K Number
K192022
Device Name
DiaTemp Flow
Date Cleared
2020-02-13

(199 days)

Product Code
Regulation Number
872.3770
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
- 1. Temporary inlay and onlay treatments of the cavity. - 2. Sealing of openings for implant screws. - 3. Relining material for temporary crowns and bridges. - 4. Covering of the gingival margin. - 5. Fixing of resin matrix during filling placement.
Device Description
DiaTemp Flow is a temporary fililng material that sets with curing light. In case that the cavity is not permanently restored, DiaTemp Flow can be used as a temporary restoration until the next appointment. DiaTemp Flow has four models and packaged with the syringe, disposable tip, protective cap.
More Information

Not Found

No
The device description and performance studies focus on the material properties and clinical use as a temporary filling material, with no mention of AI/ML or data processing.

Yes
The device is a temporary filling material used for temporary inlay/onlay treatments, sealing implant screw openings, relining temporary crowns/bridges, and covering the gingival margin, all of which are therapeutic interventions.

No
The device description and intended use indicate it is a temporary dental filling material for restorative purposes, not for diagnosing a condition.

No

The device description clearly states it is a "temporary filling material" and is "packaged with the syringe, disposable tip, protective cap," indicating it is a physical material and associated hardware, 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 temporary dental restorations and procedures performed directly on a patient's body (in the mouth). IVDs are used to examine specimens derived from the human body to provide information for diagnosis, monitoring, or compatibility testing.
  • Device Description: The description clearly states it's a "temporary filling material" used for "temporary restoration until the next appointment." This is a therapeutic/restorative function, not a diagnostic one.
  • Anatomical Site: The anatomical sites mentioned (cavity, implant screw openings, crowns/bridges, gingival margin) are all locations within the mouth where a dental procedure is performed.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples, providing diagnostic information, or any of the typical characteristics of an IVD.

Therefore, DiaTemp Flow is a dental device used for temporary restorative purposes, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

    1. Temporary inlay and onlay treatments of the cavity.
    1. Sealing of openings for implant screws.
    1. Relining material for temporary crowns and bridges.
    1. Covering of the gingival margin.
    1. Fixing of resin matrix during filling placement.

Product codes

EBG

Device Description

DiaTemp Flow is a temporary fililng material that sets with curing light. In case that the cavity is not permanently restored, DiaTemp Flow can be used as a temporary restoration until the next appointment. DiaTemp Flow has four models and packaged with the syringe, disposable tip, protective cap.

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

Prescription Use (Part 21 CFR 801 Subpart D)
Prescription/Hospital

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

No clinical data was collected or provided to support substantial equivalence between the subject and predicate device.
This device has demonstrated conformance with non-clinical performance requirements through evaluation and testing in accordance with the following harmonized standards:

  • ISO 4049:2009, Dentistry Polymer-based restorative materials
  • ISO 7405:2009, Dentistry Evaluation of biocompatibility of medical devices used in dentistry
  • ISO 10993-1:2009, Evaluation and testing within a risk management process
  • ISO 10993-2:2006, Animal welfare requirements
  • ISO 10993-3:2014, Tests for genotoxicity, carcinogenicity and reproductive toxicity
  • ISO 10993-5:2009, Tests for in vitro cytotoxicity
  • ISO 10993-6:2016, Tests for local effects after implantation
  • ISO 10993-10:2010, Tests for irritation and skin sensitization
  • ISO 10993-11:2017, Tests for systemic toxicity
  • ISO 10993-12:2012, Sample preparation and reference materials

Key Results: The main ingredients are similar. Also, biocompatibility and performance tests demonstrate that DiaTemp Flow and the predicate device are substantially equivalent.

Key Metrics

Not Found

Predicate Device(s)

K153493

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.3770 Temporary crown and bridge resin.

(a)
Identification. A temporary crown and bridge resin is a device composed of a material, such as polymethylmethacrylate, intended to make a temporary prosthesis, such as a crown or bridge, for use until a permanent restoration is fabricated.(b)
Classification. Class II.

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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 blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

February 13, 2020

Diadent Group International Kab Lee Quality Assurance Manager 16, Osongsaengmyeong 4-ro, Osong-eup, Heungdeok-gu Cheongju-si, 28161 KOREA

Re: K192022

Trade/Device Name: DiaTemp Flow Regulation Number: 21 CFR 872.3770 Regulation Name: Temporary Crown And Bridge Resin Regulatory Class: Class II Product Code: EBG Dated: October 1, 2020 Received: October 1, 2020

Dear Kab Lee:

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

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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) 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,

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) K192022

Device Name DiaTemp Flow

Indications for Use (Describe)

    1. Temporary inlay and onlay treatments of the cavity.
    1. Sealing of openings for implant screws.
    1. Relining material for temporary crowns and bridges.
    1. Covering of the gingival margin.
    1. Fixing of resin matrix during filling placement.
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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5.0 510(k) Summary

5.1 Application Information

Date PreparedFebruary 11, 2020
Company Name and
AddressDiaDent Group International
16, Osongsaengmyeong 4-ro, Osong-eup, Heungdeok-gu, Cheongju-
si, Chungcheongbuk-do, 28161, Republic of Korea
Contact PersonKab Sun Lee
Quality Assurance Manager
Phone: +82-43-266-2315
FAX: +82-43-235-2315
Email: diadent32@diadent.co.kr

5.2 Device Information

Device TypeCrown And Bridge, Temporary, Resin
Regulation DescriptionTemporary crown and bridge resin.
Review PanelDental
Regulation Number21 CFR 872.3770
Product CodeEBG
Device ClassII
Device NameDiaTemp Flow

5.3 Predicate Devices

The legally marketed device to which substantial equivalence is being claimed is:

510(k) NumberK153493
ApplicantVOCO GmbH
Device NameClip Flow
Regulation Number21 CFR 872.3690
Product CodeEBF
Device ClassII

5.4 Device Description

DiaTemp Flow is a temporary fililng material that sets with curing light. In case that the cavity is not permanently restored, DiaTemp Flow can be used as a temporary restoration until the next appointment. DiaTemp Flow has four models and packaged with the syringe, disposable tip, protective cap.

Model NameColorWeight
DiaTemp Flow Yellow 1.8gYellow1.8g
DiaTemp Flow Blue 1.8gBlue1.8g
DiaTemp Flow Yellow Intro kit 0.5gYellow0.5g
DiaTemp Flow Blue Intro kit 0.5gBlue0.5g

5.5 Indication for Use

    1. Temporary inlay and onlay treatments of the cavity.
    1. Sealing of openings for implant screws.
    1. Relining material for temporary crowns and bridges.
    1. Covering of the gingival margin.
    1. Fixing of resin matrix during filling placement.

4

Product Name: DiaTemp Flow

5.6 Clinical Performance Data

No clinical data was collected or provided to support substantial equivalence between the subject and predicate device.

5.7 Non-Clinical Performance Data

This device has demonstrated conformance with non-clinical performance requirements through evaluation and testing in accordance with the following harmonized standards:

  • ISO 4049:2009, Dentistry Polymer-based restorative materials
  • ISO 7405:2009, Dentistry Evaluation of biocompatibility of medical devices used in dentistry
  • ISO 10993-1:2009, Evaluation and testing within a risk management process
  • ISO 10993-2:2006, Animal welfare requirements
  • ... ISO 10993-3:2014, Tests for genotoxicity, carcinogenicity and reproductive toxicity
  • ISO 10993-5:2009, Tests for in vitro cytotoxicity
  • ISO 10993-6:2016, Tests for local effects after implantation
  • ISO 10993-10:2010, Tests for irritation and skin sensitization
  • ISO 10993-11:2017, Tests for systemic toxicity ●
  • ISO 10993-12:2012, Sample preparation and reference materials

5.8 Technological Characteristics

The technological comparison of the subject device to the predicate device is as follows.

Subject DevicePrimary Predicate DeviceDiscuss
510(k) NumberK153493
Product codeEBGEBF
ApplicantDiaDent
Group
InternationalVOCO GmBH
Device NameDiaTemp FlowClip Flow
Indications for
Use1. Temporary inlay and
onlay treatments of the
cavity.
  1. Sealing of openings for
    implant screws.
  2. Relining material for
    temporary crowns and
    bridges.
  3. Covering of the gingival
    margin.
  4. Fixing of resin matrix
    during filling placement. | 1. Temporary inlay and
    onlay treatments of the
    cavity.
  5. Sealing of openings for
    implant screws.
  6. Relining material for
    temporary crowns and
    bridges.
  7. Block-out material for
    retentive areas in the
    dental arch, e.g. before
    taking impressions.
  8. Covering of the gingival
    margin.
  9. Fixing of resin matrix
    during filling placement. | Equivalent |
    | Description | DiaTemp Flow is a
    temporary filling
    material that sets with
    curing light.
    In case the cavity is not
    permanently
    restored, DiaTemp Flow
    can be used
    as a temporary restoration
    until the
    next appointment. | Clip Flow is a flowable,
    light-curing material for
    temporary fillings,
    sealings and treatments.
    Thanks to its elastic
    consistency, the material
    is easily removable, also
    in case of undercuts.
    Therefore, post-treatment
    of the cavity is not
    necessary. | Equivalent |

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DiaDent Group International

Product Name: DiaTemp Flow

Package·Syringe•SyringeEquivalent
Contents•Disposable Tip•Disposable Tip
·Protective Cap
CompositionВНТ
Camphorquinone
Ethyl 4-
(N,Ndimethylamino)benzoВНТ
2-hydroxyethyl metha-
crylate
Urethane MethacrylateThe main ingredients are
similar. Also,
biocompatibility and
performance tests
atePyrogenic silicic acidsdemonstrate that
silica amorphous,fumedcatalystDiaTemp Flow and the
predicate device are
substantially equivalent.
Performance
StandardISO4049ISO4049Equivalent
Conformance
Physical
and
Mechanical
Properties-Sensitivity to ambient
light
-Depth of cure
-Shade & Colour stability
-Water sorption &
solubility-Sensitivity to ambient
light
-Depth of cureEquivalent
Period of UseProlonged exposure(B)
(exceed 24 hours but not
30 days)Prolonged exposure(B)
(exceed 24 hours but not
30 days)Equivalent
Bio-
compatibilityBiocompatibleBiocompatibleEquivalent
UsePrescription/HospitalPrescription/HospitalEquivalent
StandardsISO7405ISO7405Equivalent

There are similarities between the subject device and predicate device.

The indications for use of the subject device and predicate device is above the comparison table. Also, the subject device has similar physical properties to the predicate device.

Physical characteristicsSubject DevicePredicate Device
Sensitivity to ambient lighthomogeneoushomogeneous
Depth of cureMore than 1.5mmLight-cure with a polymerisation
light (minimum 500 mW/cm) a film
thickness up to 1 mm for 10s, (e.g.
in case of covering the gingival
margin), a thickness up to 5 mm for
20 s and more than 5mm for 40s.

However, the composition of the subject device is slightly different from the predicate device. However, the main ingredients are similar. Also, the biocompatibility and performance tests were confirmed.

5.9 Conclusions

Based on the above information and all data provided in this submission, the subject device is substantially equivalent to the legally marketed devices identified in this submission.