K Number
K153753
Device Name
TelioCAD Multi
Date Cleared
2016-04-12

(105 days)

Product Code
Regulation Number
872.3770
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
For manufacturing by a CAD/CAM System: - Provisional anterior and posterior crowns with a maximum wear period of up to 12 months - Provisional anterior and posterior bridges with up to two adjacent pontics for a maximum wear period of up to 12 months - Provisional inlay and onlays
Device Description
Telio CAD Multi are PMMA discs used for fabrication of long-term temporaries by means of CAD/CAM technology. The PMMA discs have a Long-term (12-month) wear period and durable shade stability with lifelike layered appearance. The device is available in 8 shades (BL2, A1, A2, A3, A3.5, A4, B1 and B2) and 4 thicknesses 12mm, 16mm, 20mm and 25mm. They are the standard 98.5 mm in diameter to permit use with the Wieland Select Milling equipment or other equipment which accepts 98.5 mm discs. The material exhibits high homogeneity due to industrial manufacturing process and temporaries can be easily reproduced using the CAD/CAM Technology. The device is contraindicated for use in permanent restorations and bridge designs involving more than two adjacent pontics. The device should not be used in patients with para-functional habits, ex. Bruxism or patients known to be allergic to the ingredients.
More Information

No
The summary describes a PMMA material used in CAD/CAM systems for fabricating temporary dental restorations. It focuses on material properties and manufacturing processes, with no mention of AI or ML in the device description, intended use, or performance studies.

No.
The device is a PMMA disc used for fabricating provisional dental restorations, which are considered devices for temporary use rather than therapeutic devices aimed at treating a disease or condition.

No

This device is a PMMA disc used for fabricating dental temporaries (crowns, bridges, inlays, onlays) via CAD/CAM technology. It is a material used in restorative dentistry, not a tool for diagnosing medical conditions.

No

The device description clearly states it is a PMMA disc, which is a physical material used in a CAD/CAM system to fabricate dental prosthetics. It is not a software program itself.

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

Here's why:

  • IVDs are used to examine specimens derived from the human body. The intended use and device description clearly state that this device is a material (PMMA discs) used for fabricating dental restorations (crowns, bridges, inlays, onlays) using CAD/CAM technology. These restorations are placed in the patient's mouth, not used to test samples from the patient's body.
  • The performance studies focus on material properties. The studies mentioned evaluate characteristics like surface finish, flexural strength, bond strength, water sorption, solubility, shade consistency, color stability, modulus of elasticity, residual monomer, Charpy toughness, Izod impact strength, and Vickers Hardness. These are all properties of the material itself, not diagnostic performance metrics related to analyzing biological samples.
  • The intended use is for manufacturing dental prosthetics. The purpose is to create temporary dental restorations, not to diagnose a condition or provide information about a patient's health status based on a biological sample.

Therefore, this device falls under the category of a dental material used for fabrication, not an IVD.

N/A

Intended Use / Indications for Use

For manufacturing by a CAD/CAM System:

  • Provisional anterior and posterior crowns with a maximum wear period of up to 12 months
  • Provisional anterior and posterior bridges with up to two adjacent pontics for a maximum wear period of up to 12 months
  • Provisional inlay and onlays

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

EBG

Device Description

Telio CAD Multi are PMMA discs used for fabrication of long-term temporaries by means of CAD/CAM technology. The PMMA discs have a Long-term (12-month) wear period and durable shade stability with lifelike layered appearance. The device is available in 8 shades (BL2, A1, A2, A3, A3.5, A4, B1 and B2) and 4 thicknesses 12mm, 16mm, 20mm and 25mm. They are the standard 98.5 mm in diameter to permit use with the Wieland Select Milling equipment or other equipment which accepts 98.5 mm discs. The material exhibits high homogeneity due to industrial manufacturing process and temporaries can be easily reproduced using the CAD/CAM Technology. The device is contraindicated for use in permanent restorations and bridge designs involving more than two adjacent pontics. The device should not be used in patients with para-functional habits, ex. Bruxism or patients known to be allergic to the ingredients.

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

Dental technicians

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)

Testing Summary: The subject device was not tested for Biocompatibility as no new elements are used in the chemical composition as compared to the predicate device. Biocompatibility evaluation was carried out according to ISO 10993-1 and ISO 7504. No changes have been made which will affect biocompatibility. The device was tested according to ISO 10477:2004 Dentistry - Polymer based crown and bridge materials for Surface finish, Flexural Strength, Bond strength, Water Sorption, Solubility, Shade Consistency and Color stability and the device met all requirements of the standard. The devices was also tested according to ISO 20795-1 :2013 Dentistry - Base Polymers - Part 1: Denture Base Polymers for5 Modulus of Elasticity and Residual monomer and the device met these requirements. Finally, testing according to ISO 179-1:2010 for Charpy toughness, ISO 180:2000 for izod impact strength and ISO 868:2003 for Vickers Hardness (converted from Shore D), was conducted to provide additional insight as to the properties of the materials for its intended use.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K132937

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

K150432, K102341

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

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.

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 seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract symbol that resembles a stylized human figure in profile, with three overlapping faces.

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

April 12, 2016

Ivoclar Vivadent, Inc. Ms. Donna Marie Hartnett, Esq. Director QA/Regulatory Affairs 175 Pineview Drive Amherst, New York 14228

Re: K153753

Trade/Device Name: TelioCAD Multi Regulation Number: 21 CFR 872.3770 Regulatory Class: Class II Product Code: EBG Dated: March 4, 2016 Received: March 8, 2016

Dear Ms. Donna Marie Hartnett:

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 vours.

Erin I. Keith-S

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

2

Indications for Use

510(k) Number (if known) K153753

Device Name TelioCAD Multi

Indications for Use (Describe)

For manufacturing by a CAD/CAM System:

  • Provisional anterior and posterior crowns with a maximum wear period of up to 12 months

  • Provisional anterior and posterior bridges with up to two adjacent pontics for a maximum wear period of up to 12 months

  • Provisional inlay and onlays

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

X Prescription Use (Part 21 CFR 801 Subpart D)

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

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3

510(K) SUMMARY

TelioCAD Multi Rev April 11, 2016

Image /page/3/Picture/2 description: The image is a logo for Ivoclar Vivadent. The words "Ivoclar Vivadent" are written in a blue sans-serif font, with the "i" in "Ivoclar" being slightly larger than the other letters. Above the words "Ivoclar Vivadent" is an arc of green and blue circles and squares. Below the words "Ivoclar Vivadent" are the words "passion vision innovation" in a smaller, red sans-serif font.

Contact:Donna Marie Hartnett
Company:Ivoclar Vivadent, Inc.
175 Pineview Drive, Amherst, NY 14228
+716-691-0010
Date Prepared:April 11, 2016
Proprietary Name:Telio® CAD Multi
Classification Name:Crown and Bridge, Temporary, Resin (872.3770)
(Classification Code EBG)

Device Description: Telio CAD Multi are PMMA discs used for fabrication of long-term temporaries by means of CAD/CAM technology. The PMMA discs have a Long-term (12-month) wear period and durable shade stability with lifelike layered appearance. The device is available in 8 shades (BL2, A1, A2, A3, A3.5, A4, B1 and B2) and 4 thicknesses 12mm, 16mm, 20mm and 25mm. They are the standard 98.5 mm in diameter to permit use with the Wieland Select Milling equipment or other equipment which accepts 98.5 mm discs. The material exhibits high homogeneity due to industrial manufacturing process and temporaries can be easily reproduced using the CAD/CAM Technology. The device is contraindicated for use in permanent restorations and bridge designs involving more than two adjacent pontics. The device should not be used in patients with para-functional habits, ex. Bruxism or patients known to be allergic to the ingredients.

Indications for Use:

For manufacturing by a CAD/CAM system:

· Provisional anterior and posterior crowns with a maximum wear period of up to 12 months.

• Provisional anterior and posterior bridges with up to two adjacent pontics for a maximum wear period of up to 12 months.

• Provisional inlay and onlays

ZCAD Temp Esthetic (K132937) by Harvest Dental (Brea.CA) Predicate Device:

Secondary predicates for reference:

  1. Idodentine (Dental Polymer Blank) (K150432) to support 12 month long term wear claim

  2. Vipi Block (K102341) for composition and biocompatibility.

4

510(K) SUMMARY

TelioCAD Multi
Rev April 11, 2016

Image /page/4/Picture/2 description: The image shows the logo for Ivoclar Vivadent. The logo is composed of the company name in blue, with the words "passion vision innovation" written in smaller letters below. Above the company name is a semi-circle of green and blue dots, with the green dots on the left and the blue dots on the right.

Indications for use

Predicate device (K132937)Telio CAD Multi
510k clearance, Indications for Use
Statement:
"The Harvest Dental Polymer Blocks
(ZCAD) are PMMA blanks for manufacturing
temporary crowns and bridges by a
CAD/CAM system."• Provisional anterior and posterior crowns
with a maximum wear period of up to 12
months.
• Provisional anterior and posterior bridges
with up to two adjacent pontics for a
maximum wear period of up to 12 months.
• Provisional inlay and onlays
Predicate device (K150432)Telio CAD Multi
Time in mouth:
Long term temporary (more than 30 days,
less than 12 months)Time in mouth:
Long term temporary (more than 30 days,
less than 12 months)

Principles of operation

Predicate device (K132937)Telio CAD Multi
The blocks are processed by dentalThe blocks are processed by dental
technicians using CAD/CAM technology totechnicians using CAD/CAM technology to
create temporary restorations.create temporary restorations.

Device Description

Predicate device (K132937)Telio CAD Multi
PMMA in the form of polymerized Disc for the
fabrication of long-term temporaries by
means of the CAD/CAM technology.PMMA in the form of polymerized discs for
the fabrication of long-term temporaries by
means of the CAD/CAM technology.
No accessoriesNo accessories
Product available in different thicknessesProduct available in four different
thicknesses 12mm, 16mm, 20mm and 25mm
Available in one translucency: LTAvailable in one translucency: LT
Available in various shades:Available in BL2, A1, A2, A3, A3.5, A4, B1,
B2
Compatible with Wieland milling units or any
other units accepting 98.5mm discs where
open architecture CAM is used in the design,
i.e. 3ShapeCompatible with Wieland milling units or any
other units accepting 98.5mm discs where
open architecture CAM is used in the design,
i.e. 3Shape
The disc delivered unpolishedThe subject device is polished on both the
top and bottom surfaces to a high gloss.
This has no impact on the use, safety or
effectiveness of the device.

5

510(K) SUMMARY

TelioCAD Multi

Rev April 11, 2016

Image /page/5/Picture/3 description: The image shows the logo for Ivoclar Vivadent. The logo consists of the company name in a sans-serif font, with "Ivoclar" in a slightly darker shade of blue than "Vivadent." Above the company name is a series of green and blue dots and squares arranged in an arc shape. The dots are on the left side of the arc and the squares are on the right side of the arc.

passion vision innovation

Predicate device (K132937)Telio CAD Multi
The processing steps for the fabrication ofThe processing steps for the fabrication of
the desired restoration are described in thethe desired restoration are described in the
Instructions for Use.Instructions for Use.
Connector dimensions:Connector dimensions:
with 1 pontic: at least 12 mm²with 1 pontic: at least 12 mm²
with 2 pontics: at least 12 mm²with 2 pontics: at least 12 mm²
Polishing, finishing, lining,Polishing, finishing, lining,
Seating/cementation:Seating/cementation:
Intra-oral cementation using a eugenol-freeIntra-oral cementation to tooth using a
temporary cementeugenol-free temporary cement
Storage conditions: no special conditionsStorage conditions: no special conditions
Shelf life: no special conditionsShelf life: no special conditions
Sterilization: Device is delivered non-sterileSterilization: Device is delivered non-sterile
and no sterilization is recommended for use.and no sterilization is recommended for use.

Materials

Tachnology

Predicate device (K132937)Telio CAD Multi
PMMAPMMA

Standards

Predicate device (K132937)Telio CAD Multi
The device was tested to ISO 10477:2004
and ISO 20795-1 Dentistry – Base Polymers
– Part 1: Denture base PolymersThe device was tested to ISO 10477:2004
and ISO 20795-1 Dentistry – Base Polymers
– Part 1: Denture base Polymers

Testing Summary: The subject device was not tested for Biocompatibility as no new elements are used in the chemical composition as compared to the predicate device. Biocompatibility evaluation was carried out according to ISO 10993-1 and ISO 7504. No changes have been made which will affect biocompatibility. The device was tested according to ISO 10477:2004 Dentistry - Polymer based crown and bridge materials for Surface finish, Flexural Strength, Bond strength, Water Sorption, Solubility, Shade Consistency and Color stability and the device met all requirements of the standard. The devices was also tested according to ISO 20795-1 :2013 Dentistry - Base Polymers - Part 1: Denture Base Polymers for5 Modulus of Elasticity and Residual monomer and the device met these requirements. Finally, testing according to ISO 179-1:2010 for Charpy toughness, ISO 180:2000 for izod impact strength and ISO 868:2003 for Vickers Hardness (converted from Shore D), was conducted to provide additional insight as to the properties of the materials for its intended use.

Conclusion: The above data and analysis demonstrates that Telio®CAD Multi is substantially equivalent to the predicate device.