K Number
K033221
Device Name
KAVO EVEREST ZH-BLANK
Date Cleared
2003-10-28

(25 days)

Product Code
Regulation Number
872.6660
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The KaVo Everest® ZH-Blank is used in the manufacture of dental prosthetics.
Device Description
The KaVo Everest® ZH-Blank is a pre-formed material for use by dental laboratories in filling orders/prescriptions for dental prosthetics
More Information

Not Found

No
The summary describes a pre-formed material for dental prosthetics and does not mention any software, algorithms, or data processing that would indicate the use of AI/ML.

No.
The device is a pre-formed material for manufacturing dental prosthetics, not a therapeutic device itself.

No

The information states that the device is "used in the manufacture of dental prosthetics" and is a "pre-formed material for use by dental laboratories in filling orders/prescriptions for dental prosthetics." This indicates it's a manufacturing material, not a device used to diagnose a medical condition.

No

The device description clearly states it is a "pre-formed material," indicating a physical component, not software.

Based on the provided information, the KaVo Everest® ZH-Blank is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use is "in the manufacture of dental prosthetics." This is a manufacturing process for a medical device (dental prosthetic), not a diagnostic test performed on a biological sample to provide information about a patient's health.
  • Device Description: It's described as a "pre-formed material for use by dental laboratories." This further reinforces its role as a component in the manufacturing process.
  • Lack of Diagnostic Elements: There is no mention of analyzing biological samples, detecting analytes, or providing diagnostic information about a patient's condition.
  • Predicate Devices: The predicate devices are also materials used in dental prosthetic manufacturing, not IVD devices.
  • Regulatory Classification: The reference to "IDENTIFICATION of porcelain powders in 21 CFR 872.6660" points towards a classification related to dental materials, not IVD devices which are typically classified under different sections of the CFR.

Therefore, the KaVo Everest® ZH-Blank is a material used in the manufacturing of dental prosthetics, which are medical devices, but it is not an IVD device itself.

N/A

Intended Use / Indications for Use

The KaVo Everest® ZH-Blank is used in the manufacture of dental prosthetics.

Product codes (comma separated list FDA assigned to the subject device)

EIH

Device Description

The KaVo Everest® ZH-Blank is a pre-formed material for use by dental laboratories in filling orders/prescriptions for dental prosthetics

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 laboratories

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)

None required. The claim of substantial equivalence is based on comparisons of formulations and intended uses of the KaVo devices to legally marketed predicates and to the IDENTIFICATION of porcelain powders in 21 CFR 872.6660.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K032081, K030607, K022996

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 872.6660 Porcelain powder for clinical use.

(a)
Identification. Porcelain powder for clinical use is a device consisting of a mixture of kaolin, felspar, quartz, or other substances intended for use in the production of artificial teeth in fixed or removable dentures, of jacket crowns, facings, and veneers. The device is used in prosthetic dentistry by heating the powder mixture to a high temperature in an oven to produce a hard prosthesis with a glass-like finish.(b)
Classification. Class II.

0

K03322

OCT 2 8 2003

EXHIBIT 2 510(k) SUMMARY: KaVo Everest® ZH-Blank

This 510(k) summary of safety and effectiveness for KaVo Everest® ZH-Blank material 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 Corporation Applicant:

Address: 340 East Main Street . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lake Zurich, IL 60045

Manufacturer: KaVo Elektrotechnisches Werk GmbH, D-88293, Leutkirch im Allgau Germany

Contact Person: Ms. Jennifer Pottala

Telephone: 847-550-6800 847-550-6825 (Fax) 800-323-8029

Preparation Date: June, 2003 (of the Summary)

Device Name: KaVo Everest® ZH-Blank Common Name: Dental Frame Material for Dental Prosthesis

Classification: Porcelain, powder for clinical use 21 CFR 872.6660 Class II medical device Product Code: EIH Panel: 76

| Predicate devices: | K032081 KaVo Everest Z-Blank KaVo Everest G-Blank K030607 and Vita
inCeram Zirconia, K022996, among others. |
|---------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Device description: | The KaVo Everest® ZH-Blank is a pre-formed material for use by dental
laboratories in filling orders/prescriptions for dental prosthetics |
| Indications: | The KaVo Everest® ZH-Blank is used in the manufacture of dental
prosthetics.

KaVo proposes that the materials distributed within the United States be
labeled:

"CAUTION: Federal (US) law restricts the sale of this device to, or on the
order of, licensed professionals." |

1

510(k) SUMMARY KaVo Everest® ZH-Blank

| Performance Data: | None required. The claim of substantial equivalence is based on comparisons
of formulations and intended uses of the KaVo devices to legally marketed
predicates and to the IDENTIFICATION of porcelain powders in 21 CFR
872.6660. |
|-------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| CONCLUSION: | Based on the information in the notification KaVo America believes that The
KaVo Everest® ZH-Blank is substantially equivalent to cited legally marketed
predicates and to the IDENTIFICATION in the classifying regulation (21 CFR
872.6660). |

.

: 上一篇: 上一篇:

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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 text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized symbol that resembles three human profiles facing to the right, with flowing lines beneath them.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

OCT 2 8 2003

KaVo America Corporation C/O Mr. Daniel Kamm Regulatory Engineer Kamm & Associates PO Box 7007 Deerfield, Illinois 60015

Re: K033221

Trade/Device Name: KaVo Everest® ZH-Blank Regulation Number: 872.6660 Regulation Name: Porcelain Powder for Clinical Use Regulatory Class: II Product Code: EIH Dated: September 29, 2003 Received: September 14, 2003

Dear Mr. Kamm:

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.

3

Page 2 - Mr. Kamm

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.

Chiu Lin, Ph.D.

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

Enclosure

4

j) Indications for Use

510(k) Number

Device Name: KaVo Everest® ZH-Blank .

Indications for Use: The KaVo Everest® ZH-Blank is used in the manufacture of dental prosthetics.


"CAUTION: Federal (US) law restricts the sale of this device to, or on the order of, licensed professionals."

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use OR Over the Counter Use (Per 21 CFR 801.109)

Susan Russo

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