510(k) Report

510(k) · Cleared

Cleared

Custom Legacy and Custom InterActive Titanium Abutments

K192218510(k) TraditionalCleared May 8, 2020267-day reviewClass II21 CFR 872.3630

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Implant Direct Sybron Manufacturing, LLC · NHA Abutment, Implant, Dental, Endosseous

Cleared on May 8, 2020 as substantially equivalent to K060063 (Implant Direct, LLC, 2006) after a 267-day review. Its family tree reaches back 2 generations to 2001.

Decided
May 8, 2020
Review
267 days
Class
Class II
Product code
NHA
Recalls
None
Predicates
1

Its longest line of descent runs back 2 generations to K011028 (2001). No later device cites it as a predicate yet.

  1. Root · 2 generations backK011028 Screw-Vent Dental Implant SystemSulzer Dental, Inc. · 2001 · Recalled
  2. 1 generation backK060063 Legacy Abutment SystemImplant Direct, LLC · 2006
  3. This deviceK192218 Custom Legacy and Custom InterActive Titanium AbutmentsImplant Direct Sybron Manufacturing, LLC · 2020
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K011028Screw-Vent Dental Implant SystemSulzer Dental, Inc.20012
−1K060063Legacy Abutment SystemImplant Direct, LLC2006—
0 (this device)K192218Custom Legacy and Custom InterActive Titanium AbutmentsImplant Direct Sybron Manufacturing, LLC2020—
FIG. 1 — Lineage of K192218, 2001–2020Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in NHA? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new NHA device

  1. #1 K222288 DESS Dental Smart Solutionsscore 30.6 · 19 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
Get a 510(k) Report

What was it cleared against? (1)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K060063Legacy Abutment System
Summary page 4
…Class II Product Code: NHA Predicate Device: Implant Direct Sybron Manufacturing, LLC’s Legacy Abutment System (K060063) Reference Devices: Implant Direct Sybron Manufacturing, LLC’s InterActive/SwishPlus2 Implant System (K130572) 3Shape A/S’s…
Implant Direct, LLC2006—
†K130572Interactive/ SWISHPLUS2 Implant SystemImplant Direct Sybron Manufacturing, LLC20134
†K1514553Shape Abutment Designer Software3Shape A/S2016—
†K181359InterActive SMARTBase AbutmentsImplant Direct Sybron Manufacturing, LLC2018—

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 19 years and passes through 3 companies; a new generation was cleared every 14.0 years on median.
  • 1 of the 2 ancestors has a recall of any class.

How does its category compare?

All NHA devices

NHA Abutment, Implant, Dental, Endosseous: FDA decisions, review times, recalls and adverse event reports over 20 years. 2020, this device’s year, is highlighted.

FDA decisions per year · NHA

40in 2025

2007: 382008: 312009: 302010: 192011: 312012: 252013: 222014: 272015: 292016: 382017: 312018: 312019: 282020: 382021: 292022: 332023: 512024: 432025: 402026 (partial year): 23
2007high 51 (2023) · low 19 (2010)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NHA

147in 2025

2007: 91 days median2008: 90 days median2009: 95 days median2010: 162 days median2011: 130 days median2012: 171 days median2013: 184 days median2014: 160 days median2015: 151 days median2016: 202 days median2017: 188 days median2018: 200 days median2019: 160 days median2020: 153 days median2021: 211 days median2022: 142 days median2023: 147 days median2024: 158 days median2025: 147 days median2026 (partial year): 169 days median
2007high 211 (2021) · low 90 (2008)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · NHA

1in 2025

2007: 12008: 22011: 52012: 12013: 12015: 12016: 362017: 22018: 12020: 72023: 32025: 12026 (partial year): 3
2007high 36 (2016) · low 0 (2009)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · NHA

838in 2025

2007: 12008: 82009: 302010: 612011: 562012: 52013: 1432014: 1462015: 8582016: 3142017: 5772018: 5912019: 5302020: 4582021: 5462022: 4972023: 6182024: 6352025: 838
2007high 858 (2015) · low 1 (2007)2025

MAUDE reports naming product code NHA, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
2007389111
2008319028
20093095030
201019162061
201131130556
20122517115
2013221841143
2014271600146
2015291511858
20163820236314
2017311882577
2018312001591
2019281600530
2020381537458
2021292110546
2022331420497
2023511473618
2024431580635
2025401471838
2026231693—

What is it indicated for?

Custom Titanium Abutments are customizable devices intended for use with dental implants in the maxillary and/or mandibular arches to provide support for crowns or bridges for edentulous or partially edentulous patients. • Custom Titanium Abutment for narrow (3.2mmD, 3.3mmD) implants: Indicated for single-tooth replacement of mandibular central and lateral incisors and maxillary lateral incisors. Also indicated for multiple tooth replacements. • Custom…

Read the full statement (183 words)

Custom Titanium Abutments are customizable devices intended for use with dental implants in the maxillary and/or mandibular arches to provide support for crowns or bridges for edentulous or partially edentulous patients.

• Custom Titanium Abutment for narrow (3.2mmD, 3.3mmD) implants: Indicated for single-tooth replacement of mandibular central and lateral incisors and maxillary lateral incisors. Also indicated for multiple tooth replacements.

• Custom Titanium Abutment for short (8mm) 3.7mmD implants: Indicated for tooth replacement of mandibular and maxillary central and lateral incisors.

Custom Legacy Titanium Abutments are compatible at the implant-level with Legacy1, Legacy2, Legacy3, Legacy4, simplyLegacy2 and simplyLegacy3 implants, excluding 6mm length implants.

Implant Line Body Diameter Platform Diameter Implant Length

Legacy1 3.7mm, 4.2mm, 4.7mm, 5.7mm 3.5mm, 4.5mm, 8mm to 16mm

5.7mm

Legacy2, Legacy3, Legacy4, 3.2mm, 3.7mm, 4.2mm, 3.0mm, 3.5mm,

simplyLegacy2, simplyLegacy3 4.7mm, 5.2mm, 5.7mm, 7.0mm 4.5mm, 5.7mm

Custom InterActive Titanium Abutments are compatible at the implant-level with InterActive, SimplyInterActive and SwishActive implants, excluding 6mm length implants.

Implant Line Body Diameter Platform Diameter Implant Length

InterActive, simplyInterActive 3.2mm, 3.7mm, 4.3mm, 5.0mm 3.0mm, 3.4mm 8mm to16mm

SwishActive 3.3mm, 4.1mm, 4.8mm 3.0mm, 3.4mm 8mm to16mm

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K192218: Custom Legacy and Custom InterActive Titanium Abutments.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K192218

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026