(152 days)
No
The summary describes a physical dental prosthetic component and its associated digital design workflow, but there is no mention of AI or ML being used in the design, manufacturing, or function of the device itself or the software used.
Yes.
The device is intended to provide a basis for single or multiple tooth prosthetic restorations by acting as an interface between a dental implant and a zirconia superstructure, which aims to restore function and aesthetics to the oral cavity.
No
Explanation: The device is described as an interface for attaching prosthetic dental restorations to implants. Its function is mechanical support, not diagnosis. The "scan files from Intra-Oral Scanners" is an input for the design process of the superstructure, not an output of the device itself performing diagnostic functions.
No
The device description clearly states that the Elos Accurate® Hybrid Base™ is a pre-manufactured prosthetic component made of Titanium alloy, which is a physical hardware component. While it utilizes a digital library file for design software, the core device itself is a physical object intended for implantation.
Based on the provided text, the Elos Accurate® Hybrid Base™ is not an IVD (In Vitro Diagnostic) device.
Here's why:
- Intended Use: The intended use clearly states it's for attaching to dental implants to provide a basis for prosthetic restorations. This is a mechanical function within the body, not a diagnostic test performed on samples outside the body.
- Device Description: The description details its function as an interface between a dental implant and a zirconia superstructure, its materials, and how it's used in a dental restoration process. This aligns with a medical device used for treatment or restoration, not diagnosis.
- Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting specific analytes, or providing diagnostic information about a patient's health condition.
- Regulatory Context: The document references FDA regulations and guidance related to dental implants and abutments, which are typically classified as medical devices, not IVDs. It also mentions 510(k) clearances for components like design software and cement, which are relevant to medical devices.
In summary, the Elos Accurate® Hybrid Base™ is a dental prosthetic component used in the restoration of teeth, which falls under the category of a medical device, not an in vitro diagnostic device.
N/A
Intended Use / Indications for Use
The Elos Accurate® Hybrid Base™ is intended for attaching to dental implants in order to provide basis for single or multiple tooth prosthetic restorations. The Hybrid Base™ is used as an interface between a dental implant and a zirconia superstructure and will be attached to the implant using a prosthetic screw and attached to the zirconia superstructure by cementing.
The Elos Accurate® Hybrid Base™ is compatible with the implant systems listed in table 1: Table 1.
| Implant Platform compatibility | Platform diameter [mm] | Implant Body diameter [mm] |
|---|---|---|
| Astra Tech EV 3.0 | 03 | 03 |
| Astra Tech EV 3.6 | 03.6 | 03.6 |
| Astra Tech EV 4.2 | 04.2 | 03.6 & 04.2 |
| Astra Tech EV 4.8 | 04.8 | 04.2 & 04.8 |
| Astra Tech EV 5.4 | 05.4 | 05.4 |
The zirconia superstructures for use with the Elos Accurate® Hybrid Base™ are either intended to be sent and manufactured at a FDA registered Elos Medtech approved milling facility or to be designed and manufactured according to digital dentistry workflow system integrates multiple components of the digital dentistry workflow: scan files from Intra-Oral Scanners, CAD software. CAM software, ceramic material, milling machine and associated tooling and accessories,
Product codes (comma separated list FDA assigned to the subject device)
NHA, PNP
Device Description
The Elos Accurate® Hybrid Base™ is intended for attaching to dental implants in order to provide basis for single or multiple tooth prosthetic restorations. The Hybrid Base™ functions as an interface between a dental implant and a zirconia superstructure. It attaches to the implant using the included prosthetic screw and connects to the zirconia superstructure through cementing. The Elos Accurate® Hybrid Base™ is a two-piece abutment composed of the Hybrid Base as the bottomhalf and the zirconia superstructure as the top-half, which when assembled comprises the final finished medical device.
The Elos Accurate® Hybrid Base™ is available for two types: Engaging and Non-Engaging.
- The Hybrid Base™ Engaging which is intended for single tooth dental restorations and having an indexing feature. which avoid the Hybrid Base from rotating in the implant.
- -The Hybrid Base™ Non-Engaging is intended for multiple tooth dental restorations and has no indexing feature, which allows the Hybrid Base to rotate in the implant.
The Elos Accurate® Hybrid Base™ is available with 4 different collar heights and is provided with a 7,5mm chimney which can be cut down to several heights by the user, to minimum 3,5 mm.
The Elos Accurate® Hybrid Base™ consists of a pre-manufactured prosthetic component in Titanium alloy per ASTM F136, as well as supporting digital library file for 510(k) cleared design software (3Shape Abutment Designer™ Software, K151455) which facilitates the design of a patient specific zirconia superstructure by the laboratory/clinician. The Elos Accurate® Hybrid Base™ fits directly to an endosseous dental implant. The laboratory designed superstructure is manufactured from 510(k) cleared Zirconia (Lava Plus, K011394) according to digital dentistry workflow. For all Elos Accurate® Hybrid Base™ models the zirconia superstructure must be designed according to following limits:
| Hybrid Base abutments (zirconia part): |
|---|
| Min. wall thickness 0.5 mm |
| Gingival height min. 0.5mm or max. 5 mm |
| Max. angulation 20°. |
| Min. post height* 4 mm |
*The post height is defined as the cementable height of the abutment.
The laboratory designed superstructure is attached to the Elos Accurate® Hybrid Base by use of 510(k) cleared cement (Panavia V5, K150704) and the final prosthetic restoration is attached to the implant using a Prosthetic screw.
The Prosthetic Screw, also made of Titanium Alloy (ASTM F136), provided for the Elos Accurate® Hybrid Base™ is used to secure the final prosthetic restoration to the implant in the patient's mouth. The Prosthetic Screws have a hexalobular driver connection interface. The intended driver to be used with the Elos Accurate® Hexalobular Prosthetic Screws is the Elos Accurate® Prosthetic Screwdriver 18mm, 26mm or 34mm (Ref. No. PS-AH18-1, PS-AH26-1 or PS-AH34-1). These screwdrivers are Class I Exempt devices per FDA product code NDP.
The Elos Accurate® Hybrid Base has a gold anodized surface to increase the esthetics of the dental restoration - the same surface as in predicate device K230317.
The subject prosthetic screws are provided anodized identical to reference device K120414.
The Elos Accurate® Hybrid Base™ and the Prosthetic screw is delivered non-sterile and the final restoration and corresponding screw is intended to be sterilized at the dental clinic before it is placed in the patient. The recommended sterilization procedure is full cycle pre-vacuum steam sterilization at a temperature of 132 °C (270°F) for 4 minutes. Dry time: 20 minutes.
The Elos Accurate® Hybrid Base™ is sold in 1 pc. packaging and the Elos Accurate® Prosthetic screw is sold in 1 pc. packaging.
Mentions image processing
Not Found
Mentions AI, DNN, or ML
Not Found
Input Imaging Modality
scan files from Intra-Oral Scanners
Anatomical Site
dental implants
Indicated Patient Age Range
Not Found
Intended User / Care Setting
dental clinic
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 (either in subject- or predicate submission) included:
- Performance testing, ie. fatigue testing, has been performed on the Hybrid Base:
- Astra Tech EV 3.0, the Prosthetic Screw M1.4 Astra Tech EV 3.0 and Astra Tech Implant EV 3.0S-13 mm OsseoSpeed. (intended for maxillary lateral incisors and mandibular incisors)
- Astra Tech EV 3.6. the Prosthetic Screw M1.6 Astra Tech EV 3.6 and Astra Tech -Implant EV 3.6S-13 mm OsseoSpeed (intended for use in the posterior region)
The fatigue testing met ISO 14801 requirements according to FDA guidance for Industry and FDA Staff "Class II Special Controls Guidance Document: Root-form Endosseous Dental Implants and Endosseous Dental Abutments" dated May 12, 2004 and demonstrated mechanical performance comparable to the predicate device.
- Engineering and dimensional analysis of original manufactures' components (abutments, implants & abutment screws) was performed on the subject devices for determination of compatibility.
- Sterilization validation according to ISO 17665-1 & ISO 17665-2, demonstrating a SAL of 10-6 is leveraged from predicate device.
- The digital dentistry workflow validation was completed on selected models of subject product line with a digital dentistry workflow including a 3Shape scanner, 3Shape Abutment Designer Software (K155415) and CORiTEC Imes-Icore milling unit. The validation was provided for the predicate K230317 abutment design library (not allowing the user to design outside the design limits set by Elos Medtech) to demonstrate use with the 3Shape Abutment Designer™ Software (K151455). The design library file (DME-file) provided by Elos Medtech included design limits in accordance with Electronic Package insert - Instruction For Use, Surgical & Prosthetic Guide. The 3Shape Abutment Designer™ Software (K151455) prevents designing outside the specified design limits in the library file. Since the subject device uses identical design and manufacturing workflow (as for the Primary Predicate Device K230317), including identical design limits build in the design library file (DME-file), the subject device does not represent any new worst case, than the worst case documented in K230317. Hence the new variants are thereby covered by existing workflow validation submitted in K230317. A design limitation test is performed with the purpose of demonstrating in 3Shape Dental System design software, that the user cannot design the zirconia superstructure for Elos Accurate Hybrid base outside the limitations built in the digital libraries relevant for this submission, provided by Elos Medtech.
- Biocompatibility was evaluated according to ISO 10993-1 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" issued June 16. 2016. Based on this guidance and the common usage of the employed materials demonstrating biocompatibility via cytotoxicity testing was found sufficient. A cytotoxicity test according to ISO 10993-5 of a complete restoration produced via the described validated workflow was performed. Cytotoxicity testing on identically manufactured hybrid bases and prosthetic screws along with zirconia superstructures manufactured from the same material is leveraged from previously 510(k) cleared products (K230317). All tests showed the products to be non-cytotoxic.
- MR Conditional labeling testing is being leveraged from predicate devices in K230317 and the subject devices do not present a new worst-case for the leveraged testing.
Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)
Not Found
Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.
Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.
Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).
Not Found
§ 872.3630 Endosseous dental implant abutment.
(a)
Identification. An endosseous dental implant abutment is a premanufactured prosthetic component directly connected to the endosseous dental implant and is intended for use as an aid in prosthetic rehabilitation.(b)
Classification. Class II (special controls). The guidance document entitled “Class II Special Controls Guidance Document: Root-Form Endosseous Dental Implants and Endosseous Dental Implant Abutments” will serve as the special control. (See § 872.1(e) for the availability of this guidance document.)
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Image /page/0/Picture/0 description: The image contains the 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.
December 10, 2024
Elos Medtech Pinol A/S Lise Terkelsen Regulatory Affairs Professional Engvej 33 Goerloese. 3330 DENMARK
Re: K242025
Trade/Device Name: Elos Accurate® Hybrid Base™ Regulation Number: 21 CFR 872.3630 Regulation Name: Endosseous Dental Implant Abutment Regulatory Class: Class II Product Code: NHA, PNP Dated: July 12, 2024 Received: November 12, 2024
Dear Lise Terkelsen:
We have reviewed your section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (the Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database available at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.
If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.
1
Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).
Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30. Design controls; 21 CFR 820.90. Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).
Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting of medical device-related adverse events) (21 CFR Part 803) for devices or postmarketing safety reporting (21 CFR Part 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.
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 Rule"). 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-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.
2
For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely.
Andrew I. Steen -S
Andrew I. Steen Assistant Director DHT1B: Division of Dental and ENT Devices OHT1: Office of Ophthalmic, Anesthesia, Respiratory, ENT, and Dental Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health
Enclosure
3
Indications for Use
Submission Number (if known)
Device Name
Elos Accurate Hybrid Base
Indications for Use (Describe)
The Elos Accurate® Hybrid Base™ is intended for attaching to dental implants in order to provide basis for single or multiple tooth prosthetic restorations. The Hybrid Base™ is used as an interface between a dental implant and a zirconia superstructure and will be attached to the implant using a prosthetic screw and attached to the zirconia superstructure by cementing.
The Elos Accurate® Hybrid Base™ is compatible with the implant systems listed in table 1: Table 1.
| Implant Platform compatibility | Platform diameter [mm] | Implant Body diameter [mm] |
|---|---|---|
| Astra Tech EV 3.0 | 03 | 03 |
| Astra Tech EV 3.6 | 03.6 | 03.6 |
| Astra Tech EV 4.2 | 04.2 | 03.6 & 04.2 |
| Astra Tech EV 4.8 | 04.8 | 04.2 & 04.8 |
| Astra Tech EV 5.4 | 05.4 | 05.4 |
The zirconia superstructures for use with the Elos Accurate® Hybrid Base™ are either intended to be sent and manufactured at a FDA registered Elos Medtech approved milling facility or to be designed and manufactured according to digital dentistry workflow system integrates multiple components of the digital dentistry workflow: scan files from Intra-Oral Scanners, CAD software. CAM software, ceramic material, milling machine and associated tooling and accessories,
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
510(k) Summary Elos Accurate® Hybrid Base™ Dec. 10, 2024
This summary of 510(k) information is being submitted in accordance with the requirements of 21 CFR § 807.92.
| I. Submitting Company: | Elos Medtech Pinol A/S
Engvej 33
DK-3330 Goerloese
Denmark |
|-----------------------------|----------------------------------------------------------------------------------------------------------------------|
| Contacts: | Lise Terkelsen
Regulatory Affairs Professional
Tel: +45 21 61 12 25
E-mail: lise.terkelsen@elosmedtech.com |
| | Søren Rangstrup
Manager of Product Development
Tel: +45 20 66 64 42
E-mail: soren.rangstrup@elosmedtech.com |
| II. Proprietary Trade Name: | Elos Accurate® Hybrid Base™ |
| III. Classification Name: | Endosseous Dental Implant Abutment |
| IV. Classification: | Class II, 21 CFR 872.3630 |
| V. Product Code(s): | Primary: NHA
Secondary: PNP |
VI. Identification of Legally Marketed Devices:
The design features, materials and Indications for Use of the subject devices are substantially equivalent to the predicate device noted below.
Primary Predicate Device:
- K230317 / SE 09/01/2023 Elos Accurate® Hybrid Base™ .
Reference Devices:
- . K120414 / SE 07/31/2012 - OSSEOSPEED PLUS
VII. Product Description:
The Elos Accurate® Hybrid Base™ is intended for attaching to dental implants in order to provide basis for single or multiple tooth prosthetic restorations. The Hybrid Base™ functions as an
5
interface between a dental implant and a zirconia superstructure. It attaches to the implant using the included prosthetic screw and connects to the zirconia superstructure through cementing. The Elos Accurate® Hybrid Base™ is a two-piece abutment composed of the Hybrid Base as the bottomhalf and the zirconia superstructure as the top-half, which when assembled comprises the final finished medical device.
The Elos Accurate® Hybrid Base™ is available for two types: Engaging and Non-Engaging.
- The Hybrid Base™ Engaging which is intended for single tooth dental restorations and having an indexing feature. which avoid the Hybrid Base from rotating in the implant.
- -The Hybrid Base™ Non-Engaging is intended for multiple tooth dental restorations and has no indexing feature, which allows the Hybrid Base to rotate in the implant.
The Elos Accurate® Hybrid Base™ is available with 4 different collar heights and is provided with a 7,5mm chimney which can be cut down to several heights by the user, to minimum 3,5 mm.
The Elos Accurate® Hybrid Base™ consists of a pre-manufactured prosthetic component in Titanium alloy per ASTM F136, as well as supporting digital library file for 510(k) cleared design software (3Shape Abutment Designer™ Software, K151455) which facilitates the design of a patient specific zirconia superstructure by the laboratory/clinician. The Elos Accurate® Hybrid Base™ fits directly to an endosseous dental implant. The laboratory designed superstructure is manufactured from 510(k) cleared Zirconia (Lava Plus, K011394) according to digital dentistry workflow. For all Elos Accurate® Hybrid Base™ models the zirconia superstructure must be designed according to following limits:
| Hybrid Base abutments (zirconia part): |
|---|
| Min. wall thickness 0.5 mm |
| Gingival height min. 0.5mm or max. 5 mm |
| Max. angulation 20°. |
| Min. post height* 4 mm |
*The post height is defined as the cementable height of the abutment.
The laboratory designed superstructure is attached to the Elos Accurate® Hybrid Base by use of 510(k) cleared cement (Panavia V5, K150704) and the final prosthetic restoration is attached to the implant using a Prosthetic screw.
The Prosthetic Screw, also made of Titanium Alloy (ASTM F136), provided for the Elos Accurate® Hybrid Base™ is used to secure the final prosthetic restoration to the implant in the patient's mouth. The Prosthetic Screws have a hexalobular driver connection interface. The intended driver to be used with the Elos Accurate® Hexalobular Prosthetic Screws is the Elos Accurate® Prosthetic Screwdriver 18mm, 26mm or 34mm (Ref. No. PS-AH18-1, PS-AH26-1 or PS-AH34-1). These screwdrivers are Class I Exempt devices per FDA product code NDP.
The Elos Accurate® Hybrid Base has a gold anodized surface to increase the esthetics of the dental restoration - the same surface as in predicate device K230317.
The subject prosthetic screws are provided anodized identical to reference device K120414.
6
The Elos Accurate® Hybrid Base™ and the Prosthetic screw is delivered non-sterile and the final restoration and corresponding screw is intended to be sterilized at the dental clinic before it is placed in the patient. The recommended sterilization procedure is full cycle pre-vacuum steam sterilization at a temperature of 132 °C (270°F) for 4 minutes. Dry time: 20 minutes.
The Elos Accurate® Hybrid Base™ is sold in 1 pc. packaging and the Elos Accurate® Prosthetic screw is sold in 1 pc. packaging.
VIII. Indications for Use:
The Elos Accurate® Hybrid Base™ is intended for attaching to dental implants in order to provide basis for single or multiple tooth prosthetic restorations. The Hybrid Base™ is used as an interface between a dental implant and a zirconia superstructure and will be attached to the implant using a prosthetic screw and attached to the zirconia superstructure by cementing. The Elos Accurate® Hybrid Base™ is compatible with the implant systems listed in table 1:
| Table 1. | ||
|---|---|---|
| Implant Platform compatibility | Platform diameter [mm] | Implant Body diameter [mm] |
| Astra Tech EV 3.0 | Ø3 | Ø3 |
| Astra Tech EV 3.6 | Ø3.6 | Ø3.6 |
| Astra Tech EV 4.2 | Ø4.2 | Ø3.6 & Ø4.2 |
| Astra Tech EV 4.8 | Ø4.8 | Ø4.2 & Ø4.8 |
| Astra Tech EV 5.4 | Ø5.4 | Ø5.4 |
The zirconia superstructures for use with the Elos Accurate® Hybrid Base™ are either intended to be sent and manufactured at an FDA registered Elos Medtech approved milling facility or to be designed and manufactured according to digital dentistry workflow. The workflow system integrates multiple components of the digital dentistry workflow: scan files from Intra-Oral Scanners, CAD software, CAM software, ceramic material, milling machine and associated tooling and accessories.
IX. Summary of the Technological Characteristics:
The subject devices provide additional restorative options for connection to existing implant platforms. The subject devices have similar Indications for Use, intended use, designs, sizes and configurations, materials, and principles of operation as the predicate devices. In order to determine nominal dimensions and tolerances of the Elos Accurate® Hybrid Base™ products, measuring- and dimensional analyses of original manufacturers' components (abutments, implants & abutment screws) have been made.
Compared to the primary predicate device, the specific language (wording) of the Indications for Use Statements is equivalent except for implant system compatibility. The implant system compatibility of the subject device is extended to include compatibility to the Astra Tech EV implant system platforms. The difference in implant system compatibility is substantiated by engineering and dimensional analysis of original manufactures' components (abutments, implants & abutment screws) for determination of compatibility and new fatigue testing.
7
The approach of designing and manufacturing the zirconia superstructure for the subject device is either according to a digital dentistry workflow or to be sent and manufactured at an FDA registered Elos Medtech approved milling facility (identical to Predicate Device K230317). The subject device does not represent any new worst case, and is thereby covered by existing workflow validation, except the additional new digital libraries were validated as part of the subject submission, which included following:
-
Scanner: 3Shape scanner (accuracy >10um)
-
Design library file (DME-file) provided by Elos Medtech which includes design limits in accordance with "Instruction For Use"
-
Design Software: 3Shape Abutment Designer Software (K151455)
-
Zirconia Material: 3M Lava Plus Zirconia (K011394)
-
Milling Unit: CORiTEC, imes-icore milling unit
-
Adhesive material: Panavia V5 by KURARAY NORITAKE DENTAL (K150704)
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| Indications for Use
Subject Device | | | Indications for Use
Primary Predicate Device (K230317) | | | Discussion |
|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------|----------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------|-----------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Elos Accurate® Hybrid Base™ | | | Elos Accurate® Hybrid Base™ | | | The Indication for use for the subject device is similar to the
Primary Predicate Device (K230317) beside compatibility table 1.
which has been replaced by a new implant system (Astra Tech
EV).
The difference in implant system compatibility is substantiated by
engineering and dimensional analysis of original manufactures'
components (abutments, implants & screws) for determination of
compatibility and new fatigue testing (provided with this subject
510(k)). |
| The Elos Accurate® Hybrid Base™ is intended for attaching to dental
implants in order to provide basis for single or multiple tooth prosthetic
restorations. The Hybrid Base™ is used as an interface between a dental
implant and a zirconia superstructure and will be attached to the implant
using a prosthetic screw and attached to the zirconia superstructure by
cementing.
The Elos Accurate® Hybrid Base™ is compatible with the implant
systems listed in table 1: | | | The Elos Accurate® Hybrid Base™ is intended for attaching to
dental implants in order to provide basis for single or multiple
tooth prosthetic restorations. The Hybrid Base™ is used as an
interface between a dental implant and a zirconia superstructure
and will be attached to the implant using a prosthetic screw and
attached to the zirconia superstructure by cementing.
The Elos Accurate® Hybrid Base™ is compatible with the
implant systems listed in table 1: | | | |
| Table 1. | | | Table 1. | | | |
| Implant Platform
compatibility | Platform
diameter
[mm] | Implant Body
diameter
[mm] | Implant Platform
compatibility | Platform
diameter
[mm] | Implant Body
diameter
[mm] | |
| Astra Tech EV 3.0 | Ø3 | Ø3 | Zimmer Screw-vent 3.5 | Ø3.5 | Ø3.7/Ø4.1 | |
| Astra Tech EV 3.6 | Ø3.6 | Ø3.6 | Zimmer Screw-vent 4.5 | Ø4.5 | Ø4.7 | |
| Astra Tech EV 4.2 | Ø4.2 | Ø3.6 & Ø4.2 | Zimmer Screw-vent 5.7 | Ø5.7 | Ø6.0 | |
| Astra Tech EV 4.8 | Ø4.8 | Ø4.2 & Ø4.8 | Biomet 3i Certain 3.4 | Ø3.4 | Ø3.25 | |
| Astra Tech EV 5.4 | Ø5.4 | Ø5.4 | Biomet 3i Certain 4.1 | Ø4.1 | Ø4 | |
| | | | Biomet 3i Certain 5.0 | Ø5 | Ø5 | |
| | | | Biomet 3i Certain 6.0 | Ø6 | Ø6 | |
| | | | Straumann Standard | Ø4.8 | Ø3.3/Ø4.1/Ø4.8 | |
| | | | Straumann Standard | Ø6.5 | Ø4.8 | |
| The zirconia superstructures for use with the Elos Accurate® Hybrid
Base™ are either intended to be sent and manufactured at a FDA
registered Elos Medtech approved milling facility or to be designed and
manufactured according to digital dentistry workflow. The workflow
system integrates multiple components of the digital dentistry workflow:
scan files from Intra-Oral Scanners, CAD software, CAM software,
ceramic material, milling machine and associated tooling and accessories. | | | Neodent GM | Ø3.5/Ø4.5/Ø5.5/Ø
6.5 | Ø3.5/Ø3.75/Ø4/Ø4.3/Ø
5/Ø 6/Ø 7 | The zirconia superstructures for use with the Elos Accurate®
Hybrid Base™ are either intended to be sent and manufactured at
a FDA registered Elos Medtech approved milling facility or to be
designed and manufactured according to digital dentistry
workflow. The workflow system integrates multiple components
of the digital dentistry workflow: scan files from Intra-Oral
Scanners, CAD software, CAM software, ceramic material,
milling machine and associated tooling and accessories. |
| | | | Hiossen ET Mini | Ø3.2/Ø3.5 | Ø3.2/Ø3.5 | |
| | | | Hiossen ET Regular | Ø4/Ø4.5/Ø5/
Ø5.5/Ø6/Ø7 | Ø4/Ø4.5/Ø5/
Ø5.5/Ø6/Ø7 | |
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| Element of
Comparison | Subject Device | Primary Predicate
Device K230317 | Discussion |
|-----------------------------------------------|--------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | Elos Accurate® Hybrid
Base™
Elos Medtech Pinol A/S | Elos Accurate® Hybrid
Base™
Elos Medtech Pinol A/S | |
| Intended Use | Support of a prosthesis to
restore chewing function | Support of a prosthesis to
restore chewing function | Substantial equivalent |
| Reason for
Predicate/Reference | Not applicable | Indication for Use,
Abutment Design and
manufacturing workflow | N/A |
| Abutment Designs | 2 piece - zirconia bonded
to hybrid base mounted on
to the implant and fixed
with a screw | 2 piece - zirconia bonded
to hybrid base mounted on
to the implant and fixed
with a screw | Substantial equivalent |
| Prosthesis
Attachment | Abutment screw-retained
to implant
Superstructure cement-
retained | Abutment screw-retained
to implant
Superstructure cement-
retained | Substantial equivalent |
| Restoration | Single-unit
Multi-unit | Single-unit
Multi-unit | Substantial equivalent |
| Abutment/Implant
Platform Diameter
(mm) | $Ø3.0 - Ø5.4$ [mm] | $Ø3.2 - Ø7.0$ [mm] | Implant diameter for
the subject device is
lower than Primary
Predicate Device
K230317 but follow
range of the compatible
implant diameters
(reference device
K120414)
Mechanical
performance is
demonstrated in fatigue
testing. |
| Abutment Angle | 20° maximum | 20° maximum | Substantial equivalent |
| Materials | | | |
| -Abutment
titanium component | Ti-6Al-4V alloy | Ti-6Al-4V alloy | Substantial equivalent |
| - Screw | Ti-6Al-4V alloy | Ti-6Al-4V alloy | Substantial equivalent |
| -Zirconia
superstructure | 3M Lava zirconia | 3M Lava zirconia | Substantial equivalent |
| Surface | Abutment: Anodized
Screw: Anodized | Abutment: Anodized
Screw: Non-coated,
Medicarb coating | The surface of the
Subject Abutment is
substantial equivalent
to Primary Predicate
Device K230317.
The subject screw is
provided anodized
identical to reference
device K120414.
Mechanical
performance is
demonstrated in fatigue
testing. |
| Design Workflow | 3Shape intra oral scanner
Trios (3Shape A/S),
3Shape Abutment
Designer Software (3Shape
A/S) - K151455 | 3Shape intra oral scanner
Trios (3Shape A/S),
3Shape Abutment
Designer Software
(3Shape A/S) - K151455 | Substantial equivalent |
| Manufacturing
Workflow | CORITEC milling unit
(Imes-Icore) | CORITEC milling unit
(imes-icore) | Substantial equivalent |
10
The data included in this submission demonstrates substantial equivalence to the predicate device listed above.
Overall, the subject device has the following substantial equivalencies to the predicate device:
- . has the same intended use.
- . uses the same operating principle.
- incorporates similar basic design,
- incorporates the same or very similar materials, and
- . is to be sterilized prior to use, using the same processes.
X. Discussion of the Non-Clinical Testing:
Non-clinical testing data submitted (either in subject- or predicate submission) included:
- . Performance testing, ie. fatigue testing, has been performed on the Hybrid Base:
- Astra Tech EV 3.0, the Prosthetic Screw M1.4 Astra Tech EV 3.0 and Astra Tech । Implant EV 3.0S-13 mm OsseoSpeed. (intended for maxillary lateral incisors and mandibular incisors)
- Astra Tech EV 3.6. the Prosthetic Screw M1.6 Astra Tech EV 3.6 and Astra Tech -Implant EV 3.6S-13 mm OsseoSpeed (intended for use in the posterior region)
The fatigue testing met ISO 14801 requirements according to FDA guidance for Industry and FDA Staff "Class II Special Controls Guidance Document: Root-form Endosseous Dental Implants and Endosseous Dental Abutments" dated May 12, 2004 and demonstrated mechanical performance comparable to the predicate device.
- . Engineering and dimensional analysis of original manufactures' components (abutments, implants & abutment screws) was performed on the subject devices for determination of compatibility.
- . Sterilization validation according to ISO 17665-1 & ISO 17665-2, demonstrating a SAL of 10-6 is leveraged from predicate device.
- The digital dentistry workflow validation was completed on selected models of subject product line with a digital dentistry workflow including a 3Shape scanner, 3Shape Abutment Designer Software (K155415) and CORiTEC Imes-Icore milling unit. The validation was provided for the predicate K230317 abutment design library (not allowing the user to design outside the design limits set by Elos Medtech) to demonstrate use with the 3Shape Abutment Designer™ Software (K151455). The design library file (DME-file) provided by Elos Medtech included design limits in accordance with Electronic Package insert - Instruction For Use, Surgical & Prosthetic Guide. The 3Shape Abutment Designer™ Software (K151455) prevents designing outside the specified design limits in the library file. Since the subject device uses identical design and manufacturing workflow (as for the Primary Predicate Device K230317), including identical design limits build in the design library file (DME-file), the subject device does not
11
represent any new worst case, than the worst case documented in K230317. Hence the new variants are thereby covered by existing workflow validation submitted in K230317. A design limitation test is performed with the purpose of demonstrating in 3Shape Dental System design software, that the user cannot design the zirconia superstructure for Elos Accurate Hybrid base outside the limitations built in the digital libraries relevant for this submission, provided by Elos Medtech.
- . Biocompatibility was evaluated according to ISO 10993-1 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" issued June 16. 2016. Based on this guidance and the common usage of the employed materials demonstrating biocompatibility via cytotoxicity testing was found sufficient. A cytotoxicity test according to ISO 10993-5 of a complete restoration produced via the described validated workflow was performed. Cytotoxicity testing on identically manufactured hybrid bases and prosthetic screws along with zirconia superstructures manufactured from the same material is leveraged from previously 510(k) cleared products (K230317). All tests showed the products to be non-cytotoxic.
- MR Conditional labeling testing is being leveraged from predicate devices in K230317 and the ● subject devices do not present a new worst-case for the leveraged testing.
XI. Conclusion:
Based on the comprehensive testing and analysis presented, the subject devices have been shown to be substantially equivalent to the predicate devices in terms of safety, performance, and intended use.