Neodent Implant System - GM Line

K163194 · Jjgc Industria E Comercio DE Materiais Dentarios S.A. · DZE · Jul 14, 2017 · Dental

Device Facts

Record IDK163194
Device NameNeodent Implant System - GM Line
ApplicantJjgc Industria E Comercio DE Materiais Dentarios S.A.
Product CodeDZE · Dental
Decision DateJul 14, 2017
DecisionSESE
Submission TypeTraditional
Regulation21 CFR 872.3640
Device ClassClass 2
AttributesTherapeutic

Intended Use

Indications for Use for GM implants and conventional abutments: The Neodent Implant System is intended to be surgically placed in the bone of the upper or lower jaw to provide support for prosthetic devices such as artificial teeth, to restore chewing function. It may be used with single-stage procedures, for single or multiple unit restorations, and may be loaded immediately when good primary stability is achieved and with appropriate occlusal loading. Indications for Use for GM Titanium Base abutments: Titanium Base Abutment is a titanium base placed onto Neodent dental implants to provide support for customized prosthetic restorations. It is used with a coping and crown, or crown alone, and is indicated for cement-retained single or multi-unit restorations, or screw-retained single restorations. All digitally designed copings and/or crowns for use with the Neodent Titanium Base Abutment System are intended to be sent to Straumann for manufacture at a validated milling center. Indications for Use for GM Pro Peek Abutments: The Pro PEEK Abutments are indicated to be used on Neodent implants to provide temporary support for prosthesis structure for up to 6 months. They can be used in one or two stage procedures and also immediate load when there is good primary stability.

Device Story

Neodent Implant System - GM Line comprises endosseous dental implants, conventional abutments, and CAD/CAM abutments. Implants are surgically placed in the jawbone to support prosthetic restorations. System utilizes a Morse taper implant-to-abutment interface with an internal hexagonal index. CAD/CAM abutments (Titanium Bases) require digital design via DWOS or 3Shape software, with manufacturing performed at a validated milling center. Devices are used in dental clinics by trained professionals. Output is a stable foundation for prosthetic teeth, restoring chewing function. Benefits include improved oral function and aesthetics. System includes temporary components (Pro PEEK abutments, cover screws, healing abutments) for soft tissue management during osseointegration. Performance is supported by dynamic fatigue testing (ISO 14801) and biocompatibility assessments.

Clinical Evidence

Bench testing only. No clinical data provided. Performance supported by dynamic fatigue testing per ISO 14801, biocompatibility testing (cytotoxicity, chemical characterization), and sterilization validation (ISO 11137, ISO 11135, ISO 17665). Shelf life validated via accelerated and real-time aging (ASTM F1980).

Technological Characteristics

Implants: Grade 4 titanium (ASTM F67). Abutments: Ti-6Al-4V ELI titanium alloy (ASTM F136) or PEEK. Interface: 16° Morse taper with internal hexagonal index. Surface treatments: NeoPoros (abrasive jet/acid etch) and Acqua (hydrophilic). Sterilization: Gamma irradiation (implants) or Ethylene Oxide (abutments). CAD/CAM integration: DWOS or 3Shape software.

Indications for Use

Indicated for patients requiring dental implants in the upper or lower jaw to support prosthetic devices (artificial teeth) for chewing restoration. Suitable for single or multiple unit restorations, single or two-stage procedures, and immediate loading if primary stability is achieved. Titanium Base abutments indicated for cement-retained single/multi-unit or screw-retained single restorations. Pro PEEK abutments indicated for temporary support (up to 6 months).

Regulatory Classification

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.

Special Controls

*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.

Predicate Devices

Reference Devices

Related Devices

Submission Summary (Full Text)

{0}------------------------------------------------ Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features the department's name in a circular arrangement around a symbol. The symbol consists of three stylized human profiles facing to the right, with flowing lines connecting them, representing health and well-being. Public Health Service Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002 July 14, 2017 JJGC Industria e Comercio de Materiais Dentarios SA c/o Jennifer Jackson Director, Regulatory Affairs & Quality Management Straumann USA, LLC 60 Minuteman Road Andover, Massachusetts 01810 Re: K163194 Trade/Device Name: Neodent Implant System - GM Line Regulation Number: 21 CFR 872.3640 Regulation Name: Endosseous Dental Implant Regulatory Class: Class II Product Code: DZE, NHA Dated: June 13, 2017 Received: June 15, 2017 Dear Jennifer Jackson: 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. 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 {1}------------------------------------------------ ### Page 2 - Jennifer Jackson Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical device-related 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 contact the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled. "Misbranding by reference to premarket notification" (21 CFR 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 Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. Sincerely. # Mary S. Runner -A Lori A. Wiggins, MPT, CLT Acting Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control, and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health Enclosure {2}------------------------------------------------ DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration # Indications for Use 510(k) Number (if known) K163194 Device Name Neodent Implant System - GM Line Indications for Use (Describe) Indications for Use for GM implants and conventional abutments: The Neodent Implant System is intended to be surgically placed in the bone of the upper or lower jaw to provide support for prosthetic devices such as artificial teeth, to restore chewing function. It may be used with single-stage procedures, for single or multiple unit restorations, and may be loaded immediately when good primary stability is achieved and with appropriate occlusal loading. Indications for Use for GM Titanium Base abutments: Titanium Base Abutment is a titanium base placed onto Neodent dental implants to provide support for customized prosthetic restorations. It is used with a coping and crown, or crown alone, and is indicated for cement-retained single or multi-unit restorations, or screw-retained single restorations. All digitally designed copings and/or crowns for use with the Neodent Titanium Base Abutment System are intended to be sent to Straumann for manufacture at a validated milling center. Indications for Use for GM Pro Peek Abutments: The Pro PEEK Abutments are indicated to be used on Neodent implants to provide temporary support for prosthesis structure for up to 6 months. They can be used in one or two stage procedures and also immediate load when there is good primary stability. Type of Use (*Select one or both, as applicable*) | <span style="font-size: 10pt;"> <span style="font-family: Wingdings;">☑</span> Prescription Use (Part 21 CFR 801 Subpart D)</span> | |------------------------------------------------------------------------------------------------------------------------------------| | <span>☐ Over-The-Counter Use (21 CFR 801 Subpart C)</span> | CONTINUE ON A SEPARATE PAGE IF NEEDED.This section applies only to requirements of the Paperwork Reduction Act of 1995. #### *DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.* The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to: > Department of Health and Human Services Food and Druq Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov "An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number." Form Approved: OMB No. 0910-0120 Expiration Date: January 31, 2017 See PRA Statement below. {3}------------------------------------------------ # 510(k) Summary | Submitter | Straumann USA, LLC<br>60 Minuteman Road<br>Andover, MA 01810<br>Registration No.: 1222315<br>Owner/Operator No.: 9005052 | |------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | | on behalf of:<br>JJGC Indústria e Comércio de Materiais Dentários SA<br>Av. Juscelino Kubitschek de Olivera, 3291<br>Curtiba, Parana, BRAZIL 81270-200<br>Registration No.: 3008261720<br>Owner/Operator No.: 10031702 | | Contact Person | Jennifer M. Jackson, MS<br>Director, Regulatory Affairs & Quality, Straumann USA<br>E-Mail: jennifer.jackson@straumann.com<br>Telephone (978) 747-2509 | | Date Prepared | 14/Jul/2017 | | Prepared by | Ana Carolina Martins Vianna<br>RA & Compliance Manager, Institut Straumann AG<br>ana.vianna@straumann.com | | Product Code<br>Device Class<br>Classification Panel | DZE (21 CFR 872.3640) / NHA<br>II<br>Dental | | Classification Name | Root-form endosseous dental implant (21 CFR 872.3640) | | Common Name | Root-form endosseous dental implant | | Proprietary name | Neodent Implant System - GM Line | | Primary Predicate | K101945 - Neodent Implant System, JJGC Indústria e Comércio de<br>Materiais Dentários SA | | Reference Predicate<br>Devices | K150182 - Neodent Implant System - CM Drive line extension,<br>JJGC Indústria e Comércio de Materiais Dentários SA<br>K153624 - Neodent Implant System, JJGC Indústria e Comércio de<br>Materiais Dentários SA<br>K093027 – Straumann RC Temporary Abutments, Institut<br>Straumann AG<br>K151455 – 3Shape Abutment Designer Software, 3Shape A/S<br>K130808 - Straumann Healing Abutments, Healing Caps and<br>Closure Screws, Institute Straumann AG<br>K061804 - Zerion Alpha, Zerion Beta, ETKON International, Gmbh | {4}------------------------------------------------ #### 5.1 Device Description The GM Line of the Neodent Implant System (GM Line) consists in an expansion of the Neodent Implant System previously cleared under K101945, K150182 and K153624, presenting a new design of Morse taper implant-to-abutment interface trade named GM line. The GM line comprises a range of endosseous dental implants as well as conventional and CAD/CAM abutments described as follows: The GM Line dental implants are threaded, self-tapping, root form with a Morse taper implantto-abutment interface with an internal hexagonal index exclusive to the GM line. They are made of titanium grade 4 conforming to ASTM F67. They are available in two types of surface treatment: NeoPoros: rough surface created using an abrasive particle jet concept with controlled grain oxides, followed by acid etching creating uniform cavities in the implant surface. - Acqua: hydrophilic surface created from Neoporos rough surface that undergoes additional processing that renders hydrophilic surface. # GM Titamax implants The GM Titamax implants have cylindrical shape with double threads of pyramidal profile, rounded apex and are available in diameters of 3.5, 3.75 and 4.0 mm with lengths of 7, 8, 9, 11, 13, 15 and 17 mm, and in 5.0 mm diameter with lengths of 7, 8, 9, 11 and 13 mm. They are recommended for surgical intraoral installation in bone of type I or II. ### GM Helix implants The GM Helix implants have a conical shape, double threads with trapezoidal profile, a rounded apex and are available in diameters of 3.5, 3.75, 4.0, 4.3 and 5.0 mm with lengths of 8, 10, 11.5, 13, 16 and 18 mm. They are recommended for surgical intraoral installation in bones types III or IV, or in bone of type I and II when using conical drills. ### GM Drive implants The GM Drive implants have conical shape with double and progressive threads, cutting chambers in the counterclockwise direction, blade-shaped apical thread, rounded apex and are available in diameters of 3.5, 4.3 and 5.0 mm with lengths of 8, 10, 11.5, 13, 16 and 18 mm. They are recommended for surgical intraoral installation in bone of type III or IV. The GM Line dental abutments are made of titanium alloy conforming to ASTM F136 and have a machined surface. The abutments are intended to be placed directly onto implants and are recommended according to the available interocclusal space, gingival height, and threedimensional position of the implant. They can be used in immediate or conventional rehabilitation procedures on the maxilla or mandible. ### GM Cover Screws The GM Cover Screws are devices for temporary use during the implant healing phase. They are available in two different heights: at the level of the platform (for use on implants placed at the {5}------------------------------------------------ bone level) and with a gingival height of 2 mm (for use on implants placed up to 2 mm infraosseous). The GM Cover Screws are indicated for use during the osseointegration phase, on Neodent implants to be rehabilitated using the late loading technique. Cover Screws should remain intramucosal, impeding tissue grown over the platform of the implant. Cover Screws are placed out of occlusion. # GM Healings The GM Healing Abutments are devices for temporary use. They are available in diameters of 3.3 and 4.5 mm and the following gingival heights: 0.8, 1.5, 2.5, 3.5, 4.5, 5.5 mm. They are indicated for maintenance of the soft tissue during the osseointegration phase of Neodent implant to be rehabilitated using the late loading technique. They can be used on the insertion of the Implant or re-opening surgery (second surgical phase). Healing Abutments are placed out of occlusion. ### GM Micro Abutments / GM Mini Conical Abutment / GM Exact Mini Conical Abutment They are intermediary prosthetic components to be installed onto GM implants to support the final prosthesis. They are provided in a rotational shape for the coupling with the prosthesis and in different gingival heights to match the variations in mucosal thickness. The GM Exact Mini Conical abutment is provided angled. They are indicated for screw-retained multiple-unit prostheses onto implants. The GM Micro Abutment, when used with the anti-rotational coping, is also indicated for single-tooth prosthesis. # GM Exact Abutments GM Exact abutments are intermediary prosthetic components to be installed onto GM implants to support the final prosthesis. They are provided in an anti-rotational shape for the coupling with the prosthesis and are available in 3.5 and 4.8 mm of diameter and the following gingival heights: 0.8, 1.5, 2.5, 3.5, 4.5, 5.5 mm. They are indicated for screw-retained single-tooth prostheses onto implants. # GM Exact Click Universal Abutments (straight and angled) GM Exact Click Universal abutments are intermediary prosthetic components to be installed onto GM implants to support the final prosthesis. They provided in an anti-rotational shape for the coupling with the prosthesis and in various angulation, prosthetic and gingival heights to match the variation in mucosal thickness. They are indicated for cemented-retained single-tooth prostheses onto implants. # GM Exact Titanium Base abutments The Titanium Bases are intermediary prosthetic components to be installed onto GM implants to support the final prosthesis; the Titanium Base two-piece abutments used as a base when fabricating a CAD/CAM customized restoration. They are provided in an anti-rotational shape for the coupling with the prosthesis and are available in diameters of 3.5 and 4.5 mm and the following gingival heights: 0.8, 1.5, 2.5, 3.5, 4.5, 5.5 mm. The planning and milling of the customized superstructures must be made using the validated Dental Wings Operating System (DWOS) or 3Shape software. All digitally designed copings and/or crowns for use with the Titanium Bases are intended to be manufactured at a validated milling center. The limits for customization are stated in product IFU. The superstructure produced through CAD/CAM System will compose the second part of the two-piece abutment; the assembly becomes a {6}------------------------------------------------ finished medical device after cementation on Titanium Base. They are indicated cementedretained single-tooth prostheses onto implants. #### GM Pro PEEK Abutment GM Pro PEEK abutments are temporary intermediary prosthetic components to be installed onto the Implants to support the provisional prosthesis up to 6 months. They are composed of a customizable cylindrical body made of PEEK and a non-customizable base made of titanium alloy for an anti-rotational implant connection to GM implants. They are available in 4.5 and 6.0 mm of diameter and the following gingival heights: 0.8, 1.5, 2.5, 3.5, 4.5, 5.5 mm. Pro PEEK Abutments can be used before the installation of the final prosthesis to maintain, stabilize and shape the soft tissue (gum) during the healing phase. Pro PEEK Abutment must not be placed in occlusion when assembled with small diameter implants (≤3.75 mm). #### Protection Cylinders The Protection Cylinders are prosthetic components with a tapered shape intended to be placed on abutments to protect them during the fabrication of the prosthesis and/or healing of the peri-implant tissues. They are available in models for attachment to abutments, mini conical abutments or micro abutments. #### Coping Screws The Coping Screws are prosthetic devices intended for coping fixation on the corresponding GM (screw-retained) abutment. They are available in two different models: one for fitting in GM Exact Abutments and another for fitting in GM Mini and Micro Abutments. #### 5.2 Indications for Use Indications for Use for GM implants and conventional abutments: The Neodent Implant System is intended to be surgically placed in the bone of the upper or lower jaw to provide support for prosthetic devices such as artificial teeth, to restore chewing function. It may be used with single-stage or two-stage procedures, for single or multiple unit restorations, and may be loaded immediately when good primary stability is achieved and with appropriate occlusal loading. Indications for Use for GM Titanium Base abutments: Titanium Base Abutment is a titanium base placed onto Neodent dental implants to provide support for customized prosthetic restorations. It is used with a coping and crown, or crown alone, and is indicated for cement-retained single or multi-unit restorations, or screw-retained single restorations. All digitally designed copings and/or crowns for use with the Neodent Titanium Base Abutment System are intended to be sent to Straumann for manufacture at a validated milling center. #### Indications for Use for GM Pro Peek Abutments: The Pro PEEK Abutments are indicated to be used on Neodent implants to provide temporary support for prosthesis structure for up to 6 months. They can be used in one or two stage procedures and also immediate load when there is good primary stability. {7}------------------------------------------------ #### 5.3 Technological Characteristics The subject and the predicate devices have a range of dental implants and abutments with the same indication of providing solutions for teeth replacement, restoring chewing function. The subject and predicate devices are based on the following same technological elements: - -Root-form implants intended to replace natural tooth root; - -Endosseous dental abutments to provide support for temporary or permanent restorations; - -Possibility of use in single or two-stage procedures, for single or multiple-unit restorations; - -Implants and conventional and CAD/CAM abutments made of the same material; - -Same sterilization methods and packaging for implants, conventional and CAD/CAM abutments. The following technological differences exist between the subject and predicate devices: - A new design of Morse taper implant-to-abutment interface is presented; - - -A new design of implant thread was developed to fit in all types of bone quality; - -The subject temporary abutment is provided sterile by EO exposition whereas its predicate device is provided non-sterile for end-user sterilization. In the end of this Section, a comparison between the features of subject device and its predicate devices is shown in a tabular format. The assessment of the differences is also included. #### 5.4 Performance data The following performance data supports the substantial equivalence determination: ### Biocompatibility testing The implants are made of unalloyed titanium, Grade 4, conforming to ASTM F67 Standard Specification for Unalloyed Titanium for Surgical Implant Applications (UNS R50250, UNS R50400, UNS R50550, UNS R50700). The conventional and CAD/CAM abutments are made of titanium ASTM F136 Standard Specification alloy conforming conforming to for Wrought Titanium-6Aluminum-4Vanadium ELI (Extra Low Interstitial) Alloy for Surgical Implant Applications (UNS R56401). The types of titanium are the same to that used for fabrication of the predicate devices cleared under K101945, K150182 and K153624. The subject devices undergo to the same manufacturing processes to the cited predicate devices. The temporary abutments are made of PEEK. A chemical characterization of this material has been performed to identify leachable inorganic substances and extractable organic substances. Additionally, cytotoxicity analysis also has been performed. The superstructures for titanium bases are made of zirconia, IPS e.max, Co-Cr and Lava Plus. Zirconia is conforming to ISO 13356 - Implants for surgery - Ceramic materials based on yttriastabilized tetragonal zirconia (Y-TZP), IPS e.max CAD (lithium disilicate) is conforming to ISO JJGC Indústria e Comércio de Materiais Dentários S.A. {8}------------------------------------------------ 6872 - Dentistry - Ceramic Materials and Co-Cr is conforming to ISO 22674 - Dentistry - Metallic materials for fixed and removable restorations and appliances. These raw materials are the same already cleared for the reference predicate devices under K153624. Lava Plus is an yttrium stabilized zirconium oxide (Y-TZP) and complies with the requirements of ISO 6872 Dentistry -Ceramic Materials. Cytotoxicity testing was performed for this raw material and showed no proliferation inhibition. Also, Lava Plus has been cleared by FDA per K072055 for manufacturing of dental restorations through CAD/CAM technique. ### Mechanical testing The strength of the system is demonstrated through fatigue testing performed according to ISO 14801 - Dentistry - Implants - Dynamic fatique test for endosseous dental implants and FDA document Guidance for Industry and FDA Staff - Class II Special Controls Guidance Document: Root-form Endosseous Dental Implants and Endosseous Dental Abutments. The tested subject devices exhibit a level of performance equivalent to that reviewed for the predicate devices. #### Sterilization validation The subject implants are sterilized by Co60 gamma irradiation at a nominal dose of 25 kGy (2.5 Mrad). Sterilization has been validated by the VDmax® method, according to ISO 11137-1 Sterilization of health care products - Radiation - Part 1: Requirements for development, validation and routine control of a sterilization process for medical devices and ISO 11137-2 Sterilization of health care products - Radiation - Part 2: Establishing the sterilization dose. The subject abutments are sterilized by exposure to ethylene oxide (EO). Sterilization has been validated by the bioburden method, according to ISO 11135 Sterilization of health care products - Ethylene oxide - Requirements for the development, validation, and routine control of a sterilization process for medical devices. EO sterilization residuals have been verified to be less than the maximum allowable limits as defined in ISO 10993-7 Biological Evaluation of Medical Devices - Part 7: Ethylene Oxide Sterilization Residuals. The subject CAD/CAM superstructures are sterilized by moist heat (steam). The recommended sterilization has been validated according to ISO 17665-1 Sterilization of health care products – Moist heat - Part 1: Requirements for the development, validation and routine control of a sterilization process for medical devices, and ISO/TS 17665-2 Sterilization of health care products - Moist heat - Part 2: Guidance on the application of ISO 17665-1. All methods achieve a Sterility Assurance Level (SAL) of 10 °. The sterilization methods presented for the subject devices have been previously reviewed under K101945, K150182 and K153624. {9}------------------------------------------------ #### Shelf Life Testing Shelf life testing for the Neodent Implant System was performed for both methods of sterilization, gamma irradiation and ethylene oxide exposure. Shelf life was determined through both accelerated and real time aging protocols according to ASTM F1980 Standard Guide for Accelerated Aging of Sterile Barrier System for Medical Devices. JJGC Indústria e Comércio de Materiais Dentários S.A. {10}------------------------------------------------ | | SUBJECT DEVICES | PRIMARY PREDICATE | | REFERENCE PREDICATE DEVICES | | | |-----------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | | Neodent Implant System –<br>GM Line | Neodent Implant System<br>(K101945) | Neodent Implant System<br>(K150182) | Neodent Implant System<br>(K153624) | Straumann RC Temp.<br>Abutment (K093027) | EQUIVALENCE<br>DISCUSSION | | Indications for<br>Use | for GM implants and conventional<br>abutments:<br>The Neodent Implant System is<br>intended to be surgically placed in<br>the bone of the upper or lower jaw to<br>provide support for prosthetic<br>devices such as artificial teeth, to<br>restore chewing function. It may be<br>used with single-stage or two-stage<br>procedures, for single or multiple unit<br>restorations, and may be loaded<br>immediately when good primary<br>stability is achieved and with<br>appropriate occlusal loading. | The Neodent Implant<br>System is intended to be<br>surgically placed in the<br>bone of the upper or<br>lower jaw to provide<br>support for prosthetic<br>devices such as artificial<br>teeth, to restore chewing<br>function. It may be used<br>with single-stage or two-<br>stage procedures, for<br>single or multiple unit<br>restorations, and may be<br>loaded immediately<br>when good primary<br>stability is achieved and<br>with appropriate occlusal<br>loading. Multiple tooth<br>applications may be<br>rigidly splinted. | The Neodent Implant<br>System is intended to be<br>surgically placed in the<br>bone of the upper or<br>lower jaw to provide<br>support for prosthetic<br>devices such as artificial<br>teeth, to restore chewing<br>function. It may be used<br>with single-stage or two-<br>stage procedures, for<br>single or multiple unit<br>restorations, and may be<br>loaded immediately<br>when good primary<br>stability is achieved and<br>with appropriate occlusal<br>loading. Multiple tooth<br>applications may be<br>rigidly splinted. | Titanium Base Abutment<br>is a titanium base placed<br>onto Neodent dental<br>implants to provide<br>support for customized<br>prosthetic restorations.<br>It is used with a coping<br>and crown, or crown<br>alone, and is indicated<br>for cement-retained<br>single or multi-unit<br>restorations, or screw-<br>retained single<br>restorations.<br>All digitally designed<br>copings and/or crowns<br>for use with the Neodent<br>Titanium Base Abutment<br>System are intended to<br>be sent to Straumann for<br>manufacture at a<br>validated milling center. | The Straumann RC<br>Temporary Abutments<br>are indicated for use in<br>Straumann RC Bone<br>Level Implants for<br>temporary restorations<br>of single crowns and<br>bridges for up to six<br>months | Equivalent<br>Indications for Use for<br>GM implants and<br>conventional abutments:<br>The indications for use of<br>the subject devices is<br>included into the<br>indications of the<br>primary predicate<br>devices.<br>Indications for Use for<br>GM Titanium Base<br>abutments:<br>The indication for use is<br>identical to the predicate<br>K153624.<br>Indications for Use for<br>GM Pro Peek Abutments<br>Both the indications of<br>subject and predicate<br>device (K093027) have<br>the same intention to<br>provide support to<br>temporary restorations. | | | for GM Titanium Base abutments:<br>Titanium Base Abutment is a titanium<br>base placed onto Neodent dental<br>implants to provide support for<br>customized prosthetic restorations. It<br>is used with a coping and crown, or<br>crown alone, and is indicated for<br>cement-retained single or multi-unit<br>restorations, or screw-retained single<br>restorations.<br>All digitally designed copings and/or<br>crowns for use with the Neodent<br>Titanium Base Abutment System are<br>intended to be sent to Straumann for<br>manufacture at a validated milling<br>center. | | | | | | | | for GM Pro Peek Abutments:<br>The Pro PEEK Abutments are<br>indicated to be used on Neodent<br>implants to provide temporary<br>support for prosthesis structure for<br>up to 6 months. They can be used in<br>one or two stage procedures and also<br>immediate load when there is good | | | | | | | | SUBJECT DEVICES | PRIMARY PREDICATE | REFERENCE PREDICATE DEVICES | | | | | | Neodent Implant System –<br>GM Line | Neodent Implant System<br>(K101945) | Neodent Implant System<br>(K150182) | Neodent Implant System<br>(K153624) | Straumann RC Temp.<br>Abutment (K093027) | EQUIVALENCE<br>DISCUSSION | | Diameter(s) | Implants:<br>3.5 to 5.0 mm<br>Conventional abutments:<br>3.3 to 4.8 mm<br>CAD/CAM abutments:<br>3.5 and 4.5 mm<br>Temporary abutments:<br>4.5 and 6 mm | Implants:<br>3.5 to 5.0 mm<br>Conventional abutments:<br>3.5 to 4.5 mm | Implants:<br>3.5 to 5.0 mm | CAD/CAM abutments:<br>3.5 and 4.5 mm | Temporary abutments:<br>4.5 mm | Equivalent<br>Subject device diameters<br>are within the range of<br>diameters of the<br>predicate devices or<br>larger. Larger diameters<br>do not represent a worst<br>case in terms of<br>performance. | | Implants length | 8 to 18 mm | 8 to 19 mm | 18 mm | NA | NA | Equivalent<br>Subject implant lengths<br>are within the range of<br>the predicate devices. | | Implants types<br>of threads | Titamax<br>Helix<br>Drive | Titamax<br>Alvim | Drive | NA | NA | Equivalent<br>Titamax model remains<br>the same to that<br>presented in K101945.<br>Drive model presents<br>changes when compared<br>to K150182, however the<br>changes do not affect<br>dynamic fatigue<br>performance. Helix<br>model is new, however<br>tests confirm that they<br>have equivalent<br>performances. | | Gingival<br>Heights<br>(of the<br>abutments<br>subject to<br>masticatory<br>load) | 0.8 to 5.5 mm | 0.8 to 6.5 mm | NA | 0.8 4.5 mm | Unknown | Equivalent<br>Subject device heights<br>are included in the range<br>of the predicate device<br>heights and do not<br>represent a worst case in<br>terms of performance. | | | SUBJECT DEVICES | PRIMARY PREDICATE | REFERENCE PREDICATE DEVICES | | | | | | Neodent Implant System – | Neodent Implant System | Neodent Implant System | Neodent Implant System | Straumann RC Temp. Abutment (K093027) | EQUIVALENCE | | | GM Line | (K101945) | (K150182) | (K153624) | | DISCUSSION | | Material | Implants: | Implants: | Implants: | CAD/CAM abutments: | Temporary abutments: | Equivalent | | | Titanium grade 4 | Titanium grade 4 | Titanium grade 4 | Titanium alloy Ti-6Al-4V ELI | Titanium alloy (Ti-6Al- 7Nb, TAN)<br>PEEK<br>(polyetheretherketone) | The subject and the<br>predicate devices are<br>made of the same type<br>of raw material; the<br>adequacy of the system…
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