NDX ABUTMENTS

K121117 · National Dentex Corp · NHA · Dec 14, 2012 · Dental

Device Facts

• Record ID: K121117
• Device Name: NDX ABUTMENTS
• Applicant: National Dentex Corp
• Product Code: NHA · Dental
• Decision Date: Dec 14, 2012
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 872.3630
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

NDX Custom Abutments are intended for use with dental implants as a support for single or multiple tooth prostheses in the maxilla or mandible of a partially or fully edentulous patient.

Device Story

NDX Custom Abutments are patient-specific dental abutments fabricated via CAD/CAM scanning and milling processes. Inputs consist of clinical design parameters provided by the clinician for specific prosthetic cases and implant interfaces. The device transforms these inputs into a physical titanium alloy abutment featuring anti-rotation geometry compatible with specific implant systems (Nobel Biocare, 3i). Used in dental clinics by clinicians to support single or multiple tooth prostheses. The output is a custom-milled abutment that connects the dental implant to the final restoration. Benefits include improved prosthetic fit and functional support for edentulous patients.

Clinical Evidence

Bench testing only. Evidence includes engineering analysis, dimensional analysis, static and dynamic compression-bending testing per ISO 14801, and sterilization validation per ISO 17665. No clinical data presented.

Technological Characteristics

Material: Titanium alloy. Fabrication: CAD/CAM scanning and milling. Dimensions: 3.5, 4.1, 4.3, 5.0, 5.1, 6.0 mm diameters; straight or angled up to 30°. Features: Anti-rotation geometry. Sterilization: ISO 17665 compliant.

Indications for Use

Indicated for partially or fully edentulous patients requiring support for single or multiple tooth prostheses in the maxilla or mandible via dental implants.

Regulatory Classification

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.

Special Controls

*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.)

Predicate Devices

• TDS Abutment for Friadent Xive (K103339)
• TDS Titanium Abutment for Nobel Biocare Bränemark (K091392)
• TDS Abutment for Nobel Biocare Replace (K091026)
• TDS Abutment (K081460)

Submission Summary (Full Text)

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510(k) Summary

K121117

# National Dentex Corporation

### NDX Custom Abutments

December 13, 2012

DEC 1 4 2012

### ADMINISTRATIVE INFORMATION

Manufacturer Name:

National Dentex Corporation 2 Vision Drive Natick, MA 01760 Telephone: [phone] Fax: [phone]

Official Contact:

Dell Dine

Representative/Consultant:

Linda Schulz or Kevin Thomas PaxMed International, LLC 11234 El Camino Real, Suite 200 San Diego, CA 92130 Telephone: [phone] Fax: [phone] Email: [e-mail] [e-mail]

### DEVICE NAME AND CLASSIFICATION

Trade/Proprietary Name: NDX Custom Abutments Classification Name: Abutment, Implant, Dental, Endosseous Classification Regulations: Endosseous dental implant 21 CFR 872.3630, Class II Product Code: NHA Classification Panel: Dental Products Panel Reviewing Branch: Dental Devices Branch

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### INTENDED USE

NDX Custom Abutments are intended for use with dental implants as a support for single or multiple tooth prostheses in the maxilla or mandible of a partially or fully edentulous patient.

| NDX Abutment for Nobel Biocare Bränemark is compatible with the following implant systems: | |
|--------------------------------------------------------------------------------------------|--------------------------------------------------|
| Nobel Biocare: | Bränemark System® Mk III Groovy |
| | Bränemark System® Mk III Shorty |
| | Bränemark System® Zygoma |
| | NobelSpeedy Groovy |
| | NobelSpeedy Shorty |
| NDX Abutment for Nobel Biocare Replace is compatible with the following implant systems: | |
| Nobel Biocare: | Nobel Replace® Select Straight |
| | Nobel Replace Select Straight One Stage |
| | Replace Select Tapered |
| | Replace Select Tapered One Stage |
| | Nobel Replace Straight |
| | Nobel Replace Tapered |
| | Nobel Replace Straight Groovy |
| | Nobel Replace Tapered Groovy for the 3.5 mm (NP) |
| | 4.3 mm (RP), 5.0 mm (WP) and 6.0 mm implants |
| NDX Abutment for Nobel Active is compatible with the following implant system: | |
| Nobel Biocare: | NobelActive Implant |
| NDX Abutment for 3i External Hex is compatible with the following implant systems: | |
| 3i: | NanoTite External Hex Connection Implants |
| | Full OSSEOTITE External Hex Connection Implants |
| | OSSEOTITE External Hex Connection Implant |
| NDX Abutment for 3i Certain Internal is compatible with the following implant system: | |
| 3i: | Certain Internal Connection |

### DEVICE DESCRIPTION

NDX Custom Abutments are fabricated for a specific prosthetic case and implant interface using a Computer Assisted Design /Computer Assisted Manufacturing (CAD/CAM) scanning and milling process. Milling of NDX Custom Abutments includes anti-rotation features compatible with specific implant systems. Each abutment is made from titanium alloy. It is created according to the specific design parameters designated by the clinician. All components and parameters of the system remain identical to those cleared for the TDS Abutment System predicates. Abutments are available in diameters of 3.5, 4.1, 4.3, 5.0, 5.1, and 6.0 mm, and can be fabricated straight or with an angle up to 30°.

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## EQUIVALENCE TO MARKETED DEVICE

National Dentex submits the following information in this Premarket Notification to demonstrate that, for the purposes of FDA's regulation of medical devices, NDX Custom Abutments is substantially equivalent in indications and design principles to the following predicate devices, all manufactured by Pou Yu Biotechnology Co., Ltd.:

TDS Abutment for Friadent Xive - K103339. TDS Titanium Abutment for Nobel Biocare Bränemark - K091392, TDS Abutment for Nobel Biocare Replace - K091026, and TDS Abutment - K081460

The purpose of this submission is to give National Dentex Corporation the ability to utilize the currently cleared TDS CAD/CAM Abutment System for dental implant abutment fabrication. All component designs and parameters of the system remain identical to those previously cleared for the TDS CAD/CAM Abutment System.

Mechanical testing was conducted on worst-case constructs of NDX titanium abutments according to ISO 14801 Dentistry - Implants - Dynamic fatigue test for endosseous dental implants and results showed adequate strength for their intended use. Extensive compatibility testing was performed in support of NDX Abutments. Multiple parameters of the NDX abutments and corresponding implants with designated screws were evaluated to determine appropriate fit.

Non-clinical testing data submitted, referenced, or relied upon to demonstrate substantial equivalence included: engineering analysis, dimensional analysis, static and dynamic compression-bending testing according to ISO 14801, and sterilization validation according to ISO 17665.

The data included in this submission demonstrates substantial equivalence to the predicate devices listed above.

Overall, NDX Custom Abutments have the following similarities to the predicate devices:

- have the same intended use, .
- . use the same operating principle,
- . incorporate the same design,
- . incorporate the same materials, and
- . have similar packaging and are sterilized using the same materials and processes.

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#### DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is an abstract symbol resembling an eagle or bird with three stylized wing-like shapes.

#### Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

#### December 14, 2012

National Dentex Corporation C/O Ms. Linda K. Schulz PaxMed International, Limited Liability Company 12264 El Camino Real, Suite 400 SAN DIEGO CA 92130

Re: K121117

Trade/Device Name: NDX Custom Abutments Regulation Number: 21 CFR 872.3630 Regulation Name: Endosseous Dental Implant Abutment Regulatory Class: II Product Code: NHA Dated: December 3, 2012 Received: December 5, 2012

Dear Ms. Schulz:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. 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.

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#### Page 2 - Ms. Schulz

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 (reporting of medical devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address

Sincerely yours,

http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.

2012.12.14 Susan Runner DDS, MA 14:09:38 -05'00' Anthony D. Watson, B.S., M.S., M.B.A. Director

Division of Anesthesiology, General Hospital, Respiratory, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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#### 510(k) Premarket Notification

NDX Custom Abutments

### Indications for Use

510(k) Number: K121117

NDX Custom Abutments Device Name:

Indications for Use:

multudions for ober tooth prostheses in the maxilla or mandible of a partially or fully edentulous patient.

NDX Abutment for Nobel Biocare Branemark is compatible with the following implant systems: Nobel Biocare: Branemark System® Mk III Groovy

Bränemark System® Mk III Shorty

Bränemark System® Zygoma

NobelSpeedy Groovy

NobelSpeedy Shorty

NDX Abutment for Nobel Biocare Replace is compatible with the following implant systems:

Nobel Biocare: Nobel Replace® Select Straight

Nobel Replace Select Straight One Stage

Replace Select Tapered

Replace Select Tapered One Stage

Nobel Replace Straight

Nobel Replace Tapered

Nobel Replace Straight Groovy

Nobel Replace Tapered Groovy for the 3.5 mm (NP)

4.3 mm (RP), 5.0 mm (WP) and 6.0 mm implants

NDX Abutment for Nobel Active is compatible with the following implant system: Nobel Biocare: NobelActive Implant

NDX Abutment for 3i External Hex is compatible with the following implant systems:

NanoTite External Hex Connection Implants

Full OSSEOTITE External Hex Connection Implants

OSSEOTITE External Hex Connection Implant

NDX Abutment for 31 Certain Internal is compatible with the following implant system: Certain Internal Connection 3i:

X Prescription Use (Part 21 CFR 801 Subpart D)

3i:

Over-The-Counter Use AND/OR (21 CFR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

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2012.12.14 Susan Runner DDS, MA -14:08:29 -05'00'

(Division Sign-Off) (Division of Anestheslology, General Hospital Infection Control, Dental Devices

510(k) Number:

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