K Number
K034024
Device Name
TESCERA FIBER BUNDLES, FIBER MESH AND FIBER CYLINDERS
Manufacturer
Date Cleared
2004-03-19

(81 days)

Product Code
Regulation Number
872.3760
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
As reinforcement for: 1. Removable dentures 2. Crown and bridge (Composite) a. single units b. multiple unit bridges c. inlay bridges d. Maryland Bridges 3. Provisional Crown and Bridge a. single units b. inlay bridges c. multiple unit bridges d. Maryland Bridges 4. Splint device reinforcement (Bruxism Appliance) 5. Splinting of teeth 6. Orthodontic Appliances
Device Description
TESCERA Fiber Bundles, Fiber Mesh, and Fiber Cylinders are glass fiber reinforcement materials for composite and acrylic dental restorative materials. The TESCERA Fiber Bundles are loose fiber bundles. The TESCERA Fiber Mesh is a plain woven mesh. The TESCERA Fiber Cylinders are woven cylinders (sleeves) that come in several diameters. They are designed to be used with the TESCERA indirect composite system but should be effective with other indirect and direct systems
More Information

Not Found

No
The device description and intended use clearly define the product as a physical fiber reinforcement material for dental restorations. There is no mention of software, algorithms, or data processing that would indicate the use of AI/ML.

No.
The device description and intended uses indicate it is a reinforcement material for dental restorations and appliances, not a device that provides therapy for a disease or condition. It is a component used in the fabrication of other dental devices.

No

The device is described as "glass fiber reinforcement materials for composite and acrylic dental restorative materials" and its intended use is for reinforcing various dental restorations and appliances. This points to a restorative or supportive function, not a diagnostic one.

No

The device description clearly states that the device is a "glass fiber reinforcement materials" which are physical components, not software.

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

Here's why:

  • Intended Use: The intended uses listed are all related to reinforcing dental restorative materials and appliances used within the patient's mouth (e.g., dentures, crowns, bridges, splints). This is a direct application to the patient's body.
  • Device Description: The device is described as a reinforcement material for composite and acrylic dental materials. This is a physical component used in the fabrication or repair of dental devices.
  • Lack of IVD Characteristics: An IVD is a medical device intended for use in vitro (outside the body) for the examination of specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. The provided information does not mention any of these activities. There is no mention of analyzing biological samples, providing diagnostic information, or being used in a laboratory setting for testing.

Therefore, the device described is a dental material used for reinforcement in vivo (within the body), not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

TESCERA Fiber Bundles, Fiber Mesh, and Fiber Cylinders are designed to be incorporated into devices as reinforcement in clinical situations where added strength is suggested or required. These situations include removable prosthetic devices such as dentures, splints, and orthodontic appliances as well as fixed prosthetic devices such as inlays, crowns, bridges, and splints.

As reinforcement for:

    1. Removable dentures
    1. Crown and bridge (Composite)
    • a. single units
    • b. multiple unit bridges
    • inlay bridges C.
    • Maryland Bridges ర.
    1. Provisional Crown and Bridge
    • a. single units
    • b. inlay bridges
    • c. multiple unit bridges
    • d. Maryland Bridges
    1. Splint device reinforcement (Bruxism Appliance)
    1. Splinting of teeth
    1. Orthodontic Appliances

Product codes

EBI

Device Description

TESCERA Fiber Bundles, Fiber Mesh, and Fiber Cylinders are glass fiber reinforcement materials for composite and acrylic dental restorative materials. The TESCERA Fiber Bundles are loose fiber bundles. The TESCERA Fiber Mesh is a plain woven mesh. The TESCERA Fiber Cylinders are woven cylinders (sleeves) that come in several diameters. They are designed to be used with the TESCERA indirect composite system but should be effective with other indirect and direct systems

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

TESCERA Fiber Bundles, Fiber Mesh, and Fiber Cylinders were tested for biocompatibility and they were found to be non-toxic. It is concluded that the information supplied in this submission has proven the safety and efficacy of TESCERA Fiber Bundles, Fiber Mesh, and Fiber Cylinders.

Key Metrics

Not Found

Predicate Device(s)

Ribbond-Triaxial from Ribbond, Inc, cleared under K013881

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.3760 Denture relining, repairing, or rebasing resin.

(a)
Identification. A denture relining, repairing, or rebasing resin is a device composed of materials such as methylmethacrylate, intended to reline a denture surface that contacts tissue, to repair a fractured denture, or to form a new denture base. This device is not available for over-the-counter (OTC) use.(b)
Classification. Class II.

0

034024

510 (k) submission for TESCERA Fiber Bundles, Fiber Mesh, and Fiber Cylinders BISCO INC., 1100 West Irving Park Road Schaumburg, IL 60193

MAR 1 9 2004

Section 5

Page 5-1

510 (k) SUMMARY

| 1. Applicant: | Bisco, Inc
1100 West Irving Park Road
Schaumburg, IL 60193 |
|-----------------------|-----------------------------------------------------------------------------|
| Contact Person: | Benjamin Lichtenwalner
Ph. 847-534-6146
Fax 847-534-6111 |
| Prepared Date: | December 23, 2003 |
| 2. Device Trade Name: | TESCERA Fiber Bundles, Fiber Mesh, and Fiber Cylinders |
| Common/Usual Name: | Fiber Reinforcement material |
| Classification/Name: | Class II per 21 CFR 872.3760 Denture Relining, Repairing, or Rebasing Resin |

    1. Predicate Device: Ribbond-Triaxial from Ribbond, Inc, cleared under K013881 dated 01/25/2002

4. Description of Application Device:

TESCERA Fiber Bundles, Fiber Mesh, and Fiber Cylinders are glass fiber reinforcement materials for composite and acrylic dental restorative materials. The TESCERA Fiber Bundles are loose fiber bundles. The TESCERA Fiber Mesh is a plain woven mesh. The TESCERA Fiber Cylinders are woven cylinders (sleeves) that come in several diameters. They are designed to be used with the TESCERA indirect composite system but should be effective with other indirect and direct systems

5. Intended Uses of Applicant Device:

TESCERA Fiber Bundles, Fiber Mesh, and Fiber Cylinders are designed to be incorporated into devices as reinforcement in clinical situations where added strength is suggested or required. These situations include removable prosthetic devices such as dentures, splints, and orthodontic appliances as well as fixed prosthetic devices such as inlays, crowns, bridges, and splints. The intended uses of the applicant device are the same as the predicate device.

| Technological
Characteristics | TESCERA Fiber Bundles, Fiber
Mesh, and Fiber Cylinders | Ribbond-Triaxial |
|----------------------------------|--------------------------------------------------------------|------------------------------------|
| Intended use | Reinforcing Material | Reinforcing Material |
| Form | Fiber bundles, woven fiber mesh
and woven fiber cylinders | Woven fiber ribbon |
| Physical/Mechanical | Increases the Flexural Strength of | Increases the Flexural Strength of |
| Properties | dental materials | dental materials |

6. Technological Characteristics:

Side by side comparisons of TESCERA Fiber Bundles, Fiber Mesh, and Fiber Cylinders to the predicate device Ribbond-Triaxial from Ribbond, Inc clearly demonstrates that the applicant devices are substantially equivalent to the legally marked devices. TESCERA Fiber Bundles, Fiber Mesh, and Fiber Cylinders were tested for biocompatibility and they were found to be non-toxic. It is concluded that the information supplied in this submission has proven the safety and efficacy of TESCERA Fiber Bundles, Fiber Mesh, and Fiber Cylinders.

1

Image /page/1/Picture/1 description: The image is a circular seal or logo. The seal contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the top half of the circle. In the center of the seal is a stylized graphic of an eagle or bird-like figure with three curved lines representing its wings or feathers.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAR 1 9 2004

Mr. Benjamin Lichtenwalner Regulatory Affairs Coordinator Bisco, Incorporated 1100 West Irving Park Road Schaumburg, Illinois 60193

Re: K034024

Trade/Device Name: TESCERA Fiber Bundles, Mash, and Fiber Cylinder Regulation Number: 872.3760 Regulation Name: Denture Relining, Repairing or Rebasing Resin Regulatory Class: II Product Code: EBI Dated: December 24, 2003 Received: January 7, 2004

Dear Lichtenwalner:

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 - Ms. Rivkowich

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 you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of Compliance at (301) 594-5618. 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,

Clus

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

3

Indications for Use

510(k) Number (if known): Ko 340 24

Device Name: TESCERA Fiber Bundles, Fiber Mesh, and Fiber Cylinders

Indications For Use:

As reinforcement for:

    1. Removable dentures
    1. Crown and bridge (Composite)
    • a. single units
    • b. multiple unit bridges
    • inlay bridges C.
    • Maryland Bridges ರ.
    1. Provisional Crown and Bridge
    • a. single units
    • b. inlay bridges
    • c. multiple unit bridges
    • d. Maryland Bridges
    1. Splint device reinforcement (Bruxism Appliance)
    1. Splinting of teeth
    1. Orthodontic Appliances

Prescription Use ✓ (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Susan Russo

(Division Sign-Off) Division of Anesthesiology, General Hospital, Infection Control, Dental Devices

AND/OR

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