K Number
K220440
Device Name
Dentis s-Clean Abutment Mini
Manufacturer
Date Cleared
2022-06-16

(120 days)

Product Code
Regulation Number
872.3630
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Dentis s-Clean Abutment Mini is an endosseous dental implant that is indicated for surgical placement in the upper and lower jaw arches, to provide a root form means for single or multiple-units prosthetic appliance attachment to restore a patient's chewing function. Implants can be placed with a conventional two stage surgical process with an option for transmucosal healing or they can be placed in a single stage surgical process for immediate loading when good primary stability has been achieved and with appropriate occlusal loading.
Device Description
Dentis s-Clean Abutment Mini is composed of Abutments are made of Ti-6AI-4V ELI according to ASTM F136 and Cobalt-28Chromium-6Molybdenum Alloy ASTM F1537. The s-Clean O-Ring Abutment s-Line and s-Clean TiN Half Coating Sub-Octa Abutment is screw assembled design but s-Clean CCM UCLA Abutment s-Line is screw separation design. The s-Clean TiN Half Coating Sub-Octa Abutment is always to be combined with a casting abutment (e.g., Gold Cylinder) or burn-out plastic sleeve for single-unit loading. The minimum post height of s-Clean TiN Half Coating Sub-Octa Abutment when combined with casting abutment (e.g., Gold Cylinder) or burn-out plastic sleeve for single-unit loading is 4mm. The minimum post height of s-Clean CCM UCLA Abutment s-Line for single-unit loading is 4mm. The Subject device is compatible with implants cleared in K210080. Compatible fixture diameters are Ø5.8. 6.8 and Ø7.8 and lengths are 7.5. 9.5, 11.4 and 11.5mm. Compatible fixture, K210080, has dual screw-joint (structured with Upper and Lower screw joint) and a hex anti-rotation design connection. As explained in K210080, there are two-screw-joint features, 1.6M screw (Lower part) or 2.0M Screw (Upper Part) for diverse screw connection with other abutments. s-Clean O-Ring Abutment s-Line and s-Clean TiN Half Coating Sub-Octa Abutment have Upper M2.0 Screw and s-Clean CCM UCLA Abutment s-Line has Lower M1.6 screw. When dividing screw assemble design, screw assembled one-piece abutment is connected with upper screw and screw separated twopiece abutment is connected with lower screw.
More Information

No
The summary describes a dental implant abutment made of standard materials with a focus on mechanical design and compatibility, with no mention of AI or ML.

Yes
The device is described as an endosseous dental implant used to restore a patient's chewing function, which classifies it as a therapeutic device.

No

This device is an endosseous dental implant system intended for surgical placement to restore chewing function, not for diagnosing medical conditions.

No

The device description explicitly details the physical materials (Ti-6AI-4V ELI, Cobalt-28Chromium-6Molybdenum Alloy) and mechanical components (abutments, screws) of the dental implant system, indicating it is a hardware device.

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

Here's why:

  • Intended Use: The intended use clearly states that the device is a dental implant indicated for surgical placement in the jaw to provide a means for attaching prosthetic appliances and restoring chewing function. This is a surgical and mechanical function, not a diagnostic one.
  • Device Description: The description details the materials and design of the abutments, which are components of a dental implant system. It does not mention any components or functions related to testing biological samples or providing diagnostic information.
  • Lack of Diagnostic Elements: There is no mention of analyzing biological samples (blood, tissue, etc.), detecting biomarkers, or providing any kind of diagnostic result.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device does not fit that description.

N/A

Extraction of key information from the FDA Summary:

Intended Use / Indications for Use

The Dentis s-Clean Abutment Mini is an endosseous dental implant that is indicated for surgical placement in the upper and lower jaw arches, to provide a root form means for single or multiple-units prosthetic appliance attachment to restore a patient's chewing function. Implants can be placed with a conventional two stage surgical process with an option for transmucosal healing or they can be placed in a single stage surgical process for immediate loading when good primary stability has been achieved and with appropriate occlusal loading.

Product codes

NHA

Device Description

Dentis s-Clean Abutment Mini is composed of Abutments are made of Ti-6AI-4V ELI according to ASTM F136 and Cobalt-28Chromium-6Molybdenum Alloy ASTM F1537. The s-Clean O-Ring Abutment s-Line and s-Clean TiN Half Coating Sub-Octa Abutment is screw assembled design but s-Clean CCM UCLA Abutment s-Line is screw separation design.

The s-Clean TiN Half Coating Sub-Octa Abutment is always to be combined with a casting abutment (e.g., Gold Cylinder) or burn-out plastic sleeve for single-unit loading. The minimum post height of s-Clean TiN Half Coating Sub-Octa Abutment when combined with casting abutment (e.g., Gold Cylinder) or burn-out plastic sleeve for single-unit loading is 4mm. The minimum post height of s-Clean CCM UCLA Abutment s-Line for single-unit loading is 4mm.

The Subject device is compatible with implants cleared in K210080. Compatible fixture diameters are Ø5.8. 6.8 and Ø7.8 and lengths are 7.5. 9.5, 11.4 and 11.5mm.

Compatible fixture, K210080, has dual screw-joint (structured with Upper and Lower screw joint) and a hex anti-rotation design connection. As explained in K210080, there are two-screw-joint features, 1.6M screw (Lower part) or 2.0M Screw (Upper Part) for diverse screw connection with other abutments. s-Clean O-Ring Abutment s-Line and s-Clean TiN Half Coating Sub-Octa Abutment have Upper M2.0 Screw and s-Clean CCM UCLA Abutment s-Line has Lower M1.6 screw. When dividing screw assemble design, screw assembled one-piece abutment is connected with upper screw and screw separated twopiece abutment is connected with lower screw.

The dimensions of abutments are as following:

No. Device Name Diameter X Total Length Angulation
1 s-Clean O-Ring Abutment s-Line Ø 4.5 X 10.71 and 12.71mm 0°
2 s-Clean TiN Half Coating Sub-Octa Abutment Ø 4.8 X 8.16, 8.66, 9.66, 10.66, 11.66 and 12.66mm 0°
3 s-Clean CCM UCLA Abutment s-Line Ø 4.0 X 1, 3mm (Gingival Height) 0°

The Abutments have below featured:

Name Uses Surface Connection
s-Clean O-Ring Abutment s-Line It is used to retain an overdenture prosthetics. N/A Screw retain
s-Clean TiN Half Coating Sub-Octa Abutment This Abutment is connected with fixture and it supports prosthesis which restore tooth function. TiN Coating Screw retain
s-Clean CCM UCLA Abutment s-Line This Abutment is connected with fixture and it supports prosthesis which restore tooth function. N/A Screw retain

Materials:

  • . s-Clean O-Ring Abutment s-Line and s-Clean TiN Half Coating Sub-Octa Abutment is fabricated from Ti-6A1-4V ELI (Conforming to ASTM Standard F136).
  • S-Clean CCM UCLA Abutment s-Line is fabricated from Cobalt-28Chromium-6Molybdenum . Alloy (Conforming to ASTM F1537)
  • CCM UCLA s-Line Abutment Screw is fabricated from Ti-6A1-4V ELI (Conforming to ASTM Standard F136).

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

upper and lower jaw arches

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 Testing:

  • Biocompatibility testing according to ISO 10993-1:2009 for Ti-6A1-4V material abutments referenced in K210080, for Cobalt-28Chrominum-6Molybdenum material abutment referenced in K161244 and for Ti-6Al-4V with TiN Coating abutments referenced in K171027.
  • End User Sterilization Validation Test Report according to ANSI/AAMI ST79, ISO 17665-1, ISO 17665-2. ISO 11737-1, ISO 11737-2, and ISO 11138-1 referenced in K111364 for Ti-6Al-4V material abutments non-coating and TiN-Coating.
  • MRI Environment Condition: Non-clinical worst-case MRI review was performed to evaluate the Dentis s-Clean Abutment Mini in the MRI environment using scientific rationale and published literature, 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.

Key results:

  • The results of the above tests have met the criteria of the standards and demonstrated the substantial equivalence with the predicate device.
  • Biocompatibility testing for Ti-6AI-4V wth TiN Coating material abutments was conducted on the predicate device, K171027 and can be leveraged for the subject device because both devices have same material and manufacturing process which is substantially equivalent.
  • Fatigue testing was not performed for the subject device according to the ISO 14801:2016 because this subject device system does not include any angled abutments. Based on the FDA Guidance "Class II Special Controls Guidance Document: Root-form Endosseous Dental Implants and Endosseous Dental Implant Abutments", the fatigue testing is not necessary if the system does not consist of angled abutments. Also, the surface modification for the subject device was not tested or provided because the surface modification information was provided in the predicate devices and can be leveraged for the subject device.
  • End User Sterilization Validation Test Report for Cobalt-27Chrominum-6Molybdenum was conducted on the device that is not cleared by FDA. The test article is the largest surface area among the devices that have the same manufacturing process and material.
  • Clinical testing was not necessary to establish substantial equivalency of the device.

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

Not Found

Predicate Device(s)

K171027

Reference Device(s)

K161244, K210080

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.3630 Endosseous dental implant abutment.

(a)
Identification. An endosseous dental implant abutment is a premanufactured prosthetic component directly connected to the endosseous dental implant and is intended for use as an aid in prosthetic rehabilitation.(b)
Classification. Class II (special controls). The guidance document entitled “Class II Special Controls Guidance Document: Root-Form Endosseous Dental Implants and Endosseous Dental Implant Abutments” will serve as the special control. (See § 872.1(e) for the availability of this guidance document.)

0

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

Dentis Co., Ltd. % April Lee Consultant Withus Group Inc 106 Superior Irvine, California 92620

Re: K220440

Trade/Device Name: Dentis s-Clean Abutment Mini Regulation Number: 21 CFR 872.3630 Regulation Name: Endosseous Dental Implant Abutment Regulatory Class: Class II Product Code: NHA Dated: May 14, 2022 Received: May 17, 2022

Dear April Lee:

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) K220440

Device Name Dentis s-Clean Abutment Mini

Indications for Use (Describe)

The Dentis s-Clean Abutment Mini is an endosseous dental implant that is indicated for surgical placement in the upper and lower jaw arches, to provide a root form means for single or multiple-units prosthetic appliance attachment to restore a patient's chewing function. Implants can be placed with a conventional two stage surgical process with an option for transmucosal healing or they can be placed in a single stage surgical process for immediate loading when good primary stability has been achieved and with appropriate occlusal loading.

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)

2 Prescription Use (Part 21 CFR 801 Subpart D)

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

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3

510(k) Summary

Submitter

Dentis Co., Ltd. Gyu Ri Kim 99, Seongseoseo-ro, Dalseo-gu Daegu, 42718 Korea Email: kgr1026@dentis.co.kr Tel. +82-53-589-3541 Fax. +82-53-289-7922

Official Correspondent

Withus Group Inc. April Lee 106 Superior, Irvine, CA 92620 USA Email: withus6664@gmail.com Phone: 1-909-274-9971 Fax: 1-909-460-8122

Device Information

  • . Trade Name: Dentis s-Clean Abutment Mini
  • . Common Name: Endosseous dental implant abutment
  • Classification Name: Endosseous dental implant abutment ●
  • . Product Code: NHA
  • Panel: Dental
  • Regulation Number: 872.3630
  • Device Class: Class II
  • Date prepared: 06/15/2022 ●

Predicate Devices:

Primary Predicate K171027, Dentis Dental Implant System by Dentis Co., Ltd

Reference Device K161244, s-Clean OneQ-SL Narrow Implant System by Dentis Co., Ltd. K210080, Dentis s-Clean s-Line Mini by Dentis Co., Ltd.

Indication for Use:

The Dentis s-Clean Abutment Mini is an endosseous dental implant that is indicated for surgical placement in the upper and lower jaw arches, to provide a root form means for single or multiple-units prosthetic appliance attachment to restore a patient's chewing function. Implants can be placed with a conventional two stage surgical process with an option for transmucosal healing or they can be placed in a single stage surgical process for immediate loading when good primary stability has been achieved and with appropriate occlusal loading.

Device Description:

Dentis s-Clean Abutment Mini is composed of Abutments are made of Ti-6AI-4V ELI according to ASTM F136 and Cobalt-28Chromium-6Molybdenum Alloy ASTM F1537. The s-Clean O-Ring Abutment s-Line and s-Clean TiN Half Coating Sub-Octa Abutment is screw assembled design but s-Clean CCM UCLA Abutment s-Line is screw separation design.

The s-Clean TiN Half Coating Sub-Octa Abutment is always to be combined with a casting abutment (e.g., Gold Cylinder) or burn-out plastic sleeve for single-unit loading. The minimum post height of s

4

Clean TiN Half Coating Sub-Octa Abutment when combined with casting abutment (e.g., Gold Cylinder) or burn-out plastic sleeve for single-unit loading is 4mm. The minimum post height of s-Clean CCM UCLA Abutment s-Line for single-unit loading is 4mm.

The Subject device is compatible with implants cleared in K210080. Compatible fixture diameters are Ø5.8. 6.8 and Ø7.8 and lengths are 7.5. 9.5, 11.4 and 11.5mm.

Compatible fixture, K210080, has dual screw-joint (structured with Upper and Lower screw joint) and a hex anti-rotation design connection. As explained in K210080, there are two-screw-joint features, 1.6M screw (Lower part) or 2.0M Screw (Upper Part) for diverse screw connection with other abutments. s-Clean O-Ring Abutment s-Line and s-Clean TiN Half Coating Sub-Octa Abutment have Upper M2.0 Screw and s-Clean CCM UCLA Abutment s-Line has Lower M1.6 screw. When dividing screw assemble design, screw assembled one-piece abutment is connected with upper screw and screw separated twopiece abutment is connected with lower screw.

No.Device NameDiameter X Total LengthAngulation
1s-Clean O-Ring Abutment s-Line$\varnothing$ 4.5 X 10.71 and 12.71mm
2s-Clean TiN Half Coating Sub-Octa Abutment$\varnothing$ 4.8 X 8.16, 8.66, 9.66, 10.66, 11.66 and 12.66mm
3s-Clean CCM UCLA Abutment s-Line$\varnothing$ 4.0 X 1, 3mm (Gingival Height)

The dimensions of abutments are as following:

The Abutments have below featured:

NameUsesSurfaceConnection
s-Clean O-Ring Abutment
s-LineIt is used to retain an overdenture prosthetics.N/AScrew retain
s-Clean TiN Half Coating
Sub-Octa AbutmentThis Abutment is connected with fixture and it
supports prosthesis which restore tooth function.TiN CoatingScrew retain
s-Clean CCM UCLA Abutment
s-LineThis Abutment is connected with fixture and it
supports prosthesis which restore tooth function.N/AScrew retain

Materials:

  • . s-Clean O-Ring Abutment s-Line and s-Clean TiN Half Coating Sub-Octa Abutment is fabricated from Ti-6A1-4V ELI (Conforming to ASTM Standard F136).
  • S-Clean CCM UCLA Abutment s-Line is fabricated from Cobalt-28Chromium-6Molybdenum . Alloy (Conforming to ASTM F1537)
  • CCM UCLA s-Line Abutment Screw is fabricated from Ti-6A1-4V ELI (Conforming to ASTM Standard F136).

5

Summaries of Technology Characteristics

The subject device is substantially equivalent to the current cleared devices. They are substantially equivalent in intended use, material and product spec as diameter and length. Comparison demonstrating Substantial Equivalence follows:

1. s-Clean O-Ring Abutment s-Line

Subject DevicePrimary Predicate
ApplicantDentis Co., Ltd.Dentis Co., Ltd.
Trade NameDentis s-Clean Abutment MiniDentis Dental Implant System
510(k) No.K171027
Classification
NameEndosseous Dental ImplantEndosseous Dental Implant
Product CodeNHADZE, NHA
DescriptionImage: Dentis s-Clean Abutment MiniImage: Dentis Dental Implant System
MaterialTi-6Al-4V ELI (ASTM F136)Ti-6Al-4V ELI (ASTM F136)
Diameter (mm)$\text{\O}4.5$$\text{\O}3.4$ and $\text{\O}4.5$
Length (mm)10.71 and 12.7110.1, 11.6 and 13.6
SterileEnd User SterilizationEnd User Sterilization
Indications For
UseThe Dentis s-Clean Abutment Mini is an endosseous
dental implant that is indicated for surgical
placement in the upper and lower jaw arches, to
provide a root form means for single or multiple-
units prosthetic appliance attachment to restore a
patient's chewing function. Implants can be placed
with a conventional two stage surgical process with
an option for transmucosal healing or they can be
placed in a single stage surgical process for
immediate loading when good primary stability has
been achieved and with appropriate occlusal loading.The Dentis Dental Implant System is an
endosseous dental implant that is indicated for
surgical placement in the upper and lower jaw
arches, to provide a root form means for single or
multiple-units prosthetic appliance attachment to
restore a patient's chewing function. Implants
can be placed with a conventional two stage
surgical process with an option for transmucosal
healing or they can be placed in a single stage
surgical process for immediate loading when
good primary stability has been achieved and
with appropriate occlusal loading.
Substantial
Equivalence
ComparisonThe subject device has same indications for Use, fundamental scientific technology, principle of
operation, technology, functions, and materials and has similar design with the primary predicate.
The difference between the subject and primary predicate is the Dimensions of the device and the
compatible implant body. The subject device's diameter( $\text{\O}2.88$ ) with length (9.11mm) is smaller size
than the primary predicate but doesn't affect device's fundamental functions and safety; therefore, it is
substantial equivalent.

6

Subject DevicePrimary PredicateSubject DevicePrimary Predicate DeviceReference Device
ApplicantDentis Co., Ltd.Dentis Co., Ltd.ApplicantDentis Co., Ltd.Dentis Co., Ltd.Dentis Co., Ltd.
Trade NameDentis s-Clean Abutment MiniDentis Dental Implant SystemTrade NameDentis s-Clean Abutment MiniDentis Dental Implant Systems-Clean OneQ-SL Narrow Implant
System
510(k) No.-K171027510(k) No.-K171027K161244
Classification
NameEndosseous Dental ImplantEndosseous Dental ImplantClassification
NameEndosseous Dental ImplantEndosseous Dental ImplantEndosseous Dental Implant
Product CodeNHADZE, NHAProduct CodeNHADZE, NHADZE, NHA
DescriptionImage: Dentis s-Clean Abutment MiniImage: Dentis Dental Implant SystemClassClass IIClass IIClass II
MaterialTi-6Al-4V ELI (ASTM F136)Ti-6Al-4V ELI (ASTM F136)Description
Diameter (mm)Ø4.8Ø4.8MaterialCobalt-28Chromium-6Molybdenum
Alloy
(ASTM F1537)Cobalt-28Chromium-
6Molybdenum Alloy
(ASTM F1537)Cobalt-28Chromium-6Molybdenum
Alloy
(ASTM F1537)
Length (mm)8.16, 8.66, 9.66, 10.66, 11.66 and 12.669.15, 9.65, 10.65, 11.65, 12.65 and 13.65Diameter (mm)$Ø4.0$$Ø4.5$$Ø4.0$
Surface TreatmentTiN CoatingTiN CoatingGingival Height1mm and 3mm1mm and 3mm1mm
SterileEnd User SterilizationEnd User SterilizationSterileEnd User SterilizationEnd User SterilizationEnd User Sterilization
Indications For
UseThe Dentis s-Clean Abutment Mini is an endosseous
dental implant that is indicated for surgical placement
in the upper and lower jaw arches, to provide a root
form means for single or multiple-units prosthetic
appliance attachment to restore a patient's chewing
function. Implants can be placed with a conventional
two stage surgical process with an option for
transmucosal healing or they can be placed in a single
stage surgical process for immediate loading when
good primary stability has been achieved and with
appropriate occlusal loading.The Dentis Dental Implant System is an
endosseous dental implant that is indicated for
surgical placement in the upper and lower jaw
arches, to provide a root form means for single or
multiple-units prosthetic appliance attachment to
restore a patient's chewing function. Implants can
be placed with a conventional two stage surgical
process with an option for transmucosal healing or
they can be placed in a single stage surgical
process for immediate loading when good primary
stability has been achieved and with appropriate
occlusal loading.Indications For
Use/
Intended UseThe Dentis s-Clean Abutment Mini
is an endosseous dental implant that
is indicated for surgical placement
in the upper and lower jaw arches,
to provide a root form means for
single or multiple-units prosthetic
appliance attachment to restore a
patient's chewing function.
Implants can be placed with a
conventional two stage surgical
process with an option for
transmucosal healing or they can be
placed in a single stage surgical
process for immediate loading when
good primary stability has been
achieved and with appropriate
occlusal loading.The Dentis Dental Implant
System is an endosseous dental
implant that is indicated for
surgical placement in the upper
and lower jaw arches, to provide
a root form means for single or
multiple-units prosthetic
appliance attachment to restore
a patient's chewing function.
Implants can be placed with a
conventional two stage surgical
process with an option for
transmucosal healing or they
can be placed in a single stage
surgical process for immediate
loading when good primary
stability has been achieved and
with appropriate occlusal
loading.The s-Clean OneQ-SL Narrow
Implant 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
terminal or intermediate abutment
support for fixed bridgework. This
system is dedicated for one and
two stage surgical procedures and
not dedicated for immediate
loading. This system is intended
for delayed loading. Only, s-Clean
OneQ-SL Narrow fixture (3.0, 3.3,
3.7mm) is limited to replacement
of maxillary lateral incisors and
mandibular incisors.
Substantial
Equivalence
ComparisonThe subject device has same indications for Use, fundamental scientific technology, principle of operation,
technology, functions, and materials and has similar design with the primary predicate.
The difference between the subject and primary predicate is the lengths of the device and the compatible
implant body. The subject device has shorter size than the primary predicate but doesn't affect device's
fundamental functions and safety; therefore, it is substantial equivalent.Substantial
Equivalence
ComparisonThe subject device has same indications for Use, fundamental scientific technology, principle of operation,
technology, functions, and materials and has similar design with the primary predicate.
The difference between the subject and primary predicate is the diameter of the device and the compatible
implant body. To support this discrepancy, K161244 was added; therefore, it is substantial equivalent.

2. s-Clean TiN Half Coating Sub-Octa Abutment

7

3. s-Clean CCM UCLA Abutment s-Line

8

Non-Clinical Testing

Below tests were performed for predicate devices and leveraged for the subject device:

  • Biocompatibility testing according to ISO 10993-1:2009 for Ti-6A1-4V material abutments . referenced in K210080, for Cobalt-28Chrominum-6Molybdenum material abutment referenced in K161244 and for Ti-6Al-4V with TiN Coating abutments referenced in K171027
  • End User Sterilization Validation Test Report according to ANSI/AAMI ST79, ISO 17665-1, ● ISO 17665-2. ISO 11737-1, ISO 11737-2, and ISO 11138-1 referenced in K111364 for Ti-6Al-4V material abutments non-coating and TiN-Coating.

The results of the above tests have met the criteria of the standards and demonstrated the substantial equivalence with the predicate device.

Non-clinical test data was conducted in accordance with FDA Guidance "Class II Special Controls Guidance Document: Root-form Endosseous Dental Implants and Endosseous Dental Implant Abutments".

Biocompatibility testing for Ti-6AI-4V wth TiN Coating material abutments was conducted on the predicate device, K171027 and can be leveraged for the subject device because both devices have same material and manufacturing process which is substantially equivalent.

Fatigue testing was not performed for the subject device according to the ISO 14801:2016 because this subject device system does not include any angled abutments. Based on the FDA Guidance "Class II Special Controls Guidance Document: Root-form Endosseous Dental Implants and Endosseous Dental Implant Abutments", the fatigue testing is not necessary if the system does not consist of angled abutments. Also, the surface modification for the subject device was not tested or provided because the surface modification information was provided in the predicate devices and can be leveraged for the subject device.

End User Sterilization Validation Test Report for Cobalt-27Chrominum-6Molybdenum was conducted on the device that is not cleared by FDA. The test article is the largest surface area among the devices that have the same manufacturing process and material.

Clinical testing was not necessary to establish substantial equivalency of the device.

  • MR Environment Condition -
    Non-clinical worst-case MRI review was performed to evaluate the Dentis s-Clean Abutment Mini 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

9

Conclusion

Dentis s-Clean Abutment Mini constitutes a substantially equivalent medical device, meeting all the declared requirements of its intended use. This system has the same intended use and fundamental scientific technology as its predicate devices. Therefore, the Dentis s-Clean Abutment Mini and its predicates are substantially equivalent.