K Number
K191836
Device Name
Ceramill A-Splint
Manufacturer
Date Cleared
2019-12-20

(164 days)

Product Code
Regulation Number
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Ceramill A-Splint is indicated for the fabrication of removable bite splints.
Device Description
Ceramill A-Splint are ready to use, polymethyl methacrylate (PMMA) based computer-aided design/computer-aided manufacturing (CAD-CAM) blanks, for milling splints. Ceramill A-Splint is available as a disk (round form) or as an arch-form (or "U"-shape).
More Information

Not Found

No
The summary describes a PMMA blank for milling splints and performance testing related to material properties, not AI/ML capabilities.

Yes
The device is described as "Ceramill A-Splint is indicated for the fabrication of removable bite splints." A bite splint is a therapeutic device used to treat various dental conditions.

No

The device is described as a material (PMMA blanks) used for fabricating removable bite splints, not for diagnosing conditions. Its performance studies focus on material properties and durability.

No

The device description explicitly states that Ceramill A-Splint are "ready to use, polymethyl methacrylate (PMMA) based computer-aided design/computer-aided manufacturing (CAD-CAM) blanks, for milling splints." This indicates a physical material (PMMA blanks) used in a manufacturing process, not a software-only device.

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

Here's why:

  • Intended Use: The intended use is for the fabrication of removable bite splints. This is a dental device used in the mouth for mechanical purposes (preventing teeth grinding, etc.).
  • Device Description: The device is a material (PMMA blanks) used for milling these dental splints.
  • Lack of Diagnostic Purpose: There is no mention of this device being used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. IVDs are typically used to test blood, urine, tissue, etc., to detect diseases, conditions, or measure substances.

The information provided clearly describes a dental material used for creating a physical dental appliance, not a diagnostic test.

N/A

Intended Use / Indications for Use

Ceramill A-Splint is indicated for the fabrication of removable bite splints.

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

MQC

Device Description

Ceramill A-Splint are ready to use, polymethyl methacrylate (PMMA) based computer-aided design/computer-aided manufacturing (CAD-CAM) blanks, for milling splints. Ceramill A-Splint is available as a disk (round form) or as an arch-form (or "U"-shape).

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

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)

To demonstrate safety and effectiveness of Ceramill A-Splint and to show substantial equivalence to the predicate device, Amann Girrbach AG completed the following non-clinical tests.

The Ceramill A-Splint passed the testing in accordance with internal requirements, national standards, and international standards shown below:

  • Biocompatibility assessment was conducted according to ISO 10993-1. Considering the chemically defined composition, the existing dental history with PMMA polymers and the inert material properties substantiated by highly sensitive chemical analysis, it was determined that no other biocompatibility testing than cytotoxicity testing was required. No cytotoxic effects were observed in presence of the test material extracts.
  • Bench performance testing conducted in conformity with ISO 20795-2:2013 met all of the requirements set forth in the standard for residual monomer testing, 3-point bending strength, water solubility, water absorption, flexural modulus, fracture toughness, polishability, and porosity.
  • Wearing testing based on an adapted Ivoclar method in a chewing simulator – the wearing period has been determined to be of a maximum of three years.
  • Shelf Life Testing – it was demonstrated that key characteristics do not degrade after four years of storage.

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.

K134015

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 shows 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 acronym along with the full name of the agency on the right. The FDA acronym is in a blue box, and the full name is in a sans-serif font.

December 20, 2019

Amann Girrbach AG % Rachel Paul Senior Consultant QA & RA Emergo Europe Consulting Prinsessegracht 20 The Hague, 2514AP N1

Re: K191836

Trade/Device Name: Ceramill A-Splint Regulatory Class: Unclassified Product Code: MQC Dated: October 28, 2019 Received: October 31, 2019

Dear Rachel Paul:

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 requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part

1

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 (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 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,

for Srinivas "Nandu" Nandkumar, Ph.D. 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) K191836

Device Name

Ceramill A-Splint

Indications for Use (Describe)

Ceramill A-Splint is indicated for the fabrication of removable bite splints.

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

510(k) K191836 Summary

Ceramill A-Splint

1. Submission Sponsor

Amann Girrbach AG

Herrschaftswiesen 1

6842 Koblach

AUSTRIA

Contact: Debora Engel

Title: Regulatory Affairs Manager

Email: Debora.engel@amanngirrbach.com

Office number: + 49 (7231) 957-260

2. Submission Correspondent

Emergo Europe Consulting

Prinsessegracht 20

The Hague, 2514 AP

THE NETHERLANDS

Office Phone: +31 (0) 70 345 8570 / Direct: +31 (0) 70 850 8249

Contact: Rachel Paul

Title: Senior Consultant, QA & RA

Email: LST.AUS.ProjectManagement@ul.com

Cell Phone : 00 6 89 83 16 09

  1. Date Prepared

28 October 2019

    1. Device Identification

4

Trade/Proprietary Name: Ceramill A-Splint Common/Usual Name: Occlusal splints Classification Name: Mouthguard, Prescription N/A - Unclassified Regulation Number: Product Code: MQC Device Class: N/A - Unclassified Classification Panel: Dental

5. Legally Marketed Predicate Device

K134015, M-PM-Disc (Clear), Merz Dental GmbH

6. Indication for Use Statement

Ceramill A-Splint is indicated for the fabrication of removable bite splints.

7. Device Description

Ceramill A-Splint are ready to use, polymethyl methacrylate (PMMA) based computer-aided design/computer-aided manufacturing (CAD-CAM) blanks, for milling splints. Ceramill A-Splint is available as a disk (round form) or as an arch-form (or "U"-shape).

8. Comparison of Technology

The following table compares the Ceramill A-Splint to the predicate device with respect to indications for use, principles of operation, technological characteristics, and performance testing. The comparison of the devices provides more detailed information regarding the basis for the determination of substantial equivalence. There are no differences in technology.

AttributeCeramill A-SplintM-PM-DiscComparison
ManufacturerAmann Girrbach AGMerz Dental GmbHN/A
510(k) NumberTo be determined (TBD)K134015N/A
Product CodeMQCMQCSame
Regulation
ReferenceUnclassifiedUnclassifiedSame
Indications for UseCeramill A-Splint is
indicated for theThe Merz Dental GmbH
M-PM-Disc (Clear) is
indicated for theSimilar; both devices are
indicated for the
production of removable
AttributeCeramill A-SplintM-PM-DiscComparison
fabrication of removable
bite splints.fabrication of removable
bite splints such as
mouthguards and
nightguards.bite splints. The
indications for use of
Ceramill A-Splint fall
within the intended use of
unclassified mouthguard
devices. Both devices are
for prescription only.
MaterialSolid
Polymethylmethacrylate
(PMMA)
No pigmentsSolid
Polymethylmethacrylate
(PMMA)
No pigmentsSame
Residual monomerLess than 1% residual
monomerLess than 1% residual
monomerSame; both devices meet
requirements from ISO
20795-2:2013 (100 MPa91.5 MPa - 96.6 MPaSimilar; the specifications
are in the same range.
This minor variance does
not introduce additional
safety or efficacy
concerns. Both devices
meet requirements from
ISO 20795-2:20131 (≥50).
Water solubility