K Number
K043493
Device Name
FUSION PUTTY TYPE
Manufacturer
Date Cleared
2005-03-04

(77 days)

Product Code
Regulation Number
872.3660
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
This product is a high consistency vinylpolysiloxane impression material to be used for taking intra-oral impressions.
Device Description
Not Found
More Information

Not Found

Not Found

No
The summary describes a traditional impression material and contains no mention of AI or ML.

No.
The 'Intended Use' states that the product is an impression material used for taking intra-oral impressions, which is a diagnostic procedure, not a therapeutic one.

No
Explanation: The device is an impression material used for taking intra-oral impressions, which is a method of capturing the physical form of oral structures. It does not perform analysis or interpretation of data to identify diseases or conditions, which are characteristics of a diagnostic device.

No

The device is described as a "high consistency vinylpolysiloxane impression material," which is a physical material used for taking impressions, not a software product.

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

Here's why:

  • Intended Use: The intended use is "taking intra-oral impressions." This is a physical process of creating a mold of a patient's mouth.
  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body (like blood, urine, tissue) to detect diseases, conditions, or infections.
  • Lack of Diagnostic Activity: The description does not mention any analysis of biological samples or any diagnostic purpose. The material is used to create a physical impression, not to perform a diagnostic test.

Therefore, a high consistency vinylpolysiloxane impression material used for taking intra-oral impressions falls under the category of a dental device, not an IVD.

N/A

Intended Use / Indications for Use

This product is a high consistency vinylpolysiloxane impression material to be used for taking intra-oral impressions.

Product codes

ELW

Device Description

Not Found

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

intra-oral

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

Not Found

Key Metrics

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.3660 Impression material.

(a)
Identification. Impression material is a device composed of materials such as alginate or polysulfide intended to be placed on a preformed impression tray and used to reproduce the structure of a patient's teeth and gums. The device is intended to provide models for study and for production of restorative prosthetic devices, such as gold inlays and dentures.(b)
Classification. Class II (Special Controls).

0

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features a stylized eagle with three overlapping wings, representing the department's mission to protect the health of all Americans and provide essential human services. The logo is surrounded by the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in a circular arrangement.

MAR 4 - 2005

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Ms. Terry L. Joritz Director, Customer Care Group GC America, Incorporated 3737 West 127th Street Alsip, Illinois 60803

Re: K043493

Trade/Device Name: FUSION PUTTY Regulation Number: 872.3660 Regulation Name: Impression Material Regulatory Class: II Product Code: ELW Dated: March 1, 2005 Received: March 2, 2005

Dear Ms. Joritz:

We have reviewed your Section 510(k) premarket notification of intent to market the device we have revealy 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 incrate commerce prior to 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 approvisions 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 cither class II (Spccial Controls) or class III If your device is classinos (so as additional controls. Existing major regulations affecting (1 Writ), it may of acress of Federal Regulations, Title 21, Parts 800 to 898. In your device earl of roundsh further announcements concerning your device in the Federal Register.

1

Page 2 - Ms. Joritz

Please be advised that FDA's issuance of a substantial equivalence determination does not Please be advised that FDA s issualles of a base our device complies with other requirements mean that FDA has made a decommance hatw Js administered by other Federal agencies.
of the Act or any Federal statutes and regulations administered by other Federal status of the Act of ally rederal statutes and reguirements, including, but not limited to: registration You must comply with an the Fee s requires (21 CFR Part 801); good manufacturing practice and ifsing (21 CFR Part 607), laboring (21 CFR Pat 820) regulation (21 CFR Pat 820); and if requirenents as set form in the quality Brovisions (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 anow you to begin maiing of substantial equivalence of your device to a premarket notification. The PDF mailts 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), If you desire specific at not to your ce at (240) 276-0115. 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 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/industry/support/index.html.

Sincerely yours,

Sophie Michaud

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

2

Indications for Use

KO43493 510(k) Number (if known): _

FUSION PUTTY Device Name:

Indications for Use:

This product is a high consistency vinylpolysiloxane impression material to be used for taking intra-oral impressions.

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

Over-The-Counter Use (21 CFR Part 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 Purvis

Con Sion-Off) non of Anesthosiology, General Hospital, Scrion Control. Dental Devices

(); Rumber_

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