K Number
K063593
Device Name
CLEARFIL MAJESTY FLOW
Date Cleared
2007-02-02

(60 days)

Product Code
Regulation Number
872.3690
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
CLEARFIL MAJESTY Flow is indicated for the following restorative applications: - Direct restorations for anterior and posterior teeth (Class I III, V cavities, cervical caries, root erosion) - Cavity base / liner - Intraoral repairs of fractured crowns / bridges / composite resin
Device Description
CLEARFIL MAJESTY Flow is a flowable, radiopaque restorative composite resin which provides true to life color matching, high polish ability and excellent physical properties, making ideal for both anterior and posterior restorations. CLEARFIL MAJESTY Flow can be used alone or together with CLEARFIL AP-X and CLEARFIL MAJESTY Esthetic. It is classified into tooth shade resin materia" (21 CFR section 872.3690, Product code: EBF ) according to 21 CFR § 872 since it is composed of materials such as methacrylate monomers.
More Information

Not Found

No
The 510(k) summary describes a composite resin material and its physical properties, with no mention of software, algorithms, or AI/ML capabilities.

No
The device is a restorative composite resin used for dental fillings, which replaces damaged tooth structure but does not actively treat or cure a disease or condition.

No

The device description indicates that CLEARFIL MAJESTY Flow is a "flowable, radiopaque restorative composite resin." Its intended use is described as "restorative applications" for teeth, and it is classified as a "tooth shade resin material." These descriptions clearly indicate that the device is used for treating or restoring teeth, not for diagnosing conditions.

No

The device is a flowable, radiopaque restorative composite resin, which is a physical material, not software.

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

Here's why:

  • Intended Use: The intended use is for direct restorations of teeth, cavity base/liner, and intraoral repairs. These are all applications performed directly on the patient's teeth, not on samples taken from the body for diagnostic purposes.
  • Device Description: The description clearly states it's a "flowable, radiopaque restorative composite resin." This is a material used for filling and repairing teeth, not for analyzing biological samples.
  • Lack of IVD Characteristics: The text does not mention any of the typical characteristics of an IVD, such as analyzing blood, urine, tissue, or other bodily fluids, or providing diagnostic information about a patient's health status.

The device is classified as a "tooth shade resin material" under 21 CFR section 872.3690, which is a classification for dental restorative materials, not IVDs.

N/A

Intended Use / Indications for Use

CLEARFIL MAJESTY Flow is indicated for the following restorative applications:

  • Direct restorations for anterior and posterior teeth (Class I III, V cavities, cervical caries, root erosion)
  • Cavity base / liner
  • Intraoral repairs of fractured crowns / bridges / composite resin

Product codes

EBF

Device Description

CLEARFIL MAJESTY Flow is a flowable, radiopaque restorative composite resin which provides true to life color matching, high polish ability and excellent physical properties, making ideal for both anterior and posterior restorations. CLEARFIL MAJESTY Flow can be used alone or together with CLEARFIL AP-X and CLEARFIL MAJESTY Esthetic. It is classified into tooth shade resin materia" (21 CFR section 872.3690, Product code: EBF ) according to 21 CFR § 872 since it is composed of materials such as methacrylate monomers. According to the applicable FDA recognized consent us standard, ISO 4049: 2000 "Dentistry -Polymer-based filling, restorative and luting materials'', this device is classified into the following:

  • Type 1: polymer-based filling and restorative materials; -
  • Class 2: materials whose setting is effected by light; ・
  • Group 1: materials whose use requires the «nergy to be applied intra-orally. -

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

anterior and posterior teeth

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)

K993783, K012740, K033267, K012442

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.3690 Tooth shade resin material.

(a)
Identification. Tooth shade resin material is a device composed of materials such as bisphenol-A glycidyl methacrylate (Bis-GMA) intended to restore carious lesions or structural defects in teeth.(b)
Classification. Class II.

0

Jouluravay

[CLEARFIL MAIESTY Flow, KURARAY MEDICAL INC.] Section 3: Summary

K063593

FEB - 2 2007

Date: December 1, 2006

510(k) Summary

3-1. 510(k) owner (submitter)

1) NameKURARAY MEDICAL INC.
2) Address1621 Sakazu, Kurashiki, Okayama 710-0801, Japan
3) Contact personMichio Takigawa
Quality Assurance Department
4) Contact person in U.S.Koji Nishida
KURARAY AMERICA INC.
600 Lexington Avenue, 26th Floor
New York. NY 10022
Tel: (212) 986-2230 (Ext. 115) or (800)-879-1676
Fax: (212) 867-3543
3-2. Name of Device
1) Trade / Proprietary nameCLEARFIL MAJESTY Flow
2) Classification nameTooth shade resin material
(21 CFR section 872.3690. Product code: EBF)
3) Common nameFlowable restorative composite resin
4) Device listing numberR001413
3-3. Predicate device
1) TETRIC FLOW510(k) Number:
Product Code:
Applicant:K993783
EBF (21 CFR Section: 872.3690)
IVOCLAR NORTH AMERICA, INC
2) CLEARFIL AP-X510(k) Number:
Product Code:
Applicant:K012740
EBF (21 CFR Section: 872.3690)
KURARAY MEDICAL INC.
3) EPRICORD510(k) Number:
Product Code:
Applicant:K033267
EBF (21 CFR Section: 872.3690)
KURARAY MEDICAL INC.
4) CLEARFIL SE BOND510(k) Number:
Product Code:
Applicant:K012442
KLE (21 CFR Section: 872.3200)
KURARAY MEDICAL INC.

3-4. Description of device

CLEARFIL MAJESTY Flow is a flowable, radiopaque restorative composite resin which provides true to life color matching, high polish ability and excellent physical properties, making ideal for both anterior and posterior restorations. CLEARFIL MAJESTY Flow can be used alone or together with CLEARFIL AP-X and CLEARFIL MAJESTY Esthetic.

It is classified into tooth shade resin materia" (21 CFR section 872.3690, Product code: EBF ) according to 21 CFR § 872 since it is composed of materials such as methacrylate monomers.

1

According to the applicable FDA recognized consent us standard, ISO 4049: 2000 "Dentistry -Polymer-based filling, restorative and luting materials'', this device is classified into the following:

  • Type 1: polymer-based filling and restorative materials; -
  • Class 2: materials whose setting is effected by light; ・
  • Group 1: materials whose use requires the «nergy to be applied intra-orally. -

3-5. Intended uses

CLEARFIL MAJESTY Flow is indicated for the following restorative applications:

  • CEEANN ID MI WEST I 101 is marcates erior teeth. (Class I -- III, V cavities, cervical caries, root erosion)
  • Cavity base / liner
  • Intraoral repairs of fractured crowns / bridges / composite resin

The intended uses of CLEARFIL MAJESTY Flow are substantially equivalent to those included in the indications for use of TETRIC FLOW, the predicate device.

3-6. Technological characteristics of device

1) Safety

All the chemical ingredients of CLEARFIL MA.JESTY Flow, the applicant device, have been used in the predicate devices indicating that the safety of the applicant device is substantially equivalent to the predicate devices.

2) Effectiveness / Performance

CLEARFIL MAJESTY Flow, the applicant device, is verified to comply with the requirements of the applicable FDA recognized consensus staudard, ISO 4049: 2000 "Dentistry - Polymer-based filling, restorative and luting materials". As to compare with the predicate devices according to ISO 4049: 2000, both the applicant and the predicate device comply with ISO 4049: 2000 indicating that the applicant device is as effective as and nerforms as well as the predicate devices.

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/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 three tail feathers, representing the three levels of government: federal, state, and local. The eagle is positioned to the right of the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA", which is arranged in a circular fashion around the left side of the eagle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Koji Nishida General Manager Kuraray America, Incorporated 600 Lexington Avenue, 26th Floor New York, New York 10022

FEB - 2 2007

Re: K063593

Trade/Device Name: CLEARFIL MAJESTY Flow Regulation Number: 872.3690 Regulation Name: Tooth Shade Resin Material Regulatory Class: II Product Code: EBF Dated: December 1, 2006 Received: December 11, 2006

Dear Mr. Nishida:

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.

3

Page 2 -Mr. Nishida

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.

Clus

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

4

Indications for Use

510(k) Number (if known): _

Device Name: CLEARFIL MAJESTY Flow

Indications for Use:

CLEARFIL MAJESTY Flow is indicated for the following restorative applications:

  • Direct restorations for anterior and posterior teeth (Class I III, V cavities, cervical caries, root erosion)
  • Cavity base / liner
  • Intraoral repairs of fractured crowns / bridges / composite resin

Prescription Use _________X AND/COR (Part 21 CFR 801 Subpart D)

Over-The-Counter Use _ N/A (21 CFR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW "I'HIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

неродника монение машина. «Сетромандарам» мотов» - темалова с Мили Моски и мости изментирации и п

Concurrence of CDRH, Office of Device Evaluation (ODE)

Susa Runge

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