K Number
K182017
Device Name
Compex HD
Manufacturer
Date Cleared
2019-04-29

(276 days)

Product Code
Regulation Number
872.6100
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Compex HD is intended to be used by a dentist or health care provider to warm and dispense dental composite materials contained in a compule or PLT (Pre Loaded Tip) to 155 degrees F (68 degrees C).
Device Description
The Compex HD uses a heating device to elevate the temperature of dental composite material contained in a compule (PLT) to allow it to flow and be easily extruded. It utilizes a plastic housing in the shape of a traditional dispensing qun. The housing contains a heater element(s) and/or an electrically conductive plastic compule that itself acts as a heater when a current is applied. A control circuit board assembly and rechargeable lithium lon battery are used to apply power to the heater. A separate wall plug-in USB power supply is used to charge the battery. The unit will not function with the USB power supply connected to the unit.
More Information

Not Found

No
The device description and performance studies focus on a simple heating mechanism and temperature control, with no mention of AI or ML technologies. The "Mentions AI, DNN, or ML" and "Description of the training set..." sections are explicitly marked as "Not Found".

No
The device is described as warming and dispensing dental composite materials, which is a preparation step for the material, not a direct therapeutic action on the patient.

No
The device is used to warm and dispense dental composite materials, which is a treatment function, not a diagnostic one. It does not analyze patient data or provide information about a patient's medical condition.

No

The device description explicitly details hardware components such as a heating device, plastic housing, heater element(s), control circuit board assembly, and a rechargeable lithium-ion battery.

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

Here's why:

  • Intended Use: The device is intended to warm and dispense dental composite materials. This is a physical manipulation of a material used in a dental procedure, not a test performed on a biological sample to diagnose a condition.
  • Device Description: The description details a heating and dispensing mechanism for dental composite. It does not involve analyzing biological samples or providing diagnostic information.
  • Lack of IVD Characteristics: The description does not mention any components or processes typically associated with IVDs, such as reagents, sample collection, analysis of biological markers, or providing diagnostic results.

The device is a tool used by a dentist or healthcare provider to facilitate a dental procedure (filling cavities, etc.) by making the composite material easier to handle. It does not perform a diagnostic test.

N/A

Intended Use / Indications for Use

The Compex HD is intended to be used by a dentist or health care provider to warm and dispense dental composite materials contained in a compule or PLT (Pre Loaded Tip) to 155 degrees F (68 degrees C).

Product codes

OGO

Device Description

The Compex HD is a heating device that elevates the temperature of dental composite material contained in a compule (PLT) to allow it to flow and be easily extruded. It utilizes a plastic housing in the shape of a traditional dispensing gun. The housing contains a heater element(s) and/or an electrically conductive plastic compule that itself acts as a heater when a current is applied. A control circuit board assembly and rechargeable lithium Ion battery are used to apply power to the heater. A separate wall plug-in USB power supply is used to charge the battery. The unit will not function with the USB power supply connected to the unit. The Compule (PLT) containing the composite material is loaded in the front of the unit. The heater is activated by a push button switch on the control panel. Once the unit reaches operating temperature of approximately 155°F (68°C), a LED light changes color to indicate that the material is ready to be dispensed directly to the patient.

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

dentist or health care provider

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

Testing was performed on both the Compex HD and Calset predicate devices using thermocouples inserted into composite filled compules to determine the temperature of the composite during heating. The test results demonstrate that both devices heat the composite to a temperature of approximately 155°F (68°C). Refer to Appendix B Product Tests, Test Report # 131 and Test Report # 165 for test results.

Summary of Performance Studies

Non-Clinical Performance Data: Testing was performed on both devices using thermocouples inserted into composite filled compules to determine the temperature of the composite during heating. The test results demonstrate that both devices heat the composite to a temperature of approximately 155°F (68°C). The Compex HD unit performs the same function as the predicate Calset device – to warm composite materials to 155°F (68°C) prior to dispensing the material used to repair the patient’s teeth. In both applications the heated composite becomes less viscous and flows more easily, and therefore is dispensed more easily with less physical effort and more control.
Clinical Performance Data: Not Applicable.

Key Metrics

Not Found

Predicate Device(s)

K061395

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.6100 Anesthetic warmer.

(a)
Identification. An anesthetic warmer is an AC-powered device into which tubes containing anesthetic solution are intended to be placed to warm them prior to administration of the anesthetic.(b)
Classification. Class I (general controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 872.9.

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Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the FDA logo is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

April 29, 2019

AdDent, Inc. Joshua Friedman President 43 Miry Brook Road Danbury, Connecticut 06810

Re: K182017

Trade/Device Name: Compex HD Regulation Number: 21 CFR 872.6100 Regulation Name: Anesthetic Warmer Regulatory Class: Class I Product Code: OGO Dated: January 25, 2019 Received: January 30, 2019

Dear Joshua Friedman:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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

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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) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/CombinationProducts/GuidanceRegulatoryInformation/ucm597488.htm); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; 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 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,

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

Form Approved: OMB No. 0910-0120 Expiration Date: 06/30/2020 See PRA Statement below.

510(k) Number (if known)

K182017

Device Name Compex HD

Indications for Use (Describe)

The Compex HD is intended to be used by a dentist or health care provider to warm and dispense dental composite materials contained in a compule or PLT (Pre Loaded Tip) to 155 degrees F (68 degrees C).

Federal law restricts this device for sale to a licensed professional.

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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K182017

510 (k) SUMMARY

Owner/Submitter's Name: Joshua Friedman, D.D.S., AdDent, Inc.

Address: 43 Miry Brook Road, Danbury, CT 06810

Telephone: (203) 778-0200 Ext.101; (203) 952-3555 (Cell)

Fax: (203) 792-2275

Contact Person: Joshua Friedman

Email: ifriedman@addent.com

Device Name: Compex HD

Common Name: Composite Warmer

Classification Name: Anesthetic warmer (21 CFR 872.6100 ) Product Code QGO

Marketed Device of Equivalence: Calset composite heater, 510(k) # K061395, Classification product code: EBZ (Activator, Ultraviolet, For Polymerization, 21 CFR 872.670), Subsequent product codes: EEG (Heat Source For Bleaching Teeth, 21 CFR 872.6475), EFC (Anesthetic warmer, 21 CFR 872.6100).

Prior Submission for this device: FDA 510(k): #K180062

Description of the Device:

Background: The traditional method of dispensing dental composite contained in a PLT (Pre-Loaded Tip) or compule is to use a mechanical composite dispensing device. The compule is loaded into the tip of the dispenser and hand applied mechanical force is used to extrude the material to the prepared dental cavity. Dispensing these materials at room temperature can be difficult due to their viscous nature. The Compex HD heats the composite material contained in the compule prior to use. The heated composite exhibits improved flow and is dispensed more easily. Composite materials are used to repair or restore teeth in the general population, but are not an integrated part of this device. In addition, research shows that pre-heating composite prior to light curing also improves depth of cure, shortens time of cure along with many other improved physical properties.

General Description: The Compex HD uses a heating device to elevate the temperature of dental composite material contained in a compule (PLT) to allow it to flow and be easily extruded. It utilizes a plastic housing in the shape of a traditional dispensing qun. The housing contains a heater element(s) and/or an electrically conductive plastic compule that itself acts as a heater when a current is applied. A control circuit board assembly and rechargeable lithium lon battery are used to apply power to the heater. A separate wall plug-in USB power supply is used to charge the battery. The unit will not function with the USB power supply connected to the unit.

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Indications for Use (Intended Use) Compex HD: The Compex HD is intended to be used by a dentist or health care provider to warm and dispense dental composite materials contained in a compule or PLT (Pre Loaded Tip) to 155°F (68°C).

Indications for Use (Intended Use) Calset Predicate Device: The Calset unit is used to warm dental composite materials and whitening bleach to 130°F (54°C) or 155°F (68°C). It is also used to warm anesthetic carpules to 98°F (37°C) (body temperature).

Indications for Use comparison – Calset predicate device vs. Compex HD
Calset (predicate)Compex HD
Indications for Use
(exact wording)"The Calset unit is used to warm
dental composite materials and
whitening bleach to 130°F (54°C) or
155°F (68°C). It is also used to
warm anesthetic carpules to 98°F
(37°C) (body temperature).""The Compex HD unit is intended to
be used by a dentist or health care
provider to warm and dispense
dental composite materials
contained in a compule or PLT (Pre
Loaded Tip) to 155 °F (68°C)."
Dental applicationYes - "The Calset unit is used to
warm dental composite materials"Yes - "The Compex HD unit is
intended to be used by a dentist or
health care provider to warm and
dispense dental composite
materials"
Used to directly dispense
composite material
contained in a compule
(PLT)No – composite material are
dispensed indirectly using standard
mechanical handheld dispensers -
refer to explanation and figures below
this chart*Yes - "to warm and dispense dental
composite materials contained in a
compule or PLT (Pre Loaded Tip)"
Number of temperature
settingsThree - "dental composite
materials and whitening bleach to
130°F (54°C) or 155°F (68°C). It is
also used to warm anesthetic
carpules to 98°F (37°C)"One - "to warm and dispense dental
composite materials contained in a
compule or PLT (Pre Loaded Tip) to
155 °F (68 °C)."
Temperatures settings"98°F (37°C), 130°F (54°C), 155°F
(68°C)""155°F (68°C)"
Used to warm dental
composite materialsYes - "The Calset unit is used to
warm dental composite materials
and whitening bleach to 130°F
(54°C) or 155°F (68°C)"Yes - "The Compex HD unit is
intended to be used by a dentist or
health care provider to warm and
dispense dental composite
materials contained in a compule or
PLT (Pre Loaded Tip) to 155 °F
(68 °C)." The temperature option of
130°F (54°C) is not included in the
Compex HD as it is no longer
commonly used to heat composite
materials.
Used to warm anesthetic
carpulesYes - "It is also used to warm
anesthetic carpules to 98°F (37°C)"
The Calset uses a specially designed
tray that accepts anesthetic carpules.No - The Compex HD unit is by design
not intended to accept anesthetic
carpules and therefore this feature is
eliminated. It will only accept dental
materials contained in compules or
PLT (Pre Loaded Tip).
Used to warm whitening
bleachYes - "The Calset unit is used to
warm dental composite materials
and whitening bleach to 130°F
(54°C) or 155°F (68°C)" Although the
Calset is designed to warm whitening
bleach, this is no longer a common
practice.No - The Compex HD unit is by design
not intended to heat whitening bleach
and therefore this feature is eliminated.
It will only accept dental materials
contained in compules or PLT (Pre
Loaded Tip).
  • With the table top Calset predicate device, the compule containing the composite material (PLT) is loaded in a standard handheld composite dispenser which is then inserted into a pre-heated tray (holster) that sits on top of the Calset heater base. Once the compule reaches the desired application temperature of 155°F (68°C) in approximately three minutes, the dispenser with loaded compule is removed from the heated tray (holster) and the heated composite material is dispensed to the patient.

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With the Compex HD unit, the heater is integrated into the front of the dispenser. This is in the form of a heating element, or alternatively the compule itself is made from electrically conductive plastic and acts a heating element. The compule (PLT) containing the composite material is loaded in the front of the unit. The heater is activated by a push button switch on the control panel. Once the unit reaches operating temperature of approximately 155°F (68°C), a LED light changes color to indicate that the material is ready to be dispensed directly to the patient. See figure 1.

Image /page/5/Figure/1 description: The image is a diagram of a Compex HD device, labeled as Figure 1. The diagram highlights several key components, including the "Compule (PLT)", "Heater location", "Trigger", "battery location", "on-off switch & LED indicators", and "circuit board location". Each of these components is labeled with an arrow pointing to its location on the device.

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Technical Characteristics – Calset predicate device vs. Compex HD
Calset (predicate)Compex HD
Device ConfigurationTable TopHand Held
Heater elementyesyes
Uses removable trays configured for
different composite dispensersyesno
Uses hand mechanical force to
dispense compositeyesyes
Power supplylow voltage detachable
wall plug-in power
supplylow voltage Li-Ion Battery/
low voltage detachable
wall plug-in power supply
used to charge battery
Unit operates while connected to
mains power supplyYes - requiredNo - will not operate
Control circuit boardyesyes
Microprocessor controlyesyes
Temperature controlthermistorthermistor
Number of temperature settings31
Temperatures settings98°F (37°C), 130°F
(54°C), 155°F (68°C)155°F (68°C)
Push button controlyes- on/off and
temperature selectionyes– on/off
LED indicatorsindicate temperature
selection and when
operating temperature
is reachedindicate when
operating temperature
is reached and battery
charge status
Used to warm anesthetic carpulesyesno
Used to warm whitening bleachyesno
Primary housing materialmolded plasticmolded plastic
Other materials (excluding battery)aluminum/rubberstainless steel
Factory temperature calibrationyesyes
Disinfection procedureyes - wiped with clothyes - wiped with cloth
Patient applied partnoyes
Biocompatible material(s)not requirednot required

Technical Characteristics of the Compex HD compared to the Predicate Device:

Discussion: The Compex HD unit performs the same function as the predicate Calset device - to warm composite materials to 155°F (68°C) prior to dispensing the material used to repair the patient's teeth. In both applications the heated composite becomes less viscous and flows more easily, and therefore is dispensed more easily with less physical effort and more control. The Calset must be used with a separate mechanical dispenser such as the CoMax (product code KXR Applicator, Resin, Exempt), also made by AdDent, Inc. The Compex HD dispenses material directly. In one version of the Compex HD the compule containing composite is warmed by being in close proximity to one or more PTC (Positive Temperature Coefficient) electrical heating elements. In another version of the Compex HD the compule itself is molded from electrically conductive plastic that itself becomes a heater when a current is applied to the compule. Unlike the Calset, the Compex HD is not designed to warm or dispense anesthetic solution or whitening bleach, and as a result does not require the other two temperature settings of 98°F (37°C), and 130°F (54°C).

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Non-Clinical performance data: To demonstrate that the Compex HD and Calset predicate device are substantially equivalent, testing was performed on both devices using thermocouples inserted into composite filled compules to determine the temperature of the composite during heating. The test results demonstrate that both devices heat the composite to a temperature of approximately 155°F (68°C). Refer to Appendix B Product Tests, Test Report # 131 and Test Report # 165 for test results.

In addition, both the Calset predicate unit and the Compex HD have been tested and successfully passed the following international standards (refer to Appendix C Product Safety and EMC Test Reports:

  • . American National Standard/International Standard ANSI/AAMI/IEC 60601-1, "Medical Electrical Equipment - Part 1: General Requirements for Basic Safety and Essential Performance (Third Edition, Amendment 1 2012)."
  • . American National Standard/International Standard ANSI/AAMI/IEC 60601-1-2. "Medical Electrical Equipment, Part 1-2: General Requirements for Basic Safety and Essential Performance – Collateral Standard: Electromagnetic Disturbances - Requirements and Tests, 4th Ed. (2014)."

Clinical performance data: Not Applicable.

Performance data summary: The non-clinical test results demonstrate that the Compex HD and predicate Calset essentially perform the same function – to heat dental composite material contained in a compule (PLT) to approximately 155°F (68°C).

In addition, the process of dispensing the composite material is similar in that the Calset is used with a separate handheld dispenser to hold the compule while it is being heated and then dispensed while the Compex HD has this feature incorporated into a single device.

Since there is no difference in the temperature of the applied composite material and the process of dispensing the composite is similar, requiring fewer steps and less time with the Compex HD, the unit is as safe and effective as the predicate Calset device,

Elimination of the additional temperature settings of 98°F (37°C), and 130°F (54°C) as featured on the predicate Calset device presents no additional safety hazard. The Compex HD unit is not intended to heat anesthetic carpules or whitening bleach and the physical design of the Compex HD is incompatible with these materials. Use of the 130°F (54°C) temperature setting with composite materials is no longer common.

In addition the safety of the Compex HD is demonstrated by successfully passing the required safety and EMC standards referenced above in Non-clinical performance data.