K Number
K040952
Device Name
PRELUDE
Date Cleared
2004-06-29

(78 days)

Product Code
Regulation Number
872.3200
Panel
Dental
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Prelude is a light cured adhesive designed for direct restorations, i.e. composites and compomers to enamel and/or dentin, composite repairs, porcelain repairs and post and core build-up materials, and indirect restorations such as veneers, onlays, inlays, crowns and bridges. When used with Prelude Activator, Prelude may also be used with self or dual cure materials.

Device Description

Prelude is a dental bonding agent used to restore all classes of cavities.

AI/ML Overview

The provided document is a 510(k) summary for a dental bonding agent called "Prelude" and does not contain the detailed study information typically found in acceptance criteria and performance reports for medical devices, particularly those involving AI or complex performance metrics. The document focuses on establishing substantial equivalence to predicate devices for regulatory clearance.

Therefore, I cannot provide a table of acceptance criteria and reported device performance, nor can I answer questions 2 through 9 based on the information given. This type of regulatory submission for a dental bonding agent does not involve clinical studies with human readers, ground truth analysis, or AI performance metrics as would be seen for imaging or diagnostic AI devices.

The document mainly covers:

  • Device Name: Prelude
  • Applicant: Danville Materials, Inc.
  • Contact Person: Craig R. Bruns
  • Date of Summary: March 12, 2004
  • Device Description: A dental bonding agent used to restore all classes of cavities.
  • Predicate Devices: Optibond Solo Plus and Optibond Solo Plus 4 (K990498 & K014027), Clearfil SE (K990040), and Optibond Solo Plus Activator (K012082).
  • Intended Use/Indications for Use: Light cured adhesive for direct restorations (composites and compomers to enamel/dentin, composite repairs, porcelain repairs, post and core build-up materials) and indirect restorations (veneers, onlays, inlays, crowns, bridges). Can be used with self or dual cure materials when combined with Prelude Activator.

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K040952

JUN 2 9 2004

510(k) Summary of Safety and Effectiveness (As Required by 21 C.F.R. §807.92)

Applicant:Danville Materials, Inc.2021 Omega Dr.San Ramon, CA 94583
Contact Person:Craig R. Bruns
Phone 925 838-7940
Fax 925 838-0944
e-mail:cbruns@daneng.com
Date of summaryMarch 12, 2004
Device namePrelude
Common nameAgent, Tooth Bonding, Resin
Classification namesRegulation Number21 CFR 872.3200Product CodeKLE
Device DescriptionPrelude is a dental bonding agent used to restore all classes of cavities.

Predicate Device The device is substantially equivalent to other legally marketed devices in the United States including Optibond Solo Plus and Optibond Solo Plus 4 (K990498 & K014027), Clearfil SE (K990040) and Optibond Solo Plus Activator (K012082).

Intended Use Prelude is a light cured adhesive designed for direct restorations, i.e. composites and compomers to enamel and/or dentin, composite repairs, porcelain repairs and post and core build-up materials, and indirect restorations such as veneers, onlays, inlays, crowns and bridges. When used with Prelude Activator, Prelude may also be used with self or dual cure materials.

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Image /page/1/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 an abstract caduceus, with three parallel lines that curve and flow downwards.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUN 2 9 2004

Mr. Craig R. Bruns President Danville Materials, Inc. 2021 Omega Road San Ramon, California 94583-1229

Re: K040952

Trade/Device Name: Prelude Regulation Number: 21 CFR 872.3200 Regulation Name: Resin Tooth Bonding Agent Regulatory Class: II Product Code: KLE Dated: June 23, 2004 Received: June 24, 2004

Dear Mr. Bruns:

We have reviewed your Section 510(k) premarket notification of intent to market the device we nave reviewed your over of the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce ass stated in the encreated to the Medical Device Amendments, or to devices that prov to way 20, 1970, and cordance 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 thereone, mancer me act include requirements for annual registration, listing of devices, good connologic provisions or abeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it 11 your device to such additional controls. Existing major regulations affecting your device can be finay of subject to sten adam Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

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Page 2 – Mr. Craig R. Bruns

Please be advised that FDA's issuance of a substantial equivalence determination does not mean Please be advised that FDA s issualled of a succession in other requirements of the Act of that FDA nas made a delectimization that your cell be other Federal agencies. You must comply with CEP Bett 807V any Federal statures and regulations administered of to: registration and listing (21 CFR Part 807); all the Act s requirements, including, but not interest see requirements as set forth in the quality labeling (21 CFR 1 art 001), good management of applicable, the electronic product radiation systems (QB) rogalazen ons 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) I his letter whi anow you to ought manteeing your and equivalence of your device to a legally premarket notification. The PDA midning of bassification 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 If you desire specific ativice for your actives at (301) 594-4613. Additionally, for questions on the promotion comact the Office of Compliance at (301) 591-1698 contact the Office of Compliance at (301) 594-4639 (2) OFF and advertising of your device, prease verrance to premarket notification" (21CFF)
please note the regulation entitled, "Misbranding by reference to premarket notification th please note the regulation entities, "Information on your responsibilities under the Act may Patt 807.97) you they obtain. Other generaliantacturers, 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,

Clive S. Lewis, Ph.D.

Chiu S. Lin, PhD Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

K040452 510(k) Number (if known): Pending

Device Name: Prelude

Indications For Use:

Prelude is a light cured adhesive designed for direct restorations, i.e. composites and compomers to enamel and/or I reado is a right direct can repairs and post and core build-up materials, and indirect restorations such as veneers, onlays, inlays, crowns and bridges. When used with Prelude may also be used with self or dual cure materials.

Prescription Use (Part 21 CFR 801 Subpart D) AND/OR

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)

Suar Rann

Page 1 of 1 __________________________________________________________________________________________________________________________________________________________________

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

510(k) Number: K041015

§ 872.3200 Resin tooth bonding agent.

(a)
Identification. A resin tooth bonding agent is a device material, such as methylmethacrylate, intended to be painted on the interior of a prepared cavity of a tooth to improve retention of a restoration, such as a filling.(b)
Classification. Class II.