K Number
K230103
Device Name
Klockner Abutments
Manufacturer
Date Cleared
2023-04-24

(101 days)

Product Code
Regulation Number
872.3630
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Klockner Abutments are intended for use in dental implants to provide a support structure so that the edentulous or partially edentulous patients will regain their masticatory and aesthetic functions. All digitally designed abutments for use with Klockner TiBase Abutments are intended to be sent to a SOADCO S.L. validated milling center for manufacture.
Device Description
The abutments consist of healing abutments, temporary abutments, straight abutments, and an overdenture attachment system that consists of abutments, denture housings, and retention inserts, and TiBase abutments with screws.
More Information

No
The summary describes physical dental abutments and their mechanical and biocompatibility testing, with no mention of AI/ML or related concepts like image processing, training/test sets, or performance metrics typically associated with AI/ML algorithms.

Yes

The device (Klockner Abutments) is a therapeutic device because its intended use is to provide a support structure for dental implants so that edentulous or partially edentulous patients will regain their masticatory and aesthetic functions, which directly addresses a health condition (lack of masticatory and aesthetic functions due to tooth loss).

No

Explanation: The Klockner Abutments are described as a support structure for dental implants to restore masticatory and aesthetic functions. They are a prosthetic device, not one that identifies or analyzes a disease or condition.

No

The device description explicitly states the abutments consist of physical components (healing abutments, temporary abutments, straight abutments, overdenture attachment system, TiBase abutments with screws). The performance studies also detail testing on physical properties like sterilization, biocompatibility, mechanical strength, and MRI compatibility, which are relevant to hardware devices, not software.

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 abutments are for providing a support structure for dental implants to restore masticatory and aesthetic functions in patients. This is a direct therapeutic and restorative function within the body.
  • Device Description: The description lists physical components like healing abutments, temporary abutments, straight abutments, and an overdenture attachment system. These are all physical devices used in a surgical or restorative procedure.
  • 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 treatment. The device itself is implanted or attached to an implant within the patient.

IVD devices are used outside the body to analyze biological samples. This device is used within the body as part of a dental restoration.

N/A

Intended Use / Indications for Use

Klockner Abutments are intended for use in dental implants to provide a support structure so that the edentulous or partially edentulous patients will regain their masticatory and aesthetic functions.

All digitally designed abutments for use with Klockner TiBase Abutments are intended to be sent to a SOADCO S.L. validated milling center for manufacture.

Product codes

NHA

Device Description

The purpose of this submission is to obtain marketing clearance for abutments that are compatible with components from the Klockner Dental Implant Systems cleared in K153098, K082200, K080224. and K010132. The abutments consist of healing abutments, temporary abutments, straight abutments, and an overdenture attachment system that consists of abutments, denture housings, and retention inserts, and TiBase abutments with screws.

The subject device Vega Mimetic® Healing Abutments are designed to be connected to the implant during the healing period between implant placement and final abutment placement. Restorations are not placed on the healing components. The healing components are compatible with the Klockner Vega Implant System. They are offered in coronal diameter of 3.6 mm and with gingival heights of 2.0, 3.0, and 5.0 mm. The healing abutments attach to the dental implant with an integrated apical threaded portion. They are manufactured from titanium alloy and are color anodized to aid in identification.

The subject device Vega Mimetic® Temporary Abutments are straight, prepable abutments designed to retain a temporary cemented prosthesis. They are provided straight only and not intended to provide any angulation correction. They are compatible with the Klockner Vega Implant System. The abutment has a hex connection and attaches to the implant with a separate screw, previously cleared under K153098. The abutments are offered in a prosthetic platform diameter of 3.6 mm and a 7.0 mm post height, with gingival heights of 1.0, 2.0, and 3.0 mm. They are manufactured from titanium alloy and are anodized on a portion of the surface for identification purposes.

The subject device Vega Straight Permanent Abutments are designed for single-unit and multipleunit cement-retained restorations. The straight abutments are compatible with the Klockner Vega Implant System. They are available in an engaging and a non-engaging connection. The engaging design has a hex connection and attaches to the implant with a separate screw. The non-engaging design has a threaded apical portion. They are offered in a prosthetic platform diameter of 4.2 mm and gingival heights of 1.0, 2.0, and 3.0 mm, with no angulation. They are manufactured from titanium alloy and anodized on a portion of the surface for identification purposes.

The subject device K-LOCK Overdenture Attachment System is compatible with the Klockner Vega and Essential Cone Implant System and consists of abutments, retention inserts, and denture housings for attachment of prostheses to endosseous dental implants. All K-LOCK abutments are made of titanium alloy and have the same coronal ridge retention design that attaches to the overdenture component by an interference (snap) fit. The threaded apical end of the abutment connects to the implant and is specific to each compatible implant system and diameter. The retention connection is designed to accommodate a path of insertion on implants that are divergent up to 40° (with 20°on each side). K-LOCK abutments are provided with a titanium carbonitride (TiCN) coating and are available in cuff (gingival) heights up to 6 mm, with a minimum implant interface diameter of 3.0 mm. A thin titanium carbonitride (TiCN) coating is applied to the abutments in the area that contacts gingival tissue and in the area that contacts the retention inserts.

Subject device TiBase Abutments are two-piece abutments composed of a bottom titanium component and are designed for fabrication of a patient-specific CAD/CAM zirconia superstructure on which a crown may be placed. The patient-specific CAD/CAM zirconia superstructure is the top-half of the two-piece abutment. They also may be used for support of a crown directly on the abutment. There are two types of TiBase Abutments; TiBases that attach directly to the implant, and TiBases that attach to previously-cleared abutments from the sponsor (similar to a prosthetic coping).

All patient-specific custom abutment fabrication for TiBase Abutments is by prescription on the order of the clinician. Zirconia superstructures for use with the subject device TiBase Abutments will be made at a SOADCO validated milling center under FDA quality system regulations and the material will conform to ISO 13356 Implants for surgery – Ceramic materials based on yttria-stabilized tetragonal zirconia (Y-TZP). The cement recommended in labeling for bonding of superstructures is Panavia F 5.0 cement by Kuraray Noritake Dental, cleared under K183537.

TiBase Abutments that attached directly to the implant are available in an engaging design and a non-engaging design. TiBase Abutments are made of titanium alloy. The TiBase Abutments are provided in four different designs: MedproTiBase, Mimetic TiBase, EC Essential TiBase, and SK2 Medpro TiBase. The EC Essential TiBase is a line extension from previously cleared TiBases for Cerec (K170022). The MedproTiBase abutments are anodized gold. The Mimetic TiBase abutments are coated with a thin layer of zirconium nitride (ZrN).

The design parameters for the CAD/CAM zirconia superstructure to be used on MedproTiBase Abutments are as follows:

Minimum wall thickness – 0.5 mm Minimum post height - 4.0 mm1 Minimum gingival height - 0.5 mm Maximum gingival height – 6.0 mm All zirconia superstructures are for straight abutments only 1 For devices 84 01 36 must be a minimum post height of 5.5 mm

The design parameters for the CAD/CAM zirconia superstructure to be used on Mimetic TiBase Abutments are as follows:

Minimum wall thickness - 0.35 mm Minimum post height - 4.2 mm Minimum gingival height - 0.5 mm Maximum gingival height - 6.0 mm All zirconia superstructures are for straight abutments only

The design parameters for the Sirona Dental CAD/CAM system to be used on EC Essential TiBase Abutments for Cerec® are as follows:

Minimum wall thickness - 0.8 mm Minimum post height - 5.2 mm Minimum gingival height - 0.5 mm Maximum gingival height – 6.0 mm Maximum angulation of the final abutment - 20°

TiBase Abutments that attached directly to previously-cleared angled abutments (like a coping) from SOADCO S.L. are available in an engaging design and a non-engaging design. These TiBase Abutments have no angulation, but some may be placed on abutments that are angled up to 30°. TiBase Abutments are made of titanium alloy and anodized gold. The TiBase Abutments are provided in three different designs: Permanent Vega Medpro, Essential Cone 25° Medpro, and Essential Cone Multi-Cone Medpro. The differences between these designs are primarily related to the compatible implant system or related to connection to a straight or angled abutment.

The design parameters for the CAD/CAM zirconia superstructure to be used on Medpro TiBase to Abutments are as follows:

Minimum wall thickness - 0.5 mm Minimum post height - 4.0 mm1 Minimum gingival height - 0.5 mm Maximum gingival height - 6.0 mm Not intended to provide angulation correction 1 For devices 84 01 26 and 84 01 27 must be a minimum post height of 5.5 mm

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

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 submitted to demonstrate substantial equivalence included:

  • Sterilization validation according to ISO 17665-1 Sterilization of health care products Moist ● heat – Part 1: Requirements for the development, validation, and routine control of a sterilization process for medical devices and ISO 17665-2 Sterilization of health care products — Moist heat — Part 2: Guidance on the application of ANSI/AAMI/ISO 17665-1 was leveraged from previously cleared submissions K151194 and K170022.
  • Biocompatibility testing for Klockner TiBase, straight abutments, healing abutments, temporary abutments, and denture housing subject devices leveraged from K170022 and K151194.
  • Biocompatibility testing for TiCN coated K-Lock Abutments and ZrN coated Mimetic . Abutments according to ISO 10993-5 Biological evaluation of medical devices - Part 5: Tests for in vitro cytotoxicity, ISO 10993-10 Biological evaluation of medical devices – Part 10: Tests for skin sensitization for irritation and sensitization, and ISO 10993-12 Biological evaluation of medical devices – Part 12: Sample preparation and reference materials.
  • Mechanical testing according to ISO 14801 Dentistry Implants Dynamic loading test ● for endosseous dental implants.
  • . Retention testing was conducted to ensure that retention is maintained throughout the expected use of the product.
  • The coating characterization using the methods outlined in FDA Guidance Class II Special ● Controls Guidance Document: Root-form Endosseous Dental Implants and Endosseous Dental Implant Abutments, issued May 12, 2002.
  • Non-clinical worst-case MRI review to evaluate the metallic devices 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 subject device components and material composition. Rationale addressed parameters per the FDA guidance "Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment," including magnetically induced displacement force and torque.

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

Not Found

Predicate Device(s)

K151194

Reference Device(s)

K170022, K222288, K191123, K220612

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.3630 Endosseous dental implant abutment.

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

0

Image /page/0/Picture/0 description: The image contains the 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.

SOADCO S.L. % Melissa Burbage Senior Regulatory Specialist PaxMed International. LLC 12264 El Camino Real, Suite 400 San Diego, California 92130

Re: K230103

Trade/Device Name: Klockner Abutments Regulation Number: 21 CFR 872.3630 Regulation Name: Endosseous dental implant abutment Regulatory Class: Class II Product Code: NHA Dated: January 27, 2023 Received: January 27, 2023

Dear Melissa Burbage:

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 mediation-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

2

Indications for Use

510(k) Number (if known)

K230103

Device Name Klockner Abutments

Indications for Use (Describe)

Klockner Abutments are intended for use in dental implants to provide a support structure so that the edentulous or partially edentulous patients will regain their masticatory and aesthetic functions.

All digitally designed abutments for use with Klockner TiBase Abutments are intended to be sent to a SOADCO S.L. validated milling center for manufacture.

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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3

510(k) Summary

K230103

Klockner Abutments

SOADCO, S.L.

April 24, 2023

ADMINISTRATIVE INFORMATION

| Manufacturer Name | SOADCO S.L.
Av. del Pessebre, 76-82
AD700 Escaldes - Engordany, Andorra
Telephone: +37 (6) 800-590 |
|---------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Official Contact | Ms. Mercedes Roldán, General Manager |
| Representative/Consultant | Melissa Burbage
Kevin A. Thomas, PhD; Floyd G. Larson, MS, MBA
PaxMed International, LLC
12264 El Camino Real, Suite 400
San Diego, CA 92130
Telephone: +1 858-792-1235
Fax: +1 858-792-1236
Email: mburbage@paxmed.com
kthomas@paxmed.com; flarson@paxmed.com |

DEVICE NAME AND CLASSIFICATION

Trade/Device NameKlockner Abutments
Common NameDental implant abutment
Classification NameEndosseous dental implant abutment
Regulation Number21 CFR 872.3630
Regulation NameEndosseous dental implant abutment
Regulatory ClassClass II
Product CodeNHA
Classification PanelDental Products Panel
Reviewing BranchDental Devices Branch

PREDICATE DEVICE INFORMATION

Primary Predicate Device

K151194, Klockner Dental Implant Abutments (II), SOADCO, S.L.

Reference Devices

K170022, Klockner Vega TiBase for CEREC®, SOADCO, S.L. K222288, DESS Dental Smart Solutions, Terrats Medical SL K191123, Multi-unit Abutments, Medentika GmbH K220612, PrimeLOC Attachment System, Innovative Product Brands, Inc.

4

Klockner Abutments are intended for use in dental implants to provide a support structure so that the edentulous or partially edentulous patients will regain their masticatory and aesthetic functions.

All digitally designed abutments for use with Klockner TiBase Abutments are intended to be sent to a SOADCO S.L. validated milling center for manufacture.

SUBJECT DEVICE DESCRIPTION

The purpose of this submission is to obtain marketing clearance for abutments that are compatible with components from the Klockner Dental Implant Systems cleared in K153098, K082200, K080224. and K010132. The abutments consist of healing abutments, temporary abutments, straight abutments, and an overdenture attachment system that consists of abutments, denture housings, and retention inserts, and TiBase abutments with screws.

The subject device Vega Mimetic® Healing Abutments are designed to be connected to the implant during the healing period between implant placement and final abutment placement. Restorations are not placed on the healing components. The healing components are compatible with the Klockner Vega Implant System. They are offered in coronal diameter of 3.6 mm and with gingival heights of 2.0, 3.0, and 5.0 mm. The healing abutments attach to the dental implant with an integrated apical threaded portion. They are manufactured from titanium alloy and are color anodized to aid in identification.

The subject device Vega Mimetic® Temporary Abutments are straight, prepable abutments designed to retain a temporary cemented prosthesis. They are provided straight only and not intended to provide any angulation correction. They are compatible with the Klockner Vega Implant System. The abutment has a hex connection and attaches to the implant with a separate screw, previously cleared under K153098. The abutments are offered in a prosthetic platform diameter of 3.6 mm and a 7.0 mm post height, with gingival heights of 1.0, 2.0, and 3.0 mm. They are manufactured from titanium alloy and are anodized on a portion of the surface for identification purposes.

The subject device Vega Straight Permanent Abutments are designed for single-unit and multipleunit cement-retained restorations. The straight abutments are compatible with the Klockner Vega Implant System. They are available in an engaging and a non-engaging connection. The engaging design has a hex connection and attaches to the implant with a separate screw. The non-engaging design has a threaded apical portion. They are offered in a prosthetic platform diameter of 4.2 mm and gingival heights of 1.0, 2.0, and 3.0 mm, with no angulation. They are manufactured from titanium alloy and anodized on a portion of the surface for identification purposes.

The subject device K-LOCK Overdenture Attachment System is compatible with the Klockner Vega and Essential Cone Implant System and consists of abutments, retention inserts, and denture housings for attachment of prostheses to endosseous dental implants. All K-LOCK abutments are made of titanium alloy and have the same coronal ridge retention design that attaches to the overdenture component by an interference (snap) fit. The threaded apical end of the abutment connects to the implant and is specific to each compatible implant system and diameter. The

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510(k) Summary Page 3 of 8

retention connection is designed to accommodate a path of insertion on implants that are divergent up to 40° (with 20°on each side). K-LOCK abutments are provided with a titanium carbonitride (TiCN) coating and are available in cuff (gingival) heights up to 6 mm, with a minimum implant interface diameter of 3.0 mm. A thin titanium carbonitride (TiCN) coating is applied to the abutments in the area that contacts gingival tissue and in the area that contacts the retention inserts.

Subject device TiBase Abutments are two-piece abutments composed of a bottom titanium component and are designed for fabrication of a patient-specific CAD/CAM zirconia superstructure on which a crown may be placed. The patient-specific CAD/CAM zirconia superstructure is the top-half of the two-piece abutment. They also may be used for support of a crown directly on the abutment. There are two types of TiBase Abutments; TiBases that attach directly to the implant, and TiBases that attach to previously-cleared abutments from the sponsor (similar to a prosthetic coping).

All patient-specific custom abutment fabrication for TiBase Abutments is by prescription on the order of the clinician. Zirconia superstructures for use with the subject device TiBase Abutments will be made at a SOADCO validated milling center under FDA quality system regulations and the material will conform to ISO 13356 Implants for surgery – Ceramic materials based on yttria-stabilized tetragonal zirconia (Y-TZP). The cement recommended in labeling for bonding of superstructures is Panavia F 5.0 cement by Kuraray Noritake Dental, cleared under K183537.

TiBase Abutments that attached directly to the implant are available in an engaging design and a non-engaging design. TiBase Abutments are made of titanium alloy. The TiBase Abutments are provided in four different designs: MedproTiBase, Mimetic TiBase, EC Essential TiBase, and SK2 Medpro TiBase. The EC Essential TiBase is a line extension from previously cleared TiBases for Cerec (K170022). The MedproTiBase abutments are anodized gold. The Mimetic TiBase abutments are coated with a thin layer of zirconium nitride (ZrN).

The design parameters for the CAD/CAM zirconia superstructure to be used on MedproTiBase Abutments are as follows:

Minimum wall thickness – 0.5 mm Minimum post height - 4.0 mm1 Minimum gingival height - 0.5 mm Maximum gingival height – 6.0 mm All zirconia superstructures are for straight abutments only 1 For devices 84 01 36 must be a minimum post height of 5.5 mm

The design parameters for the CAD/CAM zirconia superstructure to be used on Mimetic TiBase Abutments are as follows:

Minimum wall thickness - 0.35 mm Minimum post height - 4.2 mm Minimum gingival height - 0.5 mm Maximum gingival height - 6.0 mm All zirconia superstructures are for straight abutments only

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510(k) Summary Page 4 of 8

The design parameters for the Sirona Dental CAD/CAM system to be used on EC Essential TiBase Abutments for Cerec® are as follows:

Minimum wall thickness - 0.8 mm Minimum post height - 5.2 mm Minimum gingival height - 0.5 mm Maximum gingival height – 6.0 mm Maximum angulation of the final abutment - 20°

TiBase Abutments that attached directly to previously-cleared angled abutments (like a coping) from SOADCO S.L. are available in an engaging design and a non-engaging design. These TiBase Abutments have no angulation, but some may be placed on abutments that are angled up to 30°. TiBase Abutments are made of titanium alloy and anodized gold. The TiBase Abutments are provided in three different designs: Permanent Vega Medpro, Essential Cone 25° Medpro, and Essential Cone Multi-Cone Medpro. The differences between these designs are primarily related to the compatible implant system or related to connection to a straight or angled abutment.

The design parameters for the CAD/CAM zirconia superstructure to be used on Medpro TiBase to Abutments are as follows:

Minimum wall thickness - 0.5 mm Minimum post height - 4.0 mm1 Minimum gingival height - 0.5 mm Maximum gingival height - 6.0 mm Not intended to provide angulation correction 1 For devices 84 01 26 and 84 01 27 must be a minimum post height of 5.5 mm

PERFORMANCE DATA

Non-clinical testing data submitted to demonstrate substantial equivalence included:

  • Sterilization validation according to ISO 17665-1 Sterilization of health care products Moist ● heat – Part 1: Requirements for the development, validation, and routine control of a sterilization process for medical devices and ISO 17665-2 Sterilization of health care products — Moist heat — Part 2: Guidance on the application of ANSI/AAMI/ISO 17665-1 was leveraged from previously cleared submissions K151194 and K170022.
  • Biocompatibility testing for Klockner TiBase, straight abutments, healing abutments, temporary abutments, and denture housing subject devices leveraged from K170022 and K151194.
  • Biocompatibility testing for TiCN coated K-Lock Abutments and ZrN coated Mimetic . Abutments according to ISO 10993-5 Biological evaluation of medical devices - Part 5: Tests for in vitro cytotoxicity, ISO 10993-10 Biological evaluation of medical devices – Part 10: Tests for skin sensitization for irritation and sensitization, and ISO 10993-12 Biological evaluation of medical devices – Part 12: Sample preparation and reference materials.
  • Mechanical testing according to ISO 14801 Dentistry Implants Dynamic loading test ● for endosseous dental implants.
  • . Retention testing was conducted to ensure that retention is maintained throughout the expected use of the product.
  • The coating characterization using the methods outlined in FDA Guidance Class II Special ● Controls Guidance Document: Root-form Endosseous Dental Implants and Endosseous

7

Dental Implant Abutments, issued May 12, 2002.

  • Non-clinical worst-case MRI review to evaluate the metallic devices 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 subject device components 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.

EQUIVALENCE TO MARKETED DEVICES

The Indications for Use Statement (IFUS) for the subject device is substantially equivalent to that of the primary predicate K151194 and reference device K170022. There is difference in terminology used, however the intended use is the same. All abutments are intended to be used with dental implants for support for prosthetic restoration for edentulous or partially edentulous patients. The digitally designed abutments are to be sent to a validated milling center for manufacture.

The subject device consists of various types of abutments; healing abutments, temporary abutments, straight abutments, overdenture attachment system, and TiBase abutments.

The subject device healing abutments, temporary abutments, and straight abutments are identical in design, materials, and technological characteristics to similar abutments cleared in the primary predicate K151194.

The subject device overdenture attachment system consists of abutments, retention inserts and denture housings for resilient attachment of prostheses to endosseous implants. The subject device abutment is substantially equivalent to the abutment of the reference device K220612 in its design, materials, and technological characteristics. It is similar to the reference device K220612 in coronal geometry in that the mechanism for overdenture retention is the same. The ability of the attachment system to accommodate abutment divergence is the same as that of the reference device K220612. The diameters and cuff heights offered are similar to those of the reference device K220612. The subject device is manufactured from titanium alloy and has the external surfaces above the implant/abutment interface modified by application of titanium carbonitride (TiCN) coating, similar to the titanium nitride (Ti) coating of the reference device K220612. As with the reference device K220612, the coating is non-porous, the surface roughness of the machined abutment surface is maintained, and the coating is not applied to enhance tissue attachment to the device.

The subject device TiBase (to implant) abutment is substantially equivalent to the predicate device K170022 and the reference device K222288 in terms of design, materials, and technological characteristics. The subject device Mimetic TiBase abutments have external surfaces above the implant/abutment interface modified by application of zirconium nitride (Zr) coating, similar to the zirconium nitride (ZrN) coating of the reference device K222288. The superstructure design parameters, including angulation, are similar to those of reference device K22288.

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510(k) Summary Page 6 of 8

The subject device TiBase to abutment (coping) is substantially equivalent to the reference device K191123 in terms of design, materials, and technological characteristics. The TiBase to abutment does not allow for any additional angulation but can be used on abutments with angulation up to 30°.

The subject device abutments are made of titanium alloy conforming to ASTM F136 Standard Specification for Wrought Titanium-4 Vanadium ELI (Extra Low Interstitial) Allov for Surgical Implant Applications (UNS R56401). The titanium alloy subject device components are manufactured from identical materials, in the identical facilities using the identical manufacturing processes as used for SOADCO S.L. products cleared previously in K151194 and K170022.

All zirconia superstructures for use with the subject device TiBase Abutments will be made at a SOADCO S.L. validated milling center under FDA quality system regulations. The zirconia is inCoris ZI, cleared under K123664, and conforming to ISO 13356. Implants for surgerv -Ceramic materials based on vttria-stabilized tetragonal zirconia (Y-TZP). The cement recommended in labeling for bonding of superstructures is Panavia F 5.0 cement by Kuraray Noritake Dental, cleared under K183537. The zirconia and cement are the same material that was used in previously cleared products K170022.

Provided at the end of this summary is a table comparing the Indications for Use Statements (IFUS) and the technological characteristics of the subject device, the primary predicate device, and the reference devices.

CONCLUSION

The subject device, the primary predicate device, and reference devices have the same intended use and similar technological characteristics. They encompass a similar range of physical dimensions, are manufactured from the same materials, and are to be sterilized using identical methods. The data included in this submission demonstrate substantial equivalence to the predicate devices listed above.

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Subject DevicePrimary Predicate DeviceReference DeviceReference DeviceReference DeviceReference Device
Klockner Abutments
SOADCO S.L.K151194
Klockner Dental Implant
Abutment (II)
SOADCO S.L.K170022
Klockner Vega TiBase for
CEREC®
SOADCO S.L.K222288
DESS Dental Smart
Solutions
Terrats Medical SLK191123
Multi-unit Abutments
Medentika GmbHK220612
PrimeLOC Attachment
System
Innovative Product
Brands, Inc.
Klockner Abutments are
intended for use in dental
implants to provide a support
structure so that the
edentulous or partially
edentulous patients will
regain their masticatory and
aesthetic functions.
All digitally designed
abutments for use with
Klockner TiBase Abutments
are intended to be sent to a
SOADCO S.L. validated
milling center for
manufacture.The Klockner Dental Implant
Abutments are intended to be
placed into dental implants to
provide support for
prosthetic reconstructions
such as crowns, bridges.
The Klockner Dental Implant
Abutments include protective
cap, temporary abutment,
angled abutments, straight
abutments, cast abutments.
All abutments are intended to
be used with the Klockner
Dental Implant Systems,
models: Essential EC,
Essential EC 1.5.The Klockner Vega TiBase
for CEREC® abutments are
titanium alloy abutments
placed onto Klockner Vega
Implants to provide support
for customized prosthetic
restorations. The Klockner
Vega TiBase for CEREC®
abutments are indicated for
screw-retained single tooth
or cement-retained single
tooth and bridge restorations.
All digitally designed
copings and/or crowns for
use with the Klockner Vega
TiBase for CEREC®
abutments are to be designed
and milled using Sirona
CEREC Premium SW 4.2
software and manufactured
using a Sirona CEREC or
inLab MC X or MC XL
milling unit.DESS Dental Smart
Solutions abutments are
intended to be used in
conjunction with endosseous
dental implants in the
maxillary or mandibular arch
to provide support for
prosthetic restorations.
All digitally designed custom
abutments for use with DESS
Bases or Blanks are to be
sent to a Terrats Medical
validated milling center for
manufacture.
For complete Indications for
Use statement on OEM
Compatibility see 510(k)
Summary for K222288 in
Section 12Multi-unit abutments are
indicated for use with dental
implants as a support for
multi-unit screw retained
bridges and bars in the
maxilla or mandible of a
partially or fully edentulous
patient.
Multi-unit Abutments are
used for the restoration of the
following dental implant
systems:
For complete Indications for
Use statement on OEM
Compatibility see 510(k)
Summary for K191123 in
Section 12.The PrimeLOC Attachment
System is designed to
facilitate patient removal of a
dental prosthesis for use with
full arch overdentures or
partial dentures retained in
whole or in part by
endosseous implants in the
mandible or maxilla.
Reason for
Predicate DeviceNot applicableHealing abutment, temporary
abutment, straight abutmentTi Base, validated milling
centerTiBase to implant, 30
degreesTiBase to abutment (coping)Attachment system design
Product CodesNHANHANHANHANHANHA
Designs/Features
Abutment DesignHealing, Temporary,
Straight, Attachment System,
TiBase, TiBase to abutment
(coping)Conventional one-piece
abutmentsTitanium Base AbutmentsHealing, Temporary,
Straight, TiBase to implantTiBase to abutment (coping)Overdenture Attachment
Prosthesis
AttachmentCement-retained
Screw-retainedCement-retained
Screw-retainedCement-retained
Screw-retainedCement-retained
Screw-retainedCement-retained
Screw-retainedInternal Thread
RestorationSingle-unit, Multi-unitSingle-unit, Multi-unitSingle-unit, Multi-unitSingle-unit, Multi-unitMulti-unitMulti-unit
Subject DevicePrimary Predicate DeviceReference DeviceReference DeviceReference DeviceReference Device
Klockner Abutments
SOADCO S.L.K151194
Klockner Dental Implant
Abutment (II)
SOADCO S.L.K170022
Klockner Vega TiBase for
CERECⓇ
SOADCO S.L.K222288
DESS Dental Smart
Solutions
Terrats Medical SLK191123
Multi-unit Abutments
Medentika GmbHK220612
PrimeLOC Attachment
System
Innovative Product
Brands, Inc.
Abutment-Implant
Platform Diameter
(mm)3.0 - 4.83.0 - 4.83.0 - 4.82.52 - 6.53.3 - 5.03.5 - 4.1
Prosthetic Platform
Diameter (mm)3.5 - 6.63.5 - 6.64.5 - 74.5 - 6.53.3 - 6.53.5
AngulationUp to 30°0°, 17°, 30°Up to 20°Up to 30°0°, 17°, 30°
Abutment-Implant
InterfaceInternal, ExternalInternalInternalInternal, ExternalInternalInternal
Overdenture
Divergence
Allowance20°/40°n/an/an/an/a20°/40°
Overdenture
Attachment TypeRetention Insert retained in
Denture Attachment Housingn/an/an/an/aRetention Insert retained in
Denture Attachment Housing
Materials
Abutment MaterialsTitanium alloy, ASTM F136
Zirconia, ISO 13356
(copings)Titanium alloy, ASTM F136Titanium alloy, ASTM F136
Compatible with the Sirona
Dental System inCoris ZI
Meso L (K100152 /
K111421)Titanium alloy, ASTM F136
Cobalt-chromium alloy,
ASTM F1537
Zirconia, ISO 13356
(copings)Ti 6Al-4V ELITi 6Al-4V ELI
Surface Coating
(overdenture &
Mimetic TiBase)Titanium Carbonitride,
Zirconium nitriden/an/aZirconium nitriden/aTitanium Nitride
Retention
Attachment
ComponentNylonn/an/an/an/aNylon

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510(k) Summary

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