K Number
K023392
Device Name
AGC SPECIAL ALLOY
Date Cleared
2002-12-06

(58 days)

Product Code
Regulation Number
872.3060
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
AGC Special Alloy is a gold-platinum alloy that can be used by dental technicians to fabricate dental appliances for patients. It is intended for manufacturing - Inlays/Onlays - Crowns - Short span bridges - Long span bridges - Pontics for AGC bridges - Removable partials and can be used for - . Telescopic and millinq work AGC Special Alloy can be veneered with suitable dental ceramics as well as with dentalcomposites. In addition, AGC Special Alloy, in the shape of wires, can be used for laser welding in operations in which dental alloy parts made of AGC Special alloy are joined to form dental restorations.
Device Description
AGC Special Alloy is a gold-platinum ceramic alloy with a high content of noble metals (97,5%), intended for dental technicians to fabricate dental restorations. It has an indication which ranges from inlays/onlays and single crowns up to long span bridges with two or more pontics and pontics for AGC bridges. In addition, it can be used for manufacturing removable partials. It is free of copper and suitable for telescopic and milling work as well as for laser welding. For this application it will be delivered in the shape of laser welding wires. AGC Special Alloy is highly corrosion resistant and has an excellent biocompatibility. It fully complies to the international standard ISO 9693 and fulfills the essential requirements of the European directive 93/42/ECC concerning medical devices. AGC Special Alloy can be veneered with suitable dental ceramics and with dental composites, in which the golden yellow color of the alloy provides an excellent basis for manufacturing aesthetically pleasing dental restorations.
More Information

K 012826

K 012826

No
The 510(k) summary describes a dental alloy used for fabricating restorations and mentions its composition, intended uses, and compliance with standards. There is no mention of any software, algorithms, or data processing that would suggest the use of AI or ML.

No
The device is a gold-platinum alloy used by dental technicians to fabricate dental appliances. It is a material used in the manufacturing of restorations, not a device used to provide therapy itself.

No

Explanation: The device is a dental alloy used for fabricating dental restorations, not for diagnosing medical conditions.

No

The device description clearly states it is a gold-platinum alloy, a physical material used for fabricating dental appliances, not software.

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

Here's why:

  • Intended Use: The intended use is to fabricate dental appliances for patients. This involves creating physical restorations that are placed in the mouth.
  • Device Description: The description details a gold-platinum alloy used for manufacturing dental restorations like inlays, crowns, and bridges. It describes its physical properties and how it's used by dental technicians.
  • Lack of Diagnostic Purpose: There is no mention of this device being used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes.

IVD devices are used to perform tests on samples like blood, urine, or tissue to diagnose diseases, monitor health, or determine compatibility. This device is a material used to create a physical medical device (a dental restoration).

N/A

Intended Use / Indications for Use

AGC Special Alloy is a gold-platinum alloy that can be used by dental technicians to fabricate dental appliances for patients.

It is intended for manufacturing

  • Inlays/Onlays
  • Crowns
  • Short span bridges
  • Long span bridges
  • Pontics for AGC bridges
  • Removable partials

and can be used for

  • . Telescopic and millinq work
    AGC Special Alloy can be veneered with suitable dental ceramics as well as with dentalcomposites.

In addition, AGC Special Alloy, in the shape of wires, can be used for laser welding in operations in which dental alloy parts made of AGC Special alloy are joined to form dental restorations.

Product codes

EJT

Device Description

AGC Special Alloy is a gold-platinum ceramic alloy with a high content of noble metals (97,5%), intended for dental technicians to fabricate dental restorations.

It has an indication which ranges from inlays/onlays and single crowns up to long span bridges with two or more pontics and pontics for AGC bridges. In addition, it can be used for manufacturing removable partials. It is free of copper and suitable for telescopic and milling work as well as for laser welding. For this application it will be delivered in the shape of laser welding wires.

AGC Special Alloy is highly corrosion resistant and has an excellent biocompatibility. It fully complies to the international standard ISO 9693 and fulfills the essential requirements of the European directive 93/42/ECC concerning medical devices.

AGC Special Alloy can be veneered with suitable dental ceramics and with dental composites, in which the golden yellow color of the alloy provides an excellent basis for manufacturing aesthetically pleasing dental restorations.

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

dental technicians

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)

Not Found

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

Not Found

Predicate Device(s)

K 012826

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.3060 Noble metal alloy.

(a)
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.(b)
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.

0

K023392
AGC Special Alloy

510 (k) Summary 5.

DEC 0 6 2002

Submitter of 510(k):Wieland Dental + Technik GmbH & Co. KG
Schwenninger Str. 13
D-75179 Pforzheim
Germany
Phone: +49-7231-3705-0
Contact person:Dr. Gerhard Polzer
Phone:+49-7231-3705-219
Fax:+49-7231-357959
e-mail:gerhard.polzer@wieland-dental.de

Date of Summary: 2002-10-05

Trade name:

AGC Special Alloy

Classification name: Product code: C.D.R section: Classification:

Alloy, gold based, for clinical use EJT 872.3060 Class II

Legally marketed equivalent device: BioPorta G

510(k) number: K 012826

Device description

AGC Special Alloy is a gold-platinum ceramic alloy with a high content of noble metals (97,5%), intended for dental technicians to fabricate dental restorations.

It has an indication which ranges from inlays/onlays and single crowns up to long span bridges with two or more pontics and pontics for AGC bridges. In addition, it can be used for manufacturing removable partials. It is free of copper and suitable for telescopic and milling work as well as for laser welding. For this application it will be delivered in the shape of laser welding wires.

AGC Special Alloy is highly corrosion resistant and has an excellent biocompatibility. It fully complies to the international standard ISO 9693 and fulfills the essential requirements of the European directive 93/42/ECC concerning medical devices.

AGC Special Alloy can be veneered with suitable dental ceramics and with dental composites, in which the golden yellow color of the alloy provides an excellent basis for manufacturing aesthetically pleasing dental restorations.

1

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/1/Picture/1 description: The image shows the 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 symbol is enclosed in a circle with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" around the perimeter. The text is in all caps and is arranged in a circular fashion to match the shape of the circle.

Public Health Service

DEC 0 6 2002

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Dr. Gerhard Polzer Director, Regulatory Affairs Wieland Dental + Technik GmbH & Co. K Schwenninger Strasse 13 D-75179 Pforzheim GERMANY

Re: K023392

Trade/Device Name: AGC Special Alloy Regulation Number: 21 CFR 872.3060 Regulation Name: Gold-Based Alloys and Precious Metal Alloys for Clinical Use Regulatory Class: II Product Code: EJT Dated: October 05, 2002 Received: October 09, 2002

Dear Dr. Polzer,

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.

2

Page 2 - Dr. Gerhard Polzer

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. 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

Timothy A. Ulatowski

Timonay wski Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

3

510(k) Number (if known):

AGC Special Alloy

Device Name:

Indications For Use:

AGC Special Alloy is a gold-platinum alloy that can be used by dental technicians to fabricate dental appliances for patients.

It is intended for manufacturing

  • Inlays/Onlays
  • Crowns
  • Short span bridges
  • Long span bridges
  • Pontics for AGC bridges
  • Removable partials

and can be used for

  • . Telescopic and millinq work
    AGC Special Alloy can be veneered with suitable dental ceramics as well as with dentalcomposites.

In addition, AGC Special Alloy, in the shape of wires, can be used for laser welding in operations in which dental alloy parts made of AGC Special alloy are joined to form dental restorations.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use
(Per 21 CFR 801.109)
OROver-The-Counter Use_....
RSBetz DDS for Dr. Susan Runner (Optional Format 1-2-96)
(Division Sign-Off)
Division of Anesthesiology, General Hospital,

Infection Control, Dental Devices

510(k) Number: K023392