K Number
K192649
Device Name
Endo Motor
Date Cleared
2021-03-12

(535 days)

Product Code
Regulation Number
872.4200
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Endo Motor T-Fine-II is indicated for use in standard endodontic procedures using rotary endodontic files for mechanical and rotary preparation of the root canal.
Device Description
Cordless endo motor is a professional equipment for root canal preparation. It is a drive for contra angle headpiece which is designed to assist dentists and dental surgeons perform standard endodontic procedures. The endo motor consists of Cordless main unit, Charger station and Adapter. It is intended to use with FDA cleared contra-angle handpiece (transmission ratio of contra angle handpiece: 16:1) which would hold the drill bit or file. However the device do not included the contra angle handpiece and files. The Endo smart is equipped with rechargeable Li-ion battery, which can be recharged using the provided charge station. By means of the different buttons on the main unit, the user could control various functions in the device, such as On/off, Speed, Torque and auto-reverse/auto forward mode. The Endo motor is not sterile and cannot be autoclaved.
More Information

Not Found

No
The description focuses on standard endodontic motor functions (speed, torque, auto-reverse) and electrical/software safety testing, with no mention of AI or ML capabilities.

No
The device aids in the mechanical and rotary preparation of the root canal, which is a procedural step rather than a therapeutic intervention itself. It provides the mechanical action for procedures, but does not provide direct therapy (e.g., drug delivery, regeneration).

No
The device is described as equipment for root canal preparation and is used in standard endodontic procedures for mechanical and rotary preparation of the root canal, not for diagnosis.

No

The device description explicitly details hardware components including a cordless main unit, charger station, and adapter, and mentions electrical safety and EMC testing, indicating it is a physical device with embedded software, not a software-only medical 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 "mechanical and rotary preparation of the root canal" using rotary endodontic files. This is a physical procedure performed directly on the patient's tooth structure.
  • Device Description: The device is described as a "drive for contra angle headpiece" used to assist dentists in "standard endodontic procedures." It is a tool for performing a dental procedure, not for analyzing biological samples.
  • Lack of IVD Characteristics: IVD devices are used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening. This device does not interact with or analyze any such specimens.

The device is a medical device used in a clinical setting for a dental procedure, but it does not fit the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

Endo Motor T-Fine-II is indicated for use in standard endodontic procedures using rotary endodontic files for mechanical and rotary preparation of the root canal.

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

EKX

Device Description

Cordless endo motor is a professional equipment for root canal preparation. It is a drive for contra angle headpiece which is designed to assist dentists and dental surgeons perform standard endodontic procedures.

The endo motor consists of Cordless main unit, Charger station and Adapter. It is intended to use with FDA cleared contra-angle handpiece (transmission ratio of contra angle handpiece: 16:1) which would hold the drill bit or file. However the device do not included the contra angle handpiece and files. The Endo smart is equipped with rechargeable Li-ion battery, which can be recharged using the provided charge station. By means of the different buttons on the main unit, the user could control various functions in the device, such as On/off, Speed, Torque and auto-reverse/auto forward mode. The Endo motor is not sterile and cannot be autoclaved.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Root canal

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Dentists and dental surgeons

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)

ENDO Motor had been evaluated for its safety and performance by lab bench testing according to the following standards:
A Electrical safety and electromagnetic compatibility (EMC)
Electrical safety and EMC testing were conducted on the subject device, and was found to comply with IEC 60601-1 and 60601-1-2, IEC80601-2-60.
Detail standard lists is as below items:

  • -IEC 60601-1, Medical Electrical Equipment - Part 1: General Requirements for Safety, 2005+A1:2012
  • -IEC 60601-1-2, Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral standard: Electromagnetic compatibility -Requirements and tests, 2014
  • І IEC 80601-2-60:2012 Medical electrical equipment — Part 2-60: Particular requirements for basic safety and essential performance of dental equipment
    *Cleaning and Disinfection vas conducted according to AAMI TIR30 and AAMI TIR12.

Software Verification and Validation Testing A
Software verification and validation testing were conducted and its documentation was provided as recommended by FDA's Guidance for Industry and FDA Staff, "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices." The software for this device was determined to be of "moderate" level of concern.

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.

K090931

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

§ 872.4200 Dental handpiece and accessories.

(a)
Identification. A dental handpiece and accessories is an AC-powered, water-powered, air-powered, or belt-driven, hand-held device that may include a foot controller for regulation of speed and direction of rotation or a contra-angle attachment for difficult to reach areas intended to prepare dental cavities for restorations, such as fillings, and for cleaning teeth.(b)
Classification. Class I.

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, 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.

March 12, 2021

Foshan CICADA Dental Instrument Co., Ltd. % Jet Li Regulation Manager Guangzhou KEDA Biological Tech Co., Ltd. 6F, No.1 TianTai road, Science City, LuoGang District Guangzhou, Guangdong CHINA

Re: K192649

Trade/Device Name: Endo Motor Model: T-Fine-II Regulation Number: 21 CFR 872.4200 Regulation Name: Dental handpiece and accessories Regulatory Class: Class I, reserved Product Code: EKX Dated: February 7, 2021 Received: February 10, 2021

Dear Jet Li:

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,

Michael E. Adjodha, M.ChE. 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) K192649

Device Name Endo Motor Model: T-Fine-II

Indications for Use (Describe)

Endo Motor T-Fine-II is indicated for use in standard endodontic procedures using rotary endodontic files for mechanical and rotary preparation of the root canal.

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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Foshan CICADA Dental Instrument Co, Ltd Sponsor: Subject Device: Endo Motor, Model: T-Fine-II. 510(k) submission report (V1.3), Chapter 6 File No.: File File File

Chapter 6. 510(k) Summary

510(k) Summary - K192649

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA and 21 CFR 872.6070.

1. Submitter Information

Sponsor: Foshan CICADA Dental Instrument Co, Ltd .

Address: B5-2F, Guangdong New Light Source Industrial Base, Shihan Town, Nanhai District, Foshan,

Guangdong, China

Contact Person: Juan Liu

Phone: 86-757-85775667

E-mail: 149713771@qq.com

Application Correspondent: Jet Li

Company: Guangzhou KEDA Biological Technology Co., Ltd

E-mail: med-jl @foxmail.com

Phone: 86-18588874857

Address: 6F, No.1 TianTairoad, Science City, LuoGang District, GuangZhou City, China

Subject Device Information 2.

  • � Type of 510(k) submission: Traditional
  • � Common Name: Handpiece, Direct Drive, Ac-Powered
  • Trade Name: Endo Motor Model: T-Fine-II �
  • Classification Name: Dental Handpiece and accessories �

4

Subject Device: Endo Motor, Model: T-Fine-II.

File No.: 510(k) submission report (V1.3), Chapter 6

  • Review Panel: Dental �
  • � Product Code: EKX
  • � Regulation Number: 21 CFR 872.4200
  • � Regulation Class: 1

3. Primary Predicate Device Information

Manufacturer: W&H Dentalwerk Buermoos GmbH Cordless ENDO-Handpiece "ENTRAN" (W&H) Device: Cordless ENDO-Handpiece "S5 ENDO Motor 510(k) number: K090931

Device Description 4.

Cordless endo motor is a professional equipment for root canal preparation. It is a drive for contra angle headpiece which is designed to assist dentists and dental surgeons perform standard endodontic procedures.

The endo motor consists of Cordless main unit, Charger station and Adapter. It is intended to use with FDA cleared contra-angle handpiece (transmission ratio of contra angle handpiece: 16:1) which would hold the drill bit or file. However the device do not included the contra angle handpiece and files. The Endo smart is equipped with rechargeable Li-ion battery, which can be recharged using the provided charge station. By means of the different buttons on the main unit, the user could control various functions in the device, such as On/off, Speed, Torque and auto-reverse/auto forward mode. The Endo motor is not sterile and cannot be autoclaved.

5. IntendedUse/ Indication for Use

Endo Motor T-Fine-II is indicated for use in standard endodontic procedures using rotary endodonticfiles for mechanical and rotary preparation of the root canal.

6. Test Summary

5

Subject Device: Endo Motor, Model: T-Fine-II.

File No.: 510(k) submission report (V1.3), Chapter 6

ENDO Motor had been evaluated for its safety and performance by lab bench testing according to the following standards:

A Electrical safety and electromagnetic compatibility (EMC)

Electrical safety and EMC testing were conducted on the subject device, and was found to comply with IEC 60601-1 and 60601-1-2, IEC80601-2-60.

Detail standard lists is as below items:

  • -IEC 60601-1, Medical Electrical Equipment - Part 1: General Requirements for Safety, 2005+A1:2012
  • -IEC 60601-1-2, Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral standard: Electromagnetic compatibility -Requirements and tests, 2014
  • । IEC 80601-2-60:2012 Medical electrical equipment — Part 2-60: Particular requirements for basic safety and essential performance of dental equipment

*Cleaning and Disinfection vas conducted according to AAMI TIR30 and AAMI TIR12.

Software Verification and Validation Testing A

Software verification and validation testing were conducted and its documentation was provided as recommended by FDA's Guidance for Industry and FDA Staff, "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices." The software for this device was determined to be of "moderate" level of concern.

7. Clinical Testing

Clinical data were not required in this submission to support a finding of substantial equivalence.

8. Comparison to Predicate De vice

Compare with predicate device, the subject device is very similar in design principle, intended use, indications for use, functions, material and the applicable standards. The differences between subject device and predicate device do not raise any new questions of safety or effectiveness.

6

Subject Device: Endo Motor, Model: T-Fine-II.

File No.: File File File 510(k) submission report(V1.3), Chapter 6

ItemSubject DevicePredicate DeviceRemark
Name and modeEndo Motor, T-Fine-IICordless ENDO-Handpiece "ENTRAN" (W&H)--
510K numberK192649K090931-
ManufacturerFoshan CICADA Dental Instrument Co., LtdW&H Dentalwerk Buermoos GmbH-
Intended UseEndo Motor T-Fine-II is indicated for use in standard endodontic procedures using rotary endodontic files for mechanical and rotary preparation of the root canal.Modular electrical system for mechanical preparation of the root canal, using a special root canal instrument, which is intended by the manufacturer for use in the mechanical and rotary preparation of the root canal.Minor difference
Note 1:
Rx or OTCRxRxSame
Physical Attributes
Weight200g120gMinor difference;
Note 2
Displayed ParametersSpeed/Ratio, Torque, Volume, Antomatic control mode,Torque, SpeedMinor Different,
Note 3
Other displayed informationProgram number, Power displayPower displayMinor Different,
Note 3
Electrical Power
DC MainsAC100~240V 50/60Hz
Output voltage: 5Vdc
Output current: 1AAC100~240V 50/60Hz
Output voltage: 5Vdc
Output current: 1AMinor difference
Note 4
BatteryBattery Voltage: 3.7VdcBattery Voltage:
Battery capacity:
1050mAh3.7Vdc
Battery capacity:
680mAh
Environmental Operation
Temperature10~40°C0~40°CMinor difference
Note 5
HumidityFile No.: File File File 510(k) submission report (V1.3), Chapter 6

Note for Detailed comparison

  1. For the statement of intended use, even there is only minor difference on the words for indented use, but its meaning of the description So it has the same intended use as the predicate device (K090931).

  2. There is difference of the weight between T-Fine-II and the predicate device. That is because the appearance of T-Fine-II is different from the predicate device, but the design of subject device comply with electrical safety standard IEC/AAMI 60601-1, so the minor difference would not affect its safety and Report by Foshan CICADA Dental Instrument Co, Ltd Page 17 of 50

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Foshan CICADA Dental Instrument Co, Ltd Sponsor: Subject Device: Endo Motor, Model: T-Fine-II. File No.: File File File 510(k) submission report (V1.3), Chapter 6

effectiveness.

.

  1. The displayed parameters of T-Fine-Il are different from the predicated device, but the design of subject device comply with electrical safety standard IEC/AAMI 60601-1 and display function had been validated in software evaluation report, so the minor difference would not affect its safety and effectiveness.

  2. There is minor difference on the battery capacity from 1050mAh, but the design of subject device comply with electrical safety standard IEC/AAM 60601-1, so the minor difference would not affect its safety and effectiveness.

  3. There is minor difference on storage temperature and humidity of T-Fine-II, comparing with the predicate device, the device shall be stored according to the specified environment, so that it do not affect the function of the device. So the minor difference would not affect its safety and effectiveness.

  4. Even there is minor difference on the torque setting range, however it is adjustable in the main unit by dentist operator, the device provide with auto reverse and stop function when motor bear the torque resistance higher than the setting torque: and the device comply with IEC80601-2-60 Requirement. So such minor difference would not affect its safety and effectiveness

Conclusion

The subject device Endo motor has all features of the predicate device for intended use. Thus, the subject device is substantially equivalent to the predicate device.

9. Summary Prepared Date

10 Mar 2021