K Number
K192510
Device Name
DIAFIL & DIAFIL Capsule
Date Cleared
2020-03-20

(190 days)

Product Code
Regulation Number
872.3690
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
A composite material which has resin organic and inorganic fillers as ingredients, which are being used for aesthetic restoration by getting polymerized directly in the oral cavity. - Direct anterior and posterior restorations
Device Description
The product belongs to Group 1, Class 2 of Type 1 according to the standard classification of ISO 4049. It is a nano hybrid typed light-curved complex resin for aesthetic restoration for both anterior and posterior parts, which is used for restoration that requires aesthetics through decay and damage in a form of paste with unpolymerized dimethacrylate monomer, inorganic filler, and photoinitiators mixed. That is, after recovering with the unpolymerized product, to make a hard restoration by polymerizing through dental visible-ray polymerizer.
More Information

Not Found

No
The device description and performance studies focus on the physical and chemical properties of a dental composite resin, with no mention of AI or ML capabilities.

No.
The device is a restorative material used for aesthetic dental restorations, not a device that treats or prevents a disease or condition.

No

The device is a composite material used for aesthetic dental restorations, not for diagnosing medical conditions. It is a treatment material, not a diagnostic tool.

No

The device description clearly states it is a composite material (resin, organic and inorganic fillers) used for aesthetic restoration, which is a physical substance, not software.

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

Here's why:

  • Intended Use: The intended use is for "aesthetic restoration by getting polymerized directly in the oral cavity" for "Direct anterior and posterior restorations." This describes a material used to physically repair or restore a part of the body (teeth), not to diagnose a condition or analyze a sample taken from the body.
  • Device Description: The description details a "nano hybrid typed light-curved complex resin" that is applied as a paste and then hardened in the oral cavity. This is consistent with a dental restorative material, not a diagnostic test.
  • Lack of Diagnostic Elements: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting biomarkers, or providing information for diagnosis.
  • Performance Studies: The performance studies focus on physical properties (depth of cure, flexural strength, water sorption, solubility, color, radio-opacity) and biocompatibility, which are relevant to a restorative material's function and safety within the body. There are no studies related to diagnostic accuracy (sensitivity, specificity, etc. in a diagnostic context).

In summary, the device is a dental restorative material used for physical repair within the oral cavity, which falls under the category of a medical device, but not specifically an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

A composite material which has resin organic and inorganic fillers as ingredients, which are being used for aesthetic restoration by getting polymerized directly in the oral cavity.

  • Direct anterior and posterior restorations

Product codes

EBF

Device Description

The product belongs to Group 1, Class 2 of Type 1 according to the standard classification of ISO 4049. It is a nano hybrid typed light-curved complex resin for aesthetic restoration for both anterior and posterior parts, which is used for restoration that requires aesthetics through decay and damage in a form of paste with unpolymerized dimethacrylate monomer, inorganic filler, and photoinitiators mixed. That is, after recovering with the unpolymerized product, to make a hard restoration by polymerizing through dental visible-ray polymerizer.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

oral cavity, anterior, and posterior parts (teeth)

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)

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
-ISO 7405: Dentistry - Evaluation Of Biocompatibility Of Medical Devices Used In Dentistry [Including: Amendment 1 (2013)]
-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 3: Tests for genotoxicity, Carcinogenicity and reproductive toxicity
-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

Performance tests conducted (Physical properties - ISO 4049:2009):

  • Depth of cure (Opaque: 2.8 mm min value; Non opaque: 2.4 mm min value) - Pass
  • Sensitivity of ambient light (No change in consistency) - Pass
  • Flexural strength (92.6 Mpa min value) - Pass
  • Water sorption (5.7 µg/mm³ max value) - Pass
  • Solubility (0.7 µg / mm³ max value) - Pass
  • Color (matched closely with the manufacturer's shade guide) - Pass
  • Color stability (no color change) - Pass
  • Radio-opacity (Not less than 3 mm of aluminum) - Pass

Biocompatibility tests conducted:

  • Cytotoxicity: ISO 10993-5
  • Oral mucosa irritation: ISO 10993-10
  • Skin sensitization (LLNA): ISO 10993-10
  • Acute Systemic Toxicity: ISO 10993-11
  • Genetoxicity: Bacterial Reverse Mutation: ISO 10993-3
  • Genetoxicity: Micronucleus test: ISO 10993-3

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K042124

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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 shows 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 in blue. Underneath the FDA logo is the word "ADMINISTRATION".

March 20, 2020

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

Re: K192510

Trade/Device Name: DIAFIL & DIAFIL Capsule Regulation Number: 21 CFR 872.3690 Regulation Name: Tooth Shade Resin Material Regulatory Class: Class II Product Code: EBF Dated: February 14, 2020 Received: February 20, 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 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 medical devices and radiation-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

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

510(k) Number (if known) K192510

Device Name DIAFIL & DIAFIL Capsule

Indications for Use (Describe)

A composite material which has resin organic and inorganic fillers as ingredients, which are being used for aesthetic restoration by getting polymerized directly in the oral cavity.

  • Direct anterior and posterior restorations
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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DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.
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3

K192510 Diadent Group International

510(k) Summary

1.Application Information

Date Prepared:March 20, 2020
Company Name and
Address: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

Trade NameDIAFIL & DIAFIL Capsule
Device Type:Tooth shade resin material
Regulation Description:Material, Tooth Shade, Resin
Review Panel:Dental
Regulation Number:21 CFR 872.3690
Product Code:EBF
Device Class:II

3.Predicate Devices

The legally marketed devices to which substantial equivalence is being claimed are:

Primary Predicate Device
510(k) Number:K042124
Applicant:Vericom
Device Name:DenFil
Regulation Number:21 CFR 872.3690
Product Code:EBF
Device Class:II

4.Products configuration

The subject device is packaged with the following:

Package typeComponents
Refill Package1 Syringe of product (4g)
Intro Kit1 Syringe of Product (1g)
Capsule1 Bottle (20capsules)

4

5.Device Description

The product belongs to Group 1, Class 2 of Type 1 according to the standard classification of ISO 4049. It is a nano hybrid typed light-curved complex resin for aesthetic restoration for both anterior and posterior parts, which is used for restoration that requires aesthetics through decay and damage in a form of paste with unpolymerized dimethacrylate monomer, inorganic filler, and photoinitiators mixed. That is, after recovering with the unpolymerized product, to make a hard restoration by polymerizing through dental visible-ray polymerizer.

6.Indications for Use

A composite material which has resin organic and inorganic fillers or complex fillers as ingredients, which are being used for aesthetic restoration by getting polymerized directly in the oral cavity. - Direct anterior and posterior restorations

7.Comparison with Predicate Device

7.1 Comparison Table

This device compares to the legally marketed devices as follows:

Subject DevicePrimary Predicate DeviceImage
DIAFIL & DIAFIL CapsuleDENFILComposition- Bis-GMA
  • TEGDMA
  • UDMA
  • Barium-alumino-silicate
  • Silica
  • Pigments | - Bis-GMA
  • TEGDMA
  • UDMA
  • Bis-EMA
  • Barium-alumino-silicate
  • Silica
    -Additives |
    | | Diadent Group International | Vericom.Co., Ltd | Method of
    use | 1) Select the shade
    Separate the area to be treated using
    rubber dam, etc. Wash the area. Select
    the appropriate shade. | 1. Shade selection
    Clean teeth with pumice and water to remove
    surface stains or extraneous plaque. Teeth
    are not monochromatic. Consider shade
    and restoration depth. It is desirable to
    choose the shade after mocking up.
    Alternatively, Vita'Lumin® Vacuum shade
    guide may be used. Using of rubber dam is
    recommended for isolation. |
    | 510(k)
    Number | K192510 | K042124 | | 2) Treat the decayed parts
    Remove amalgams or bases and
    foreign substances at the area to be
    treated that can be disturbing during the
    treatment | 2. Cavity preparation
  • Anterior restoration
    Using the conventional acid etching, prepare
    cavity for all Class III, Class IV, and Class V
    restoration.
  • Posterior restoration
    Prepare the cavity. No residual amalgam or
    other base material should be left on the
    internal surfaces of preparation that would
    interfere with light transmission and the
    hardening of the restorative material. |
    | Description | The product belongs to Group 1, Class 2
    of Type 1 according to the standard
    classification of ISO 4049. It is a nano
    hybrid typed light-curved complex resin
    for aesthetic restoration for both anterior
    and posterior parts, which is used for
    restoration that requires aesthetics
    through decay and damage in a form of
    paste with unpolymerized dimethacrylate
    monomer, inorganic filler, and
    photoinitiators mixed. That is, after
    recovering with the unpolymerized
    product, to make a hard restoration by
    polymerizing through dental visible-ray
    polymerizer. | DenFil™ is light-cured restorative hybrid
    composite resin and accessories for use in
    both posterior and anterior restoration.. | | 3) Pulp protection
    When the decayed part is deep, the
    pulp can be exposed. Therefore,
    according to the indicant, cap the pulp
    with calcium hydroxide and glass
    ionomer. | 3. Pulp Protection
    In deep cavities cover the dentin close to the
    pulp with a minimum amount of calcium
    hydroxide liner leaving the rest of cavity
    surface free for bonding. Glass ionomer or
    other eugenol-free base materials may be
    used, if wished.
  1. Placement of matrix
    Use a matrix system, preferably a transparent
    one, with proper
    wedging for proximal contracts. Pre-wedging
    is advocated to
    achieve slight separation and facilitate
    optimal proximal contact. |
    | Indication for
    Use | A composite material which has resin
    organic and inorganic fillers or complex
    fillers as ingredients, which are being
    used for aesthetic restoration by getting
    polymerized directly in the oral cavity.
  • Direct anterior and posterior
    restorations | DenFil™ is indicated for the following
    restorative applications;
  1. Class I, II, V restorations of posterior teeth
  2. Class III, IV, V restorations of anterior teeth
  3. Cervical cavities or defects involving root
    surfaces | | | |

5

Diadent Group International

6

Diadent Group International

| | 4) Treatment of the enamel and the
dentine
For the pretreatment, according to
the method of use of the products in use,
operate acid etching and application of
adhesive system in order. | 5. Enamel and dentin treatment
Follow the manufacturer's instructions
regarding etching, priming,
adhesive application and curing. It is
recommended to use
DenFil™ Etchant-37 and BC Plus™ or U-
Bond™ |
|----------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | 5) Application
-Open up the lid, take an adequate
amount of the product out, and fill the
resin at the area to be treated.
Make sure to close the lid after use to
prevent exposure to the light. | 6. Dispensing the composite

  • Syringe
    Dispense the necessary amount of
    restorative material from the
    syringe onto the mixing pad by turning the
    handle slowly in a
    clockwise manner.
    A Universal Nano-hybrid Composite
    Immediately replace syringe cap. If not used
    immediately, the
    dispensed material should be protected from
    light. Place
    restorative material into the cavity using
    instrument contained. |
    | | (For the capsule type, you can directly
    restore the cavity using the dispenser. It
    is disposal tip - dispose of it after use.) | - Single dose capsule
    Insert capsule into dispenser and rotate to
    gain the proper angle
    of entrance into cavity. Extrude restorative
    directly into cavity,
    using a slow and steady pressure.
  1. Placement
    Place and light cure restorative in increments
    in 2.5mm levels or
    less. For permitting extension of composite
    beyond cavity margins,
    overfill the cavity slightly. Avoid intense light
    in the working field. |
    | | 6) Curing
    Place a light projector as close as
    possible with the surface of the product
    filled and project the light for 20 seconds
    vertically. (Usage recommendation: D-
    Lux)
    (Increase the amount of projection when
    the projecting strength is below
    400mW/cm2. If it is 400mW/cm2 or
    higher, reduce the amount of projection.) | 8. Curing
    Expose each area of restoration surface to a
    visible light source
    (400mW/cm²). Hold the light guide tip as close
    to the restorative
    materials as possible during light exposure.
    The recommended
    exposure time and maximum increment
    thickness for each shade is
    shown below. |
    | | 7) Finishing up
    After restoring with the resin, remove the
    remaining resin with a flame-shaped
    finishing bur and complete the shape.
    Finish up the final grinding using a rubber
    polishing point and aluminium oxide
    polishing paste. | 9. Finishing
    Immediately after curing contour restoration
    surfaces with fine
    finishing bur or stone. Carefully adjust
    occlusion by removing
    material with a fine polishing bur or stone. |
    | Light curing
    time | 20 seconds
    (If light curing unit output is below
    400mW/cm2, as measured by a
    curing radiometer, more time may be
    needed.)
    A1, A2, A3, A3.5, B1, B2, C1 20sec
    A2O, A3O, BL 30sec | 20 seconds
    (If light curing unit output is below
    400mW/cm2, as measured by a curing
    radiometer, more time may be needed.) |

7

Diadent Group International

Human factorReady to use dispending systemReady to use dispending system
Shelf life3 years2 years
Period of UseLong term(> 30 days)Long term(> 30 days)
Biocompatibil
ityBiocompatible, conforming to ISO
10993Biocompatible, conforming to ISO
10993
Performance
Standard
conformanceMeet ISO 4049 standardMeet ISO 4049 standard

7.2 differences

-Indication for Use

Subject DevicePrimary Predicate DeviceDiscussion
A composite material which has resin
organic and inorganic fillers or complex
fillers as ingredients, which are being
used for aesthetic restoration by getting
polymerized directly in the oral cavity.
  • Direct anterior and posterior
    restorations | DenFil™ is indicated for the following
    restorative applications;
  1. Class I, II, V restorations of posterior
    teeth
  2. Class III, IV, V restorations of
    anterior teeth
  3. Cervical cavities or defects involving
    root surfaces | Intended use of both
    devices include
    restorations of restorations
    of anterior teeth /
    restorations posterior
    teeth/ defects involving root
    surfaces
    Indication for use of both
    devices is similar. |

- Material composition

Subject DevicePredicate DeviceFunction of ingredient
DIAFILDENFIL
- Bis-GMA
  • TEGDMA
  • UDMA | - Bis-GMA
  • TEGDMA
  • UDMA
  • Bis-EMA | Base liquid resin |
    | - Barium-alumino-silicate
  • Silica | - Barium-alumino-silicate
  • Silica | Filler |
    | Camphorquinone | Camphorquinone | Photoinitiator |
    | Pigments | Additives | Colorant |

The raw material compositions of both devices are not identical but the main ingredient is similar and the role and functions are same. Also, the biocompatibility of raw material of subject device is confirmed by Biological safety study. Overall, the raw materials of both devices are similar.

8

Diadent Group International

- Shelf life

The shelf life of the subject device is 3years and the shelf life of the predicate device is 2 years.

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 4049Dentistry -- Polymer-based restorative materials
-ISO 7405Dentistry - Evaluation Of Biocompatibility Of Medical
Devices Used In Dentistry [Including: Amendment 1
(2013)]
-ISO 10993-1Biological evaluation of medical devices - Part
1:Evaluation and testing within a risk management
process
-ISO 10993-3Biological evaluation of medical devices - Part 3: Tests
for genotoxicity, Carcinogenicity and reproductive
toxicity
-ISO 10993-5Biological evaluation of medical devices - Part 5. Tests
for in vitro Cytotoxicity
-ISO 10993-10Biological Evaluation Of Medical Devices - Part 10:
Tests For Irritation And Skin
Sensitization
-ISO 10993-11Biological Evaluation Of Medical Devices - Part 11:
Tests For Systemic Toxicity

The following Performance tests were conducted.

Performance test (Physical properties - ISO 4049:2009):

ItemRequirementResultPass/Fail
Depth of cureOpaque: shall be not less than
1 mmOpaque : 2.8 mm (min value)Pass
Non opaque: shall be not less
than 1.5 mmNon opaque :2.4 mm (min value)
Sensitivity of
ambient lightSample shall be no change in
consistencyThere was no change in
consistencyPass
Flexural strengthMore than 80 Mpa92.6 Mpa (min value)Pass
Water sorptionshall be less than 40 µg/mm³5.7 µg/mm³ (max value)Pass
Solubilityshall be less than 7.5 µg/mm³0.7 µg / mm³ (max value)Pass
ColorColor of samples shall be
matched closely with the
manufacturer's shade guide.Color of samples was matched
closely with the manufacturer's
shade guidePass
Color stabilityShall be no color changeThere was no color changePass
Radio-opacitySealer shall have radio-opacity
equivalent to not less than 3
mm of aluminumNot less than 3 mm of aluminumPass

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Diadent Group International

Biocompatibility test:

TestStandard (AAMI/ANSI/ISO)
Cytotoxicity• 10993-5 Biological Evaluation of Medical Devices - Part 5: Tests
for in vitro Cytotoxicity
Oral mucosa irritation•10993-10 Biological Evaluation of Medical Devices - Part 10:
Tests for irritation and skin sensitization
Skin sensitization
(LLNA)•10993-10 Biological Evaluation of Medical Devices - Part 10:
Tests for irritation and skin sensitization
Acute Systemic Toxicity• 10993-11 - Biological Evaluation of Medical Devices - Part 11:
Tests for Systemic Toxicity
Genetoxicity: Bacterial
Reverse Mutation• 10993-3 - Biological Evaluation of Medical Devices - Part 3:
Tests for genotoxicity, carcinogenicity and reproductive toxicity
Genetoxicity: Micronucleus
test• 10993-3 - Biological Evaluation of Medical Devices - Part 3:
Tests for genotoxicity, carcinogenicity and reproductive toxicity

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.