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510(k) Data Aggregation

    K Number
    K242030
    Date Cleared
    2025-01-13

    (186 days)

    Product Code
    Regulation Number
    872.3630
    Why did this record match?
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    MegaGen Dental Implant Abutment is intended to be surgically placed in the maxillary or mandibular 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.

    All digitally designed abutments for use with TiGEN Abutment and ZrGEN Abutment are intended to be sent to a MegaGen validated milling center for manufacture

    Device Description

    The MegaGen Dental Implant Abutment includes several components: Healing Abutment, Temporary Cylinder, EZ Post Abutment, EZ Post Cylinder, CCM Abutment, Gold Abutment, Octa Abutment, ZrGEN Abutment, TiGEN Abutment, AXA Abutment (Straight and Angled Types), and Abutment Screw. These components are made of materials such as Ti-6Al-4V-ELI, POM, Co-Cr-Mo alloy, and gold alloy, and are offered with machined or anodized surfaces. Some components are supplied sterile, while others are non-sterile and require sterilization by the user. They are intended for single use. The device provides prosthetic support for dental restorations on endosseous dental implants.

    AI/ML Overview

    The provided text is a 510(k) summary for the MegaGen Dental Implant Abutment, seeking clearance based on substantial equivalence to predicate devices. It does not contain information about a study that proves the device meets specific acceptance criteria in terms of clinical performance, diagnostic accuracy, or effectiveness with human readers.

    Instead, the document details a comparison of the subject device (MegaGen Dental Implant Abutment) with various predicate and reference devices, focusing on technical characteristics, materials, and design. The "acceptance criteria" referred to in the document are primarily related to meeting the characteristics of the predicate devices and demonstrating that any differences do not affect the fundamental function or safety of the device. The "study" that "proves" the device meets these criteria is a non-clinical testing summary, including biocompatibility, sterilization validation, accelerated shelf-life, pyrogen/endotoxin testing, performance testing (ISO 14801), and MR compatibility.

    Therefore, many of the requested fields cannot be answered directly from the provided text as they pertain to clinical or diagnostic performance studies involving human subjects or AI algorithms, which are not described here.

    Here's a breakdown of the information that can be extracted, and where the requested information is not available:

    1. A table of acceptance criteria and the reported device performance

    The document does not explicitly present a table of acceptance criteria with corresponding device performance for each component in a consolidated manner. Instead, it discusses "similarities" and "differences" compared to predicate/reference devices, and states that "test results met the pre-set criteria" for performance testing (ISO 14801) and that biocompatibility and sterilization have been validated.

    Below is a summarized representation of the comparison for one component (Healing Abutment) as an example, to illustrate the type of comparison presented in the document. The "acceptance criteria" are implied by the characteristics of the predicate/reference devices, and "reported device performance" refers to the subject device's characteristics or the outcome of non-clinical tests.

    Example for Healing Abutment:

    Acceptance Criteria (Implied by Predicate/Reference Devices)Reported Device Performance (Subject Device)
    Indications for Use: Prosthetic support for dental restorations in partially or fully edentulous individuals.Met: Same indications for use.
    Design: Similar to predicate.Met: Similar design.
    Diameter (Ø, mm): Ranges like 4.2, 5.2, 6.2, 7.2Met: 4.2, 4.7, 5.2, 5.7, 6.2, 6.7, 7.2 (Expanded range, but similar characteristics)
    Gingival Height (mm): Ranges like 3.5, 4.5, 5.5, 6.5, 7.5Met: 7.8, 8.5, 8.8, 9.5 (Different ranges, but considered practically equivalent)
    Total Length (mm): Ranges like 8.4 ~ 14.4Met: 13.4 ~ 15.2 (Different range, but considered practically equivalent)
    Connection Interface: Internal Conical ConnectionMet: Internal Conical Connection
    Material: Ti-6Al-4V ELI (ASTM F136-13)Met: Ti-6Al-4V ELI (ASTM F136-13)
    Surface Treatment: Anodizing or MachinedMet: Anodizing
    Single Use: YesMet: Yes
    Sterilization: Gamma sterilizationMet: Gamma sterilization (validated per ISO 11137)
    Shelf-life: 5 yearsMet: 5 years (validated per ASTM F1980)
    Biocompatibility: Compliant with ISO 10993-1Met: Evaluated per ISO 10993-1 (leveraged from prior cleared devices)
    Performance Testing (Fatigue): Meets ISO 14801 and guidance document recommendationsMet: Test results met pre-set criteria.
    MR Compatibility: MR ConditionalMet: Assessed not to configure a new worst case; leveraged K230618.

    2. Sample size used for the test set and the data provenance

    • Test Set Sample Size: Not specified for any clinical or diagnostic evaluation. The evaluations are primarily non-clinical. For performance testing (ISO 14801), the sample size for individual tests like fatigue is not mentioned within this summary, only that tests were performed.
    • Data Provenance: Not applicable in the context of clinical/diagnostic data. For non-clinical tests like biocompatibility and sterilization, previous 510(k) submissions (e.g., K110955, K123988, K210161, K220562, E220672, K230618) from MegaGen Implant Co., Ltd. are leveraged. The tests were performed according to international standards (ISO, ASTM, USP).

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    Not applicable. The ground truth for this type of medical device (dental implant abutment) is established by engineering specifications, material properties, and performance under rigorous bench testing conditions, compared to predicate devices. There is no mention of expert consensus for diagnostic ground truth.

    4. Adjudication method for the test set

    Not applicable. No expert adjudication process for diagnostic imaging or clinical outcomes is described.

    5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

    Not applicable. This device is a dental implant abutment, not an AI-assisted diagnostic tool.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

    Not applicable. This device is a physical medical device, not an algorithm.

    7. The type of ground truth used

    The "ground truth" for demonstrating substantial equivalence is based on:

    • Comparison to legally marketed predicate devices (their established safety and effectiveness).
    • Compliance with recognized international standards (e.g., ISO 10993-1 for biocompatibility, ISO 11137 for sterilization, ASTM F1980 for shelf-life, ISO 14801 for performance/fatigue testing, and FDA guidance documents for MR compatibility).
    • Confirmation through non-clinical bench testing that the device's physical and mechanical properties meet predefined criteria, demonstrating that any differences from predicate devices do not raise new questions of safety or effectiveness.

    8. The sample size for the training set

    Not applicable. This document describes a physical medical device, not an AI algorithm requiring a training set.

    9. How the ground truth for the training set was established

    Not applicable. This pertains to AI algorithms.

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    K Number
    K241972
    Date Cleared
    2024-12-27

    (175 days)

    Product Code
    Regulation Number
    872.3640
    Why did this record match?
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The BLUEDIAMOND IMPLANT 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 in the following situations and with the clinical protocols:

    • Delaved loading
    • Immediate loading when good primary stability is achieved and with appropriate occlusal loading.
      For the BLUEDIAMOND IMPLANTS with a Thread Length of 5mm,
      It is indicated for fixed or removable reconstruction in situations of moderate to severely atrophic jawbone and with adequate bone quality that allows primary stability after implant insertion, where a longer implant cannot be placed due to limited vertical bone height. The recommended healing time before loading is between 10 to 12 weeks.
      It is specifically recommended for:
    • Fixed partial dentures/splinted units (one implant per unit)
    • Pontic cases in combination with at least one longer implant
    • Fully edentulous cases with at least one 5 mm Short Implant in combination with 2 longer implants in the anterior region and at least four total implants
    Device Description

    The BLUEDIAMOND IMPLANT is a dental implant body system made of CP Ti Grade 4 with the surface treated by SLA method. It is intended to be placed in the maxillary or mandibular areas to restore masticatory function.
    It has different thread lengths depending on the diameter and length. The Implanted length of the device is the length that is implanted into the bone, including the length from the thread to the shoulder, which is the non-threaded part.
    The Gingival (Cuff) area of the device has grooves; the bottom of the grooves indicate the implantable length.
    The BLUEDIAMOND IMPLANT is consisted of the following components.
    BLUEDIAMOND IMPLANT Cuff Type: The BLUEDIAMOND IMPLANT is a dental implant body system made of CP Ti Grade 4 with the surface treated by SLA method. It is intended to be placed in the maxillary or mandibular areas to restore masticatory function.
    Material: CP Ti Grade 4 of ASTM F67
    Dimension (mm):

    • Normal Thread Ø 4.0 x 9.0, 11.0, 13.0, 15.0 (7.0, 9.0); Ø 4.4 x 7.0, 9.0, 11.0, 13.0, 15.0 (5.0, 7.0, 9.0); Ø 4.7 x 7.0, 9.0, 11.0, 13.0, 15.0 (5.0, 7.0, 9.0)
    • Deep Thread Ø 4.4 x 9.0, 11.0, 13.0, 15.0 (5.0, 7.0, 9.0); Ø 4.8 x 7.0, 9.0, 11.0, 13.0, 15.0 (5.0, 7.0, 9.0); Ø 5.1 x 7.0, 9.0, 11.0, 13.0, 15.0 (5.0, 7.0, 9.0)
      Diameter X Total Length (Thread Length):
    • Normal Thread Ø 4.0: 8.0, 9.0, 10.0, 11.0 (1.0, 2.0); Ø 4.4: 7.0, 8.0, 9.0, 10.0, 11.0 (1.0, 2.0); Ø 4.7: 7.0, 8.0, 9.0, 10.0, 11.0 (1.0, 2.0)
    • Deep Thread Ø 4.4: 8.0, 9.0, 10.0, 11.0 (1.0, 2.0); Ø 4.8: 7.0, 8.0, 9.0, 10.0, 11.0 (1.0, 2.0); Ø 5.1: 7.0, 8.0, 9.0, 10.0, 11.0 (1.0, 2.0)
      Implanted Length (Thread to Shoulder Height): 2.0, 3.0, 4.0
      Gingival (Cuff) Height: Not Found

    The BLUEDIAMOND IMPLANTs are compatible to abutments of The BLUEDIAMOND IMPLANT System from K182448, K192614, K210161, K203808, K233450.

    AI/ML Overview

    The provided text is an FDA 510(k) summary for a dental implant device (BLUEDIAMOND IMPLANT). It focuses on demonstrating substantial equivalence to predicate devices, rather than an AI/ML medical device. Therefore, it does NOT contain the specific information required to answer your prompt, such as:

    • Acceptance Criteria for AI/ML Performance: The document does not describe performance metrics like sensitivity, specificity, AUC, or other measures typically used for AI/ML models. Instead, it focuses on physical and material properties, and mechanical performance (fatigue, pull-out).
    • Study Proving Device Meets Acceptance Criteria for AI/ML: No AI model training, validation, or testing is described. The "performance test" section refers to fatigue tests and pull-out tests, which are engineering tests for the physical implant, not for an AI algorithm.
    • Sample Sizes for Test Set (AI/ML): Not applicable, as there's no AI/ML test set.
    • Data Provenance (AI/ML): Not applicable.
    • Number of Experts/Qualifications (AI/ML Ground Truth): Not applicable.
    • Adjudication Method (AI/ML Ground Truth): Not applicable.
    • MRMC Study (AI/ML): Not applicable.
    • Standalone Performance (AI/ML): Not applicable.
    • Type of Ground Truth (AI/ML): Not applicable.
    • Sample Size for Training Set (AI/ML): Not applicable.
    • How Ground Truth for Training Set was Established (AI/ML): Not applicable.

    The document primarily discusses:

    • Device Description: Material (CP Ti Grade 4), surface treatment (S.L.A), dimensions, components.
    • Indications for Use: Placement in maxillary/mandibular molar areas for prosthetic support, delayed and immediate loading protocols, specific recommendations for 5mm thread length implants.
    • Substantial Equivalence: Comparison of the BLUEDIAMOND IMPLANT to a primary predicate device (ARi ExCon Implant System) and several reference devices based on design, dimensions, material, surface treatment, sterilization, shelf life, and features.
    • Non-Clinical Testing: Biocompatibility, pyrogen/endotoxin testing, sterilization validation, shelf life, modified surface treatment evaluation, and performance test (fatigue test in accordance with ISO 14801, and pull-out testing), and MR compatibility.

    In summary, the provided text describes a physical dental implant device and its regulatory submission to the FDA, not an AI/ML-driven medical device. Therefore, it does not contain the information requested about AI acceptance criteria, performance studies, or ground truth establishment.

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    K Number
    K240383
    Manufacturer
    Date Cleared
    2024-10-31

    (266 days)

    Product Code
    Regulation Number
    872.3640
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K123988, K192347, K203808, K110955, K160519

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    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.

    AI/ML Overview

    This document, K240383, is a 510(k) Premarket Notification for the Highness Implant System. It primarily focuses on demonstrating substantial equivalence to a legally marketed predicate device rather than presenting a study proving the device meets specific acceptance criteria related to clinical performance or AI/software.

    Based on the provided text, there is no information about acceptance criteria or a study that proves the device meets such criteria in the context of clinical effectiveness, AI performance, or human reader improvement. This document is a regulatory submission for a medical device (dental implants) and, as explicitly stated in Section X, it does not include data from clinical tests.

    Therefore, I cannot provide answers to most of your requested points as they pertain to clinical studies, AI performance, or multi-reader multi-case studies, which are not present in this regulatory submission.

    However, I can extract information related to non-clinical testing which demonstrates the device meets certain performance standards (acceptance criteria) for the device itself, not for an AI component or clinical outcomes.

    Here's what can be extracted from the document regarding non-clinical performance:

    1. A table of acceptance criteria and the reported device performance

    The document provides performance data in relation to industry standards and guidance, which serve as the acceptance criteria for these non-clinical tests.

    Acceptance Criterion (Standard / Guidance)Reported Device Performance
    Fatigue: ISO 14801:2016 and FDA guidance on "Root-form Endosseous Dental Implants and Endosseous Dental Abutments – Class II Special Controls Guidance Document" (specifically, ability to withstand 5,000,000 cycles without failure under equivalent loading to primary predicate).The test articles (Highness Implant System) were able to withstand 5,000,000 cycles without failure under substantially equivalent loading to the cited primary predicate device (K182448).
    SLA Surface Treatment: Removal of particles/chemicals, no elements other than titanium on surface.Cleaning validation and SEM/EDS (Scanning Electron Microscopy/Energy Dispersive X-ray Spectroscopy) analysis were performed. The SEM/EDS analysis confirms that no elements other than titanium were found on the surface of the implant.
    Biocompatibility: ISO 10993-1:2018, ISO 7405:2018, ISO 10993-5:2019/2009, and FDA guidance.The device fulfilled all required testing per specified ISO standards and FDA guidance. Cytotoxicity testing was conducted as per ISO 10993-5. (No specific numerical performance metric is given beyond "fulfilled all testing" and "was conducted," implying successful completion against the standard's criteria).
    Sterilization (Non-sterile abutments): ISO 17665-1:2006, ISO/TS 17665-2:2009.Demonstrated a Sterility Assurance Level (SAL) of 10^-6.
    Sterilization (Sterile implants/fixtures): ISO 11137-1:2006, -2:2013, -3:2017.Gamma sterilization validation was performed in accordance with these standards. (No specific numerical performance metric is given beyond "was performed," implying successful validation).
    Shelf Life (Sterile implants/fixtures packaging): ISO 11607-1:2019, -2:2019, ASTM F1980-21.Sterile barrier testing confirms the stability and effectiveness of the packaging for a shelf life of 5 years by evaluating changes due to accelerated aging. (Implies satisfactory performance against these standards).
    Bacterial Endotoxin Testing (Sterile implants): ANSI/AAMI ST72:2019.Performed at a test limit of 20 EU/device. (Implies meeting the limit, as no negative result is stated).
    MRI Safety (Non-clinical worst-case review): FDA guidance "Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment."Reviewed using scientific rationale and published literature. The rationale addressed parameters including magnetically induced displacement force and torque based on all compatible components and material composition. (Implies satisfactory addressing of these safety concerns through a non-clinical review).

    Points that cannot be addressed from the document:

    • 2. Sample sized used for the test set and the data provenance: Not applicable for non-clinical tests in the context of user evaluation or clinical effectiveness. The numbers of devices tested for fatigue, biocompatibility, and sterilization validation are not specified, only that the tests were performed "in accordance with" standards. Data provenance (country, retrospective/prospective) is typically for clinical data, which is absent.
    • 3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable, as this refers to establishing ground truth for perception/interpretation tasks, or clinical endpoints, neither of which are part of this 510(k) submission.
    • 4. Adjudication method: Not applicable.
    • 5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance: Not applicable, as there's no AI component or clinical study.
    • 6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable, no algorithm.
    • 7. The type of ground truth used (expert consensus, pathology, outcomes data, etc): Not applicable for non-clinical material and mechanical tests. The "ground truth" here is the physical and material properties meeting specified engineering and biological standards.
    • 8. The sample size for the training set: Not applicable, no AI/training set.
    • 9. How the ground truth for the training set was established: Not applicable, no AI/training set.
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    Why did this record match?
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Osteon Precision Milled Suprastructure is indicated for attachments in the treatment of partially or fully edentulous jaws for the purpose of restoring function. The Osteon Precision Milled Suprastructures are intended for attachment to a minimum of two (2) abutments.

    The Osteon Milled Suprastructure is indicated for compatibility with the following abutment systems:

    • · Astra Tech Implant System® Multi Base Abutment EV, 4.8mm, max 30°
    • · BioHorizons Multi Unit Abutment, 4.8mm, max 30°
      • · CONELOG® Implant System
    • · Biomet 3 i Multi Unit Abutments, 4.8mm, max 30°
      • · TSXTM Implants
      • · Tapered Screw-Vent Implant
    • · DESS Dental Multi Unit Abutments, 3.4-5.7 mm, 0°
      • · 3i OSSEOTITE®
      • · Astra Tech OsseoSpeed™
      • · Neodent Grand Morse
      • NobelReplace® Trilobe
      • · NobelReplace® Conical
      • · Nobel Brånemark System®
      • · Straumann BLX Implants
    • · DESS Dental Multi Unit Abutments. Angled. 3.4-6.5 mm, max 30°
      • · NobelActive® NobelParallel Conical
      • Straumann® Bone Level
      • · Zimmer Screw Vent® and Tapered Screw-Vent®
    • · Dentium SuperLine® Abutments, 4.5-5.5 mm, max30°
    • · Genesis ACTIVE™ Multi-Unit Abutments, 4.8mm, max 30°
    • · Implant Direct GPS® Angled Abutment, 5.0mm, max 30°
    • KDG Abutments, 4.8mm, max 30°
    • · Keystone Multi Unit Abutment, 4.8mm, 0°
    • · Medentika Multi Unit Abutments, 4.8mm, max 30°
      • · EV Series Dentsply® Implants Astratech Osseospeed®
      • · F Series Nobel Biocare NobelActive® NobelReplace® Conical
      • · H Series Biomet 3i Certain®
      • L Series Straumann Bone Level
      • · N Series Straumann Soft tissue Level
      • · R Series Zimmer Dental Tapered Screwvent®
    • Medentika Multi Unit Abutments, 4.8mm, 0°
      • E Series Nobel Biocare Replace™ Select
      • · I Series Biomet 3i Osseotite®
      • K Series Nobel Biocare™ Branemark
      • · S Series Astra Tech OsseoSpeedTM
      • · T Series Dentsply Friadent® Frialit/Xive®
    • · MegaGen Multi Unit Abutments, 4.8mm, max 30°
    • · Xpeed® AnyRidge® Internal Implant System
    • AnyOne® Internal Implant System
    • AnyRidge® Octa 1 Implant System
    • AnyOne® External Implant System
    • AnyRidge® Octa 1 Implant System
    • AnyOne® Internal Implant System
    • Rescue Internal Implant System
    • MIS Multi-unit Abutments, 4.8mm
      • · C1 Conical Connection Implant System, max 30°
      • · V3 Conical Connection Implant System, max 30°
      • · Internal Hex Implant System, max 30°
      • · Conical Connection, max 30°
    • · Neodent GM Mini Conical Abutment, 4.8 mm, max 30°
    • · Nobel Biocare™ Brånemark Multi Unit Abutment, 4.8 mm, max 17°
    • · Nobel Biocare™ Multi Unit Abutment Plus, 4.8 mm, max 30°
    • · Nobel Biocare™ Multi Unit Abutment, 4.8 mm, max 30°
    • Nobel Biocare™ Multi Unit Abutments for Straumann and Astra Tech System, 4.8 mm, max 30°
    • Nobel Biocare™ Multi Unit Abutments for Astra Tech, Camlog and Ankylos Implant Systems, 4.8 mm, max 30°
    • · Nobel Biocare Xeal Abutments, 4.8 mm, max 30°
    • · OSSTEM Multi Unit Abutment, 4.8mm, max 30°
      • SS SA Fixture Implants
      • SA Implant System
      • · ET US SSS Prosthetic System
    • · Paltop Multi Unit Abutment, 5.0 mm, max 17°
    • · Southern Compact Conical Abutments, 4.8 mm
      • MAX Implant System, 0°
      • · Provata Implant System, max 30°
      • · Deep Conical (DC) Implants, 0°
      • · Piccolo Implants, 0°
      • · External Hex Implants, max 30°
    • Straumann® BLX Screw Retained Abutment, 4.6 mm, max 30°
    • · Straumann® Screw Retained Abutment, 4.6 mm, max 30°
    • · Zimmer Angled Tapered Abutments, 4.5 mm, max 30°
    Device Description

    The Osteon Precision Milled Suprastructures (also referred to as superstructures) are metallic dental restorative devices that are intended to be attached by screw retention to dental implant abutments to aid in the treatment of partial and totally edentulous patients for the purpose of restoring chewing function. These suprastructures attach to dental implant abutments using the prosthetic screws from the original equipment manufacturers (OEM) and are used to support the final multi-unit restoration.

    The Osteon Precision Milled Suprastructure is designed for an individual patient from scans of the patient's dental impression. The suprastructure is manufactured with the aid of Computer Aided Design (CAD) and Computer Aided Manufacturing (CAM) technology. All CAD/CAM fabrication is performed by Osteon Medical.

    Osteon Precision Milled Suprastructures facilitate the attachment of both removable and fixed dental prosthesis and hence are categorized as Type A and Type B.

    • Type A: Intended to act as a supporting structure to facilitate the attachment of a removable dental prosthesis and include Primary Bar and Nexus Removable Bar.
    • . Type B: Intended to act as a supporting structure to facilitate the attachment of a fixed dental prosthesis and include Melbourne Bar and Nexus Fixed Bar (including Nexus Hybrid, Nexus Bridge, Micro Nexus, and Nexus Wraparound).
    AI/ML Overview

    The provided FDA 510(k) summary (K233083) describes the acceptance criteria and study for the Osteon Precision Milled Suprastructure.

    1. Table of Acceptance Criteria and Reported Device Performance

    This submission is a 510(k) for an expansion of an existing device (K221019) to add compatibility with new OEM abutment systems and introduce three new Type B Nexus Fixed Bars. The acceptance criteria are primarily based on demonstrating substantial equivalence to the predicate devices in terms of intended use, technological characteristics, and material composition.

    The tables below synthesize the design specifications (acceptance criteria) and the device's performance (reported as meeting these specifications) by demonstrating substantial equivalence to predicate devices.

    Table 1: Comparison of General Characteristics and Materials (summarized for clarity)

    CharacteristicAcceptance Criteria (Predicate)Reported Device Performance (Subject Device)
    Intended UseDental implant abutment for restoring chewing function in partially or fully edentulous jaws, attached to a minimum of two abutments. Specific compatible OEM abutment systems listed.Substantially Equivalent. The subject device shares the same intended use. The primary difference is an expanded list of compatible OEM abutment systems.
    Device MaterialTitanium alloy Ti-6Al-4V (ASTM F136)Meets/Substantially Equivalent. Manufactured from titanium alloy conforming to ASTM F136.
    Design/TechnologyCAD/CAM milling from single milling blanksMeets/Substantially Equivalent. CAD/CAM milling from single milling blanks.
    Design/ConstructionPatient specific/machinedMeets/Substantially Equivalent. Patient specific/machined.
    SterilitySupplied NonsterileMeets/Substantially Equivalent. Supplied Nonsterile (to be sterilized by end-user).
    Prescription/OTCPrescription onlyMeets/Substantially Equivalent. Prescription only.
    Recommended Cleaning & MaintenanceProper oral hygieneMeets/Substantially Equivalent. Proper oral hygiene.

    Table 2: Design Specifications (Acceptance Criteria vs. Reported Performance)

    Design ParametersType A (Removable Prosthesis) Acceptance Criteria (Predicate)Type B (Fixed Prosthesis) Acceptance Criteria (Predicate)Type A (Removable Prosthesis) Reported Performance (Subject Device)Type B (Fixed Prosthesis) Reported Performance (Subject Device)
    Total Cylinders2-102-102-102-10
    Suprastructure Span Between Cylinders (mm)1-30 mm1-30 mm1-30 mm1-30 mm
    Suprastructure Height (mm)3-12 mm3*-22 mm3-12 mm3*-22 mm
    Suprastructure Width (mm)3.4-12 mm3.4**-12 mm3.4-12 mm3.4**-12 mm
    Distal Cantilever Section (mm)0-15 mm0-15 mm0-15 mm0-15 mm
    Cylinder Height (mm)0-4.6 mm0-4.6 mm0-4.6 mm0-4.6 mm
    Cylinder Diameter (mm)4.5-8 mm4.5-8 mm4.5-8 mm4.5-8 mm

    *Note for Suprastructure Height: The Minimum Suprastructure Height for the Micro Nexus Bar (a new Type B bar in the subject device) is 2.5 mm, which is within the stated range of 3*-22 mm, where * indicates variability for this new bar.
    **Note for Suprastructure Width: The Minimum Suprastructure Width for the Micro Nexus Bar (a new Type B bar in the subject device) is 2.5 mm, which is within the stated range of 3.4**-12 mm, where ** indicates variability for this new bar.

    2. Sample size used for the test set and the data provenance

    The submission is a 510(k) for an expansion of an existing device (K221019). The "study" proving the device meets acceptance criteria primarily relies on non-clinical data and demonstration of substantial equivalence to predicate devices.

    • Test set/Sample size: The document does not describe a "test set" in the traditional sense of a clinical or imaging study with a defined sample size for statistical analysis. Instead, it relies on:
      • Reverse engineering analysis of OEM abutments and OEM abutment screws: This was done to confirm compatibility. The sample size for this analysis is not explicitly stated but would involve the specific OEM abutments listed for compatibility with the subject device.
      • Fatigue testing: The document states, "Fatigue testing was not performed since the Subject devices are abutment-borne and are not intended to compensate for angulation in excess of the maximum angulation of OEM angled abutments..." This indicates that engineering analysis and design specifications, rather than physical fatigue testing, were used to demonstrate performance in this regard.
    • Data provenance: Not directly applicable as there isn't a "test set" from patients. The data relies on engineering analysis, existing predicate device data, and compliance with standards.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    Not applicable. This is not a study requiring expert readers to establish ground truth. Substantial equivalence claims are based on engineering, material, and design comparisons to legally marketed devices.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

    Not applicable. There is no "test set" or diagnostic performance study that would require an adjudication method.

    5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

    Not applicable. This device is a physical dental suprastructure, not an AI-powered diagnostic tool.

    6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done

    Not applicable. This device is a physical dental suprastructure, not an algorithm.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

    The "ground truth" equivalent for this submission is the established safety and effectiveness of the primary predicate device (K221019) and various reference devices, supported by:

    • Compliance with recognized standards: Biocompatibility (ISO 10993-5, ISO 10993-12), sterilization validation (ANSI/AAMI/ISO 17665-1, ANSI/AAMI/ISO 17665-2, ANSI/AAMI/ISO 14937).
    • Material specifications: Conformance to ASTM F136 for titanium alloy.
    • Engineering analysis and design specifications: Comparison of design features to predicate devices and confirmation of compatibility through reverse engineering.

    8. The sample size for the training set

    Not applicable. This is not a machine learning or AI device that requires a training set.

    9. How the ground truth for the training set was established

    Not applicable. As above, there is no training set for this device.

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    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    MegaGen Dental Implant Abutment is intended to be surgically placed in the maxillary or mandibular 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 patients chewing function. All digitally designed abutments for use with ZrGEN Abutment are intended to be sent to a MegaGen validated milling center for manufacture.

    Device Description

    The submission includes descriptions for the following devices: Scan Healing Abutment, Temporary Abutment, Temporary Cylinder, Comfort Cap, Healing Cap, Healing Cap Screw, Milling Abutment, EZ Post Abutment/Extra EZ Post Abutment, EZ Post Cylinder, ZrGEN Abutment, Multi-unit Abutment, Multi-unit Angled Abutment, AXA Abutment (Straight), AXA Abutment (Angled), Abutment Screw, Cylinder Screw, and Crown Screw. Each description details the intended use, material, surface treatment, sterilization, single use status, dimensions, and compatible implant systems.

    AI/ML Overview

    The provided document, a 510(k) premarket notification from MegaGen Implant Co., Ltd. for their "MegaGen Dental Implant Abutment" device, focuses on demonstrating substantial equivalence to previously cleared predicate devices rather than proving that the device meets specific acceptance criteria through a standalone study.

    For medical devices, especially those going through the 510(k) pathway, acceptance criteria are typically based on showing that the new device performs as safely and effectively as a legally marketed predicate device. The "study" proving this is primarily a non-clinical performance testing (bench testing) and a comparison to predicate devices. Clinical studies are often not required for 510(k) submissions, as explicitly stated in this document ("No clinical studies are submitted.").

    Therefore, the acceptance criteria are implicitly defined by the performance characteristics of the predicate devices and general standards (like ISO 14801 for dental implants) as outlined in the "Summary of Non-Clinical Testing" section. The device performance is demonstrated through a comparative analysis to these predicates and the results of the bench testing.

    Here's a breakdown of the information requested, based on the provided text:


    1. Table of Acceptance Criteria and Reported Device Performance

    Given that this is a 510(k) submission, the "acceptance criteria" for the subject device are fundamentally its demonstration of substantial equivalence to predicate devices, meaning it performs as safely and effectively. The "reported device performance" is a direct comparison to the predicate devices and adherence to relevant standards.

    The document provides extensive comparison tables for each component of the MegaGen Dental Implant Abutment system against its predicate and reference devices. Below is a representative excerpt from these tables, focusing on a few key components to illustrate the comparison:

    Example: Scan Healing Abutment

    CharacteristicAcceptance Criteria (Predicate/Reference K110955, K220562)Reported Device Performance (MegaGen Dental Implant Abutment - Scan Healing Abutment)
    Indications for UseProviding prosthetic support for dental restorations in partially or fully edentulous individuals to restore chewing function. Scan Healing Abutment is intended for use on endosseous dental implants as an aid in prosthetic rehabilitation.Identical. Intended to be surgically placed in maxillary or mandibular areas for prosthetic support of dental restorations (Crown, bridges, and overdentures) in partially or fully edentulous individuals to restore chewing function. Also a scannable for impression intraoral without removal.
    MaterialTi-6A1-4V ELI (ASTM F136-13) (for predicate and reference devices)Ti-6A1-4V ELI (ASTM F136-13)
    Total LengthPredicate: 8.4 ~ 14.4 mm; Reference: 6.9 ~ 11.85mm6.9 ~ 11.9 mm
    Surface TreatmentPredicate: Machined; Reference: AnodizingAnodizing
    SterilizationGamma sterilization (for predicate and reference devices)Gamma sterilization
    Principle of OperationFastened into female screw of dental implant, support gingival shaping. Reference also scannable.Fastened into female screw of dental implant, support gingival shaping, scannable for impression intraoral without removal.

    Summary of Device Performance (Based on "Substantial Equivalence Discussion" sections for all components):

    The subject device is deemed substantially equivalent to its predicate/reference devices across all listed components (Scan Healing Abutment, Temporary Abutment, Temporary Cylinder, Comfort Cap, Healing Cap, Healing Cap Screw, Milling Abutment, EZ Post Abutment/Extra EZ Post Abutment, EZ Post Cylinder, ZrGEN Abutment, Multi-unit Abutment, Multi-unit Angled Abutment, AXA Abutment (Straight), AXA Abutment (Angled), Abutment Screw, Cylinder Screw, Crown Screw).

    Any identified differences in characteristics (e.g., specific dimensions like diameter, gingival height, post height, total length, or surface treatment for some components) are explicitly discussed and concluded not to affect substantial equivalence. This is often supported by arguing that the differences are minor, fall within the range of cleared devices, allow for more precise treatment, or are supported by bench testing (e.g., fatigue tests for worst-case scenarios).


    2. Sample Size Used for the Test Set and Data Provenance

    The document does not detail specific sample sizes for test sets in the context of clinical data, as no clinical studies were submitted.

    For non-clinical testing (bench tests), the document states:

    • "The bench tests have been performed in accordance with 'ISO 14801' and the recommendations of 'Class II Special Controls Guidance Document: Root-form Endosseous Dental Implants and Endosseous Dental Implant Abutment' to evaluate the performance of the subject devices and the test results met the pre-set criteria."
    • For ZrGEN Abutment, AXA Abutment (Angled type), and other potentially "worst-case" scenarios, fatigue tests were conducted to demonstrate performance and stability.

    The data provenance is pre-market non-clinical testing data generated by the manufacturer. The country of origin for the manufacturing and testing is Republic of Korea (MegaGen Implant Co., Ltd. is based in Daegu, Republic of Korea). The data is prospective in the sense that it was specifically generated for this 510(k) submission to demonstrate equivalence.


    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Their Qualifications

    This information is not applicable (N/A) as no clinical studies were conducted or submitted. For non-clinical bench testing, "ground truth" is established by adherence to recognized standards (like ISO 14801) and established testing methodologies, not typically by expert consensus of medical professionals on a test set.


    4. Adjudication Method for the Test Set

    This information is N/A as no clinical studies with human readers or image interpretation were conducted.


    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done, and Effect Size of Human Readers Improvement

    This information is N/A as no clinical studies were conducted, and certainly no MRMC studies involving human readers, as this is a physical dental implant component, not an AI or imaging device that would typically involve human-in-the-loop performance evaluation.


    6. If a Standalone (Algorithm Only Without Human-in-the-Loop Performance) Was Done

    This information is N/A as the device is a physical dental implant abutment, not a software algorithm.


    7. The Type of Ground Truth Used

    For the purpose of this 510(k) submission, the "ground truth" for demonstrating substantial equivalence is:

    • Performance specifications derived from legally marketed predicate devices.
    • Adherence to recognized international standards (e.g., ISO 14801 for mechanical properties, ISO 10993-1 for biocompatibility, ISO 11137 for sterilization) for manufacturing and material properties.
    • Results of non-clinical bench testing to confirm physical and mechanical performance characteristics.

    There is no "expert consensus," "pathology," or "outcomes data" in the typical sense of a clinical study since none were performed.


    8. The Sample Size for the Training Set

    This information is N/A. The device is a physical product, not an AI/ML model that requires a "training set."


    9. How the Ground Truth for the Training Set Was Established

    This information is N/A as there is no training set for a physical device.

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    Intended Use

    -Healing Abutment, Cover Screw (previously cleared per K210826) MegaGen Prosthetics are intended for use as an aid in prosthetic rehabilitation.
    -Multi-unit Abutment, Multi-unit Angled Abutment (previously cleared per K203808) The Multi-unit Abutment, Multi-unit Angled Abutment is intended to be surgically placed in the maxillary or mandbular arches for the purpose providing prosthetic support for dental restorations (Crown, bridges, and overdentures) in partially or fully edentulous individuals.
    -AnyOne External Implant System (previously cleared per K203554) The AnyOne External 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 indicated for delayed loading.
    -AnyOne Onestage Implant System (previously cleared per K210161) The AnyOne Onestage 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.
    -Meg-Ball Attachment System, Meg-Loc Abutment, Meg-Magnet Abutment (previously cleared per K192614) Meg-Ball Attachment System, Meg-Loc Abutment, Meg-Magnet Abutment is intended to be used in the upper or lower jaw and used for supporting tooth replacements to restore chewing function. Intended for fully edentulous jaw retaining a tissue supported overdenture. The abutments in combination with endosseous implants are used as the foundation for anchoring tooth replacements in either jaw. The attachments are used in fixed overdenture restorations that can be attached with a snap-in system.
    -ST Internal Implant System (previously cleared per K192347) 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 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.
    -AnyRidge Octa 1 Implant System (previously cleared per K182448) 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 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.

    • Advanced Intermezzo Implant System (previously cleared per K191127) Advanced Intermezzo Implant Systems is threaded one-piece implants designed for orthodontic onestage surgical procedures in upper and lower jaw to provide a means of prosthetic attachment to restore a patient's chewing function. Advanced Intermezzo Implant System consists of single-stage, root-form dental implants. The system is designed to provide immediate provisional implant to provide temporary support for prosthetic devices during the healing phase of permanent root form implants. Depends on a patient's quality of bone condition, Advanced Intermezzo Fixtures are to be removed within six to ten weeks after the surgery. The system is intended for immediate placement in partially or fully edentulous mandibles and maxillae, in support of single or multiple-unit restorations including; cement retained, screw retained, or overdenture restorations.
      -MiNi Internal Implant System (previously cleared per K150537) The MiNi Internal Implant System is intended for two-stage surgical procedures in the following situations and with the following clinical protocols: - The intended use for the 3.0 mm diameter MiNi implant is limited to the replacement of maxillary lateral incisors and mandibular incisors. - Immediate placement in extraction situations with a partially or completely healed alveolar ridge. - It is intended for delayed loading.
      -XPEED ANYRIDGE INTERNAL IMPLANT SYSYEM (previously cleared per K140091) The Xpeed AnyRidge 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 06.0 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.
      -ANYONE™ INTERNAL IMPLANT SYSTEM (previously cleared per K123988) 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 Ø6.0 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.
      -XPEED ANYRIDGE INTERNAL IMPLANT SYSTEM (previously cleared per K123870) The Xpeed®AnyRidge®Intemal Implant System is intended to be surgically placed in the maxillaryor mandbular molar areas for the purpose providing prosthetic support for dental restorations(Crown, bridges, and overdentures) in partially or filly edentulous individuals. It is used to restore a patient's chewing function. Smaller implants (less than Ø6.0mm) 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.
    Device Description

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    AI/ML Overview

    I am sorry, but the provided text does not contain any information about acceptance criteria or a study proving that a device meets such criteria. The document is primarily an FDA 510(k) clearance letter for the "MegaGen Dental Implant Systems Portfolio - MR Conditional." It lists various implant systems and their indications for use, many of which were previously cleared.

    The letter focuses on regulatory approval, substantial equivalence, and compliance with general controls and other FDA regulations for medical devices. It does not include details on specific performance metrics, clinical studies, sample sizes, ground truth establishment, or expert evaluations that would be necessary to answer your request.

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