K Number
K193264
Device Name
Disposable High Speed Air Turbine Handpiece
Date Cleared
2020-08-11

(259 days)

Product Code
Regulation Number
872.4200
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Disposable high speed air turbine handpiece is intended for removing carious material, excess filling material, cavity and crown preparation, finishing tooth preparations and restorations, root canal preparations and polishing teeth.
Device Description
The disposable high-speed air turbine handpiece is an air-driven dental handpiece for the use by a trained professional in the field of general dentistry. The device is an ergonomically shaped air-powered handpiece that is disposable. The device features a 4-pin (drive air, exhaust air, spray air and spray water holes) connector for air and water input and return. A water/air mist cools the head and bur. Dental burs (not part of this 510(k)) according to ISO 1797-1 type 3 could be inserted into the chuck system of the turbine. The disposable high-speed air turbine dental handpiece is an instrument widely applied in oral therapy. It is composed of interrelated parts, working as a complete set. The disposable high-speed air turbine dental handpiece is an air-driven handpiece which supplied with water and air through the pipe and the coupling of a dental treatment unit. The device contains air and water pipes inside which supply air for driving the turbine assembly rotating and cooling water for work site as well as supply air and water for creating spray. The air-driven turbine assembly provides rotation to the bur for removing carious material, excess filling material, cavity, and is used for crown preparation, finishing tooth preparations and restorations, root canal preparations and polishing teeth. The handpiece is supplied non-sterile and must be cleaned and sterilized before use.
More Information

Not Found

No
The device description and performance studies focus on mechanical and material properties, with no mention of AI/ML or related concepts like image processing, training data, or performance metrics typically associated with AI/ML devices.

Yes
The device is used for removing carious material, excess filling material, cavity preparation, crown preparation, finishing tooth preparations and restorations, root canal preparations, and polishing teeth, which are all therapeutic dental procedures.

No
The device description states its purpose is for mechanical operations such as removing carious material, cavity and crown preparation, and polishing teeth. There is no mention of diagnostic functions.

No

The device description clearly details a physical, air-driven dental handpiece with mechanical components (turbine assembly, chuck system, air/water pipes, connector). It is a hardware device, not software.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, tissue) to provide information about a person's health. They are used outside the body.
  • Device Function: The description clearly states that this device is a dental handpiece used in the mouth for procedures like removing material, preparing teeth, and polishing. It is a surgical/dental instrument used directly on the patient.
  • Intended Use: The intended use describes procedures performed directly on the patient's teeth and mouth.
  • Device Description: The description details a mechanical device with air and water inputs, designed to hold a bur for dental work. This is consistent with a dental instrument, not an IVD.

The information provided strongly indicates that this is a dental instrument used for direct patient treatment, not for analyzing samples outside the body.

N/A

Intended Use / Indications for Use

Disposable high speed air turbine handpiece is intended for removing carious material, excess filling material, cavity and crown preparation, finishing tooth preparations and restorations, root canal preparations and polishing teeth.

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

EFB

Device Description

The disposable high-speed air turbine handpiece is an air-driven dental handpiece for the use by a trained professional in the field of general dentistry. The device is an ergonomically shaped air-powered handpiece that is disposable. The device features a 4-pin (drive air, exhaust air, spray air and spray water holes) connector for air and water input and return. A water/air mist cools the head and bur. Dental burs (not part of this 510(k)) according to ISO 1797-1 type 3 could be inserted into the chuck system of the turbine.

The disposable high-speed air turbine dental handpiece is an instrument widely applied in oral therapy. It is composed of interrelated parts, working as a complete set. The disposable high-speed air turbine dental handpiece is an air-driven handpiece which supplied with water and air through the pipe and the coupling of a dental treatment unit. The device contains air and water pipes inside which supply air for driving the turbine assembly rotating and cooling water for work site as well as supply air and water for creating spray. The air-driven turbine assembly provides rotation to the bur for removing carious material, excess filling material, cavity, and is used for crown preparation, finishing tooth preparations and restorations, root canal preparations and polishing teeth.

The handpiece is supplied non-sterile and must be cleaned and sterilized before use.

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

trained professional in the field of general dentistry.

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 Study:
Performance:

  • ISO 14457 First edition 2012-09-15 Dentistry Handpieces and motors -
  • ISO 9168 Third edition 2009-07-15 Dentistry Hose connectors for air-driven dental handpieces

Biocompatibility:

  • ISO10993-1:2009/AC2010 -
  • ISO 10993-5: 2009 -
  • -ISO 10993-10: 2010

Sterility:

  • AAMI/ANSI/ISO 17665-1:2006. Sterilization of health care products -- Moist heat --- Part 1: Requirements for the development, validation, and routine control of a sterilization process for medical devices (Sterility)
  • -AAMI/ANSI/ISO 11737-1:2018, Sterilization of health care products --Microbiological methods -- Part 1: Determination of a population of microorganisms on products.
  • AAMI/ANSI/ISO 11138-1:2017, Sterilization of health care products -- Biological indicators -- Part 1: General requirements
  • -ANSI AAMI ST79:2017, Comprehensive guide to steam sterilization and sterility assurance in health care facilities
  • -AAMI/ANSI/ISO 14161: 2009, Sterilization of health care products — Biological indicators - Guidance for the selection, use and interpretation of results

Clinical Study:
No clinical studies were performed.

Key results: The results of the testing demonstrate that the device complies with the applicable standards requirements, and the device is substantially equivalent to the predicate device.

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.

K152146

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

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August 11, 2020

Ningbo HPDOVE Dental Instruments Co., Ltd. % Charlie Mack Principal Engineer IRC 2950 E Lindrick Drive Chandler, AZ 85249

Re: K193264

Trade/Device Name: Disposable High Speed Air Turbine Handpiece Regulation Number: 21 CFR 872.4200 Regulation Name: Dental Handpiece And Accessories Regulatory Class: Class II Product Code: EFB Dated: May 20, 2020 Received: May 27, 2020

Dear Charlie Mack:

We have reviewed vour 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

1

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 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 (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

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Indications for Use

510(k) Number (if known)

K193264

Device Name

Disposable High Speed Air Turbine Handpiece

Indications for Use (Describe)

Disposable high speed air turbine handpiece is intended for removing carious material, excess filling material, cavity and crown preparation, finishing tooth preparations and restorations, root canal preparations and polishing teeth.

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

K193264

Image /page/3/Picture/1 description: The image shows a logo with a stylized bird-like figure inside a globe. The globe is represented by a grid of lines, and the bird-like figure is dark and appears to be made of a single, continuous line. The logo is simple and abstract, with the bird-like figure being the focal point.

NINGBO HPDOVE DENTAL INSTRUMENTS CO. LTD.

510(k) Summary (21 CFR §807.92)

Submitter Information:

Submitter Name:NINGBO HPDOVE DENTAL INSTRUMENTS CO. LTD.
Address:588 Xiaolin Road, Xiaolin Town, Cixi City, Zhejiang
Province, P.R.C. 315321
Telephone:+86-574-63883911
Fax:+86-574-63519378
Contact Person:Mr. Liyue Huang
Manager
Email:charliemack@irc-us.com
Date of Preparation:July 20, 2020

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Subject Devices :

Trade/proprietary name: Disposable high-speed air turbine handpiece Model YCX-TOD-PP Common Name: Disposable high-speed air turbine handpiece Classification : 21CFR872.4200

Predicate Device:

Trade Name:High-Speed Handpieces and Accessories
510(k) Reference:K152146
Common Name:Handpiece, air-powered, dental
Regulation Number:21CFR872.4200
Regulatory Class:Class II
Manufacturer:Codent Technical Industry Co. Ltd.

Purpose of Submission

This is a new traditional 510(K) submission of Disposable high-speed air turbine handpiece.

Device Description

The disposable high-speed air turbine handpiece is an air-driven dental handpiece for the use by a trained professional in the field of general dentistry. The device is an ergonomically shaped air-powered handpiece that is disposable. The device features a 4-pin (drive air, exhaust air, spray air and spray water holes) connector for air and water input and return. A water/air mist cools the head and bur. Dental burs (not part of this 510(k)) according to ISO 1797-1 type 3 could be inserted into the chuck system of the turbine.

The disposable high-speed air turbine dental handpiece is an instrument widely applied in oral therapy. It is composed of interrelated parts, working as a complete set. The disposable high-speed air turbine dental handpiece is an air-driven handpiece which supplied with water and air through the pipe and the coupling of a dental treatment unit. The device contains air and water pipes inside which supply air for driving the turbine assembly rotating and cooling water for work site as well as supply air and water for creating spray. The air-driven turbine assembly provides rotation to

5

the bur for removing carious material, excess filling material, cavity, and is used for crown preparation, finishing tooth preparations and restorations, root canal preparations and polishing teeth.

The handpiece is supplied non-sterile and must be cleaned and sterilized before use.

Indication for use

Disposable high-speed air turbine handpiece is intended for removing carious material, excess filling material, cavity, and crown preparation finishing tooth preparations and restorations, root canal preparations and polishing teeth.

Comparison with the predicate device:

Ningbo HPDOVE Dental Instruments Co. Ltd. believes that the Disposable high-speed air turbine handpiece is substantially equivalent to the Codent Technical Industry Co. Ltd. High-speed Handpieces and Accessories (K152146).

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The differences noted between the submitted Disposable high-speed air turbine handpiece and the predicate High-Speed Handpieces and Accessories are based on the use. The Disposable High Speed Air Turbine Handpiece, YCX-TOD-PP has the same use as the predicate and used in the same manner. Both the predicate and the submitted Ningbo HPDOVE Dental Instruments Co. Ltd Disposable High-Speed Air Turbine Handpiece, YCX-TOD-PP come non-sterile and must be sterilized before use. Please refer to the following pages for specific difference details.

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Comparison to Predicate Devices

CharacteristicsSubject DevicePredicate Device
Name and modelDisposable high-speed air turbine
handpieceHigh-speed Handpieces and Accessories
ModelYCX-TOD-PPA4M4
510K ApplicantNINGBO HPDOVE DENTAL
INSTRUMENTS CO., LTD.Codent Technical Industry Co., Ltd.
510(K) NumberPendingK152146
Regulation
NumberCFR872.4200CFR872.4200
Product CodeEFBEFB
Classification
NameAir-powered dental handpieceAir-powered dental handpiece
OTC or
PrescriptionPrescription UsePrescription Use
Medical SpecialtyDentalDental
Indication for UseDisposable high-speed air turbine
handpiece is intended for removing
carious material, excess filling material,
cavity, and crown preparation, finishing
tooth preparations and restorations, root
canal preparations, and polishing teeth.High-speed Handpieces and Accessories
are intended for removing carious
material, excess filling material, cavity,
and crown preparation, finishing tooth
preparations and restorations, root canal
preparations and polishing teeth.
DisposableDisposableRe-useable
Principles of
OperationIt is a handheld device that connects to
a standard turbine connection on a
dental operative unit and delivers a
mixture of water and air to a treatment
site.It is a handheld device that connects to a
standard turbine connection on a dental
operative unit and delivers a mixture of
water and air to a treatment site.
Operational ModeAir-poweredAir-powered
Head TypeStandardStandard
Angle of Shaft90°90°
Speed Range in
rpms300,000 rpm to 360,000 rpm360,000 rpm
Drive Air Pressure200 kPa - 245 kPa245 kPa- 275 kPa
2.09 kg/cm² - 2.5 kg/cm²2.5 kg/cm²- 2.8 kg/cm²
Water SpraySingleSingle

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CharacteristicsSubject DevicePredicate Device
Dental Bur SizeISO 1797-1 Type3 / Ø1.59~1.60mmISO 1797-1 Type3 / Ø1.59~1.60mm
Dimensions(mm)Length: 142~145
Width: 20.5Length: 84~117
Width: 19~21
How SuppliedNon-sterile; Subject is sterilized Prior to use.Non-sterile; Subject is sterilized before each use
CleaningWipe the surface of the device with a
clean, soft brush or cotton ball with 75%
alcoholUse the cleaning wire to clean the water
spray hole.
Applicable
SterilizationMoist heat - Autoclave sterilizationMoist heat - Autoclave sterilization
Material
CompositionBrass, PES, silicon rubberStainless steel, Brass, Aluminum,
Titanium
Coupling Pin4-pin(drive air, exhaust air, spray air and
spray water holes)4-pin(drive air, exhaust air, spray air and
spray water holes)
Fiber OpticsWithout lightWithout light
AccessoriesWithout couplingWithout coupling
Chunk DesignChuck ToolPush Button
Bur Extraction
Force22-45 N22-45 N
LubricationLubricant is not requiredLubricant is required (Codent spray
nozzle)
PerformanceComplies with ISO 14457
Complies with ISO 9168Complies with ISO 14457
Complies with ISO 9168
BiocompatibilityComplies with ISO10993-1 & ISO 7405Complies with ISO10993-1 & ISO 7405

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Safety and Performance Data :

To establish substantial equivalence to the identified predicate devices, tests were completed as defined below to the subject devices, Disposable high-speed air turbine handpiece. The results of the testing demonstrate that the device complies with the applicable standards requirements, and the device is substantially equivalent to the predicate device.

Non-Clinical Study:

Performance:

  • ISO 14457 First edition 2012-09-15 Dentistry Handpieces and motors -
  • ISO 9168 Third edition 2009-07-15 Dentistry Hose connectors for air-driven dental handpieces

Biocompatibility:

  • ISO10993-1:2009/AC2010 -
  • ISO 10993-5: 2009 -
  • -ISO 10993-10: 2010

Sterility:

  • AAMI/ANSI/ISO 17665-1:2006. Sterilization of health care products -- Moist heat --- Part 1: Requirements for the development, validation, and routine control of a sterilization process for medical devices (Sterility)
  • -AAMI/ANSI/ISO 11737-1:2018, Sterilization of health care products --Microbiological methods -- Part 1: Determination of a population of microorganisms on products.
  • AAMI/ANSI/ISO 11138-1:2017, Sterilization of health care products -- Biological indicators -- Part 1: General requirements
  • -ANSI AAMI ST79:2017, Comprehensive guide to steam sterilization and sterility assurance in health care facilities
  • -AAMI/ANSI/ISO 14161: 2009, Sterilization of health care products — Biological indicators - Guidance for the selection, use and interpretation of results

Clinical Study:

No clinical studies were performed. l

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Package and Shelf Life:

  • The Disposable high-speed air turbine handpiece (YCX-TOD-PP ) is not subject to shelf life, as the device does not contain any sterile or degradable elements.

Conclusion:

The differences between the subject device and predicate device do not raise issues of safety and effectiveness based on the indication for use, technological characteristics, and performance testing. The subject device complies with the same applicable standards as the predicate device.

In accordance with the Federal Food, Druq and Cosmetic Act, 21 CFR Part 807 and based on the information provided in this premarket notification, the subject device. Disposable high-speed air turbine handpiece, model YCX-TOD-PP is safe and effective and substantially equivalent to predicate devices as described herein.

END