K Number
K083811
Device Name
W&H HANDPIECE ANESTO, MODEL: RA-5
Date Cleared
2010-01-14

(388 days)

Product Code
Regulation Number
872.4475
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Drilling system to perforate cortical bone in order to administer local anesthesia in spongiosa. Application in dentistry.
Device Description
RA-5 "ANESTO" is a handpiece, which, on the one hand, is provided with a coupling system according to ISO 3964. This coupling allows the handpiece's attachment onto a corresponding dental motor, for transmitting the motor's rotational movement to the attached intraosseous injection needle, intended to perforate cortical bone. On the other hand, it was designed for being equipped with an anesthetic cartridge acc. ISO 11499, volume 1.7 or 1.8ml. After having perforated the bone, this cartridge's anesthesia can be administered locally in the spongiosa by means of a manually-operated dosage lever. "ANESTO's" application is intended in dentistry.
More Information

No
The device description and other sections do not mention any AI or ML components or functionalities. The device is a mechanical handpiece for drilling and anesthetic delivery.

Yes
Explanation: The device is used to administer local anesthesia, which is a therapeutic intervention aimed at pain relief during dental procedures.

No
Explanation: The device is a drilling system designed to administer local anesthesia, not to diagnose a condition or disease.

No

The device description clearly describes a physical handpiece with mechanical components (coupling system, dosage lever) and the ability to attach physical items (dental motor, anesthetic cartridge, injection needle). This is a hardware device, not software only.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are devices used to examine specimens taken from the human body (like blood, urine, or tissue) to provide information about a person's health. This testing is done outside of the body (in vitro).
  • Device Function: The described device, the RA-5 "ANESTO", is a surgical/dental instrument used to physically drill into bone and administer anesthesia directly into the body. It does not analyze any biological samples.

The device's function is entirely focused on a procedural intervention within the patient's body, not on laboratory testing of samples.

N/A

Intended Use / Indications for Use

Drilling system to perforate cortical bone in order to administer local anesthesia in spongiosa. Application in dentistry.

Product codes

EGM

Device Description

RA-5 "ANESTO" is a handpiece, which, on the one hand, is provided with a coupling system according to ISO 3964. This coupling allows the handpiece's attachment onto a corresponding dental motor, for transmitting the motor's rotational movement to the attached intraosseous injection needle, intended to perforate cortical bone.
On the other hand, it was designed for being equipped with an anesthetic cartridge acc. ISO 11499, volume 1.7 or 1.8ml. After having perforated the bone, this cartridge's anesthesia can be administered locally in the spongiosa by means of a manually-operated dosage lever.
"ANESTO's" application is intended in dentistry.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

cortical bone, spongiosa

Indicated Patient Age Range

Not Found

Intended User / Care Setting

dentistry

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

Bench testing results demonstrate substantially equivalence

Key Metrics

Not Found

Predicate Device(s)

"IntraFlow HTP", Pro-Dex Micro Motors Inc., 510(k) exempt, "Cyberjet", Intra Vantage Inc., K964802

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.4475 Spring-powered jet injector.

(a)
Identification. A spring-powered jet injector is a syringe device intended to administer a local anesthetic. The syringe is powered by a spring mechanism which provides the pressure to force the anesthetic out of the syringe.(b)
Classification. Class II.

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JAN 1 4 2010

Image /page/0/Picture/1 description: The image shows a logo with the letters 'W', '&', and 'H' inside of a hexagon. The letters are in a bold, sans-serif font. The hexagon is outlined in black. The logo is simple and clean, and it would be easily recognizable.

510(k) Handpiece RA-5 "ANESTO"

Section 5
Page 1 of 1

1083811

510(k) SUMMARY

| Applicant and Owner | W&H Dentalwerk Buermoos GmbH
Ignaz-Glaser-Strasse 53
A - 5111 Buermoos
Austria
Tel.: 0043 -6274 / 6236 -297
Fax: 0043 -6274 / 6236 -234 |
|--------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact Person | Johann Georg SCHARL |
| Date of Preparation | December 19th, 2008 |
| Device Name | Handpiece RA-5 "ANESTO" |
| Classification Name | Spring Powered Jet Injector |
| Regulation Number | 21 CFR872.4475 |
| Product Code | EGM |
| Predicate Devices | "IntraFlow HTP", Pro-Dex Micro Motors Inc., 510(k) exempt
"Cyberjet", Intra Vantage Inc., K964802 |
| Device Description | RA-5 "ANESTO" is a handpiece, which, on the one hand, is
provided with a coupling system according to ISO 3964. This
coupling allows the handpiece's attachment onto a corresponding
dental motor, for transmitting the motor's rotational movement to
the attached intraosseous injection needle, intended to perforate
cortical bone.
On the other hand, it was designed for being equipped with an
anesthetic cartridge acc. ISO 11499, volume 1.7 or 1.8ml. After
having perforated the bone, this cartridge's anesthesia can be
administered locally in the spongiosa by means of a manually-
operated dosage lever.
"ANESTO's" application is intended in dentistry. |
| Intended Use: | Drilling system to perforate cortical bone in order to administer
local anesthesia in spongiosa; application in dentistry. |
| Technological
Characteristics | The Handpiece RA-5 "ANESTO", represents a revised and
improved version of the predicate device. The main technical
characteristics have been retained unchanged.
New: "ANESTO" is designed to be attached on and driven by a
dental micro motor (air or electric motor), instead by the integrated
air-supplied driving system of the predicate device. Furthermore,
the handpiece's shape and ease of operation have been
improved for more user-friendliness. |
| Comparison of the
device to the predicate
device | The intended use, technological characteristics, performance
parameter and material are very similar to the predicate device.
The new device is substantially equivalent to the predicate
devices. |
| Performance Testing | Bench testing results demonstrate substantially equivalence |
| Clinical Testing | Clinical data were not needed for this new product. |

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Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health and 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 image of an eagle with its wings spread.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room W-066-0609 Silver Spring, MD 20993-0002

JAN 1 4 2010

Mr. Johann G. Scharl Regulatory Affairs Manager W & H Dentalwerk Buermoos GmbH 53 Ignaz-Glaser-Strasse Buermoos Austria 5111

Re: K083811

Trade/Device Name: Handpiece RA-5 "ANESTO" Regulation Number: 21CFR 872.4475 Regulation Name: Spring-Powdered Jet Injector Regulatory Class: II Product Code: EGM Dated: January 7, 2010 Received: January 11, 2010

Dear Mr. Scharl:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to 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. Scharl

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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to

http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours.

Wh for

Anthony D. Watson, BS, MS, MBA Director

Division of Anesthesiology, General Hospital, Infection Control, and Dental Devices Office of Device Evaluation Center for Devices and

Radiological Health

Enclosure

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Image /page/3/Picture/0 description: The image shows a logo with the letters 'W&H' inside of a hexagon. The letters are in a bold, sans-serif font. The ampersand symbol is used to connect the 'W' and 'H'. The hexagon is outlined in black, and the letters are also black.

Indications for Use

510(k) number: K083811

Device Name: Handpiece RA-5 "ANESTO"

Indication for Use:

Drilling system to perforate cortical bone in order to administer local anesthesia in spongiosa. Application in dentistry.

Prescription Use × (Part 21 CFR 801 Subpart D)

AND/OR

Over The Counter Use (Part 21 CFR 807 Subpart C)

Concurrence of CDRH, Office of Device Evaluation (ODE)

$

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

510(k) Number: KD83811

January 13th 2010

Rev. 01