K Number
K163228
Device Name
APVolution System
Date Cleared
2017-06-05

(200 days)

Product Code
Regulation Number
872.6660
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The APVolution System is used to fabricate prostheses for missing/damaged teeth. The APVolution pressable ingots are pressed onto metal alloy (APVolution M) or zirconia (APVolution Z) frames by dental technicians to fabricate ceramic restorations. APVolution M and APVolution Z ceramic layering powders and/or pastes are used to layer or build up the pressed ceramic to final tooth morphology. APVolution S ceramic ingots are used to create all-ceramic restorations. AP Stains and Glaze are used during the fabrication process to achieve the correct shade.
Device Description
The APVolution System consists of several silica glass ceramic materials used to create allceramic, ceramic-metal or ceramic-zirconia dental restorations. The APVolution System includes three ceramic ingots for use in the fabrication of all-ceramic (APVolution S), press-to-metal (APVolution M) or press-to-zirconia (APVolution Z) restorations. The system also includes powders and pastes for use in build-up and shaping of the final restoration, as well as shades and glazes for use in achieving acceptable aesthetics.
More Information

Not Found

No
The summary describes a system of ceramic materials for fabricating dental prostheses and does not mention any software, algorithms, or data processing that would indicate the use of AI or ML.

No
This device is used to fabricate prostheses for missing/damaged teeth, which are restorative rather than therapeutic in nature. While it addresses a medical need, it does so by replacing structure, not by treating a disease or condition therapeutically.

No

The device is used to fabricate prostheses for missing/damaged teeth, effectively creating a medical device rather than diagnosing a condition. Its function is restorative, not diagnostic.

No

The device description explicitly states that the system consists of "several silica glass ceramic materials" and includes "ceramic ingots," "powders," "pastes," "shades," and "glazes." These are all physical materials, not software.

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

Here's why:

  • Intended Use: The intended use is to "fabricate prostheses for missing/damaged teeth." This is a direct treatment or restoration of a physical condition within the body.
  • Device Description: The device consists of ceramic materials used to create dental restorations. These are materials that are physically placed in the mouth.
  • Anatomical Site: The anatomical site is "missing/damaged teeth," which is within the human body.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or screening.

IVD devices are used outside the body to analyze samples taken from the body. The APVolution System is used within the body to replace or restore damaged structures.

N/A

Intended Use / Indications for Use

The APVolution System is used to fabricate prostheses for missing/damaged teeth. The APVolution pressable ingots are pressed onto metal alloy (APVolution M) or zirconia (APVolution Z) frames by dental technicians to fabricate ceramic restorations. APVolution M and APVolution Z ceramic layering powders and/or pastes are used to layer or build up the pressed ceramic to final tooth morphology. APVolution S ceramic ingots are used to create all-ceramic restorations. AP Stains and Glaze are used during the fabrication process to achieve the correct shade.

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

EIH

Device Description

The APVolution System consists of several silica glass ceramic materials used to create allceramic, ceramic-metal or ceramic-zirconia dental restorations. The APVolution System includes three ceramic ingots for use in the fabrication of all-ceramic (APVolution S), press-to-metal (APVolution M) or press-to-zirconia (APVolution Z) restorations. The system also includes powders and pastes for use in build-up and shaping of the final restoration, as well as shades and glazes for use in achieving acceptable aesthetics. The APVolution System components are listed below in the Substantial Equivalence summary table.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

teeth

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)

The APVolution System components have been tested to confirm compliance with ISO 6872 Dentistry - Ceramic Materials. This Abbreviated 510(k) submission includes a Declaration of Conformity to the performance testing methods and acceptance criteria defined in ISO 6872. The specific inspections and tests included in this declaration are listed in the table above. This submission also includes biocompatibility test reports to demonstrate that the APVolution System components meet the biocompatibility requirements described in ISO 7405:2008 Dentistry -Evaluation of biocompatibility of medical devices used in dentistry. Biocompatibility testing consisted of ISO 10993-5 cytotoxicity testing where the proliferation or inhibition of an L929 cell monolayer was evaluated following direct contact with an extended-time (7 day) extract of the system components using DMSO in complete culture medium. The APVolution components met all requirements of the ISO 6872 and ISO 7405 standards.

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.

K141400

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.

Not Found

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

§ 872.6660 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.

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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 features a stylized caduceus symbol, which is often associated with healthcare. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" are arranged in a circular pattern around the caduceus symbol.

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

June 5, 2017

Aesthetic-Press, LLC % Pamela Papineau President Delphi Medical Device Consulting, Inc. 5 Whitcomb Avenue Ayer, Massachusetts 01432

Re: K163228

Trade/Device Name: ApVolution System Regulation Number: 21 CFR 872.6660 Regulation Name: Porcelain Powder for Clinical Use Regulatory Class: Class II Product Code: EIH Dated: April 25, 2017 Received: May 2, 2017

Dear Pamela Papineau:

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.

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 of medical devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in

1

the quality systems (OS) 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/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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.

Mary S. Runner -A

Tina Kiang, Ph.D. Acting 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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APVolution ᠪြို့နေရွာTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

Form Approved: 19MB498! 8910-0120 Expiration Date: January 31, 2017 See PRA Statement below.

510(k) Number (if known)

K163228

Device Name

APVolution System

Indications for Use (Describe)

The APVolution System is used to fabricate prostheses for missing/damaged teeth. The APVolution pressable ingots are pressed onto metal alloy (APVolution M) or zirconia (APVolution Z) frames by dental technicians to fabricate ceramic restorations. APVolution M and APVolution Z ceramic layering powders and/or pastes are used to layer or build up the pressed ceramic to final tooth morphology. APVolution S ceramic ingots are used to create all-ceramic restorations. AP Stains and Glaze are used during the fabrication process to achieve the correct shade.

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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Appendix A - 510(k) Summary (revised)K163228
Date:April 25, 2017
Owner's Name:Aesthetic-Press, LLC
Address:6613 State Road 54
New Port Richey, FL 34653
Telephone:415-692-5372
Fax:415-723-7075
Contact Person:Pamela Papineau, RAC (US, EU, CAN)
Delphi Medical Device Consulting, Inc.
5 Whitcomb Avenue
Ayer, MA 01432
Telephone:(978) 772-3552
Fax:(978) 796-5460
Subject Device:
Trade Name:APVolution System
Common Name:Dental Ceramic
Product Code:EIH
FDA Regulation:21 CFR 872.6660 - Porcelain Powder for Clinical Use
Device Classification:Class II
Predicate Device:
Product Name:DCceram System
Common Name:Dental Ceramic
Product Code:EIH
FDA Regulation:21 CFR 872.6660 - Porcelain Powder for Clinical Use
Device Classification:Class II
Premarket Notification:K141400
Indications for Use
The APVolution System is used to fabricate prostheses for missing/damaged teeth. The

The APVolution aged teeth licate pro 18/ da pressable ceramic ingots are pressed onto metal alloy (APVolution M) or zirconia (APVolution Z) frames by dental technicians to fabricate ceramic restorations. APVolution M and APVolution Z ceramic layering powders and/or pastes are used to layer or build up the pressed ceramic to final tooth morphology. APVolution S ceramic ingots are used to create all-ceramic restorations. AP Stains and Glaze are used during the fabrication process to achieve the correct shade.

Device Description:

The APVolution System consists of several silica glass ceramic materials used to create allceramic, ceramic-metal or ceramic-zirconia dental restorations. The APVolution System includes

4

three ceramic ingots for use in the fabrication of all-ceramic (APVolution S), press-to-metal (APVolution M) or press-to-zirconia (APVolution Z) restorations. The system also includes powders and pastes for use in build-up and shaping of the final restoration, as well as shades and glazes for use in achieving acceptable aesthetics. The APVolution System components are listed below in the Substantial Equivalence summary table.

Substantial Equivalence

The Aesthetic-Press APVolution System is substantially equivalent to the Ceramay DCceram System (K141400). Substantial equivalence, which is summarized below, is based on indications for use and device physical and technological characteristics.

| | Aesthetic-Press APVolution System
(current submission) | Ceramay DCceram System
(K141400) |
|-------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Device Common/Usual Name | Dental Ceramic | Dental Ceramic |
| Device Class | Class II | Class II |
| Product Code / Regulation | EIH / 21 CFR 872.6660 | EIH / 21 CFR 872.6660 |
| Regulation Name | Porcelain Powder for Clinical Use | Porcelain Powder for Clinical Use |
| Prescription Use | Rx Only | Rx Only |
| Indications for Use Statement | The APVolution System is used to
fabricate prostheses for
missing/damaged teeth. The
APVolution pressable ceramic ingots
are pressed onto metal alloy
(APVolution M) or zirconia
(APVolution Z) frames by dental
technicians to fabricate ceramic
restorations. APVolution M and
APVolution Z ceramic layering
powders and/or pastes are used to
layer or build up the pressed ceramic
to final tooth morphology.
APVolution S ceramic ingots are used
to fabricate all-ceramic restorations.
AP stains and glaze are used with the
APVolution ceramic ingots, powders
and/or pastes during the fabrication
process to achieve the correct shade. | The DCceram System is used to
fabricate prostheses for
missing/damaged teeth. The DCceram
pressable ceramic ingots are pressed
onto metal alloy (APVolution M) or
zirconia (APVolution Z) frames by
dental technicians to fabricate ceramic
restorations. DCceram 12.5 and
DCceram 9.2 ceramic layering
porcelains and shades are used to layer
or build up the pressed ceramic to final
tooth morphology and shade on the
particular framework (DCceram 9.2
zirconia substructures; DCceram 12.5
metal substructures). The DCceram
conceptPress ceramic ingots are used to
fabricate all-ceramic restorations.
DCceram conceptArt stains and shades
may be used with DCceram
conceptPress or DCceram 9.2 ceramics. |
| System Components | APVolution M ceramic ingots
APVolution Z ceramic ingots
APVolution S ceramic ingots
APVolution M porcelain powders
APVolution Z porcelain powders
APVolution M opaque ceramic paste
AP stains & glazes | DCceram 9.2 ceramic ingots
DCceram 12.5 ceramic ingots
conceptPress ceramic ingots
DCceram 9.2 liner/layering porcelain
DCceram 12.5 liner/layering porcelain
DCceram 12.5 opaque ceramic paste
conceptArt stains, shades & glazes |
| Range of Vita® Tooth Shades | A1 - D4 | A1 - D4 |

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| | Aesthetic-Press APVolution System
(current submission) | Ceramay DCceram System
(K141400) |
|-------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|
| ISO 6872 Type I/II, Class 1a
Materials | APVolution M & APVolution
ceramic ingots | DCceram 9.2 & DCceram 12.5
ceramic ingots |
| | APVolution M & APVolution Z
porcelain powders | DCceram 9.2 & DCceram 12.5
porcelain powders |
| | APVolution M opaque ceramic paste
AP stains & glazes | DCceram 12.5 opaque ceramic paste
conceptArt stains, shades & glazes |
| ISO 6872 Type II, Class 4b
Materials | APVolution S ceramic ingots | conceptPress ceramic ingots |
| | | |
| ISO 7405 Biocompatibility | ISO 10993-5 cytotoxicity test: L929
cell monolayer proliferation/inhibition
during contact with extended (7 day)
extraction using DMSO in complete
cell culture medium | Meets requirements of ISO 7405
Dentistry – Evaluation of
Biocompatibility of Medical Devices
Used in Dentistry |
| ISO 6872 Performance Testing | • Identification of Types & Classes
of System Components
• Uniformity
• Freedom from Extraneous
Materials
• Mixing & Condensation Properties
(Class I Ceramics)
• Physical & Chemical Properties
• Flexural Strength
• Linear Thermal Expansion
Coefficient
• Glass Transition Temperature
• Chemical Solubility
• Radioactivity | Meets performance testing
requirements of ISO 6872 Dentistry –
Dental Ceramics |
| Sterile Device | No | No |
| Prescription Only | Yes | Yes |
| Single Use | Yes | Yes |

Performance Testing:

The APVolution System components have been tested to confirm compliance with ISO 6872 Dentistry - Ceramic Materials. This Abbreviated 510(k) submission includes a Declaration of Conformity to the performance testing methods and acceptance criteria defined in ISO 6872. The specific inspections and tests included in this declaration are listed in the table above. This submission also includes biocompatibility test reports to demonstrate that the APVolution System components meet the biocompatibility requirements described in ISO 7405:2008 Dentistry -Evaluation of biocompatibility of medical devices used in dentistry. Biocompatibility testing consisted of ISO 10993-5 cytotoxicity testing where the proliferation or inhibition of an L929 cell monolayer was evaluated following direct contact with an extended-time (7 day) extract of the system components using DMSO in complete culture medium. The APVolution components met all requirements of the ISO 6872 and ISO 7405 standards.

Conclusion:

The Aesthetic-Press APVolution System has been demonstrated to be substantially equivalent to the predicate device as demonstrated through comparison of the system indications for use,

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description of system components, biocompatibility testing in accordance with ISO 7405, performance testing in accordance with ISO 6872, and device labeling.