K Number
K012308
Device Name
KAVO QUATTROCARE
Manufacturer
Date Cleared
2002-06-26

(338 days)

Product Code
Regulation Number
872.4200
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
KaVo QUATTROcare is intended for internal cleaning, i.e., purging of old lubricant, for the maintenance of rotating dental and surgical instruments. NOTE: QUATTROcare should be used with only pre-cleaned dental handpieces and before they are sterilized.
Device Description
The KaVo QUATTROcare is an aerosol product with hydrocarbon propellants and lubricant and flavor/odor ingredients for use in the routine maintenance (cleaning and lubrication) of dental handpieces prior to their sterilization.
More Information

Not Found

Not Found

No
The device description and intended use clearly indicate a chemical-based cleaning and lubrication process for dental instruments, with no mention of AI or ML technologies. The summary also explicitly states "Not Found" for mentions of AI, DNN, or ML.

No
The device is described as an aerosol product for cleaning and lubricating dental handpieces, not for treating any medical condition or anatomical site on a patient. It is used for maintenance of instruments before sterilization.

No
Explanation: The device is an aerosol product intended for cleaning and lubricating dental instruments, not for diagnosing medical conditions.

No

The device description explicitly states it is an "aerosol product with hydrocarbon propellants and lubricant and flavor/odor ingredients," indicating it is a physical product, not software.

Based on the provided information, the KaVo QUATTROcare is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use is for the internal cleaning and maintenance of dental and surgical instruments. This is a process performed on the instruments themselves, not on biological samples from a patient.
  • Device Description: The device is an aerosol product for cleaning and lubrication of instruments. It does not involve analyzing biological samples.
  • Lack of IVD Characteristics: The description does not mention any analysis of biological specimens (blood, urine, tissue, etc.), diagnostic purposes, or providing information about a patient's health status.

IVD devices are specifically designed to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. The KaVo QUATTROcare does not fit this definition.

N/A

Intended Use / Indications for Use

KaVo QUATTROcare is intended for internal cleaning, i.e., purging of old lubricant, for the maintenance of rotating dental and surgical instruments. NOTE: QUATTROcare should be used only with pre-cleaned dental handpieces and before they are sterilized.

Product codes

EFB

Device Description

The KaVo QUATTROcare is an aerosol product with hydrocarbon propellants and lubricant and flavor/odor ingredients for use in the routine maintenance (cleaning and lubrication) of dental handpieces prior to their sterilization.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

licensed professionals

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

The claim of substantial equivalence is based on comparisons of formulations and intended uses of the QUATTROcare and its claimed predicate.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

KaVo Spray

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.4200 Dental handpiece and accessories.

(a)
Identification. A dental handpiece and accessories is an AC-powered, water-powered, air-powered, or belt-driven, hand-held device that may include a foot controller for regulation of speed and direction of rotation or a contra-angle attachment for difficult to reach areas intended to prepare dental cavities for restorations, such as fillings, and for cleaning teeth.(b)
Classification. Class I.

0

JUN 2 6 2002

K012308

SECTION 9

510(k) SUMMARY

This 510(k) summary of safety and effectiveness for KaVo QUATTROcare (unit and pressurized cans) is submitted in accordance with the requirements of SMDA 1990 and follows Office of Device Evaluation guidance concerning the organization and content of a 510(k) summary.

  • KaVo America Applicant:
  • 340 East Main Street Address: Lake Zurich, IL 60045
  • Manufacturer: KaVo Dental GmbH Bahnhofstr. 20 D-8847 Warthausen Biberach GERMANY
  • Contact Person: Mr. John Westermeier
  • Telephone: 847-550-6800 847-550-6825 (Fax) 800-323-8029
  • February 2002 Preparation Date: (of the Summary)

KaVo QUATTROcare (Unit 2104 A; 6-pack of pressurized cans 2106 A) Device Name:

  • Dental Handpiece Accessory (for maintenance; cleaning, and lubrication) Common Name:
    Classification: Accessory to Dental Handpieces (Class I medical device: (21 CFR 872,4200),

Product Code: EFB (Product Code for Dental Handpieces) Panel: 76

Predicate devices: KaVo Spray

Description: The KaVo QUATTROcare is an aerosol product with hydrocarbon propellants and lubricant and flavor/odor ingredients for use in the routine maintenance (cleaning and lubrication) of dental handpieces prior to their sterilization.

1

  • Indications: KaVo QUATTROcare is intended for internal cleaning, i.e., purging of old lubricant, for the maintenance of rotating dental and surgical instruments .
    NOTE: QUATTROcare should be used only with pre-cleaned dental handpieces and before they are sterilized.

CAUTION: Federal (US) law restricts the use of this device to licensed professionals.

  • None required. The claim of substantial equivalence is based on Performance Data: comparisons of formulations and intended uses of the QUATTROcare and its claimed predicate.
  • CONCLUSION: Based on the information in the notification KaVo America believes that QUATTROcare is substantially equivalent to the claimed predicate (i.e., KaVo Spray, a pre-amendments product).

Rev. April 2002

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized symbol that resembles three human profiles facing to the right, with flowing lines suggesting movement or progress.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUN 2 6 2002

Mr. John Westermeir Kavo America 340 East Main Street Lake Zurich, Illinois 60045

Re: K012308 Trade/Device Name: KaVo QUATTROcare

Regulation Number: 872.4200 Regulation Name: Dental Handpiece and Accessories Regulatory Class: I Product Code: EFB Dated: April 12, 2002 Received: April 17, 2002

Dear Mr. Westermeier:

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.

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.

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.

3

Page 2 - Mr. Westermeier

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 and additionally 21 CFR Part 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4613. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained 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,

Klatruds

Timothy A. Ulatowski

Timothy A. Ulatowski Director Division of Dental, Infection Control and General Hospital Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

SECTION 7

INDICATIONS FOR USE STATEMENT

510(k) Number (if known): K012308 -

Device Name: KaVo QUATTROcare

Indications for Use Statement:

KaVo QUATTROcare is intended for internal cleaning, i.e., purging of old lubricant, for the maintenance of rotating dental and surgical instruments.

NOTE: QUATTROcare should be used with only pre-cleaned dental handpieces and before they are sterilized.

KaVo proposes that KaVo QUATTROcare carry the following label:

CAUTION: Federal (US) law restricts the use of this device to licensed professionals.

Rev. April 2002

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation

Prescription Use کر (Per 21 CFR 801.109) OR

Over-The Counter Use

Susan Pum
(Division Sign-Off)

Division of Dental, Infection Control,
and General Hospital, Infection Control, and General Hospi 510(k) Number