K Number
K132115
Device Name
ABSOLUTE DENTIN 2
Manufacturer
Date Cleared
2014-06-25

(351 days)

Product Code
Regulation Number
872.3690
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
A dual-cure, composite resin core build-up material that is usually used to restore missing tooth structure for which a dental restoration, usually a crown, is fabricated.
Device Description
A dual-cure, composite resin, core build-up material that is usually used to restore missing tooth structure for which a dental restoration, usually a crown, is fabricated. It is substantially equivalent to many predicate materials that include self-, light-, and dual-cure types. This material incorporates fluoride-containing (trace amounts) glass filler particles. No Bisphenol-A or its precursors are used in the manufacturing process. The material is supplied in light-safe dual-barrel cartridges.
More Information

Not Found

No
The description focuses on the material properties and intended use as a dental core build-up material, with no mention of AI/ML or related concepts like image processing, training/test sets, or performance metrics typically associated with AI/ML devices.

No
This device is a material used to restore missing tooth structure, which is a structural rather than a therapeutic function.

No
The device is described as a composite resin core build-up material used to restore missing tooth structure. Its performance studies focus on mechanical properties (flexural strength, compressive strength, surface hardness, working time, and self-curing time), which relate to its function as a restorative material, not for diagnosing conditions.

No

The device description clearly states it is a "dual-cure, composite resin, core build-up material," which is a physical substance, 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 restore missing tooth structure for dental restorations. This is a direct treatment/restoration of a physical structure within the body (the tooth).
  • Device Description: The description details a material used for building up tooth structure. It doesn't mention any use for testing samples of human origin (like blood, urine, tissue, etc.) to provide information about a physiological state, health, or disease.
  • Lack of IVD Characteristics: The description and performance studies focus on the physical properties of the material (flexural strength, compressive strength, hardness, working time, curing time), which are relevant to its function as a dental restorative material, not as a diagnostic tool. There is no mention of analyzing biological samples or providing diagnostic information.

IVD devices are specifically designed to perform tests on samples taken from the human body to diagnose, monitor, or screen for diseases or conditions. This device does not fit that description.

N/A

Intended Use / Indications for Use

A dual-cure, composite resin core build-up material that is usually used to restore missing tooth structure for which a dental restoration, usually a crown, is fabricated.

Product codes

EBF

Device Description

A dual-cure, composite resin, core build-up material that is usually used to restore missing tooth structure for which a dental restoration, usually a crown, is fabricated. It is substantially equivalent to many predicate materials that include self-, light-, and dual-cure types. This material incorporates fluoride-containing (trace amounts) glass filler particles. No Bisphenol-A or its precursors are used in the manufacturing process. The material is supplied in light-safe dual-barrel cartridges.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Tooth

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)

Non-Clinical Performance Testing: Properties Tested- Flexural Strength, Compressive Strength, Surface Hardness, Working Time & Self-Curing Time

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

Not Found

Predicate Device(s)

K010475, K000211, K984097

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

K132115

·

JUN 2 5 2014

510(k) SUMMARY

| Submitter: | Parkell, Inc.
300 Executive Drive
Edgewood, NY 11717
TEL: 631-249-1134
FAX: 631-249-1242 | |
|------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------|
| Contact: | Robert E. Burke, VP of Operations
Parkell, Inc.
300 Executive Drive
Edgewood, NY 11717 | |
| Submission Date: | 2 July 2013 | |
| Trade Name: | Absolute Dentin II | |
| Common Name: | Composite Resin Core Material | |
| Classification Name: | Material, Tooth Shade, Resin (§872.3690) | |
| Classification Product Code: | EBF | |
| Predicate Devices: | D/C CORE MATERIAL (K010475), BUILD-IT FR (K000211), DC CORE (K984097) | |
| Device Description: | A dual-cure, composite resin, core build-up material that is usually
used to restore missing tooth structure for which a dental restoration,
usually a crown, is fabricated. It is substantially equivalent to many
predicate materials that include self-, light-, and dual-cure types.
This material incorporates fluoride-containing (trace amounts) glass
filler particles. No Bisphenol-A or its precursors are used in the
manufacturing process. The material is supplied in light-safe dual-
barrel cartridges. | |
| Indications for Use: | Absolute Dentin II is a dual-cure, composite resin core build-up
material that is usually used to restore missing tooth structure for
which a dental restoration, usually a crown, is fabricated. | |
| Tech. Characteristics: | ABSOLUTE DENTIN II is a two-paste material generally supplied in
a dual-barrel cartridge, each to be expressed through disposable
mixing tips. | |
| | Absolute Dentin II | Absolute Dentin |

:

Absolute Dentin IIAbsolute Dentin
Indications for Use:A dual-cure, composite resin core build-up material that is usually used to restore missing tooth structure for which a dental restoration, usually a crown, is fabricated.A dual-cure, composite resin, core build-up material that is usually used to restore missing tooth structure for which a dental restoration, usually a crown is fabricated. This material is of the dual-cure variety and incorporates fluoride-containing glass filler particles.

1

Filler:Silanated SilicaSilanated Silica
Matrix:Methacrylate based resin matrixMethacrylate based resin matrix
Compatibility:based
dental
Methacrylate
adhesivesMethacrylate
based
dental
adhesives
Method of Cure:Both self-cure & photo initiatorBoth self-cure & photo initiator
Depth of Cure:Tooth Shade - 5.2mm
White Shade - 4.0mm3.5 mm
Delivery Method:5ml dual-barrel cartridge50ml dual-barrel cartridge
10ml dual-barrel cartridge
Difference in Materials:Bisphenol-A or its precursors were
not used in the manufacturing
process.Contains Ethoxylated Bisphenol A
Dimethacrylate

Biocompatibility:

ABSOLUTE DENTIN II has been fully tested for biocompatibility in accordance with ISO and FDA guidelines. All tests were passed according to their protocols.

StandardTest
ISO 10993-5, 2009, Biological Evaluation of Medical
Devices - Part 5: Tests for In Vitro CytotoxicityL929 MEM Elution Test - ISO: Toxicon Final
GLP Report #12-5730-G1, dated 12/24/12
ISO 10993-3, 2003, Biological Evaluation of Medical
Devices - Part 3: Tests for Genotoxicity,
Carcinogenicity and Reproductive ToxicitySalmonella Typhimurium and Escherichia
Coli Reverse Mutation Assay - ISO: Toxicon
Final GLP Report #12-5730-G5, dated
1/10/2013
ISO 10993-10, 2010, Biological Evaluation of
Medical Devices - Part 10: Tests for Irritation and
Skin SensitizationIntracutaneous Injection Test - ISO: Toxicon
Final GLP Report #12-5730-G3, dated
1/11/2013
ISO 10993-10, 2010, Biological Evaluation of
Medical Devices - Part 10: Tests for Irritation and
Skin SensitizationKligman Maximization Test - ISO: Toxicon
Final GLP Report #12-5730-G4, dated
2/19/2013
ISO 10993-10, 2010, Biological Evaluation of
Medical Devices - Part 10: Tests for Irritation and
Skin SensitizationOral Irritation Test - Acute Exposure - ISO:
Toxicon Final GLP Report #12-5730-G2,
dated 2/6/2013

Substantial Equivalence: Parkell's ABSOLUTE DENTIN II composite resin core material has similar indications, principles of operation and technological characteristics as the predicate devices. The minor differences in the device (primarily the absence of Bisphenol-A and its precursors in the manufacturing process) do not raise any new questions of safety or effectiveness. Thus, ABSOLUTE DENTIN II is substantially equivalent to its predicate devices.

Non-Clinical Performance Testing:

Properties Tested- Flexural Strength, Compressive Strength, Surface Hardness, Working Time & Self-Curing Time

2

Image /page/2/Picture/0 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 tail feathers, representing the department's mission to protect the health of all Americans and provide essential human services. The eagle is enclosed in a circle with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

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

June 25, 2014

Parkell, Incorporated Mr. Robert E. Burke Vice President, Operations 300 Executive Drive Edgewood, NY 11711

Re: K132115

Trade/Device Name: Absolute Dentin II Regulation Number: 21 CFR 872.3690 Regulation Name: Material, Tooth Shade, Resin · Regulatory Class: II Product Code: EBF Dated: May 23, 2014 Received: May 27, 2014

Dear Mr. Burke:

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 10 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. Burke

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 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/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Mary S. Runner -S

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

Enclosure

4

K132115

Indications for Use

510(k) Number (if known):

Device Name: Absolute Dentin II

Indications for Use:

A dual-cure, composite resin core build-up material that is usually used to restore missing tooth structure for which a dental restoration, usually a crown, is fabricated.

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

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

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Sheena A. Green -S 2014.06.23 08:45:08 -04'00'

Page 1 of ____________________________________________________________________________________________________________________________________________________________________