K Number
K112118
Device Name
DREAMBOND
Manufacturer
Date Cleared
2011-11-17

(115 days)

Product Code
Regulation Number
872.3200
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The indications of use of DREAMBOND are: 1. all direct restorations 2. all indirect restorations 3. intra-oral repairs (i.e. repair of any fixed dental prosthesis containing zirconia, alumina, metals, glass ceramics, tooth structure, and composites) 4. desensitizing/sealing of tooth structure 5. protective varnish for glass ionomer fillings 6. priming of enamel for orthodontic use
Device Description
Bisco's DREAMBOND is a single-component dental bonding agent that combines etching, priming and bonding all in one bottle. DREAMBOND is an ethanol/water-based dental adhesive which bonds to dentin and to cut and uncut enamel. As a universal adhesive, DREAMBOND has been designed to work with light-cured, self-cured and dual-cured composite materials. DREAMBOND can be used for the bonding of both direct and indirect restorations. DREAMBOND may be used with or without phosphoric acid etchant.
More Information

Not Found

No
The device description and performance studies focus on the chemical and mechanical properties of a dental bonding agent, with no mention of AI or ML technologies.

No
The device is a dental bonding agent used for restorations and repairs, not for treating existing medical conditions or diseases.

No

The device is a bonding agent used for dental restorations and repairs, and its intended uses do not involve diagnosis.

No

The device description clearly states that DREAMBOND is a "single-component dental bonding agent" and an "ethanol/water-based dental adhesive," indicating it is a physical substance, not software.

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

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, or tissue) to provide information about a person's health.
  • DREAMBOND's Function: DREAMBOND is a dental bonding agent used directly on tooth structure (enamel and dentin) for restorative and protective purposes. It is applied in vivo (within the body), not used to test samples in vitro (outside the body).
  • Intended Use: The listed indications for use all involve direct application to the tooth or dental prostheses within the mouth.
  • Device Description: The description clearly states it's a dental bonding agent applied to dentin and enamel.

Therefore, DREAMBOND falls under the category of a dental device used for treatment and restoration, not for diagnostic testing of biological samples.

N/A

Intended Use / Indications for Use

The indications of use of DREAMBOND are:

  1. all direct restorations
  2. all indirect restorations
  3. intra-oral repairs (i.e. repair of any fixed dental prosthesis containing zirconia, alumina, metals, glass ceramics, tooth structure and composites)
  4. desensitizing/sealing of tooth structure
  5. protective varnish for glass ionomer fillings
  6. priming of enamel for orthodontic use

Product codes

KLE

Device Description

Bisco's DREAMBOND is a single-component dental bonding agent that combines etching, priming and bonding all in one bottle. DREAMBOND is an ethanol/water-based dental adhesive which bonds to dentin and to cut and uncut enamel. As a universal adhesive, DREAMBOND has been designed to work with light-cured, self-cured and dual-cured composite materials. DREAMBOND can be used for the bonding of both direct and indirect restorations. DREAMBOND may be used with or without phosphoric acid etchant.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

tooth structure, enamel, dentin

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)

The physical/mechanical properties of DREAMBOND were tested in the lab using ISO, ADA/ANSI, and Bisco Inc. QA/QC and R&D test protocols. The information provided in this 510(k) of DREAMBOND compared to ACE Bond SE demonstrates that DREAMBOND performs as well as or better than the predicate. A comparison of the physical and mechanical properties to the predicate device is included.

A biocompatibility evaluation was conducted to determine the safety of DREAMBOND using Oral Toxicity in Mice. No mortality or toxicity was observed for the tested time period. The conclusion of the safety evaluation and subsequent oral toxicity testing is that DREAMBOND is safe for its intended use.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K063780, K110302

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.3200 Resin tooth bonding agent.

(a)
Identification. A resin tooth bonding agent is a device material, such as methylmethacrylate, intended to be painted on the interior of a prepared cavity of a tooth to improve retention of a restoration, such as a filling.(b)
Classification. Class II.

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K112118

NOV 1 7 2011

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Image /page/0/Picture/2 description: The image shows the logo for BISCO. The logo consists of the letters "B," "I," "S," "C," and "O" inside of hexagons. Below the logo is the text "Bringing Science to the Art of Dentistry."

.510 (k) SUMMARY

Applicant:Bisco, Inc. 1100 W. Irving Park Road Schaumburg IL, 60193
Contact Person:Michelle Schiltz-Taing Tel: 847-534-6146 Fax: 847-534-6146
Date Prepared:08 November 2011
Device Name:Trade Name:DREAMBONDCommon Name:Adhesive for Both Self and Total Etch TechniquesProduct Code:KLEClassification Name:Resin tooth bonding AgentRegulation Number:21 CFR 872.3200Classification:IIClassification Panel:DentalTrade Name:DREAMBONDCommon Name:Adhesive for Both Self and Total Etch TechniquesProduct Code:KLEClassification Name:Resin tooth bonding AgentRegulation Number:21 CFR 872.3200Classification:IIClassification Panel:Dental
Trade Name:DREAMBOND
Common Name:Adhesive for Both Self and Total Etch Techniques
Product Code:KLE
Classification Name:Resin tooth bonding Agent
Regulation Number:21 CFR 872.3200
Classification:II
Classification Panel:Dental

Predicate Device:

DREAMBOND is substantially equivalent to Ace Bond SE from Bisco, Inc. Schaumburg IL (K063780) and to Adhesive EXL-759 from 3M ESPE AG Seefeld, Bavaria (K110302).

Indications for Use:

The indications of use of DREAMBOND are:

    1. all direct restorations
  • all indirect restorations 2.
  • intra-oral repairs (i.e. repair of any fixed dental prosthesis containing zirconia, alumina, metals, 3. glass ceramics, tooth structure and composites)
    1. desensitizing/sealing of tooth structure
    1. protective varnish for glass ionomer fillings
  • priming of enamel for orthodontic use 6.

Description of Applicant Device:

Bisco's DREAMBOND is a single-component dental bonding agent that combines etching, priming and bonding all in one bottle. DREAMBOND is an ethanol/water-based dental adhesive which bonds to dentin and to cut and uncut enamel. As a universal adhesive, DREAMBOND has been designed to work with light-cured, self-cured and dual-cured composite materials. DREAMBOND can be used for the bonding of both direct and indirect restorations. DREAMBOND may be used with or without phosphoric acid etchant. .

An ISO 13485 Certified Company

BISCO, Inc. 1100 W. Irving Park Road Schaumburg, IL 60193 U.S.A. 800-247-3368 or 847-534-6000 Fax: 847-891-5049 www.bisco.com

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Image /page/1/Picture/0 description: The image shows the logo for BISCO, a dental supply company. The logo consists of the letters "B I S C O" arranged in a hexagonal pattern. Below the logo is the text "Bringing Science to the Art of Dentistry."

Technological Characteristics

The chemical components of DREAMBOND are based upon industry standard monomer chemistry and are found in legally marketed predicate device ACE Bond SE (K063780). A comparison of the chemical composition of DREAMBOND to the predicate device is provided.

| Chemical Composition | ACE Bond SE
(K063780) | DREAMBOND |
|----------------------------------------------|--------------------------|-----------|
| Light-cured | X | X |
| Unfilled, multifunctional methacrylate resin | X | X |
| Ethanol and water based adhesive | X | X |
| Two component adhesive | X | |
| Single component adhesive | | X |

Performance Data:

They physical/mechanical properties of DREAMBOND were tested in the lab using ISO, ADA/ANSI, and Bisco Inc. QA/QC and R&D test protocols. The information provided in this 510(k) of DREAMBOND compared to ACE Bond SE demonstrates that DREAMBOND performs as well as or better than the predicate. A comparison of the physical and mechanical properties to the predicate device is included.

| Physical / Mechanical Property
Comparison | ACE Bond SE
(K063780) | DREAMBOND |
|----------------------------------------------|--------------------------|-----------|
| Low viscosity | X | X |
| Self-etching dental adhesive | X | X |
| Total-etch dental adhesive | | X |

Biocompatibility:

A biocompatibility evaluation was conducted to determine the safety of DREAMBOND using Oral Toxicity in Mice. No mortality or toxicity was observed for the tested time period. The conclusion of the safety evaluation and subsequent oral toxicity testing is that DREAMBOND is safe for its intended use.

Conclusion:

The information provided in this 510(k) submission demonstrates that DREAMBOND is substantially equivalent to the predicate devices Ace Bond SE (K063780) and to Adhesive EXL-759 (K110302) in terms of intended use, indications for use, chemical composition and physical properties.

It is concluded that the information supplied in this submission has proven the safety and efficacy of this product.

BISCO, Inc. 1100 W. Irving Park Road Schaumburg, IL 60193 U.S.A.

800-247-3368 or 847-534-6000 Fax: 847-891-5049 www.bisco.com

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

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

Ms. Michelle Schiltz-Taing Regulatory Affairs Coordinator BISCO, Incorporated 1100 West Irving Park Road Schaumburg, Illinois 60193

NOV 1 7 2011

Re: K112118

Trade/Device Name: DREAMBOND Regulation Number: 21 CFR 872.3200 Regulation Name: Resin Tooth Bonding Agent Regulatory Class: II Product Code: KLE Dated: November 8, 2011 Received: November 9, 2011

Dear Ms. Schiltz-Taing:

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,

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Page 2- Ms. Schiltz-Taing

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 (OS) 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/ ucm 1 15809.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 vours.

Nh for

Anthony D. Watson, B.S., M.S., M.B.A. 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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510 (k) Number (if known): ___________________________________________________________________________________________________________________________________________________

Device Name: __DREAMBOND

Indications for Use:

The indications of use of DREAMBOND are:

    1. all direct restorations
    1. all indirect restorations
    1. intra-oral repairs (i.e. repair of any fixed dental prosthesis containing zirconia, alumina, metals, glass ceramics, tooth structure, and composites)
  • desensitizing/sealing of tooth structure র্ব
  • protective varnish for glass ionomer fillings 5.
  • priming of enamel for orthodontic use 6.

Prescription Use √ (Part 21 CFR 801 Subpart D) AND/OR

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

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Susan Ruse

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

510(k) Number: K112118