K Number
K240383
Device Name
Highness Implant System
Manufacturer
Date Cleared
2024-10-31

(266 days)

Product Code
Regulation Number
872.3640
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Highness Implant System is designed to be surgically placed in the maxillary or mandibular arches for the purpose of providing prosthetic support for dental restorations (crowns, bridges, and overdentures) in partially or fully edentulous individuals. It is used to the restore the patient's chewing function. Implants with diameter less than ø5.5mm are intended for immediate loading when good primary stability is achieved and with appropriate occlusal loading. Larger implants are dedicated to the molar region and are indicated for delayed loading. The Multi-Unit Abutments are intended for multi-unit restorations only and can be used up to 25 degrees when connecting cylinder.
Device Description
The Highness Implant System is a titanium-metal dental implant designed to be surgically placed in the bone of the upper or lower jaw to support prosthetic devices, such as artificial teeth, and to restore the patient's chewing function. The Highness Implant System consists of fixtures and abutments. The fixture is made of pure titanium metal and is supplied sterile (gamma irradiated). The surface is SLA, sandblasted (using 425-180-micron MCD apatitic abrasive, which is a granular, multi-phase calcium phosphate composed primarily of hydroxyapatite and tricalcium phosphate), large grit, acid-etched (solution of hydrochloric acid and nitric acid), treated. The abutments are made of Ti-6Al-4V ELI titanium alloy (ASTM F136). It consists of a Cemented Abutment, Angled Abutment, Solid Abutment, Temporary Abutment, and Multi-Unit Abutment Screw & Abutment Screw, which are intended for use as an aid in single- or multiple-unit prosthetic restorations, and the Multi-Unit Abutment and Multi-Angled Abutment, which are intended for use only as aids in multiple-unit prosthetic restorations. In addition, Cover Screws and Healing Abutments are prefabricated prosthetic components that connect directly to endosseous dental implants and are indicated as temporary components to allow for soft tissue healing. All abutments are supplied non-sterile and individually packaged in FDA cleared wraps and/or pouches. The abutments should be sterilized prior to use by the end-user. And temporary abutments are intended to be used 6 months. The abutments are compatible with both HS - I and HS - VII implant bodies.
More Information

No
The 510(k) summary describes a physical dental implant system and its components, focusing on materials, mechanical testing, biocompatibility, and sterilization. There is no mention of software, algorithms, image processing, or any terms related to AI or ML.

Yes.
The device is a dental implant system designed to restore the patient's chewing function, which is a therapeutic purpose.

No

Explanation: The Highness Implant System is designed to be surgically placed in the maxillary or mandibular arches for the purpose of providing prosthetic support for dental restorations. It is a treatment device that restores chewing function, not a device used to diagnose a condition or disease.

No

The device description clearly states it is a titanium-metal dental implant system consisting of physical components (fixtures and abutments). There is no mention of software as the primary or sole component.

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

Here's why:

  • Intended Use: The intended use clearly states the device is designed for surgical placement in the jaw to provide support for dental restorations and restore chewing function. This is a therapeutic and structural purpose within the body.
  • Device Description: The description details a physical implant system made of titanium, designed to be surgically implanted.
  • 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 compatibility testing. IVDs are typically used in vitro (outside the body) to analyze biological samples.

The device described is a dental implant system, which is a type of medical device used for surgical implantation and prosthetic support, not for in vitro diagnostic testing.

N/A

Intended Use / Indications for Use

The Highness Implant System is designed to be surgically placed in the maxillary or mandibular arches for the purpose of providing prosthetic support for dental restorations (crowns, bridges, and overdentures) in partially or fully edentulous individuals. It is used to the restore the patient's chewing function. Implants with diameter less than ø5.5mm are intended for immediate loading when good primary stability is achieved and with appropriate occlusal loading. Larger implants are dedicated to the molar region and are indicated for delayed loading.

The Multi-Unit Abutments are intended for multi-unit restorations only and can be used up to 25 degrees when connecting cylinder.

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

DZE, NHA

Device Description

The Highness Implant System is a titanium-metal dental implant designed to be surgically placed in the bone of the upper or lower jaw to support prosthetic devices, such as artificial teeth, and to restore the patient's chewing function.

The Highness Implant System consists of fixtures and abutments.

The fixture is made of pure titanium metal and is supplied sterile (gamma irradiated). The surface is SLA, sandblasted (using 425-180-micron MCD apatitic abrasive, which is a granular, multi-phase calcium phosphate composed primarily of hydroxyapatite and tricalcium phosphate), large grit, acid-etched (solution of hydrochloric acid and nitric acid), treated.

The dimensional range of the fixture is as follows:

FixtureDiameter (ø)Length (mm)
HS-I4.2, 4.6, 5.1, 5.6, 6.0, 7.07.0, 8.5, 10, 11.5, 13, 14.5
HS-VII4.2, 4.7, 5.2, 5.7, 6.2, 7.07.0, 8.5, 10, 11.5, 13, 14.5

The abutments are made of Ti-6Al-4V ELI titanium alloy (ASTM F136). It consists of a Cemented Abutment, Angled Abutment, Solid Abutment, Temporary Abutment, and Multi-Unit Abutment Screw & Abutment Screw, which are intended for use as an aid in single- or multiple-unit prosthetic restorations, and the Multi-Unit Abutment and Multi-Angled Abutment, which are intended for use only as aids in multiple-unit prosthetic restorations. In addition, Cover Screws and Healing Abutments are prefabricated prosthetic components that connect directly to endosseous dental implants and are indicated as temporary components to allow for soft tissue healing. All abutments are supplied non-sterile and individually packaged in FDA cleared wraps and/or pouches. The abutments should be sterilized prior to use by the end-user. And temporary abutments are intended to be used 6 months.

The abutments are compatible with both HS - I and HS - VII implant bodies.

AbutmentDiameter (ø)Post Height (mm)Cuff Height (mm)Angulation (°)Surface
Cemented Abutment4.5, 5.0, 5.5, 6.0, 6.54.0, 5.5, 7.00.5, 1.0, 2.0, 3.0, 4.0, 5.0-Machined
Angled Abutment4.5, 5.0, 5.58.01.0, 2.0, 3.015, 17, 25Machined
Solid Abutment4.0, 4.5, 5.0, 5.5, 6.0, 6.54.0, 5.5, 7.01.0, 2.0, 3.0, 4.0, 5.0-Machined
Multi-Unit Abutment4.82.31.0, 2.0, 3.0, 4.0, 5.0StraightMachined
Multi-Unit Angled Abutment4.52.32.0, 3.0, 4.0, 5.015, 17, 25Machined
Temporary Abutment4.0, 4.5, 5.0, 5.5, 6.0, 6.59.75, 10.75, 11.751.0, 2.0, 3.0-Machined
Healing Abutment4.2, 4.7, 5.2, 5.7, 6.2, 6.7-3.0, 4.0, 5.0, 6.0, 7.0-Machined
Abutment Screw, Multi-Unit Abutment Screw2.05, 2.37.5, 9.5--Machined
Cover Screw3.65.4--Machined

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

maxillary or mandibular arches (jaw bone)

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)

Fatigue: Dynamic fatigue testing mechanical testing of the proposed Highness Implant System was performed in accordance with ISO 14801:2016, "Dentistry – Implants – Dynamic loading test for endosseous dental implants", and FDA guidance on "Root-form Endosseous Dental Implants and Endosseous Dental Abutments – Class II Special Controls Guidance Document for Industry and FDA Staff". The test articles were able to withstand 5,000,000 cycles without failure under substantially equivalent loading to the cited primary predicate device cleared under K182448.

SLA Surface Treatment: The Highness Implant System utilizes an SLA (Sand-blasted, Large grit, Acid-etched) surface treatment for its fixtures. Cleaning validation and SEM/EDS (Scanning Electron Microscopy/Energy Dispersive X-ray Spectroscopy) analysis were performed on the proposed device to ensure the removal of any particles or chemicals used during the process. The SEM/EDS analysis confirms that no elements other than titanium were found on the surface of the implant.

Biocompatibility: Biocompatibility classification is based on the FDA Guidance Use of International Standard ISO 10993-1, "Biological Evaluation of Medical Devices - Part 1: Evaluation and Testing within a Risk Management Process." The subject devices are classified as the implant medical devices, tissue/bone, long-term exposure (>30 days). The subject devices have fulfilled all testing required per ISO 7405:2018, "Dentistry -Evaluation of biocompatibility of medical devices used in dentistry", ISO 10993-1:2018, "Biological evaluation of medical devices – Part 1: Evaluation and testing" and the FDA guidance document "Use of International Standard ISO 10993-1, "Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process". Cytotoxicity testing was conducted as per ISO 10993-5:2019, "Biological evaluation of medical devices - Part 5: Tests for in vitro cytotoxicity". Cytotoxicity testing was conducted as per ISO 10993-5:2009, "Biological evaluation of medical devices - Part 5: Tests for in vitro cytotoxicity".

Sterilization and Shelf Life: Similar to the Predicate Devices, the Highness Implant System is packaged in an aluminum pouch and supplied sterile and non-sterile. The non-sterile abutments used in the surgery must be sterilized by the end user, prior to use, as stated in the IFU. User moist heat sterilization for the subject non-sterile devices was conducted according to, ISO 17665-1:2006, "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/TS 17665-2:2009, "Sterilization of health care products – Moist heat – Part 2: Guidance on the application of ISO 17665-1" and demonstrated a SAL of 10-6. The sterile implants (fixtures), following to gamma sterilization and packaging were subjected to sterile barrier testing to validate a shelf life of 5 years according to ISO 11607-1:2019, "Packaging for terminally sterilized medical devices – Part 1: Requirements for materials, sterile barrier systems and packaging systems" and ISO 11607-2:2019, "Packaging for terminally sterilized medical devices – Part 2: Validation requirements for forming, sealing and assembly processes" confirm the stability and effectiveness of the packaging of the sterilized product during the shelf life, by evaluating changes due to accelerated aging, according to ASTM F1980-21, "Standard Guide for Accelerated Aging of Sterile Barrier Systems and Medical Devices". For the sterile implants, gamma sterilization validation of the fixtures was performed in accordance with ISO 11137-1:2006, "Sterilization of health care products – Radiation – Part 1: Requirements for development, validation and routine control of a sterilization process for medical devices", ISO 11137-2:2013, "Sterilization of health care products – Radiation - Part 2: Establishing the sterilization dose", and ISO 11137-3:2017, "Sterilization of health care products – Radiation – Part 3: Guidance on dosimetric aspects of development, validation and routine control". In addition, for sterile fixtures, bacterial endotoxin testing was performed on sterile devices in accordance with ANSI/AAMI ST72:2019, "Bacterial Endotoxins - Test Methods, Routine Monitoring, And Alternatives To Batch Testing" using the Limulus Amebocyte Lysate (LAL) pyrogen test method at a test limit of 20 EU/device.

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

Not Found

Predicate Device(s)

K182448

Reference Device(s)

K123988, K192347, K203808, K110955, K160519

Predetermined Change Control Plan (PCCP) - All Relevant Information

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.

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.

October 31, 2024

highness Co., Ltd. % Sanghwa Myung Regulatory Affair Specialist E&m D1474, PyeongCheon Arco Tower, 230, Simin-Daro, Dongan-gu Anvangsi. Gyeonggido 14067 KOREA, SOUTH

Re: K240383

Trade/Device Name: Highness Implant System Regulation Number: 21 CFR 872.3640 Regulation Name: Endosseous Dental Implant Regulatory Class: Class II Product Code: DZE, NHA Dated: February 8, 2024 Received: October 3, 2024

Dear Sanghwa Myung:

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.

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"

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(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 OS 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.

All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rue"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-devices/device-advicecomprehensive-regulatory-assistance/unique-device-identification-system-udi-system.

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.

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).

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Sincerely,

Sherrill Lathrop Blitzer

for Andrew 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

DEPARTMENT0 OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

K240383

Device Name

Highness Implant System

Indications for Use (Describe)

The Highness Implant System is designed to be surgically placed in the maxillary or mandibular arches for the purpose of providing prosthetic support for dental restorations (crowns, bridges, and overdentures) in partially or fully edentulous individuals. It is used to the restore the patient's chewing function. Implants with diameter less than ø5.5mm are intended for immediate loading when good primary stability is achieved and with appropriate occlusal loading. Larger implants are dedicated to the molar region and are indicated for delayed loading.

The Multi-Unit Abutments are intended for multi-unit restorations only and can be used up to 25 degrees when connecting cylinder.

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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4

K240383

510(k) Summary

For

Highness Implant System

[Complying with 21 CFR 807.92]

SUBMISSION SPONSOR l.

highness Co., Ltd.

98-10, Hyeondae-ro, Waegwan-eup, Chilgok-gun, Gyeongsangbuk-do, Republic of Korea Office Phone: +82-1566-0728 Fax: +82-54-973-0728 Contact Person: Ms. Ji-yun Jeong, RA Manager

II. SUBMISSION CORRESPONDENT

E&M

D1474, PyeongCheon Arco Tower, 230, Simin-Daro, Dongan-gu, Anyangsi, 14067, Republic of Korea Cell Phone: +82-10-4952-6638 Office Phone: +82-70-7807-0550 Contact: Ms. Sang-hwa Myung, Regulatory Affair Specialist Email: mshenmc@gmail.com

III. DATE PREPARED

October 31, 2024

IV. DEVICE

Trade or Proprietary Name:Highness Implant System
Common or Usual Name:Endosseous Dental Implant
Classification Name:Endosseous dental implant (21 CFR 872.3640)
Regulatory Class:II
Product Code:DZE, NHA
Classification Panel:Dental

V. PRIMARY PREDICATE AND REFERENCE DEVICES

Primary Predicate Device: K182448, AnyRidge Octa 1 Implant System/ MegaGen Implant Co., Ltd.

5

Reference Devices:

K123988, AnyOne ™ Internal Implant System / MegaGen Implant Co., Ltd.

K192347, Solid Abutment for ST Internal Implant System / Megagen Implant Co. Ltd.

K203808, Multi-unit Abutment For Multi-unit Abutment, Multi-unit Angled Abutment / Megagen Implant Co. Ltd.

K110955, Healing Abutment for AnyRidge Internal System / Megagen Implant Co. Ltd. K160519, Link Abutment for CEREC / OSSTEM Implant Co., Ltd.

VI. DEVICE DESCRIPTION

The Highness Implant System is a titanium-metal dental implant designed to be surgically placed in the bone of the upper or lower jaw to support prosthetic devices, such as artificial teeth, and to restore the patient's chewing function.

The Highness Implant System consists of fixtures and abutments.

The fixture is made of pure titanium metal and is supplied sterile (gamma irradiated). The surface is SLA, sandblasted (using 425-180-micron MCD apatitic abrasive, which is a granular, multi-phase calcium phosphate composed primarily of hydroxyapatite and tricalcium phosphate), large grit, acid-etched (solution of hydrochloric acid and nitric acid), treated.

The dimensional range of the fixture is as follows:

FixtureDiameter (ø)Length (mm)
HS-I4.2, 4.6, 5.1, 5.6, 6.0, 7.07.0, 8.5, 10, 11.5, 13, 14.5
HS-VII4.2, 4.7, 5.2, 5.7, 6.2, 7.07.0, 8.5, 10, 11.5, 13, 14.5

The abutments are made of Ti-6Al-4V ELI titanium alloy (ASTM F136). It consists of a Cemented Abutment, Angled Abutment, Solid Abutment, Temporary Abutment, and Multi-Unit Abutment Screw & Abutment Screw, which are intended for use as an aid in single- or multiple-unit prosthetic restorations, and the Multi-Unit Abutment and Multi-Angled Abutment, which are intended for use only as aids in multiple-unit prosthetic restorations. In addition, Cover Screws and Healing Abutments are prefabricated prosthetic components that connect directly to endosseous dental implants and are indicated as temporary components to allow for soft tissue healing. All abutments are supplied non-sterile and individually packaged in FDA cleared wraps and/or pouches. The abutments should be sterilized prior to use by the end-user. And temporary abutments are intended to be used 6 months.

The abutments are compatible with both HS - I and HS - VII implant bodies.

AbutmentDiameter (ø)Post Height (mm)Cuff Height (mm)Angulation (°)Surface
Cemented Abutment4.5, 5.0, 5.5, 6.0, 6.54.0, 5.5, 7.00.5, 1.0, 2.0, 3.0, 4.0, 5.0-Machined
Angled Abutment4.5, 5.0, 5.58.01.0, 2.0, 3.015, 17, 25Machined

The abutment's dimension range is as follows:

6

AbutmentDiameter (Ø)Post Height (mm)Cuff Height (mm)Angulation (°)Surface
Solid Abutment4.0, 4.5, 5.0, 5.5,
6.0, 6.54.0, 5.5, 7.01.0, 2.0, 3.0,
4.0, 5.0-Machined
Multi-Unit Abutment4.82.31.0, 2.0, 3.0,
4.0, 5.0StraightMachined
Multi-Unit Angled
Abutment4.52.32.0, 3.0, 4.0,
5.015, 17, 25Machined
Temporary Abutment4.0, 4.5, 5.0, 5.5,
6.0, 6.59.75, 10.75,
11.751.0, 2.0, 3.0-Machined
Healing Abutment4.2, 4.7, 5.2, 5.7,
6.2, 6.7-3.0, 4.0, 5.0,
6.0, 7.0-Machined
Abutment Screw, Multi-
Unit Abutment Screw2.05, 2.37.5, 9.5--Machined
Cover Screw3.65.4--Machined

VII. INDICATION FOR USE

The Highness Implant System is designed to be surgically placed in the maxillary or mandibular arches for the purpose of providing prosthetic support for dental restorations (crowns, bridges, and overdentures) in partially or fully edentulous individuals. It is used to the restore the patient's chewing function. Implants with diameter less than ø5.5mm are intended for immediate loading when good primary stability is achieved and with appropriate occlusal loading. Larger implants are dedicated to the molar region and are indicated for delayed loading.

The Multi-Unit Abutments are intended for multi-unit restorations only and can be used up to 25 degrees when connecting cylinder.

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COMPARISON OF TECHNOLOGICAL CHARACTERISTICS WITH THE PREDICATE DEVICE VIII.

| | SUBJECT Device | Primary PREDICATE Device
(K182448) | REFERENCE Device (K123988) | Significant Difference |
|-------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------|
| Manufacturer | highness Co., Ltd. | MegaGen Implant Co., Ltd. | MegaGenImplant Co., Ltd. | – |
| Trade Name | Highness Implant System | AnyRidge Octa 1 Implant System | AnyOne™ Internal Implant System | – |
| Regulation Description | Endosseous Dental Implant System | Endosseous Dental Implant System | Endosseous Dental Implant System | Identical |
| Regulation Number | 21 CFR 872.3640 | 21 CFR 872.3640 | 21 CFR 872.3640 | Identical |
| Product Code | DZE | DZE | DZE | Identical |
| Class | II | II | II | Identical |
| Indications for Use | The Highness Implant System is designed to be surgically placed in the maxillary or mandibular arches for the purpose of providing prosthetic support for dental restorations (crowns, bridges, and overdentures) in partially or fully edentulous individuals. It is used to the restore the patient's chewing function. Implants with diameter less than ø5.5mm are intended for immediate loading when good primary stability is achieved and with appropriate occlusal loading. Larger implants are dedicated to the molar region | The AnyRidge Octa 1 Implant System is intended to be surgically placed in the maxillary or mandibular arches for the purpose of providing prosthetic support for dental restorations (Crown, bridges, and overdentures) in partially or fully edentulous individuals. It is used to restore a patient's chewing function in the following situations and with the clinical protocols:

  • Delayed loading.
  • Immediate loading when good primary stability is achieved and with appropriate occlusal loading. | The AnyOne™ Internal Implant System is intended to be surgically placed in the maxillary or mandibular molar areas for the purpose providing prosthetic support for dental restorations (Crown, bridges, and overdentures) in partially or fully edentulous individuals. It is used to restore a patient's chewing function. Smaller implants (less than 6.0 mm) are dedicated for immediate loading when good primary stability is achieved and with appropriate occlusal loading. Larger implants are dedicated for the molar region and are | similar |
    | | SUBJECT Device | Primary PREDICATE Device (K182448) | REFERENCE Device (K123988) | Significant Difference |
    | Manufacturer | highness Co., Ltd.
    and are indicated for delayed loading.
    The Multi-Unit Abutments are intended for multi-unit restorations only and can be used up to 25 degrees when connecting cylinder. | MegaGen Implant Co., Ltd.
    Larger implants are dedicated for the molar region. | MegaGenImplant Co., Ltd.
    indicated for delayed loading. | – |
    | Implant design | Root-form endosseous dental implants
    Image: Subject Device Implant | Root-form endosseous dental implants
    Image: Primary Predicate Device Implant | Root-form endosseous dental implants
    Image: Reference Device Implant | Similar |
    | Anti-Rotational Feature | Internal Hex | Internal Octa | Internal Hex | Similar |
    | Diameter (ø) | HS-I:
    4.2, 4.6, 5.1, 5.6, 6.0, 7.0 mm
    HS-VII:
    4.2, 4.7, 5.2, 5.7, 6.2, 7.0 mm | 3.6, 4.0, 4.4, 4.7, 4.8, 5.0, 5.5 mm | 3.9, 4.3, 4.8, 5.3, 6.3, 7.3 mm (for normal thread);
    4.8, 5.8, 6.8, 7.8, 8.3 mm (for deep thread); and
    4.8, 5.3, 6.3, 7.3 mm (for special length) | Similar |
    | Length (mm) | 7.0, 8.5, 10, 11.5, 13, 14.5(not available for the 7.0mm diameter) mm | 7.0, 7.7, 9.2, 10.7, 12.2, 14.2, 17.2 mm | 7.0, 8.0, 9.5, 11.0, 12.5, 14.5 mm (for normal and deep thread);
    7.0 mm (for special length) | Similar |
    | Raw material | CP Titanium Grade 4 | CP Titanium Grade 4 | CP Titanium Grade 4 and Ti-6A1-4V-ELI Titanium Alloy | Identical |
    | Surface Treatment | SLA | SLA | SLA | Identical |
    | | SUBJECT Device | Primary PREDICATE Device (K182448) | REFERENCE Device (K123988) | Significant Difference |
    | Manufacturer | highness Co., Ltd. | MegaGen Implant Co., Ltd. | MegaGenImplant Co., Ltd. | - |
    | Sterilization | Gamma sterilization | Gamma sterilization | Gamma sterilization | Identical |
    | Single Use | Yes | Yes | Yes | Identical |
    | Biocompatibility | Biocompatible according to ISO 10993-1 | Biocompatible according to ISO 10993-1 | Biocompatible according to ISO 10993-1 | Identical |
    | Principle of Operation | This product is a root-type fixture which is inserted in the alveolar bone. It replaces the functions of the missing teeth as a dental implant fixture. | This product is a tapered body fixture which is inserted in the alveolar bone. It replaces the functions of the missing teeth as a dental implant fixture. | This product is a tapered body fixture which is inserted in the alveolar bone. It replaces the functions of the missing teeth as a dental implant fixture. | Identical |
    | Shelf-life | 5 years | 5 years | - | Identical |
    | SE | Information provided in these 510(k) submissions shows that the Highness Implant System is substantially equivalent to the primary predicate device, in terms of indications for use, principle of operation, surface treatment, sterilization method, function and performance related to technological characteristics. Differences between the proposed and primary predicate device are not expected to affect the overall performance of the device.
    There are slightly different diameter and length between the subject and primary predicate device. The implant length range of the subject device is within the range of the predicate devices. However, there is an additions diameter in the subject device comparing to the predicate device. The difference in length is minor, but the AnyOne ™ Internal Implant System was used by MegaGenImplant Co., Ltd. to support these lengths. And the reference device is made of the same material as the subject device, CP Ti Grade 4 same as our device material; it is not introducing significantly different design, and the performance test results supported that this difference does not raise an issue in performance. | | | |

8

9

1) Cemented Abutment

| | SUBJECT Device | Primary PREDICATE Device
(K182448) | REFERENCE Device (K160519) | Significant Difference |
|------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Manufacturer | highness Co., Ltd. | MegaGen Implant Co., Ltd. | OSSTEM Implant Co., Ltd | - |
| Trade Name | Cemented Abutment for | EZ Post Abutment for AnyRidge | Link Abutment for CEREC | - |
| | SUBJECT Device | Primary PREDICATE Device
(K182448) | REFERENCE Device (K160519) | Significant Difference |
| Manufacturer | highness Co., Ltd. | MegaGen Implant Co., Ltd. | OSSTEM Implant Co., Ltd | – |
| Regulation Description | Highness Implant System
Endosseous Dental Implant
System | Octa 1 System
Endosseous Dental Implant
System | Endosseous Dental Implant
System | Identical |
| Regulation Number | 21 CFR 872.3630 | 21 CFR 872.3630 | 21 CFR 872.3630 | Identical |
| Product Code | NHA | NHA | NHA | Identical |
| Class | II | II | II | Identical |
| Indications | The Highness Implant System is
designed to be surgically
placed in the maxillary or
mandibular arches for the
purpose of providing prosthetic
support for dental restorations
(crowns, bridges, and
overdentures) in partially or
fully edentulous individuals. It
is used to the restore the
patient's chewing function.
Implants with diameter less
than ø5.5mm are intended for
immediate loading when good
primary stability is achieved
and with appropriate occlusal
loading. Larger implants are
dedicated to the molar region
and are indicated for delayed
loading.
The Multi-Unit Abutments are | The AnyRidge Octa 1 Implant
System is intended to be
surgically placed in the
maxillary or mandibular arches
for the purpose of providing
prosthetic support for dental
restorations (Crown, bridges,
and overdentures) in partially
or fully edentulous individuals.
It is used to restore a patient's
chewing function in the
following situations and with
the clinical protocols:
-Delayed loading,
-Immediate loading when good
primary stability is achieved
and with appropriate occlusal
loading.
Larger implants are dedicated
for the molar region. | The Link Abutment for CEREC is
titanium alloy abutments
placed onto HIOSSEN dental
implants to provide support for
customized prosthetic
restorations.
Link Abutment for CEREC is
indicated for screw-retained
single tooth or cement-
retained single tooth and
bridge restorations. - Link
abutment for CEREC
All digitally designed copings
and/or crowns for use with the
Link abutment for CEREC is to
be scanned using Sirona CEREC
AC or CEREC AF or CEREC AI,
designed using Sirona inLab
software (Version 3.65) or
Sirona CEREC Software (Version
4.2) and manufactured using a | Similar: Indications for use of the
subject device is slightly different
from the primary predicate in
phrase but fundamental indication
from the reference devices is the
identical. |
| | SUBJECT Device | Primary PREDICATE Device
(K182448) | REFERENCE Device (K160519) | Significant Difference |
| Manufacturer | highness Co., Ltd.
intended for multi-unit
restorations only and can be
used up to 25 degrees when
connecting cylinder. | MegaGen Implant Co., Ltd. | OSSTEM Implant Co., Ltd
Sirona CEREC or inLab MC X or
MC XL milling unit. CAD/CAM
manufacturing/milling occurs
at dental laboratories per the
design limitations of the Sirona
CEREC. | – |
| Design | Image: highness Co., Ltd. design | Image: MegaGen Implant Co., Ltd. design | Image: OSSTEM Implant Co., Ltd design | Similar |
| Diameter (ø) | 4.5, 5.0, 5.5, 6.0, 6.5 mm | 4.0, 5.0, 6.0, 7.0 mm | 4.5 mm | Similar |
| Post Height | 4.0, 5.0, 5.5, 7.0 mm | 4.0, 5.5, 7.0 mm | 4.7 mm | Identical |
| Cuff Height | 0.5, 1.0, 2.0, 3.0, 4.0, 5.0 mm | 0.8, 1.8, 2.8, 3.8, 4.8 mm | 0.5 mm | Similar |
| Raw material | Ti-6Al-4V ELI Titanium Alloy | Ti-6Al-4V ELI Titanium Alloy | Ti-6Al-4V ELI Titanium Alloy | Identical |
| Connection Interface | Hex, Non-hex | Octa, Non-octa | Hex, Non-hex | Similar |
| Surface Treatment | Non-Anodizing | Anodizing | | Identical |
| Sterilization | Non-sterile; Steam sterilization
prior to use | Non-sterile; Steam sterilization
prior to use | Non-sterile; Steam sterilization
prior to use | Identical |
| Single Use | Yes | Yes | Yes | Identical |
| Restoration type | Single & Multi | Single & Multi | Single & Multi | Identical |
| Biocompatibility | Biocompatible in accordance
with ISO 10993-1 | Biocompatible in accordance
with ISO 10993-1 | Biocompatible in accordance
with ISO 10993-1- | Identical |
| Principle of Operation | This product is a superstructure
which is connects with the
fixtures using the Abutment
Screw. It replaces the functions | This product is a superstructure
which is connects with the
fixtures using the Abutment
Screw. It replaces the functions | This product is a superstructure
which is connects with the
fixtures using the Abutment
Screw. It replaces the functions | Identical |
| | SUBJECT Device | Primary PREDICATE Device
(K182448) | REFERENCE Device (K160519) | Significant Difference |
| Manufacturer | highness Co., Ltd. | MegaGen Implant Co., Ltd. | OSSTEM Implant Co., Ltd | – |
| | of the missing teeth as a dental
abutment. | of the missing teeth as a dental
abutment. | of the missing teeth as a dental
abutment. | |
| SE | The subject device has the same intended use, material, principle of operation and similar design as the predicate device and re, and
there are slightly different dimensions. However, the abutment diameter and angulation range of the subject device is within the range
of the predicate device. And the subject device has slightly different of post height and Cuff Height. However, this post height and gingival
range is to meet each patient needs and does not raise an issue in performance or safety since the size difference is very minor. Also,
the connection interface is different but both features of Octa and Hex provides anti-rotational feature. Therefore, it is substantial
equivalent. | | | |

10

11

12

2) Angled Abutment

SUBJECT DevicePrimary PREDICATE Device (K182448)Significant Difference
Manufacturerhighness Co., Ltd.MegaGen Implant Co., Ltd.
Trade NameAngled Abutment for Highness Implant SystemAngled Abutment for AnyRidge Octa 1 System
Regulation
DescriptionEndosseous Dental Implant SystemEndosseous Dental Implant SystemIdentical
Regulation
Number21 CFR 872.363021 CFR 872.3630Identical
Product CodeNHANHAIdentical
ClassIIIIIdentical
IndicationsThe Highness Implant System is designed to be surgically placed in the maxillary or mandibular arches for the purpose of providing prosthetic support for dental restorations (crowns, bridges, and overdentures) in partially or fully edentulous individuals. It is used to the restore the patient's chewing function. Implants with diameter less than ø5.5mm are intended for immediate loading when good primary stability is achieved and withThe AnyRidge Octa 1 Implant System is intended to be surgically placed in the maxillary or mandibular arches for the purpose of providing prosthetic support for dental restorations (Crown, bridges, and overdentures) in partially or fully edentulous individuals. It is used to restore a patient's chewing function in the following situations and with the clinical protocols:Identical
SUBJECT Device
Primary PREDICATE Device (K182448)Significant Difference
Manufacturerhighness Co., Ltd.
appropriate occlusal loading. Larger implants are
dedicated to the molar region and are indicated for
delayed loading.
The Multi-Unit Abutments are intended for multi-unit
restorations only and can be used up to 25 degrees when
connecting cylinder.MegaGen Implant Co., Ltd.
-Delayed loading,
-Immediate loading when good primary stability is
achieved and with appropriate occlusal loading.
Larger implants are dedicated for the molar region.-
DesignImage: highness Co., Ltd.Image: MegaGen Implant Co., Ltd.Similar
Diameter (ø)4.5, 5.0, 5.5 mm4.0, 5.0, 6.0, 7.0 mmSimilar
Post Height8.0 mm7.0 mmSimilar
Cuff Height1.0, 2.0, 3.0, 4.0, 5.0 mm0.8, 1.8, 2.8, 3.8, 4.8 mmSimilar
Angulation15°, 17°, 25°15°, 25°Similar
Raw materialTi-6Al-4V ELI Titanium AlloyTi-6Al-4V ELI Titanium AlloyIdentical
ConnectionHex, Non-hexOcta, Non-octaSimilar
Interface---
SurfaceNon-AnodizingAnodizingIdentical
Treatment---
SterilizationNon-sterile; Steam sterilization prior to useNon-sterile; Steam sterilization prior to useIdentical
Single UseYesYesIdentical
Restoration
typeSingle & MultiSingle & MultiIdentical
BiocompatibilityBiocompatible in accordance with ISO 10993-1Biocompatible in accordance with ISO 10993-1Identical
Principle of
OperationThis product is a superstructure which is connects with
the fixtures using the Abutment Screw. It replaces the
functions of the missing teeth as a dental abutment.This product is a superstructure which is connects
with the fixtures using the Abutment Screw. It
replaces the functions of the missing teeth as aIdentical
SUBJECT DevicePrimary PREDICATE Device (K182448)Significant Difference
Manufacturerhighness Co., Ltd.MegaGen Implant Co., Ltd.
dental abutment.
SEThe subject device has the same intended use, material, principle of operation and similar design as the predicate device, and there are slightly different dimensions. However, the abutment diameter and angulation range of the subject device is within the range of the predicate device. And the subject device has slightly different of post height and Cuff Height. However, this post height and gingival range is to meet each patient needs and does not raise an issue in performance or safety since the size difference is very minor. Also, the connection interface is different but both features of Octa and Hex provides anti-rotational feature. Therefore, it is substantial equivalent.

13

14

3) Solid Abutment

| | SUBJECT Device | Primary PREDICATE Device
(K182448) | REFERENCE Device (K192347) | Significant Difference |
|------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------|
| Manufacturer | highness Co., Ltd. | MegaGen Implant Co., Ltd. | Megagen Implant Co. Ltd. | – |
| Trade Name | Solid Abutment for Highness
Implant System | Octa Abutment For AnyRidge
Octa 1 System | Solid Abutment for ST Internal
Implant System | – |
| Regulation Description | Endosseous Dental Implant
System | Endosseous Dental Implant
System | Endosseous Dental Implant
System | Identical |
| Regulation Number | 21 CFR 872.3630 | 21 CFR 872.3630 | 21 CFR 872.3630 | Identical |
| Product Code | NHA | NHA | NHA | Identical |
| Class | II | II | II | Identical |
| Indications | The Highness Implant System is
designed to be surgically
placed in the maxillary or
mandibular arches for the
purpose of providing prosthetic
support for dental restorations
(crowns, bridges, and
overdentures) in partially or
fully edentulous individuals. It
is used to the restore the | The AnyRidge Octa 1 Implant
System is intended to be
surgically placed in the
maxillary or mandibular arches
for the purpose of providing
prosthetic support for dental
restorations (Crown, bridges,
and overdentures) in partially
or fully edentulous individuals.
It is used to restore a patient's | The ST Internal Implant System
is intended to be surgically
placed in the maxillary or
mandibular arches for the
purpose providing prosthetic
support for dental restorations
(Crown, bridges, and
overdentures) in partially or
fully edentulous individuals. It
is used to restore a patient's | Identical |
| | SUBJECT Device | Primary PREDICATE Device
(K182448) | REFERENCE Device (K192347) | Significant Difference |
| Manufacturer | highness Co., Ltd.
patient's chewing function.
Implants with diameter less
than ø5.5mm are intended for
immediate loading when good
primary stability is achieved
and with appropriate occlusal
loading. Larger implants are
dedicated to the molar region
and are indicated for delayed
loading.
The Multi-Unit Abutments are
intended for multi-unit
restorations only and can be
used up to 25 degrees when
connecting cylinder. | MegaGen Implant Co., Ltd.
chewing function in the
following situations and with
the clinical protocols:
-Delayed loading,
-Immediate loading when good
primary stability is achieved
and with appropriate occlusal
loading.
Larger implants are dedicated
for the molar region. | Megagen Implant Co. Ltd.
chewing function. Smaller
implants (less than 6.0 mm) are
dedicated for immediate
loading when good primary
stability is achieved and with
appropriate occlusal loading.
Larger implants are dedicated
for the molar region and are
indicated for delayed loading. | – |
| Design | Image: abutment | Image: abutment | Image: abutment | Similar |
| Diameter (ø) | 4.0, 4.5, 5.0, 5.5, 6.0, 6.5 mm | 3.8 mm | 4.0, 4.6, 5.0, 6.0, 7.0 mm | Similar |
| Post Height | 4.0, 5.5, 7.0 mm | Unknown | 4.0, 5.5, 7.0 mm | Similar |
| Cuff Height | 1.0, 2.0, 3.0, 4.0, 5.0 mm | 0.8, 1.8, 2.8, 3.8, 4.8 mm | 1.0, 2.0, 3.0, 4.0, 5.0 mm | Similar |
| Raw material | Ti-6Al-4V ELI Titanium Alloy | Ti-6Al-4V ELI Titanium Alloy | Ti-6Al-4V ELI Titanium Alloy | Identical |
| Connection Interface | Hex | Internal Conical connection | Hex | Similar |
| Surface Treatment | Non-Anodizing | Color anodization | Anodizing | Similar |
| Sterilization | Non-sterile: Steam sterilization | Non-sterile: Steam sterilization | Non-Sterile (user sterilization). | Identical |
| | SUBJECT Device | Primary PREDICATE Device
(K182448) | REFERENCE Device (K192347) | Significant Difference |
| Manufacturer | highness Co., Ltd.
prior to use | MegaGen Implant Co., Ltd.
prior to use | Megagen Implant Co. Ltd.
or sterile (Radiation) | - |
| Single Use | Yes | Yes | Yes | Identical |
| Restoration type | Single & Multi | Single & Multi | Single & Multi | Identical |
| Biocompatibility | Biocompatible in accordance
with ISO 10993-1 | Biocompatible in accordance
with ISO 10993-1 | Biocompatible in accordance
with ISO 10993-1 | Identical |
| Principle of Operation | This product is a superstructure
which is connects with the
fixtures using the Abutment
Screw. It replaces the functions
of the missing teeth as a dental
abutment. | This product is a superstructure
which is connects with the
fixtures using the Abutment
Screw. It replaces the functions
of the missing teeth as a dental
abutment. | This product is a superstructure
which is connects with the
fixtures using the Abutment
Screw. It replaces the functions
of the missing teeth as a dental
abutment. | Identical |
| SE | The subject device has the same intended use, material, principle of operation and similar design as the primary predicate, and there
are different dimensions. However, the abutment diameter, post height and Cuff Height range of the subject device is within the range
of the reference device. These differences do not affect product's fundamental function. Also, the connection interface is different but
both features of Octa and Hex provides anti-rotational feature. Therefore, it is substantial equivalent. | | | |

15

16

4) Multi-Unit Abutment

| | SUBJECT Device | Primary PREDICATE Device
(K182448) | REFERENCE Device (K203808) | Significant Difference |
|------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------|
| Manufacturer | highness Co., Ltd. | MegaGen Implant Co., Ltd. | MegaGen Implant Co., Ltd. | – |
| Trade Name | Multi Angled Abutment for
Highness Implant System | Multi-unit Abutment For Multi-
unit Abutment, Multi-unit
Angled Abutment | Multi-unit Abutment For Multi-
unit Abutment, Multi-unit
Angled Abutment | – |
| Regulation Description | Endosseous Dental Implant
System | Endosseous Dental Implant
System | Endosseous Dental Implant
System | Identical |
| Regulation Number | 21 CFR 872.3630 | 21 CFR 872.3630 | 21 CFR 872.3630 | Identical |
| Product Code | NHA | NHA | NHA | Identical |
| | SUBJECT Device | Primary PREDICATE Device (K182448) | REFERENCE Device (K203808) | Significant Difference |
| Manufacturer | highness Co., Ltd. | MegaGen Implant Co., Ltd. | MegaGen Implant Co., Ltd. | - |
| Class | II | II | II | Identical |
| Indications | The Highness Implant System is designed to be surgically placed in the maxillary or mandibular arches for the purpose of providing prosthetic support for dental restorations (crowns, bridges, and overdentures) in partially or fully edentulous individuals. It is used to the restore the patient's chewing function. Implants with diameter less than $ø$ 5.5mm are intended for immediate loading when good primary stability is achieved and with appropriate occlusal loading. Larger implants are dedicated to the molar region and are indicated for delayed loading. The Multi-Unit Abutments are intended for multi-unit restorations only and can be used up to 25 degrees when connecting cylinder. | The Multi-unit Abutment, Multi-unit Angled Abutment is intended to be surgically placed in the maxillary or mandibular arches for the purpose providing prosthetic support for dental restorations (Crown, bridges, and overdentures) in partially or fully edentulous individuals. | The Multi-unit Abutment, Multi-unit Angled Abutment is intended to be surgically placed in the maxillary or mandibular arches for the purpose providing prosthetic support for dental restorations (Crown, bridges, and overdentures) in partially or fully edentulous individuals. | Identical |
| | SUBJECT Device | Primary PREDICATE Device
(K182448) | REFERENCE Device (K203808) | Significant Difference |
| Manufacturer | highness Co., Ltd. | MegaGen Implant Co., Ltd. | MegaGen Implant Co., Ltd. | – |
| Design | Image: Subject Device Design | Image: Primary Predicate Device Design | Image: Reference Device Design | Similar |
| Diameter (ø) | 4.8 mm | 4.8, 5.0 mm | 4.8, 5.0 mm | Identical |
| Post Height | 2.3 mm | 1.8, 2.2 mm | 1.8, 2.2 mm | Similar |
| Cuff Height | 1.0, 2.0, 3.0, 4.0, 5.0 mm | 0.6, 1.5, 2.0, 2.5, 3.0, 3.5, 4.0,
4.5, 5.0, 5.5 mm | 0.6, 1.5, 2.0, 2.5, 3.0, 3.5, 4.0,
4.5, 5.0, 5.5 mm | Similar |
| Angulation | Straight | Straight | Straight | Identical |
| Raw material | Ti-6Al-4V ELI Titanium Alloy | Ti-6Al-4V ELI Titanium Alloy | Ti-6Al-4V ELI Titanium Alloy | Identical |
| Connection Interface | Hex | Octa, Non-octa | Internal Hex, Internal Non-Hex,
Internal Conical Connection | Similar |
| Surface Treatment | Non-Anodizing | Color Anodization | Anodizing | Similar |
| Sterilization | Non-sterile; Steam sterilization
prior to use | Non-sterile; Steam sterilization
prior to use | Non-sterile; Steam sterilization
prior to use | Identical |
| Single Use | Yes | Yes | Yes | Identical |
| Restoration type | Multi | Single & Multi | Single & Multi | Identical |
| Biocompatibility | Biocompatible in accordance
with ISO 10993-1 | Biocompatible in accordance
with ISO 10993-1 | Biocompatible in accordance
with ISO 10993-1 | Identical |
| Principle of Operation | This product is a premanufactured
prosthetic component directly
connected to the endosseous
dental implant and is intended for
use as an aid in prosthetic
rehabilitation. | Multi-unit Abutment is a
premanufactured prosthetic
component directly connected to
the endosseous dental implant
and is intended for use as an aid in
prosthetic rehabilitation. | This product is a pre-manufactured
prosthetic component directly or
indirectly connected to the
endosseous dental implant using
its threaded part or screw for aid
in prosthetic rehabilitation. | Identical |
| SE | The subject device has the same intended use, material, principle of operation and similar design as the predicate device, and there is | | | |
| | slightly different Cuff Height. However, the Cuff Height range of the subject device is within the range of the reference device. And the | | | |
| | subject device has slightly different post height. However, this post height range is to meet each patient needs and does not raise an | | | |
| | SUBJECT Device | Primary PREDICATE Device
(K182448) | REFERENCE Device (K203808) | Significant Difference |
| Manufacturer | highness Co., Ltd. | MegaGen Implant Co., Ltd. | MegaGen Implant Co., Ltd. | - |
| | issue in performance or safety since the size difference is very minor. Also, the connection interface is different but both features of Octa
and Hex provides anti-rotational feature. Therefore, it is substantial equivalent. | | | |

17

18

19

5) Multi-Unit Angled Abutment

SUBJECT DevicePrimary PREDICATE Device (K182448)REFERENCE Device (K203808)Significant Difference
Manufacturerhighness Co., Ltd.MegaGen Implant Co., Ltd.MegaGen Implant Co., Ltd.
Trade NameMulti Angled Abutment for Highness Implant SystemMulti-unit Angled Abutment for AnyRidge Octa 1 SystemMulti-unit Angled Abutment For Multi-unit Abutment, Multi-unit Angled Abutment
Regulation DescriptionEndosseous Dental Implant SystemEndosseous Dental Implant SystemEndosseous Dental Implant SystemIdentical
Regulation Number21 CFR 872.363021 CFR 872.363021 CFR 872.3630Identical
Product CodeNHANHANHAIdentical
ClassIIIIIIIdentical
IndicationsThe Highness Implant System is designed to be surgically placed in the maxillary or mandibular arches for the purpose of providing prosthetic support for dental restorations (crowns, bridges, and overdentures) in partially or fully edentulous individuals. It is used to the restore the patient's chewing function.The AnyRidge Octa 1 Implant System is intended to be surgically placed in the maxillary or mandibular arches for the purpose of providing prosthetic support for dental restorations (Crown, bridges, and overdentures) in partially or fully edentulous individuals. It is used to restore a patient's chewing function in theThe Multi-unit Abutment, Multi-unit Angled Abutment is intended to be surgically placed in the maxillary or mandibular arches for the purpose providing prosthetic support for dental restorations (Crown, bridges, and overdentures) in partially or fully edentulous individuals.Identical
SUBJECT DevicePrimary PREDICATE Device
(K182448)REFERENCE Device (K203808)Significant Difference
Manufacturerhighness Co., Ltd.
Implants with diameter less
than ø5.5mm are intended for
immediate loading when good
primary stability is achieved
and with appropriate occlusal
loading. Larger implants are
dedicated to the molar region
and are indicated for delayed
loading.
The Multi-Unit Abutments are
intended for multi-unit
restorations only and can be
used up to 25 degrees when
connecting cylinder.MegaGen Implant Co., Ltd.
following situations and with
the clinical protocols:
-Delayed loading,
-Immediate loading when good
primary stability is achieved
and with appropriate occlusal
loading.
Larger implants are dedicated
for the molar region.MegaGen Implant Co., Ltd.
DesignImage: Implant designImage: Implant designImage: Implant designSimilar
Diameter (ø)4.5 mm4.8 mm4.8, 5.0 mmIdentical
Cuff Height2.0, 3.0, 4.0, 5.0 mm2.3, 3.3, 4.3 mm1.0, 1.5, 2.0, 2.5, 3.0, 3.5, 4.0,
4.5 mmSimilar
Angulation15°, 17°, 25°17°, 30°17°, 29°, 30°Similar
Raw materialTi-6Al-4V ELI Titanium AlloyTi-6Al-4V ELI Titanium AlloyTi-6Al-4V ELI Titanium AlloyIdentical
Connection InterfaceHexOcta, Non-octaInternal Hex, Internal Non-Hex,
Internal Octa, Internal Non-
OctaSimilar
Surface TreatmentNon-AnodizingNon-AnodizingAnodizingIdentical
SterilizationNon-sterile; Steam sterilizationNon-sterile; Steam sterilizationNon-Sterile (user sterilization),Identical
SUBJECT DevicePrimary PREDICATE Device
(K182448)REFERENCE Device (K203808)Significant Difference
Manufacturerhighness Co., Ltd.MegaGen Implant Co., Ltd.MegaGen Implant Co., Ltd.-
prior to useprior to useor sterile (Radiation)
Single UseYesYesYesIdentical
Restoration typeMultiSingle & MultiSingle & MultiIdentical
BiocompatibilityBiocompatible in accordance
with ISO 10993-1Biocompatible in accordance
with ISO 10993-1Biocompatible in accordance
with ISO 10993-1Identical
Principle of OperationMulti-unit Angled Abutment is a
premanufactured prosthetic
component directly connected to
the endosseous dental implant
and is intended for use as an aid in
prosthetic rehabilitation.Multi-unit Angled Abutment is a
premanufactured prosthetic
component directly connected to
the endosseous dental implant
and is intended for use as an aid in
prosthetic rehabilitation.This product is a pre-manufactured
prosthetic component directly
connected to the endosseous
dental implant using the screw and
is intended for use as an aid in
prosthetic rehabilitation.Identical
SEThe subject device has the same intended use, material, principle of operation and similar design as the primary predicate, and there
are different dimensions. However, the abutment diameter, Cuff Height and angulation range of the subject device is within the range
of the reference device. These differences do not affect product's fundamental function. Also, the connection interface is different but
both features of Octa and Hex provides anti-rotational feature. Therefore, it is substantial equivalent.

20

21

6) Multi-unit Abutment Screw & Abutment Screw

| | SUBJECT Device | Primary PREDICATE Device
(K182448) | REFERENCE Device (K203808) | Significant Difference |
|------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------|
| Manufacturer | highness Co., Ltd. | MegaGen Implant Co., Ltd. | MegaGen Implant Co., Ltd. | - |
| Trade Name | Abutment Screw, Multi-unit
Abutment Screw for Highness
Implant System | Multi-unit Abutment Screw For
AnyRidge Octa 1 Implant
System | Multi Angled Abutment Screw | - |
| Regulation Description | Endosseous Dental Implant
System | Endosseous Dental Implant
System | Endosseous Dental Implant
System | Identical |
| Regulation Number | 21 CFR 872.3630 | 21 CFR 872.3630 | 21 CFR 872.3630 | Identical |
| Product Code | NHA | NHA | NHA | Identical |
| | SUBJECT Device | Primary PREDICATE Device (K182448) | REFERENCE Device (K203808) | Significant Difference |
| Manufacturer | highness Co., Ltd. | MegaGen Implant Co., Ltd. | MegaGen Implant Co., Ltd. | – |
| Class | II | II | II | Identical |
| Indications | The Highness Implant System is designed to be surgically placed in the maxillary or mandibular arches for the purpose of providing prosthetic support for dental restorations (crowns, bridges, and overdentures) in partially or fully edentulous individuals. It is used to the restore the patient's chewing function. Implants with diameter less than ø5.5mm are intended for immediate loading when good primary stability is achieved and with appropriate occlusal loading. Larger implants are dedicated to the molar region and are indicated for delayed loading. The Multi-Unit Abutments are intended for multi-unit restorations only and can be used up to 25 degrees when connecting cylinder. | The AnyRidge Octa 1 Implant System is intended to be surgically placed in the maxillary or mandibular arches for the purpose of providing prosthetic support for dental restorations (Crown, bridges, and overdentures) in partially or fully edentulous individuals. It is used to restore a patient's chewing function in the following situations and with the clinical protocols: -Delayed loading, -Immediate loading when good primary stability is achieved and with appropriate occlusal loading. Larger implants are dedicated for the molar region. | The Multi-unit Abutment, Multi-unit Angled Abutment is intended to be surgically placed in the maxillary or mandibular arches for the purpose providing prosthetic support for dental restorations (Crown, bridges, and overdentures) in partially or fully edentulous individuals. | Identical |
| | SUBJECT Device | Primary PREDICATE Device (K182448) | REFERENCE Device (K203808) | Significant Difference |
| Manufacturer | highness Co., Ltd. | MegaGen Implant Co., Ltd. | MegaGen Implant Co., Ltd. | - |
| Design | Image: Subject Device Design | Image: Primary Predicate Device Design | Image: Reference Device Design | Similar |
| Diameter (ø) | 2.05 mm;
2.3 mm | 2.1, 2.2 mm | 2.1, 2.2, 2.4, 2.95 mm | Similar |
| Total Length | 7.5 mm;
9.5 mm | 7.0, 7.9 mm | 4.4, 6.8, 7.0, 10.8, 11.5, 11.8, 12.5, 12.8, 13.5, 13.8, 14.5, 15.5 mm | Similar |
| Raw material | Ti-6Al-4V ELI Titanium Alloy | Ti-6Al-4V ELI Titanium Alloy | Ti-6Al-4V ELI Titanium Alloy | Identical |
| Connection Interface | Internal Conical Connection | Internal Conical Connection | Internal Conical Connection | Identical |
| Surface Treatment | Machined | Machined | Machined, Anodizing | Identical |
| Sterilization | Non-sterile; Steam sterilization prior to use | Non-sterile; Steam sterilization prior to use | Non-Sterile (user sterilization), or sterile (Radiation) | Identical |
| Single Use | Yes | Yes | Yes | Identical |
| Restoration type | Single & Multi | Single & Multi | Single & Multi | Identical |
| Biocompatibility | Biocompatible in accordance with ISO 10993-1 | Biocompatible in accordance with ISO 10993-1 | | Identical |
| Principle of Operation | Abutment Screw and Multi-unit Abutment Screw is used for connecting Abutment or Multi-unit Abutment or Multi-unit Angled Abutment to the fixture. | Multi-unit Abutment Screw is used for connecting Multi-unit Abutment or Multi-unit Angled Abutment to the fixture. | Multi-unit Abutment Screw is used for connecting Multi-unit Abutment or Multi-unit Angled Abutment to the fixture. | Identical |
| SE | The subject device has the same intended use, material, principle of operation and similar design as the primary predicate, and there are different dimensions. However, the abutment diameter, Cuff Height and angulation range of the subject device is within the range of the reference device. These differences do not affect product's fundamental function. Also, the connection interface is different but | | | |
| | SUBJECT Device | Primary PREDICATE Device | REFERENCE Device (K203808) | Significant Difference |
| | | (K182448) | | |
| Manufacturer | highness Co., Ltd. | MegaGen Implant Co., Ltd. | MegaGen Implant Co., Ltd. | - |
| | both features of Octa and Hex provides anti-rotational feature. Therefore, it is substantial equivalent. | | | |

22

23

24

7) Temporary Abutment

SUBJECT DevicePrimary PREDICATE Device (K182448)Significant Difference
Manufacturerhighness Co., Ltd.MegaGen Implant Co., Ltd.-
Trade NameTemporary Abutment for Highness Implant SystemTemporary Abutment for AnyRidge Octa 1 System-
Regulation DescriptionEndosseous Dental Implant SystemEndosseous Dental Implant System-
Regulation Number21 CFR 872.363021 CFR 872.3630Identical
Product CodeNHANHAIdentical
ClassIIIIIdentical
IndicationsThe Highness Implant System is designed to
be surgically placed in the maxillary or
mandibular arches for the purpose of
providing prosthetic support for dental
restorations (crowns, bridges, and
overdentures) in partially or fully edentulous
individuals. It is used to the restore the
patient's chewing function. Implants with
diameter less than ø5.5mm are intended for
immediate loading when good primary
stability is achieved and with appropriate
occlusal loading. Larger implants are
dedicated to the molar region and are
indicated for delayed loading.
The Multi-Unit Abutments are intended for
multi-unit restorations only and can be usedThe AnyRidge Octa 1 Implant System is
intended to be surgically placed in the
maxillary or mandibular arches for the purpose
of providing prosthetic support for dental
restorations (Crown, bridges, and
overdentures) in partially or fully edentulous
individuals. It is used to restore a patient's
chewing function in the following situations
and with the clinical protocols:
-Delayed loading,
-Immediate loading when good primary
stability is achieved and with appropriate
occlusal loading.
Larger implants are dedicated for the molar
region.Identical
SUBJECT DevicePrimary PREDICATE Device (K182448)Significant Difference
Manufacturerhighness Co., Ltd.MegaGen Implant Co., Ltd.-
up to 25 degrees when connecting cylinder.
DesignImage: Subject Device DesignImage: Primary Predicate Device DesignSimilar
Diameter (ø)4.0, 4.5, 5.0, 5.5, 6.0, 6.5 mm4.0, 5.0 mmSimilar
Post Height9.75, 10.75, 11.75 mm10 mmSimilar
Cuff Height1.0, 2.0, 3.0 mm2.0, 3.0 mmSimilar
AngulationIdentical
Raw materialTi-6Al-4V ELI Titanium AlloyTi-6Al-4V ELI Titanium AlloyIdentical
Connection InterfaceHex, Non-HexOcta, Non-octaSimilar
Surface TreatmentNon-AnodizingColor AnodizationSimilar
SterilizationNon-sterile; Steam sterilization prior to useNon-sterile; Steam sterilization prior to useIdentical
Single UseYesYesIdentical
Restoration typeSingle & MultiSingle & MultiIdentical
BiocompatibilityBiocompatible in accordance with ISO 10993-1Biocompatible in accordance with ISO 10993-1Identical
Principle of OperationTemporary Abutment is used in conjunction
with fixture to provide support for provisional
restoration.Temporary Abutment is used in conjunction
with fixture to provide support for provisional
restoration.Identical
SEThe subject device has the same intended use, material, principle of operation and similar design as the predicate device. However,
there are different dimensions. The subject device has slightly wider range of diameter, post height and Cuff Height. This wider range is
to meet each patient needs and does not raise an issue in performance or safety since the size difference is very minor; therefore, it is
substantial equivalent. Also, the connection interface is also different but both features of Octa and Hex provides anti-rotational feature.
SUBJECT DevicePrimary PREDICATE DeviceREFERENCE Device (K110955)Significant Difference
(K182448)
Manufacturerhighness Co., Ltd.MegaGen Implant Co., Ltd.MegaGen Implant Co., Ltd.-
Trade NameHealing Abutment for HighnessHealing Abutment for AnyRidgeHealing Abutment for AnyRidge-
Implant SystemOcta 1 SystemInternal System
Regulation DescriptionEndosseous Dental ImplantEndosseous Dental ImplantEndosseous Dental ImplantIdentical
SystemSystemSystem
Regulation Number21 CFR 872.363021 CFR 872.363021 CFR 872.3630Identical
Product CodeNHANHANHAIdentical
ClassIIIIIIIdentical
IndicationsThe Highness Implant System isThe AnyRidge Octa 1 ImplantThe AnyRidge Internal ImplantIdentical
designed to be surgicallySystem is intended to beSystem is intended to be
placed in the maxillary orsurgically placed in thesurgically placed in the
mandibular arches for themaxillary or mandibular archesmaxillary or mandibular molar
purpose of providing prostheticfor the purpose of providingareas for the purpose providing
support for dental restorationsprosthetic support for dentalprosthetic support for dental
(crowns, bridges, andrestorations (Crown, bridges,restorations (Crown, bridges,
overdentures) in partially orand overdentures) in partiallyand overdentures) in partially
fully edentulous individuals. Itor fully edentulous individuals.or fully edentulous individuals.
is used to the restore theIt is used to restore a patient'sIt is used to restore a patient's
patient's chewing function.chewing function in thechewing function. Smaller
Implants with diameter lessfollowing situations and withimplants (less than 6.0 mm) are
than ø5.5mm are intended forthe clinical protocols:dedicated for immediate
immediate loading when good-Delayed loading,loading when good primary
primary stability is achieved-Immediate loading when goodstability is achieved and with
and with appropriate occlusalprimary stability is achievedappropriate occlusal loading.
loading. Larger implants areand with appropriate occlusalLarger implants are dedicated
dedicated to the molar regionloading.for the molar region and are
and are indicated for delayedLarger implants are dedicatedindicated for delayed loading.
loading.for the molar region.
SUBJECT DevicePrimary PREDICATE Device
(K182448)REFERENCE Device (K110955)Significant Difference
Manufacturerhighness Co., Ltd.
The Multi-Unit Abutments are
intended for multi-unit
restorations only and can be
used up to 25 degrees when
connecting cylinder.MegaGen Implant Co., Ltd.MegaGen Implant Co., Ltd.-
Design
Image: Subject Device Design
Image: Primary Predicate Device Design
Image: Reference Device DesignSimilar
Diameter (ø)4.2, 4.7, 5.2, 5.7, 6.2, 6.7 mm3.2, 4.2, 5.2, 6.2 mm4.2, 5.2, 6.2, 7.2, 8.0, 10.0 mmSimilar
Cuff Height3.0, 4.0, 5.0, 6.0, 7.0 mm2.5, 3.5, 4.5, 5.5, 6.5, 7.5, 8.5, 9.5 mm3.5, 4.5, 5.5, 6.5, 7.5 mmSimilar
Raw materialTi-6Al-4V ELI Titanium AlloyTi-6Al-4V ELI Titanium AlloyTi-6Al-4V ELI Titanium AlloyIdentical
Connection InterfaceInternal Conical ConnectionInternal Conical ConnectionInternal Conical ConnectionIdentical
Surface TreatmentMachinedColor AnodizationMachinedSimilar
SterilizationNon-sterile; Steam sterilization
prior to useNon-sterile; Steam sterilization
prior to useNon-Sterile (user sterilization),
or sterile (Radiation)Identical
Single UseYesYesYesIdentical
Restoration typeSingle & MultiSingle & MultiSingle & MultiIdentical
BiocompatibilityBiocompatible in accordance
with ISO 10993-1Biocompatible in accordance
with ISO 10993-1Biocompatible in accordance
with ISO 10993-1Identical
Principle of OperationThe Healing Abutment is
fastened into the female screw
of dental implant and support
the gingival shaping.The Healing Abutment is
fastened into the female screw
of dental implant and support
the gingival shaping.The Healing Abutment is
fastened into the female screw
of dental implant and support
the gingival shaping.Identical
SEThe subject device has the same intended use, principle of operation, material, connection interface, and similar design as the predicate
devices, and there are slightly different diameter and cuff height. However, the diameter and cuff height range of the subject device is
SUBJECT DevicePrimary PREDICATE Device
(K182448)REFERENCE Device (K110955)Significant Difference
Manufacturerhighness Co., Ltd.MegaGen Implant Co., Ltd.MegaGen Implant Co., Ltd.-
within the range of the predicate devices. However, this diameter and cuff height range is to meet each patient needs and does not raise
an issue in performance or safety since the size difference is very minor. The other difference is in surface treatment, but we already
presented multiple predicate devices for anodizing in the other component comparison charts. Therefore, it is substantial equivalent.

25

8) Healing Abutment

26

27

28

9) Cover Screw

SUBJECT DevicePrimary PREDICATE Device (K182448)Significant Difference
Manufacturerhighness Co., Ltd.MegaGen Implant Co., Ltd.-
Trade NameCover Screw for Highness Implant
SystemCover Screw For AnyRidge Octa 1
Implant System-
Regulation DescriptionEndosseous Dental Implant SystemEndosseous Dental Implant System-
Regulation Number21 CFR 872.363021 CFR 872.3630Identical
Product CodeNHANHAIdentical
ClassIIIIIdentical
IndicationsThe Highness Implant System is
designed to be surgically placed in the
maxillary or mandibular arches for the
purpose of providing prosthetic
support for dental restorations
(crowns, bridges, and overdentures) in
partially or fully edentulous individuals.
It is used to the restore the patient's
chewing function. Implants with
diameter less than ø5.5mm are
intended for immediate loading when
good primary stability is achieved and
with appropriate occlusal loading.
Larger implants are dedicated to theThe AnyRidge Octa 1 Implant System is
intended to be surgically placed in the
maxillary or mandibular arches for the
purpose of providing prosthetic
support for dental restorations (Crown,
bridges, and overdentures) in partially
or fully edentulous individuals. It is
used to restore a patient's chewing
function in the following situations and
with the clinical protocols:
-Delayed loading,
-Immediate loading when good
primary stability is achieved and with
appropriate occlusal loading.Identical

29

SUBJECT DevicePrimary PREDICATE Device (K182448)Significant Difference
Manufacturerhighness Co., Ltd.MegaGen Implant Co., Ltd.
molar region and are indicated forLarger implants are dedicated for the
delayed loading.molar region.
The Multi-Unit Abutments are
intended for multi-unit restorations
only and can be used up to 25 degrees
when connecting cylinder.
DesignImage: DesignImage: DesignSimilar
Diameter (ø)3.6 mm3.0, 3.7, 5.0, 6.0 mmSimilar
Length5.4 mm6.6, 7.1 mmSimilar
Raw materialTi-6Al-4V ELI Titanium AlloyTi-6Al-4V ELI Titanium AlloyIdentical
Connection InterfaceInternal Conical ConnectionInternal Conical ConnectionIdentical
Surface TreatmentMachinedAnodizingSimilar
SterilizationNon-sterile; Steam sterilization prior toNon-sterile; Steam sterilization prior toIdentical
useuse
Single UseYesYesIdentical
Restoration typeSingle & MultiSingle & MultiIdentical
BiocompatibilityBiocompatible according to ISO 10993-Biocompatible according to ISO 10993-Identical
11
Principle of OperationCover Screw is used for protecting theCover Screw is used for protecting theIdentical
inner structure of a fixture, andinner structure of a fixture, and
exposed fixture platform after fixtureexposed fixture platform after fixture
placement.placement.
SEThe subject device has the same intended use, principle of operation, material, connection interface, and similar design as
the predicate device, and there are slightly different diameter and length. However, the diameter and length range of the
subject device is within the range of the predicate device. However, this diameter and length range is to meet each patient
SUBJECT DevicePrimary PREDICATE Device (K182448)Significant Difference
Manufacturerhighness Co., Ltd.MegaGen Implant Co., Ltd.-
needs and does not raise an issue in performance or safety since the size difference is very minor. The other difference is in
surface treatment, but we already presented multiple predicate device for anodizing in the other component comparison
charts. Therefore, it is substantial equivalent.

30

31

IX. NONCLINICAL TEST

The following performance data was provided in support of the substantial equivalence determination.

Fatigue

Dynamic fatigue testing mechanical testing of the proposed Highness Implant System was performed in accordance with ISO 14801:2016, "Dentistry – Implants – Dynamic loading test for endosseous dental implants", and FDA guidance on "Root-form Endosseous Dental Implants and Endosseous Dental Abutments – Class II Special Controls Guidance Document for Industry and FDA Staff". The test articles were able to withstand 5,000,000 cycles without failure under substantially equivalent loading to the cited primary predicate device cleared under K182448.

SLA Surface Treatment

The Highness Implant System utilizes an SLA (Sand-blasted, Large grit, Acid-etched) surface treatment for its fixtures. Cleaning validation and SEM/EDS (Scanning Electron Microscopy/Energy Dispersive X-ray Spectroscopy) analysis were performed on the proposed device to ensure the removal of any particles or chemicals used during the process. The SEM/EDS analysis confirms that no elements other than titanium were found on the surface of the implant.

Biocompatibility

Biocompatibility classification is based on the FDA Guidance Use of International Standard ISO 10993-1, "Biological Evaluation of Medical Devices - Part 1: Evaluation and Testing within a Risk Management Process."

The subject devices are classified as the implant medical devices, tissue/bone, long-term exposure (>30 days).

The subject devices have fulfilled all testing required per ISO 7405:2018, "Dentistry -Evaluation of biocompatibility of medical devices used in dentistry", ISO 10993-1:2018, "Biological evaluation of medical devices – Part 1: Evaluation and testing" and the FDA guidance document "Use of International Standard ISO 10993-1, "Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process". Cytotoxicity testing was conducted as per ISO 10993-5:2019, "Biological evaluation of medical devices - Part 5: Tests for in vitro cytotoxicity". Cytotoxicity testing was conducted as per ISO 10993-5:2009, "Biological evaluation of medical devices - Part 5: Tests for in vitro cytotoxicity" .

Sterilization and Shelf Life

Similar to the Predicate Devices, the Highness Implant System is packaged in an aluminum pouch and supplied sterile and non-sterile.

32

The non-sterile abutments used in the surgery must be sterilized by the end user, prior to use, as stated in the IFU. User moist heat sterilization for the subject non-sterile devices was conducted according to, ISO 17665-1:2006, "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/TS 17665-2:2009, "Sterilization of health care products – Moist heat – Part 2: Guidance on the application of ISO 17665-1" and demonstrated a SAL of 10-6.

The sterile implants (fixtures), following to gamma sterilization and packaging were subjected to sterile barrier testing to validate a shelf life of 5 years according to ISO 11607-1:2019, "Packaging for terminally sterilized medical devices – Part 1: Requirements for materials, sterile barrier systems and packaging systems" and ISO 11607-2:2019, "Packaging for terminally sterilized medical devices – Part 2: Validation requirements for forming, sealing and assembly processes" confirm the stability and effectiveness of the packaging of the sterilized product during the shelf life, by evaluating changes due to accelerated aging, according to ASTM F1980-21, "Standard Guide for Accelerated Aging of Sterile Barrier Systems and Medical Devices".

For the sterile implants, gamma sterilization validation of the fixtures was performed in accordance with ISO 11137-1:2006, "Sterilization of health care products – Radiation – Part 1: Requirements for development, validation and routine control of a sterilization process for medical devices", ISO 11137-2:2013, "Sterilization of health care products – Radiation - Part 2: Establishing the sterilization dose", and ISO 11137-3:2017, "Sterilization of health care products – Radiation – Part 3: Guidance on dosimetric aspects of development, validation and routine control".

In addition, for sterile fixtures, bacterial endotoxin testing was performed on sterile devices in accordance with ANSI/AAMI ST72:2019, "Bacterial Endotoxins - Test Methods, Routine Monitoring, And Alternatives To Batch Testing" using the Limulus Amebocyte Lysate (LAL) pyrogen test method at a test limit of 20 EU/device.

A non-clinical worst-case MRI review was performed to evaluate the subject device components in the MRI environment using scientific rationale and published literature (e.g., Woods, Terry O., Jana G. Delfino, and Sunder Rajan. "Assessment of Maqnetically Induced Displacement Force and Torque on Metal Alloys Used in Medical Devices." Journal of Testing and Evaluation 49.2 (2019): 783-795), based on the entire system including all variations (all compatible implant bodies, abutments, and fixation screws) and material composition. The rationale addressed parameters according to the FDA guidance "Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment", including magnetically induced displacement force and torque.

33

X. CLINICAL TESTS

This 510(k) does not include data from clinical tests.

XI. CONCLUSIONS

The above information supports that the Highness Implant System is as safe and effective as the predicate devices. Although there are minor design differences between the subject and predicate devices, the review supports that these differences do not raise new questions of safety and effectiveness. Therefore, it is concluded that the Highness Implant System is substantially equivalent to the Predicate Devices.