K Number
K130485
Device Name
CONTROL SEAL
Manufacturer
Date Cleared
2014-02-11

(351 days)

Product Code
Regulation Number
872.3765
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
- Sealing / filling of pits and fissures - Sealing / facing of damaged enamel surfaces - Covering of predilection sites, e.g., within the scope of orthodontic treatments - Sealing of composite or glass ionomer fillings (profective layer against moisture) - Sealing of deciduous teeth - Extended fissure sealing
Device Description
Not Found
More Information

Not Found

Not Found

No
The provided 510(k) summary describes a dental sealant and filling material, with no mention of AI, ML, image processing, or any other technology typically associated with AI/ML in medical devices.

No
The device is used for sealing and covering teeth, which relates to dental procedures but does not inherently qualify it as a therapeutic device. Its functions are preventative or restorative rather than treating a disease or condition.

No
The intended use of the device focuses on sealing and covering dental surfaces, which are therapeutic or preventative actions, not diagnostic ones. There is no mention of identifying, detecting, or analyzing disease or conditions.

No

The provided text describes a dental sealant/filling material, which is a physical substance, not software. The summary lacks any mention of software components or functions.

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

Here's why:

  • Intended Use: The intended uses listed are all related to dental procedures performed directly on a patient's teeth. These involve sealing and protecting tooth surfaces.
  • Lack of IVD Characteristics: An IVD is a medical device used to perform tests on samples taken from the human body (like blood, urine, tissue) to provide information about a person's health. The provided information does not mention any testing of biological samples.

The device described appears to be a dental material used for restorative and preventative procedures.

N/A

Intended Use / Indications for Use

  • Sealing / filling of pits and fissures
  • Sealing / facing of damaged enamel surfaces
  • Covering of predilection sites, e.g., within the scope of orthodontic treatments
  • Sealing of composite or glass ionomer fillings (profective layer against moisture)
  • Sealing of deciduous teeth
  • Extended fissure sealing

Product codes

EBC

Device Description

Not Found

Mentions image processing

Not Found

Mentions AI, DNN, or ML

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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

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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): 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.

Not Found

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.

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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

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized caduceus symbol, which is a staff with two snakes coiled around it. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the caduceus symbol. The logo is black and white.

Public Health Service

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

February 11, 2014

VOCO GmbH Dr. Thorsten Gerkensmeier Regulatory Affairs Anton-Flettner-Strasse 1-3 D-27472 Cuxhaven GERMANY

Re: K130485

Trade/Device Name: Control Seal Regulation Number: 21 CFR 872.3765 Regulation Name: Pit and Fissure Sealant and Conditioner Regulatory Class: II Product Code: EBC Dated: January 9, 2014 Received: January 14, 2014

Dear Dr. Gerkensmeier:

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.

1

Page 2 - Dr. Gerkensmeier i

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 contact the Division of Small Manufacturers, International and Consumer Assistance at its tollfree number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. 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,

Image /page/1/Picture/7 description: The image shows the words "Kwame" and "Ulmer-s" in a bold, sans-serif font. The letters are arranged in a slightly overlapping manner. Behind the words, there is a geometric design that appears to be a stylized logo or symbol. The logo is composed of triangles and lines, creating an abstract and modern look.

for

Erin I. Keith, M.S. Acting Division Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use Statement

510(k) Number: Control Seal Device Name: _________________________________________________________________________________________________________________________________________________________________ Indications for Use: - Sealing / filling of pits and fissures - Sealing / facing of damaged enamel surfaces - Covering of predilection sites, e.g., within the scope of orthodontic treatments - Sealing of composite or glass ionomer fillings (profective layer against moisture) - Sealing of deciduous teeth - Extended fissure sealing OR Over-The-Counter Use _ Prescription Use X (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED) Concurrence of CDRH, Office of Device Evaluation (ODE)

Susan R. Mary S. Runner -S
DOS/M 2014.01.28
14:00:05'05'00'