K Number
K080814
Device Name
VOCO PROFLUORID VARNISH
Manufacturer
Date Cleared
2008-07-24

(122 days)

Product Code
Regulation Number
872.3260
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
VOCO Profluorid Varnish is intended for use as - Treatment of hypersensitive teeth, - Sealing the dentinal tubules for cavity preparations or on sensitive root surfaces - Cavity liner under amalgam restorations
Device Description
VOCO Profluorid Varnish is a fluoride containing dental varnish for application to enamel surfaces as well as dentin for the treatment of hypersensitive teeth and for use as a cavity liner under amaigam restorations. VOCO Profluorid Varnish will for use as cavily a is tolerant to moisture and saliva.
More Information

No
The summary describes a fluoride varnish, a chemical substance applied to teeth, with no mention of software, algorithms, or any technology that would incorporate AI or ML.

No
The device is a dental varnish used for treating hypersensitive teeth, sealing dentinal tubules, and as a cavity liner; these are not considered therapeutic uses in the context of treating or curing disease.

No

Explanation: The "Intended Use / Indications for Use" section describes the device as being used for "Treatment of hypersensitive teeth," "Sealing the dentinal tubules," and as a "Cavity liner." These are all therapeutic or protective actions, not diagnostic ones. A diagnostic device would identify or detect a condition.

No

The device description clearly states it is a "fluoride containing dental varnish," which is a physical substance applied to teeth, not software.

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

Here's why:

  • Intended Use: The intended uses listed (treatment of hypersensitive teeth, sealing dentinal tubules, cavity liner) are all related to direct treatment or application within the patient's mouth. IVDs are used to examine specimens from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening.
  • Device Description: The description confirms it's a dental varnish applied to enamel and dentin surfaces. This is a topical application, not an in vitro test.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples, using reagents, or providing diagnostic information based on laboratory testing.

Therefore, VOCO Profluorid Varnish is a medical device used for dental treatment, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

VOCO Profluorid Varnish is intended for use as a desensitizing agent for the treatment of hypersensitive teeth, for sealing the dentinal tubules for cavity preparations or on sensitive root surfaces or to line cavity preparations under amalgam restorations.

VOCO Profluorid Varnish is intended for use as

  • Treatment of hypersensitive teeth,
  • Sealing the dentinal tubules for cavity preparations or on sensitive root surfaces
  • Cavity liner under amalgam restorations

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

LBH

Device Description

VOCO Profluorid Varnish is a fluoride containing dental varnish for application to enamel surfaces as well as dentin for the treatment of hypersensitive teeth and for use as a cavity liner under amaigam restorations. VOCO Profluorid Varnish will for use as cavily a is tolerant to moisture and saliva.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

enamel surfaces, dentin, dentinal tubules, root surfaces

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.

K945794, K031932

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.

K961893

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

§ 872.3260 Cavity varnish.

(a)
Identification. Cavity varnish is a device that consists of a compound intended to coat a prepared cavity of a tooth before insertion of restorative materials. The device is intended to prevent penetration of restorative materials, such as amalgam, into the dentinal tissue.(b)
Classification. Class II (special controls). The device, when it is an external cleaning solution, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 872.9.

0

Image /page/0/Picture/0 description: The image shows four black shapes arranged horizontally. The first shape is a triangle with a rectangle cut out of the top. The second shape is a circle with a smaller circle cut out of the center. The third shape is a circle with a wedge cut out of it. The fourth shape is a circle with a smaller circle cut out of the center and a vertical line through it.

JUL 2 4 2008

Anton-Flettner-Straße 27472 Cuxhaven · Germany +49 4721 719-1 49 4721 719-140 . Info@yoco do

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------VOCO GmbH · Postfach 7 67 · 27457 Cuxhaven · Germany

K080014

510(k) SUMMARY

Contact: M. Th. Plaumann

Date prepared: March 20, 2008

Trade or proprietary name: VOCO Profiluorid Varnish

Classification name: Varnish, Cavity (872 3260)

| Predicate device: | Duraphat
Fluoride Varnish | K945794
K031932 |

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Device description:

VOCO Profluorid Varnish is a fluoride containing dental varnish for application to enamel surfaces as well as dentin for the treatment of hypersensitive teeth and for use as a cavity liner under amaigam restorations. VOCO Profluorid Varnish will for use as cavily a is tolerant to moisture and saliva.

Intended use: VOCO Profluorid Varnish is intended for use as a desensitizing agent for the treatment of hypersensitive teeth, for sealing the dentinal tubules for cavity preparations or on sensitive root surfaces or to line cavity preparations under amalgam restorations.

Technological characteristics: All of the components of VOCO Profluorid Varnish are found in the legally marketed devices K945794 (Duraphat), K031932 (Fluoride Varnish) and K961893 (Duraflor Cavity Varnish) with the exception of ethyl cellulose which has been cleared by FDA as a food additive permitted for direct addition to food for human use (?) CFR 172.868).

The prior use of all of the components of VOCO Profluorid Varnish in legally marketed devices support our decision that additional testing for cytotoxicity and mutagenicity as wel as additional biocompatibility studies with the final formulation are not necessary We believe that the prior use of the components of VOCO Profluorid Varnish in legally marketed devices and the performance data and results provided support the safety an effectiveness of VOCO Profluorid Varnish for the intended use.

VOCO GmbH, March 20, 2008

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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" arranged around the perimeter. Inside the circle is a stylized eagle emblem, with its head facing left and its wings forming three distinct, curved lines. The overall design is simple and monochromatic.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. M. Th. Plaumann Managing Board VOCO GmbH Anton-Flettner-Strasse 1-3 Cuxhaven GERMANY D-27472

Re: K080814

Trade/Device Name: VOCO Profluorid Varnish Regulation Number: 21CFR 872.3260 Regulation Name: Cavity Varnish Regulatory Class: II Product Code: LBH Dated: July 15, 2008 Received: July 18, 2008

Dear Mr. Plaumann:

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.

JUL 2 4 2008

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.

2

Page 2 - Mr. Plaumann

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 Center for Devices and Radiological Health's (CDRH's) Office of Compliance at (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at 240-276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at 240-276-3464. 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 (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Samuel Fox 11

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

3

Indications for Use Statement

510(k) Number:K080814
Device Name:VOCO Profluorid Varnish
Indications for Use:

VOCO Profluorid Varnish is intended for use as

  • Treatment of hypersensitive teeth,
  • Sealing the dentinal tubules for cavity preparations or on sensitive root surfaces
  • Cavity liner under amalgam restorations
Prescription Use XOROver-The-Counter Use _____
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(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Susan Runner

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

510(k) Number: R080804