K Number
K192392
Device Name
DiaPlus
Date Cleared
2020-05-26

(266 days)

Product Code
Regulation Number
872.3200
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
As a dentine/enamel total etching bonding system for direct adhesion, it is used in the adhesion of all direct restoration substances. - Bonding of direct composite - Bonding to composite and set amalgam - Bonding of indirect restoration-Porcelain, Composite (Inlays, Onlays, Veneers, Crowns)
Device Description
DiaPlus is a photopolymerization type dentine and enamel adhesive as a 5th generation dentine adhesion system that can be applied to all types of composite resin restorations.
More Information

Not Found

No
The document describes a dental adhesive and its performance characteristics, with no mention of AI or ML technology.

No
The device is a bonding system used for dental restorations, not a device intended for treating or alleviating a disease or condition. Its purpose is to adhere dental materials.

No

This device is described as a dentine/enamel total etching bonding system for direct adhesion, used for bonding in direct and indirect restorations. Its purpose is to adhere restorative materials, not to diagnose medical conditions or diseases.

No

The device description clearly states it is a "photopolymerization type dentine and enamel adhesive," indicating it is a physical substance, not software. The performance studies also focus on physical properties like film thickness, depth of cure, and bond strength.

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

Here's why:

  • Intended Use: The intended use clearly states it's a "dentine/enamel total etching bonding system for direct adhesion" used in the adhesion of various dental restoration substances. This is a direct application to the patient's tissues (dentine and enamel) for therapeutic or restorative purposes.
  • Device Description: The description reinforces its function as a "photopolymerization type dentine and enamel adhesive."
  • Lack of In Vitro Activity: There is no mention of the device being used to examine specimens derived from the human body in vitro (outside the body) to provide information for diagnosis, monitoring, or screening.

IVD devices are used to test samples like blood, urine, tissue, etc., to gain information about a person's health status. This device is applied directly to the patient's teeth.

N/A

Intended Use / Indications for Use

As a dentine/enamel total etching bonding system for direct adhesion, it is used in the adhesion of all direct restoration substances.

  • Bonding of direct composite
  • Bonding to composite and set amalgam
  • Bonding of indirect restoration-Porcelain, Composite (Inlays, Onlays, Veneers, Crowns)

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

KLE

Device Description

DiaPlus is a photopolymerization type dentine and enamel adhesive as a 5th generation dentine adhesion system that can be applied to all types of composite resin restorations.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

dentine/enamel

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)

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

  • -ISO 4049 Dentistry -- Polymer-based restorative materials
  • Dentistry Evaluation Of Biocompatibility Of Medical Devices Used In Dentistry -ISO 7405 [Including: Amendment 1 (2013)]
  • -ISO 29022 Dentistry - Adhesive - Notched-edge sheer bond strength test
  • -ISO/TS 11405 Dentistry - Testing of adhesion to tooth structure
  • -ISO 10993-1 Biological evaluation of medical devices - Part 1:Evaluation and testing within a risk management process
  • -ISO 10993-3 Biological evaluation of medical devices - Part 1:Evaluation and testing within a risk management process
  • -ISO 10993-5 Biological evaluation of medical devices - Part 5. Tests for in vitro Cytotoxicity
  • -ISO 10993-10 Biological Evaluation Of Medical Devices - Part 10: Tests For Irritation And Skin Sensitization
  • -ISO 10993-11 Biological Evaluation Of Medical Devices - Part 11: Tests For Systemic Toxicity

The following Performance tests were conducted.

  • -Film Thickness
  • -Depth of cure
  • -Sensitivity to ambient light
  • -Bond strength (Enamel/Dentin)
  • -Bond strength (Metal/Veneer)
  • -Dentinal tubule occluding property
  • = Biocompatibility test

Biocompatibility test results:

  • Cytotoxicity Study: Pass (Standard: 10993-5 – Biological Evaluation of Medical Devices – Part 5: Tests for In Vitro Cytotoxicity)
  • Sensitization Test: Pass (Standard: 10993-10 – Biological Evaluation of Medical Devices – Part 10: Tests for Irritation and Skin Sensitization)
  • Oral Mucosa Irritation Test: Pass (Standard: 10993-10 – Biological Evaluation of Medical Devices – Part 10: Tests for Irritation and Skin Sensitization)
  • Acute Systemic Toxicity: Pass (Standard: 10993-11 – Biological Evaluation of Medical Devices – Part 11: Tests for Systemic Toxicity)

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.

K043562

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

§ 872.3200 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.

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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 part of the logo is in blue, with the acronym in a square and the full name written out to the right of the square.

May 26, 2020

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

Re: K192392

Trade/Device Name: DiaPlus Regulation Number: 21 CFR 872.3200 Regulation Name: Resin Tooth Bonding Agent Regulatory Class: Class II Product Code: KLE Dated: February 21, 2020 Received: February 27, 2020

Dear Kab Sun 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

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,

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

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known) K192392

Device Name DIAPLUS

Indications for Use (Describe)

As a dentine/enamel total etching bonding system for direct adhesion, it is used in the adhesion of all direct restoration substances.

  • Bonding of direct composite

  • Bonding to composite and set amalgam

  • Bonding of indirect restoration-Porcelain, Composite (Inlays, Onlays, Veneers, Crowns)

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)

Form Approved: OMB No. 0910-0120

Expiration Date: 06/30/2020

See PRA Statement below.

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3

K192392

DIADENT GROUP INTERNATIONAL

510(k) Summary

1 Application Information

Date Prepared: May 25 2020

Manufacturer:

DiaDent Group International

16, Osongsaengmyeong 4-ro, Osong-eup,

Heungdeok-gu, Cheongju-si,

Chungcheongbuk-do, 28161,

Republic of Korea

Contact Person: Kab Sun, Lee

Quality Assurance Manager

Phone: +82-43-266-2315

Fax: +82-43-235-2315

Email: diadent32@diadent.co.kr

2 Device Information

Device Type:Agent, Tooth Bonding, Resin
Regulation Description:Resin tooth bonding agent.
Review Panel:Dental
Regulation Number:21 CFR 872.3200
Product Code:KLE
510(k) NumberK192392
Device Class:II
Device Name:DIAPLUS

3 Predicate Devices

510(k) Number:K043562 (Primary Predicate
Applicant:VERICOM Co., Ltd.
Device Name:BC Plus
Regulation Number:872.3200
Product Code:KLE
Device Class:Class II

4 Products configuration

DiaPlus : 1 bottle (5ml)

4

K192392

DIADENT GROUP INTERNATIONAL

5 Device Description

DiaPlus is a photopolymerization type dentine and enamel adhesive as a 5th generation dentine adhesion system that can be applied to all types of composite resin restorations.

6 Indications for Use

As a dentine/enamel total etching bonding system for direct adhesion, It is used in the adhesion of all direct restoration substances.

  • Bonding of direct composite
  • Bonding to composite and set amalgam
  • Bonding of indirect restoration-Porcelain, Composite (Inlays, Onlays, Veneers, Crowns)

7 Substantial Equivalence discussion

Subject DevicePrimary predicate DeviceDiscuss
Product nameDiaPlusBC Plus
ManufacturerDiaDent Group InternationalVERICOM Co., Ltd.
510K NumberK192392K043562
Product CodeKLEKLE
Device
DescriptionDiaPlus is a photopolymerization type
dentine and enamel adhesive as a 5th
generation dentine adhesion system that can
be applied to all types of composite resin
restorations.BC Plus is a single component bonding
agent designed to bond composite to dentin,
enamel, cast metals, treated porcelain and
set amalgam. BC Plus is an ethanol based
formulation of light-activated, adhesive
resin.
Indications for
UseAs a dentine/enamel total etching bonding
system for direct adhesion, it is used in the
adhesion of all direct restoration substances.
  • Bonding of direct composite
  • Bonding to composite and set amalgam
  • Bonding of indirect restoration-Porcelain,
    Composite (Inlays, Onlays, Veneers,
    Crowns) | BC Plus is a light curing single component
    bonding agent use in restorative adhesive
    dentistry specifically developed for bonding
    resin-based filling materials (e.g. composite,
    compomers) to hard dental tissues. Other
    indications include bonding of amalgam and
    laboratory-produced restorations. BC Plus
    permits priming and bonding to be carried
    out in single step | |
    | Chemical
    Composition | - Ethanol
  • UDMA (Urethane Dimethacrylate)
  • BisGMA (bisphenolA-glycidyl methacrylate)
    -TEGDMA (Triethylene glycol
    dimethacrylate)
  • HEMA succinate
  • Champhor quinone | - Ethanol
  • BisGMA (bisphenolA-glycidyl
    methacrylate)
  • HEMA ((Hydroxyethyl)methacrylate)
  • Champhor quinone | |

5

K192392

DIADENT GROUP INTERNATIONAL

| Principle of

operationLight curedLight curedequivalent
Physical and
Mechanical
propertiesConformed in accordance with ISO 4049
-Bonding strength
-Depth of cure
-Sensitivity to ambient lightConformed in accordance with ISO 4049
Bonding strength
Depth of cureequivalent
Bonding
Agent Type5th generation bonding agent
(Primer & Adhesive combined in one bottle)5th generation bonding agent
(Primer & Adhesive combined in one bottle)equivalent
Biocompati
bilityYes
ISO 10993-1 :2009Yes
ISO 10993-1 :2009equivalent
RX Only/
OTCRX OnlyRX Onlyequivalent

Indication for use -

Subject device (DiaPlus)Primary Predicate Device (BCPlus)
DescriptionDiaPlus is a photopolymerization type dentine and
enamel adhesive as a 5th generation dentine
adhesion system that can be applied to all types of
composite resin restorations.BC Plus is a single component bonding agent
designed to bond composite to dentin, enamel, cast
metals, treated porcelain and set amalgam. BC Plus
is an ethanol based formulation of light-activated,
adhesive resin.
Indication For UseAs a dentine/enamel total etching bonding system for
direct adhesion, it is used in the adhesion of all direct
restoration substances.
  • Bonding of direct composite
  • Bonding to composite and set amalgam
  • Bonding of indirect restoration-Porcelain,
    Composite (Inlays, Onlays, Veneers, Crowns) | BC Plus is a light curing single component bonding
    agent use in restorative adhesive dentistry
    specifically developed for bonding resin-based filling
    materials (e.g. composite, compomers) to hard
    dental tissues. Other indications include bonding of
    amalgam and laboratory-produced restorations. BC
    Plus permits priming and bonding to be carried out in
    single step. |

Discussion:

DiaPlus and BCPlus are photopolymerization type dentine and enamel adhesive using light curing.

The indication for Use of both devices are direct composite and indirect restoration!t seems that the indication of use are similar.

6

. Raw material

Subject device (DiaPlus)Primary Predicate Device (BCPlus)
- Ethyl alcohol- Ethyl alcohol
- UDMA (Urethane Dimethacrylate)
- BisGMA (bisphenolA-glycidyl methacrylate)- BisGMA (bisphenolA-glycidyl methacrylate)
-TEGDMA (Triethylene glycol
dimethacrylate)-HEMA((Hydroxyethyl)methacrylate)
- HEMA succinate- Champhor quinone
- Champhor quinone

Discussion :

The predicate device is composed of Solvent, resin, primer, Photoinitiator for light curing as does the subject device. Results of bench and biocompatibility testing completed in alignment with ISO 4049 and ISO 10993-1, respectively demonstrate that any material differences between the subject device and predicate device do not raise any new questions as to safety and effectiveness. Therefore, it is concluded that DiaPlus is substantially equivalent to the predicate device.

8 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 Dentistry -- Polymer-based restorative materials
  • Dentistry Evaluation Of Biocompatibility Of Medical Devices Used In Dentistry -ISO 7405 [Including: Amendment 1 (2013)]
  • -ISO 29022 Dentistry - Adhesive - Notched-edge sheer bond strength test
  • -ISO/TS 11405 Dentistry - Testing of adhesion to tooth structure
  • -ISO 10993-1 Biological evaluation of medical devices - Part 1:Evaluation and testing within a risk management process
  • -ISO 10993-3 Biological evaluation of medical devices - Part 1:Evaluation and testing within a risk management process
  • -ISO 10993-5 Biological evaluation of medical devices - Part 5. Tests for in vitro Cytotoxicity
  • -ISO 10993-10 Biological Evaluation Of Medical Devices - Part 10: Tests For Irritation And Skin Sensitization
  • -ISO 10993-11 Biological Evaluation Of Medical Devices - Part 11: Tests For Systemic Toxicity

7

DIADENT GROUP INTERNATIONAL

The following Performance tests were conducted.

  • -Film Thickness
  • -Depth of cure
  • -Sensitivity to ambient light
  • -Bond strength (Enamel/Dentin)
  • -Bond strength (Metal/Veneer)
  • -Dentinal tubule occluding property
  • = Biocompatibility test

Biocompatibility test:

TestStandardTest result
Cytotoxicity Study•10993-5 – Biological Evaluation of Medical Devices –
Part 5: Tests for In Vitro CytotoxicityPass
Sensitization Test•10993-10 – Biological Evaluation of Medical Devices –
Part 10: Tests for Irritation and Skin SensitizationPass
Oral Mucosa
Irritation Test•10993-10 – Biological Evaluation of Medical Devices –
Part 10: Tests for Irritation and Skin SensitizationPass
Acute Systemic
Toxicity•10993-11 – Biological Evaluation of Medical Devices –
Part 11: Tests for Systemic ToxicityPass

9 Clinical Performance Data

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

10 Conclusions

Based on the above information and all data provided in this submission, the comparison of intended uses, technological characteristics, and non-clinical performance testing demonstrates that the subject device is substantially equivalent to the legally marketed devices identified in this submission.