K Number
K132526
Device Name
KNIT-PAK+
Date Cleared
2013-11-26

(106 days)

Product Code
Regulation Number
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Knit-Pak+, a prescription-only, Aluminum Chloride Hexahydrate impregnated cord is used for temporary chemo-mcchanical retraction of gingival tissues and hemostasis of the gingival margin around the tooth. It is intended for accurate and enhanced results when acquiring dental impressions, for cavity preparation or wherever hemostasis and retraction is required.
Device Description
Knit-Pak+, a prescription-only, Aluminum Chloride Hexahydrate impregnated cord
More Information

Not Found

Not Found

No
The device description and intended use clearly describe a physical, impregnated cord for gingival retraction and hemostasis. There is no mention of software, algorithms, or any computational processing that would suggest AI/ML.

No
The device is used for temporary chemo-mechanical retraction of gingival tissues and hemostasis of the gingival margin, which are not therapeutic treatments.

No
The device is used for temporary chemo-mechanical retraction of gingival tissues and hemostasis, which are treatment procedures, not diagnostic ones.

No

The device description explicitly states it is an "Aluminum Chloride Hexahydrate impregnated cord," which is a physical, hardware component.

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

Here's why:

  • IVDs are used to examine specimens derived from the human body. The intended use of Knit-Pak+ is for temporary chemo-mechanical retraction of gingival tissues and hemostasis of the gingival margin around the tooth. This is a direct application to the patient's tissues, not the examination of a specimen taken from the patient.
  • The description focuses on a physical cord with a chemical impregnation. There is no mention of analyzing biological samples or providing diagnostic information based on such analysis.

The device is a dental material used for a procedural purpose (tissue retraction and hemostasis) during dental procedures.

N/A

Intended Use / Indications for Use

Knit-Pak+, a prescription-only, Aluminum Chloride Hexahydrate impregnated cord is used for temporary chemo-mcchanical retraction of gingival tissues and hemostasis of the gingival margin around the tooth. It is intended for accurate and enhanced results when acquiring dental impressions, for cavity preparation or wherever hemostasis and retraction is required.

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

MVL

Device Description

Not Found

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

gingival tissues, gingival margin around the 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)

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.

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

N/A

0

Image /page/0/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" around the perimeter. Inside the circle is an image of an eagle with its wings spread.

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

November 26, 2013

Premier Dental Company Products Mr. Vincent D'alessandro Regulatory Manager 1710 Romano Drive Plymouth Meeting, Pennsylvania 19462

Re: K132526

Trade/Device Name: Knit-Pak+ Regulation Number: NONE Regulation Name: NONE Regulatory Class: Unclassified Product Code: MVL Dated: September 25, 2013 Received: September 26, 2013

Dear Mr. D'alessandro:

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 I the general bentlering 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. D'alessandro

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,

Image /page/1/Picture/6 description: The image contains the words "Kwame Ulmer" in a stylized font. The text is arranged in two lines, with "Kwame" on the top line and "Ulmer" on the bottom line. There is a logo to the right of the text, which appears to be a geometric shape, possibly a triangle, with some internal patterns or lines. The overall image has a somewhat textured or patterned appearance, possibly due to the font style or the way the image was created.

for

Erin 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

2

CONFIDENTAL

1710 Romano Drive, Plymouth Mecting, PA 19462 U.S.A 888-773-6872 / 610-239-6000 211 W. DIS.miss Com

Indications for Use

510(k) Number (if known): K132526

Device Name: Knit-Pak+

Indications for Use: Knit-Pak+, a prescription-only, Aluminum Chloride Hexahydrate impregnated cord is used for temporary chemo-mcchanical retraction of gingival tissues and hemostasis of the gingival margin around the tooth. It is intended for accurate and enhanced results when acquiring dental impressions, for cavity preparation or wherever hemostasis and retraction is required.

Prescription Use ______ AND/OR Over-The-Counter Use

(2) CFR 801 Subpart C) (Part 21 CFR 80) Subpart D)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Susan Runner

Mary S. Runner -S
DDS, MA 2013.11.26
11:34:09 -05'00'

Section 4

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