(163 days)
The Inspektor™ Pro is intended to be used as an aid in the diagnosis of dental caries.
The Inspektor™ Pro is indicated as an aid in the diagnosis of dental caries.
The Inspektor™ Pro consists of a systembox equipped with a handpiece, mounted in a trolley together with a computer, a monitor, mouse, keyboard and footswitch.
While the provided document mentions the Inspektor™ Pro device, its intended use, and substantial equivalence to a predicate device, it does not contain any information regarding acceptance criteria, performance studies, sample sizes, ground truth establishment, or expert involvement.
Therefore, I cannot fulfill your request for that specific information based on the given text.
The document is a 510(k) summary, which typically focuses on demonstrating substantial equivalence to a legally marketed predicate device rather than providing detailed clinical study results in the same way a clinical trial report would.
{0}------------------------------------------------
JUN 2 4 2004
Image /page/0/Picture/1 description: The image shows the logo for Inspektor Dental Care. The logo consists of a right-pointing arrow followed by the word "INSPEKTOR" in bold, sans-serif font. Below "INSPEKTOR" is the phrase "DENTAL CARE" in a smaller, sans-serif font. The arrow is a simple line drawing with a triangular head.
Head Office Pieter Baststraat 21-27 1071 TV Amsterdam The Netherlands T. +31 20-470 1512 F. +31 84 884 1199 E. idc@inspektordentalcare.com
Development & production
Quellijnstraat 92 1072 XX Amsterdam T. +31 20 676 4988 F. +31 20 679 3183
510(k) Summary
4.1. Applicant
| Name | Inspektor Dental Care bv | |
|---|---|---|
| Address | (Head office) | |
| Pieter Baststraat 21-27 | ||
| 1071 TV Amsterdam | ||
| Telephone | +31 20 470 1512 | |
| Fax | +31 20 679 3183 | |
| idc@inspektordentalcare.com | ||
| Establishment | ||
| Registration number | not available | |
| Contact Person | Elbert Waller | |
| Address | Inspektor Dental Care bv | |
| (Development & Production) | ||
| Quellijnstraat 92 | ||
| 1072 XX Amsterdam | ||
| Netherlands | ||
| Telephone | +31 20 676 4988 | |
| Fax | +31 20 679 3183 | |
| c.waller@inspektor.nl |
4.2. Date summary prepared
June 17, 2004
c-mail
4.3. Name of the Device
: Inspektor™ Pro Proprietary/trade name : Dental Fluorescence Examination Device Common name : K040064 510(k) Number
4.4. Predicate Devices: KaVo DIAGNOdent, K983658
4.5. Device description
The Inspektor™ Pro consists of a systembox equipped with a handpiece, mounted in a\trolley together with a computer, a monitor, mouse, keyboard and footswitch.
Chamber of commerce Amsterdam 341 92 359
Van Lanschot banking 63.25.62.95 VAT NL 812 444 231 B01
{1}------------------------------------------------
4.6. Intended Use
The Inspektor™ Pro is intended to be used as an aid in the diagnosis of dental caries.
4.7. Indications for use
The Inspektor™ Pro is indicated as an aid in the diagnosis of dental caries.
4.8. Substantial Equivalence
Inspektor™ Pro resembles the predicate device DIAGNOdent as an aid in the diagnosis of dental caries.
I hereby declare that the information stated in this 510(k) summary is truthful and accurate.
Date June 17, 2004
Place Amsterdam
Signature:
Elbert Waller
Elbert V er (CDO Inspektor Dental Čare BV)
{2}------------------------------------------------
Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" around the perimeter. Inside the circle is an abstract symbol resembling an eagle or bird in flight, composed of three curved lines representing wings and a stylized tail.
Public Health Service
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
JUN 2 4 2004
Inspektor Dental Care BV Mr. Elbert Waller (Development & Production) Quellijnstraat 92 1072 XX Amsterdam NETHERLANDS
Re: K040063
Trade/Device Name: Inspektor™ Pro Regulation Number: 872.1745 Regulation Name: Laser Fluorescence Caries Detection Device Regulatory Class: II Product Code: NBL Dated: April 8, 2004 Received: April 13, 2004
Dear Mr. Waller:
We have reviewed your Section 510(k) premarket notification of intent to market the device we have rother 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 Interstate conments of press that have been reclassified in accordance with the provisions of Amendinens, or to do roug, 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 approvin apprevisions of the Act. The general controls provisions of the Act include controls provisions or al 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 (1 Mr), it may of each be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In your device early of ther announcements concerning your device in the Federal Register.
{3}------------------------------------------------
Page 2 - Mr. Waller
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 mount that I Dr may Federal statutes and regulations administered by other Federal agencies. or the rice of all , outh all the Act's requirements, including, but not limited to: registration 1 od into comply with 807); labeling (21 CFR Part 801); good manufacturing practice and listing (21 CF read vir the quality systems (QS) regulation (21 CFR Part 820); and if requirements as 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) This letter will and A yourse of substantial equivalence of your device to a premarket notification - I s 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) 594-4618. 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 may obtain other gManufacturers, 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,
Ques
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}------------------------------------------------
INDICATION FOR USE STATEMENT
510(k) Number: K040063
Device Name: Inspektor™ Pro
Indications for use: The Inspektor™ Pro is indicated as an aid in the diagnosis of dental caries.
(PLEASE DO NOT WRITE BELOW THIS LINE -- CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDHR, Office of Device Evaluation (ODE)
| Prescription use | X | OR (Per 21 CFR 801.109) | Over-The-Counter Use _____ |
|---|---|---|---|
| ------------------ | --- | ------------------------- | ---------------------------- |
(Optional format 1-2-9)
| (Division Sign-Off) Division of Anesthesiology, General Hospital, Infection Control, Dental Devices | |
|---|---|
| -- | ---------------------------------------------------------------------------------------------------------------------------------- |
| 1602.510kAIR.02-02.doc | 510(k) Number: R040063 | 2-1 |
|---|---|---|
| ------------------------ | ------------------------ | ----- |
§ 872.1745 Laser fluorescence caries detection device.
(a)
Identification. A laser fluorescence caries detection device is a laser, a fluorescence detector housed in a dental handpiece, and a control console that performs device calibration, as well as variable tone emitting and fluorescence measurement functions. The intended use of the device is to aid in the detection of tooth decay by measuring increased laser induced fluorescence.(b)
Classification. Class II, subject to the following special controls:(1) Sale, distribution, and use of this device are restricted to prescription use in accordance with § 801.109 of this chapter;
(2) Premarket notifications must include clinical studies, or other relevant information, that demonstrates that the device aids in the detection of tooth decay by measuring increased laser induced fluorescence; and
(3) The labeling must include detailed use instructions with precautions that urge users to:
(i) Read and understand all directions before using the device,
(ii) Store probe tips under proper conditions,
(iii) Properly sterilize the emitter-detector handpick before each use, and
(iv) Properly maintain and handle the instrument in the specified manner and condition.