K Number
K150196
Device Name
DD cubeX2
Manufacturer
Date Cleared
2015-03-26

(56 days)

Product Code
Regulation Number
872.6660
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Dental blanks made from DD cubeX2 are indicated for crowns, multi-unit bridges (up to a maximum of 3 elements) and inlay bridges. Applications include both, anterior and posterior bridges.
Device Description
DD cubeX2 is a semi-finished dental blank made of yttrium stabilized pre-sintered zirconium dioxide, which has a super high translucency. The ceramics is of type II (not powder), Class 5 according to DIN EN ISO 6872 (FDA Recognition Number 4-178). The DD cubeX2 dental blanks are designed for milled production of crowns and bridge frameworks on commercial CAD/CAM systems or hand-operated copy milling machines. The material is suited ideally for bridges up to 3 elements for both, the anterior and posterior region. The accessories comprises the DD Bio ZX2 monolith zero, which is a coloring fluid for zirconia restorations made from yttrium stabilized pre-sintered zirconium dioxide of different degree of translucency.
More Information

Not Found

No
The device description and performance studies focus on the material properties and mechanical performance of a dental blank, with no mention of AI or ML.

No
The device is a semi-finished dental blank for creating crowns and bridges, which are restorative devices, not therapeutic devices.

No

This device is a dental blank for fabricating crowns and bridges, which are restorative devices, not diagnostic ones.

No

The device description clearly states it is a semi-finished dental blank made of yttrium stabilized pre-sintered zirconium dioxide, 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 is for creating dental restorations (crowns, bridges, inlays) for patients. This is a direct application within the body (in vivo), not for testing samples taken from the body (in vitro).
  • Device Description: The device is a semi-finished dental blank made of zirconium dioxide, used for milling dental prosthetics. This material is designed to be implanted or placed in the mouth.
  • Lack of IVD Characteristics: The description does not mention any components or processes related to analyzing biological samples (blood, urine, tissue, etc.) or providing diagnostic information based on such analysis.

IVD devices are specifically designed to be used in vitro (outside the body) to examine 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

Dental blanks made from DD cubeX2 are indicated for crowns, multi-unit bridges (up to a maximum of 3 elements) and inlay bridges. Applications include both, anterior and posterior bridges.

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

EIH

Device Description

DD cubeX² is a semi-finished dental blank made of yttrium stabilized pre-sintered zirconium dioxide, which has a super high translucency. The ceramics is of type II (not powder), Class 5 according to DIN EN ISO 6872 (FDA Recognition Number 4-178). The DD cubeX² dental blanks are designed for milled production of crowns and bridge frameworks on commercial CAD/CAM systems or hand-operated copy milling machines. The material is suited ideally for bridges up to 3 elements for both, the anterior and posterior region. The accessories comprises the DD Bio ZX2 monolith zero, which is a coloring fluid for zirconia restorations made from yttrium stabilized pre-sintered zirconium dioxide of different degree of translucency.

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

knowledgeable and trained dental personnel.

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 testing was performed in order to validate the product against the company's specified design requirements, and to evaluate its safety and effectiveness according to the following standards: EN ISO 10993-1 (biological compatibility) and EN ISO -10993-5 (cytotoxicity) With DD Bio ZX2 monolith zero colored and then sintered DD cubeX2finished products were tested by an accredited testing laboratory with respect to biocompatibility. The laboratory certified that "the insolubility is in compliance with the requirements of the Standard. There is no evidence that effects hazardous to the patient will arise by release of leachable ingredients/contaminants".Based on the test results DD cubeX was classified as eminently suitable for use in the dental applications.
ISO 6872:2008, Dentistry Ceramic materials (FDA Re- cognition # 4-178)
DD Bio ZX2 (modified product) meets the requirements of ISO 6872 as well as the unmodified device. Compared to the legally marketed unmodified device the DD cubeX2 (modified device) has the same high resistance against tension and pressure.

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

Flexural strength: > 720 MPa (Required value: > 500 MPa)
Chemical solubility: 15 µg/cm² (Required value:

§ 872.6660 Porcelain powder for clinical use.

(a)
Identification. Porcelain powder for clinical use is a device consisting of a mixture of kaolin, felspar, quartz, or other substances intended for use in the production of artificial teeth in fixed or removable dentures, of jacket crowns, facings, and veneers. The device is used in prosthetic dentistry by heating the powder mixture to a high temperature in an oven to produce a hard prosthesis with a glass-like finish.(b)
Classification. Class II.

0

Image /page/0/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized image of three human profiles facing to the right, stacked on top of each other.

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

March 26, 2014

Dental Direkt GmbH Mr. Uwe Greitens Authorized Officer Industriezentrum 106-108 32139 Spenge GERMANY

Re: K150196

Trade/Device Name: DD cubeX2 and accessories Regulation Number: 21 CFR 872.6660 Regulation Name: Porcelain Powder for Clinical Use Regulatory Class: II Product Codes: EIH Dated: February 23, 2015 Received: February 25, 2015

Dear Mr. Greitens:

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

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.

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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Indications for Use

510(k) Number (if known): _K150196

Device Name: DD cubeX2 and accessories

Indications for Use:

Dental blanks made from DD cubeX2 are indicated for crowns, multi-unit bridges (up to a maximum of 3 elements) and inlay bridges. Applications include both, anterior and posterior bridges.

Prescription Use _____________________________________________________________________________________________________________________________________________________________

AND/OR

Over-The-Counter Use

(Part 21 CFR 801 Subpart D)

(21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Page 1 of 1

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K150196 510(k) Number:

510(k) Summary

| Submitter of 510 (k) | Dental Direkt GmbH
Industriezentrum 106-108
32139 Spenge / Germany |
|--------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact Person | U. Greitens, Authorized Officer
Phone: +49 5225 86319-0 / Fax: +49 5225 86319-99 |
| Establishment
Registration Number | 3008347275 |
| Date Prepared | January 2015 |
| Trade Name of Device | DD cubeX² and accessories |
| Common Name | Powder, Porcelain |
| Classification Name | Porcelain powder for clinical use |
| Regulation Number | 21 CFR 872.6660 |
| Product Code | EIH |
| Panel | Dental |
| Classification | Class II |
| Name of legally
marketed device | DD Bio Z-transpa (K093748) |
| Indications for Use | Dental blanks made from DD cubeX² are indicated for crowns,
multi-unit bridges (up to a maximum of three elements) and
inlay bridges. Applications include both, anterior and posterior
bridges. |
| Device Description | DD cubeX² is a semi-finished dental blank made of yttrium sta
bilized pre-sintered zirconium dioxide, which has a super high
translucency. The ceramics is of type II (not powder), Class 5
according to DIN EN ISO 6872 (FDA Recognition Number 4-
178). The DD cubeX²
dental blanks are designed for milled
production of crowns and bridge frameworks on commercial
CAD/CAM systems or hand-operated copy milling machines. |

4

The material is suited ideally for bridges up to 3 elements for both, the anterior and posterior region. The accessories comprises the DD Bio ZX2 monolith zero, which is a coloring fluid for zirconia restorations made from yttrium stabilized pre-sintered zirconium dioxide of different degree of translucency.

Comparison of Required Technology Characteristics

The following table shows a summary of the technological characteristics of DD cubeX2 (modified product) compared to the predicate (Unmodified product) device.

Comparison of Required Technology Characteristics
FeatureUnmodified productModified productComment
Trade nameDD Bio Z-transpaDD cubeX2n.a
510(k)K093748 (Annex 5)this submissionn.a
Product codeEIHElHSame
Regulatory classClass IIClass IISame
ManufacturerDental Direkt GmbH for-
mer Dental Direkt of America
UG (haftungsbeschraenkt)Dental Direkt GmbHSame
Intended useDental blanks made
from DD Bio Z transpa
are indicated for
crowns, multiunit
bridges and inlay
bridges. Application in-
cludes both, anterior
and posterior bridges.Dental blanks made
from DD cubeX2 are in-
dicated for crowns, mul-
tiunit bridges and inlay
bridges. Application in-
cludes both, anterior
and posterior bridges.Same
AccessoriesNoYes, coloring liquidsThis difference offers
a better adaptation of
dental blank to natu-
ral teeth.
Multi-unit bridgesNo limitationUp to a maximum of
three elementsSame, if multi-unit
bridge has only three
elements.
Chemical composition [Units]
ZrO2 + HfO2 + Y2O3
[wt%]> 99.0> 99.0Same
Y2O3 [wt%]5.15 + 0.20720Flexural strength is
slightly lower, but hig-
her than required by
DIN EN ISO 6872 for
Class 5 dental cera-
mics (> 500 MPa).
E modulus [GPa]> 210> 210Same
Density
(after sintering) [g/cm3]> 6.0> 6.0Same
CTE (25-500 °C) [10-6K-1]1110Same
Fracture toughness
[MPa * m1/2]unknown4.8n.a
Physical TestingTested according to
DIN EN ISO 6872Tested according to
DIN EN ISO 6872Same (Tests for
modified product
comprise coloring fluid
accessories)
BiocompatibilityEN ISO 10993-1, -5EN ISO 10993-1, -5Same (Tests comprise
coloring fluid accesso-
ries)

Special 510(k) DD cubeX2

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Brief summary

First, DD cubeX2 (modified product) shares de facto all product specifications and characteristics of the predicate device (unmodified device). There is no difference in fundamental scientific technology. Secondly, the modification of the material composition results in a higher translucency of the product, which leads to better aesthetic results. However, it also leads to a lower flexural strength when compared to the unmodified product. This is compensated by restricting the use of DD cubeX2 if used for multi-unit bridges to three element bridges. Finally the Flexural strength testing result of DD cubeX2 (modified product) is considerably higher than required by DIN EN ISO 6872 for class 5 dental ceramics indicated for three element bridges including molar restorations. Thirdly, the two devices are similar in physical and mechanical properties. Also both (for DD cubeX2 (modified product) including coloring fluid accessories) their safety and effectiveness have been verified by appropriate FDA recognized standards.

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Through they are not identical in chemical material composition, such difference will not influence the core usage of the device, thus will not affect the devices` substantial equivalence.

Discussion of - Clinical Tests Tests Performed Dental Direkt GmbH did not conduct, nor rely upon, clinical tests to determine substantial equivalence as dental ceramics that fall under FDA product code EIH have a long history of safe and effective use in the US. - Non Clinical Tests Non-clinical testing was performed in order to validate the product against the company's specified design requirements, and to evaluate its safety and effectiveness according to the following standards: EN ISO 10993-1 (biological compatibility) and EN ISO -10993-5 (cytotoxicity) With DD Bio ZX2 monolith zero colored and then sintered DD cubeX2finished products were tested by an accredited testing laboratory with respect to biocompatibility. The laboratory certified that "the insolubility is in compliance with the requirements of the Standard. There is no evidence that effects hazardous to the patient will arise by release of leachable ingredients/contaminants".Based on the test results DD cubeX was classified as eminently suitable for use in the dental applications.

  • ISO 6872:2008, Dentistry Ceramic materials (FDA Re- cognition # 4-178)
Part of Table 4 of Section 13: Test results.
Requirements
ISO 6872
(Clause)Short descriptionRequired
valueRequired
valuePassed /
Failed
Uniformity of the
material
(Clause 5.1)Checked by visual in-spectionn.a.-Passed
Freedom from
extraneous materials
(Clause 5.2.1)Checked by visual in-spectionn.a.-Passed
Physical and chemical
properties
(Clause 5.2.2)Activity concentration
of uranium 238500 MPa> 720 MPaPassed
Physical and chemical
properties
(Clause 4)Chemical solubility