K Number
K051952
Device Name
EUGENONE
Date Cleared
2005-09-07

(51 days)

Product Code
Regulation Number
872.3275
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Eugenone is a eugenol-free temporary cement used in the placement of temporary or temporary placement of permanent prostheses.
Device Description
Eugenone is a eugenol-free temporary cement.
More Information

Not Found

Not Found

No
The summary describes a temporary dental cement and contains no mention of AI, ML, image processing, or any other technology typically associated with AI/ML in medical devices.

No

Eugenone is a dental cement for temporary placement of prostheses, which is not considered a therapeutic device as it does not treat or cure a disease or condition.

No
The document describes Eugenone as a temporary cement used in the placement of prostheses, which is a therapeutic rather than a diagnostic function. There is no mention of it being used to identify or analyze a condition.

No

The device description clearly states it is a "eugenol-free temporary cement," which is a physical material, not software.

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

Here's why:

  • Intended Use: The intended use of Eugenone is described as a temporary cement for placing prostheses. This is a direct application within the body (or on a structure intended to be placed in the body), not a test performed in vitro (outside the living body) on specimens like blood, urine, or tissue.
  • Device Description: The description confirms it's a temporary cement, reinforcing its function as a material used in a clinical procedure.
  • Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological specimens.
    • Providing diagnostic information about a patient's health status.
    • Using reagents or assays.

Therefore, Eugenone falls under the category of a medical device used in a clinical procedure, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

Eugenone is a eugenol-free temporary cement used in the placement of temporary or temporary placement of permanent prostheses.

Product codes

EMA

Device Description

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Mentions image processing

Not Found

Mentions AI, DNN, or ML

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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

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Key Metrics

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Predicate Device(s)

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Reference Device(s)

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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/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with its wings spread, and the words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" are arranged in a circle around the eagle. The logo is black and white and appears to be a scanned image.

Public Health Service

SEP - 7 2005

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Dr. Jan A Orlowski President Scientific Pharmaceuticals, Incorporated 3221 Producer Way Pomona, California 91768-3916

Re: K051952

Trade/Device Name: Eugenone Regulation Number: 21 CFR 872.3275 Regulation Name: Dental cement Regulatory Class: II Product Code: EMA Dated: July 11, 2005 Received: July 18, 2005

Dear Dr. Orlowski:

We have reviewed your Section 510(k) premarket notification of intent to market the device we nave reviewed your becares is see is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in indications for use stated in are sectorial the enactment date of the Medical Device interstate conninetee prior to thay 20, 1978, 1978, 1978, 1978, 1999, 1999, 1999, 1999, 1999, 1999, 1999, 1999, 1999, 1999, 1999, 1999, 1999, 1999, 1999, 1999, 1999, 1999, 19 Ameliuments, or to devreed that is is a ct (Act) that do not require approval of a premarket the rederal Pood, Drug, and Cosments , therefore, market the device, subject to the general approval appreadon (1 Mirr). Four general controls provisions of the Act include Controls provisions of the Field - The Jisting 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 If your device is classified (000 as a very and controls. Existing major regulations affecting (FMA), it may of subject to back adam adam f Federal Regulations, Title 21, Parts 800 to 898. In your device can be found in the Seas nouncements concerning your device in the Federal Register.

1

Page 2 - Dr. Orlowski

Please be advised that FDA's issuance of a substantial equivalence determination does not Please be advisor that 1 DTC 5 lobalites of that your device complies with other requirements Incall that I DAT mas made a actes and regulations administered by other Federal agencies. of the Act of any I ederal statutes and reguirements, including, but not limited to: registration You must comply with an the Here require (21 CFR Part 801); good manufacturing practice and listing (21 CFR Part 607), laceming (21 CFR Part 820), and if requirents as set forth in the quality bjochs (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 mainer of substantial equivalence of your device to a premarket notification. THE FDA mining of storestion 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 advice for your do 100 at 12-01-27 15. Also, please note the regulation prease contact the Other of Ochiphan virus (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the may outant other general miremational and Consumer Assistance at its toll-free Division of 01 01 01 (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Snette y. Michael D. M.D.

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

Appendix 5

Indications for Use

510(k) Number (if known):K051952
Device Name:Eugenone
Indications for Use:Eugenone is a eugenol-free temporary cement used in the placement of temporary or temporary placement of permanent prostheses.

Prescription Use _ (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 801 Subpart C)

Pair 21 CFX 801 Baspares /
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF
NEBASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF
NEEDED NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Susan Runoy

(Division Sign-Off) (Division Sıgn-Off)
Division of Anesthesiology, General Hospital,
Chevices Control Dental Devices Division of Anestheslology, Doles 1021959

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