510(k) Report

510(k) · Cleared

Cleared

EK D3.3 and Ultra Wide Implants

K240232510(k) TraditionalCleared Sep 13, 2024228-day reviewClass II21 CFR 872.3640

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

Hiossen, Inc. · DZE Implant, Endosseous, Root-Form

Cleared on Sep 13, 2024 as substantially equivalent to K203360 (Hiossen, Inc., 2022) after a 228-day review. Its family tree reaches back 16 generations to 1990.

Decided
Sep 13, 2024
Review
228 days
Class
Class II
Product code
DZE
Recalls
None
Predicates
1

Its longest line of descent runs back 16 generations to K894595 (1990). 259 ancestors in all, the oldest K781060 (1978). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2017: 1 other ancestor2016: 1 other ancestor2014: 3 other ancestors2015: 1 other ancestor2013: 2 other ancestors2012: 6 other ancestors2011: 7 other ancestors2010: 9 other ancestors2009: 6 other ancestors2008: 13 other ancestors2007: 13 other ancestors2006: 9 other ancestors2005: 7 other ancestors2004: 11 other ancestors2003: 16 other ancestors2002: 17 other ancestors1999: 11 other ancestors1998: 9 other ancestors1997: 8 other ancestors1995: 11 other ancestors1988: 2 other ancestors2001: 10 other ancestors2000: 6 other ancestors1996: 14 other ancestors1994: 10 other ancestors1992: 4 other ancestors1991: 2 other ancestors1986: 3 other ancestors1985: 4 other ancestors1993: 12 other ancestors1990: 6 other ancestors1989: 5 other ancestors1987: 2 other ancestors1982: 1 other ancestor1978: 1 other ancestorReference device: K140934 · Hiossen Implant System · Hiossen, Inc. · 2014Reference device: K151626 · ET III Bio-SA Fixture System · Hiossen, Inc. · 2016 · recalledReference device: K153332 · ETIII SA Fixture System (O3.2mm) · Hiossen, Inc. · 2016K894595 · Bonefit R Screw Implants · Institut Straumann AG · 1990K984104 · Iti Dental Implant System · Straumann USA · 1999 · recalledK993595 · Nobel Biocare's Modified Surface Implant (Intended for Immediate Loading Upon Placement) · Nobel Biocare Uas, Inc. · 2000K011879 · 3A Dental Implant System · Osseco Biosource, Ltd. · 2002K051576 · Avana Dental Implant System · Osstem Co., Ltd. · 2005K062051 · SS System · Osstem Implant Co., Ltd. · 2006×3: 3 generations cleared close together, K063861 (2007), K073247 (2008), K081575 (2008) K100245 · HS/HG Prosthetic System · Osstem Implant Co., Ltd. · 2010K110308 · Prosthetic System · Osstem Implant Co., Ltd. · 2011K123755 · Multi Angled Abutment · Osstem Implant Co., Ltd. · 2013K132067 · Multi Angled Abutment System · Hiossen, Inc. · 2013K160670 · ET US SS Prosthetic system · Osstem Implant Co., Ltd. · 2017K182091 · Osstem Abutment System · Osstem Implant Co., Ltd. · 2019K203360 · EK Implants and Abutments System · Hiossen, Inc. · 202219801990200020102020
Other ancestors, by generation 2 generations back: 4 other ancestors3 generations back: 15 other ancestors4 generations back: 33 other ancestors5 generations back: 52 other ancestors6 generations back: 56 other ancestors7 generations back: 38 other ancestors8 generations back: 12 other ancestors9 generations back: 4 other ancestors10 generations back: 6 other ancestors11 generations back: 3 other ancestors12 generations back: 11 other ancestors13 generations back: 8 other ancestors14 generations back: 1 other ancestor K203360 · EK Implants and Abutments System · Hiossen, Inc. · 2022K182091 · Osstem Abutment System · Osstem Implant Co., Ltd. · 2019K160670 · ET US SS Prosthetic system · Osstem Implant Co., Ltd. · 2017K132067 · Multi Angled Abutment System · Hiossen, Inc. · 2013K123755 · Multi Angled Abutment · Osstem Implant Co., Ltd. · 2013K110308 · Prosthetic System · Osstem Implant Co., Ltd. · 2011K100245 · HS/HG Prosthetic System · Osstem Implant Co., Ltd. · 2010K081575 · HU/HS/HG Prosthetic System · Osstem Implant Co., Ltd. · 2008K073247 · US/SS/GS System · Osstem Implant Co., Ltd. · 2008K063861 · GS System · Osstem Implant Co., Ltd. · 2007K062051 · SS System · Osstem Implant Co., Ltd. · 2006K051576 · Avana Dental Implant System · Osstem Co., Ltd. · 2005K011879 · 3A Dental Implant System · Osseco Biosource, Ltd. · 2002K993595 · Nobel Biocare's Modified Surface Implant (Intended for Immediate Loading Upon Placement) · Nobel Biocare Uas, Inc. · 2000K984104 · Iti Dental Implant System · Straumann USA · 1999 · recalledK894595 · Bonefit R Screw Implants · Institut Straumann AG · 1990−15−10−50
  1. Root · 16 generations backK894595 Bonefit R Screw ImplantsInstitut Straumann AG · 1990
  2. 12 generations between
  3. 3 generations backK160670 ET US SS Prosthetic systemOsstem Implant Co., Ltd. · 2017
  4. 2 generations backK182091 Osstem Abutment SystemOsstem Implant Co., Ltd. · 2019
  5. 1 generation backK203360 EK Implants and Abutments SystemHiossen, Inc. · 2022
  6. This deviceK240232 EK D3.3 and Ultra Wide ImplantsHiossen, Inc. · 2024
Show all 16 generations
  1. Root · 16 generations backK894595 Bonefit R Screw ImplantsInstitut Straumann AG · 1990
  2. 15 generations backK984104 Iti Dental Implant SystemStraumann USA · 1999 · Recalled
  3. 14 generations backK993595 Nobel Biocare's Modified Surface Implant (Intended for Immediate…Nobel Biocare Uas, Inc. · 2000
  4. 13 generations backK011879 3A Dental Implant SystemOsseco Biosource, Ltd. · 2002
  5. 12 generations backK051576 Avana Dental Implant SystemOsstem Co., Ltd. · 2005
  6. 11 generations backK062051 SS SystemOsstem Implant Co., Ltd. · 2006
  7. 10 generations backK063861 GS SystemOsstem Implant Co., Ltd. · 2007
  8. 9 generations backK073247 US/SS/GS SystemOsstem Implant Co., Ltd. · 2008
  9. 8 generations backK081575 HU/HS/HG Prosthetic SystemOsstem Implant Co., Ltd. · 2008
  10. 7 generations backK100245 HS/HG Prosthetic SystemOsstem Implant Co., Ltd. · 2010
  11. 6 generations backK110308 Prosthetic SystemOsstem Implant Co., Ltd. · 2011
  12. 5 generations backK123755 Multi Angled AbutmentOsstem Implant Co., Ltd. · 2013
  13. 4 generations backK132067 Multi Angled Abutment SystemHiossen, Inc. · 2013
  14. 3 generations backK160670 ET US SS Prosthetic systemOsstem Implant Co., Ltd. · 2017
  15. 2 generations backK182091 Osstem Abutment SystemOsstem Implant Co., Ltd. · 2019
  16. 1 generation backK203360 EK Implants and Abutments SystemHiossen, Inc. · 2022
  17. This deviceK240232 EK D3.3 and Ultra Wide ImplantsHiossen, Inc. · 2024
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−16K894595Bonefit R Screw ImplantsInstitut Straumann AG1990—
−15K984104Iti Dental Implant SystemStraumann USA19991
−14K993595Nobel Biocare's Modified Surface Implant (Intended for Immediate Loading Upon…Nobel Biocare Uas, Inc.2000—
−13K0118793A Dental Implant SystemOsseco Biosource, Ltd.2002—
−12K051576Avana Dental Implant SystemOsstem Co., Ltd.2005—
−11K062051SS SystemOsstem Implant Co., Ltd.2006—
−10K063861GS SystemOsstem Implant Co., Ltd.2007—
−9K073247US/SS/GS SystemOsstem Implant Co., Ltd.2008—
−8K081575HU/HS/HG Prosthetic SystemOsstem Implant Co., Ltd.2008—
−7K100245HS/HG Prosthetic SystemOsstem Implant Co., Ltd.2010—
−6K110308Prosthetic SystemOsstem Implant Co., Ltd.2011—
−5K123755Multi Angled AbutmentOsstem Implant Co., Ltd.2013—
−4K132067Multi Angled Abutment SystemHiossen, Inc.2013—
−3K160670ET US SS Prosthetic systemOsstem Implant Co., Ltd.2017—
−2K182091Osstem Abutment SystemOsstem Implant Co., Ltd.2019—
−1K203360EK Implants and Abutments SystemHiossen, Inc.2022—
0 (this device)K240232EK D3.3 and Ultra Wide ImplantsHiossen, Inc.2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197810
198210
198540
198630
198720
198820
198950
199060
199120
199240
1993120
1994100
1995110
1996140
199780
199890
1999110
200060
2001100
2002170
2003160
2004110
200570
200690
2007130
2008130
200960
201090
201170
201260
201320
201430
201510
201610
201710
FIG. 1 — Lineage of K240232, 1990–2024Source: 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 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. #1 K211090 ZENEX Implant Systemscore 25.4 · 15 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
*K203360EK Implants and Abutments System
Summary page 5
…evices: Primary 510(k) Manufacturer(s) EK Dental Implants and Abutments System K203360 Hiossen, Inc. Reference 510(k) Manufacturer(s) Hioss…
Hiossen, Inc.2022—
†K140934Hiossen Implant SystemHiossen, Inc.2014—
†K151626ET III Bio-SA Fixture SystemHiossen, Inc.20161
†K153332ETIII SA Fixture System (O3.2mm)Hiossen, Inc.2016—

Also cleared against K203360: 4 other devices →

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 34 years and passes through 7 companies; a new generation was cleared every 2.0 years on median.
  • 27 of the 259 ancestors have a recall of any class.
  • 4 other devices also cite its predicate K203360.

How does its category compare?

All DZE devices

DZE 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

2007: 432008: 612009: 412010: 342011: 262012: 392013: 422014: 362015: 362016: 402017: 482018: 412019: 312020: 412021: 342022: 342023: 352024: 402025: 312026 (partial year): 15
2007high 61 (2008) · low 26 (2011)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · DZE

184in 2025

2007: 107 days median2008: 118 days median2009: 110 days median2010: 162 days median2011: 194 days median2012: 174 days median2013: 195 days median2014: 265 days median2015: 215 days median2016: 219 days median2017: 223 days median2018: 200 days median2019: 231 days median2020: 230 days median2021: 182 days median2022: 243 days median2023: 248 days median2024: 222 days median2025: 184 days median2026 (partial year): 194 days median
2007high 265 (2014) · low 107 (2007)2026

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

Recalls per year · DZE

1in 2025

2007: 112008: 42009: 32010: 32012: 112013: 12014: 72015: 32016: 152017: 42018: 42019: 82021: 62024: 12025: 12026 (partial year): 2
2007high 15 (2016) · low 0 (2011)2026

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

Adverse event reports per year · DZE

465,788in 2025

2007: 2252008: 3932009: 1642010: 3602011: 3622012: 3582013: 3912014: 1,1242015: 2,8942016: 1,1162017: 9,7192018: 12,8922019: 167,0162020: 255,5242021: 479,6182022: 483,2242023: 537,5852024: 473,6292025: 465,788
2007high 537,585 (2023) · low 164 (2009)2025

MAUDE reports naming product code DZE, 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
20074310711225
2008611184393
2009411103164
2010341623360
2011261940362
20123917411358
2013421951391
20143626571,124
20153621532,894
201640219151,116
20174822349,719
201841200412,892
2019312318167,016
2020412300255,524
2021341826479,618
2022342430483,224
2023352480537,585
2024402221473,629
2025311841465,788
2026151942—

What is it indicated for?

The EK Dental Implants are indicated for use in partially or fully edentulous mandibles and maxillae, in support of single or multiple-unit restorations including; cemented, screw or overdenture restorations, and final or temporary abutment support for fixed bridgework. It is indicated for delayed loading. Ultra wide versions are indicated for use in the molar region only. The EK Dental Implants (03.5mm & 03.3mm) are made of titanium alloy (Ti 6Al 4V)…

Read the full statement (131 words)

The EK Dental Implants are indicated for use in partially or fully edentulous mandibles and maxillae,

in support of single or multiple-unit restorations including; cemented, screw or overdenture

restorations, and final or temporary abutment support for fixed bridgework. It is indicated for delayed

loading. Ultra wide versions are indicated for use in the molar region only.

The EK Dental Implants (03.5mm & 03.3mm) are made of titanium alloy (Ti 6Al 4V) for Fixtures and

Simple Mount and pure titanium for Cover Screw. The EK Dental Implants (03.5mm & 03.3mm) are

indicated for use in mandibular and maxillary lateral and central incisor, in support of single or

multiple-unit restorations including; cemented retained, screw retained, or overdenture restorations,

and final or temporary abutment support for fixed bridgework. It is intended for delayed loading.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K240232: EK D3.3 and Ultra Wide Implants.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 3, 2026. https://510kreport.com/device/K240232

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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