indicated to replace upper lateral incisors, lower incisors or for retaining overdenture prostheses. Prosthetic component to be installed in the Narrow GM Implant, providing support for prosthetic structures. Indicated for temporary restorations with unitary structures, screwed, on implants installa or mandible. Temporary Abutments Narrow GM have a maximum duration of usage of 180 days. Titanium Base Abutment is a titanium base placed onto Neodent dental implants to provide support for customized prosthetic restorations as copings and crowns. It is indicated for cemented or screw mounted single-cemented applications on implants installed on the maxilla or mandible. All digitally designed copings and/or crowns to be used with the Titanium Base Abutment System are intended to be sent to Straumann for manufacture at a validated milling center.
Device Description
All the subject devices are intended for single use; The subject implants are provided sterile via gamma irradiation and the subject abutments are provided sterile via Ethylene Oxide to an SAL of 1x10 -; The subject implants are manufactured of Commercially Pure Titanium (Grade 4) and the subject abutments are manufactured of Titanium alloy Ti-6Al-4V ELI (ASTM F136), The subject implants present a Grand Morse prosthetic interface with internal indexer; cylindrical shape with double threads; cervical diameter equal to the implant body diameter (2.9 mm) The implants are provided in two different surfaces: Neoporos: Sand blasted and acid etched, and Acqua: Hydrophilic surface aggregated to the rough surface obtained by double treatment: abrasive blasting and acid subtraction.
More Information

No
The summary describes a standard dental implant system and its components, focusing on materials, sterilization, mechanical testing, and intended use. There is no mention of AI or ML in the device description, intended use, or performance studies.

Yes
The Neodent Implant System is surgically placed in the bone to support prosthetic devices, restoring chewing function and replacing teeth. These are clearly therapeutic actions.

No

The device description clearly states its purpose is for "surgically placed in the bone of the upper or lower jaw to provide support for prosthetic devices, such as artificial teeth, to restore chewing function." It functions as an implant system and prosthetic components, not to diagnose a condition or disease.

No

The device description clearly states the device is a physical implant system made of titanium and titanium alloy, intended for surgical placement. It also describes sterilization methods and mechanical testing, all indicative of a hardware device.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, or tissue) to provide information for diagnosis, monitoring, or screening.
  • Device Intended Use: The provided text clearly states the device's intended use is to be surgically placed in the bone of the jaw to support prosthetic devices for restoring chewing function. This is a surgical implant, not a device that analyzes biological samples.
  • Device Description: The description focuses on the physical characteristics of the implants and abutments (material, shape, sterilization method), not on any analytical or diagnostic function.
  • Lack of IVD-related information: The text does not mention any analysis of biological samples, diagnostic markers, or any other elements typically associated with IVD devices.

Therefore, based on the provided information, the Neodent Implant System is a surgical device, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

Indications for Use for Helix NGM Implants:

The Neodent Implant System is intended to be surgically placed in the bone of the upper or lower jaw to provide support for prosthetic devices, such as artificial teeth, to restore chewing function. It may be used with single stage procedures, for single- or multiple-unit restorations, and may be loaded immediately when good primary stability is achieved and with appropriate occlusal loading. The Implant Narrow GM is indicated to replace upper lateral incisors, lower incisors or for retaining overdenture prostheses.

Indications for Conventional Abutments:

The Neodent Implant System is intended to be surgically placed in the bone of the upper or lower jaw to provide support for prosthetic devices, such as artificial teeth, to restore chewing function. It may be used with single-stage or two-stage procedures, for single or multiple unit restorations, and may be loaded immediately when good primary stability is achieved and with appropriate occlusal loading.

Indications for Use for NGM Exact Temporary Abutments:

Prosthetic component to be installed in the Narrow GM Implant, providing support for prosthetic structures. Indicated for temporary restorations with unitary structures, screwed, on implants installa or mandible. Temporary Abutments Narrow GM have a maximum duration of usage of 180 days.

Indications for NGM Exact Titanium Bases:

Titanium Base Abutment is a titanium base placed onto Neodent dental implants to provide support for customized prosthetic restorations as copings and crowns. It is indicated for cemented or screw mounted single-cemented applications on implants installed on the maxilla or mandible. All digitally designed copings and/or crowns to be used with the Titanium Base Abutment System are intended to be sent to Straumann for manufacture at a validated milling center.

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

DZE, NHA

Device Description

  • All the subject devices are intended for single use;
  • The subject implants are provided sterile via gamma irradiation and the subject abutments are provided sterile via Ethylene Oxide to an SAL of 1x10 -;
  • The subject implants are manufactured of Commercially Pure Titanium (Grade 4) and the subject abutments are manufactured of Titanium alloy Ti-6Al-4V ELI (ASTM F136),
  • The subject implants present a Grand Morse prosthetic interface with internal indexer; cylindrical shape with double threads; cervical diameter equal to the implant body diameter (2.9 mm)
  • The implants are provided in two different surfaces: Neoporos: Sand blasted and acid etched, and Acqua: Hydrophilic surface aggregated to the rough surface obtained by double treatment: abrasive blasting and acid subtraction.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

upper or lower jaw

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)

Biocompatibility:

  • Biocompatibility sample preparation was made according to ISO 10993-12.
  • Biological Safety Assessment guided by ISO 10993-1.
  • Cytotoxicity testing was performed per ISO 10993-5.
  • Chemical characterization was performed per ISO 10993-18.

Mechanical testing:
Dynamic fatigue test per ISO 14801 was performed to determine the fatigue strength for the dental implant system, according to FDA Guidance. The tested subject devices exhibit a level of performance equivalent to that reviewed for the predicate devices.

Sterilization validation:
The subject implants are sterilized by Gamma Irradiation, according to ISO 11137-1 and ISO 11137-2, and the subject abutments by Ethylene Oxide, according to ISO 11135-1 via the over-kill method. The method achieved a Sterility Assurance Level of 1x10 °.
The Subject devices are not represented to be "pyrogen free".

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.

K123022

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.

K162890, K203309, K182620

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 rectangle with the letters "FDA" in white, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue.

JJGC Industria e Comercio de Materiais Dentarios S.A. % Jennifer Jackson Director of Regulatory Affairs Straumann USA, LLC 60 Minuteman Road Andover, Massachusetts 01810

Re: K220251

Trade/Device Name: Neodent Implant System - GM Narrow Implant System Regulation Number: 21 CFR 872.3640 Regulation Name: Endosseous Dental Implant Regulatory Class: Class II Product Code: DZE, NHA Dated: August 4, 2022 Received: August 9, 2022

Dear Jennifer Jackson:

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) K220251

Device Name

Neodent Implant System - GM Narrow Implant System

Indications for Use (Describe)

IIndications for Use for Helix NGM Implants:

The Neodent Implant System is intended to be surgically placed in the bone of the upper or lower jaw to provide support for prosthetic devices, such as artificial teeth, to restore chewing function. It may be used with single stage procedures, for single- or multiple-unit restorations, and may be loaded immediately when good primary stability is achieved and with appropriate occlusal loading. The Implant Narrow GM is indicated to replace upper lateral incisors, lower incisors or for retaining overdenture prostheses.

Indications for Conventional Abutments:

The Neodent Implant System is intended to be surgically placed in the bone of the upper or lower jaw to provide support for prosthetic devices, such as artificial teeth, to restore chewing function. It may be used with single-stage or two-stage procedures, for single or multiple unit restorations, and may be loaded immediately when good primary stability is achieved and with appropriate occlusal loading.

Indications for Use for NGM Exact Temporary Abutments:

Prosthetic component to be installed in the Narrow GM Implant, providing support for prosthetic structures. Indicated for temporary restorations with unitary structures, screwed, on implants installa or mandible. Temporary Abutments Narrow GM have a maximum duration of usage of 180 days.

Indications for NGM Exact Titanium Bases:

Titanium Base Abutment is a titanium base placed onto Neodent dental implants to provide support for customized prosthetic restorations as copings and crowns. It is indicated for cemented or screw mounted single-cemented applications on implants installed on the maxilla or mandible. All digitally designed copings and/or crowns to be used with the Titanium Base Abutment System are intended to be sent to Straumann for manufacture at a validated milling center.

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

X Prescription Use (Part 21 CFR 801 Subpart D)

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

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K220251 510(k) Summary

ADMINISTRATIVE INFORMATION

| Sponsor | JJGC Indústria e Comércio de Materiais Dentários SA
(dba Neodent)
Av. Juscelino Kubitschek de Oliveira, 3291
Curitiba, Parana, Brazil 81270-200
Registration No.: 3008261720
Owner/Operator No.: 10031702 |
|------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact Person | Jennifer M. Jackson, MS
Sr. Director of Regulatory Affairs and Quality,
Straumann USA
E-mail: jennifer.jackson@straumann.com
Telephone (978) 747-2509 |
| Date Prepared | 06/Sep/2022 |
| Preparer / Alternate Contact | Mariana Hartmann
Regulatory Affairs Analyst
JJGC Indústria e Comércio de Materiais Dentários SA
E-mail: mariana.hartmann@neodent.com |

DEVICE NAME AND CLASSIFICATION

Trade/ Proprietary NameNeodent Implant System – GM Narrow Implant System
Common NameEndosseous dental implant
Endosseous dental implant abutment
Classification NameImplant, Endosseous, Root-Form
Endosseous dental implant abutment
Classification Regulations21 CFR 872.3640, Class II
Product CodeDZE / NHA
Classification PanelDental Products Panel
Reviewing BranchDental Devices Branch

PREDICATE DEVICE INFORMATION

| Primary Predicate Device | K123022, Neodent Implant System, JJGC Indústria e
Comércio de Materiais Dentários S.A |

--------------------------------------------------------------------------------------------------------------------

4

Reference Predicate Devices
K162890 - Straumann Ø2.9 mm Bone Level Tapered
Implants, SC Closure Cap, SC Healing Abutments, SC
Temporary Abutments, SC Variobase Abutments, SC
CARES Abutments - Straumann USA, LLC
K203309 – NUVO CF Implant Line, JJGC Indústria e
Comércio de Materiais Dentários S.A
K182620 - MRI Compatibility For Existing Neodent
Implant System, JJGC Indústria e Comércio de Materiais
Dentários S.A

INDICATIONS FOR USE

Indications for Use for Helix NGM Implants:

The Neodent Implant System is intended to be surgically placed in the bone of the upper or lower jaw to provide support for prosthetic devices, such as artificial teeth, to restore chewing function. It may be used with single stage or two-stage procedures, for single- or multiple-unit restorations, and may be loaded immediately when good primary stability is achieved and with appropriate occlusal loading. The Implant Narrow GM is indicated to replace upper lateral incisors, lower incisors or for retaining overdenture prostheses.

Indications for Conventional Abutments:

The Neodent Implant System is intended to be surgically placed in the bone of the upper or lower jaw to provide support for prosthetic devices, such as artificial teeth, to restore chewing function. It may be used with single-stage or two-stage procedures, for single or multiple unit restorations, and may be loaded immediately when good primary stability is achieved and with appropriate occlusal loading.

Indications for Use for NGM Exact Temporary Abutments:

Prosthetic component to be installed in the Narrow GM Implant, providing support for prosthetic structures. Indicated for temporary restorations with unitary structures, screwed, on implants installed in the maxilla or mandible. Temporary Abutments Narrow GM have a maximum duration of usage of 180 days.

Indications for NGM Exact Titanium Bases:

Titanium Base Abutment is a titanium base placed onto Neodent dental implants to provide support for customized prosthetic restorations as copings and crowns. It is indicated for cemented or screw mounted single-cemented applications on implants installed on the maxilla or mandible. All digitally designed copings and/or crowns to be used with the Titanium Base Abutment System are intended to be sent to Straumann for manufacture at a validated milling center.

SUBJECT DEVICE DESCRIPTIONS

  • All the subject devices are intended for single use;
  • The subject implants are provided sterile via gamma irradiation and the subject abutments are provided sterile via Ethylene Oxide to an SAL of 1x10 -;
  • The subject implants are manufactured of Commercially Pure Titanium (Grade 4) and the subject abutments are manufactured of Titanium alloy Ti-6Al-4V ELI (ASTM F136),
  • The subject implants present a Grand Morse prosthetic interface with internal indexer; cylindrical shape with double threads; cervical diameter equal to the implant body diameter (2.9 mm)

5

  • The implants are provided in two different surfaces: Neoporos: Sand blasted and acid etched, and Acqua: Hydrophilic surface aggregated to the rough surface obtained by double treatment: abrasive blasting and acid subtraction.

SUBSTANTIAL EQUIVALENCE COMPARISON TABLES

The Substantial Equivalence Comparison tables are provided on the pages that follow below.

6

Table 1: Substantial Equivalence Comparison – Indix NGM Implants and Conventional and Temporary Abutments

SUBJECT DEVICESPRIMARY PREDICATEREFERENCE PREDICATE DEVICE
COMPARISONNeodent Implant System - Narrow Implant System
JJGC Indústria e Comércio de Materiais Dentários S.A.K123022
Neodent Implant System
JJGC Indústria e Comércio de Materiais Dentários S.A.K162890
Straumann Ø2.9 mm Bone Level Tapered
Implants, SC Closure Cap, SC Healing
Abutments, SC Temporary Abutments, SC
Variobase Abutments, SC CARES Abutments
Straumann USA, LLC
Indications
for Use
StatementIndications for Use for Helix NGM Implants:
The Neodent Implant System is intended to be surgically
placed in the bone of the upper or lower jaw to provide
support for prosthetic devices, such as artificial teeth, to
restore chewing function. It may be used with single stage or
two-stage procedures, for single- or multiple-unit
restorations, and may be loaded immediately when good
primary stability is achieved and with appropriate occlusal
loading. The Implant Narrow GM is indicated to replace upper
lateral incisors, lower incisors or for retaining overdenture
prostheses.
Indications for Use for Conventional Abutments:
The Neodent Implant System is intended to be surgically
placed in the bone of the upper or lower jaw to provide
support for prosthetic devices, such as artificial teeth, to
restore chewing function. It may be used with single-stage or
two-stage procedures, for single or multiple unit restorations,
and may be loaded immediately when good primary stability
is achieved and with appropriate occlusal loading.
Indications for Use for NGM Exact Temporary Abutments:
Prosthetic component to be installed in the Narrow GM
Implant, providing support for prosthetic structures. Indicated
for temporary restorations with unitary structures, screwed,
on implants installed in the maxilla or mandible. Temporary
Abutments Narrow GM have a maximum duration of usage of
180 days.
Indications for Use for NGM Exact Titanium Bases:
Titanium Base Abutment is a titanium base placed onto
Neodent dental implants to provide support for customized
prosthetic restorations as copings and crowns. It is indicatedThe Neodent Implant System is intended to be surgically
placed in the bone of the upper or lower jaw to provide
support for prosthetic devices, such as artificial teeth, to
restore chewing function. It may be used with single
stage or two-stage procedures, for single- or multiple-
unit restorations, and may be loaded immediately when
good primary stability is achieved and with appropriate
occlusal loading.
Titamax WS implant is indicated for a delayed loading
protocol.
The Facility implant is indicated to replace upper lateral
incisors, lower incisors or for retaining overdenture
prostheses.Straumann® Bone Level Tapered Implants Ø2.9 mm are indicated for
oral endosteal implantation in the upper and lower jaw and for the
functional and aesthetic oral rehabilitation of patients with missing
teeth. Straumann® Bone Level Tapered Implants Ø2.9 mm can also
be used for immediate or early implantation following extraction or
loss of natural teeth. Implants can be placed with immediate
function on single-tooth or multiple-tooth applications when good
primary stability is achieved and with appropriate occlusal loading
to restore chewing function. The prosthetic restorations are
connected to the implants through the corresponding components
(abutments). The Straumann® Bone Level Tapered Implants Ø2.9
mm are indicated for reconstruction of missing incisors in the lower
jaw and lateral incisors in the upper jaw.
Straumann® Closure Caps and Healing Abutments are indicated to
be placed in the dental implant after placement in the patient's jaw
to protect the inner configuration of the implant and to form,
maintain and stabilize the soft tissue during the healing process.
Closure Caps and Healing Abutments should be used only with the
corresponding implant connection.
Straumann® SC Temporary Abutments are indicated for use as an
aid in prosthetic rehabilitations. Temporary components can be
used prior to the insertion of the final components to maintain,
stabilize and shape the soft tissue during the healing phase.
Straumann® SC Temporary Abutments have a maximum duration of
usage of 180 days.
Straumann® SC Variobase® abutments are indicated for use as an aid
in prosthetic rehabilitations. The prosthetic restoration can be
cemented on the Straumann® SC Variobase® prosthetic
SUBJECT DEVICESPRIMARY PREDICATEREFERENCE PREDICATE DEVICE
COMPARISONNeodent Implant System - Narrow Implant System
JJGC Indústria e Comércio de Materiais Dentários S.A.K123022
Neodent Implant System
JJGC Indústria e Comércio de Materiais Dentários S.A.K162890
Straumann Ø2.9 mm Bone Level Tapered
Implants, SC Closure Cap, SC Healing
Abutments, SC Temporary Abutments, SC
Variobase Abutments, SC CARES Abutments
Straumann USA, LLC
for cemented or screw mounted single-cemented applications
on implants installed on the maxilla or mandible. All digitally
designed copings and/or crowns to be used with the Titanium
Base Abutment System are intended to be sent to Straumann
for manufacture at a validated milling center.components. A temporary restoration can be used prior to the
insertion of the final components to maintain, stabilize and form the
soft tissue during the healing phase. Final abutments and
restorations may be placed into occlusion when the implant is fully
osseointegrated. All digitally designed copings and/or crowns for use
with the Straumann® Variobase® Abutment system are intended to
be sent to Straumann for manufacture at a validated milling center.

Straumann® SC CARES® abutments are indicated for single-tooth
replacements and multiple tooth restorations. The prosthetic
restoration can be cemented or directly veneered/screw-retained. |

7

Neodent Implant System – GM Narrow Implant System

Table 2: Substantial Equivalence Comparison – Indication for Use Statements - Titanium Bases

COMPARISONSUBJECT DEVICESPRIMARY PREDICATEREFERENCE PREDICATE DEVICE
K203309K162890
Neodent Implant System - Narrow Implant System
JJGC Indústria e Comércio de Materiais Dentários S.A.NUVO CF Implant System
JJGC Indústria e Comércio de Materiais
Dentários S.A.Straumann Ø2.9 mm Bone Level Tapered
Implants, SC Closure Cap, SC Healing
Abutments, SC Temporary Abutments, SC
Variobase Abutments, SC CARES Abutments
Straumann USA, LLC
Indications
for Use
StatementIndications for Use for NGM Exact Titanium Bases:
Titanium Base Abutment is a titanium base placed onto
Neodent dental implants to provide support for customized
prosthetic restorations as copings and crowns. It is indicated
for cemented or screw mounted single-cemented applications
on implants installed on the maxilla or mandible. All digitally
designed copings and/or crowns to be used with the Titanium
Base Abutment System are intended to be sent to Straumann
for manufacture at a validated milling center.CF Titanium Base for Crown is a titanium abutment placed
onto dental implants to provide support for customized
prosthetic restorations, as copings or crowns. It is indicated
for single-unit restorations, cement-retained or screw-
retained in aesthetic areas on implants installed in the
maxilla or mandible. All digitally designed copings and/or
crowns to be used with the Titanium Base Abutment System
are intended to be sent to Straumann for manufacture at a
validated milling center.Straumann® SC Variobase® abutments are indicated for use as an aid in
prosthetic rehabilitations. The prosthetic restoration can be cemented
on the Straumann® SC Variobase® prosthetic components. A temporary
restoration can be used prior to the insertion of the final components to
maintain, stabilize and form the soft tissue during the healing phase.
Final abutments and restorations may be placed into occlusion when the
implant is fully osseointegrated. All digitally designed copings and/or
crowns for use with the Straumann® Variobase® Abutment system are
intended to be sent to Straumann for manufacture at a validated milling
center.

8

Equivalence Discussion about Indications for Use

Implants

The scope of the Indications for Use Statement for the subject Implants (K220251) are identical to the corresponding section of the Indications for Use Statement of the Facility Implant of primary predicate devices (K123022) and similar to the reference predicate devices (K162890).

PRIMARY PREDICATE DEVICEREFERENCE PREDICATE DEVICE
SUBJECT DEVICEK123022K162890
The Neodent Implant System is
intended to be surgically placed in
the bone of the upper or lower
jaw to provide support for
prosthetic devices, such as
artificial teeth, to restore chewing
function. It may be used with
single stage or two-stage
procedures, for single- or
multiple-unit restorations, and
may be loaded immediately when
good primary stability is achieved
and with appropriate occlusal
loading. The Implant Narrow GM
is indicated to replace upper
lateral incisors, lower incisors or
for retaining
overdenture
prostheses.The Neodent Implant System is
intended to be surgically placed in
the bone of the upper or lower jaw
to provide support for prosthetic
devices, such as artificial teeth, to
restore chewing function. It may
be used with single stage or two-
stage procedures, for single- or
multiple-unit restorations, and
may be loaded immediately when
good primary stability is achieved
and with appropriate occlusal
loading.
Titamax WS implant is indicated
for a delayed loading protocol.
The Facility implant is indicated to
replace upper lateral incisors,
lower incisors or for retaining
overdenture prostheses.Straumann® Bone Level Tapered Implants Ø2.9 mm
are indicated for oral endosteal implantation in the
upper and lower jaw and for the functional and
aesthetic oral rehabilitation of patients with missing
teeth. Straumann® Bone Level Tapered Implants
Ø2.9 mm can also be used for immediate or early
implantation following extraction or loss of natural
teeth. Implants can be placed with immediate
function on single-tooth or multiple-tooth
applications when good primary stability is achieved
and with appropriate occlusal loading to restore
chewing function. The prosthetic restorations are
connected to the implants through the
corresponding components (abutments). The
Straumann® Bone Level Tapered Implants Ø2.9 mm
are indicated for reconstruction of missing incisors
in the lower jaw and lateral incisors in the upper jaw.

Conventional and Temporary Abutments

The indications for use of the Conventional Abutments is the same for the subject devices and primary predicate device (K123022). Regarding the Temporary Abutments, although the wording is slightly different, the indications for use are the same (K162890).

SUBJECT DEVICEPRIMARY PREDICATE DEVICEREFERENCE PREDICATE DEVICE
K123022K162890
Conventional Abutments:Conventional Abutments:Temporary Abutments:
The Neodent Implant System is intended to be
surgically placed in the bone of the upper or
lower jaw to provide support for prosthetic
devices, such as artificial teeth, to restore
chewing function. It may be used with single-
stage or two-stage procedures, for single or
multiple unit restorations, and may be loaded
immediately when good primary stability is
achieved and with appropriate occlusal loading.

Temporary Abutments: | The Neodent Implant System is intended
to be surgically placed in the bone of the
upper or lower jaw to provide support
for prosthetic devices, such as artificialteeth, to restore chewing function. It
may be used with single-stage or two-
stage procedures, for single or multiple
unit restorations, and may be loaded
immediately
when good primary
stability is achieved and with
appropriate occlusal loading. | Straumann® SC Temporary
Abutments are indicated for use as
an aid in prosthetic rehabilitations.
Temporary components can be
used prior to the insertion of the
final components to maintain,
stabilize and shape the soft tissue
during the healing phase.
Straumann® SC Temporary
Abutments have a maximum
duration of usage of 180 days. |
| Prosthetic component to be installed in the
Narrow GM Implant, providing support for
prosthetic structures. Indicated for temporary
restorations with unitary structures, screwed,
on implants installed in the maxilla or mandible.
Temporary Abutments Narrow GM have a
maximum duration of usage of 180 days. | | |

9

Titanium Bases Abutments

The Indications for Use Statement for the subject device are equivalent to the corresponding section of the Indications for Use Statement of K203309 and K162890. Although the wording is slightly different, the Indications for the subject devices are included within the scope on Indications for the predicate devices.

SUBJECT DEVICEPRIMARY PREDICATE DEVICEREFERENCE PREDICATE DEVICE
K203309K162890
Titanium Base Abutment is a
titanium base placed onto Neodent
dental implants to provide support
for customized prosthetic
restorations as copings and crowns.
It is indicated for cemented or screw
mounted single-cemented
applications on implants installed on
the maxilla or mandible.
All digitally designed copings and/or
crowns to be used with the Titanium
Base Abutment System are intended
to be sent to Straumann for
manufacture at a validated milling
center.CF Titanium Base for Crown is a titanium
abutment placed onto dental implants to
provide support for customized prosthetic
restorations, as copings or crowns. It is
indicated for single-unit restorations,
cement-retained or screw-retained in
aesthetic areas on implants installed in the
maxilla or mandible. All digitally designed
copings and/or crowns to be used with the
Titanium Base Abutment System are
intended to be sent to Straumann for
manufacture at a validated milling
center.Straumann® SC Variobase®
abutments are indicated for use as an
aid in prosthetic rehabilitations. The
prosthetic restoration can be
cemented on the Straumann® SC
Variobase® prosthetic components. A
temporary restoration can be used
prior to the insertion of the final
components to maintain, stabilize and
form the soft tissue during the healing
phase. Final abutments and
restorations may be placed into
occlusion when the implant is fully
osseointegrated. All digitally designed
copings and/or crowns for use with the
Straumann® Variobase® Abutment
system are intended to be sent to
Straumann for manufacture at a
validated milling center.

A comparison of the technological characteristics of the subject device and the predicate and reference devices is provided in the following table.

10

TECHNOLOGICAL CHARACTERISTIC COMPARISON TABLES

SUBJECT DEVICEPRIMARY PREDICATE DEVICEREFERENCE PREDICATE DEVICEEquivalence Discussion
Implant-
Abutment
interfaceK220251
Neodent Implant System - Narrow Implant
System
JJGC Indústria e Comércio de Materiais
Dentários S.A.K123022
Neodent Implant System
JJGC Indústria e Comércio de Materiais
Dentários S.A.K162890
Straumann Ø2.9 mm Bone Level Tapered
Implants, SC Closure Cap, SC Healing
Abutments, SC Temporary Abutments, SC
Variobase Abutments, SC CARES Abutments
Straumann USA, LLCSimilar
All the devices have Internal implant to
abutment connection. The difference
between the primary predicate and the
subject devices has been proven to
increase the system resistance (bench
testings).
DesignGrand Morse Internal ConnectionCone Morse Internal ConnectionStraight implant with apical taper.Identical
Subject devices and Primary Predicate
devices present the same design and
surface treatment.
ReusableCylindrical format with double threads;
cervical diameter equal to diameter of
implant body;
Surface: Neoporos and Acqua.Cylindrical format with double threads;
cervical diameter equal to diameter of
implant body;
Surface: Neoporos and Acqua.NoIdentical
The subject devices and the predicate devices
are indicated for single use.
Length (mm)NoNo10; 12; 14Equivalent
Range of lengths for subject devices is
contained within the range of lengths for
the primary predicate devices and is the
same as of the reference predicate devices.
Diameter (Ø)
(mm)10; 12; 148; 10; 12; 14; 162.9Identical
All the devices present the same diameter.
2.92.9

Table 3. Technological Characteristic Comparison Table – Helix NGM Implants

11

Neodent Implant System – GM Narrow Implant System

SUBJECT DEVICEPRIMARY PREDICATE DEVICEREFERENCE PREDICATE DEVICE
K220251
Neodent Implant System - Narrow Implant
System
JJGC Indústria e Comércio de Materiais
Dentários S.A.K123022
Neodent Implant System
JJGC Indústria e Comércio de Materiais
Dentários S.A.K162890
Straumann Ø2.9 mm Bone Level Tapered
Implants, SC Closure Cap, SC Healing
Abutments, SC Temporary Abutments, SC
Variobase Abutments, SC CARES Abutments
Straumann USA, LLCEquivalence
Discussion
MaterialCommercially Pure Titanium (Grade 4)Commercially Pure Titanium (Grade 4)Titanium-13 Zirconium alloy (Roxolid®)Identical
Subject devices and Primary Predicate
devices are manufactured of the same raw
material.
Sterilization
MethodProvided sterile via gamma irradiation to
an SAL of 10-6.Provided sterile via gamma irradiation to an
SAL of 10-6.Identical
Subject devices and primary predicate devices
are provided sterile by the same sterilization
method.
SUBJECT DEVICEPRIMARY PREDICATE DEVICEEquivalence Discussion
Neodent Implant System - Narrow Implant System
JJGC Indústria e Comércio de Materiais Dentários S.A..K123022
Neodent Implant System
JJGC Indústria e Comércio de Materiais Dentários S.A.K162890
Straumann Ø2.9 mm Bone Level
Tapered Implants, SC Closure Cap, SC
Healing Abutments, SC Temporary
Abutments, SC Variobase Abutments,
SC CARES Abutments
Straumann USA, LLC
NGM Exact Click
Universal
abutments
designGingival height: 0,8; 1.5, 2.5, and 3.5Gingival height: 1.5, 2.5, 3.5; 4.5 and 5.5Equivalent
Range of lengths for subject
devices is very similar to the
primary predicate devices and is
the same as of the reference
predicate devices.
NGM Micro
abutments
designGingival height: 0,8; 1.5, 2.5, and 3.5Gingival height: 1.5, 2.5, 3.5 and 4.5Equivalent
Range of lengths for subject
devices is very similar to the
primary predicate devices and is
the same as of the reference
predicate devices.
Healing
abutments
designGingival height: 0,8; 1.5, 2.5, 3.5 and 4.5Gingival height: 1.5, 2.5, 3.5 and 4.5Equivalent
Range of lengths for subject
devices is very similar to the
primary predicate devices and is
the same as of the reference
predicate devices.
Temporary
abutments
designGingival height: 0,8; 1.5, 2.5, 3.5 and 4.5Gingival height: 1.0, 2.0, and 3.0
mmEquivalent
Range of lengths for subject
devices is very similar to the
primary predicate devices and is
the same as of the reference
predicate devices. The difference
between the reference predicate
and the subject devices has been
mitigated during performance
SUBJECT DEVICEPRIMARY PREDICATE DEVICEEquivalence
Discussion
Neodent Implant System - Narrow Implant System
JJGC Indústria e Comércio de Materiais Dentários S.A..K123022
Neodent Implant System
JJGC Indústria e Comércio de Materiais Dentários S.A.K162890
Straumann Ø2.9 mm Bone Level
Tapered Implants, SC Closure Cap, SC
Healing Abutments, SC Temporary
Abutments, SC Variobase Abutments,
SC CARES Abutments
Straumann USA, LLC
bench tests.
Attachments
Narrow GM
designGingival height: 0,8; 1.5, 2.5, 3.5 and 4.5
Surface Treatment: NiT CoatingGingival height: 1.5, 2.5, 3.5 and 4.5
Surface Treatment: NiT CoatingEquivalent
Range of lengths for subject
devices is very similar to the
primary predicate devices and is
the same as of the reference
predicate devices.
Both subject and predicate
devices present the same surface
treatment.
ReusableNoNoNoIdentical
The subject devices and predicates
devices are indicated for single use.
MaterialTitanium alloy ASTM F136.Titanium alloy ASTM F136.Ti-6Al-7NbIdentical
The subject devices and
predicates devices are
manufactured of the same raw
material.
Sterilization
MethodProvided sterile via Ethylene Oxide to an SAL of
$10^{-6}$ .Provided sterile via Ethylene Oxide to an SAL of $10^{-6}$ .Provided sterile via Ethylene
Oxide to an SAL of $10^{-6}$ .Identical
The subject devices and the primary
predicate devices are provided in
sterile condition to an SAL of 1 x $10^{-6}$
by the same sterilization method.
SUBJECT DEVICEPRIMARY PREDICATE DEVICEREFERENCE PREDICATE DEVICEEQUIVALENCE DISCUSSION
Neodent Implant System - Narrow Implant
System
JJGC Indústria e Comércio de Materiais
Dentários S.A.K203309
NUVO CF Implant System
JJGC Indústria e Comércio de Materiais
Dentários S.A.K162890
Straumann Ø2.9 mm Bone Level Tapered
Implants, SC Closure Cap, SC Healing
Abutments, SC Temporary Abutments, SC
Variobase Abutments, SC CARES Abutments
Straumann USA, LLC
Implant-
Abutment
interfaceGrand Morse Internal ConnectionInternal HexSmall CrossFit® (SC)Equivalent
Subject devices and Primary Predicate devices
present internal connection implant-abutment
interface.
DesignAngulation: 0
Gingival Height: 0.8; 1.5; 2.5; 3.5 and 4.5
Cementable portion height: 4.0 and 6.0Angulation: 0
Gingival Height: 0.5, 1.0 and 3.0 mm
Cementable portion height: 6.0Angulation: 0
Gingival Height: 1.0, 2.0 and 3.0 mmEquivalent
All the devices are straight, the gingival
height of the subject devices is similar to the
range of gingival height of the predicate
devices and bench tests were performed to
verify the strength of the system.
ReusableNoNoNoIdentical
The subject devices and the predicate devices
are intended for single use.
MaterialTitanium alloy ASTM F136.Titanium alloy ASTM F136.Ti-6Al-7NbIdentical
The subject devices have the same material of
construction as the primary predicate devices.

12

Neodent Implant System – GM Narrow Implant System

Table 4. Technological Characteristic Comparison Table – Conventional and Temporary Abutments

13

Neodent Implant System – GM Narrow Implant System

14

Neodent Implant System – GM Narrow Implant System

Table 5. Technological Characteristic Comparison Table – CAD/CAM Abutments (Titanium Bases)

15

Neodent Implant System – GM Narrow Implant System

SUBJECT DEVICEPRIMARY PREDICATE DEVICEREFERENCE PREDICATE DEVICEEQUIVALENCE DISCUSSION
Neodent Implant System - Narrow Implant System
JJGC Indústria e Comércio de Materiais
Dentários S.A.K203309
NUVO CF Implant System
JJGC Indústria e Comércio de Materiais
Dentários S.A.K162890
Straumann Ø2.9 mm Bone Level Tapered
Implants, SC Closure Cap, SC Healing
Abutments, SC Temporary Abutments, SC
Variobase Abutments, SC CARES Abutments
Straumann USA, LLC
Top Half MaterialsMaterialMinimum thickness (mm)Maximum allowable angulationMaterialMinimum thickness (mm)Maximum allowable angulationMaterialMinimum thickness (mm)Maximum allowable angulation
Coron (CoCr)0.330°Coron (CoCr)0.330°Coron (CoCr)0.330°Same
The subject top half materials are the same
the cleared top half materials for the primary
predicate device and using the same cleared
design parameters.
IPS e.max CAD0.9IPS e.max CAD0.9IPS e.max CAD0.9
Zerion LT0.5Zerion LT0.5Zerion LT0.4
Polycon ae*1.0Polycon ae*1.0Polycon ae*0.5
The Narrow GM Titanium Base with cementable area height of 6 mm allows customization. In case of customization, it is indicated to maintain the minimum height of 4 mm of cementable area.The CF Titanium Base for Crown with 6 mm Incementable height are supplied without angulation, but allow customization by reducing the height of cementable area to 4 mm.*Polycon ae is indicated to remain in the mouth only for up to 180 days
*Polycon ae is indicated to remain in the mouth only for up to 180 days.*Polycon ae is indicated to remain in the mouth only for up to 180 days
Sterilization MethodProvided sterile via Ethylene Oxide to an SAL of 1x10-6

If customized on the chairside, must be sterilized before the installation via moist heat (steam), Gravity displacement or dynamic air removal in 132°C (270°F) for 3 minutes exposure. | | | Provided sterile via Ethylene Oxide to an SAL of 1x10-6

If customized on the chairside, must be sterilized before the installation via moist heat (steam), Gravity displacement or dynamic air removal in 132°C (270°F) for 3 minutes exposure. | | | Delivered not sterile. If customized on the chairside, must be sterilized before the installation via moist heat (steam), Gravity displacement or dynamic air removal in 132°C (270°F) for 4 minutes exposure. | | | Identical
The subject devices have the same sterilization methods and same SAL as the primary predicate devices. |

16

The subject implants have the same indications for use and an equivalent range of lengths as the primary predicate devices, being contemplated within the range of lengths of the predicate devices.

Subject and predicate implants have the similar implant-to-abutment interface. Both present the same surfaces and same sterile barrier system. The subject implants are manufactured of the same materials and are sterilized using the same sterilization method as the primary predicate devices. Subject and reference predicate devices present the same range of sizes and similar overall design.

The subject conventional abutments have the same indications for use and same overall design as the primary predicate devices. They also present the same sterilization method and raw materials.

The subject Base abutments have the same indications for use, same maximum angulation and same gingival height as the primary predicate devices and primary predicate devices, present the same sterilization method. The subject bases are made of the same material as the primary predicate devices and are indicated to be used with the same restoration materials of the predicate devices. All digitally designed copings and/or crowns for use with the subject Titanium Bases are intended to be sent to Straumann for manufacture at a validated milling center.

Overall, the subject devices are equivalent to the predicate devices as follows:

  • same intended use,
  • same operating principle,
  • . incorporate the same basic design,
  • incorporate the same materials, and
  • have same packaging and are sterilized using the same materials and processes

PERFORMANCE DATA

Biocompatibility

Representative samples of each of the subject devices was subjected to the following:

  • . Biocompatibility sample preparation was made according to ISO 10993-12.
  • Biological Safety Assessment guided by ISO 10993-1,
  • Cytotoxicity testing was performed per ISO 10993-5 and
  • . Chemical characterization was performed per ISO 10993-18.

Mechanical testing

Dynamic fatigue test per ISO 14801 was performed to determine the fatigue strength for the dental implant system, according to FDA Guidance. The tested subject devices exhibit a level of performance equivalent to that reviewed for the predicate devices.

Sterilization validation

The subject implants are sterilized by Gamma Irradiation, according to ISO 11137-1 and ISO 11137-2, and the subject abutments by Ethylene Oxide, according to ISO 11135-1 via the over-kill method. The method achieved a Sterility Assurance Level of 1x10 °.

The Subject devices are not represented to be "pyrogen free".

17

CONCLUSION

The subject devices and the predicate devices have equivalent intended use, design and technological characteristics. Equivalent range of overall dimensions and sterilization method. The data included in this submission demonstrate that the subject devices are substantially equivalent to the predicate devices.