K Number
K171577
Device Name
Smartcord, Smartcord X
Manufacturer
Date Cleared
2018-05-03

(338 days)

Product Code
Regulation Number
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Smartcord is knitted retraction cord made from 100% cotton for the temporary gingival retraction. Smartcord X is knitted retraction cord made from 100% cotton, impregnated with Aluminum Chloride for the temporary gingival retraction and hemostasis of the gingival margin.
Device Description
Smartcord is non-impregnated knitted retraction cord made from 100% cotton. Smartcord X is knitted retraction cord made from 100% cotton, impregnated with Aluminum Chloride Hexahydrate.
More Information

Not Found

No
The device description and intended use clearly state it is a physical retraction cord made of cotton, with or without aluminum chloride. There is no mention of software, algorithms, or any computational processing that would suggest AI/ML.

No
The device is used for temporary gingival retraction and hemostasis, which are procedures that facilitate other dental work rather than directly treating a disease or condition. While it aids in a medical procedure, its primary function is not therapeutic in nature.

No

Explanation: The device, Smartcord, is described as a "knitted retraction cord" for "temporary gingival retraction and hemostasis." Its function is to physically retract gingival tissue and control bleeding, which are therapeutic actions, not diagnostic. There is no mention of it being used to detect, diagnose, or monitor a medical condition.

No

The device description clearly states it is a knitted retraction cord made from cotton, which is a physical material, not software. The performance studies also focus on biocompatibility testing of the material.

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

Here's why:

  • Intended Use/Indications for Use: The intended use is for "temporary gingival retraction" and "hemostasis of the gingival margin." These are procedures performed directly on a patient's tissues (in vivo), not on samples taken from the body (in vitro).
  • Device Description: The device is a physical retraction cord made of cotton, with or without aluminum chloride. This is a physical device used in a dental procedure, not a reagent or instrument used to analyze biological samples.
  • Anatomical Site: The device is used on the "gingival margin" and "gingival sulcus," which are parts of the patient's mouth.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (like blood, urine, tissue), detecting specific analytes, or providing diagnostic information based on laboratory testing.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device does not fit that description.

N/A

Intended Use / Indications for Use

Smartcord is knitted retraction cord made from 100% cotton for the temporary gingival retraction.

Smartcord X is knitted retraction cord made from 100% cotton, impregnated with Aluminum Chloride for the temporary gingival retraction and hemostasis of the gingival margin.

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

MVL

Device Description

Smartcord is non-impregnated knitted retraction cord made from 100% cotton. Smartcord X is knitted retraction cord made from 100% cotton, impregnated with Aluminum Chloride Hexahydrate.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

gingival margin, Gingival sulcus

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Dental professional

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 biocompatibility evaluation for the Smartcord X device was conducted in accordance with the Use of International Standard ISO 10993-1, "Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process" Guidance for Industry and Food and Drug Administration Staff, issued on: June 16, 2016, and international Standard ISO 10993-1 "Biological evaluation of medical devices - part 1: evaluation and testing within a risk management process" as recognized by FDA. The tests carried out for the devices and standards applied for each test are:

  • . Cytotoxicity, ISO 10993-5[2009]
  • . Oral mucous Irritation, ISO 10993-10[2010]
  • ・ Sensitization, ISO 10993-10[2010]

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.

K132526

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

N/A

0

Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo features the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG" in blue, with "ADMINISTRATION" written below in a smaller font.

EASTDENT Co., Ltd Hyonsu Kim CEO 601-1 Sogong B/D. 64 Gugal-ro. Giheung-gu Yongin-si, 16972 Korea

Re: K171577

Trade/Device Name: Smartcord, Smartcord X Regulatory Class: Unclassified Product Code: MVL Dated: March 26, 2018 Received: April 3, 2018

Dear Hyonsu Kim:

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 device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820);

May 3, 2018

1

Page 2 - Hyonsu Kim

and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Mary S. Runner -S

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

Form Approved: OMB No. 0910-0120

Expiration Date: January 31, 2017

See PRA Statement below.

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known)

K171577

Device Name Smartcord, Smartcord X

Indications for Use (Describe)

Smartcord is knitted retraction cord made from 100% cotton for the temporary gingival retraction.

Smartcord X is knitted retraction cord made from 100% cotton, impregnated with Aluminum Chloride for the temporary gingival retraction and hemostasis of the gingival margin.

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

3

K171577

510(K) SUMMARY

Smartcord, Smartcord X

Date: ___ March 26, 2018

I. SUBMITTER

EASTDENT CO., LTD. 601-1, 64, Gugalro, Giheung-gu, Yongin-si, Gyeonggi-do, 16972, Korea

Tel: +82-31-693-5767 Fax: +82-31-693-5768

Contact Name: Hyonsu, Kim Email: eastdent@east-dent.com

II. DEVICE

Name of Device:Smartcord, Smartcord X
Regulation Name:Retraction Cord
Classification Name:Cord, Retraction
Regulatory Class:Unclassified
Product Code:MVL

III. PREDICATE DEVICE

K132526, Knit Pak plus / Knit Pak ™, Premier dental company products, Inc.

IV. DEVICE DESCRIPTION

Smartcord is non-impregnated knitted retraction cord made from 100% cotton. Smartcord X is knitted retraction cord made from 100% cotton, impregnated with Aluminum Chloride Hexahydrate.

V. INDICATIONS FOR USE

4

Smartcord is knitted retraction cord made from 100% cotton for the temporary gingival retraction.

Smartcord X is knitted retraction cord made from 100% cotton, impregnated with Aluminum Chloride Hexahydrate for the temporary gingival retraction and hemostasis of the gingival margin.

VI. COMPARISON OF TECHNILOGICAL CHARACTERISTICS WITH THE PREDICATE DEVICE Smartcord

Subject DevicePredicate DeviceSummary
Device NameSmartcordKnit-Pak™-
ManufacturerEASTDENT CO., LTD.Premier Dental Company
Products-
510(k) NumberNewK132526-
Classification
NameRetraction CordRetraction CordSame
Product CodeMVLMVLSame
Device ClassUnclassifiedUnclassifiedSame
Intended userDental professionalDental professionalSame
DescriptionSmartcord is non-impregnated knitted
retraction cord made from
100% cotton.Knit-Pak™ Gingival
retraction cord is non-impregnated knitted cord
made from 100% cotton.Same
Indications for
UseSmartcord is knitted
retraction cord made from
100% cotton for the
temporary gingival
retraction.Not Listed-
Raw materialYarn : cotton
Coloring agentYarn : cotton
Coloring agentSame
Gingival
retraction cord
TypeNon-ImpregnatedNon-ImpregnatedSame
Recommended
contact time3 minutesNot Listed-
Color· 03 : black/gray
· 02 : brown/yellow
· 0 : purple/light purple
· 1 : blue/light blue
· 2 : green/light green· 000 : Green
· 00 : Brown
· 0 : Purple
· 1 : Blue
· 2 : OrangeDifferent. But the
retraction cords are
available in various colors
to be a dark to maximize
3 : Yellowcontrast with the tissues, tooth, and cord.
Thickness· 03
· 02
· 0
· 1
· 2· 000
· 00
· 0
· 1
· 2
· 3Different. But the retraction cords are available in various diameters(thickness) to accommodate variations in gingival anatomy.
Length305 cm / 120 inches254 cm / 100 inchesDifferent
BiocompatibilityDevice is biocompatible when used as directed by dental professionals per ISO 10993-1.Device is biocompatible when used as directed by dental professionals per ISO 10993-1.Same
SterilizationNon-sterileNon-sterileSame
Storage conditionStore in a dry, dark place between 1 and 35°CNot Listed-
Shelf LifeN/AN/ASame

5

Smartcord X

Subject DevicePredicate DeviceSummary
Device NameSmartcord XKnit-Pak+-
ManufacturerEASTDENT CO., LTD.Premier Dental Company
Products-
510(k) NumberNewK132526-
Classification
NameRetraction CordRetraction CordSame
Product CodeMVLMVLSame
Device ClassUnclassifiedUnclassifiedSame
Intended userDental professionalDental professionalSame
DescriptionSmartcord X is knitted
retraction cord made from
100% cotton, impregnated
with Aluminum Chloride
Hexahydrate.Not Listed-
Indications for
UseSmartcord X is knitted
retraction cord made from
100% cotton, impregnated
with Aluminum ChlorideKnit-Pak+ impregnated
consists of a specialized
design of knitted
polyamide/polyesterSame
Hexahydrate for the
temporary gingival
retraction and hemostasis
of the gingival margin.conjugated cord. This
retraction cord is
impregnated with
Aluminum
ChlorideHexahydrate and
is intended for accurate
and enhanced results
when acquiring dental
impressions, for cavity
preparation or wherever
hemostasis and retraction
is required.
ContentsAluminum chloride
hexahydrate(1.2mg±0.8m
g/inch)AlCl36H2O(0.5mg±0.1mg/
inch)Different. But the products
consisting up to 15%
Aluminum Chloride
(Aluminum Chloride
Hexahydrate) fall under
the OTC monograph
accepted by the FDA.
Raw materialYarn : cotton
Hemostatic agent :
Aluminum chloride
hexahydrate
Coloring agentYarn : polyamide/polyester
Hemostatic agent :
Aluminum chloride
hexahydrate
Coloring agentDifferent. Yarns are
different, but hemostatic
agent (Aluminum chloride
hexahydrate) is the same.
Gingival
retraction cord
TypeImpregnatedImpregnatedSame
Body contactGingival sulcusGingival sulcusSame
Recommended
contact time3 minutesNot Listed-
Color· 03 : black/gray
· 02 : brown/yellow
· 0 : purple/light purple
· 1 : blue/light blue
· 2 : green/light green· 000.0 : Dark Green
· 000 : Green
· 00 : Brown
· 0 : Purple
· 1 : Blue
· 2 : OrangeDifferent. But the
retraction cords are
available in various colors
to be a dark to maximize
contrast with the tissues,
tooth, and cord.
Thickness· 03
· 02
· 0
· 1
· 2· 000.0
· 000
· 00
· 0
· 1
· 2Different. Retraction cords
are available in various
diameters (thickness) to
accommodate variations
in gingival anatomy.
Length254cm / 100 inches254 cm / 100 inchesSame
BiocompatibilityDevice is biocompatible
when used as directed by
dental professionals per
ISO 10993-1.Device is biocompatible
when used as directed by
dental professionals per
ISO 10993-1.Same
SterilizationNon-sterileNon-sterileSame
Storage
conditionStore in a dry, dark place
between 1 and 35°CNot Listed
Shelf Life3 years3 yearsSame

6

7

VII. NON-CLINICAL PERFORMANCE TESTING

The biocompatibility evaluation for the Smartcord X device was conducted in accordance with the Use of International Standard ISO 10993-1, "Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process" Guidance for Industry and Food and Drug Administration Staff, issued on: June 16, 2016, and international Standard ISO 10993-1 "Biological evaluation of medical devices - part 1: evaluation and testing within a risk management process" as recognized by FDA. The tests carried out for the devices and standards applied for each test are:

  • . Cytotoxicity, ISO 10993-5[2009]
  • . Oral mucous Irritation, ISO 10993-10[2010]
  • ・ Sensitization, ISO 10993-10[2010]

Smartcord X is considered to be in contact with gingival sulcus for duration of less than 24 hours, while being the external communicating device.

VIII.SUBSTANTIAL EQUIVALENCE DISCUSSION

The subject device consists of gingival retraction non-impregnated or impregnated cord, as is the predicate device. The subject device is same to predicate device in terms of classification name, product code, device class, indication for use, intended user, contents, raw materials, gingival retraction cord type, body contact, biocompatibility, sterilization, storage condition and shelf life.

There are no new ingredients or technology used on subject device. Their physical properties and performance of subject device are not significantly different from the predicate device, as indicated by non-clinical performance testing. The colors and thickness are different between subject device and predicate device. Differences of thickness and colors exist between the subject device and the predicate device.

8

However, these differences of colors and thickness do not influence(affect) its intended use for performance. Dentist select the thickness of retraction cord by the type and form of gingiva. The purpose of color use is only to distinguish the retraction cords from the gingiva, and the various colors is used for identification of the thickness to accommodate variations in gingival types and forms.

IX. CONCLUSIONS

The indications and technological characteristics of Smartcord X are very similar to predicate device. Therefore, Subject devices are substantially equivalent to the identified predicate device.