K Number
K052501
Device Name
MULTIPLE RESIN TOOTH BONDING AGENT
Manufacturer
Date Cleared
2005-10-21

(38 days)

Product Code
Regulation Number
872.3200
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Resin Tooth Bonding Agent is used to facilitate the adhesive bonding of restorative/preventive dental materials to dental hard tissues as well as to other restorative materials.
Device Description
Cosmedent Resin Tooth Bonding Agent is a dual-cure 4th generation resin tooth bonding agent based on an acetone solution of room temperature polymerizing dimethacrylates. The device consists of two bottles designated as Primer A and Primer B. Primer A can be used alone and light cured, or it can be mixed with Primer B whereupon the adhesive will self cure in a clinically appropriate amount of time. In either case, two coats of the adhesive are applied to the prepared teeth. The adhesive bond strength of the device is approximately 25 MPa. The product is intended to be used to promote the adhesion of resin composite restoratives to dentin and enamel.
More Information

Not Found

No
The description focuses on the chemical composition and application of a resin bonding agent, with no mention of AI or ML.

No.
The device is a bonding agent used to facilitate the adhesion of dental restorative materials, not to provide therapy or treat a disease directly.

No

The device description indicates it is a bonding agent used to facilitate the adhesive bonding of dental materials, not to diagnose a condition or disease. It promotes adhesion of restorative materials to dental tissues.

No

The device description clearly states it is a "dual-cure 4th generation resin tooth bonding agent based on an acetone solution of room temperature polymerizing dimethacrylates" and consists of "two bottles designated as Primer A and Primer B." This describes a chemical product, not software.

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

Here's why:

  • Intended Use: The intended use is to facilitate the adhesive bonding of dental materials to dental hard tissues and other restorative materials. This is a direct application within the body (or on tissues within the body) for a therapeutic or restorative purpose.
  • Device Description: The description details a chemical bonding agent applied to teeth. This is a material used in a clinical procedure, not a test performed on a sample taken from the body to diagnose a condition.
  • Lack of IVD Characteristics: There is no mention of analyzing samples (blood, urine, tissue, etc.), detecting substances, or providing diagnostic information about a patient's health status.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This dental bonding agent does not fit that description.

N/A

Intended Use / Indications for Use

Resin Tooth Bonding Agent is used to facilitate the adhesive bonding of restorative/preventive dental materials to dental hard tissues as well as to other restorative materials.

Resin Tooth Bonding Agent is marketed as a kit that may contain:

  • A single light-cure resin component .
  • A two-component self-cure resin adhesive .
  • A phosphoric acid etchant .
  • A silane coupling agent .

Product codes (comma separated list FDA assigned to the subject device)

KLE

Device Description

Cosmedent Resin Tooth Bonding Agent is a dual-cure 4th generation resin tooth bonding agent based on an acetone solution of room temperature polymerizing dimethacrylates. The device consists of two bottles designated as Primer A and Primer B. Primer A can be used alone and light cured, or it can be mixed with Primer B whereupon the adhesive will self cure in a clinically appropriate amount of time. In either case, two coats of the adhesive are applied to the prepared teeth. The adhesive bond strength of the device is approximately 25 MPa. The product is intended to be used to promote the adhesion of resin composite restoratives to dentin and enamel.

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

Not Found

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K910860

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 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.

0

K05250|

Page 19 of 21

Cosmedent, Inc. 401 N. Michigan Ave., Ste 2500, Chicago, IL 60611 510(k) submission for RESIN TOOTH BONDING AGENT

3CT 2 1 2005

510(k) SUMMARY As required by the Safe Medical Devices Act of 1990

DESCRIPTION OF THE APPLICANT DEVICE

TRADE NAME: Multiple COMMON NAME: Dentin/enamel adhesive CLASSIFICATION NAME: Tooth resin bonding agent (21 CFR 872.3200, Product code KLE)

Cosmedent Resin Tooth Bonding Agent is a dual-cure 4th generation resin tooth bonding agent based on an acetone solution of room temperature polymerizing dimethacrylates. The device consists of two bottles designated as Primer A and Primer B. Primer A can be used alone and light cured, or it can be mixed with Primer B whereupon the adhesive will self cure in a clinically appropriate amount of time. In either case, two coats of the adhesive are applied to the prepared teeth. The adhesive bond strength of the device is approximately 25 MPa. The product is intended to be used to promote the adhesion of resin composite restoratives to dentin and enamel.

The technological characteristics of the applicant device are identical to the predicate device except with the latter; equal quantities of A and B are mixed and cured whereas with the former, A can be cured alone or mixed with B and allowed to self cure. The safety and efficacy are otherwise equivalent.

IDENTIFICATION OF THE LEGALLY MARKETED PREDICATE DEVICE

Bisco All-Bond 2 (K910860) is a dual-cure 4th generation resin tooth bonding agent based on an acetone solution of room temperature polymerizing dimethacrylates. Primers A and B are mixed and five coats of the mixed material are applied to the prepared teeth. The adhesive will self cure in a clinically appropriate amount of time, or the mixed adhesive can be light cured. The adhesive bond strength of the device is approximately 28 MPa. The product is intended to be used to promote the adhesion of resin composite restoratives to dentin and enamel.

Omer L. Sandlin

James L. Sandrik, PhD

Cosmedent, Inc. 401 N. Michigan Avenue Suite 2500 Chicago, Illinois 60611 Phone: 800-621-6729 Fax: 312-644-9752 jimsandrik@cosmedent.com Submitted: September 8, 2005

1

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 an abstract symbol resembling an eagle or bird with three stylized wing segments.

Public Health Service

OCT 2 1 2005

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

James L. Sandrik, PhD Director of Regulatory Affairs Cosmedent, Incorporated 401 North Michigan Avenue, Suite 2500 Chicago, Illinois 60611

Re: K052501

Trade/Device Name: Resin Tooth Bonding Agent Regulation Number: 21 CFR 872.3200 Regulation Name: Resin Tooth Bonding Agent Regulatory Class: II Product Code: KLE Dated: September 08, 2005 Received: September 13, 2005

Dear Dr. Sandrik:

We have reviewed your Section 510(k) premarket notification of intent to market the device we have leviewed your becasing in (t) for the is substantially equivalent (for the indications for relered above and nave acterimined marketed predicate devices marketed in interstate commerce use stated in the encreasure) to regain that of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic ilave bech receasified in acceration of a premarket approval application (PMA). You may, Act (Act) market the device, subject to the general controls provisions of the Act. The general therefore, market the device, backed we annual registration, listing of devices, good controls provibitions and prohibitions against misbranding and adulteration.

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

2

Page 2 -- James L. Sandrik, PhD

Please be advised that FDA's issuance of a substantial equivalence determination does not mean Please be advised that FDA 's issuance of a substance oner requirements of the Act or
that FDA has made a determination that your device complies with must comply with that FDA has made a determination that your uce also encess. You must comply with any Federal statutes and regulations administered by oner restation and listing (21 CFF Part 807);
all the Act's requirements, including, but not limited to: restaurants as e all the Act's requirements, including but normance requirements as set forth in the quality
labeling (21 CFR Part 801); good names as an and contropic product radiation labeling (21 CFR Part 801); good manufacturing passicable, the electronic product radiation
systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic produ systems (QS) regulation (21 G31-542 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 allow you to begin maketing your active as easence of your device to a legally
premarket notification. The FDA finding of substantial equiralsed thus, nermi premarket notification. The FDA Inding of substantal equivaliation of your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please
rs of the may of the support of 2115 - Also and association entitled If you desire specific advice for your uc-vice on our in and have note the regulation entitled, the regulation entitled, the contact the Office of Compliance and 240, 210-011-17 (12. CFR Pat 807.97). You may obtain other
"Misbranding by reference to prematics notification it a frem the Division of "Misbranding by reference to premailities under the Act from the Division of Small
general information on your responsibilities under the Act its toll free number (800) 6 general intormation on your responsibilities and its toll-free number (800) 638-2041 or 1 Manufacturers, Internet and Consulter / Essibance at to vol. #10 votes #10 votes #110 l.
(301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/industry/support/in

Sincerely yours,

Smute. Y. Michie Oms

Chiú 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

3

Page 6 of 21

INDICATIONS FOR USE

510(k) Number (if known):

K052501

Device Name: MULTIPLE (RESIN TOOTH BONDING AGENT)

Indications For Use:

Resin Tooth Bonding Agent is used to facilitate the adhesive bonding of restorative/preventive dental materials to dental hard tissues as well as to other restorative materials.

Resin Tooth Bonding Agent is marketed as a kit that may contain:

  • A single light-cure resin component .
  • A two-component self-cure resin adhesive .
  • A phosphoric acid etchant .
  • A silane coupling agent .

× 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)

Sonser Rumm

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

510(k) Number: K052550