AIGIS-A
Device Facts
| Record ID | K024140 |
|---|---|
| Device Name | AIGIS-A |
| Applicant | Sb Lucius, Inc. |
| Product Code | EJT · Dental |
| Decision Date | Mar 6, 2003 |
| Decision | SESE |
| Submission Type | Traditional |
| Regulation | 21 CFR 872.3060 |
| Device Class | Class 2 |
| Attributes | Therapeutic |
Intended Use
AIGIS-A is intended for manufacturing Inlay / Onlays - Crowns - Short span bridges - Long span bridges - Removable partials -
Device Story
AIGIS-A is a 48% gold-based dental casting alloy used by dental laboratories to fabricate dental restorations. The alloy is melted and cast to form inlays, onlays, crowns, and bridges. It serves as a restorative material for patients requiring dental prosthetics. The device is intended for professional use by dental technicians and clinicians to restore tooth structure and function.
Clinical Evidence
Bench testing only. Physical and mechanical properties (melting point, hardness, yield strength, elongation, density) were compared to the predicate device. Testing followed ANSI/ADA 5 and ISO 9693 standards.
Technological Characteristics
Gold-based dental casting alloy (48% gold). Physical properties: Melting range 1,737-1,795°F, Vickers hardness 171, yield strength 245 MPa, elongation 24%, density 13.1 g/cm3. Tested per ANSI/ADA 5 and ISO 9693.
Indications for Use
Indicated for the fabrication of dental restorations including inlays, onlays, crowns, short-span bridges, long-span bridges, and removable partials.
Regulatory Classification
Identification
A noble metal alloy is a device composed primarily of noble metals, such as gold, palladium, platinum, or silver, that is intended for use in the fabrication of cast or porcelain-fused-to-metal crown and bridge restorations.
Special Controls
*Classification.* Class II (special controls). The special control for these devices is FDA's “Class II Special Controls Guidance Document: Dental Noble Metal Alloys.” The devices are exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 872.9. See § 872.1(e) for availability of guidance information.
Predicate Devices
- JENSEN'S JMC (K024140)
Related Devices
- K024143 — AIGIS-FINE · Sb Lucius, Inc. · Mar 10, 2003
- K024135 — AIGIS-PLUS · Sb Lucius, Inc. · Mar 10, 2003
- K024136 — AIGIS-SOFT · Sb Lucius, Inc. · Mar 10, 2003
- K024142 — AIGIS-SUPER · Sb Lucius, Inc. · Mar 10, 2003
- K024144 — AIGIS-PT · Sb Lucius, Inc. · Mar 7, 2003
Submission Summary (Full Text)
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K024140
### MAR 0 6 2003
#### 510(K) SUMMARY
SB LUCIUS, INC. Submitter of 510(k): 9778 Katella Ave. Ste. 205, Anaheim, CA 92804 Phone: (714) 530-2814, Fax : (714) 530-3448,
| Contact person: | Dae Kyu Chang |
|-----------------|---------------------|
| Phone: | (714) 530-2814 |
| Fax: | (714) 530-3448 |
| E-mail: | Gatorkr@yahoo.co.kr |
Dec 15, 2002 Date of Summary:
| Trade name: | AIGIS-A |
|----------------------|-----------------------------------------------------------------|
| Common: | Dental casting alloy |
| Classification name: | Gold based alloys and precious metal alloys for<br>clinical use |
| Product code: | EJT |
| Classification: | Class II |
Legally marketed device: JENSEN'S JMC 510(k) number:
#### SLMMARY OF THE TECHNOLOGICAL CHARACTERISTICS
Test methods applied: as in ANSI/ADA 5 and ISO 9693
#### Comparison of composition:
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#### COMPOSITION (WEIGHT %)
#### Comparison of physical and mechanical properties:
| Alloy | Melting Point Range (°F) | Hardness (Vickers) | Yield Strength (MPa) | Elongation (%) | Density (g/cm3) |
|---------|--------------------------|--------------------|----------------------|----------------|-----------------|
| JMC | 1,645-1,810 | 170 | 324 | 22 | 12.9 |
| AIGIS-A | 1,737-1,795 | 171 | 245 | 24 | 13.1 |
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#### Discu:ssion:
Since the composition of the legally marketed alloy and the new device is very similar, it may be assumed that the biological compatibility of the alloys is also very similar.
#### Conclusion:
The main elements and their concentration are almost identical. AIGIS-A is an inlay, onlay, crown and bridge alloy. This device is dependable 48% gold alloy with a high gold appearance. AIGIS-A is excellent for inlays, threequarter crowns, long and short-span bridges. AIGIS-A is substantially equivalent to JENSEN'S JMC and the minor differences between them do not affect safety or effectiveness.
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Image /page/2/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized caduceus symbol, which is a staff with two snakes coiled around it. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the caduceus symbol.
MAR 0 6 2003
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
Mr. Dae-Kyu Chang SB LUCIUS, Incorporated 9778 Katella Avenue, Suite 205 Anaheim, California 92804
Re: K024140 Trade/Device Name: AIGIS-A Regulation Number: 872.3060 Regulation Name: Gold-based Alloys and Precious Metal Alloys for Clinical Use Regulatory Class: II Product Code: EJT Dated: December 15, 2003 Received: December 16, 2003
Dear Mr. Chang
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 f 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.
If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such 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 - Mr. Chang
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); 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.
This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.
If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of Compliance at (301) 594-4613. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). 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) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html
Sincerely yours,
Susan Runner
Susan Runner, DDS, MA Interim Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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SB LUCIUS.INC 9778 Katella Ave. Ste. 205, Anaheim, CA 92804
Phone: (714) 530-2814. Fax : (714) 530-3448,
## INDICATIONS FOR USE
# 510(K) Number : _____________________________________________________________________________________________________________________________________________________________
## Device Name(s) : AIGIS-A
AIGIS-A is intended for manufacturing
- Inlay / Onlays -
- Crowns -
- Short span bridges -
- Long span bridges -
- Removable partials -
(PLEASE DO NOT WRITE BELOW THIS LINE CONTINUE ON ANOTHER PAGE IF NEEDED)
www.nammw.commune.communi.com===============================================================================================================================================
CONCURRENCE OF CHRD,OFFICE OF DEVICE EVALUATION(OED)
Susan Timonen
Division Sian-Off ion of Anesthesiology. General Ho
510(k) Number. K 024140
