K Number
K962023
Device Name
PLASTIC PROTECTION HEALING CAPS
Manufacturer
Date Cleared
1996-08-15

(84 days)

Product Code
Regulation Number
872.3640
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The intended use of the ITI Protection Healing Caps is to protect the outer configuration of the abutment and to maintain and condition the contours of the soft tissue during the prosthetic phase to achieve an esthetic result with the final restoration. The primary indication for the Protection Healing Cap is in the esthetic zone of the orgal cavity where soft tissue conditioning is essential to achieve an optimal esthetic result with implant-borne restorations.
Device Description
The ITI Protection Healing Cap is a device which is mounted onto an 171 implant after the abutment has been placed into the implant and serves to protect the outer configuration of the abutment and which the clinician can modify to maintain and condition the precise contours of the soft tissue during the prosthetic phase. The primary indication for the Protection Healing Cap is in the esthetic zone of the oral cavity where soft tissue conditioning is essential to achieve an optimal esthetic result with implant-borne restorations. The protection healing caps remain in place for approximately 2 weeks while the tinal restoration is being constructed. The ITI Protection Healing Cap is available in two sizes. The small cap has a diameter of 5.8 mm and a height of 4.0 mm. The large cap has a diameter of 6.2 mm and a height of 5.0 mm. The Profection Healing Caps are designed with a 65° bevel which extends 0.5 mm (small) to 0.7 mm (large) beyond the outer edge of the implant making it possible to modify the dimension of the caps. The ITI Protection Healing Caps are composed of Polyetheretherketone (PEEK) which is extruded from its granulated form and lathed to form the caps.
More Information

Not Found

No
The description focuses on a physical device (healing cap) made of PEEK, with no mention of software, algorithms, or data processing that would indicate AI/ML.

No.
The device's purpose is to protect an abutment and maintain/condition soft tissue for aesthetic results, not to treat or cure a disease or condition.

No

The device description clearly states that the ITI Protection Healing Cap is "mounted onto an 171 implant after the abutment has been placed into the implant and serves to protect the outer configuration of the abutment and which the clinician can modify to maintain and condition the precise contours of the soft tissue during the prosthetic phase." This describes a therapeutic and protective function, not a diagnostic one.

No

The device description clearly states it is a physical device made of PEEK, with specific dimensions and a physical function (protecting the abutment and conditioning soft tissue). There is no mention of software.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Function: The ITI Protection Healing Cap is a physical device placed in the oral cavity to protect an abutment and condition soft tissue during the prosthetic phase of dental implant treatment. It does not analyze or test any biological samples.
  • Intended Use: The intended use clearly describes a mechanical function related to protecting and shaping tissue, not diagnostic testing.

Therefore, the ITI Protection Healing Cap falls under the category of a medical device, but not specifically an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The intended use of the ITI Protection Healing Caps is to protect the outer configuration of the abutment and to maintain and condition the contours of the soft tissue during the prosthetic phase to achieve an esthetic result with the final restoration. The primary indication for the Protection Healing Cap is in the esthetic zone of the orgal cavity where soft tissue conditioning is essential to achieve an optimal esthetic result with implant-borne restorations.

Product codes

872.3640

Device Description

The ITI Protection Healing Cap is a device which is mounted onto an 171 implant after the abutment has been placed into the implant and serves to protect the outer configuration of the abutment and which the clinician can modify to maintain and condition the precise contours of the soft tissue during the prosthetic phase. The primary indication for the Protection Healing Cap is in the esthetic zone of the oral cavity where soft tissue conditioning is essential to achieve an optimal esthetic result with implant-borne restorations. The protection healing caps remain in place for approximately 2 weeks while the tinal restoration is being constructed.

The ITI Protection Healing Cap is available in two sizes. The small cap has a diameter of 5.8 mm and a height of 4.0 mm. The large cap has a diameter of 6.2 mm and a height of 5.0 The Profection Healing Caps are designed with a 65° bevel which extends 0.5 mm mm. (small) to 0.7 mm (large) beyond the outer edge of the implant making it possible to modify the dimension of the caps.

After the abutment has been placed into the implant, the clinician places the protection healing cap over the abutment. If necessary, after trying in the healing cap the clinician can remove the cap and modify it to the desired shape with a sandpager disc. This reshaping of the cap allows the clinician to achieve a precise shape which will maintain and condition the soft tissue contour necessary in the esthetic zone. If reshaped, it is recommended that the clinician then polish the protection cap. The cap is screwed into place over the abutment with an occlusal screw which is tightened to a recommended torque of 50 Ncm. At the final prosthesis delivery the profection cap is removed and disposed.

The ITI Protection Healing Caps are composed of Polyetheretherketone (PEEK) which is extruded from its granulated form and lathed to form the caps. The granulated form of PEEK is manutactured by Victrex Limited.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

oral cavity

Indicated Patient Age Range

Not Found

Intended User / Care Setting

clinician

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)

Not Found

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.

K925780, K912734

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.

Not Found

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

K9620JB

ATTACHMENT 7 - 510(k) Summary

Applicant's Name and Address 1 .

Straumann USA (on behalf of Institut Straumann AG) One Alewife Center, Cambridge, MA 02140-2317 Telephone Number: 617-868-3800 Fax Number: 617-868-9111 Contact Person: Ms. Amy M. Gardner, Regulatory Affairs Manager Summary Prepared March 15, 1996

Name of the Device 2.

ITI Protection Healing Cap Trade Name: Common Name: Healing Cap Accessory to a dental implant (21 CFR 872.3640) Classification Name:

Legally Marketed Devices to which Equivalence is Claimed 3. (Predicate Devices)

Nobelpharma's Brånemark System Healing Caps (K Number 925780) Calcitek's Abutment Comfort Caps (K Number unknown) Interpore International's Abutment Complete Sealing Caps (K Number 912734) Steri-Oss' Healing Cap (K Number unknown)

Description of the Device 4.

The ITI Protection Healing Cap is a device which is mounted onto an 171 implant after the abutment has been placed into the implant and serves to protect the outer configuration of the abutment and which the clinician can modify to maintain and condition the precise contours of the soft tissue during the prosthetic phase. The primary indication for the Protection Healing Cap is in the esthetic zone of the oral cavity where soft tissue conditioning is essential to achieve an optimal esthetic result with implant-borne restorations. The protection healing caps remain in place for approximately 2 weeks while the tinal restoration is being constructed.

The ITI Protection Healing Cap is available in two sizes. The small cap has a diameter of 5.8 mm and a height of 4.0 mm. The large cap has a diameter of 6.2 mm and a height of 5.0 The Profection Healing Caps are designed with a 65° bevel which extends 0.5 mm mm. (small) to 0.7 mm (large) beyond the outer edge of the implant making it possible to modify the dimension of the caps.

Article Number11151X11152X
Diameter5.8 mm6.2 mm
Height4.0 mm5.0 mm

The following table shows the dimensions of the ITI Protection Healing Caps:

After the abutment has been placed into the implant, the clinician places the protection healing cap over the abutment. If necessary, after trying in the healing cap the clinician

1

can remove the cap and modify it to the desired shape with a sandpager disc. This reshaping of the cap allows the clinician to achieve a precise shape which will maintain and condition the soft tissue contour necessary in the esthetic zone. If reshaped, it is recommended that the clinician then polish the protection cap. The cap is screwed into place over the abutment with an occlusal screw which is tightened to a recommended torque of 50 Ncm. At the final prosthesis delivery the profection cap is removed and disposed.

The ITI Protection Healing Caps are composed of Polyetheretherketone (PEEK) which is extruded from its granulated form and lathed to form the caps. The granulated form of PEEK is manutactured by Victrex Limited.

Intended Use of the Device 5.

The intended use of the ITI Protection Healing Caps is to protect the outer configuration of the abutment and to maintain and condition the contours of the soft tissue during the prosthetic phase to achieve an esthetic result with the final restoration. The primary indication for the Protection Healing Cap is in the esthetic zone of the orgal cavity where soft tissue conditioning is essential to achieve an optimal esthetic result with implant-borne restorations.

Summary of Tethnological Characteristics of Device Compared to Predicate Devices 6.

| FEATURE | PROPOSED
DEVICE | PREDICATE
DEVICES | | | |
|------------------------------------------------------------------------------------------------------------------------------|------------------------------|------------------------------------------|--------------------------------------|---------------------------------------------|--------------------------|
| | IM Protection
Healing Cap | Nobelpharma
Brånemark
Healing Caps | Calcitek
Abutment
Comfort Caps | Interpore Int'l
Abutment
Sealing Caps | Steri-Oss
Healing Cap |
| Intended Use
To protect the
outer
configuration of
the abutment
and maintain and
condition soft
tissue. | Yes | Yes | Yes | Yes | Yes |
| Material | | | | | |
| Plastic | Yes | Yes | Yes | Yes | Yes |
| Design | | | | | |
| Diameter | 5.8 mm -
6.2 mm | 4.5 mm -
6.5 mm | 4.0 mm | 4.0 mm -
6.0 mm | 3.8 mm |
| Height | 4.0 mm -
5.0 mm | 2.7 mm | 5.0 mm | 2.0 mm | 3.0 mm |
| Placed over the
abutment during
the prosthetic
phase. | Yes | Yes | Yes | Yes | Yes |