K Number
K062065
Device Name
RIVA LUTING PLUS
Date Cleared
2006-11-15

(118 days)

Product Code
Regulation Number
872.3275
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
- Cementation of metal free or porcelain fused to metal inlays, onlays, bridges and crowns. - Cementation of stainless steel crowns. - Cementation of posts and screws. - Attachment of metal orthodontic bands. - Base or liner.
Device Description
Not Found
More Information

Not Found

Not Found

No
The provided 510(k) summary describes a dental cement and does not mention any features or components related to AI or ML.

No
The device is described as being used for cementation and attachment, indicating it is likely a dental cement or adhesive rather than a therapeutic device that treats or prevents a disease or condition.

No
The 'Intended Use / Indications for Use' focuses on cementation and attachment procedures, which are therapeutic/restorative actions, not diagnostic ones. There is no mention of identifying, detecting, or measuring a medical condition or disease.

No

The provided text only describes the intended use of a device related to dental cementation and attachments. It lacks any description of the device itself, particularly whether it is software or hardware.

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

Here's why:

  • Intended Use: The intended uses listed are all related to dental procedures performed directly on a patient (cementing restorations, posts, bands, etc.). IVDs are used to examine specimens from the body (like blood, urine, tissue) to diagnose or monitor conditions.
  • Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVDs, such as analyzing biological samples, providing diagnostic information, or being used in a laboratory setting.

Therefore, this device is a dental material used for restorative and orthodontic purposes, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

  • Cementation of metal free or porcelain fused to metal inlays, onlays, bridges and crowns.
  • Cementation of stainless steel crowns.
  • Cementation of posts and screws.
  • Attachment of metal orthodontic bands.
  • Base or liner.

Product codes

EMA

Device Description

Not Found

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 (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.

Not Found

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

§ 872.3275 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/11 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 text "DEPARTMENT OF HEALTH & HUMAN SERVICES. USA" arranged in a circular pattern around the eagle. The eagle is black, and the text is also black. The background is white.

NOV 1 5 2006

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Ray Cahill Technical Director Southern Dental Industries, Incorporated 729 North Route 83, Suite 315 Bensenville, Illinois 60106

Re: K062065

Trade/Device Name; Riva Luting Plus Regulation Number: 872.3275 Regulation Name: Dental Cement Regulatory Class: II Product Code: EMA Dated: October 27, 2006 Received: October 30, 2006

Dear Mr. Cahill:

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 prior to May 28, 1976, the enactment date 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 found in the Code 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. Cahill

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (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) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results 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), please contact the Office of Compliance 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 Division 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,

Susite y. Micee DmD

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

510(k) Number (if known):

Device Name:

Indications For Use:

Riva Luting Plus

  • · Cementation of metal free or porcelain fused to metal inlays, onlays, bridges and crowns. 、
  • · Cementation of stainless steel crowns.
  • · Cementation of posts and screws.
  • Attachment of metal orthodontic bands.
  • · Base or liner.

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use:
(Per 21 CFR 801.109)

OR

(Sign Off)

Over-The-Counter Use: __
(Optional Format 1-2-96)

Ioa of Anesthesiology, General Hospital,
on Control, Dental Devices

ber. Korados