K Number
K190597
Device Name
BRILLIANT EverGlow Flow
Date Cleared
2019-06-21

(106 days)

Product Code
Regulation Number
872.3690
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
BRILLIANT EverGlow Flow Universal and Translucent shades are suitable for: - · Direct class V fillings (cervical caries, root erosion, wedge-shaped defects) - · Fillings in the anterior tooth region (Class III and IV) - · Small fillings of all cavity classes (not occlusion-bearing) - · Blocking out of undercuts - · Adhesive luting of indirect composite and ceramic restorations in as far as accuracy of fit and light permeability are given - · Repairs of direct and indirect composite restorations - · Preventive resin restorations - · Cavity lining BRILLIANT EverGlow Flow opaque shade is also suitable for: - · Aesthetic corrections (e.g. deviations in chroma) - · Masking of dark areas
Device Description
BRILLIANT EverGlow Flow is a flowable radiopaque submicron hybrid composite and available in several shades that allows for high aesthetic restorations with a clear spectrum of shades. It is applied in the increment technique and available in 7 universal, 2 translucent and 3 opaque shades. BRILLIANT EverGlow Flow is chemically characterized by its composition, which can be categorized in three groups based on their chemical and functional similarity: resin components (matrix monomers based on methacrylates), fillers, and additives. The largest part of BRILLIANT EverGlow Flow's composition is represented by fillers (>58% w/w), followed by resin components (<40% w/w), and additives (<2% w/w). BRILLIANT EverGlow Flow is, after curing, a crosslinked methacrylate-based composite material with a three-dimensional polymer network, containing embedded filler particles and incorporated additives. BRILLIANT EverGlow Flow has long term contact (>30 days) with tissue/bone/dentin. BRILLIANT EverGlow Flow is the supplemental flowable, radiopaque submicron hybrid material version of the universal composite BRILLIANT EverGlow. BRILLIANT EverGlow Flow is, due to its lower viscosity, considered an enhancement of BRILLIANT EverGlow for applications with non-easily accessible areas in the oral cavity (e.g. blocking out of undercuts) and/or extended fissure-sealing. BRILLIANT EverGlow Flow combines a low viscous consistency with high stability and thixotropy, allowing a controlled and comfortable application. BRILLIANT EverGlow Flow is available in different shades and gradations of translucency. BRILLIANT EverGlow Flow is delivered with two application needle sizes (standard size [Ø 0.8mm] and fine size [Ø 0.4mm]). The fine size needle is to improve the accessory range and to allow an application with higher precision.
More Information

Not Found

No
The device description focuses on the chemical composition and physical properties of a dental composite material. There is no mention of software, algorithms, or data processing that would indicate the use of AI/ML.

Yes
The device is a dental restorative material used to treat various dental conditions like caries and defects, directly performing a therapeutic function.

No

This device is a flowable composite material used for dental fillings and repairs, not for diagnosing medical conditions.

No

The device description clearly states it is a "flowable radiopaque submicron hybrid composite" and details its chemical composition, indicating it is 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 listed are all related to direct dental restorations and procedures performed within the oral cavity on the patient's teeth. This involves physical interaction with the patient's tissues (dentin, enamel, etc.).
  • Device Description: The device is described as a flowable radiopaque submicron hybrid composite material used for filling cavities, blocking undercuts, luting restorations, etc. This is a material applied directly to the patient.
  • Lack of Diagnostic Purpose: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue samples) to provide information for diagnosis, monitoring, or screening.

IVD devices are specifically designed to perform tests in vitro (outside the body) on biological specimens to gain diagnostic information. This device is a restorative material used in vivo (within the body).

N/A

Intended Use / Indications for Use

BRILLIANT EverGlow Flow Universal and Translucent shades are suitable for:

  • · Direct class V fillings (cervical caries, root erosion, wedge-shaped defects)
  • · Fillings in the anterior tooth region (Class III and IV)
  • · Small fillings of all cavity classes (not occlusion-bearing)
  • · Blocking out of undercuts
  • · Adhesive luting of indirect composite and ceramic restorations in as far as accuracy of fit and light permeability are given
  • · Repairs of direct and indirect composite restorations
  • · Preventive resin restorations
  • · Cavity lining

BRILLIANT EverGlow Flow opaque shade is also suitable for:

  • · Aesthetic corrections (e.g. deviations in chroma)
  • · Masking of dark areas

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

EBF

Device Description

BRILLIANT EverGlow Flow is a flowable radiopaque submicron hybrid composite and available in several shades that allows for high aesthetic restorations with a clear spectrum of shades. It is applied in the increment technique and available in 7 universal, 2 translucent and 3 opaque shades.

BRILLIANT EverGlow Flow is chemically characterized by its composition, which can be categorized in three groups based on their chemical and functional similarity: resin components (matrix monomers based on methacrylates), fillers, and additives. The largest part of BRILLIANT EverGlow Flow's composition is represented by fillers (>58% w/w), followed by resin components (30 days) with tissue/bone/dentin.

BRILLIANT EverGlow Flow is the supplemental flowable, radiopaque submicron hybrid material version of the universal composite BRILLIANT EverGlow. BRILLIANT EverGlow Flow is, due to its lower viscosity, considered an enhancement of BRILLIANT EverGlow for applications with non-easily accessible areas in the oral cavity (e.g. blocking out of undercuts) and/or extended fissure-sealing. BRILLIANT EverGlow Flow combines a low viscous consistency with high stability and thixotropy, allowing a controlled and comfortable application. BRILLIANT EverGlow Flow is available in different shades and gradations of translucency. BRILLIANT EverGlow Flow is delivered with two application needle sizes (standard size [Ø 0.8mm] and fine size [Ø 0.4mm]). The fine size needle is to improve the accessory range and to allow an application with higher precision.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

oral cavity

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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 testing evaluated flexural strength, flexural modulus, compressive strength, and biocompatibility of the subject device, as well as other related physical properties. The subject device passed all required testing.

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.

K152927

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

Image /page/0/Picture/0 description: The image contains the logos of the Department of Health and Human Services and the Food and Drug Administration (FDA). The Department of Health and Human Services logo is on the left, and the FDA logo is on the right. The FDA logo includes the letters "FDA" in a blue square, followed by the words "U.S. Food & Drug Administration" in blue text.

June 21, 2019

Coltene/Whaledent AG Wolfgang Dorner Regulatory Affairs Specialist Feldwiesenstrasse 20 Altstatten, 9450 SWITZERLAND

Re: K190597

Trade/Device Name: BRILLIANT EverGlow Flow Regulation Number: 21 CFR 872.3690 Regulation Name: Tooth shade resin material Regulatory Class: Class II Product Code: EBF Dated: April 1, 2019 Received: April 4, 2019

Dear Wolfgang Dorner:

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 statutes and regulations administered by other Federal agencies. You must comply with all the Act's

1

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/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (OS) 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Srinivas Nandkumar, PhD Acting Assistant Director DHT1B: Division of Dental Devices OHT1: Office of Ophthalmic, Anesthesia, Respiratory, ENT and Dental Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known)

K190597

Device Name BRILLIANT EverGlow Flow

Indications for Use (Describe)

BRILLIANT EverGlow Flow Universal and Translucent shades are suitable for:

  • · Direct class V fillings (cervical caries, root erosion, wedge-shaped defects)
  • · Fillings in the anterior tooth region (Class III and IV)
  • · Small fillings of all cavity classes (not occlusion-bearing)
  • · Blocking out of undercuts
  • · Adhesive luting of indirect composite and ceramic restorations in as far as accuracy of fit and light permeability are given
  • · Repairs of direct and indirect composite restorations
  • · Preventive resin restorations
  • · Cavity lining

BRILLIANT EverGlow Flow opaque shade is also suitable for:

  • · Aesthetic corrections (e.g. deviations in chroma)
  • · Masking of dark areas

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)
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3

# COL ENE

K190597

Section 5 - 510(k) Summary

1. Submitter

Company Name:Coltène/Whaledent AG
Street and Nr.:Feldwiesenstrasse 20
City:Altstätten
Post Code:9450
State/Canton:Sankt Gallen
Country:Switzerland
Main Contact:Wolfgang Dörner
Title:Regulatory Affairs Specialist
Phone:+ 41 71 757 5422
Email:wolfgang.doerner@coltene.com

2. Date Prepared

  1. March 2019

3. Device Identification

Trade Name:BRILLIANT EverGlow Flow®
Common Name:Flowable radiopaque submicron hybrid composite
Classification Name:Tooth shade resin material
Regulation Number:872.3690
Product Code:EBF
Class:II
Classification Panel:Dental

4

Coltène/Whaledent AG Traditional 510(k) Premarket Submission BRILLIANT EverGlow Flow®

4. Legally Marketed Predicate Device(s)

The predicate device for BRILLIANT EverGlow Flow is BRILLIANT EverGlow from Coltène/Whaledent. BRILLIANT EverGlow was cleared under the 510(k) number K152927 on 28. April 2019 (Exhibit 5-1).

5. Indication for Use

BRILLIANT EverGlow Flow Universal and Translucent shades are suitable for:

  • Direct class V fillings (cervical caries, root erosion, wedge-shaped defects) ●
  • Fillings in the anterior tooth region (Class III and IV) .
  • . Small fillings of all cavity classes (not occlusion-bearing)
  • Blocking out of undercuts .
  • . Adhesive luting of indirect composite and ceramic restorations in as far as accuracy of fit and light permeability are given
  • Repairs of direct and indirect composite restorations
  • Preventive resin restorations .
  • . Cavity lining

BRILLIANT EverGlow Flow opaque shade is also suitable for:

  • . Aesthetic corrections (e.g. deviations in chroma)
  • . Masking of dark areas

6. Device Overview

BRILLIANT EverGlow Flow is a flowable radiopaque submicron hybrid composite and available in several shades that allows for high aesthetic restorations with a clear spectrum of shades. It is applied in the increment technique and available in 7 universal, 2 translucent and 3 opaque shades.

BRILLIANT EverGlow Flow is chemically characterized by its composition, which can be categorized in three groups based on their chemical and functional similarity: resin components (matrix monomers based on methacrylates), fillers, and additives. The largest part of BRILLIANT EverGlow Flow's composition is represented by fillers (>58% w/w), followed by resin components (30 days) with tissue/bone/dentin.

BRILLIANT EverGlow Flow is the supplemental flowable, radiopaque submicron hybrid material version of the universal composite BRILLIANT EverGlow. BRILLIANT EverGlow Flow is, due to its lower viscosity, considered an enhancement of BRILLIANT EverGlow for applications with non-easily accessible areas in the oral cavity (e.g. blocking out of undercuts) and/or extended fissure-sealing. BRILLIANT EverGlow Flow combines a low viscous consistency with high stability and thixotropy, allowing a controlled and comfortable application. BRILLIANT EverGlow Flow is available in different shades and gradations of translucency. BRILLIANT EverGlow Flow is delivered with two application needle sizes (standard size [Ø 0.8mm] and fine size [Ø 0.4mm]). The fine size needle is to improve the accessory range and to allow an application with higher precision.

Image /page/5/Picture/5 description: The image shows two syringes of dental composite material and three applicator tips. The syringes are labeled "BRILLIANT EverGlow Flow", with one syringe having a transparent material and the other having a pinkish material. The syringes have black plungers and caps, and the applicator tips are also black with thin, curved metal tips.

Figure 1: BRILLIANT EverGlow Flow® is available in syringes (à 2 g) with two application needle sizes (Ø 0.8mm and Ø 0.4mm).

6

Image /page/6/Picture/0 description: The image shows the word "COLTENE" in bold, black letters. To the left of the word is a blue graphic consisting of six squares arranged in two rows of three. The squares in the top row are a darker shade of blue than the squares in the bottom row.

7. Substantial Equivalence Discussion

A comparison of the new device BRILLIANT EverGlow Flow to the predicate device BRILLIANT EverGlow device with respect to its physical state, structure, materials, mechanical properties, indications for use, packaging, biocompatibility and performance testing, is shown in Table 1 and Table 2.

AttributesNew DevicePredicate Device
Device NameBRILLIANT EverGlow
Flow®BRILLIANT EverGlow®.
ManufacturerColtène/Whaledent AG,
SwitzerlandColtène/Whaledent AG,
Switzerland
510(k) #K152927
Product CodeEBFEBF
Regulation number
(21 CFR):872.3690872.3690
ClassIIII
Review PanelDentalDental
Physical StateViscous pasteViscous paste
StructurePolymer resin compositePolymer resin composite
SizesPrefilled syringes à 2 gPrefilled syringes à 3 g and tips
à 0.2 g
Main composition of
materialMethacrylatesMethacrylates
Dental glassDental glass
Amorphous silicaAmorphous silica
Zinc oxideZinc oxide
Technical DataRange of dimensions of
inorganicRange of dimensions of
inorganic
filler particles: 0.02-1.5 µmfiller particles: 0.02-1.5 µm
Inorganic filler content by
volume: 37 %Inorganic filler content by
volume: 56 %
Inorganic filler content by
weight: 60 %Inorganic filler content by
weight: 74 %
Indications for UseBRILLIANT EverGlow Flow
universal and translucentBRILLIANT EverGlow
universal shades Bleach (BL),
AttributesNew DevicePredicate Device
shades are suitable for:A1/B1, A2/B2, A3/D3,
A3,5/B3, C2/C3 and A4/C4
are indicated for:
- Direct class V fillings
(cervical caries, root
erosion, wedge-shaped
defects)- Direct filling of class I, II, III,
IV and V cavities
- Fillings in the anterior tooth
region (Class III and IV)- Luting and repairing of
ceramic and composite
restorations (e.g.
COMPONEERR)
BRILLIANT EverGlow
translucent shades
- Small fillings of all cavity
classes (not occlusion-bearing)Translucent (Trans) and
Bleach Translucent (BL
Trans) are
indicated for:
- Blocking out of undercuts- Shape and color corrections
to enhance the individual
esthetics
- Adhesive luting of indirect
composite and ceramic
restorations in as far as
accuracy of fit and light
permeability are given- Reconstruction of incisal
edges
- Repairs of direct and indirect
composite restorations- Luting and repairing of
ceramic and composite
restorations (e.g.
COMPONEERR)
BRILLIANT
- Preventive resin restorations
- Cavity lining
BRILLIANT EverGlow Flow
opaque shade is also suitable
for:
- Aesthetic corrections (e.g.
deviations in chroma)EverGlow opaque shades
Opaque Bleach (OBL),
Opaque A1 (OA1) and Opaque
A3
(OA3) are indicated for:
- Masking of dark areas- Aesthetic corrections (e.g.
chroma deviations)
- Masking of dark areas
- Forming of a dentin core
PackagingPrefilled syringesPrefilled syringes, tips
UsageSingle Patient, multiple useSingle Patient, multiple use
AttributesNew DevicePredicate Device
Application by increment
techniqueApplication by increment
technique
Sterilitynon-sterilenon-sterile
BiocompatibilityConforms with ISO 10993-
1:2018Conforms with ISO 10993-
1:2018
PerformanceConforms with ISO 4049:2009Conforms with ISO 4049:2009

Table 1: Comparison of overall device characteristics

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% COLTENE

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Image /page/8/Picture/0 description: The image shows the logo for COLTENE. The logo consists of a blue graphic on the left and the word "COLTENE" in black, bold letters on the right. The graphic is made up of six blue squares arranged in two rows of three, with the squares in the bottom row being slightly lighter in color than the squares in the top row.

Table 2: Comparison of main physical and mechanical properties of BRILLIANT EverGlow Flow® with BRILLIANT EverGlow

| Criteria | Subject Device:
BRILLIANT
EverGlow Flow | Predicate Device
BRILLIANT
EverGlow Flow | Unit |
|------------------------------------------------------------------------|-----------------------------------------------|------------------------------------------------|----------|
| Flexural strength | 96 | 117 | MPa |
| Compressive strength | 415 | 390 | MPa |
| Exposure time and Intensity for curing (for
photo-initiated resins) | 20s with 800
10s with 1600 | 20s with 800
10s with 1600 | mW/cm² |
| Inorganic filler content | 37 | 74 | Vol-% |
| Radio-opacity | 2.2 | 2.0 | mm of Al |
| Water sorption | 23 | 15 | μg/mm³ |
| Water Solubility | 2.0 | 0.7 | μg/mm³ |

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Image /page/9/Picture/0 description: The image shows the logo for COLTENE. The logo consists of a blue graphic on the left and the word "COLTENE" in black, bold letters on the right. The graphic is made up of six blue squares arranged in two rows of three, with the squares in the bottom row being slightly lighter in color than the squares in the top row.

Table 3: Chemical Composition of BRILLIANT EverGlow Flow and the predicate device BRILLIANT EverGlow

| Subject Device:
BRILLIANT EverGlow Flow | Predicate Device:
BRILLIANT EverGlow |
|--------------------------------------------|-----------------------------------------|
| Methacrylates | Methacrylates |
| Dental glass | Dental glass |
| Amorphous silica | Amorphous silica |
| Zinc oxide | Zinc oxide |
| Colorants and Additives | Colorants and Additives |
| Range of dimensions of inorganic | Range of dimensions of inorganic |
| filler particles: 0.02-1.5 µm | filler particles: 0.02-1.5 µm |
| Inorganic filler content | Inorganic filler content |
| by volume: 37 % | by volume: 56 % |
| Inorganic filler content | Inorganic filler content |
| by weight: 60 % | by weight: 74 % |
| Complies with ISO 4049 | Complies with ISO 4049 |

8. Non-Clinical Performance Data

As part of demonstrating substantial equivalence of BRILLIANT EverGlow Flow to the predicate device, Coltène/Whaledent extensive testing of the finished device was done in accordance with the applicable parts of the following voluntary standards, as well as to the company's own internal test protocol.

  • ISO 10993-1:2018 Biological evaluation of medical devices Part 1: Evaluation and testing 1. within a risk management process
    1. EN ISO 14971:2012 Medical devices Application of risk management to medical devices.
  • FDA General Guidance: 2016 Use of International Standard ISO 10993-1, "Biological 3. evaluation of medical devices - Part 1: Evaluation and testing within a risk management process
    1. ISO 7405:2018 Dentistry Evaluation of biocompatibility of medical devices used in dentistry

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Image /page/10/Picture/1 description: The image shows the logo for COLTENE. The logo consists of a series of blue squares on the left side, followed by the word "COLTENE" in bold, black letters. The blue squares are arranged in two rows of three, with each square slightly offset from the others.

The testing evaluated flexural strength, flexural modulus, compressive strength, and biocompatibility of the subject device, as well as other related physical properties. The subject device passed all required testing.

9. Statement of Substantial Equivalence

BRILLIANT EverGlow Flow has the same intended use, indications for use and similar physical attributes as BRILLIANT EverGlow. Any minor differences in the materials used to make the subject device when compared to the predicate device have been successfully evaluated by Coltène/Whaledent through extensive performance and biocompatibility testing on the device, such that the information submitted to the FDA demonstrates that the subject device is as safe and effective as the predicate device and does not raise any new questions of safety and effectiveness. BRILLIANT EverGlow Flow, as designed and manufactured by Coltène/Whaledent, has been determined to be substantially equivalent to BRILLIANT EverGlow.