IPS E. MAX PRESS ABUTMENT SOLUTIONS FOR NOBEL BIOCARE
Applicant
Ivoclar Vivadent, Agin
Product Code
NHA · Dental
Decision Date
Mar 29, 2013
Decision
SESE
Submission Type
Abbreviated
Regulation
21 CFR 872.3630
Device Class
Class 2
Attributes
Therapeutic
Indications for Use
IPS e.max® Press Abutment Solutions for Nobel Biocare is intended for use in partially or fully endentuous mandibles and maxillae in support of single or multiple-unit cement retained restorations. IPS e.max Press Abutment Solutions for Nobel Biocare is recommended for the fabrication of: - Hybrid abutments for single-tooth restorations - -Hybrid abutment crowns for restorations
Device Story
IPS e.max Press Abutment Solutions for Nobel Biocare consists of lithium disilicate glass ceramic components used to fabricate hybrid abutments or hybrid abutment crowns. These components are luted onto compatible titanium connector abutments (Ti bases) which interface with specific Nobel Biocare dental implant systems. The device is used by dental professionals in a clinical setting to restore function and aesthetics in edentulous patients. The fabrication process involves a heat/press technique to customize the ceramic part to the titanium sleeve. The final assembly is a cement-retained restoration. The device benefits patients by providing a customized, durable ceramic restoration supported by established implant interfaces.
Clinical Evidence
No clinical data was performed. Substantial equivalence was established through bench testing, specifically dynamic fatigue performance testing conducted in accordance with ISO 14801:2007.
Technological Characteristics
Material: Lithium disilicate glass ceramic. Form: Pressed ceramic components for hybrid abutments or crowns. Interface: Luted to titanium bases (Ti bases). Mechanical testing: Dynamic fatigue loading per ISO 14801:2007. Connectivity: Mechanical interface with Nobel Biocare implant systems (NobelReplace Tapered and Replace Select Tapered).
Indications for Use
Indicated for partially or fully edentulous patients requiring single or multiple-unit cement-retained restorations supported by Nobel Biocare dental implant systems.
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.)
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# 510(K) SUMMARY
MAR 2 9 2013
### IPS e.max Press Abutment Solutions for Nobel Biocare K124008
| Contact: | Donna Marie Hartnett |
|--------------------------|--------------------------------------------------------------------------------|
| Company: | Ivoclar Vivadent, Inc. 175 Pineview Drive, Amherst, NY 14228<br>(716) 691-0010 |
| Date Prepared: | March 7, 2013 |
| Proprietary Name: | IPS e.max Press Abutment Solutions for Nobel Biocare |
| Classification Name: | Abutment, Implant, Dental, Endosseous |
| Classification Code/Reg: | NHA / 872.3630 |
| Predicate Devices: | IPS e.max Press Abutment Solutions K120053) |
Device Description: IPS e.max Press will be used to press full ceramic pressed hybrid abutment crowns, or a customized hybrid abutment part which are luted on to recommended titanium connector abutments.
The predicate device to which IPS e.max Press Abutment Solutions for Nobel Biocare has been compared is IPS e.max Press Abutment Solutions (K120053). The materials are identical as to chemical composition, performance data and indications for use, except that the predicate device was cleared for use with certain identified Straumann dental implant systems. The subject device has been tested to provide evidence of its expanded compatibility with Nobel Biocare dental implant systems as stated in the Intended Use section below.
The comparison shows that the subject device is substantially equivalent to the predicate device.
Intended Use:
IPS e.max® Press Abutment Solutions for Nobel Biocare is intended for use in partially or fully endentuous mandibles and maxillae in support of single or multiple-unit cement retained restorations.
IPS e.max Press Abutment Solutions for Nobel Biocare is recommended for the fabrication of:
- Hybrid abutments for single-tooth restorations -
- । Hybrid abutment crowns for restorations
The following Ti bases and implant bodies are intended to be used with IPS e.max Press Abutment Solutions for Nobel Biocare.
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### 510(K) SUMMARY
#### IPS e.max Press Abutment Solutions for Nobel Biocare K124008
| Implant<br>manufacturer | Implant system, diameter | Compatible Ti base<br>(abutment), dimensions<br>gingiva height = GH<br>height = HTi |
|-------------------------|---------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------|
| Nobel Biocare | NobelReplace Tapered NP Ø 3.5mm,<br>Length 8, 10, 11.5, 13, 16 mm | Snappy Abutment 4.0<br>internal tri-channel<br>NP, RP, WP, 6.0<br>HTI 4.0 - 5.5mm<br>GH 0.5 - 1.5mm<br>(K062749) |
| Nobel Biocare | NobelReplace Tapered RP Ø 4.3mm,<br>Length 8, 10, 11.5, 13, 16 mm | |
| Nobel Biocare | NobelReplace Tapered WP Ø 5.0mm,<br>Length 8, 10, 11.5, 13, 16 mm | |
| Nobel Biocare | NobelReplace Tapered 6.0 Ø 6.0mm,<br>Length 8, 10, 11.5, 13, 16 mm | |
| Nobel Biocare | Replace Select Tapered NP Ø 3.5mm,<br>Length 8, 10, 11.5, 13, 16 mm | (K050705) |
| Nobel Biocare | Replace Select Tapered RP Ø 4.3mm,<br>Length 8, 10, 11.5, 13, 16 mm | |
| Nobel Biocare | Replace Select Tapered WP Ø 5.0mm,<br>Length 8, 10, 11.5, 13, 16 mm | |
| Nobel Biocare | Replace Select Tapered 6.0 Ø 6.0mm,<br>Length 8, 10, 11.5, 13 mm | |
| Nobel Biocare | | |
Technological Characteristics: The device design, i.e. delivery form, and intended use of IPS e.max Press Abutment Solutions for Nobel Biocare and the predicate device are the same. The composition of the subject device is identical to the predicate.
Description of the performance aspects Material Composition: Lithium disilicate glass ceramic
Mechanical Properties: Fatigue tests under dynamic loading according to ISO 14801:2007 were completed using Nobel Biocare Replace Select Tapered TiU NP implant, Ø=3,5 mm, I=11.5mm and Snappy abutment 4.0 NobelReplace NP 0.75
> IPS e.max Press can be applied as abutment on which a crown is luted (two part solution) or as abutment crown (one part solution).
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# 510(K) SUMMARY
### IPS e.max Press Abutment Solutions for Nobel Biocare K124008
Implant to Abutment Compatibility: Not applicable. The interface between implant and abutment is confirmed by the titanium sleeve. By applying the heat/press technique IPS e.max Press can be processed individually on every indicated titanium sleeve.
Not applicable – components do not consist of dissimilar metals. Corrosion Testing:
Modified Surfaces: Not applicable.
Clinical Studies: Clinical testing is not required and has not been performed.
Testing Summary: The device was tested in accordance with ISO14801:2007 for Dynamic fatigue performance applicable to endosseous implant systems and the results from testing demonstrate that IPS e.max Press Abutment Solutions for Nobel Biocare is substantially equivalent to the predicate device.
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The following Ti bases are intended to be used with IPS e.max Press Abutment Solutions for Nobel Biocare.
| Implant<br>manufacturer | Implant system, diameter | Connection<br>Platform | Compatible Ti base<br>(abutment)<br>dimensions<br>gingiva height = GH<br>height = HTi |
|-------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------|------------------------------------------------------------------------------------------------------------|
| Nobel Biocare | NobelReplace Tapered NP Ø 3.5mm, Length 8, 10, 11.5, 13, 16 mm<br>NobelReplace Tapered RP Ø 4.3mm, Length 8, 10, 11.5, 13, 16 mm<br>NobelReplace Tapered WP Ø 5.0mm, Length 8, 10, 11.5, 13, 16 mm<br>NobelReplace Tapered 6.0 Ø 6.0mm, Length 8, 10, 11.5, 13, 16 mm<br>Replace Select Tapered NP Ø 3.5mm, Length 8, 10, 11.5, 13, 16 mm<br>Replace Select Tapered RP Ø 4.3mm, Length 8, 10, 11.5, 13, 16 mm<br>Replace Select Tapered WP Ø 5.0mm, Length 8, 10, 11.5, 13, 16 mm<br>Replace Select Tapered 6.0 Ø 6.0mm, Length 8, 10, 11.5, 13 mm<br>(K050705) | Tri-Channel | Snappy Abutment 4.0 internal tri-channel NP, RP, WP, 6.0<br>HTI 4.0 - 5.5mm<br>GH 0.5 - 1.5mm<br>(K062749) |
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Image /page/4/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized depiction of an eagle or bird-like figure with three curved lines representing its wings or body. The logo is surrounded by text that reads "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in a circular arrangement.
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
March 29, 2013
Ms. Donna Marie Hartnett Director Quality Assurance / Regulatory Affairs Ivoclar Vivadent, Incorporated 175 Pineview Drive AMHERST NY 14228
Re: K124008
Trade/Device Name: IPS e.max® Press - Abutment Solutions for Nobel Biocare Regulation Number: 21 CFR 872.3630 Regulation Name: Endosseous Dental Implant Abutment Regulatory Class: II Product Code: NHA Dated: December 26, 2012 Received: December 31, 2012
Dear Ms. Hartnett:
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. Hartnett
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 (800) 638-2041 or (301) 796-7100 or at its Internet address
http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.
Kwame O.
Sincerely yours,
for
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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#### Indications for Use
510(k) Number (if known): : K124008
Device Name: IPS e.max® Press - Abutment Solutions for Nobel Biocare
Indications For Use:
IPS e.max® Press Abutment Solutions for Nobel Biocare is intended for use in partially or fully endentuous mandibles and maxillae in support of single or multiple-unit cement retained restorations.
IPS e.max Press Abutment Solutions for Nobel Biocare is recommended for the fabrication of:
- Hybrid abutments for single-tooth restorations -
- -Hybrid abutment crowns for restorations
Con't next page
Prescription Use X AND/OR (Part 21 CFR 801 Subpart D)
Over-The-Counter Use (21 CFR 807 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Sheena A. Green -S 2013.03.27 11:06:35 -04'00'
for M. Susan Runner, DDS, MA
(Division Sign-Off) (Division of Anesthesiology, General Hospital Infection Control, Dental Devices
Page 1 of 2
510(k) Number:
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The following Ti bases are intended to be used with IPS e.max Press Abutment Solutions for Nobel Biocare. .
| Implant<br>manufacturer | Implant system, diameter | Connection<br>Platform | Compatible Ti base<br>(abutment)<br>dimensions<br>gingiva height = GH<br>height = HTi |
|-------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------|------------------------------------------------------------------------------------------------------------------|
| Nobel Biocare | NobelReplace Tapered NP Ø 3.5mm,<br>Length 8, 10, 11.5, 13, 16 mm<br>NobelReplace Tapered RP Ø 4.3mm,<br>Length 8, 10, 11.5, 13, 16 mm<br>NobelReplace Tapered WP Ø<br>5.0mm, Length 8, 10, 11.5, 13, 16<br>mm<br>NobelReplace Tapered 6.0 Ø 6.0mm,<br>Length 8, 10, 11.5, 13, 16 mm<br>Replace Select Tapered NP Ø<br>3.5mm, Length 8, 10, 11.5, 13, 16<br>mm<br>Replace Select Tapered RP Ø<br>4.3mm, Length 8, 10, 11.5, 13, 16<br>mm<br>Replace Select Tapered WP Ø<br>5.0mm, Length 8, 10, 11.5, 13, 16<br>mm | Tri-Channel | Snappy Abutment 4.0<br>internal tri-channel<br>NP, RP, WP, 6.0<br>HTI 4.0 - 5.5mm<br>GH 0.5 - 1.5mm<br>(K062749) |
| | Replace Select Tapered 6.0 Ø<br>6.0mm, Length 8, 10, 11.5, 13 mm<br>(K050705) | | |
Page 2 of 2
Two short videos show you everything — or skip straight to the written tutorial if you'd rather read. You can reopen this any time from the Tutorial button in the top bar.
Part 1 — Search, results, and everyday workflows 16 min
Part 2 — Embeddings: the galaxy map 3 min
1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
Where do you find a device's intended use without opening the PDF?
Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.