Direct Dental Restorations (e.g., resin-modified glass ionomer, resin core build-ups, compomers).
Indirect Dental Restorations (e.g., metal, resin-based composite, dental ceramics (e.g., porcelain, pressed ceramic, lithium disilicate, zirconia).
Desensitization of dentin.
Sealing of dentin, cementum or enamel.

Device Description

BRUSH&BOND® PLUS is a self-etching. self-priming. light-cured bonding system which utilizes proven 4-META chemistry to enhance penetration into prepared enamel and dentin surfaces and to establish strong bonds to dental surfaces such as restorative composites, metals, dentin, enamel, cementum, and dental ceramics (e.g., porcelain, lithium, disilicate, zirconia, or hybrid ceramics). The Device is useful for all direct dental restorations, desensitizing teeth, and sealing tooth structures against microleakage. Moreover, the Device can be used without prior acid-etching of dentin or cutting of enamel surfaces.
The BRUSH&BOND® PLUS device is essentially a single-bottle, two-component system, comprising: a liquid resin which comprises monomers and 4-META chemistry, and an activator brush which comprises a bonding promoter to ensure complete activation and polymerization when contacted with the liquid resin. After activation, the activated resin can be applied directly onto restorative surfaces (except dental ceramic surfaces) using the activator brush or any appropriate dental instrument. For ceramic surfaces, the surface must first be coated with a ceramic primer (such as EaZy Primer'M,510K no. 142848) before the activated resin is applied.
BRUSH&BOND® PLUS is packaged as a single 3 mL bottle of liguid resin, an accompanying canister containing 100 activator brushes (either standard size or mini/endo size), and accompanying bottles of Parkell's ceramic rimer Ea Primer'M 5mL "A" and "B" bottles).

AI/ML Overview

The provided text does not contain the acceptance criteria or a study proving that the "Brush & Bond® Plus" device meets such criteria.

This document is a 510(k) premarket notification for a dental bonding agent. It aims to demonstrate substantial equivalence to previously cleared devices, rather than presenting a study where specific acceptance criteria are defined and then met by the device's performance.

Here's a breakdown of why the requested information is largely absent given the input:

Acceptance Criteria and Reported Device Performance: The document doesn't provide a table of acceptance criteria or specific performance metrics that "Brush & Bond® Plus" is required to meet as a standalone device against a pre-defined standard in real-world or simulated clinical scenarios. Instead, it compares its properties (like bond strength and biocompatibility) to predicate devices to establish substantial equivalence.
- What is reported: The document states, "The Shear and Tensile Bond Strength tests were performed in accordance with ISO/TS 11405. The shear and tensile strength tests were compared to the Predicates and were determined to be equivalent." This indicates comparative testing, not testing against independent acceptance criteria.
Sample size used for the test set and data provenance: Not explicitly mentioned for the bond strength tests. The document only states that "The shear and tensile strength tests were compared to the Predicates," without detailing the number of samples or whether the data was prospective or retrospective, or its country of origin.
Number of experts used to establish the ground truth for the test set and their qualifications: Not applicable. The testing seems to be laboratory-based (shear and tensile bond strength tests), not dependent on expert interpretation of clinical data in the way a diagnostic AI device would be.
Adjudication method: Not applicable for this type of test.
Multi-reader multi-case (MRMC) comparative effectiveness study: Not applicable. This type of study is relevant for diagnostic devices where human readers interpret images or data. This document is for a dental bonding agent, and the evaluation focuses on physical and chemical properties.
Standalone performance: The document describes "non-clinical testing" including "Shear and Tensile Bond Strength tests" performed in accordance with ISO/TS 11405. This refers to laboratory testing of the material's properties, which could be considered a form of standalone performance evaluation for the material itself, but not in the context of an "algorithm only without human-in-the-loop performance" typical for AI devices.
Type of ground truth used: For the bond strength tests, the "ground truth" would be the measured physical properties (e.g., force required to break the bond) obtained through standardized testing methods (ISO/TS 11405), rather than expert consensus, pathology, or outcomes data.
Sample size for the training set: Not applicable, as this is not an AI/machine learning device.
How the ground truth for the training set was established: Not applicable.

In summary, the provided document focuses on demonstrating substantial equivalence of a dental bonding agent to existing predicate devices based on technological characteristics and non-clinical performance (like bond strength and biocompatibility), rather than presenting a study of a diagnostic AI device against pre-defined acceptance criteria.

Summary

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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 seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of three human profiles facing to the right, stacked on top of each other. The profiles are simple and abstract, with only the outlines of the faces visible.

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

September 18, 2015

Parkell, Inc. Mr. David Mott, Esq. VP. Regulatory Affairs 300 Executive Drive Edgewood, New York 11717

Re: 151518

Trade/Device Name: Brush & Bond® Plus Regulation Number: 21 CFR 872.3200 Regulation Name: Resin tooth bonding agent Regulatory Class: II Product Code: KLE Dated: June 19, 2015 Received: June 22, 2015

Dear Mr. Mott:

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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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 Industry and Consumer Education at its toll-free 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 Industry and Consumer Education 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) K151518

Device Name BRUSH&BOND® PLUS

Indications for Use (Describe) BRUSH&BOND® PLUS is indicated for:

Direct Dental Restorations (e.g., resin-modified glass ionomer, resin core build-ups, compomers).
Indirect Dental Restorations (e.g., metal, resin-based composite, dental ceramics (e.g., porcelain, pressed ceramic, lithium disilicate, zirconia).
Desensitization of dentin.
Sealing of dentin, cementum or enamel.

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

2 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)

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Druq Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

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Image /page/3/Picture/0 description: The image shows the logo for Parkell Inc. The logo is in black and white and features the company name in a stylized font. Below the company name is the tagline "Solutions for the problem-solving Dental Professional Since 1948."

510(k) Summary

1. Submitter:

Parkell, Inc. 300 Executive Drive Edgewood, NY 11717

2. Contact:

David Mott, Esq. VP, Regulatory Affairs Tel: (631) 249-1134, ext. 145 Fax: (631) 249-1242

3. Submission Date: June 4, 2015

4. Device Identification:

Trade Name:	BRUSH&BOND® PLUS
Common Name:	Dental Bonding Agent
Classification Name:	Resin Tooth Bonding Agent (21CFR Section 872.3200)
Product Code:	KLE
Classification:	Class II

5. Predicate and Reference Devices:

Predicate Device: BRUSH&BOND® (510k no. 020239, filed as Touch&Bond-Pius) Reference Device: All-Bond Universal® (510K no. 131734, filed as All-Bond Universal SC)

Description of Applicant Device: 6.

The BRUSH&BOND® PLUS device is essentially a single-bottle, two-component system, comprising: a liquid resin which comprises monomers and 4-META chemistry, and an activator brush which comprises a bonding promoter to ensure complete activation and polymerization when contacted with the liquid resin. After activation, the activated resin can be applied directly onto restorative surfaces (except dental ceramic surfaces) using the activator brush or any appropriate dental instrument. For ceramic surfaces, the surface must first be coated with a ceramic primer (such as EaZy Primer'M,510K no. 142848) before the activated resin is applied.

BRUSH&BOND® PLUS is packaged as a single 3 mL bottle of liguid resin, an accompanying canister containing 100 activator brushes (either standard size or mini/endo size), and accompanying bottles of Parkell's ceramic rimer Ea Primer'M

5mL "A" and "B" bottles).

lotewood. New York 11717 USA Edgewood. Ne Toll-Free: 800,243,7446 Phone: 631.249.1134 FAX: 631,249,1242 ww.parkell.com

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7. Intended Uses:

1. Direct dental restorations (e.g., resin-based composite, resin-modified glass ionomer, resin core build-ups, compomers).
1. Indirect dental restorations (e.g., metal, resin-based composite, dental ceramics (e.g., porcelain, pressed ceramic, lithium disilicate, zirconia)).
ന് Desensitization of dentin.
1. Sealing of dentin, cementum or enamel.

8. Technological Characteristics:

BRUSH&BOND® PLUS is a single-bottle, dual-component bonding system, comprising: a liquid resin which comprises monomers and 4-META chemistry; and an activator brush which comprises a bonding promoter to ensure complete activation and polymerization when contact is made with the liquid resin. It is packaged as a single 3 mL bottle of liguid resin, an accompanying canister containing 100 activator brushes (either standard size or mini/endo size), and accompanying bottles of Parkell's ceramic primer, EaZy Primer 1 %, 510K no. 142848 (5-millimeter "A" and "B" bottles).

All components of BRUSH&BOND® PLUS are found in legally marketed predicate devices. The BRUSH&BOND® PLUS is based upon industry standard monomer chemistry and has similar technological characteristics as other legally marketed bonding agents.

9. Biocompatibility:

An evaluation of biocompatibility was conducted to determine the safety of BRUSH&BOND® PLUS in accordance with ISO 10993-1: 2009, ISO 10993-5: 2009, ISO 10993-12: 2009, and the guidance document, "Blue Book Memo, G95-1, Use of International Standard IS0-10993, and Biological Evaluation of Medical Devices: Part 1: Evaluation and Testing". The biocompatibility evaluation included cytotoxicity testing in accordance with ISO 10993-5:2009, skin sensitization testing in accordance with ISO 10993-10:2010, and oral mucosa stimulation testing in accordance with ISO 10993-10:2010. The conclusion of the evaluation is that BRUSH&BOND® PLUS can be considered biocompatible.

10. Substantial Equivalence:

Information provided in this 510(k) submission demonstrates that BRUSH&BOND® PLUS is substantially equivalent to the Predicate Device, Parkell Inc.'s existing BRUSH&BOND® bonding agent (K020239) in terms of bond strength to dentin and enamel, as well as to the Reference Device (K131734) in terms of bond strength to metals, composite resin, and dental ceramics. The Shear and Tensile Bond Strength tests were performed in accordance with ISO/TS 11405. The shear and tensile strength tests were compared to the Predicates and were determined to be equivalent.

Any minor differences between the Device and the Predicate Device do not raise new questions of equivalence.Thus,this submission demonstrates the substantial equivalence of BRUSH&BOND® PLUS. A brief comparison of BRUSH&BOND® PLUS to the Predicate and Reference Devices is provided below:

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Parkell inc.

Table 5-1:
Property(pass/fail criteria!if applicable)	BRUSH&BOND®PLUS(Parkell, Inc.)	Predicate Device(Brush&Bond®)(Parkell, Inc.)	Reference Device(All-Bond Universal®)(Bisco, Inc.)
Intended uses	1. Direct DentalRestorations (e.g.!resin-basedcomposite, resin-modified glassionomer, resin corebuild-ups,compomers).2. Indirect DentalRestorations (e.g.,metal, resin-basedcomposite, dentalceramics, e.g.,porcelain (pressedceramic, lithiumdisilicate, zirconia).3. Desensitization ofdentin.4. Sealing of dentin,cementum orenamel.	1. A dentin bondingagent used withdirect fillingmaterialsthat include butmay not be limitedto, composite resins,resin modified glassmonomers orcompomers, etc.2. A dentin bondingagent used withresin cements orcomposite lutingagents to retainindirect tooth-colored and castalloy restorationsthat include butmay not be limitedto indirectcomposite orporcelain inlays andonlays, laminateveneers, either resinor porcelain,porcelain-fused-to-metal crowns, etc.3. Treatment ofhypersensitive areaso exposed rootsurfaces.4. A cavity sealantand desensitizerapplied to exposeddentin that hasbeen prepared toreceive a laboratoryfabricatedrestoration such asporcelain-fused-to-metal crowns, castalloy or tooth- colored inlays,onlays veneers etc.	1. Direct Restorations(e.g. resin-basedcomposite, resin-modified glass ionomer,core build-ups)2. Indirect Restorations(e.g. metal, glass,ceramics,zirconia/alumina)3. Bonding Resin orPrimer for Substrates4. Desensitization/Sealingof Tooth5. Intraoral Repair (e.g.chipped porcelain,additions to directrestorations)
ClassificationProduct CodeSelf-Etching	KLE	KLE	KLE
Self-priming	Yes	Yes	Not available
Light-cured	Yes	Yes	Yes

Compatiblewith selfdual, andlight curedmaterials	Yes	Yes	Yes

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Table 5-1(continued):

Property	BRUSH&BOND®PLUS(Parkell, Inc.)	Predicate Device(Brush&Bond®)(Parkell, Inc)	Reference Device(All-Bond Universal®)(Sisco, Inc.)
{pass/fail criteria,if applicable}
Shelf Life	3 years	3 years	2 years
Chemicalcomponents	Bonding agent, comprising a liquid resin which comprises monomers and 4-META chemistry; a ceramic primer; an activator brush comprising a bonding promoter.	Bonding agent, comprising a liquid resin which comprises monomers and 4-META chemistry; and an activator brush comprising a bonding promoter.	Bonding agent, comprising an ethanol/water-based dental adhesive; and a porcelain primer.

11. Clinical Performance Data

There was no clinical testing required to support the Device as the indications for use are equivalent to the Predicate Device. These types of devices, including the Predicate Device, have been on the market for many years with no reported adverse events. The non-clinical testing detailed in this submission supports the substantial equivalence of the Device.

12. Statement of Substantial Equivalence:

By definition, a device is substantially equivalent to a predicate device when the device has the same intended use and the same technological characteristics as the previously cleared predicate device.

The Device (BRUSH&BOND® PLUS) has the same or similar intended use, indications, principles of operation, and technological characteristics as the Predicate Device (BRUSH&BOND®). The Device, as designed and manufactured, is determined to be substantially equivalent to the Predicate Device in terms of intended use, design, materials, and function.

Regulation Number and Section

§ 872.3200 Resin tooth bonding agent.

(a)
Identification. A resin tooth bonding agent is a device material, such as methylmethacrylate, intended to be painted on the interior of a prepared cavity of a tooth to improve retention of a restoration, such as a filling.(b)
Classification. Class II.