K Number
K123278
Device Name
IBOND SELF ETCH BOTTLE ASSORTMENT, IBOND SELF ETCH BOTTLE VALUE PACK, IBOND SELF ETCH SINGLE DOSE ASSORTMENT, IBOND SELF
Date Cleared
2012-12-07

(46 days)

Product Code
Regulation Number
872.3200
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
iBond Self Etch is used for bonding of direct light-cured composite restorations (including Polyglas and copomers), bonding of indirect restorations in combination with a light-curing luting cement; porcelain, Polyglas®, and composite restorations (inlays, onlays, veneers, crowns) and sealing hypersensitive areas of teeth.
Device Description
iBond Self Etch(new formulation is an acetone/water-based formulation of light activated methylacrylate resins.
More Information

No
The document describes a dental bonding agent and its chemical composition and performance in biocompatibility and bond strength tests. There is no mention of any computational analysis, algorithms, or learning processes that would indicate the use of AI or ML.

No.
The device is described as a bonding agent for dental restorations and sealing hypersensitive areas, which serves a restorative and protective function rather than a therapeutic one aimed at treating a disease or health problem.

No

The device description indicates that iBond Self Etch is a light-activated resin used for bonding and sealing teeth. Its intended uses are for restorations and sealing hypersensitive areas, which are treatment-oriented functions, not diagnostic ones. There is no mention of it actively identifying or assessing medical conditions.

No

The device description and intended use clearly describe a chemical formulation (acetone/water-based formulation of light-activated methylacrylate resins) used for bonding in dental procedures, which 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 Diagnostics are medical devices used to perform tests on samples taken from the human body (like blood, urine, tissue) to provide information about a person's health.
  • Device Function: iBond Self Etch is a dental bonding agent used to adhere restorative materials to teeth. It is applied directly to the tooth structure and does not involve testing samples taken from the body.
  • Intended Use: The intended use clearly describes its function in dental restoration and sealing, not diagnostic testing.
  • Device Description: The description focuses on its chemical composition as a resin, not a diagnostic reagent or test kit.

Therefore, iBond Self Etch falls under the category of a dental device used for treatment and restoration, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

iBond Self Etch (new formulation) it intended for use by dental professionals, for the bonding of direct light-cured composite restorations (including Polyglas® and copomers), bonding of indirect restorations in combination with a light curing luting cement; porcelain, polyglas®, and composite restorations (inlays, onlays, veneers crowns) and sealing hypersensitive areas of teeth.

Product codes

KLE

Device Description

iBond Self Etch(new formulation is an acetone/water-based formulation of light activated methylacrylate resins.

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 biological compatibility of iBOND Self Etch was verified in accordance with the international standard EN ISO 10993. The medical devices iBOND Self Etch and new formulation were extracted with hydrophilic and lipophilic extraction medium according to EN ISO 10993-12. Leachable compounds detected in n-hexane, isopropanole and saline extracts are considered covered by the toxicological tests performed with iBOND Self Etch. Considering the low exposure of the patient and animal welfare requirements, no in vivo toxicity studies were performed with the uncured or cured material. The biocompatibility of iBOND Self Etch new formulation in the aforementioned indication is documented and the benefit/risk-relation has to be judged as positive. An allergenic potential in predisposed persons cannot be excluded completely due to the presence of monomers such as acrylates and methacrylates.

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

Shear Bond Strength: >15 MPa for CLEARED iBOND Self Etch, ≥20 MPa for NEW iBOND Self Etch.

Predicate Device(s)

HK Bond K063062

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.

0

K1232-78

Taeus

510(k) Summary according to 21 CFR 807.92(c)

510(k) summary of safety and effectiveness information for iBond Seff Etch (new formulation)

Submitter Information:
NameHeraeus Kulzer, LLC
Address300 Heraeus Way
South Bend, IN 46614
Phone Number(574) 299-5421
Fax Number(574) 291-0080
Establishment Registration Number1925223
Name of Contact PersonJamie Mearna
Date PreparedDecember 3, 2012
Name of Device:iBond Self Etch
Trade or Proprietary NameiBond Self Etch
Common or Usual NameResin Tooth Bonding Agent
Classification NameDental KLE
Device ClassificationClass II
Classification Panel:76 Dental
Regulation:21 CFR 872.3200
Product code (s):KLE
Legally marketed devices(s) to which
equivalence is claimed:HK Bond K063062
Reason for 510(k) Submission:This submission reports a modification to HK
Bond K063062 regarding the addition of a
stabilizer, change in rheological additive and
storage requirements.
Device Description:iBond Self Etch(new formulation is an
acetone/water-based formulation of light
activated methylacrylate resins.
Intended use of the device:See indications for use below.
Indications for use:iBond Self Etch (new formulation) it intended
for use by dental professionals, for the
bonding of direct light-cured composite
restorations (including Polyglas® and
copomers), bonding of indirect restorations in
combination with a light curing luting cement;
porcelain, polyglas®, and composite
restorations (inlays, onlays, veneers crowns)
and sealing hypersensitive areas of teeth.

1

Image /page/1/Picture/0 description: The image shows the word "Heraeus" in a stylized font. The letters are outlined with a double border, giving them a hollow appearance. The text is presented in a horizontal arrangement, with each letter clearly distinguishable despite the decorative outline.

Summary of the Technological Characteristics of the New Device Compared to the predicate Device HK Bond K063062:

The formula of the proven all-in-one adhesive has been refined. The modifications include the addition of a stabilizer the exchange of a rheological additive. The enhanced iBOND Self Etch new formulation is now conveniently useable and storable at room temperature (up to 25°C). The adhesive no longer requires shaking. The product fulfills the internal specification. The basic fundamental scientific technology remains the same as well as the indications for use.

CLEARED iBOND Self EtchNEW iBOND Self Etch
(BHT)- K063062(ISEA-EC)
Content of BHT750 ppmSame
Indications for UseiBOND Self Etch is used for
bonding of direct light-cured
composite restorations
(including Polyglas® and
copomers), bonding of
indirect restorations in
combination with a light-
curing luting cement;
porcelain, Polyglas®, and
composite restorations
(inlays, onlays, veneers,
crowns) and sealing
hypersensitive areas of
teeth.Same
Visual AppearanceYellowish liquid,
homogeneous, without
sedimentSame
pH(BHT)-K063062(ISEA-EC)
Shear Bond Strength>15 MPa≥20 MPa
Storage conditionRefrigeration requiredNo refrigeration required
HandlingShaking necessaryNo shaking necessary

Note: For formulation differences as compared to predicate, please see section 11 of this submission.

Results Summary:

The biological compatibility of iBOND Self Etch was verified in accordance with the international standard EN ISO 10993.

The medical devices iBOND Self Etch and new formulation were extracted with hydrophilic and lipophilic extraction medium according to EN ISO 10993-12. Leachable compounds detected in n-hexane, isopropanole and saline extracts are considered covered by the toxicological tests performed with iBOND Self Etch.

Considering the low exposure of the patient and animal welfare requirements, no in vivo toxicity studies were performed with the uncured or cured material.

The biocompatibility of iBOND Self Etch _new formulation in the aforementioned indication is documented and the benefit/risk-relation has to be judged as positive.

An allergenic potential in predisposed persons cannot be excluded completely due to the presence of monomers such as acrylates and methacrylates.

Conclusions Drawn From Non-Clinical and Clinical Data:

The refined formula of the proven all-in-one adhesive is substantially equivalent to cleared iBOND Self Etch.

A biocompatibility evaluation has been performed by a toxicologist for iBOND Self Etch _ new formulation. It was confirmed that the product meets the requirements of ISO 10993 and it is concluded that the safety of iBOND Self Etch __new formulation is equivalent to that of the predicate device.

The risk analysis acc. ISO 14791 was carried out for iBOND Self Etch _new formulation. It is concluded that safety of iBOND Self Etch _new formulation for the intended use is substantially equivalent to the predicate device. iBOND Self Etch_new formulation and the predicate

Page 3 of 4

3

HERAEUS

formula have the same indication for use, warnings and contraindications. When used in accordance with the instruction for use, by qualified personnel, iBOND Self Etch _new formulation is safe and effective, as indicated for the intended use.

. . . .

4

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/4/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized emblem with three curved lines, resembling a person with outstretched arms, positioned to the right. Encircling the emblem is the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in a circular arrangement.

Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-002

December 7, 2012

Ms. Jamie Mearna Associate Quality Assurance & Regulatory Manager Heraeus Kulzer, Limited Liability Company 300 Heraeus Way SOUTH BEND IN 46614

Re: K123278

Trade/Device Name: iBond Self Etch Regulation Number: 21 CFR 872.3200 Regulation Name: Resin Tooth Bonding Agent Regulatory Class: II Product Code: KLE Dated: September 25, 2012 Received: November 19, 2012

Dear Ms. Mearna:

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.

5

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 or any I vature 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 Or ice-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 n you desire specific advisiboutFDA/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,

Kwame O. Ulmer

Anthony D. Watson, B.S., M.S., M.B.A. Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

6

Indications for Use

510(k) Number (if known): _ K (23279

Device Name: iBond Self Etch

Indications for Use:

iBond Self Etch is an acetone/water-based formulation of light-activated methylacrylate resins.

iBond Self Etch is used for bonding of direct light-cured composite restorations (including Polyglas and copomers), bonding of indirect restorations in combination with a light-curing luting cement; porcelain, Polyglas®, and composite restorations (inlays, onlays, veneers, crowns) and sealing hypersensitive areas of teeth.

Over-The-Counter Use Prescription Use AND/OR (21 CFR 807 Subpart C) (Part 21 CFR 801 Subpart D) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

i 2012.12.07

Susan Runner DDS, MA 15:06:19

-05'00'

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

Page 1 of .

510(k) Number: