K Number
K221684
Device Name
Osstem Abutment System
Date Cleared
2022-09-08

(90 days)

Product Code
Regulation Number
872.3630
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The OSSTEM Abutment System is intended for use with a dental implant to provide support for prosthetic restorations such as crowns, bridges, or overdentures.
Device Description
Osstem Abutment System is compatible with the following implant systems. Osstem Implant Co., Ltd. TS SA Fixture Internal Hex 3.2, 3.5, 3.75, 3.77, 4.2, 4.25, 4.4, 4.6, 4.63, 4.65, 4.8, 4.9, 5.05, 5.08, 5.1, 5.25, 5.92, 5.95, 6, 6.2, 6.8, 7.1 Osstem Implant Co., Ltd. US SA Fixture External Hex 3.6, 4.2, 5.1, 5.2 Osstem Abutment System is intended for use with a dental implant to provide support for prosthetic restorations such as crowns, bridges, or overdentures. Osstem Abutment System is similar to other commercially available products based on the intended use, technology used, claims, material composition employed and performance characteristics. Osstem Abutment System is substantially equivalent in design, function and intended use to the predicate devices as above.
More Information

No
The summary describes a dental abutment system and its mechanical and material properties. There is no mention of any software, algorithms, or data processing that would suggest the use of AI/ML. The performance studies focus on biocompatibility, sterilization, mechanical properties, and MR compatibility, which are standard evaluations for this type of device.

No

The device is intended to provide support for prosthetic restorations such as crowns, bridges, or overdentures in conjunction with a dental implant, which is a structural and supportive function, not a therapeutic one.

No

The device is an abutment system intended to support dental prosthetic restorations like crowns and bridges. Its purpose is mechanical support, not to diagnose a condition.

No

The device description and performance studies clearly indicate this is a physical dental abutment system, not software. It discusses materials, manufacturing processes, biocompatibility, sterilization, mechanical properties (fatigue testing), and MR compatibility, all related to a physical implant component.

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

Here's why:

  • Intended Use: The intended use clearly states that the device is "intended for use with a dental implant to provide support for prosthetic restorations such as crowns, bridges, or overdentures." This describes a device used in vivo (within the body) to support dental prosthetics.
  • Device Description: The description details its compatibility with dental implant systems and its function in supporting prosthetic restorations.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or screening.

IVD devices are specifically designed to be used outside the body to analyze biological samples. The OSSTEM Abutment System is a medical device used inside the body for structural support in dental procedures.

N/A

Intended Use / Indications for Use

The OSSTEM Abutment System is intended for use with a dental implant to provide support for prosthetic restorations such as crowns, bridges, or overdentures.

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

NHA

Device Description

Osstem Abutment System is compatible with the following implant systems.

ManufacturerModel NameConnectionDiameter (mm)
Osstem Implant Co., Ltd.TS SA FixtureInternal Hex3.2, 3.5, 3.75, 3.77, 4.2, 4.25, 4.4, 4.6, 4.63, 4.65, 4.8, 4.9, 5.05, 5.08, 5.1, 5.25, 5.92, 5.95, 6, 6.2, 6.8, 7.1
Osstem Implant Co., Ltd.US SA FixtureExternal Hex3.6, 4.2, 5.1, 5.2

Osstem Abutment System is intended for use with a dental implant to provide support for prosthetic restorations such as crowns, bridges, or overdentures.

Osstem Abutment System is similar to other commercially available products based on the intended use, technology used, claims, material composition employed and performance characteristics.

Osstem Abutment System is substaintially equivalent in design, function and intended use to the predicate devices as above.

DeviceContent
TS Multi Angled AbutmentTS Multi Angled Abutment is used to adjust the path of prosthesis in the case where the path is misaligned.
MaterialTitanium Alloy (Ti-6Al-4V, ASTM F136)
Diameter (mm)4.9
Height (mm)5, 5.1, 5.5, 5.6, 6, 6.1, 6.5, 6.6, 7.5, 7.6
Angulation17°, 30°
US Esthetic-low AbutmentUsed in producing screw-retained aesthetic prosthetics. Structure producing prosthetics in cylinder after attaching abutment in the oral cavity. US Esthetic-low Abutment Set is consisted of US Esthetic-low Abutment and Esthetic-low Abutment Screw.
MaterialTitanium (ASTM F67)
Diameter (mm)4.8, 5.5
Height (mm)2.1, 2.2, 3.0, 3.1, 4.0, 4.1, 5.0, 5.1
US Esthetic-low Abutment ScrewUsed to connect US Esthetic-low abutment with fixture.
MaterialTitanium (ASTM F67)
Diameter (mm)3.1, 3.6
Height (mm)7.8, 7.9, 8.8, 8.9, 9.8, 9.9, 10.8, 10.9
TS Temporary AbutmentTS Temporary Abutment is used for prosthetic restoration. It is used temporarily to maintain esthetic appearance until final prosthesis is made.
MaterialTitanium Gr.3 (ASTM F67)
Diameter (mm)4.0, 4.5
G/H (mm)1.0, 3.0

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Dental implant site within the oral cavity.

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 data are submitted to demonstrate substantial equivalence.

Biocompatibility Evaluation:
Biocompatibility testing was considered followed the FDA Guidance Document Use of International Standard ISO 10993-1, "Biological evaluation of medical devices – Part 1: Evaluation and testing within a risk management process, " The Osstem Abutment System has same materials, manufacturer, manufacturing process etc., as predicate device and reference devce. Therefore, we didn't conduct additional biocompatibility test.

Sterilization Validation and Shelf-life:
Proposed devices are provided to the market in non-sterile. The proposed devices are enduser sterilized by moist heat with the same parameters as the primary predicate. The Osstem Abutment System has same materials, manufacturer, manufacturing process etc., as predicate device and reference device. Therefore, we didn't conduct additional sterilization validation.

Mechanical Properties:
Fatigue testing was considered according to the FDA Guidance Document Guidance for Industry and FDA Staff Class II Special Controls Guidance Document Root-form Endosseous Dental Implants and Endosseous Dental Abutment and ISO 14801 standard with the worst case scenario. First of all, gingival height of proposed TS Multi Angled Abutment is large than predicate device at the same angle. But the predicate device with the same gingival height has a larger angle. Secondly, proposed US Esthetic-low Abutment which has regular connection has bigger total length than predicate deivce. But predicate device has mini connection and total length is not affected to choose a worst case. Finally, TS Temporary Abutment has same hex size that is connected to implant although there is difference of design of hex compared with predicate device. In addition, TS Temporary Abutment is used temporarily during healing period. Therfore, we didn't conduct additional fatigue test because the proposed device is not worst-case.

MR Compatibility:
Non-clinical worst-case MRI review was performed to evaluate the Subject device components 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, 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 studies are submitted.

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.

K182091

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.

K160670

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

§ 872.3630 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.)

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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 and the words "U.S. FOOD & DRUG ADMINISTRATION".

Osstem Implant Co., Ltd. % Peter Lee RA/QA Manager HiOSSEN Inc. 85 Ben Fairless Drive Fairless Hills, Pennsylvania 19030

Re: K221684

Trade/Device Name: Osstem Abutment System Regulation Number: 21 CFR 872.3630 Regulation Name: Endosseous Dental Implant Abutment Regulatory Class: Class II Product Code: NHA Dated: June 9, 2022 Received: June 10, 2022

Dear Peter 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) K221684

Device Name OSSTEM Abutment System

Indications for Use (Describe)

The OSSTEM Abutment System is intended for use with a dental implant to provide support for prosthetic restorations such as crowns, bridges, or overdentures.

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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public of Korea 513beon-gil Haeundae-gu Busan Re +82 51 850 2500 Fax: +82 51 861 4693 www.osstem.com

510(k) Summary

Date: September 8, 2022

1. Company and Correspondent making the submission

-Submitter's Name: Osstem Implant Co., Ltd.
-Address: 66-16, Bansong-ro 513beon-gil, Haeundae-gu, Busan
48002, Republic of Korea
-Contact: Ms. Seungju Kang
-Phone: +82-51-850-2500
-Correspondent's Name: Hiossen Inc.
-Address: 85 Ben Fairless Dr. Fairless Hills, PA 19030
-Contact: Mr. Peter Lee
-Phone: +1-267-759-7031

2. Proposed Device

Trade or (Proprietary) Name: Osstem Abutment System
Classification Name: Endosseous dental implant abutment
Regulation Number: 21CFR872.3630
Devce Classification: Class II
Classification Product Code: NHA

3. Predicated Device

Primary Predicate K182091 Osstem Abutment System

Reference Device

ET US SS Prosthetic System, Osstem Implant Co., Ltd. K160670

4. Indication for use

The Osstem Abutment System is intended for use with a dental implant to provide support for prosthetic restorations such as crowns, bridges, or overdentures.

4

5. Device Description

Osstem Abutment System is compatible with the following implant systems.

ManufacturerModel NameConnectionDiameter (mm)
Osstem Implant Co., Ltd.TS SA FixtureInternal Hex3.2, 3.5, 3.75, 3.77, 4.2, 4.25, 4.4, 4.6, 4.63, 4.65, 4.8, 4.9, 5.05, 5.08, 5.1, 5.25, 5.92, 5.95, 6, 6.2, 6.8, 7.1
Osstem Implant Co., Ltd.US SA FixtureExternal Hex3.6, 4.2, 5.1, 5.2

Osstem Abutment System is intended for use with a dental implant to provide support for prosthetic restorations such as crowns, bridges, or overdentures.

Osstem Abutment System is similar to other commercially available products based on the intended use, technology used, claims, material composition employed and performance characteristics.

Osstem Abutment System is substaintially equivalent in design, function and intended use to the predicate devices as above.

DeviceContent
TS Multi Angled AbutmentDescriptionTS Multi Angled Abutment is used to adjust the path of prosthesis in the case where the path is misaligned.
MaterialTitanium Alloy (Ti-6Al-4V, ASTM F136)
Diameter (mm)4.9
Height (mm)5, 5.1, 5.5, 5.6, 6, 6.1, 6.5, 6.6, 7.5, 7.6
Angulation17°, 30°
US Esthetic-low AbutmentDescriptionUsed in producing screw-retained aesthetic prosthetics. Structure producing prosthetics in cylinder after attaching abutment in the oral cavity.
US Esthetic-low Abutment Set is consisted of US Esthetic-low Abutment and Esthetic-low Abutment Screw.
MaterialTitanium (ASTM F67)
Diameter (mm)4.8, 5.5
Height (mm)2.1, 2.2, 3.0, 3.1, 4.0, 4.1, 5.0, 5.1
US Esthetic-low Abutment ScrewDescriptionUsed to connect US Esthetic-low abutment with fixture.
MaterialTitanium (ASTM F67)
Diameter (mm)3.1, 3.6
Height (mm)7.8, 7.9, 8.8, 8.9, 9.8, 9.9, 10.8, 10.9
TS Temporary AbutmentDescriptionTS Temporary Abutment is used for prosthetic restoration. It is used temporarily to maintain

5

Image /page/5/Picture/0 description: The image shows the logo for Osstem Implant. The word "OSSTEM" is in orange, with a small superscript "6" next to the "M". Below "OSSTEM" is the word "IMPLANT" in gray. The logo is simple and modern.

Osstem Implant Co., Ltd.

66-16, Bansong-ro 513beon-gil, Haeundae-gu, Busan, Republic of Korea Tel: +82 51 850 2500 Fax: +82 51 861 4693 www.osstem.com

esthetic appearance until final prosthesis is made.
MaterialTitanium Gr.3 (ASTM F67)
Diameter (mm)4.0, 4.5
G/H (mm)1.0, 3.0

6. Substantial Equivalence Matrix

These subject devices are cleared in past 510(k); therefore, indication for use, shape, connection structure, material, surface treatment, manufacturer and etc. are the same with predicated devices except dimension of additional products.

Proposed DevicesPredicated DevicesRemark
Device NameTS Multi Angled AbutmentTS Multi Angled AbutmentSame
510(k) No.ProposedK182091Same
ManufacturerOsstem Implant Co., Ltd.Osstem Implant Co., Ltd.Same
DesignImage: Proposed Device DesignImage: Predicated Device DesignSame
Indications for UseThe Osstem Abutment
System is intended for use
with a dental implant to
provide support for
prosthetic restorations such
as crowns, bridges, or
overdentures.The Osstem Abutment
System is intended for use
with a dental implant to
provide support for
prosthetic restorations such
as crowns, bridges, or
overdentures.Same
Principle of
OperationUsing making screw-
retained type prosthesis in
multiple cases by using with
Esthetic-low cylinder when
path adjustment is
necessary.Using making screw-
retained type prosthesis in
multiple cases by using with
Esthetic-low cylinder when
path adjustment is
necessary.Same
MaterialTi-6Al-4V (ASTM F136)Ti-6Al-4V (ASTM F136)Same
Abutment Angle (°)1717, 30Same
Platform(Ø)4.9mm4.9mmSame
ConnectionHexHexSame
Gingival Height5.0mm2.5~4.0mm (17°)
2.5~5.0mm (30°)5.0mm is
added; within
the range of the
predicates

6

Image /page/6/Picture/0 description: The image contains the logo for Osstem Implant. The word "OSSTEM" is in orange, and the word "IMPLANT" is in gray. A small superscript "o" is located to the right of the word "OSSTEM".

Osstem Implant Co., Ltd.

OSSTEM Implant Co., Ltd..
66-16, Bansong-ro 513beon-gil, Haeundae-gu, Busan, Republic of Korea
Tel: +82 51 850 2500 Fax: +82 51 861 4693 www.osstem.com

| S.E. | Similarities
Proposed Multi Angled Abutment has same design, fuction and indication for
use; and is made with same material with same manufacturing method by same
manufacturer compared to that of the predicated Multi Angled Abutment
(K182091). |
|------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | Differences
Proposed Multi Angled Abutment has same diameter, length and angulation
that is smaller than predicated Multi Angled Abutment. But the angulation is
included in predicated product, and we have already completed the fatigue test
for the larger angulation according to the FDA Guidance Class II Special
Controls Guidance Document: Root-form Endosseous Dental Implants and
Endosseous Dental Implant Abutments .Therefore, we didn't conduct additional
fatigue testing. |
| | ... Proposed Multi Angled Abutment and the predicated Multi Angled
Abutment have common in design, function, indications for use, material,
manufacturing process, manufacturer, etc.; therefore, the proposed Multi
Angled Abutment is substantially equivalent to the predicated Multi Angled
Abutment (K182091). |

Proposed DevicesPredicated DevicesRemark
Device NameUS Esthetic-low AbutmentUS Esthetic-low AbutmentSame
510(k) No.ProposedK160670Same
ManufacturerOsstem Implant Co., Ltd.Osstem Implant Co., Ltd.Same
DesignImage: Proposed DesignImage: Predicated DesignSame
Indications for UseThe Osstem Abutment
System is intended for use
with a dental implant to
provide support for
prosthetic restorations such
as crowns, bridges, or
overdentures.The OSSTEM Prosthetic
system is intended for use
with a dental implant to
provide support for
prosthetic restorations such
as crowns, bridges, or over-
dentures.Same
Principle of
OperationEsthetic-low abutment is
connected to implanted
fixture and upper part is
connected to cylinder
Esthetic-low abutment uses
cylinder screw to fasten
screw-retained typeEsthetic-low abutment is
connected to implanted
fixture and upper part is
connected to cylinder
Esthetic-low abutment uses
cylinder screw to fasten
screw-retained typeSame

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Image /page/7/Picture/0 description: The image shows the logo for Osstem Implant. The word "OSSTEM" is in orange, and the word "IMPLANT" is in gray. There is a small superscript "6" next to the word "OSSTEM".

Osstem Implant Co., Ltd.

Osstem Implant Co., ILtd..
66-16, Bansong-ro 513beon-gil, Haeunda-gu, Busan, Republic of Korea
Tel: +82 51 850 2500 Fax: +82 51 861 4693 www.osstem.com

prosthesisprosthesis
MaterialTi CP Gr3 (ASTM F67)Ti CP Gr3 (ASTM F67)Same
Diameter(Ø)2.71mm2.41mm, 2.71mm, 3.41mmSame
Length(mm)5.0mm1.1~4.1mmDiffernet
ConnectionExternal Hex ConnectionExternal Hex ConnectionSame
S.E.Similarities
Proposed Esthetic-low Abutment has same design, fuction and indication for use; and is made with same material with same manufacturing method by same manufacturer compared to that of the predicated Esthetic-low Abutment (K160670).

Differences
Proposed Esthetic-low Abutment has total length is bigger than predicated Esthetic-low Abutment. In order to consider the fatigue performance of the Esthetic-low Abutment, we take into an account whether the proposed device is chosen as a worst-case compared to predicated device.

First of all, to compare the diameter of the compatible implant fixture, we choose the MEM400 as worst case from the predicate devices since it has the smallest diameter and mini connection.

Secondly, the diameter of compatible implant fixture to the proposed device, which has regular connection, is 4.20mm and bigger than the diameter of compatible implant fixture to the predicate device, MEM400, which 3.75mm and has mini connection. Also, total length is not affected to choose a worst case because moment arm is not changed. The distance between the embedding plane and the centre of the hemispherical loading member always is 11mm according to the ISO14801.

As a result, the fatigue of the proposed device is considered to be equal to or greater than that of the predicated device. Therefore, we didn't conduct additional fatigue testing. | | |
| | ... Proposed Esthetic-low Abutment and the predicated Esthetic-low Abutment have common in design, function, indications for use, material, manufacturing process, manufacturer, etc.; therefore, the proposed Esthetic-low Abutment is substantially equivalent to the predicated Esthetic-low Abutment (K160670). | | |

Proposed DevicesPredicated DevicesRemark
Device NameUS Esthetic-low Abutment
ScrewUS Esthetic-low Abutment
ScrewSame
510K No.ProposedK160670Same
ManufacturerOSSTEM Implant Co., Ltd.OSSTEM Implant Co., Ltd.Same

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Image /page/8/Picture/0 description: The image shows the logo for Osstem Implant. The word "OSSTEM" is written in orange, with the "O" being slightly larger than the other letters. The word "IMPLANT" is written in gray below "OSSTEM". The logo is simple and modern.

Osstem Implant Co., Ltd.

OSSTEM® OSSTEM IImplant CO., Ltd..
66-16, Bansong-ro 513beon-gil, Haeunda-gu, Busan, Republic of Korea
. . . . . . Tel: +82 51 850 2500 Fax: +82 51 861 4693 www.osstem.oom

DesignImage: Abutment ScrewImage: Abutment ScrewSame
Indication for UseThe Osstem Abutment
System is intended for use
with a dental implant to
provide support for
prosthetic restorations such
as crowns, bridges, or
overdentures.The OSSTEM Prosthetic
system is intended for use
with a dental implant to
provide support for
prosthetic restorations such
as crowns, bridges, or over-
dentures.Same
Principles of
OperationEsthetic-low Abutment
Screw is fasten Esthetic-low
Abutment to Implanted
fixtureEsthetic-low Abutment
Screw is fasten Esthetic-low
Abutment to Implanted
fixtureSame
MaterialTi-6Al-4V (ASTM F136)Ti-6Al-4V (ASTM F136)Same
Diameter(Ø)3.1mm3.1mm, 3.6mmSame
Length(mm)11.8mm7.9~10.8mmDifferent
S.E.Similarities
Proposed Esthetic-low Abutment Screw has same design, function and
indication for use; and is made with same material with same manufacturing
method by same manufacturer compared to that of the predicated Esthetic-low
Abutment Screw (K160670).
Differences
Proposed Esthetic-low Abutment Screw has new dimension of total length.
.:. Proposed Esthetic-low Abutment Screw and the predicated Esthetic-low
Abutment Screw have common in design, function, indications for use,
material, manufacturing process, manufacturer, etc.; therefore, the proposed
Esthetic-low Abutment Screw is substantially equivalent to the predicated
Esthetic-low Abutment Screw (K160670).
Proposed DevicesPredicated DevicesRemark
Device NameTS Temporary AbutmentTS Temporary AbutmentSame
510K No.ProposedK182091-
ManufacturerOSSTEM Implant Co., Ltd.OSSTEM Implant Co., Ltd.Same

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Image /page/9/Picture/0 description: The image shows the logo for Osstem Implant. The word "OSSTEM" is in orange, with a stylized font. Below it, the word "IMPLANT" is in gray and in a smaller font. The logo is simple and clean, with a focus on the company name.

Osstem Implant Co., Ltd.

OSSTEM® OSSTEM IImplant CO., Ltd..
66-16, Bansong-ro 513beon-gil, Haeunda-gu, Busan, Republic of Korea
. . . . . . Tel: +82 51 850 2500 Fax: +82 51 861 4693 www.osstem.oom

| Design | Image: Dental Implant | Image: Dental Implant | Same except
for its shape
of the hex |
|---------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------|
| Indication for Use | The Osstem Abutment System
is intended for use with a
dental implant to provide
support for prosthetic
restorations such as crowns,
bridges, or overdentures. | The Osstem Abutment
System is intended for use
with a dental implant to
provide support for
prosthetic restorations such
as crowns, bridges, or
overdentures. | Same |
| Principle of
Operation | Using making temporary
prosthesis to maintain
aesthetic appearance until
final prosthesis is made. | Using making temporary
prosthesis to maintain
aesthetic appearance until
final prosthesis is made. | Same |
| Material | Ti CP Gr3 (ASTM F67) | Ti CP Gr3 (ASTM F67) | Same |
| Diameter(Ø) | 4.0, 4.5mm | 4.0, 4.5mm | Same |
| Post Height (mm) | 10 | 10 | Same |
| Hex Size | 2.08, 2.48mm | 2.08, 2.48mm | Same |
| Appearance | Image: Dental Implant with Hex Part | Image: Dental Implant with Hex Part | Different |
| S.E. | Similarities
Proposed Temporary Abutment has same design (except for its shape of hex),
function and indication for use; and is made with same material with same
manufacturing method by same manufacturer compared to that of the
predicated Temporary Abutment (K182091)
Differences
Shape of the hex between the proposed and predicated Temporary Abutment is
different. But the hex size that is connected to fixture is same although there is
difference of design of hex compared with predicated product. In addition,
since Temporary Abutment is used to make temporary prosthesis for esthetic
purpose for healing period after placement of fixture, changing the shape of
hex does not affect the any performance. Therefore, we do not need to consider
fatigue testing. | | |

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Image /page/10/Picture/0 description: The image shows the logo for Osstem Implant. The word "OSSTEM" is written in orange, with a small superscript "6" next to the "M". Below "OSSTEM", the word "IMPLANT" is written in gray. The logo is simple and modern.

Osstem Implant Co., Ltd

16, Bansong-ro 513beon-gil, Haeundae-gu, Busan, Republic of Korea el: +82 51 850 2500 Fax: +82 51 861 4693 www.osstem.com

: . While shape of the hex of Temporary Abutment is changed compared to the predicates, proposed Temporary Abutment and the predicated Temporary Abutment have common in design, function, indications for use, material, manufacturing process, manufacturer, etc .; therefore, the proposed Temporary Abutment is substantially equivalent to the predicated Temporary Abutment (K182091).

7. Summary of Non-clinical Performance Testing

Non-clinical testing data are submitted to demonstrate substantial equivalence.

Biocompatibility Evaluation

Biocompatibility testing was considered followed the FDA Guidance Document Use of International Standard ISO 10993-1, "Biological evaluation of medical devices – Part 1: Evaluation and testing within a risk management process, " The Osstem Abutment System has same materials, manufacturer, manufacturing process etc., as predicate device and reference devce. Therefore, we didn't conduct additional biocompatibility test.

Sterilization Validation and Shelf-life

Proposed devices are provided to the market in non-sterile. The proposed devices are enduser sterilized by moist heat with the same parameters as the primary predicate. The Osstem Abutment System has same materials, manufacturer, manufacturing process etc., as predicate device and reference device. Therefore, we didn't conduct additional sterilization validation.

Mechanical Properties

Fatigue testing was considered according to the FDA Guidance Document Guidance for Industry and FDA Staff Class II Special Controls Guidance Document Root-form Endosseous Dental Implants and Endosseous Dental Abutment and ISO 14801 standard with the worst case scenario. First of all, gingival height of proposed TS Multi Angled Abutment is large than predicate device at the same angle. But the predicate device with the same gingival height has a larger angle. Secondly, proposed US Esthetic-low Abutment which has regular connection has bigger total length than predicate deivce. But predicate device has mini connection and total length is not affected to choose a worst case. Finally, TS Temporary Abutment has same hex size that is connected to implant although there is difference of design of hex compared with predicate device. In addition, TS Temporary Abutment is used temporarily during healing period. Therfore, we didn't conduct additional fatigue test because the proposed device is not worst-case.

MR Compatibility

Non-clinical worst-case MRI review was performed to evaluate the Subject device components 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, abutments, and fixation screws) and material composition. Rationale addressed parameters per the FDA guidance "Testing and Labeling

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Image /page/11/Picture/0 description: This image contains the logo and contact information for Osstem Implant Co., Ltd. The logo includes the company name in bold, along with the word "IMPLANT" in a smaller font. The address is listed as 66-16, Bansong-ro 513beon-gil, Haeundae-gu, Busan, Republic of Korea. The image also includes the telephone number +82 51 850 2500, fax number +82 51 861 4693 and website www.osstem.com.

Medical Devices for Safety in the Magnetic Resonance (MR) Environment," including magnetically induced displacement force and torque.

8. Summary of Clinical Testing

No clinical studies are submitted.

9. Conclusion

In accordance with the Federal Food, Drug and Cosmetic Act, 21 CFR Part 807, and based on the information provided in this premarket notification, Osstem Implant Co., Ltd. concludes that Osstem Abutment System is substantially equivalent to the predicated devices as herein.