K Number
K082594
Device Name
REMESENSE
Manufacturer
Date Cleared
2009-03-19

(192 days)

Product Code
Regulation Number
872.3260
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Remesense is intended for the local management of dental sensitivity by patient application of foam strips impregnated with desensitizing gel. Remesense is indicated for use as a tooth desensitizer.
Device Description
Remesense consists of a tray and impregnated foam strips. The Remesense foam strips are thin flexible foam strips, impregnated with a desensitizing liquid. These strips are designed to relieve dental (hyper) sensitivity by patient application to the affected tooth (teeth). The impregnated foam strips are held in place with trays.
More Information

Not Found

No
The summary describes a physical device (foam strips and trays) for applying a desensitizing gel. There is no mention of software, algorithms, or data processing that would indicate the presence of AI/ML.

Yes

The device is intended for the "local management of dental sensitivity" and is "indicated for use as a tooth desensitizer," which are therapeutic purposes aimed at alleviating a medical condition (dental hypersensitivity).

No

Explanation: The device is intended for the "local management of dental sensitivity" and acts as a "tooth desensitizer," which are treatment functions, not diagnostic ones. It does not identify or detect a medical condition.

No

The device description explicitly states it consists of a tray and impregnated foam strips, which are physical components, not software.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Remesense's Function: Remesense is applied directly to the teeth to manage dental sensitivity. It does not analyze samples taken from the body.
  • Intended Use: The intended use clearly states "local management of dental sensitivity by patient application of foam strips". This is a topical application, not an in vitro test.

Therefore, Remesense falls under the category of a medical device, but not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

Remesense is intended for the local management of dental sensitivity by patient application of foam strips impregnated with desensitizing gel.
Remesense is indicated for use as a tooth desensitizer.

Product codes

LBH

Device Description

Remesense consists of a tray and impregnated foam strips. The Remesense foam strips are thin flexible foam strips, impregnated with a desensitizing liquid. These strips are designed to relieve dental (hyper) sensitivity by patient application to the affected tooth (teeth). The impregnated foam strips are held in place with trays.

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)

K061438, K041680, K983477, K073061

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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

KO82594

510(k) Summary

Submitter Name:Remedent NV
Submitter Address:Xavier de Cocklaan 42
Deurle, BELGIUM B-9831
Phone Number:603 369 3550
Fax Number:603 369 3562
Contact Person:William Greenrose
Date Prepared:02 September 2008
Device Trade Name:Remesense
Common NameTooth Desensitizer
Classification Name:Cavity Varnish
Number:872.5260
Product Code:LBH
Predicate Devices:K061438 - UltraEZ, K041680 - Orajel, K983477 - SuperSeal, K073061 -
Provident (details in table below)
Device Description
and Statement of
Intended UseDevice Description: Remesense consists of a tray and impregnated
foam strips. The Remesense foam strips are thin flexible foam strips,
impregnated with a desensitizing liquid. These strips are designed to
relieve dental (hyper) sensitivity by patient application to the affected
tooth (teeth). The impregnated foam strips are held in place with trays.

Statement of Intended Use: Remesense is intended for the local
management of dental sensitivity by patient application of foam strips
impregnated with desensitizing gel. |
| Summary of
Technological
Characteristics | Potassium oxalate breaks down into potassium and oxalic acid. The
oxalic acid reacts with calcium ions to form calcium-oxalate crystals.
These crystals block the dentin tubules, thereby alleviating dental
sensitivity. Blockage of dentin tubules is commonly used by many tooth
sensitivity agents to reduce tooth sensitivity, and potassium oxalate is a
common material used to block dentin tubules. |

1

| Submitter:
Remedent | Remesense
Premarket Notification: Traditional 510(k) | | K082594 |
|------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--|---------|
| Conclusion | The information discussed above demonstrates that the Remesense
device is substantially equivalent to the predicate devices | | |
| Declarations | This summary includes only information that is also covered in the body of the 510(k). This summary does not contain any puffery or unsubstantiated labeling claims. This summary does not contain any raw data, i.e., contains only summary data. This summary does not contain any trade secret or confidential commercial information. | | |

  • ் This summary does not contain any patient identification information.
FeatureRemesenseUltraEZOrajelSupersealProvident
510(k) NumberTBDK061438K041680K983477K073061
ManufacturerRemedentUltradent
Products, Inc.DEL
Pharmaceuticals,
Inc.Phoenix Dental,
Inc.Coll Partners, Ltd.
Classification # &
Product Code872.3260
LBH872.3260
LBH872.3200
KLE872.3250
EJK872.3260
LBH
Classification
NameCavity VarnishCavity VarnishTooth bonding
resin agentCalcium
hydroxide cavity
linerCavity Varnish
Common NameTooth
DesensitizerTooth
DesensitizerTooth
DesensitizerTooth
DesensitizerTooth
Desensitizer
Indications for
UseTooth
DesensitizerProvides a film
like varnish for
exposed teeth
sealing dentinal
tubules of over
exposed dentin or
other exposed
areas where
postoperative or
other dentin
sensitivity is a
concern.Tooth
DesensitizerA potassium
oxalate based film
forming acid
resistant liner and
desensitizer that
is indicated for
application prior
to restoration of
exposed dentin.A fluoride
containing varnish
system intended
for use as a
desensitizing
agent on the
surface areas of
hypersensitive or
potentially
sensitive teeth.
Mode of ActionTubule
OcclusionTubule
OcclusionTubule
OcclusionTubule
OcclusionTubule
Occlusion
Material
CompositionPotassium
OxalateKNO3 and KF2-hydroxyethyl
methacrylatePotassium
OxalateKF
ApplicationTray/Kit/GelGelLiquid w/SwabGelTray/Kit/Gel
Rx/OTCRxRxRxRxRx

Summary of Technical Characteristics

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract image of an eagle.

MAR 1 9 2009

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Remedent NV C/o Mr. William Greenrose President Qserve America, Incorporated 220 River Road Claremont, New Hampshire 03743-5567

Re: K082594

Trade/Device Name: Remesense Regulation Number: 21 CFR 872.3260 Regulation Name: Cavity Varnish Regulatory Class: II Product Code: LBH Dated: March 12, 2009 Received: March 17, 2009

Dear Mr. Greenrose:

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. Greenrose

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,

Susan Lunnes

Ginette Y. Michaud, M.D. Acting Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

4.1 Indications for Use Statement

510(k) Number (if known):

K082594

Device Name: Remesense

Indications for Use:

Remesense is indicated for use as a tooth desensitizer.

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

Concurrence of CDRH; Office of Device Evaluation (ODE)

Prescription X Use (Per 21 CFR 801.109)

OR

Over-The-Counter Use

(Optional Format 1-2-96)

Sussa Kumar

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

510(k) Number: K082594