K Number
K170873
Device Name
Medi Galaxy Flow, Medi Classic, Medi Pearl, Medi Jupiter, Medi Opaque Posterior, Medi White Pearl
Manufacturer
Date Cleared
2017-10-02

(193 days)

Product Code
Regulation Number
872.3690
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
- 1) Direct anterior and posterior restorations (including occlusal surfaces) - 2) Direct veneers - 3) Correction of tooth position and tooth shape - 4) Indirect restorations including inlays, onlays and veneers - 5) Intraoral repairs of fractured restorations - 6) Core build-ups - 7) Splinting
Device Description
The subject devices (Medi galaxy Flow, Medi Classic, Medi Jupiter,Medi Opaque Plus, Medi Opaque Posterior.Medi White Pearl) are visible light-cure, radiopaque restorative material (Composite) with high polishingability, excellent physical properties and are designed for anterior and posterior restorations. The subject devices formulated from multifunctional methacrylate monomer-based resin, photo initiator, silanated inorganic filler and pigments. Available in multiple shades. These restoratives provides high strength and low wear for durability. They are packaged in traditional syringes and Pre-Loaded Tips.
More Information

Not Found

No
The device description and performance studies focus on the physical and mechanical properties of a light-cure composite material, with no mention of AI or ML.

Yes
The device is a restorative material used for direct and indirect dental restorations, correction of tooth position and shape, and core build-ups, all of which are therapeutic interventions to restore or improve the function and appearance of teeth.

No

The device is described as a "restorative material (Composite)" used for repairing and restoring teeth, not for diagnosing conditions. Its intended uses include direct and indirect restorations, core build-ups, and splinting, all of which are treatment-oriented procedures.

No

The device description clearly states it is a "visible light-cure, radiopaque restorative material (Composite)" and is "formulated from multifunctional methacrylate monomer-based resin, photo initiator, silanated inorganic filler and pigments." This describes 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 uses are all related to direct and indirect dental restorations, core build-ups, splinting, and repairs. These are all procedures performed directly on or within the patient's mouth for therapeutic or restorative purposes.
  • Device Description: The device is described as a "visible light-cure, radiopaque restorative material (Composite)". This is a material used to physically restore the structure and function of teeth.
  • 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 for diagnostic purposes. This device is used inside the body to repair and restore teeth.

N/A

Intended Use / Indications for Use

    1. Direct anterior and posterior restorations (including occlusal surfaces)
    1. Direct veneers
    1. Correction of tooth position and tooth shape
    1. Indirect restorations including inlays, onlays and veneers
    1. Intraoral repairs of fractured restorations
    1. Core build-ups
    1. Splinting

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

EBF

Device Description

The subject devices (Medi galaxy Flow, Medi Classic, Medi Jupiter, Medi Opaque Plus, Medi Opaque Posterior, Medi White Pearl) are visible light-cure, radiopaque restorative material (Composite) with high polishing ability, excellent physical properties and are designed for anterior and posterior restorations. The subject devices formulated from multifunctional methacrylate monomer-based resin, photo initiator, silanated inorganic filler and pigments. Available in multiple shades. These restoratives provides high strength and low wear for durability. They are packaged in traditional syringes and Pre-Loaded Tips.

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 professionals

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)

Physical and mechanical properties of the subject devices were evaluated according to ISO 4049: 2009 (Dentistry - Polymer-based restorative materials).
Key results:

  • Radiopacity: 2.10 (±0.04) mm Al
  • Compressive strength: 338-352 (±0.08) MPa
  • Elasticity modulus: 15.1(±0.07) GPa
  • Fracture Toughness: 1.71 (±0.09) MPa.m1/2
  • Surface Hardness (KHN): 75.03 ± 2.10
  • Flexural Strength: 131 (±14) MPa
  • Flexural Modulus: 10.6 (±0.6) MPa
  • Water Sorption: 23.1 (±2.1) µg/mm3
  • Water Solubility: 1.0 (±0.7) µg/mm3
  • Intensity for curing (for photo - initiated resins):1200-2000 mW/cm2
  • wavelength for curing (for photoinitiated resins):400-520 nm
  • Maximum absorbance 450-480 (468)nm
  • Depth of Cure: 2.22 (±0.03) mm
  • Curing time: 40 s/2mm

Curing time evaluated according to ISO 10650-1.
Light Source: Conventional Halogen, Cure time/Sec.: 20, Depth of cure/mm: 1.5, 1.0; LED, Cure time/Sec.: 20, Depth of cure/mm: 1.5, 1.0.

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.

K121583

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

§ 872.3690 Tooth shade resin material.

(a)
Identification. Tooth shade resin material is a device composed of materials such as bisphenol-A glycidyl methacrylate (Bis-GMA) intended to restore carious lesions or structural defects in teeth.(b)
Classification. Class II.

0

Public Health Service

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

October 3, 2017

SwissMediTec GmbH Kurosh Sohi Senior Director/ OA Gfellen 26 Finsterwald. 6162 Luzern SWITZERLAND

Re: K170873

Trade/Device Name: Medi Galaxy Flow, Medi Classic, Medi Pearl, Medi Jupiter, Medi Opaque Plus, Medi Opaque Posterior, Medi White Pearl Regulation Number: 21 CFR 872.3690 Regulation Name: Tooth Shade Resin Material Regulatory Class: Class II Product Code: EBF Dated: July 21, 2017 Received: August 2, 2017

Dear Kurosh Sohi:

This letter corrects our substantially equivalent letter of October 2, 2017.

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.

Image /page/0/Picture/11 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the logo is an abstract symbol that resembles a stylized human figure.

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

Image /page/1/Picture/9 description: The image shows the name "Mary S. Runner -S" in a clear, sans-serif font. The text is horizontally aligned and appears to be part of a document or label. The letters are uniformly sized and spaced, contributing to the legibility of the name.

for 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

2

Indications for Use

510(k) Number (if known) K170873

Device Name

Medi Galaxy Flow, Medi Classic, Medi Pearl, Medi Opaque Plus, Medi Opaque Posterior, Medi White Pearl

Indications for Use (Describe)

    1. Direct anterior and posterior restorations (including occlusal surfaces)
    1. Direct veneers
    1. Correction of tooth position and tooth shape
    1. Indirect restorations including inlays, onlays and veneers
    1. Intraoral repairs of fractured restorations
    1. Core build-ups
    1. Splinting
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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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 Drug 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."

3

Section 5.1 Device Description

The subject devices (Medi galaxy Flow, Medi Classic, Medi Jupiter,Medi Opaque Plus, Medi Opaque Posterior.Medi White Pearl) are visible light-cure, radiopaque restorative material (Composite) with high polishingability, excellent physical properties and are designed for anterior and posterior restorations. The subject devices formulated from multifunctional methacrylate monomer-based resin, photo initiator, silanated inorganic filler and pigments. Available in multiple shades. These restoratives provides high strength and low wear for durability. They are packaged in traditional syringes and Pre-Loaded Tips.

(a) Identification.

Tooth shade resin material is a device composed of materials such as bisphenol-A glycidyl methacrylate (Bis-GMA) intended to restore carious lesions or structural defects in teeth.

They are classified into tooth shade resin material (21 CFR section 872.3690, Product code: EBF) according to CFR-872.

(b) Classification. Class II.

Physical and mechanical properties of the subject devices (Medi galaxy Flow, Medi Classic, Medi Pearl,Medi Jupiter,Medi Opaque Plus, Medi Opaque Posterior,Medi White Pearl) are evaluated according to ISO 4049: 2009 (Dentistry - Polymer-based restorative materials). According to ISO 4049: 2009, the subject devices are classified into the following:

  • Type II: Polymer-based restorative materials;

  • Class 2: materials whose setting is effected by light;

  • Group I: materials whose use requires the energy to be applied intra-orally.

Section 5.2 Indication for Use Statement

The Indication for Use of the subject devices (Medi galaxy Flow, Medi Classic, Medi Pearl,Medi Jupiter.Medi Opaque Plus, Medi Opaque Posterior,Medi White Pearl) were prepared based on that of the predicate device. Therefore, the intended purposes of the subject devices are substantially equivalent to those of the predicate device (Clearfil Majesty ES-2).

They are intended for the following indications:

  • 1-Direct anterior and posterior restorations teeth (including occlusal surfaces)
    2-Direct veneers

3-Correction of tooth position and tooth shape.

4-Indirect restorations including inlays,onlays and veneers

5-Intraoral repairs of fractured restorations

6-Core build-ups

7-Splinting

Technological characteristics of device

It can be said that subject devices (Medi Classic, Medi Pearl,Medi Pearl,Medi Jupiter,Medi Opaque Plus, Medi Opaque Posterior,Medi White Pearl), are substantially equivalent in performance as well as those of the predicate device with the following characteristics:

1-Chemical ingredients

All the chemical ingredients of the subject devices (Medi Classic, Medi Classic, Medi Pearl,Medi Jupiter Medi Opaque Plus, Medi Opaque Posterior, Medi White Peal) are used in the predicate devices, indicating the subject devices are substantially equivalent to the predicate device.

Regarding the predicate device, there have not been any reported problems or recalls according to the post-market adverse event reporting requirements in the US.

4

2-Performance

Regarding the comparison with the predicate device according to ISO 4049: 2009, the subject devices (Medi galaxy Flow, Medi Classic, Medi Pearl, Medi Opaque Plus, Medi Opaque Plus, Medi Opaque Posterior, Medi White Pearl) and the predicate device comply with ISO 4049:2009 indicating that the subject devices are substantially equivalent in performance to the predicate device (Clearfil Majesty ES-2).

3-Biocompatibility

All the chemical ingredients of the subject devices(Medi galaxy Flow, Medi Classic, Medi Pearl,Medi Jupiter,Medi Opaque Plus, Medi Opaque Posterior,Medi White Pearl), have been used in the predicate device.

Regarding the predicate device, there have not been any reported problems or recalls according to the post-market adverse event reporting requirements in the US. Accordingly, it was considered that the subject devices are substantially equivalent in performance to the predicate device.

Section 5.3 Substantial Equivalence Discussion

The subject devices (Medi galaxy Flow, Medi Classic, Medi Jupiter,Medi Opaque Plus, Medi Opaque Posterior.Medi White Pearl) are similar to predicate device in terms of indication for use. design, chemical composition, physical properties and performance etc. The subject devices consist of multifunctional methacrylate resin base composite, as is the predicate device (Clearfi Majestx ES-2). The compressive strength, flexural strength, depth of cure, particle size range and radiopacity of subject devices and Predicate Device Clearfil Majesty ES-2 fall within very similar values (Table.1). The physical properties and performance of subject devices are not significantly different from the predicate device (Clearfil Majesty ES-2), as indicated by non-clinical performance testing. The variety of shades and sizes are different between subject device and predicate device.

Table 1 Comparison of Subject Devices and Predicate Devices
Descriptive
InformationSubject DevicesPredicate DeviceSummary
Device Name• Medi galaxy Flow
• Medi Classic
• Medi Pearl
• Medi Jupiter
• Medi Opaque Plus
• Medi Opaque Posterior
• Medi White Pearl• Clearfil Majesty ES-2-
ManufacturerSwissmeditec GmbHKuraray Noritake Dental Inc.-
510(k)To be assignedK121583-
Application
Properties/
Delivery formIt is packaged in traditional syringes
or Pre-loaded tips (PLTs)
Accessory: Shade GuideIt is packaged in traditional syringes
or Pre-loaded tips (PLTs)
Accessory: Shade Guide-
Intended userDental professionalsDental professionals-
Indications for1-Direct anterior and posterior restorations teeth (including occlusal surfaces)
2-Direct veneers
3-Correction of tooth position and tooth shape.1- Direct restorations for all cavity classes in anterior and posterior teeth
2- Direct veneers
3- Correction of tooth position and tooth shape (e.g. diastema closure,Indications of the subject devices are the
use4-Indirect restorations including
inlays, onlays and veneers
5-Intraoral repairs of fractured
restorations
6-Core build-ups
7-Splintingdwarfed tooth, etc.)
4-Intraoral repairs of fractured
restorationssame as the
predicate device.
DesignScrew top 2.5ml(4.5g) syringe and
Pre Loaded Tube 0.3 gScrew top 2.0ml (3.6g) syringe and
Pre Loaded Tube 0.25 gSubject devices
contain 25%
more composite
than predicate
device but have
the same design
Composition of
MaterialsMethacrylate-based resin, photo
initiator, fillers and pigments.Methacrylate-based resin, photo Chemically
similar to the
predicate device.
Physical and
Performance
Properties1-Radiopacity: 2.10 (±0.04) mm Al
2-Compressive strength: 338-352
(±0.08) MPa
3-Elasticity modulus: 15.1(±0.07)
GPa
4-Fracture Toughness: 1.71 (±0.09)
MPa.m1/2
5-Surface Hardness (KHN): 75.03 ±
2.10
6-Flexural Strength: 131 (±14) MPa
7-Flexural Modulus: 10.6 (±0.6) MPa
8-Water Sorption: 23.1 (±2.1)
µg/mm3
9-Water Solubility: 1.0 (±0.7)
µg/mm3
10-Intensity for curing (for photo -
initiated resins):1200-2000 mW/cm2
11-wavelength for curing (for
photoinitiated resins):400-520 nm
12-Maximum absorbance 450-480
(468)nm
13-Depth of Cure: 2.22 (±0.03) mm
14-Curing time: 40 s/2mm1-Radiopacity: 2.13 (±0.08) mmAl
2-Compressive strength: 341(±0.11)
MPa
3-Elastic modulus: 14.8(±0.06) GPa
4-Fracture Toughness: 1.68 (±0.10)
MPa.m1/2
5-Surface Hardness (KHN): 71.07 ±
2.24
6-Flexural Strength: 127 (±10) MPa
7-Flexural Modulus: 11.6 (±0.8) MPa
8-Water Sorption: 19.3 (±1.9)
µg/mm3
9-Water Solubility: 0.8(±0.8)
µg/mm3
10-Intensity for curing (for photo -
initiated resins): 1200-2000 mW/cm2
11-wavelength for curing (for
photoinitiated resins) :400-520nm
12-Maximum absorbance 450-480
(468) nm
13-Depth of Cure: 2.40 (±0.02) mm
14-Curing time: 40 s/2mmPhysical and
performance
properties data
support
substantial
equivalence of
the Subject
devices when
compared to the
predicate device.
FDA
Recognized
StandardsISO 4049: 2009ISO 4049: 20094-181
Shelf Life36 month shelf life, room temperature36 month shelf life, room temperatureSame

Table 1 Comparison of Subject Devices and Predicate Devices

5

SwissMediTec GmbH Traditional 510(K)

CONCLUSIONS

The indications and technological characteristics of subject devices (Medi galaxy Flow, Medi Classic, Medi Pearl,Medi Jupiter,Medi Opaque Plus, Medi Opaque Posterior,Medi White Pearl) are

6

substantially equivalent to predicate device(Clearfil Majesty ES-2). Therefore, subject devices are substantially equivalent to the identified predicate device.

Regarding the predicate device, there have not been any reported problems or recalls according to the post-market adverse event reporting requirements in the US. Accordingly, it was considered that the subiect devices are Substantially Equivalent in effectiveness to the predicate device

Section 5.4 Technological Characteristics

It can be said that subject devices (Medi Classic, Medi Pearl,Medi Pearl,Medi Jupiter,Medi Opaque Plus, Medi Opaque Posterior,Medi White Pearl), are substantially equivalent in performance as well as those of the predicate device with the following characteristics:

1-Chemical ingredients

All the chemical ingredients of the subject devices (Medi Classic, Medi Classic, Medi Pearl,Medi Jupiter,Medi Opaque Plus, Medi Opaque Posterior,Medi White Pearl) are used in the predicate devices, indicating the subject devices are substantially equivalent to the predicate device.

Regarding the predicate device, there have not been any reported problems or recalls according to the post-market adverse event reporting requirements in the US.

2-Performance

Regarding the comparison with the predicate device according to ISO 4049: 2009, the subject devices(Medi galaxy Flow, Medi Pearl,Medi Jupiter,Medi Opaque Plus, Medi Opaque Posterior,Medi White Pearl) and the predicate device comply with ISO 4049:2009 indicating that the subject devices are substantially equivalent in performance to the predicate device.

3-Biocompatibility

All the chemical ingredients of the subject devices(Medi galaxy Flow, Medi Classic, Medi Pearl,Medi Jupiter,Medi Opaque Plus, Medi Opaque Posterior,Medi White Pearl), have been used in the predicate device.

Regarding the predicate device, there have not been any reported problems or recalls according to the post-market adverse event reporting requirements in the US. Accordingly, it was considered that the subject devices are substantially equivalent in performance to the predicate device.

4-Substantial Equivalence Discussion

The subject devices (Medi galaxy Flow, Medi Classic, Medi Jupiter, Medi Opaque Plus, Medi Opaque Posterior Medi White Pearl) are similar to predicate device in terms of indication for use, design, chemical composition, physical properties, performance, etc. The subject devices (Medi galaxy Flow. Medi Classic. Medi Pearl.Medi Jupiter.Medi Opaque Plus. Medi Opaque Posterior,Medi White Pearl) consist of multifunctional methacrylate resin base composite , as is the predicate device. The compressive strength, flexural strength, depth of cure, particle size range and radiopacity of subject devices and Predicate Device Clearfil Majesty ES-2 fall within very similar values. The physical properties and performance of subject devices are not significantly different from the predicate device (Clearfil Majesty ES-2), as indicated by non-clinical performance testing. The variety of shades and sizes are different between subject device and predicate device.

Section 5.5 Performance Data

Curing time evaluated according to ISO 10650-1

Light SourceCuring time/sec.Wavelength range and light intensityDepth of cure/mm
201.5

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SwissMediTec GmbH Traditional 510(K)

402.0
ባበ
LU
ﻝ، ﻠ
402.0
Light sourceCure time/Sec.Depth of cure/mm
A1, A2, A3, A3.5, A4, B1, B2, B3,
C2, C3, C4, D2, D3, D4, BL1, BL2,
E1, E2, E3OA2, OA3, OA4
Conventional
Halogen201.5
1.0
LED201.5
1.0