K Number
K113818
Device Name
EMBRACE WETBOND PIT AND FISSURE SEALANT, LOW FILL
Date Cleared
2012-03-21

(85 days)

Product Code
Regulation Number
872.3765
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Embrace Pit and Fissure Sealant, Low Fill is a professional dental material, designed with no Bisphenol A, that contains fluoride releasing, light cured, glass-filled acrylate resins and is less than 10% filled. Embrace Pit and Fissure Sealant, Low Fill is available in two shades (tooth-colored and off-white) and is used to seal the pits and fissures in teeth.
Device Description
Embrace Pit and Fissure Sealant, Low Fill is a fluoride releasing, light-cured acrylate resin, with no Bisphenol A, that is less than 10% filled and is available in two shades, tooth-colored and off-white.
More Information

Pulpdent Embrace™ WetBond™ Pit and Fissure Sealant, Pulpdent Embrace™ Clear Sealant

Not Found

No
The 510(k) summary describes a dental sealant material and its physical properties. There is no mention of AI, ML, image processing, or any computational analysis of data that would suggest the use of AI/ML technology.

No
The device is a sealant used to prevent dental caries, which is a preventive measure rather than a treatment for an existing condition or disease.

No

The device is a pit and fissure sealant, which is a dental material used to seal pits and fissures in teeth. Its function is to prevent cavities, not to diagnose a condition.

No

The device is a dental material (sealant) composed of physical substances (resins, fillers) and is not software.

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

Here's why:

  • Intended Use: The intended use is to "seal the pits and fissures in teeth." This is a direct treatment or preventative measure applied to the tooth structure itself.
  • Device Description: The description details a material (resin) applied to the tooth.
  • Lack of Diagnostic Purpose: There is no mention of the device being used to diagnose a condition, analyze a sample from the body (like blood, urine, or tissue), or provide information about a patient's health status based on in vitro testing.
  • Anatomical Site: The anatomical site is "teeth," which is an external structure being treated, not a sample being analyzed.

IVD devices are specifically designed to perform tests on samples taken from the human body to provide information for diagnosis, monitoring, or screening. This device is a dental material used for a restorative/preventative procedure.

N/A

Intended Use / Indications for Use

Embrace Pit and Fissure Sealant, Low Fill is used by dental professionals to seal the pits and fissures in teeth.

Embrace Pit and Fissure Sealant, Low Fill is a professional dental material, designed with no Bisphenol A, that contains fluoride releasing, light cured, glass-filled acrylate resins and is less than 10% filled. Embrace Pit and Fissure Sealant, Low Fill is available in two shades (tooth-colored and off-white) and is used to seal the pits and fissures in teeth.

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

76 EBC, EBC

Device Description

Embrace Pit and Fissure Sealant, Low Fill is a fluoride releasing, light-cured acrylate resin, with no Bisphenol A, that is less than 10% filled and is available in two shades, tooth-colored and off-white.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

teeth

Indicated Patient Age Range

Not Found

Intended User / Care Setting

dental professionals

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 following test results demonstrate that Embrace Pit and Fissure Sealant, Low Fill performs as intended:

Density / Specific gravity: 1.160 g / mL
Working time in ambient light: > 5 minutes
Light cure setting time: 20 seconds
Depth of cure after 20 second light cure: 1.88 mm
Film thickness: 9 µm
Compressive Strength: 33,120 +/- 3000 p.s.i. / 228 +/- 21 MPa
Diametral Tensile Strength: 5,365 +/- 300 p.s.i. / 37 +/- 2 MPa
Film Thickness: 9 µm

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.

Pulpdent Embrace™ WetBond™ Pit and Fissure Sealant, Pulpdent Embrace™ Clear Sealant

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.

Not Found

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

§ 872.3765 Pit and fissure sealant and conditioner.

(a)
Identification. A pit and fissure sealant and conditioner is a device composed of resin, such as polymethylmethacrylate, intended for use primarily in young children to seal pit and fissure depressions (faults in the enamel) in the biting surfaces of teeth to prevent cavities.(b)
Classification. Class II.

0

113818 PULPDENT CORPORATION

MAR 2 1 2012

80 Oakland Street Watertown. MA 02472 USA

TEL: 617-926-6666 FAX: 617-926-6262 Pulpdent@pulpdent.com

510(k) Summary

Kenneth J. Berk 80 Oakland Street PO Box 780 Watertown. MA 02472 USA

617-926-6666 Telephone: Fax: 617-926-6262 ken@pulpdent.com

DEVICE:

Trade Name: Embrace™ WetBond™ Pit and Fissure Sealant, Low Fill Classification Name: Pit and Fissure Sealant and Conditioner FDA Product Code: 76 EBC, 21 CFR Part 872.3765

PREDICATE DEVICES:

Pulpdent Embrace™ WetBond™ Pit and Fissure Sealant Pulpdent Embrace™ Clear Sealant

DESCRIPTION:

Embrace Pit and Fissure Sealant, Low Fill is a fluoride releasing, light-cured acrylate resin, with no Bisphenol A, that is less than 10% filled and is available in two shades, tooth-colored and off-white.

INTENDED USE:

Embrace Pit and Fissure Sealant, Low Fill is used by dental professionals to seal the pits and fissures in teeth.

COMPARISON WITH PREDICATE PRODUCTS:

Embrace Pit and Fissure Sealant, Low Fill is substantially equivalent in design, composition, performance and intended use to the predicate products. The predicate products have been found substantially equivalent under the 510(k) Premarket Notification process as Class II Dental Devices under CFR 872.3765.

A summary of the comparison:

PRODUCTDESCRIPTIONINTENDED USECOMPOSITION
Embrace Pit and Fissure
Sealant, Low FillFluoride releasing, light cured,
acrylate resinsSeal the pits and fissures in teethAcrylate resins
Photo-chemistry
Embrace Pit and Fissure
Sealant
K020287Fluoride releasing, light cured,
glass-filled acrylate resinsSeal the pits and fissures in teethAcrylate resins
Photo-chemistry
Glass filler
Embrace Clear Sealant
K052281Fluoride releasing, light cured,
acrylate resinsSeal the pits and fissures in teethAcrylate resins
Photo-chemistry

1

PULPDENT CORPORATION

80 Oakland Street Watertown, MA 02472 USA .

TEL: 617-926-6666 FAX: 617-926-6262 Pulpdent@pulpdent.com

510(k) Summary

SUMMARY OF PERFORMANCE TESTING - Bench

The following test results demonstrate that Embrace Pit and Fissure Sealant, Low Fill performs as intended:

Density / Specific gravity1.160 g / mL
Working time in ambient light> 5 minutes
Light cure setting time20 seconds
Depth of cure after 20 second light cure1.88 mm
Film thickness9 µm
Compressive Strength33,120 ± 3000 p.s.i. / 228 ± 21 MPa
Diametral Tensile Strength5,365 ± 300 p.s.i. / 37 ± 2 MPa
Film Thickness9 µm

CONCLUSION:

From the above comparisons, the bench testing, a search of the relevant scientific literature and the organizational experience with Embrace resins, it can be concluded that Embrace Pit and Fissure Sealant, Low Fill is substantially equivalent in design, composition, performance and intended use to the predicate products. The predicate products have been found substantially equivalent under the 510(k) Premarket Notification process as Class II Dental Devices under CFR 872.3765 and have been used by dental professionals for more than ten years with no reports of adverse events.

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three swooping lines forming its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the eagle.

Public Health Service

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

MAR 2 1 2012

Mr. Kenneth J. Berk Director of Research Pulpdent Corporation 80 Oakland Street Watertown, MA 02472

Re: K113818

Trade/Device Name: Embrace" Wetbond™ Pit and Fissure Sealant, Low Fill Regulation Number: 21 CFR 872.3765 Regulation Name: Pit and Fissure Sealant and Conditioner Regulatory Class: II Product Codes: EBC Dated: December 21, 2011 Received: December 30, 2011

Dear Mr. Berk:

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.

3

Page 2 -- Mr. Berk:

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,

Nh foc

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

4

Indications for Use

510(k) Number (if known):

Device Name: Pulpdent Embrace™ WetBond™ Pit and Fissure Sealant, Low Fill

Indications For Use:

Embrace Pit and Fissure Sealant, Low Fill is a professional dental material, designed with no Bisphenol A, that contains fluoride releasing, light cured, glass-filled acrylate resins and is less than 10% filled. Embrace Pit and Fissure Sealant, Low Fill is available in two shades (tooth-colored and off-white) and is used to seal the pits and fissures in teeth.

Prescription Use X (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 Runai

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

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510(k) Number.

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