K Number
K221866
Device Name
S-Plant Dental Implant System
Date Cleared
2024-01-18

(570 days)

Product Code
Regulation Number
872.3640
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The S-Plant Dental Implant System is indicated for surgical placement in the upper and lower jaw arches, to provide a root form means for single or multiple units' prosthetic attachment to restore a patient's chewing function. The smaller S-Plant Dental Implants (03.4, 3.6, 3.8, 4.2, 4.7, 5.2 mm) 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 is achieved with appropriate occlusal loading. The larger S-Plant Dental Implants (06.0, 7.0 mm) can be placed with a conventional two stage surgical process with an option for transmucosal healing and are indicated for the molar region with delayed loading. Dual abutments are intended for use with a dental implant to provide support for prosthetic restorations such as crowns, bridges, or overdentures. Healing abutments are used to make a natural soft tissue shape before setting and removing cover screw after osseointegration. Cover Screws are used to protect the internal portion of the implant, preventing soft tissue growth into the implant, facilitating provisional restorations when necessary, and enabling the transition to final restoration components once osseointegration is complete.
Device Description
The S-Plant Dental Implant System is comprised of dental implants, superstructures, instruments for prosthetics and surgical instruments. The S-Plant Dental Implant System is specially designed for use in dental implant surgery. A successfully osseointegrated implant will achieve a firm implant when surgically implanted under controlled conditions. There are intended for use in partially or fully edentulous mandibles and maxillae, in support of single or multiple unit restorations. The S-Plant Dental Implant System fixtures are made of commercial pure titanium, grade 4 (ASTM F67) which have a S.L.A (Sand blasted large grit acid etched) treated surface and supplied sterile (gamma radiation). These fixtures can be used one stage surgery method or two stage surgery method. And that are surgically inserted into the upper and/or lower jawbone. The fixtures replace tooth roots providing a stable foundation for restorations. Geometrically, the implant is screw type. An abutment is connected to the implant through a tapered joint. The Abutment made of Ti-6AL-4V ELI alloy (ASTM F136) is intended for use as an aid in single or multiple-unit prosthetic restorations. It consists of Healing Abutment, and Abutment Screws. All abutments are supplied non-sterile and autoclaved by the end user. The Cover Screw made of Ti-6Al-4V ELI alloy (ASTM F136), is an essential component in dental implant procedures. This device safeguards the internal threads of dental implant fixtures during the healing phase, ensuring a sterile environment for successful osseointegration.
More Information

No
The summary describes a physical dental implant system and its components, with no mention of software, algorithms, or any technology related to AI or ML.

Yes
The device is described as a dental implant system intended to provide a root form for prosthetic attachment to restore a patient's chewing function, which is a therapeutic purpose.

No

This device is a dental implant system designed for surgical placement to restore chewing function and provide support for prosthetic restorations. It is not used for diagnosing conditions or diseases.

No

The device description explicitly states it is comprised of physical components like dental implants, superstructures, and instruments, which are made of materials like titanium. This indicates it is a hardware-based medical device, not software-only.

Based on the provided text, the S-Plant Dental Implant System is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens (like blood, urine, or tissue) taken from the human body to provide information for diagnosis, monitoring, or screening.
  • S-Plant Dental Implant System Function: The S-Plant system is a collection of physical implants, abutments, and instruments designed for surgical placement in the jawbone to support dental prosthetics. Its purpose is to restore chewing function by providing a stable base for artificial teeth.
  • Lack of Specimen Analysis: The description of the S-Plant system does not involve the analysis of any biological specimens. It is a surgically implanted device.

Therefore, the S-Plant Dental Implant System falls under the category of a medical device (specifically, a dental implant system), but not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The S-Plant Dental Implant System is indicated for surgical placement in the upper and lower jaw arches, to provide a root form means for single or multiple units' prosthetic attachment to restore a patient's chewing function. The smaller S-Plant Dental Implants (03.4, 3.6, 3.8, 4.2, 4.7, 5.2 mm) 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 is achieved with appropriate occlusal loading. The larger S-Plant Dental Implants (06.0, 7.0 mm) can be placed with a conventional two stage surgical process with an option for transmucosal healing and are indicated for the molar region with delayed loading.

Dual abutments are intended for use with a dental implant to provide support for prosthetic restorations such as crowns, bridges, or overdentures. Healing abutments are used to make a natural soft tissue shape before setting and removing cover screw after osseointegration. Cover Screws are used to protect the internal portion of the implant, preventing soft tissue growth into the implant, facilitating provisional restorations when necessary, and enabling the transition to final restoration components once osseointegration is complete.

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

DZE, NHA

Device Description

The S-Plant Dental Implant System is comprised of dental implants, superstructures, instruments for prosthetics and surgical instruments. The S-Plant Dental Implant System is specially designed for use in dental implant surgery. A successfully osseointegrated implant will achieve a firm implant when surgically implanted under controlled conditions. There are intended for use in partially or fully edentulous mandibles and maxillae, in support of single or multiple unit restorations.

The S-Plant Dental Implant System fixtures are made of commercial pure titanium, grade 4 (ASTM F67) which have a S.L.A (Sand blasted large grit acid etched) treated surface and supplied sterile (gamma radiation). These fixtures can be used one stage surgery method or two stage surgery method. And that are surgically inserted into the upper and/or lower jawbone. The fixtures replace tooth roots providing a stable foundation for restorations. Geometrically, the implant is screw type. An abutment is connected to the implant through a tapered joint.

The Abutment made of Ti-6AL-4V ELI alloy (ASTM F136) is intended for use as an aid in single or multiple-unit prosthetic restorations. It consists of Healing Abutment, and Abutment Screws. All abutments are supplied non-sterile and autoclaved by the end user.

The Cover Screw made of Ti-6Al-4V ELI alloy (ASTM F136), is an essential component in dental implant procedures. This device safeguards the internal threads of dental implant fixtures during the healing phase, ensuring a sterile environment for successful osseointegration.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

upper and lower jaw arches, molar region, mandibles and maxillae

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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

Not Found

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

Not Found

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

Non-Clinical Test Data:

  • ISO 7405:2018, Dentistry Evaluation of biocompatibility of medical devices used in . dentistrv
  • ISO 10993-1:2018, Biological evaluation of medical devices Part 1: Evaluation and . testing
  • ISO 10993-3:2014, Biological evaluation of medical devices Part 3: Tests for ● genotoxicity, carcinogenicity and reproductive toxicity
  • ISO 10993-5:2009, Biological evaluation of medical devices Part 5: Tests for in vitro ● cvtotoxicitv
  • ISO 10993-6:2016, Biological evaluation of medical devices Part 6: Tests for local ● effects after implantation
  • ISO 10993-10:2010, Biological evaluation of medical devices Part 10: Tests for . irritation and skin sensitization
  • ISO 10993-11:2018, Biological evaluation of medical devices Part 11: Tests for . systemic toxicity
  • ISO 10993-12:2012, Biological evaluation of medical devices Part 12: Sample . preparation and reference materials

Key Results: The non-clinical test data submitted for the S-Plant Dental Implant System validates its substantial equivalence to the predicate device's safety and effectiveness are ensured through sterilization validation, involving both gamma radiation and gravity displacement moist heat, in addition to shelf-life determination conducted through accelerated aging studies. Surface modification testing, utilizing EDS and SEM evaluations, further confirms the consistency and appropriateness of the S.L.A treated surface. These non-clinical assessments adhere rigorously to recognized standards, including ISO 11137, ANSI/AAMI ST79, and ASTM F1980, reinforcing the reliability and validity of our data. The outcomes collectively support the substantial equivalence of the S-Plant Dental Implant System to the predicate device. The results of these comprehensive tests have met the criteria set by industry standards, establishing substantial equivalence with the predicate device. The non-clinical testing procedures followed the guidelines outlined in the FDA document "Class II Special Controls Guidance Document Root-form Endosseous Dental Implants and Endosseous Dental Implant Abutments." The conclusive results of the non-clinical testing clearly demonstrate that the S-Plant Dental Implant System is substantially equivalent to the predicate device.

MR Conditional Labeling: Non-clinical worst-case MRI review was performed to evaluate the metallic devices in the MRI environment using scientific rationale and published literature (i.e., 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 to include all variations (all compatible implant bodies, dental abutments, and fixation screws) and material compositions. The 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 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.

K122519

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.

K161987, K182091, K203360, K141457

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.

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Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

Newton Implant Systems, Inc. % Joyce Kwon CEO Provision Consulting Group, Inc. 100 N Barranca St. Suite 700 West Covina, California 91791

January 18, 2024

Re: K221866

Trade/Device Name: S-Plant Dental Implant System Regulation Number: 21 CFR 872.3640 Regulation Name: Endosseous Dental Implant Regulatory Class: Class II Product Code: DZE, NHA Dated: December 20, 2023 Received: December 21, 2023

Dear Joyce Kwon:

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 (the 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 available 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

Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30. Design controls; 21 CFR 820.90. Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

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 Part 803) for devices or postmarketing safety reporting (21 CFR Part 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 Part 4, Subpart A) for combination products: and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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.

2

3

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 -S

Andrew I. Steen Assistant Director DHT1B: Division of Dental and ENT Devices OHT1: Office of Ophthalmic, Anesthesia, Respiratory, ENT and Dental Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

3

Indications for Use

510(k) Number (if known) K221866

Device Name S-Plant Dental Implant System

Indications for Use (Describe)

The S-Plant Dental Implant System is indicated for surgical placement in the upper and lower jaw arches, to provide a root form means for single or multiple units' prosthetic attachment to restore a patient's chewing function. The smaller S-Plant Dental Implants (03.4, 3.6, 3.8, 4.2, 4.7, 5.2 mm) 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 is achieved with appropriate occlusal loading. The larger S-Plant Dental Implants (06.0, 7.0 mm) can be placed with a conventional two stage surgical process with an option for transmucosal healing and are indicated for the molar region with delayed loading.

Dual abutments are intended for use with a dental implant to provide support for prosthetic restorations such as crowns, bridges, or overdentures. Healing abutments are used to make a natural soft tissue shape before setting and removing cover screw after osseointegration. Cover Screws are used to protect the internal portion of the implant, preventing soft tissue growth into the implant, facilitating provisional restorations when necessary, and enabling the transition to final restoration components once osseointegration is complete.

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

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510(k) Summary

510(k) Submitter

Aiden Lee IDIS Co, Ltd. #1314~ #1319, 122, Jomaru-ro, 385 beon gil, Bucheon-si, Gyeunggi-do, 14556, Republic of Korea

Official Correspondent / Contact Person

Joyce Kwon, CEO/Principal Consultant Provision Consulting Group, Inc. 13925 City Center Dr. Suite 200 Chino Hills, CA 91709 +1-909-493-3276 joyce(@provisionfda.com

Date Prepared: 1/12/2024

Device Information

  • Trade Name: S-Plant Dental Implant System
  • Common Name: Endosseous Dental Implant
  • Classification Name: Endosseous dental implant
  • Regulation Number: 21 CFR 872.3640
  • Device Class: Class II
  • . Primary Product Code: DZE
  • Secondary Product Code: NHA

Predicate

Devices Fixture:

  • DIO UF HSA Internal Sub-merged Implant System (K122519) ●

Reference Device

Fixture

  • DIO UF(II) Narrow Implant System (K161987) .

Abutment:

  • Angled Abutment- Osstem Implant Angled Abutment (K182091) ●
  • Transfer Abutment- Osstem Implant Transfer Abutment (K182091) ●
  • Healing Abutment- Hiossen Healing Abutment (K203360)

Accessories:

  • Cover Screw- Dentium Implantium SuperLine Abutments Cover Screw (K141457) ●
  • Abutment Screw- Osstem Implant Abutment Screw (K182091) ●

5

Prior Submission Information

N/A

Indications for Use

The S-Plant Dental Implant System is indicated for surgical placement in the upper and lower jaw arches, to provide a root form means for single or multiple units' prosthetic attachment to restore a patient's chewing function. The smaller S-Plant Dental Implants (03.4, 3.6, 3.8, 4.2, 4.7, 5.2 mm) 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 is achieved with appropriate occlusal loading. The larger S-Plant Dental Implants (Ø6.0, 7.0 mm) can be placed with a conventional two stage surgical process with an option for transmucosal healing and are indicated for the molar region with delayed loading.

Dual abutments are intended for use with a dental implant to provide support for prosthetic restorations such as crowns, bridges, or overdentures. Healing abutments are used to make a natural soft tissue shape before setting up prosthetics and removing cover screw after osseointegration. Cover Screws are used to protect the internal portion of the implant, preventing soft tissue growth into the implant, facilitating provisional restorations when necessary, and enabling the transition to final restoration components once osseointegration is complete.

Device Description

The S-Plant Dental Implant System is comprised of dental implants, superstructures, instruments for prosthetics and surgical instruments. The S-Plant Dental Implant System is specially designed for use in dental implant surgery. A successfully osseointegrated implant will achieve a firm implant when surgically implanted under controlled conditions. There are intended for use in partially or fully edentulous mandibles and maxillae, in support of single or multiple unit restorations.

The S-Plant Dental Implant System fixtures are made of commercial pure titanium, grade 4 (ASTM F67) which have a S.L.A (Sand blasted large grit acid etched) treated surface and supplied sterile (gamma radiation). These fixtures can be used one stage surgery method or two stage surgery method. And that are surgically inserted into the upper and/or lower jawbone. The fixtures replace tooth roots providing a stable foundation for restorations. Geometrically, the implant is screw type. An abutment is connected to the implant through a tapered joint.

The Abutment made of Ti-6AL-4V ELI alloy (ASTM F136) is intended for use as an aid in single or multiple-unit prosthetic restorations. It consists of Healing Abutment, and Abutment Screws. All abutments are supplied non-sterile and autoclaved by the end user.

The Cover Screw made of Ti-6Al-4V ELI alloy (ASTM F136), is an essential component in dental implant procedures. This device safeguards the internal threads of dental implant fixtures during the healing phase, ensuring a sterile environment for successful osseointegration.

6

The dimensions of subject devices are as following:

No.Device NameDimensions
1.S-Plant FixtureØ 3.4 x 8.5, 10.0, 11.5, 13.0, 15.0 mm (L)
Ø 3.6 x 8.5, 10.0, 11.5, 13.0, 15.0 mm (L)
Ø 3.8 x 7.0, 8.5, 10.0, 11.5, 13.0, 15.0 mm (L)
Ø 4.2 x 7.0, 8.5, 10.0, 11.5, 13.0 mm (L)
Ø 4.7 x 7.0, 8.5, 10.0, 11.5, 13.0 mm (L)
Ø 5.2 x 7.0, 8.5, 10.0, 11.5 mm (L)
Ø 6.0 x 7.0, 8.5, 10.0, 11.5 mm (L)
Ø 7.0 x 7.0, 8.5 mm (L)
2.Dual AbutmentD(Ø)
G/H
Post
4
4.5
4.5
5
67
71,2,3,4,55.5
3.Healing AbutmentØ 4.0 x 3.0, 4.0, 5.0, 6.0, 7.0 mm (L)
Ø 4.5 x 3.0, 4.0, 5.0, 6.0, 7.0 mm (L)
Ø 5.0 x 3.0, 4.0, 5.0, 6.0, 7.0 mm (L)
Ø 6.0 x 3.0, 4.0, 5.0, 6.0, 7.0 mm (L)
Ø 7.0 x 3.0, 4.0, 5.0, 6.0, 7.0 mm (L)
4.Abutment ScrewØ 2.25 x 10.2 mm (L)
Ø 2.5 x 9.0 mm (L)
5.Cover ScrewØ 3.60 x 6.5 mm (L)

Substantial Equivalent Comparison Chart with Primary Predicate Device and Reference Device for Fixture

Subject DevicePrimary Predicate DeviceReference Device
Product NameS-Plant Implant System
FixtureDIO UF HSA Internal Sub-
merged Implant SystemDIO UF(II) Narrow
Implant System
510(k)
NumberK221866K122519K161987
ManufacturerIDISDIO CorporationDIO Corporation
Classification
Regulation21 CFR 872.364021 CFR 872.364021 CFR 872.3640
Primary
Product CodeDZEDZEDZE
Intended UseFunctional and esthetic
rehabilitation of the
edentulous mandible or
maxillaFunctional and esthetic
rehabilitation of the
edentulous mandible or
maxillaFunctional and
esthetic
rehabilitation of the
edentulous
mandible or maxilla
IndicationsThe S-Plant Dental Implant
System is indicated for
surgical placement in the
upper and lower jaw arches,
to provide a root form means
for single or multiple units'
prosthetic attachment to
restore a patient's chewing
function. The smaller S-Plant
Dental Implants (Ø3.4, 3.6,
3.8, 4.2, 4.7, 5.2 mm) 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 is
achieved with appropriate
occlusal loading. The larger
S-Plant Dental Implants
(Ø6.0, 7.0 mm) can be placed
with a conventional two
stage surgical process with an
option for transmucosal
healing and are indicated for
the molar region with
delayed loading.The DIO UF HSA Internal
Sub-Merged Implant Systems
indicated for surgical
placement in the upper and
lower jaw arches, to provide a
root form means for single or
multiple units' prosthetic
attachment to restore a
patient's chewing function.
The smaller The DIO UF
HSA Internal Sub-Merged
(03.8~ 05.5) 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 is achieved
with appropriate occlusal
loading. The larger (Ø6.0 ~
Ø7.0) implants can be placed
with a conventional two stage
surgical process with an
option for transmucosal
healing and are indicated for
the molar region with delayed
loading.The UF(II) Narrow
Implant System is
intended for two-
stage surgical
procedures in the
following situations
and with the
following clinical
protocols:
  • The intended use
    for the 3.0mm,
    3.3mm diameter
    UF(II) Narrow
    Implant is limited
    to the replacement
    of maxillary lateral
    incisors and
    mandibular
    incisors.
  • Immediate
    placement in
    extraction sites and
    in situations with a
    partially or
    completely healed
    alveolar ridge.
  • It is intended for
    delayed loading. |
    | Prosthetic
    Interface
    Connection | Tapered conical hex | Tapered conical hex | Tapered conical
    hex |
    | | | | |
    | Fixture
    Diameter and
    Length | Diameters 3.4 mm; 3.6 mm
    Each in lengths of 8.5, 10.0,
    11.5, 13.0, 15.0 mm | Fixture Diameter:
    3.8, 4.0, 4.5, 5.0, 5.5, 6.0,
    6.5, 7.0
    Fixture Length:
    7.0, 8.5, 10, 11.5, 13.0, 15.0,
    16.0
    Extra wide (6.0, 6.5, 7.0)
    implant bodies are only
    available in lengths from
    7mm to 14.5mm | Fixture Diameter:
    3.0, 3.3
    Fixture Length:
    8.5, 10, 11.5, 13.0,
    15.0 |
    | | Diameter 3.8 mm
    In lengths of 7.0, 8.5, 10.0,
    11.5, 13.0, 15.0 mm | | |
    | | Diameters 4.2 mm; 4.7
    mm; Each in lengths of 7.0,
    8.5, 10.0, 11.5, 13.0 mm | | |
    | | Diameter 5.2 mm; 6.0 mm;
    Each in lengths of 7.0, 8.5,
    10.0, 11.5 mm | | |
    | | Diameter 7.0 mm
    in lengths of 7.0, 8.5 mm | | |
    | Implant
    Material | CP Ti Grade 4
    (ASTM F67) | CP Ti Grade 4
    (ASTM F67) | CP Ti Grade 4
    (ASTM F67) |
    | Implant
    Endosseous
    Surface | S.L.A. | S.L.A. | S.L.A. |
    | Implant
    Placement | Bone Level | Bone Level | Bone Level |
    | Sterilization | Gamma Sterilization | Gamma Sterilization | Gamma
    Sterilization |

7

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Substantial Equivalence Discussion

1. General Indications:

Both the subject device and the predicate device share similar overarching indications for use. They are both designed for surgical placement in the upper and lower jaw arches, with the primary goal of providing a root form means for prosthetic attachment to restore a patient's chewing function.

    1. Implant Sizes and Surgical Procedures:
      Both systems offer a range of implant sizes to accommodate various clinical scenarios. The smaller implants of both systems (03.4 ~ Ø5.5 mm) can be placed using a conventional twostage surgical process, with the option for transmucosal healing. Additionally, both systems provide the flexibility of a single-stage surgical process for immediate loading when there is good primary stability, with appropriate occlusal loading.

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    1. Molar Region and Delayed Loading:
      The larger implants in both systems (Ø6.0 ~ Ø7.0 mm) are specifically indicated for the molar region and involve a conventional two-stage surgical process with an option for transmucosal healing, accompanied by delayed loading. This demonstrates a parallel approach to addressing the unique requirements of the molar region.

Discussion:

The comparisons highlight the substantial equivalence between the S-Plant Dental Implant System and the DIO UF HSA Internal Sub-Merged Implant System. The similarities in their indications for use, implant sizes, and surgical procedures demonstrate that the differences between the two devices are not substantial enough to raise any safety or efficacy concerns.

The minor variations in implant dimensions and specific procedural details are well within the acceptable range for dental implant systems, considering the diverse clinical needs and preferences of practitioners. Both systems provide suitable options for immediate loading and delayed loading based on clinical conditions, indicating flexibility in accommodating various patient cases.

The S-Plant Dental Implant System is similar to the predicate device (K122519) in terms of its design, dimensions, material, surface treatment, intended use, and technological characteristics. The S-Plant Dental Implant System also includes diameters (3.4mm and 3.6mm) that are not covered by the predicate device, but they fall within the range between the diameter of the reference device (K161987) and the diameter of the predicate device. Therefore, upon comparing the subject device with both the predicate and reference devices, there have been no new substantial equivalence concerns identified for the S-Plant Dental Implant System in terms of safety and effectiveness.

Subject DeviceReference Device
TypeCover ScrewCover Screw
Secondary
Product
CodeNHANHA
K NumberK221866K141457
ManufacturerIDISDentium Company Limited
DescriptionCover Screws are used to protect the
internal portion of the implant,
preventing soft tissue growth into the
implant, facilitating provisional
restorations when necessary, andCover Screws are used to protect the
internal portion of the implant.

Substantial Equivalent Comparison Chart with Reference Device for Cover Screw

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| | enabling the transition to final
restoration components once
osseointegration is complete. | |
|------------------|--------------------------------------------------------------------------------------------------|------------------------------------------|
| Material | Titanium Alloy
(Ti-6Al-4V, ASTM F136) | Titanium Alloy
(Ti-6Al-4V, ASTM F136) |
| Diameter
(mm) | 3.6 | 3.6 |

Substantial Equivalent Comparison Discussion: Proposed Cover Screw and the predicated cover screw have common in design, functions for use, material, and dimensions; therefore, the proposed Cover Screw is substantially equivalent to the predicated cover screw (K141457).

Substantial Equivalent Comparison Chart with Reference Device for Abutments

I. Dual Abutment
Subject DeviceReference Device
Abutment TypeDual AbutmentTransfer Abutment
Secondary
Product CodeNHANHA
K NumberK221866K182091
ManufacturerIDISOsstem Implant Co., Ltd.
DesignImage: Subject Device DesignImage: Reference Device Design
Indications for
UseDual abutments are 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.
Principle of
OperationUsing making for general cement-
type prosthesis.Using making for general cement-
type prosthesis.
MaterialTitanium Alloy
(Ti 6Al 4V, ASTM F136)Titanium Alloy
(Ti 6Al 4V, ASTM F136)

Dual Abutment 1.

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Diameter (mm)D(Ø)G/HPostD(Ø)G/HPost
41,2,3,4,55.5,741,2,3,4,5,6,75.5,7
4.51,2,3,4,55.5,74.66,75.5,7
4.51,2,3,4,55.5,756,74,5.5,7
51,2,3,4,54,5.5,766,74,5.5,7
61,2,3,4,54,5.5,771,2,3,4,5,6,74
71,2,3,4,55.576,75.5

Substantial Equivalent Comparison Discussion: Proposed Dual Abutment and the Reference Device, transfer Abutment have common in design, function, indications for use, material, and dimensions; therefore, the proposed Dual Abutment is substantially equivalent to the predicated Transfer Abutment (K182091).

2. Healing Abutment

Subject DeviceReference Device
Abutment TypeHealing AbutmentHealing Abutment
Secondary Product
CodeNHANHA
K NumberK221866K203360
ManufacturerIDISHiossen, Inc.
DesignImage: Subject Device DesignImage: Reference Device Design
Indications for UseHealing abutments are used to
make a natural soft tissue shape
before setting up prosthetics
and removing cover screw after
osseointegration.Used to make a natural soft tissue
shape before setting up
prosthetics and removing cover
screw after osseointegration.
MaterialTitanium Alloy
(Ti-6Al-4V, ASTM F136)Pure Titanium Grade 4 (ASTM F67)
Diameters (mm)4.0, 4.5, 5.0, 6.0, 7.04.0 ~ 8.0
Lengths3.0~7.03.0~7.0

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Substantial Equivalent Comparison Discussion: Proposed Healing Abutment and the Reference Device Healing Abutment have common in design, function, indications for use, material, and dimensions; therefore, the proposed Healing Abutment is substantially equivalent to the reference device Healing Abutment (K203360).

Subject DeviceReference Device
TypeAbutment ScrewAbutment Screw
Secondary Product
CodeNHANHA
K NumberK221866K182091
ManufacturerIDISOsstem Implant Co., Ltd.
DescriptionAbutment Screw is used to
connect an abutment to the fixtureAbutment Screw is used to connect
an abutment to the fixture
MaterialTitanium Alloy
(Ti-6Al-4V, ASTM F136)Titanium Alloy
(Ti-6Al-4V, ASTM F136)
Diameter (mm)2.25, 2.52, 2.05
Length (mm)9.0, 10.27.5, 9.6

3. Abutment Screw

Substantial Equivalence Discussion for Abutment Screw

The Proposed Abutment Screw and the reference device Abutment Screw share similar indications for use and material composition. Although the diameter and length of the screws differ slightly, the gap range is minimal, measuring less than 1-1.5mm. Consequently, this variance does not give rise to any concerns about the safety and effectiveness of the Proposed Abutment Screw. To sum up, the Proposed Abutment Screw can be deemed substantially equivalent to the reference device Abutment Screw (K182091).

Non-Clinical Test Data

The subject device was tested to evaluate its performance as below.

  • ISO 7405:2018, Dentistry Evaluation of biocompatibility of medical devices used in . dentistrv
  • ISO 10993-1:2018, Biological evaluation of medical devices Part 1: Evaluation and . testing
  • ISO 10993-3:2014, Biological evaluation of medical devices Part 3: Tests for ● genotoxicity, carcinogenicity and reproductive toxicity
  • ISO 10993-5:2009, Biological evaluation of medical devices Part 5: Tests for in vitro ● cvtotoxicitv
  • ISO 10993-6:2016, Biological evaluation of medical devices Part 6: Tests for local ● effects after implantation
  • ISO 10993-10:2010, Biological evaluation of medical devices Part 10: Tests for . irritation and skin sensitization

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  • ISO 10993-11:2018, Biological evaluation of medical devices Part 11: Tests for . systemic toxicity
  • ISO 10993-12:2012, Biological evaluation of medical devices Part 12: Sample . preparation and reference materials

The non-clinical test data submitted for the S-Plant Dental Implant System validates its substantial equivalence to the predicate device's safety and effectiveness are ensured through sterilization validation, involving both gamma radiation and gravity displacement moist heat, in addition to shelf-life determination conducted through accelerated aging studies. Surface modification testing, utilizing EDS and SEM evaluations, further confirms the consistency and appropriateness of the S.L.A treated surface.

These non-clinical assessments adhere rigorously to recognized standards, including ISO 11137, ANSI/AAMI ST79, and ASTM F1980, reinforcing the reliability and validity of our data. The outcomes collectively support the substantial equivalence of the S-Plant Dental Implant System to the predicate device.

The results of these comprehensive tests have met the criteria set by industry standards, establishing substantial equivalence with the predicate device. The non-clinical testing procedures followed the guidelines outlined in the FDA document "Class II Special Controls Guidance Document Root-form Endosseous Dental Implants and Endosseous Dental Implant Abutments." The conclusive results of the non-clinical testing clearly demonstrate that the S-Plant Dental Implant System is substantially equivalent to the predicate device.

MR Conditional Labeling:

Non-clinical worst-case MRI review was performed to evaluate the metallic devices in the MRI environment using scientific rationale and published literature (i.e., 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 to include all variations (all compatible implant bodies, dental abutments, and fixation screws) and material compositions. The 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.

Conclusions

The S-Plant Dental Implant System is similar to the predicate device (K122519) in terms of its design, dimensions, material, surface treatment, intended use, and technological characteristics. The S-Plant Dental Implant System also includes diameters (3.4mm and 3.6mm) that are not covered by the predicate device, but they fall within the range between the diameter of the reference device (K161987) and the diameter of the predicate device. Therefore, upon comparing the subject device with both the predicate and reference devices, there have been no new

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substantial equivalence concerns identified for the S-Plant Dental Implant System in terms of safety and effectiveness.

Each subject abutment type and screw type is substantially equivalent to its reference device. The documentation submitted in this premarket notification demonstrates the S-Plant Dental Implant System is substantially equivalent to the primary predicate and reference devices.