K Number
K050426
Device Name
TEMPOSIL, MODEL 6720
Date Cleared
2005-03-18

(28 days)

Product Code
Regulation Number
872.3275
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
- temporary cementing of temporary crowns and bridges - temporary cementing of final restorations
Device Description
Not Found
More Information

Not Found

Not Found

No
The 510(k) summary describes a temporary dental cement and contains no mention of AI or ML technology.

No.
The intended uses are for temporary cementing of dental restorations, which are considered mechanical purposes, not therapeutic.

No
The device is described as being used for "temporary cementing of temporary crowns and bridges" and "temporary cementing of final restorations." This indicates it is used for restorative or procedural purposes in dentistry, not for diagnosing conditions.

No

The provided text describes the intended use of a dental cement, which is a physical material, not software. The lack of information about device description, image processing, AI, or performance studies further indicates it is not a software-only device.

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

Here's why:

  • Intended Use: The intended use is "temporary cementing of temporary crowns and bridges" and "temporary cementing of final restorations." This describes a material used directly on a patient's teeth for a restorative dental procedure.
  • Lack of IVD Characteristics: An IVD is a medical device used in vitro (outside the body) to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening. The provided description does not mention any such use or interaction with bodily specimens.
  • Device Description (Not Found): While the description is missing, the intended use is the primary indicator here.
  • Other Missing Information: The lack of information about image processing, AI, anatomical site, patient age, user, training/test sets, performance studies, and metrics further supports that this is not an IVD, as these are often relevant for more complex diagnostic devices.

In summary, the intended use clearly places this device in the category of a dental restorative material used directly in the mouth, not an in vitro diagnostic test.

N/A

Intended Use / Indications for Use

  • temporary cementing of temporary crowns and bridges
  • temporary cementing of final restorations

Product codes

EMA

Device Description

Not Found

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

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

§ 872.3275 Dental cement.

(a)
Zinc oxide-eugenol —(1)Identification. Zinc oxide-eugenol is a device composed of zinc oxide-eugenol intended to serve as a temporary tooth filling or as a base cement to affix a temporary tooth filling, to affix dental devices such as crowns or bridges, or to be applied to a tooth to protect the tooth pulp.(2)
Classification. Class I (general controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 872.9.(b)
Dental cement other than zinc oxide-eugenol —(1)Identification. Dental cement other than zinc oxide-eugenol is a device composed of various materials other than zinc oxide-eugenol intended to serve as a temporary tooth filling or as a base cement to affix a temporary tooth filling, to affix dental devices such as crowns or bridges, or to be applied to a tooth to protect the tooth pulp.(2)
Classification. Class II.

0

Image /page/0/Picture/2 description: The image is a black and white logo for the U.S. Department of Health and Human Services. The logo features a stylized human figure with outstretched arms, representing care and protection. The figure is positioned to the right of the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA", which is arranged in a circular fashion around the figure.

MAR 1 8 2005

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Coltene/Whaledent AG C/O Mr. Henry J. Vogelstein Consultant 1349 Lexington Avenue New York, New York 10128

Re: K050426

Trade/Device Name: TempoSil Regulation Number: 21 CFR 872.3275(b) Regulation Name: Dental Cement Regulatory Class: II Product Code: EMA Dated: February 17, 2005 Received: February 18, 2005

Dear Mr. Vogelstein:

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 ass batted in also increations and 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 frant of other of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

1

Page 2 – Mr. Henry J. Vogelstein

Please be advised that FDA's issuance of a substantial equivalence determination does not mean Please be advised that 1177 s 155dailed of a vace ince complies with other requirements of the Act or that FDA made a decemination that your certify of ther Federal agencies. You must comply with any Federal statutes and regulations administration of to: registration and listing (21 CFR Part 807); an the Act s requirements; morading; base ring practice requirements as set forth in the quality labeling (21 CFR Part 801), good manazave.org from if applicable, the electronic product radiation systems (QB) regallers (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) I ms letter whil anow you to oegin manteting your antial equivalence of your device to a legally premarked notification: "The PDF mailig of bation 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 daries in: Joan at (240) 276-0115. Also, please note the regulation entitled, Colliact the Office of Comphilance an (21 CFR Part 807.97). You may obtain other Mission of reference to promobilities under the Act from the Division of Small general international on your copyright in the many of 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,

Suyette Michie, Om.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

2

coltène
whaledent

Coltène/Whaledent AG 510(k) Submission TempoSil Indications for use

Indications for use

510(k) Number (if known): more |(05 0 426

Device Name:

TempoSil

and/or

Indications for use:

  • temporary cementing of temporary crowns and bridges - temporary cementing of final restorations

Prescription Use: __ × (21 CFR Part 801 Subpart D) 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 Russer

al Ser Off on of Ancoflestology, General Hospital, Jon Control, Dental Devices

10 100 KOS 04264260