K Number
K172176
Manufacturer
Date Cleared
2017-11-21

(125 days)

Product Code
Regulation Number
872.3200
Panel
Dental
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use
  1. Direct dental restorations (e.g., resin-based composites, resin-modified glass ionomers, resin core build-ups, compomers).
  2. Indirect dental restorations (e.g., metal, resin-based composite, dental ceramics such as porcelain, pressed ceramic, lithium disilicate, lithium silicate or zirconia).
  3. Desensitization of dentin.
  4. Sealing of dentin, cementum or enamel.
Device Description

The Parkell® Universal Adhesive is a single-component, one-bottle, light-cured universal bonding agent which utilizes proven 4-META and 10-MDP chemistry to enhance penetration into prepared enamel and dentin surfaces and to establish strong bonds to dental surfaces such as restorative composites, metals, dentin, enamel, cementum, and dental ceramics (e.g., porcelain, lithium disilicate, zirconia, or hybrid ceramics). The Device is useful for all direct and indirect dental restorations, desensitizing teeth, and sealing tooth structures against microleakage. Moreover, the Device can be used without prior acid-etching of dentin or cutting of enamel surfaces.

The Parkell® Universal Adhesive will be provided in a single bottle, with standard applicator brushes for applying the adhesive to treatment surfaces.

AI/ML Overview

The provided document is a 510(k) premarket notification for the "Parkell® Universal Adhesive" and primarily focuses on demonstrating substantial equivalence to a predicate device, the "Scotchbond® Universal Adhesive."

Here's an analysis of the acceptance criteria and study information based on the document:

1. Table of Acceptance Criteria and Reported Device Performance:

The document states that the acceptance criterion for Shear Bond Strength is "at least about 6MPa" (denoted as "<::6MPa", which likely means "greater than or equal to 6 MPa"). The reported device performance is compared in Table 5-A, summarized here:

Material TypeAcceptance Criteria (Shear Bond Strength, Initial)Parkell® Universal Adhesive (Reported Performance)Predicate Device (Scotchbond® Universal Adhesive) (Reported Performance)
Enamel>= 6 MPa>= 6 MPa>= 6 MPa
Dentin>= 6 MPa>= 6 MPa>= 6 MPa
Silver alloy>= 6 MPa>= 6 MPa>= 6 MPa
Cobalt-chrome alloy>= 6 MPa>= 6 MPa>= 6 MPa
Porcelain, following acid etching>= 6 MPa>= 6 MPa>= 6 MPa
Porcelain, following sandblasting>= 6 MPa>= 6 MPa>= 6 MPa
Lithium disilicate, following sandblasting>= 6 MPa>= 6 MPa>= 6 MPa
Lithium disilicate, following HF acid etching>= 6 MPa>= 6 MPa>= 6 MPa
Zirconia, following sandblasting>= 6 MPa>= 6 MPa>= 6 MPa
Composite Resin (self-cure)>= 6 MPa>= 6 MPa>= 6 MPa
Composite Resin (light-cure)>= 6 MPa>= 6 MPa>= 6 MPa

2. Sample size used for the test set and the data provenance:

The document does not explicitly state the sample size used for each shear bond strength test. It mentions that tests were performed "on a variety of dental substrates." The data provenance is not specified (e.g., country of origin, retrospective or prospective), but it's implied to be laboratory testing as part of a premarket notification for a dental adhesive.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

This information is not applicable as the study described is a laboratory performance test (shear bond strength) for a dental adhesive, not a study involving expert-derived ground truth. The "ground truth" here is the physical measurement of bond strength.

4. Adjudication method for the test set:

This information is not applicable for the same reason as point 3.

5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance:

This is not applicable. The device is a dental adhesive, not an AI-powered diagnostic or assistive tool for human readers.

6. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done:

This is not applicable. The device is a physical product (dental adhesive), not an algorithm. The shear bond strength tests are a form of standalone performance evaluation for the physical properties of the adhesive.

7. The type of ground truth used:

The "ground truth" for the performance evaluation of the dental adhesive is based on physical measurement of shear bond strength in a laboratory setting, in accordance with ISO standards.

8. The sample size for the training set:

This is not applicable. The device is a physical product (dental adhesive), not a machine learning model that requires a training set.

9. How the ground truth for the training set was established:

This is not applicable for the same reason as point 8.

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November 21, 2017

Parkell. Inc. David Mott VP, Regulatory Affairs; General Counsel 300 Executive Drive Edgewood, New York 11717

Re: K172176

Trade/Device Name: Parkell Universal Adhesive Regulation Number: 21 CFR 872.3200 Regulation Name: Resin Tooth Bonding Agent Regulatory Class: Class II Product Code: KLE Dated: October 23, 2017 Received: October 24, 2017

Dear Mr. David Mott:

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

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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 (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.

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

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Indications for Use

510(k) Number (if known) K172176

Device Name Parkell® Universal Adhesive

Indications for Use (Describe)

  1. Direct dental restorations (e.g., resin-based composites, resin-modified glass ionomers, resin core build-ups, compomers).
    1. Indirect dental restorations (e.g., metal, resin-based composite, dental ceramics such as porcelain, pressed ceramic, lithium disilicate, lithium silicate or zirconia).
    1. Desensitization of dentin.
    1. Sealing of dentin, cementum or enamel.

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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K172176 510(k) Summary

    1. Submitter:
      Parkell, Inc. 300 Executive Drive Edgewood, NY 11717
    1. Contact:
      David Mott, Esq. VP. Requlatory Affairs Tel: (631) 389-1545 Fax: (631) 249-1242 dmott@parkell.com
    1. Submission Date: October 23, 2017
  • Device Identification: 4.

Trade Name:Parkell® Universal Adhesive
Common Name:Dental Bonding Agent
Classification Name:Resin Tooth Bonding Agent (21 CFR Section 872.3200)
Product Code:KLE
Classification:Class II
    1. Predicate Device:
      Scotchbond® Universal Adhesive (K110302)/(3M ESPE)
    1. Description of Proposed Device:
      The Parkell® Universal Adhesive is a single-component, one-bottle, light-cured universal bonding agent which utilizes proven 4-META and 10-MDP chemistry to enhance penetration into prepared enamel and dentin surfaces and to establish strong bonds to dental surfaces such as restorative composites, metals, dentin, enamel, cementum, and dental ceramics (e.g., porcelain, lithium disilicate, zirconia, or hybrid ceramics). The Device is useful for all direct and indirect dental restorations, desensitizing teeth, and sealing tooth structures against microleakage. Moreover, the Device can be used without prior acid-etching of dentin or cutting of enamel surfaces.

The Parkell® Universal Adhesive will be provided in a single bottle, with standard applicator brushes for applying the adhesive to treatment surfaces.

    1. Intended Use:
    • Direct dental restorations (e.g., resin-based composites, resin-modified glass ionomers, ﮯ resin core build-ups, compomers).
    • ನ Indirect dental restorations (e.g., metal, resin-based composite, dental ceramics such as porcelain, pressed ceramic, lithium disilicate, lithium silicate or zirconia).
    • ನ Desensitization of dentin.
    • Sealing of dentin, cementum or enamel. ব

As so described and as demonstrated in Table 5-A, the Device has the same intended uses as the Predicate Device (Scotchbond™ Universal Adhesive, 510K no. 110302, which has been marketed since about 2011), in that both devices are useful for direct and indirect dental restorations (e.g., inlays, onlays, crowns, bridges, varnishes and veneers), desensitizing

Image /page/3/Picture/21 description: The image shows the logo for DirectaDentalGroup. The logo is white text on a black background. Underneath the main logo are the logos for DIRECTA, topdental, ORSING, and parkell.

1 of 4

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teeth and root surfaces, and sealing tooth structures and cavities. Any differences in the descriptions of intended uses of the Device and Predicate Device, to the extent that they exist, are minor, not critical to the intended therapeutic uses of the Device, and do not affect the safety and/or effectiveness of the Device when used as labeled.

8. Technological Characteristics:

The proposed device, Parkell® Universal Adhesive, has the same intended use and contains similar chemical components to that of the predicate device (Scotchbond™ Universal Adhesive, K110302). The proposed device and its predicate both contain several of the same chemical components as well as identical functional categories of components, with the exception of a "filler" which is included only in the Predicate Device. The differences in chemical composition across the Device and Predicate Device are believed to have insubstantial effects on the intended use of the Device. This is evidenced by substantially similar performance by the proposed device and predicate devices in performance tests on a variety of dental substrates, as described in the device comparison table below.

Most importantly, all chemical components found in the proposed Device, but not within the Predicate Device, are commonly-used chemicals that are present in many FDA-cleared dental products which have long histories of safe use.

9. Biocompatibility:

An evaluation of biocompatibility was conducted to determine the safety of Parkell® Universal Adhesive in accordance with ISO 10993-1:2009, ISO 10993-3:2014, ISO 10993-5: 2009, ISO 10993-10:2010, ISO 10993-12: 2012, ISO 10993-33:2015, and the Final FDA Guidance, "Use of International Standard ISO 10993-1, "Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process" (June 16, 2016). The conclusion of the evaluation is that Parkell® Universal Adhesive can be considered biocompatible.

10. Substantial Equivalence2:

Information provided in this 510(k) submission demonstrates that Parkell® Universal Adhesive is substantially equivalent to the Predicate Device, 3M ESPE's Scotchbond® Universal Adhesive (K110302) in terms of bond strength to dentin, enamel,metals, composite resins, and dental ceramics. The shear bond strength tests were performed in accordance with ISO standards. The bond strengths achieved by the Device were compared to that of the Predicate Device and were determined to be equivalent.

Any differences between the Device and the Predicate Device, for purposes of this 510(k) submission, do not raise new questions of safety or effectiveness. Thus, this submission demonstrates the safety and effectiveness of Parkell® Universal Adhesive. A brief comparison of Parkell® Universal Adhesive to the Predicate Device is provided below:

All statements contained herein are made solely for the purpose of demonstrating substantial equivalence as that term is defined in the context of SIO(k) submissions; the statements cannot be applied reliably or accurately in the context of U.S. patent or other intellectual property laws which involve vastly different legal standards and definitions (such as, e.g., within the context of 35 U.S.C. §§ 102, 103, 112, 271).

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Table 5-A:

Parkell® Universal Adhesive(Parkell, Inc.)Predicate Device(Scotchbond® Universal Adhesive)(3M)Shear Bond Strength, Initial (MPa)Pass/fail criteria: at least about 6MPa("<::6MPa")Parkell® UniversalAdhesive(Parkell, Inc.)K172176Predicate Device(Scotchbond® Universal Adhesive)(3M)K110302
K172176K110302Enamel<::6MPa<::6MPa
Intended use1. Direct dental restorations(e.g., resin-based composites,resin-modified glass ionomers,resin core build-ups,compomers).2. Indirect dental restorations(e.g., metal, resin-basedcomposite, dental ceramics suchas porcelain, pressed ceramic,lithium disilicate, lithium silicateor zirconia).3. Desensitization of dentin.4. Sealing of dentin, cementumor enamel.1. All classes of fillings (according toBlack) with composite or compomer.2. Cementation of indirectrestorations (crowns, inlays) ofcomposite or compomer, ceramic andmetal; Bonding of dual cure andchemical cure cements, core build-upmaterials and composites (withactivator); Cementation of veneers;Intraoral repair of existing composite,porcelain fused to metal, and allceramic restorations w/o extraprimer; Bonding of core build-upsmade of composite or core build-upmaterials; Repair of composite orcompomer fillings3. Root surface desensitization4. Sealing of cavities prior tocementation of amalgamrestorations; Sealing of cavities andpreparations of tooth stumps prior totemporary cementation of indirectrestorations5. Protective varnish for glassionomer fillings;6. Bonding of pit and fissure sealantsDentin<::6MPa<::6MPa
Classification ProductCodeKLEKLESilver alloy<::6MPa<::6MPa
Regulation Number872.300872.300Cobalt-chrome alloy<::6MPa<::6MPa
Self-EtchingYesYesPorcelain, following acid etching<::6MPa<::6MPa
Self-PrimingYesYesPorcelain, following sandblasting<::6MPa<::6MPa
Light-CuredYesYesLithium disilicate, followingsandblasting<::6MPa<::6MPa
Single bottle svstemYesYesLithium d1s111cate, followmg HF acidetching<::6MPa<::6MPa
Compatible with Self-,Dual-, & Light-CureMaterialsYesYesZirconia, following sandblasting<::6MPa<::61vwa
Chemical componentsComprises several resinsincluding 10 MDBComprises several resinsincluding 10 MDBCompositeResinselt-cure<::6MPa<::bMPa
11gnt-cure<::bMPa<::6MPa

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Table 5-B:

    • pretreated with silane/ceramic primer.

11. Clinical Performance Data

There was no clinical testing required to support the Device as the indications for use are equivalent to the Predicate Device. These types of devices, including the Predicate Device, have been on the market for many years with no reported adverse events. The non-clinical testing detailed in this submission supports the substantial equivalence of the Device.

12. Statement of Substantial Equivalence:

By definition, a device is substantially equivalent to a predicate device when the device has the same intended use and the same technological characteristics as the previously cleared predicate device.

The Device (Parkell® Universal Adhesive) has the same or similar intended use, indications, principles of operation, and technological characteristics as the Predicate Device (Scotchbond® Universal Adhesive). The Device, as designed and manufactured, is determined to be substantially equivalent to the Predicate Device in terms of intended use, design, and function.

§ 872.3200 Resin tooth bonding agent.

(a)
Identification. A resin tooth bonding agent is a device material, such as methylmethacrylate, intended to be painted on the interior of a prepared cavity of a tooth to improve retention of a restoration, such as a filling.(b)
Classification. Class II.