K Number
K133776
Manufacturer
Date Cleared
2014-05-28

(167 days)

Product Code
Regulation Number
872.4200
Panel
Dental
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The A-dec/W&H Electric Motor kit is a device system comprised of a control unit that drives a DC electric micromotor that is activated by means of a footswitch. It is intended for use in general dental applications such as: cutting a tooth for cavity preparation, crown preparation, crown finishing, inlay, filing, polishing, prophylaxis, and endodontic treatment, with use of a straight, right-angle, or contra-angle ISO E-type handpiece attachment of equal speed, gear-reduction speed, or gear-increasing speed.

Device Description

The A-dec/W&H Electric Motel EA-53 is designed to accommodate existing and new Alegra, Proxeo, Endea, and Synea handpiece attachments for the purpose of performing dental restoration procedures. When equipped with the electric micromotor, the handpiece attachments provide the same effective drive force as would be provided by existing air motors. The significant advantage to driving a handpiece with the electric micromotor is the near-constant torque applied by the electric brushless micromotor. With air motor drive, the handpiece will tend to stall in extreme torque situations. The near-constant torque applied by the electric micromotor results in a more uniform and efficient dental reduction of the operatory site. The electric micromotor is autoclavable. This system will be used in an integrated configuration on the dental operatory chair system. The motor controller is contained within the control head (dental unit) and acquires +24 VAC from the chair system 300W power supply secondary voltage output. The handpiece tubing extends from the control head to the ISO-E coupler. The micromotor is attached to the coupler on one end and attached on the other (output) end to a handpiece attachment suitable for the intended dental procedure. This system will include: Motor Controller, Electric Micromotor, Handpiece tubing with E-connector.

AI/ML Overview

The provided text describes a 510(k) premarket notification for the A-dec/W&H Electric Motor, Model EA-53. However, it explicitly states that clinical testing has not been conducted for this product. Therefore, no studies proving the device meets acceptance criteria via clinical performance data are available in this document.

The submission focuses on demonstrating substantial equivalence to a predicate device (A-dec/W&H Electric Motor, Model EA-50LT) based on technological characteristics and non-clinical test data.

Here's a breakdown of the requested information based on the provided text:

1. Table of Acceptance Criteria and Reported Device Performance

No specific numerical acceptance criteria (e.g., sensitivity, specificity, accuracy) are reported for clinical performance, as clinical testing was not performed. The non-clinical tests focused on functional and safety parameters.

Acceptance Criteria CategoryReported Device Performance (Non-Clinical)
TorqueStudies conducted to determine parameters.
DirectionStudies conducted to determine parameters.
Stop TimeStudies conducted to determine parameters.
Electromagnetic CompatibilitySuccessfully validated.
Electrical SafetySuccessfully validated.
Thermal SafetySuccessfully validated.
Photobiological SafetySuccessfully validated.
SterilizationStudies done to determine safety and effectiveness.
BiocompatibilityStudies done to determine safety and effectiveness.

The document states, "The A-dec/W&H Electric Motor, Model EA-53 has been successfully validated to confirm the performance of the device," for all listed non-clinical tests. However, the exact pass/fail criteria or quantitative results for these validations are not detailed in this summary.

2. Sample Size Used for the Test Set and Data Provenance

  • Sample Size for Test Set: Not applicable for clinical performance, as no clinical testing was conducted. For non-clinical tests (e.g., EMC, electrical safety), the sample size of tested devices is not specified, but typically involves a limited number of production units.
  • Data Provenance: Not applicable for clinical performance. For non-clinical tests, the data would be generated internally by the manufacturer or by a contracted testing facility.

3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications

Not applicable, as no clinical ground truth was established due to the absence of clinical testing.

4. Adjudication Method for the Test Set

Not applicable, as no clinical adjudication was performed.

5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

No MRMC study was conducted or reported, as there was no clinical testing involving human readers or AI assistance.

6. Standalone Performance Study

No standalone performance study (algorithm only) was conducted or reported, as the device is a mechanical/electrical dental motor, not an AI algorithm.

7. Type of Ground Truth Used

  • Clinical Ground Truth: Not applicable, as no clinical testing was performed.
  • Non-Clinical Ground Truth: For the non-clinical tests, the "ground truth" would be defined by the relevant consensus standards (e.g., for electrical safety, EMC) against which the device's performance was measured. In essence, the standard is the ground truth.

8. Sample Size for the Training Set

Not applicable. The device is a physical product (electric motor) and does not involve AI or machine learning that requires a "training set" of data in the conventional sense. Its functionality is based on established engineering principles and mechanical/electrical design.

9. How the Ground Truth for the Training Set Was Established

Not applicable, as there is no training set for this type of device.

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MAY 2 8 2014

Image /page/0/Picture/1 description: The image shows the logo and contact information for A-dec, a company specializing in reliable creative solutions. The logo features the company name in a stylized font, with a caduceus symbol incorporated into the 'a'. Below the logo, the text reads 'reliablecreativesolutions' followed by the address '2601 Crestview Drive, Newberg, Oregon 97132-9257, United States'. The phone number '503.538.9471' and website 'www.a-dec.com' are listed at the bottom.

K133776

510(k) Summary A-dec/W&H Electric Motor, Model EA-53 Date Summary Prepared: 01/14/2014

Submitter's Name and Address

A-dec, Inc. 2601 Crestview Drive Newberg, OR 97132 Phone: 503-538-9471 FAX: 503-537-2702

Contact Person

Bonnie Dundas Phone: 503-538-9471 ext. 2534 Email: bonnie.dundas@a-dec.com

Device Name

Trade or Proprietary Name: Common or Usual Name: Device Classification Name: Regulation Number: Device Class: Product Code:

A-dec/W&H Electric Motor, Model EA-53 Dental Handpiece Electric Motor Controller, Foot, Handpiece and Cord 872.4200 -EBW

Predicate Device

A-dec/W&H Electric Motor, Model EA-50LT (K032572)

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Device Description

The A-dec/W&H Electric Motel EA-53 is designed to accommodate existing and new Alegra, Proxeo, Endea, and Synea handpiece attachments for the purpose of performing dental restoration procedures. When equipped with the electric micromotor, the handpiece attachments provide the same effective drive force as would be provided by existing air motors. The significant advantage to driving a handpiece with the electric micromotor is the near-constant torque applied by the electric brushless micromotor. With air motor drive, the handpiece will tend to stall in extreme torque situations. The near-constant torque applied by the electric micromotor results in a more uniform and efficient dental reduction of the operatory site. The electric micromotor is autoclavable.

This system will be used in an integrated configuration on the dental operatory chair system. The motor controller is contained within the control head (dental unit) and acquires +24 VAC from the chair system 300W power supply secondary voltage output. The handpiece tubing extends from the control head to the ISO-E coupler. The micromotor is attached to the coupler on one end and attached on the other (output) end to a handpiece attachment suitable for the intended dental procedure. This system will include:

  • Motor Controller .
  • . Electric Micromotor
  • Handpiece tubing with E-connector ●

Indications for Use

The A-dec/W&H Electric Motor kit is a device system comprised of a control unit that drives a DC electric micromotor that is activated by means of a footswitch. It is intended for use in general dental applications such as: cutting a tooth for cavity preparation, crown preparation, crown finishing, inlay, filing, polishing, prophylaxis, and endodontic treatment, with use of a straight, right- angle, or contra-angle ISO E-type handpiece attachment of equal speed, gear-reduction speed, or gear-increasing speed.

Substantial Equivalence

The A-dec/W&H Electric Motor. Model EA-53 is substantially equivalent to the predicate device, the A-dec/W&H Electric Motor, Model EA-50LT in that it is a software driven dental control unit consisting of an AC motor and an integrated ISO coupler for connection to existing handpieces. As with the predicate device, it is integrated in a dental unit and uses the same water system and the same power supply. The software in the A-dec/W&H Electric Motor, Model EA-53 controls the following basic functions: motor on/off, motor direction, speed and torque regulation/limitation, led on/off, interaction with the control unit.

Changes from the predicate device EA-50LT (2003) to the new EA-53 (2013) are related to technological enhancements, such as a reduction in physical dimensional size, improved galvanic isolation, and improved user comfort due to lighter weight, improved lighting, and torque. The improved lighting for the A-dec/W&H EA-53 Electric Motor

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system resulted from changing to an LED bulb from the traditional halogen bulb used in the EA-50LT predicate device. This new LED bulb provides a low heat, solid state light that consumes less power, thereby lasting longer, than a traditional halogen lamp. The changes do not impact the safety or efficacy of the device and the fundamental scientific technology of the device remains the same.

Non-Clinical Test Data

Torque, direction and stop time studies have been conducted to determine the parameters of the device functions. The A-dec/W&H Electric Motor, Model EA-53 has been successfully validated to confirm the performance of the device. The validation included testing of electromagnetic compatibility, electrical safety, thermal safety and photobiological safety, which have been conducted in accordance with applicable recognized consensus standards. Also sterilization and biocompatibility studies were done to determine the safety and effectiveness of the A-dec/W&H Electric Motor, Model EA-53.

Clinical Test Data

Clinical testing has not been conducted on these products.

Conclusions

Model EA-53 is deemed to be substantially equivalent to the predicate device, based upon similar technological/performance characteristics as compared to the predicate device and successful validation of the A-dec/W&H Electric Motor, Model EA-53.

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Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized depiction of an eagle or bird-like figure with three curved lines representing its wings or body. The logo is encircled by 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 20993-0002

May 28, 2014

A-dec. Incorporated Ms. Bonnie Dundas Regulatory Audit Coordinator 2601 Crestview Drive Newberg, OR 97132

Re: K133776

Trade/Device Name: A-dec/W&H Electric Motor, Model EA-53 Regulation Number: 21 CFR 872.4200 Regulation Name: Dental Handpiece and Accessories Regulatory Class: I Product Code: EBW Dated: May 1, 2014 Received: May 5, 2014

Dear Ms. Dundas:

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.

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Page 2 - Ms. Dundas

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/MedicalDeyices/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,

MaryStBunner-S

Erin I. Keith, M.S. Acting 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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Page_1 of 1

510(k) Number (if known):

K133776

Device Name:

A-dec/W&H Electric Motor EA-53

Indications For Use:

The A-dec/W&H Electric Motor kit is a device system comprised of a control unit that drives a DC electric micromotor that is activated by means of a footswitch. It is intended for use in general dental applications such as: cutting a tooth for cavity preperation, crown preparation, crown finishing, inlay, filing, polishing, prophylaxis and endodontic treatment, with use of a straight, right-angle or contra-angle ISO E-type handpiece attachment of equal speed, gear-reduction speed, or gearincreasing speed.

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

Concurrence of CDHR, Office of Device Evaluation (ODE)

Prescription Use × (Per 21 CFR 801.109)

And/Or Over-The-Counter Use (Optional Format 1-2-96)

Sheena A. Gr 2014.05.28 08

§ 872.4200 Dental handpiece and accessories.

(a)
Identification. A dental handpiece and accessories is an AC-powered, water-powered, air-powered, or belt-driven, hand-held device that may include a foot controller for regulation of speed and direction of rotation or a contra-angle attachment for difficult to reach areas intended to prepare dental cavities for restorations, such as fillings, and for cleaning teeth.(b)
Classification. Class I.