K Number
K223395
Device Name
Luna Dental Implant System
Date Cleared
2023-02-03

(87 days)

Product Code
Regulation Number
872.3630
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Luna Dental Implant System 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, and to restore the patient's chewing function. The Luna Dental Implant System is intended for delayed loading and immediate loading is possible when good primary stability is achieved and with appropriate occlusal loading.
Device Description
The Luna Dental Implant System is a device of pure titanium (ASTM F67) and titanium alloy (ASTM F1136) intended to be surgically placed in the bone of the upper or lower arches to provide support for prosthetic devices, such as artificial teeth, and to restore the patient's chewing function. It consists of fixture, abutment, mount screw, cover screw. This 510k is intended to add the new models of the following abutments to the Luna Dental Implant System: Healing Abutment I, Duo Abutment, Duo Plus Abutment, Temporary Abutment.
More Information

No
The summary describes a physical dental implant system and its components, with no mention of software, algorithms, or AI/ML capabilities.

Yes.
The device is intended to restore the patient's chewing function, which is a therapeutic purpose.

No

The device is a dental implant system designed to support prosthetic devices and restore chewing function, not to identify or diagnose diseases or conditions.

No

The device description explicitly states it is made of pure titanium and titanium alloy and consists of physical components like fixtures, abutments, mount screws, and cover screws, 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 surgically placed in the bone to support prosthetic devices and restore chewing function. This is a direct therapeutic intervention, not a diagnostic test performed on samples taken from the body.
  • Device Description: The description details the physical components of the implant system (fixture, abutment, screws) made of titanium. This aligns with a surgical implant, not a diagnostic reagent or instrument.
  • Lack of IVD Characteristics: There is no mention of analyzing samples (blood, urine, tissue, etc.), detecting biomarkers, or providing diagnostic information about a patient's condition.

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

Intended Use / Indications for Use

The Luna Dental Implant System 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, and to restore the patient's chewing function. The Luna Dental Implant System is intended for delayed loading and immediate loading is possible when good primary stability is achieved and with appropriate occlusal loading.

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

NHA

Device Description

The Luna Dental Implant System is a device of pure titanium (ASTM F67) and titanium alloy (ASTM F1136) intended to be surgically placed in the bone of the upper or lower arches to provide support for prosthetic devices, such as artificial teeth, and to restore the patient's chewing function. It consists of fixture, abutment, mount screw, cover screw. This 510k is intended to add the new models of the following abutments to the Luna Dental Implant System: Healing Abutment I, Duo Abutment, Duo Plus Abutment, I Temporary Abutment.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

bone of the upper or 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)

Risk analysis and validation activities were performed according to the ISO 14971 and the result support that the predicate device does not raise a new question in safety and performance.
A non-clinical worst-case MRI review was conducted to evaluate the Luna Implant System device in an MRI environment using scientific evidence 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). Titanium Grade 4 and Titanium alloy (Ti-6Al-4V, ELI) were assessed according to magnetic induction displacement force (ASTM F2052), magnetic induction torque (ASTM F2213), RF induction heating (ASTM F2182), and image artifact (ASTM F2119) by T. O. Woods et al. Based on that rationale, we have addressed parameters per FDA guidance " Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment," including magnetic induced displacement force and torque.
The following test items were previously submitted and reviewed under K123155: Sterilization - Radiation and Moist Heat, Shelf life for sterile devices, Biocompatibility.

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.

K123155, K160106

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.

K120847, K161435

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 contains the logos of the Department of Health and Human Services and the Food and Drug Administration (FDA). The Department of Health and 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.

Shinhung MST Co., Ltd. % Priscilla Chung Regulatory Affairs Consultant LK Consulting Group USA, Inc. 18881 Von Karman Ave. , STE 160 Irvine. California 92612

Re: K223395

Trade/Device Name: Luna Dental Implant System Regulation Number: 21 CFR 872.3630 Regulation Name: Endosseous Dental Implant Abutment Regulatory Class: Class II Product Code: NHA Dated: November 1, 2022 Received: November 8, 2022

Dear Priscilla Chung:

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 -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 Ouality Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K223395

Device Name Luna Dental Implant System

Indications for Use (Describe)

The Luna Dental Implant System 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, and to restore the patient's chewing function. The Luna Dental Implant System is intended for delayed loading is possible when good primary stability is achieved and with appropriate occlusal loading.

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

V Prescription Use (Part 21 CFR 801 Subpart D)

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

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510(k) Summary (K223395)

This summary of 510(K) information is being submitted in accordance with requirements of 21 CFR Part 807.92.

Date: 2/2/2023

1. Submitter

SHINHUNG MST CO., LTD. 110-2, Donghwagondan-ro, Munmak-eup, Wonju-si, Gangwon-do, Republic of Korea, 26365

Tel: +82-33-730-1901

2. U.S Agent/Contact Person

Priscilla Chung LK Consulting Group USA, Inc. 18881 Von Karman STE 160, Irvine CA 92612 Phone: 714-202-5789 Fax: 714-409-3357 Email: juhee.c(@lkconsultinggroup.com

3. Device

  • Trade Name: Luna Dental Implant System ●
  • Common Name: Dental Implant System ●
  • Classification Name: Endosseous Dental Implant ●
  • Product Code: NHA
  • . Classification regulation: 21CFR 872.3640

4. Predicate Device:

  • · Primary predicate device: LUNA DENTAL IMPLANT SYSTEM by SHINHUNG MST CO., LTD (K123155)
  • · Reference predicate device: LUNA DENTAL IMPLANT SYSTEM by SHINHUNG MST CO., LTD (K160106) ET/SS IMPLANT SYSTEM by OSSTEM IMPLANT CO.,LTD (K120847) Temporary Snap Abutment by Nobel Biocare AB (K161435)

4

5. Description:

The Luna Dental Implant System is a device of pure titanium (ASTM F67) and titanium alloy (ASTM F1136) intended to be surgically placed in the bone of the upper or lower arches to provide support for prosthetic devices, such as artificial teeth, and to restore the patient's chewing function. It consists of fixture, abutment, mount screw, cover screw. This 510k is intended to add the new models of the following abutments to the Luna Dental Implant System.

  • Healing Abutment I
  • י Duo Abutment
  • I Duo Plus Abutment
  • I Temporary Abutment

6. Indication for use:

The Luna Dental Implant system 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, and to restore the patient's chewing function. The Luna Dental Implant System is intended for delayed loading and immediate loading is possible when good primary stability is achieved and with appropriate occlusal loading.

7. Basis for Substantial Equivalence

Comparison Chart

Device NameSubject DevicePrimary Predicate DeviceReference Device
ManufacturerSHINHUNG MST CO.,
LTD.SHINHUNG MST CO.,
LTD.Osstem Implant Co., Ltd.
Device NameHealing AbutmentHealing AbutmentHealing Abutment
DesignImage: Subject Device DesignImage: Primary Predicate Device DesignImage: Reference Device Design
510(k)
NumberK223395K123155K120847
Indications for
UseThe Luna Dental Implant
system 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, and to
restore the patient'sThe Luna Dental Implant
System 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, and to
restore the patient' s
chewing function.The ET/SS 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
  • · Healing Abutment

5

| | chewing function. The
Luna Dental Implant
System is intended for
delayed loading and
immediate loading is
possible when good
primary stability is
achieved and with
appropriate occlusal
loading. | | restorations, and final or
temporary abutment
support for fixed
bridgework. It is intended
for delayed loading. The
abutment is intended for
use with a dental implant
fixture to provide support
for prosthetic restorations
such as crowns, bridges, |
|---------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | | | or overdenture. |
| Diameter
(mm) | 4.0 ~ 5.3 | 4.5 ~ 7.0 | 4.0 ~ 8.0 |
| Post Height
(mm) | 2.0 ~ 10.0 | 2.0~7.0 | 3.0 ~ 9.0 |
| Material | Pure Titanium Gr 4
(ASTM F67) | Pure Titanium Gr 4
(ASTM F67) | Titanium Alloy Ti-6Al-
4V
(ASTM F136) |
| Sterilization | Radiation Sterilization | Radiation Sterilization | Radiation Sterilization |
| S.E | The subject device has the same intended use, design, and technological
characteristics as the primary predicate device (K123155, K160106). The diameter of
the new model is smaller than the primary predicate device. We identified a reference
device which has the diameter size (4mm). The post height is slightly higher than the
reference device, however, this minor difference does not raise a question in
substantial equivalence since the user can select an appropriate height model
according to each patient need. | | |

Device NameSubject DevicePrimary Predicate Device
ManufacturerSHINHUNG MST CO., LTD.SHINHUNG MST CO., LTD.
Device NameDuo AbutmentDuo Abutment
DesignImage: Duo AbutmentImage: Duo Abutment
510(k) NumberK223395K123155
Indications for
UseThe Luna Dental Implant system 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, and to restore the
patient's chewing function. The Luna
Dental Implant System is intended for
delayed loading and immediate loading
is possible when good primary stability
is achieved and with appropriate occlusal
loading.The Luna Dental Implant System 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, and to restore the
patient's chewing function.
Diameter (mm)4.6 ~ 5.14.6 ~ 6.1
Gingiva Height
(mm)1.0 ~ 5.01.0 ~ 5.0
Post Height
(mm)7.04.0 ~ 7.0

6

| Material | Pure Titanium Gr 4
(ASTM F67) | Pure Titanium Gr 4
(ASTM F67) |
|---------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------|
| Sterilization | User Sterilization | User Sterilization |
| S.E. | The subject device has the same intended use, design, and technological
characteristics as the primary predicate device (K123155). The modification is only for
adding a few more size options within the same range. | |

| Device Name | Subject Device | Primary Predicate
Device | Reference Device |
|------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Manufacturer | SHINHUNG MST CO.,
LTD. | Osstem Implant Co., Ltd. | SHINHUNG MST CO.,
LTD. |
| Device Name | Duo Plus Abutment | Transfer Abutment | Duo Abutment |
| Design | Image: Duo Plus Abutment | Image: Transfer Abutment | Image: Duo Abutment |
| Indications for
Use | The Luna Dental Implant
system 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, and to restore the
patient's chewing
function. The Luna Dental
Implant System is
intended for delayed
loading and immediate
loading is possible when
good primary stability is
achieved and with
appropriate occlusal
loading. | The ET/SS 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 final or
temporary abutment
support for fixed
bridgework. It is intended
for delayed loading. The
abutment is intended for
use with a dental implant
fixture to provide support
for prosthetic restorations
such as crowns, bridges, or
overdenture. | The Luna Dental Implant
System 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, and to restore the
patient' s chewing
function. |
| 510(k) Number | K223395 | K120847 | K123155 |
| Diameter (mm) | 4.1 ~ 6.1 | 4.0 ~ 7.0 | 4.6 ~ 6.1 |
| Gingiva Height
(mm) | 1.0 ~ 5.0 | 1.0 ~ 5.0 | 1.0 ~ 5.0 |
| Material | Pure Titanium Gr 4
(ASTM F67) | Titanium Alloy Ti-6Al-4V
(ASTM F136) | Pure Titanium Gr 4
(ASTM F67) |
| Sterilization | User Sterilization | User Sterilization | User Sterilization |
| S.E. | The subject device has the same intended use, design, and technological
characteristics as the primary predicate device (K120847). The only difference would
be area of TiN coating, but this difference does not raise a question in substantial
equivalence. | | |
| Device Name | Subject Device | Primary Predicate Device | Reference Device |
| Manufacturer | SHINHUNG MST CO.,
LTD. | SHINHUNG MST CO.,
LTD. | Nobel Biocare AB |
| Device Name | Temporary Abutment | Temporary Abutment | Temporary Snap Abutment |
| Design | Image: Temporary Abutment | Image: Temporary Abutment | Image: Temporary Snap Abutment |
| 510(k)
Number | K223395 | K123155 | K161435 |
| Indications for
Use | The Luna Dental Implant
system 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, and to
restore the patient's
chewing function. The
Luna Dental Implant
System is intended for
delayed loading and
immediate loading is
possible when good
primary stability is
achieved and with
appropriate occlusal
loading. | The Luna Dental Implant
System 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, and to restore the
patient's chewing function. | The Temporary Snap
Abutment is intended to be
used to fabricate and
support provisional
restorations that aid in
creating
an esthetic emergence
through the gingiva during
the healing period and
prior to final restoration.
The Temporary Snap
Abutment can be used for
cement retained or screw-
retained provisional
restorations. The
abutments can be used for
single-unit and multi-unit
restorations. Use of the
Temporary Snap Abutment
is not to exceed one
hundred and eighty
(180) days. |
| Diameter
(mm) | 4.6~5.1 | 4.1 ~ 4.6 | 4.0 ~ 6.0 |
| Gingiva
Height (mm) | 2.0 ~ 3.0 | 1.0 ~ 3.0 | 1.5 ~ 3.0 |
| Material | Pure Titanium Gr 4
(ASTM F67) | Pure Titanium Gr 4
(ASTM F67) | Titanium vanadium alloy
(ASTM F136) |
| Sterilization | User sterile | User sterile | User sterile |
| S.E | The subject device has the same intended use, design, and technological characteristics
as the primary predicate device (K123155). The only difference is that the diameter of
the new models is outside of the range. We identified a reference device which cover
the diameter range of the subject device. | | |

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Substantial Equivalence Discussion

The Luna Dental Implant System (Healing Abutment, Duo Abutment, Duo Plus Abutment, and Temporary Abutment) are substantially equivalent to its predicate device (K123155) in terms of indications for use, raw material, and design. The wording of the indications for use statement is slightly different but that does not affect the intended use.

8

The difference is in size range. We have identified a reference device that encompass the size range of the subiect device. Based on the information submitted here in we conclude that the subject device is substantially equivalent to the predicate devices.

8. Non-Clinical Testing

Risk analysis and validation activities were performed according to the ISO 14971 and the result support that the predicate device does not raise a new question in safety and performance.

A non-clinical worst-case MRI review was conducted to evaluate the Luna Implant System device in an MRI environment using scientific evidence 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). Titanium Grade 4 and Titanium alloy (Ti-6Al-4V, ELI) were assessed according to magnetic induction displacement force (ASTM F2052), magnetic induction torque (ASTM F2213), RF induction heating (ASTM F2182), and image artifact (ASTM F2119) by T. O. Woods et al. Based on that rationale, we have addressed parameters per FDA guidance " Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment," including magnetic induced displacement force and torque.

The following test items were previously submitted and reviewed under K123155.

  • . Sterilization - Radiation and Moist Heat
  • . Shelf life for sterile devices
  • Biocompatibility ●

9. Conclusion

The subject devices and the predicate device have the same intended use and have the same technological characteristics.

Based on the similarities, we conclude that the Luna Dental Implant System is substantially equivalent to the predicate devices.