K Number
K152274
Device Name
MSCB-001
Manufacturer
Date Cleared
2016-03-25

(226 days)

Product Code
Regulation Number
872.6660
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
1. Metal free indirect restorations: full crown, inlays, onlays, laminated veneer
Device Description
MSCB is a block system consisting of a porcelain block cemented to a milling machine specific mandrel. This block/mandrel is designed to be milled in a CAD/CAM milling machine that is programmed to fabricate an indirect restoration. After milling, the restoration can be customized by use of porcelain stain. The composition of this product allows for milling without need to fire in a porcelain furnace. MSCB-001 system is a feldspathic (glass) porcelain system based on partially crystalline but mostly vitreous materials derived from phyllosilicates such as potash or sodafeldspar, several commercially available fluxes, and various refractive oxides for mechanical enhancement.
More Information

No
The summary describes a physical dental restoration block and its material properties, with no mention of software, algorithms, or data processing that would indicate AI/ML.

No.
The device is a material (porcelain block) used to fabricate indirect dental restorations, which are used to restore the form and function of teeth. It does not directly treat or diagnose a disease or condition in a therapeutic manner.

No
The device is a block system for fabricating indirect dental restorations (crowns, inlays, onlays, veneers) using CAD/CAM milling, which is a manufacturing process, not a diagnostic one.

No

The device description clearly describes a physical block system made of porcelain, designed to be milled by a CAD/CAM machine. This is a hardware component, 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, inlays, onlays, veneers). This is a therapeutic and restorative purpose, not a diagnostic one.
  • Device Description: The device is a material (porcelain block) used in a manufacturing process (CAD/CAM milling) to create a physical dental restoration. It does not interact with biological samples (blood, urine, tissue, etc.) to provide diagnostic information.
  • Performance Studies: The performance studies focus on material properties relevant to dental restorations (chemical solubility, flexural strength, thermal expansion), not on diagnostic accuracy or performance related to analyzing biological samples.

IVD devices are used to examine specimens derived from the human body to provide information for the diagnosis, prevention, monitoring, treatment, or alleviation of disease. This device does not fit that description.

N/A

Intended Use / Indications for Use

  1. Metal free indirect restorations: full crown, inlays, onlays, laminated veneer

Product codes

EIH

Device Description

MSCB is a block system consisting of a porcelain block cemented to a milling machine specific mandrel. This block/mandrel is designed to be milled in a CAD/CAM milling machine that is programmed to fabricate an indirect restoration. After milling, the restoration can be customized by use of porcelain stain. The composition of this product allows for milling without need to fire in a porcelain furnace.

MSCB-001 system is a feldspathic (glass) porcelain system based on partially crystalline but mostly vitreous materials derived from phyllosilicates such as potash or sodafeldspar, several commercially available fluxes, and various refractive oxides for mechanical enhancement.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

tooth - enamel, dentin

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

Performance Testing - Bench: It is confirmed that the device conforms to the required specifications of ISO 6872:2008 and is suitable for its intended use. Performance testing includes: Chemical solubility, Flexural strength, Linear thermal expansion, Radioactivity.

Key Results:
Chemical solubility: MSCB-001 (LT A2) Average 31 µg/cm³, MSCB-001 (HT A2) Average 35 µg/cm³, CEREC VITABLOCS MK2 Average 31 µg/cm³. All met ISO 6872:2008 requirement of less than 100 µg/cm³. Statistically equivalent to predicate.
Flexural strength: MSCB-001 (LT A2) Average 210 MPa, MSCB-001 (HT A2) Average 214 MPa, CEREC VITABLOCS MK2 Average 145 MPa. All met ISO 6872:2008 requirement of greater than 100 MPa. MSCB-001 had higher values than the predicate, but both exceeded minimum specification.
Linear thermal expansion: MSCB-001 (LT A2) Average 470°C, MSCB-001 (HT A2) Average 469°C, CEREC VITABLOCS MK2 Average 785°. Standard deviation within limitations.
Radioactivity: Conformed to ISO 6872:2008 requirement of radioactivity A ≤ 1.0 Bq/g.

Key Metrics

Not Found

Predicate Device(s)

K022408 VITABLOCS FOR CEREC MARK II

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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 U.S. Department of Health & Human Services. The logo consists of a circular emblem with the words "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. The profiles are black against a white background.

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

March 25, 2016

GC America Inc. Dr. Mark Heiss Director, Regulatory & Academic Affairs 3737 W. 127th Street Alsip, Illinois 60803

Re: K152274

Trade/Device Name: MSCB-001 Regulation Number: 21 CFR 872.6660 Regulation Name: Porcelain powder for clinical use Regulatory Class: II Product Code: EIH Dated: February 22, 2016 Received: February 24, 2016

Dear Dr. Heiss:

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 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 -

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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Section 4 - Indications for Use Statement

Indications for Use

510(k) Number (if known): K152274

Device Name: MSCB-001

Indications for Use:

  1. Metal free indirect restorations: full crown, inlays, onlays, laminated veneer

Prescription Use _____________________________________________________________________________________________________________________________________________________________ (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use _ (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 4.1 of 4.1

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Image /page/3/Picture/1 description: The image shows the letters 'GC' in a stylized font. The letters are in a dark teal color and are set against a white background. There are two apostrophe-like marks, one on either side of the letters. The letters are bold and slightly slanted, giving them a dynamic appearance.

GC AMERICA INC. 3737 WEST 127TH STREET ALSIP, ILLINOIS 60803 TEL (708) 597-0900 FAX (708) 371-5103

    1. Submitter:
GC AMERICA INC.
3737 W. 127th Street
Alsip, IL 60803
Contact Person:Mark Heiss, D.D.S.
Phone:(708) 926-3090
Alternate Contact:Lori Rietman
Phone:(708)-926-3092
Fax:(708) 926-9100
Date Prepared:August 7, 2015
    1. Device Name:
Proprietary Name:MSCB-001
Classification Name:Porcelain Powder for Clinical Use
Device Classification:Class II, 872.6660
Product Code:EIH
    1. Predicate Devices:
CompanyDevice510(k) No.Date Cleared
Vita ZahnfarbrikVITABLOCS FOR CEREC MARK IIK0224087/24/2002
  • Description of Device: 4.
    MSCB is a block system consisting of a porcelain block cemented to a milling machine specific mandrel. This block/mandrel is designed to be milled in a CAD/CAM milling machine that is programmed to fabricate an indirect restoration. After milling, the restoration can be customized by use of porcelain stain. The composition of this product allows for milling without need to fire in a porcelain furnace.

MSCB-001 system is a feldspathic (glass) porcelain system based on partially crystalline but mostly vitreous materials derived from phyllosilicates such as potash or sodafeldspar, several commercially available fluxes, and various refractive oxides for mechanical enhancement.

    1. Indications for Use:
  1. Metal free indirect restorations: full crown, inlays, onlays, and laminated veneer

Package 6.

    1. 3 sizes: 12/ 14/ 14L
    1. 5 blocks in one package
    1. Available CAD/CAM system: Aadva/ CEREC /E4D
    1. Shades

5 Vita* shades available in two translucencies:

  • High Translucency (HT): A1 HT, A2 HT, A3 HT, A3.5 HT, B1 HT
  • Low Translucency (LT): A1 LT, A2 LT, A3 LT, A3.5 LT, B1 LT

4

  • One bleach shade (BL)

  • Low Translucency (LT): A1 LT, A2 LT, A3 LT, A3.5 LT, B1 LT

  • One bleach shade (BL)

  • Vita® is a registered trademark of Vita Zahnfabrik, Bad Säckingen, Germany,

8. Shelf Life:

10 years from date of manufacture

9. Biocompatibility

According to ISO 10993-1: 2009, the following is stated:

*Sec 4.1 "Evaluation may include both a study of relevant preclinical experience and actual testing. Such an evaluation might result in the conclusion that no testing is needed if the material has a demonstrable safe history of use in a specified role and physical form that is equivalent to that of the device under design."

*Sec 6.1 "Material characterization: "If the combination of all materials, chemicals and processes has an established history of safe use in the intended application, then further characterization and biological evaluation might not be necessary."

All components in MSCB-001 have been used in predicate product, such as VITABLOCS FOR CEREC. Based on above, MSCB was considered to have an acceptable level of biocompatibility

All devices come in contact with the same body tissues (tooth - enamel, dentin) for more than 24 hours.

10. Performance Testing - Bench:

It is confirmed that the device conforms to the required specifications of ISO 6872:2008 and is suitable for its intended use.

Performance testing includes:

  • . Chemical solubility
  • . Flexural strength
  • Linear thermal expansion .
  • o Radioactivity

Technological characteristics: 11.

All the components of the applicant device, MSCB-001, have already been used in the predicate device (VITABLOCS FOR CEREC MARK II).

    1. Substantial equivalence:
      The new and predicate device (VITABLOCS FOR CEREC MARK II) are the same in function, and similar in composition and intended use. This supports that the compatibility of the applicant device is substantially equivalent to the predicate devices.

The substantial equivalence was viewed looking at comparison to standards as well as the predicate device.

Differences:

Compared to VITABLOCS FOR CEREC MARK II, MSCB-001 has a higher flexural strength using ISO 6872.

    1. Conclusion
      Based on a comparison of intended use, indication for use, composition, and shelf life, GC concludes that MSCB-001 is substantially equivalent to the predicate device (VITABLOCS FOR CEREC MARK II: K022408).

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Table 5.1.1 Comparison Table

| | Applicant device | Comparative device | Difference
Y/N | Rationale |
|-----------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Product
category | CAD/CAM restorative | CAD/CAM restorative | | |
| Trade name | MSCB-001 | VITABLOCS FOR CEREC
MARK II (K022408) | | |
| Manufacturer
Indications | Klema Dentalprodukte

  1. Metal free indirect
    restorations: full crown, inlays,
    onlays, laminated veneer | Vita Zahnfarbrik
    Fabrication of inlays, onlays,
    partial and full crowns,
    endo-crowns of molars, and
    veneers | Y | We have added the
    word "metal free" to
    clarify the classification
    of material type the
    applicant device is part
    of. Since the applicant &
    predicate device are
    both metal free
    ceramics, the technical
    description & function |
    | Product
    description | MSCB is a block system
    consisting of a porcelain block
    cemented to a milling machine
    specific mandrel. This
    block/mandrel is designed to
    be milled in a CAD/CAM
    milling machine that is
    programmed to fabricate an
    indirect restoration. After
    milling, the restoration can be
    customized by use of
    porcelain stain. The com-
    position of this product allows
    for milling without need to fire
    in a porcelain furnace. | VITABLOCS are industrially
    manufactured, fine-structure
    feldspar ceramic blocks used to
    fabricate inlays, onlays,
    veneers and crowns with
    CEREC and inLab CAD/CAM
    systems of Sirona Dental
    Systems GmbH. | Y | have not changed.
    Though the verbiage is
    different, the type of
    material, Feldspar type
    ceramic is the same as
    well as its form (Block
    on mandrel). Both
    products fabricate
    indirect restoration
    using the same
    technology. The
    different term that the
    applicant device used is
    "CAD/CAM milling
    machine." |
    | Instructions
    for use | 1. Preparation design
  2. Milling
  3. Finishing and polishing
  4. Cementation with
    sandblasting technique
  5. Cementation without
    sandblasting technique
  6. Characterization | Fabrication of the restoration in
    the dental laboratory:
  7. CAD design with inLab 3D
    software.
  8. Milling of the restoration
    with inLab.
  9. Placing the restoration on
    the model.
  10. Finishing & polishing on
    the model. Alternatively:
    characterization/individuali
    zation of the shade
    Fabrication of the restoration in
    the dental practice:
  11. Finishing & polishing.
  12. Alternatively:
    Characterization of the
    shade,
    individualizing/glazing.
  13. Adhesive bonding:
    • Ceramic etching
    • Silanization | Y | No impact.
    Different verbiage for
    similar processes. |

6

Enamel/dentine etching Adhesive system Adhesive composite Oxygen protection gel 4. Finishing & final polishing
-------------------------------------------------------------------------------------------------------------------------------

Differences in verbiage of indications, product description and instructions for use are noted above. Review of these categories between predicate and applicant device demonstrated that these products had similar indications (same clinical utilization), similar description and instructions.

The variations noted and described demonstrate that the predicate and applicant device have similar clinical use that can be manage by the dental professional.

Property /UnitStandardsRequirementsTest results
MSCB
LT A2MSCB
HT A2CEREC VITABLOCS
MK2
Chemical
solubilityISO 6872:
2008Less than 100 µg/cm³34 µg/cm³33 µg/cm³29 µg/cm³
31 µg/cm³35 µg/cm³30 µg/cm³
29 µg/cm³39 µg/cm³35 µg/cm³
Average313531
St. Dev.2.53.03.2
Flexural
strengthISO 6872:
2008Greater than 100 MPa210 MPa207 MPa154 MPa
215 MPa220 MPa140 MPa
205 MPa215 MPa142 MPa
Average210214145
St. Dev.56.57.5
Linear
thermal
expansionISO 6872:
2008TG(°C)
+/- 10470°C465°C780°C
468°C468°C790°C
472°C475C785°C
Average470°C469°C785°
St. Dev.255
RadioactivityISO 6872:
2008Radioactivity A ≤ 1.0 By/g
an 238UConformedConformedConformed

Table 5.2.1 Summary of Performance Specifications

Comparing test results between applicant and predicate device for the properties of chemical solubility they were statistically equivalent and met or exceeded requirements of ISO 6872:2008.

Comparing test results between application and predicate device for the properties of flexural strength, they were statistically different with MSCB-001 having higher values. Both devices exceeded performance specification minimum.

Comparing test results between predicate and applicant device for linear thermal expansion with a TG of +/-10℃, the standard deviation of products tested were within the SD limitations requirement.

The properties listed, tested and results indicate that the application and predicate device are within the standard ISO 6872:2008. When compared to the predicate device already in the market, the performances of MSCB-001 are at least statistically equivalent and, therefore, can be considered clinically acceptable.