510(k) · Cleared
ClearedExternal Hex Implant System
Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly
Southern Implants (Pty), Ltd. · DZE Implant, Endosseous, Root-Form
Cleared on Apr 1, 2024 as substantially equivalent to K163634 (Southern Implants (Pty), Ltd., 2017) and 3 other predicates after a 208-day review. Its family tree reaches back 14 generations to 1993.
- Decided
- Apr 1, 2024
- Review
- 208 days
- Class
- Class II
- Product code
- DZE
- Recalls
- None
- Predicates
- 4
Its longest line of descent runs back 14 generations to K925765 (1993). 221 ancestors in all, the oldest K781060 (1978). No later device cites it as a predicate yet.
- Root · 14 generations backK925765 Branemark System Standard 3.75MM FixtureNobelpharma USA, Inc. · 1993
- 10 generations between
- 3 generations backK111216 Osseotite 2 Dental ImplantsBiomet 3i, Inc. · 2011
- 2 generations backK133049 3I T3(R) External Hex Dental ImplantsBiomet 3i · 2014
- 1 generation backK163634 External Hex ImplantsSouthern Implants (Pty), Ltd. · 2017 · Recalled
- This deviceK232726 External Hex Implant SystemSouthern Implants (Pty), Ltd. · 2024
Show all 14 generations
- Root · 14 generations backK925765 Branemark System Standard 3.75MM FixtureNobelpharma USA, Inc. · 1993
- 13 generations backK994376 Frialit-2 3.4MM Steeped Cylinder Implant with Frios TPS Coating…Friadent GmbH · 2000
- 12 generations backK014235 Osseotite NT Dental Implants & AccessoriesImplant Innovations, Inc. · 2002
- 11 generations backK022009 3I Implants; Osseotite Dental Implants; Osseotite NT Dental ImplantsImplant Innovations, Inc. · 2002
- 10 generations backK031475 Osseotite NT Certain ImplantsImplant Innovations, Inc. · 2003
- 9 generations backK041402 Modification to Osseotite NT Certain ImplantsImplant Innovations, Inc. · 2004
- 8 generations backK051189 Prevail Dental ImplantsImplant Innovations, Inc. · 2005
- 7 generations backK051461 3I Osseotite Dental ImplantsImplant Innovations, Inc. · 2005
- 6 generations backK062432 Nanotite Dental ImplantsImplant Innovations, Inc. · 2007
- 5 generations backK062636 Osseotite, Osseotite NY, Certain, Certain NT, Prevail, Certain…Implant Innovations, Inc. · 2007
- 4 generations backK100724 Osseotite II Model XifossxxxBiomet 3i, Inc. · 2011 · Recalled
- 3 generations backK111216 Osseotite 2 Dental ImplantsBiomet 3i, Inc. · 2011
- 2 generations backK133049 3I T3(R) External Hex Dental ImplantsBiomet 3i · 2014
- 1 generation backK163634 External Hex ImplantsSouthern Implants (Pty), Ltd. · 2017 · Recalled
- This deviceK232726 External Hex Implant SystemSouthern Implants (Pty), Ltd. · 2024
View FIG. 1 as a table
Line of descent and top descendants
| Generation | Number | Device | Applicant | Decided | Recalls |
|---|---|---|---|---|---|
| −14 | K925765 | Branemark System Standard 3.75MM Fixture | Nobelpharma USA, Inc. | 1993 | — |
| −13 | K994376 | Frialit-2 3.4MM Steeped Cylinder Implant with Frios TPS Coating; Frialit-2… | Friadent GmbH | 2000 | — |
| −12 | K014235 | Osseotite NT Dental Implants & Accessories | Implant Innovations, Inc. | 2002 | — |
| −11 | K022009 | 3I Implants; Osseotite Dental Implants; Osseotite NT Dental Implants | Implant Innovations, Inc. | 2002 | — |
| −10 | K031475 | Osseotite NT Certain Implants | Implant Innovations, Inc. | 2003 | — |
| −9 | K041402 | Modification to Osseotite NT Certain Implants | Implant Innovations, Inc. | 2004 | — |
| −8 | K051189 | Prevail Dental Implants | Implant Innovations, Inc. | 2005 | — |
| −7 | K051461 | 3I Osseotite Dental Implants | Implant Innovations, Inc. | 2005 | — |
| −6 | K062432 | Nanotite Dental Implants | Implant Innovations, Inc. | 2007 | — |
| −5 | K062636 | Osseotite, Osseotite NY, Certain, Certain NT, Prevail, Certain Prevail, XP… | Implant Innovations, Inc. | 2007 | — |
| −4 | K100724 | Osseotite II Model Xifossxxx | Biomet 3i, Inc. | 2011 | 5 |
| −3 | K111216 | Osseotite 2 Dental Implants | Biomet 3i, Inc. | 2011 | — |
| −2 | K133049 | 3I T3(R) External Hex Dental Implants | Biomet 3i | 2014 | — |
| −1 | K163634 | External Hex Implants | Southern Implants (Pty), Ltd. | 2017 | 1 |
| 0 (this device) | K232726 | External Hex Implant System | Southern Implants (Pty), Ltd. | 2024 | — |
Other ancestors by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 1978 | 1 | 0 |
| 1982 | 1 | 0 |
| 1985 | 1 | 0 |
| 1986 | 2 | 0 |
| 1987 | 2 | 0 |
| 1988 | 1 | 0 |
| 1989 | 5 | 0 |
| 1990 | 8 | 0 |
| 1991 | 2 | 0 |
| 1992 | 4 | 0 |
| 1993 | 15 | 0 |
| 1994 | 11 | 0 |
| 1995 | 15 | 0 |
| 1996 | 14 | 0 |
| 1997 | 8 | 0 |
| 1998 | 7 | 0 |
| 1999 | 8 | 0 |
| 2000 | 3 | 0 |
| 2001 | 10 | 0 |
| 2002 | 14 | 0 |
| 2003 | 10 | 0 |
| 2004 | 9 | 0 |
| 2005 | 6 | 0 |
| 2006 | 7 | 0 |
| 2007 | 10 | 0 |
| 2008 | 6 | 0 |
| 2009 | 5 | 0 |
| 2010 | 6 | 0 |
| 2011 | 7 | 0 |
| 2012 | 3 | 0 |
| 2013 | 1 | 0 |
| 2015 | 1 | 0 |
| 2016 | 2 | 0 |
| 2019 | 1 | 0 |
| 2022 | 1 | 0 |
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 DZE? 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 DZE device
- #1 K211090 ZENEX Implant Systemscore 25.4 · 15 generations · no Class I recall
- #2 Held for the reportin the report
- #3 Held for the reportin the report
What was it cleared against? (4)
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.
| Type | Number | Device | Decided |
|---|---|---|---|
| * | K163634 | External Hex ImplantsSummary page 6…Dental Products Panel Reviewing Branch Dental Devices Branch PREDICATE DEVICE INFORMATION Primary predicate devices: K163634, External Hex Implants, Southern Implants (Pty) Ltd. Reference devices: K212785, Blue Sky Bio Implant System, Blue Sky Bio, LL… | 2017 |
| * | K160119 | NobelSpeedy GroovySummary page 6…Primary predicate devices: K163634, External Hex Implants, Southern Implants (Pty) Ltd. Reference devices: K212785, Blue Sky Bio Implant System, Blue Sky Bio, LLC. K160119, NobelSpeedy Groovy, Nobel Biocare AB K050406, NobelSpeedy Implants, Nobel Biocare AB K222457, Provata Implant System, Southern… | 2016 |
| * | K212785 | Blue Sky Bio Multi One Implant System, Blue Sky Bio Long Implant System, Blue Sky Bio…Summary page 6…Dental Devices Branch PREDICATE DEVICE INFORMATION Primary predicate devices: K163634, External Hex Implants, Southern Implants (Pty) Ltd. Reference devices: K212785, Blue Sky Bio Implant System, Blue Sky Bio, LLC. K160119, NobelSpeedy Groovy, Nobel Biocare AB K050406, NobelSpeedy Implants, N… | 2022 |
| * | K050406 | Nobelspeedy ImplantsSummary page 6…Hex Implants, Southern Implants (Pty) Ltd. Reference devices: K212785, Blue Sky Bio Implant System, Blue Sky Bio, LLC. K160119, NobelSpeedy Groovy, Nobel Biocare AB K050406, NobelSpeedy Implants, Nobel Biocare AB K222457, Provata Implant System, Southern Implants (Pty) Ltd. INDICATIONS FOR USE STAT… | 2005 |
| † | K222457 | Provata Implant System | 2023 |
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 31 years and passes through 6 companies; a new generation was cleared every 1.4 years on median.
- 26 of the 221 ancestors have a recall of any class.
- 7 other devices also cite its predicate K163634.
How does its category compare?
All DZE devicesDZE Implant, Endosseous, Root-Form: FDA decisions, review times, recalls and adverse event reports over 20 years. 2024, this device’s year, is highlighted.
FDA decisions per year · DZE
31in 2025
2026 to Oct 25, outlined.
Median 510(k) review, days · DZE
184in 2025
Receipt to decision; years with fewer than 3 clearances left blank.
Recalls per year · DZE
1in 2025
Class I (0 since 2007) Class II/III not classified
Adverse event reports per year · DZE
465,788in 2025
MAUDE reports naming product code DZE, not matched to any one device; reports are not rates.
View these four charts as a table
| Year | Decisions | Median 510(k) review, days | Recalls (Class I) | MAUDE reports |
|---|---|---|---|---|
| 2007 | 43 | 107 | 11 | 225 |
| 2008 | 61 | 118 | 4 | 393 |
| 2009 | 41 | 110 | 3 | 164 |
| 2010 | 34 | 162 | 3 | 360 |
| 2011 | 26 | 194 | 0 | 362 |
| 2012 | 39 | 174 | 11 | 358 |
| 2013 | 42 | 195 | 1 | 391 |
| 2014 | 36 | 265 | 7 | 1,124 |
| 2015 | 36 | 215 | 3 | 2,894 |
| 2016 | 40 | 219 | 15 | 1,116 |
| 2017 | 48 | 223 | 4 | 9,719 |
| 2018 | 41 | 200 | 4 | 12,892 |
| 2019 | 31 | 231 | 8 | 167,016 |
| 2020 | 41 | 230 | 0 | 255,524 |
| 2021 | 34 | 182 | 6 | 479,618 |
| 2022 | 34 | 243 | 0 | 483,224 |
| 2023 | 35 | 248 | 0 | 537,585 |
| 2024 | 40 | 222 | 1 | 473,629 |
| 2025 | 31 | 184 | 1 | 465,788 |
| 2026 | 15 | 194 | 2 | — |
What is it indicated for?
For Standard Length IBR36d Implant Range: Southern Implants’ External Hex Implants are intended for surgical placement in the upper or lower jaw to provide a means for prosthetic attachment of crowns, bridges or overdentures utilizing delayed or immediate loading. Southern Implants’ External Hex Implants are intended for immediate function when good primary stability with appropriate occlusal loading is achieved. When using Southern Implants' Standard…
Read the full statement (369 words)
For Standard Length IBR36d Implant Range:
Southern Implants’ External Hex Implants are intended for surgical placement in the upper or lower jaw to provide a means for prosthetic attachment of crowns, bridges or overdentures utilizing delayed or immediate loading. Southern Implants’ External Hex Implants are intended for immediate function when good primary stability with appropriate occlusal loading is achieved. When using Southern Implants' Standard Length IBR36D Implants with angulation of 36° a minimum of 4 implants must be used and splinted
The angled Co-Axis External Hex Implants are intended to be used with straight multiple-unit abutments (Compact Conical abutments) only with no additional angulation allowable on the restoration.
For Extra Length IBR36d Implant Range:
Southern Implants’ External Hex Implants are intended for surgical placement in the upper or lower jaw to provide a means for prosthetic attachment of crowns, bridges or overdentures utilizing delayed or immediate loading. Southern Implants’ External Hex Implants are intended for immediate function when good primary stability with appropriate occlusal loading is achieved.
Extra Length IBR36d Implants can be placed bicortically in cases of reduced bone density. Extra Length IBR36d Implants are only indicated for multiple unit restorations in splinted applications that utilize at least two implants. Extra Length IBR36d Implants are indicated for surgical installation in the pterygoid region only, in cases of severe jaw resorption, in order to restore patient esthetics and chewing function.
The angled Co-Axis External Hex Implants are intended to be used with straight multiple-unit abutments (Compact Conical abutments) only with no additional angulation allowable on the restoration.
For Extra Length IBR24d Implant Range:
Southern Implants’ External Hex Implants are intended for surgical placement in the upper jaw to provide a means for prosthetic attachment of crowns, bridges or overdentures utilizing delayed or immediate loading. Southern Implants’ External Hex Implants are intended for immediate function when good primary stability with appropriate occlusal loading is achieved.
Southern Implants’ Extra Length IBR24d Implant Range when placed in the maxilla are only indicated for multiple unit restorations in splinted applications that utilize at least two implants.
The angled Co-Axis External Hex Implants are intended to be used with straight multiple-unit abutments (Compact Conical abutments) only with no additional angulation allowable on the restoration.
Indications for use as stated in the FDA summary.
https://510kreport.com/device/K232726 · printed Nov 6, 2026
Cite this page
510(k) Report. “K232726: External Hex Implant System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K232726
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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