K Number
K030884
Device Name
APTUS BLUE
Manufacturer
Date Cleared
2003-05-27

(68 days)

Product Code
Regulation Number
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Aptus Blue is used in the cleansing of the root canal preparation during endodontic therapy.
Device Description
Aptus Blue is a 3cc endodontic syringe containing EDTA solution. Aptus Blue allows for cleansing action that facilitates easy removal of vital pulp tissue and necrotic tissue from the root canal. It is designed to be used with endodontic irrigation solutions and sodium hypochlorite solutions.
More Information

No
The summary describes a syringe containing an EDTA solution for root canal cleansing. There is no mention of AI, ML, image processing, or any computational analysis of data. The device is a simple chemical delivery system.

Yes
Explanation: The device is used in the cleansing of the root canal preparation during endodontic therapy, which is a medical treatment. It facilitates the removal of vital pulp tissue and necrotic tissue, directly impacting the health and recovery of the patient.

No
The device description states its use is for cleansing the root canal during endodontic therapy, facilitating tissue removal, and being used with irrigation solutions. This describes a therapeutic or procedural device, not one for diagnosing a condition.

No

The device description clearly states it is a 3cc endodontic syringe containing EDTA solution, which is a physical medical device, not software.

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

Here's why:

  • Intended Use: The intended use is "cleansing of the root canal preparation during endodontic therapy." This is a procedure performed on the patient's body (in the root canal), not on a sample taken from the patient's body for diagnostic purposes.
  • Device Description: The device is a syringe containing EDTA solution used for irrigation within the root canal. This is a therapeutic/procedural device, not a diagnostic one.
  • Lack of Diagnostic Elements: There is no mention of analyzing a sample, detecting a condition, or providing diagnostic information.

IVD devices are used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for the diagnosis, monitoring, or treatment of a disease or condition. Aptus Blue does not fit this description.

N/A

Intended Use / Indications for Use

Aptus Blue is used in the cleansing of the root canal preparation during endodontic therapy.

Product codes

KJJ

Device Description

Aptus Blue is a 3cc endodontic syringe containing EDTA solution. Aptus Blue allows for cleansing action that facilitates easy removal of vital pulp tissue and necrotic tissue from the root canal. It is designed to be used with endodontic irrigation solutions and sodium hypochlorite solutions.

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

Not Found

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)

K972234

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

N/A

0

KO30884

Abbreviated 510 (k) Summary

Acadental

Name & Address Acadental

5830 Woodson St. Suite 5 Mission, KS. 66202 (913) 384-7390 Fax (913) 322-6629

CONTACT: Christopher Craig

DATE PREPARED: March 7, 2003

TRADE OR PROPRIETARY NAME: Aptus Blue

CLASSIFICATION NAME: Dental Instrument 872.4565 Class I device

RCT Gel K972234 PREDICATE DEVICE: RC Prep Pro-1976 device

DEVICE DESCRIPTIQN: Aptus Blue is a 3cc endodontic syringe containing EDTA solution. Aptus Blue allows for cleansing action that facilitates easy removal of vital pulp tissue and necrotic tissue from the root canal. It is designed to be used with endodontic irrigation solutions and sodium hypochlorite solutions.

INTENDED USE: Aptus Blue is used in the cleansing of the root canal preparation during endodontic therapy.

TECHNOLOGICAL CHARACTERISTICS: All components in Aptus Blue have been used in predicate medical devices or have been found safe for dental use.

We believe that, due to the long established safe and effective use of the predicate device and the identical concentrations of active ingredients, limited contact time within the oral cavity, decomposition, and thorough removal of the product from the canal space, the use of Aptus Blue does not require additional biocompatibility testing and that the device is safe and effective for the intended uses.

1

Image /page/1/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 depiction of a human figure with outstretched arms, resembling a bird in flight. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the figure.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAY 27 2003

Mr. Christopher Craig Sales Manager Acadental 5830 Woodson, Suite 5 Mission, Kansas 66202

Re: K030884

Trade/Device Name: Aptus Blue® Regulation Number: N/A Regulation Name: Root Canal Cleanser Regulatory Class: Unclassified Product Code: KJJ Dated: March 07. 2003 Received: March 20, 2003

Dear Mr. Craig:

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 - Mr. Christopher Craig

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 (OS) 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 vou 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) you may obtain. 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,

Susan Burns

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

3

INDICATION OF USE STATEMENT

510(K) Number (IF KNOWN): K030884

DEVICE NAME: Aptus Blue

INDICATION FOR USE:

Aptus Blue is used in the cleansing of the root canal preparation during endodontic therapy.

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

Prescription UseX
(Per 21 CFR 801.109)
Or
------
Over-The-Counter-Use
(Optional Format 1-2-96)

Kevin Mulvey for MSR

(Division Sign-Off)
Division of Anesthesiology, General Hospital, Infection Control, Dental Devices
510(k) Number:K030884
Page 4 of 4

Acadental 5830 Wooden Suite 5, Mission, KS. 66202 (913) 384-7390