K Number
K131504
Device Name
UNIVERSAL OPAQUE
Date Cleared
2013-07-16

(53 days)

Product Code
Regulation Number
872.3690
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
UNIVERSAL OPAQUE is a light-curing resin paste to be used for masking the substructure color of dental restorations. - 1) Masking the metal color of facing crown - 2) Masking the substructure color of jacket crown and laminate veneer etc. - 3) Masking the substructure color of restorations and prostheses made of porcelain or crown and bridge composite resin etc. when repairing them intraorally or extraorally.
Device Description
UNIVERSAL OPAQUE is a light-curing resin paste.
More Information

Not Found

Not Found

No
The summary describes a light-curing resin paste for dental restorations and contains no mention of AI, ML, image processing, or any related concepts.

No
This device is a light-curing resin paste used for masking colors in dental restorations, not for treating diseases or conditions.

No
The device is a light-curing resin paste used for masking colors in dental restorations, which is a treatment/restorative function, not a diagnostic one.

No

The device is described as a "light-curing resin paste," which is a physical material, not software.

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

Here's why:

  • Intended Use: The intended use clearly states that UNIVERSAL OPAQUE is a light-curing resin paste used for masking the color of dental restoration substructures. This is a material used on a dental restoration, not a test performed on a biological sample to diagnose a condition.
  • Device Description: The description confirms it's a resin paste.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting analytes, or providing diagnostic information about a patient's health status.

IVD devices are specifically designed to be used in vitro (outside the body) for the examination of specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device does not fit that description.

N/A

Intended Use / Indications for Use

UNIVERSAL OPAQUE is a light-curing resin paste to be used for masking the substructure color of dental restorations.

    1. Masking the metal color of facing crown
    1. Masking the substructure color of jacket crown and laminate veneer etc.
    1. Masking the substructure color of restorations and prostheses made of porcelain or crown and bridge composite resin etc. when repairing them intraorally or extraorally.

Product codes

EBF

Device Description

UNIVERSAL OPAQUE is a light-curing resin paste to be used for masking the substructure color of dental restorations.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

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

Not Found

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)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.3690 Tooth shade resin material.

(a)
Identification. Tooth shade resin material is a device composed of materials such as bisphenol-A glycidyl methacrylate (Bis-GMA) intended to restore carious lesions or structural defects in teeth.(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 eagle with three lines representing its body and wings. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the eagle.

Public Health Service

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

July 16, 2013

Mr. David P. Morais Director of Operations and Official Correspondent Shofu Dental Corporation 1225 Stone Drive San Marcos, California 92078-4059

Re: K131504

Trade/Device Name: Universal Opaque Regulation Number: 21 CFR 872.3690 Regulation Name: Tooth Shade Resin Material Regulatory Class: II Product Code: EBF Dated: May 20, 2013 Received: May 24, 2013

Dear Mr. Morais:

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 - Mr. Morais:

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 devicerelated 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 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/Resourcesfor You/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/ReportalProblem/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.

Mary S. Runner -S

. Kwame Ulmer 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

2

Indications for Use

510(k) Number (if known):

Device Name: UNIVERSAL OPAQUE

Indications For Use:

UNIVERSAL OPAQUE is a light-curing resin paste to be used for masking the substructure color of dental restorations.

    1. Masking the metal color of facing crown
    1. Masking the substructure color of jacket crown and laminate veneer etc.
    1. Masking the substructure color of restorations and prostheses made of porcelain or crown and bridge composite resin etc. when repairing them intraorally or extraorally.

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)

Mary S. Runner -S
Susan Runnn DOS MA 2013.07.17 15:41:56
0400
(Division Sign-Off)
Division of Anesthesiology, General Hospital
tel Deadens

Division of Antrol, Dental Devices

Shofu Dental Corporation UNIVERSAL OPAQUE 510(k) Premarket Notification

510(k) Number