K Number
K141421
Device Name
PMMA BLOCK
Date Cleared
2015-02-09

(255 days)

Product Code
Regulation Number
872.3770
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
PMMA Block is a device made from PMMA (polymethylmethacrylate) for the fabrication of temporary crowns and bridges and is intended for use in the oral cavity for up to six (6) months while awaiting a permanent restorations are designed and manufactured by a dental Professional (Technician) using CAD technology.
Device Description
This product is a kind of homogeneous high polymer material made from quality polymethylmethacrylate added with cross-linking agents to improve the network structure through a unique polymerization molding technology. It is mainly used for the fabrication of multi-unit, fully or partially anatomical long-term temporary bridge restorations with up to two pontics by CAD/CAM systems. Both anterior and posterior crown & bridge are recommended.
More Information

Not Found

No
The summary describes a material (PMMA block) used in CAD/CAM systems for fabricating temporary dental restorations. There is no mention of AI or ML being used in the material itself or the fabrication process described. The testing focuses on material properties and biocompatibility.

No.
The device is used for the fabrication of temporary crowns and bridges, which are restorative dental devices, not therapeutic.

No

The device is a PMMA block used for fabricating temporary crowns and bridges. Its intended use is for restorative purposes within the oral cavity, not for diagnosing diseases or conditions.

No

The device is a physical PMMA block used for fabricating dental restorations, not a software application.

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

Here's why:

  • Intended Use: The intended use is for the fabrication of temporary crowns and bridges for use in the oral cavity. This is a direct therapeutic or restorative application, not a diagnostic test performed on samples taken from the body.
  • Device Description: The description focuses on the material properties and its use in creating dental prosthetics. It does not mention any components or functions related to analyzing biological samples or providing diagnostic information.
  • Lack of Diagnostic Elements: There is no mention of analyzing blood, urine, tissue, or any other biological sample. There are no references to detecting markers, measuring substances, or providing information for diagnosis, monitoring, or screening.

IVD devices are specifically designed to perform tests on samples taken from the human body to provide information for diagnostic purposes. This PMMA block is a material used to create a physical restoration within the oral cavity.

N/A

Intended Use / Indications for Use

PMMA Block is a device made from PMMA (polymethylmethacrylate) for the fabrication of temporary crowns and is intended for use in the oral cavity for up to six (6) months while awaiting a permanent restorations are designed and manufactured by a dental Professional (Technician) using CAD technology.

Product codes

EBG

Device Description

This product is a kind of homogeneous high polymer material made from quality polymethylmethacrylate added with cross-linking agents to improve the network structure through a unique polymerization molding technology. It is mainly used for the fabrication of multi-unit, fully or partially anatomical long-term temporary bridge restorations with up to two pontics by CAD/CAM systems. Both anterior and posterior crown & bridge are recommended.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

oral cavity

Indicated Patient Age Range

Not Found

Intended User / Care Setting

dental Professional (Technician)

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)

Clinical Tests: Clinical testing has not been conducted on this product.
Non-Clinical Tests:

  • Biocompatibility Test according to AAMI / ANSI / ISO 10993-3:2003/(R)2009, Biological evaluation of medical devices - Part 3: Tests for genotoxicity, carcinogenicity, and reproductive toxicity. (Biocompatibility), AAMI / ANSI / ISO 10993-5:2009, Biological evaluation of medical devices -- Part 5: Tests for In Vitro cytotoxicity. (Biocompatibility), AAMI / ANSI / ISO 10993-10:2010, Biological evaluation of medical devices - Part 10: Tests for irritation and skin sensitization. (Biocompatibility) and AAMI / ANSI / ISO 10993-11:2006/(R)2010, Biological Evaluation Of Medical Devices – Part 11: Tests For Systemic Toxicity. (Biocompatibility).
  • Physical property testing, such as flexural strength, surface polishing performance, bond strength, water sorption, solubility, shade consistency and color stability, according to ISO 10477 Second Edition 2004-10-01, Dentistry - Polymer-Based Crown And Bridge Materials. (Dental/ENT). The test results show that the subject device fully meets the requirement and will be as effective as the predicate device.

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

Flexural Strength: ≥50MPA

Predicate Device(s)

K131664

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.3770 Temporary crown and bridge resin.

(a)
Identification. A temporary crown and bridge resin is a device composed of a material, such as polymethylmethacrylate, intended to make a temporary prosthesis, such as a crown or bridge, for use until a permanent restoration is fabricated.(b)
Classification. Class II.

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular border with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" written around it. Inside the circle is an abstract image of a stylized eagle or bird with three profiles facing to the right.

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

February 9, 2015

Rizhao Huge Dental Industry Co., Ltd. c/o Ms. Helen Nan General Manager Wenzhao Cytech Information Service Co., Ltd. Room 302, No. 21 Building Kaiyu Garden, Xishan South Road Wenzhou, Zhejiang 325000 CHINA

Re: K141421 Trade/Device Name: PMMA Block Regulation Number: 21 CFR 872.3770 Regulation Name: Temporary Crown and Bridge Resin Regulatory Class: II Product Code: EBG Dated: April 15, 2014 Received: December 31, 2014

Dear Ms. Nan:

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. Helen Nan

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/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/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,

Tina
Kiang -S

for 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

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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: January 31, 2017 See PRA Statement on last page.

510(k) Number (if known)

K141421

Device Name PMMA Block

Indications for Use (Describe)

PMMA Block is a device made from PMMA (polymethylmethacrylate) for the fabrication of temporary crowns and is intended for use in the oral cavity for up to six (6) months while awaiting a permanent restorations are designed and manufactured by a dental Professional (Technician) using CAD technology.

Type of Use (Select one or both, as applicable)

Prescription Use (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 801 Subpart C)

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.

FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

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K141421

Section 5 510(k) Summary

(As required by 21 CFR 807.92(a))

5.1 Submitter Information

  • · Company: Rizhao Huge Dental Industry Co., Ltd
  • No.68 Shanhai Road, Rizhao City, 276800, Shandong Province, China • Address:
  • · Phone: 086-633-2277285
  • · Fax: 086-633-2277298
  • · Contact: Steven Song, General Manager
  • · Date: April 15, 2014.

5.2 Device Information

  • · Trade/Device Name: PMMA Block
  • · Classification: Device Class: 2
    • Review Panel: Dental

Name: Crown And Bridge, Temporary, Resin

Regulation Number: 21 CFR 872.3770

Regulation Name: Temporary crown and bridge resin Product Code: EBG

· Predicate Device: CORPA TEMP PMMA-DISK submitted by WHITE

PEAKS DENTAL SYSTEMS GMBH & CO.KG;

K Number: K131664

· Device Description:

This product is a kind of homogeneous high polymer material made from quality polymethylmethacrylate added with cross-linking agents to improve the network structure through a unique polymerization molding technology. It is mainly used for the fabrication of multi-unit, fully or partially anatomical long-term temporary bridge restorations with up to two pontics by CAD/CAM systems. Both anterior and posterior crown & bridge are recommended.

· Intended Use:

PMMA Block is a device made from PMMA (polymethylmethacrylate) for the fabrication of temporary crowns and bridges and is intended for use in the oral cavity for up to six (6) months while awaiting a permanent restorations are designed and manufactured by a dental Professional (Technician) using CAD technology.

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ItemSubject DevicePredicate Device
Indication for UseA device made from PMMA
(polymethylmethacrylate)
for the fabrication of
temporary crowns and
bridges and is intended for
use in the oral cavity for up
to six (6) months while
awaiting a permanent
restoration. Restorations are
designed and manufactured
by a dental Professional
(Technician) using CAD
technology.Same
Material of
ConstructionPMMASame
Shades20 Vita ShadesVarious Vita Shades
Processing MethodVariable Thickness Milling
Blank and machined using
any milling systemSame
Flexural Strength≥50MPA113MPA
Shelf-lifeFive YearsUnknown
Performance
EffectivenessTested According to ISO
10477Same
Performance SafetyTested according to ISO
10993 standardsSame

5.3 Comparison of Required Technology Characteristics

Brief Summary:

First, the subject device - PMMA Block incorporates the same intended use with the predicate device. Secondly, the subject device shares similar design and fundamental technological characteristics with the predicate device, for example, they are both

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composed of PMMA, they enjoy the same processing method. Thirdly, both their safety and effectiveness have been verified by appropriated FDA recognized standards, which ensures that the subject device will be as safe and effective as the predicate device. Last but not least, though the two devices may be different in shelf life, such difference will not affect the core usage of the device, thus will not influence the comparison of substantial equivalence between the two devices.

5.4 Discussion of Tests Performed

· Clinical Tests:

Clinical testing has not been conducted on this product.

· Non-Clinical Tests

The following standards have been adopted to evaluate the safety and effectiveness of the subject device:

- Biocompatibility Test according to AAMI / ANSI / ISO

10993-3:2003/(R)2009, Biological evaluation of medical devices - Part 3: Tests for genotoxicity, carcinogenicity, and reproductive toxicity. (Biocompatibility), AAMI / ANSI / ISO 10993-5:2009, Biological evaluation of medical devices -- Part 5: Tests for In Vitro cytotoxicity. (Biocompatibility), AAMI / ANSI / ISO 10993-10:2010, Biological evaluation of medical devices - Part 10: Tests for irritation and skin sensitization. (Biocompatibility) and AAMI / ANSI / ISO 10993-11:2006/(R)2010, Biological Evaluation Of Medical Devices – Part 11: Tests For Systemic Toxicity. (Biocompatibility), the detail of which can be found in Attachment D ISO 10993 Test Report of the submission.

  • Physical property testing, such as flexural strength, surface polishing performance, bond strength, water sorption, solubility, shade consistency and color stability, according to ISO 10477 Second Edition 2004-10-01, Dentistry - Polymer-Based Crown And Bridge Materials. (Dental/ENT), the test results of which can be found on page 3 of Attachment E ISO 10477 Test Report of the submission. Its results show that the subject device fully meets the requirement, that it will be as effective as the predicate device, which well supports the Substantial Equivalence to the predicate device.

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5.5 Conclusion:

First, the subject device - PMMA Block enjoys the same intended use and similar technological characteristics with the predicate device. Besides, the performance safety and effectiveness of the subject device has been verified in accordance with the above FDA recognized standards, thus being considered to be as safe and effective as the predicate device.

In a word, it is reasonable for us to conclude that the subject device is substantially equivalent to the predicate device according to the above analysis.