K Number
K033795
Device Name
PLASMACURE BXE
Date Cleared
2003-12-19

(14 days)

Product Code
Regulation Number
872.6070
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The PlasmaCure BXe Curing Light is a source of illumination for curing dental restorative materials and is a source of illumination for tooth whitening activities performed in dentistry.
Device Description
The PlasmaCure BXe is a device used for the polymerization of dental materials using blue light. It consists of a base unit and a cord connected hand piece. The molded plastic control unit (base unit) contains a power inlet receptacle for a detachable mains power cord, fuse holder and fuses, power supply & controller printed circuit board (control circuitry for lamp and cooling fan functions). The cord connected hand piece contains a printed circuit board, lamp reflector module assembly, optical filter assembly, fibertip insert and fiber optic tip that generates blue light energy having the wavelength range of approximately 385-495 nm. An external trigger switch (hand piece) activates the curing lamp. The emitted intensity and exposure time level depends on which type of eeleCoolTip™ is inserted in the hand piece and which key was last activated on the keypad of the base unit. The hand piece also has a removable and rotatable light shield that will protect the user when in operation.
More Information

Not Found

No
The description focuses on basic electronic control of light intensity and duration based on user input and tip type, with no mention of adaptive learning, pattern recognition, or complex data processing characteristic of AI/ML.

No.
The device cures dental restorative materials and whitens teeth, which are not considered therapeutic actions.

No

The device is described as a "source of illumination for curing dental restorative materials and is a source of illumination for tooth whitening activities." Its function is polymerization of dental materials, not diagnosis.

No

The device description clearly outlines physical hardware components including a base unit, hand piece, power supply, circuit boards, lamp, and fiber optic tip, indicating it is a hardware device with embedded software, not a software-only medical device.

Based on the provided information, the PlasmaCure BXe Curing Light is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use is for curing dental restorative materials and tooth whitening. These are procedures performed directly on a patient's teeth, not on samples taken from the body for diagnostic purposes.
  • Device Description: The device description details a light source used for polymerization, which is a physical process applied to materials. It does not describe any components or functions related to analyzing biological samples.
  • Lack of IVD Characteristics: The description does not mention any analysis of biological fluids, tissues, or other samples. There is no mention of diagnostic markers, assays, or any other elements typically associated with IVD devices.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. The PlasmaCure BXe Curing Light's function is to cure materials and whiten teeth, which are therapeutic and cosmetic procedures, not diagnostic ones.

N/A

Intended Use / Indications for Use

The PlasmaCure BXe Curing Light is a source of illumination for curing dental restorative materials and is a source of illumination for tooth whitening activities performed in dentistry.

Product codes

EBZ

Device Description

The PlasmaCure BXe is a device used for the polymerization of dental materials using blue light. It consists of a base unit and a cord connected hand piece. The molded plastic control unit (base unit) contains a power inlet receptacle for a detachable mains power cord, fuse holder and fuses, power supply & controller printed circuit board (control circuitry for lamp and cooling fan functions). The cord connected hand piece contains a printed circuit board, lamp reflector module assembly, optical filter assembly, fibertip insert and fiber optic tip that generates blue light energy having the wavelength range of approximately 385-495 nm. An external trigger switch (hand piece) activates the curing lamp. The emitted intensity and exposure time level depends on which type of eeleCoolTip™ is inserted in the hand piece and which key was last activated on the keypad of the base unit. The hand piece also has a removable and rotatable light shield that will protect the user when in operation.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

dental

Indicated Patient Age Range

Not Found

Intended User / Care Setting

dentistry

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)

Bench testing was performed, which included biocompatibility, sterilization, packaging, and functionality to confirm that the PlasmaCure BXe is equivalent to the predicate devices. All bench testing results met specified requirements.
Effectiveness: Independent Testing Facility test results for equivalence (nonclinical performance data). The PlasmaCure BXe performed similar to other plasma arc lights, & polymerized faster than the halogen, laser, & LED lights evaluated at that time.

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

Not Found

Predicate Device(s)

K024374, K001719, K020091

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.6070 Ultraviolet activator for polymerization.

(a)
Identification. An ultraviolet activator for polymerization is a device that produces ultraviolet radiation intended to polymerize (set) resinous dental pit and fissure sealants or restorative materials by transmission of light through a rod.(b)
Classification. Class II.

0

eele Laboratories

eele Laboratories, LLC email: Info@eele.com 1 (631) 244-0051 1 (631) 244-0053 50 Orville Drive, Bohemia NY 11716-2519

DEC 1 9 2003

8. 510 (k) Summary

K033795

This summary of 510 (k) safety and effectiveness information is being submitted in accordance with the requirements of 21 CFR Part 807.87(h).

eele Laboratories, LLC 50 Orville Drive Bohemia, N.Y. 11716 Phone: (631) 244-0051 Fax: (631) 244-0053

Name of Applicant/Contact: Signature of Applicant: Dated:

Robert Grasman (Phone extension; 106)

October 20, 2003

1

ele Laboratorie

Proposed Device

  • Ultraviolet activator for polymerization 0 Device Classification Name:
    Dental Curing Light

PlasmaCure BXe

21 CFR 872.6070

II

EBZ

  • Device Common Name: 0
  • Trade/Proprietary Name: 0
    • Regulation Number:
  • 0 Regulatory Class: O
  • Product Code: O
  • Review Advisory Committee: Dental 0

Substantial Equivalence

| Device
Name | Device/
Classification
Name | Owner/Operator
Applicant | 510 (k)
No. | Product
Code | Reg. # |
|----------------------------------------|--------------------------------------------------|--------------------------------|----------------|-----------------|----------|
| Rmo Plasma
Curing Light | Activator,
Ultraviolet, for
Polymerization | Lokki Lasers
Medicaux | K024374 | EBZ | 872.6070 |
| Q-Lux Plasma
100 Light Cure
Unit | Activator,
Ultraviolet, for
Polymerization | Rolence Enterprise
Co., LTD | K001719 | EBZ | 872.6070 |
| Optilux 501 | Activator,
Ultraviolet, for
Polymerization | Kerr Corporation
(Danbury) | K020091 | EBZ | 872.6070 |

The PlasmaCure BXe addressed in this premarket notification, is substantially equivalent to the following commercially dental curing lights:

Device Description

The PlasmaCure BXe is a device used for the polymerization of dental materials using blue light. It consists of a base unit and a cord connected hand piece. The molded plastic control unit (base unit) contains a power inlet receptacle for a detachable mains power cord, fuse holder and fuses, power supply & controller printed circuit board (control circuitry for lamp and cooling fan functions). The cord connected hand piece contains a printed circuit board, lamp reflector module assembly, optical filter assembly, fibertip insert and fiber optic tip that generates blue light energy having the wavelength range of approximately 385-495 nm. An external trigger switch (hand piece) activates the curing lamp. The emitted intensity and exposure time level depends on which type of eeleCoolTip™ is inserted in the hand piece and which key was last activated on the keypad of the base unit. The hand piece also has a removable and rotatable light shield that will protect the user when in operation.

2

eele Laboratories

eele Laboratories, LLC email: Into@eele.com 1 (631) 244-0051 1 (631) 244-0053 50 Orville Drive, Bohemia NY 11716-2519

Statement of Indications for Use

The PlasmaCure BXe Curing Light is a source of illumination for curing dental restorative materials and is a source of illumination for tooth whitening activities performed in dentistry.

Device Testing Results and Conclusion

Bench testing was performed, which included biocompatibility, sterilization, packaging, and functionality to confirm that the PlasmaCure BXe is equivalent to the predicate devices. All bench testing results met specified requirements.

Summary of Technological Characteristics to Predicate Devices

  • The Optilux 501 utilizes a halogen light source that is located in the plastic O hand piece (handle) that also includes the optical filter assembly and fiber optic light guide. The light emanates from the light guide that is attached to the hand piece.
  • The other comparable devices have their light source located in the control O unit (box) and the light travels through a light pipe (conduit) and then the light guide. These devices are listed to demonstrate the "Plasma Arc" technology using a Xenon Arc Lamp.
  • 0 The PlasmaCure BXe has the light source (similar to Optilux 501) in the plastic hand piece (handle) as well as the optical filter assembly and fiber optic guide. Instead of having the light source in the control unit (box) as above, it is located in the hand piece.

Safety and Effectiveness Information Supporting the Substantial Equivalence

The PlasmaCure BXe complies with the following standards, practices, and guidance's:

  • Effectiveness: Independent Testing Facility test results for equivalence (nonclinical performance data).
    The PlasmaCure BXe performed similar to other plasma arc lights, & polymerized faster than the halogen, laser, & LED lights evaluated at that time.

  • Safety: Pending Approval of UL 2601-1 including IEC 60601-1. CAN/CSA-C22.2 and evaluation to IEC 60601-1-4. In addition Immunity testing to EN50081-1 as well as Radiated and Conducted

3

ele Laboratories

emissions testing to FCC 15 and EN55011 Class B limits to 1 GHz.

Independent Testing Facilities:

  • · Software development, verification, and validation process is also pending to ensure performance to specifications, Federal Regulations and user requirements.
  • Environmental & Dynamic Testing including temperature, o humidity, Mil-Std-810-E Method 514.4 category 1 and shock testing.

Conclusion

The intended use and technological features of the PlasmaCure BXe do not differ from the legally marketed predicate device(s). Both the PlasmaCure BXe and the predicate device(s) have the same materials and product design. The PlasmaCure BXe performs as well as or better than the predicate devices. This conclusion is based upon the devices' similarities in functional design, materials, indications for use, and methods of construction. The subject device is substantially equivalent to the predicate devices with regard to intended use, indications, device characteristics, method of use, labeling, materials, and safety features.

4

Image /page/4/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three curved lines representing its wings, positioned to the right of the text. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" is arranged in a circular fashion around the left side of the eagle.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

DEC 1 9 2003

Eele Laboratories, LLC Mr. Neil E Devine Responsible Third Party Official Entela, Incorporated 3033 Madison Avenue, SE Grand Rapids, Michigan 49548

Re: K033795

Trade/Device Name: PlasmaCure Regulation Number: 872.6070 Regulation Name: Ultraviolet Activator for Polymerization Regulatory Class: Product Code: EBZ Dated: December 5, 2003 Received: December 5, 2003

Dear Mr. Devine:

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.

5

Page 2 -Mr. Devine

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 vours.

Chiu-Ling, Ph.D.

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

6

5. Statement of Indications for Use

1 of 1 Page

510(k) Number (if known): K033795

Device Name: PlasmaCure BXe

Indications For Use:

The PlasmaCure BXe Curing Light is a source of illumination for curing dental restorative materials and is a source of illumination for tooth whitening activities performed in dentistry.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Susan Ruan

on of Anesthesiolog Infection Control, Dent

(Optional Format 3-10-98)

510(k) Number. K053245

Prescription Use
(Per 21 CFR 801.109)

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