K Number
K202075
Device Name
Dental Electric Motor
Date Cleared
2022-03-11

(592 days)

Product Code
Regulation Number
872.4200
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Dental Electric Motor NL400-1 is intended to convert pneumatic output from a dental treatment center to electrical energy to drive an electric micro motor and to operate electrically- driven dental handpieces.it is for use in general dental applications with use of a straight, right-angle, ISO E-type handpiece attachment of equal, gear-reducing, or gear-increasing speed. This system is designed for use by a trained professional in the field of general dentistry.
Device Description
Dental Electric Motor NL400-1 is a system attached to dental treatment center to operate electrically driven low speed handpieces. It consists of the components Control Unit, Micromotor, Motor Cable, and AC Adaptor. The common gear ratio is 1:1, 16:1 and 1:5, the speed range is from 2000 to 40,000 rpm. The Control Unit provides the operation panel to achieve different operation functions, such as turn on/off the motor, adjust the motor speed, select memory setting, choose the motor work ratio, and the motor rotate direction. The Motor Cable is connected to the Control Unit and the Micromotor, and contains lead wires to power the motor and tubing to transmit air/water/spray provided and controlled by the dental treatment center. The Micromotor is built in with a three-phase DC motor and an LED light, and contains air and water outlet, which can drive the electrically-driven handpiece with the set output parameters and transmits the air/water/spray and lights.
More Information

No
The description details a standard electric motor system with manual controls for speed, direction, and memory settings. There is no mention of adaptive learning, pattern recognition, or any other characteristic typically associated with AI/ML. The performance studies are based on standard electrical and mechanical safety standards, not data-driven performance metrics.

Yes.
The device operates electrically-driven dental handpieces used in general dental applications, indicating its role in dental procedures that can be considered therapeutic (e.g., drilling, polishing).

No

Explanation: The device is described as a dental electric motor intended to convert pneumatic output to electrical energy to drive an electric micro motor and operate electrically-driven dental handpieces. Its function is to power tools used in general dentistry, not to diagnose medical conditions or diseases.

No

The device description explicitly lists hardware components such as a Control Unit, Micromotor, Motor Cable, and AC Adaptor. The performance studies also include testing against hardware standards like IEC 60601-1 and ISO 14457.

Based on the provided information, the Dental Electric Motor NL400-1 is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • Intended Use: The intended use clearly states that the device is for converting pneumatic output to electrical energy to drive a motor and operate dental handpieces for general dental applications. This is a mechanical/electrical function performed directly on the patient's teeth and surrounding tissues.
  • Device Description: The description details the components and their functions, all related to powering and controlling a dental handpiece. There is no mention of analyzing samples from the human body (like blood, urine, tissue, etc.) or providing diagnostic information based on such analysis.
  • Lack of IVD Characteristics: IVD devices are specifically designed to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device does not perform any such analysis.
  • Performance Studies: The performance studies listed focus on safety, electrical compatibility, mechanical standards for handpieces and motors, software documentation, sterilization, and biological evaluation (cytotoxicity and irritation). These are typical evaluations for medical devices used directly on patients, not for IVD devices.
  • Predicate and Reference Devices: The predicate and reference devices listed are also electric motor systems for dental handpieces, further supporting that this device falls under the category of general dental equipment, not IVD.

In summary, the Dental Electric Motor NL400-1 is a medical device used in a clinical setting for performing dental procedures, but it does not meet the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

Dental Electric Motor NL400-1 is intended to convert pneumatic output from a dental treatment center to electrical energy to drive an electric micro motor and to operate electrically- driven dental handpieces.it is for use in general dental applications with use of a straight, right-angle, ISO E-type handpiece attachment of equal, gear-reducing, or gear-increasing speed. This system is designed for use by a trained professional in the field of general dentistry.

Product codes

EBW

Device Description

Dental Electric Motor NL400-1 is a system attached to dental treatment center to operate electrically driven low speed handpieces. It consists of the components Control Unit, Micromotor, Motor Cable, and AC Adaptor. The common gear ratio is 1:1, 16:1 and 1:5, the speed range is from 2000 to 40,000 rpm.

The Control Unit provides the operation panel to achieve different operation functions, such as turn on/off the motor, adjust the motor speed, select memory setting, choose the motor work ratio, and the motor rotate direction.

The Motor Cable is connected to the Control Unit and the Micromotor, and contains lead wires to power the motor and tubing to transmit air/water/spray provided and controlled by the dental treatment center.

The Micromotor is built in with a three-phase DC motor and an LED light, and contains air and water outlet, which can drive the electrically-driven handpiece with the set output parameters and transmits the air/water/spray and lights.

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

This system is designed for use by a 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)

Dental Electric Motor has been evaluated the safety and performance by lab bench testing according to the following standards:

  • IEC 60601-1, Medical electrical equipment Part 1: General requirements for basic safety and essential performance (IEC 60601-1:2005+ A12)
  • 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
  • ISO 14457, Dentistry Handpieces and motors, First edition 2012-09-15
  • Moderate level of software documentation and verification per the FDA Guidance Document for Software Contained in Medical Devices
  • Sterilization and cleaning validation per ISO 17665-1, and FDA Guidance Document for Reprocessing of Medical Device
  • ISO 10993-5:2009 Biological evaluation of medical devices — Part 5: Tests for in vitro cytotoxicity.
  • ISO 10993-10:2010 Biological evaluation of medical devices Part 10: Tests for irritation and skin sensitization

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

Not Found

Predicate Device(s)

K163131

Reference Device(s)

K180845

Predetermined Change Control Plan (PCCP) - All Relevant Information

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). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA text logo on the right. The FDA text logo is in blue and includes the letters "FDA" followed by "U.S. FOOD & DRUG ADMINISTRATION" in a smaller font size.

Foshan CICADA Dental Instrument Co, Ltd. % Jet Li Manager Guangzhou KEDA Biological Technology Co., Ltd 6F, No.1 TianTai Road, Science City, LuoGang District Guangzhou, Guangdong 510010 CHINA

Re: K202075

Trade/Device Name: Dental Electric Motor Regulation Number: 21 CFR 872.4200 Regulation Name: Dental Handpiece And Accessories Regulatory Class: Class I, reserved Product Code: EBW Dated: February 12, 2021 Received: February 14, 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 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 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 and ENT 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) K202075

Device Name Dental Electric Motor

Indications for Use (Describe)

Dental Electric Motor NL400-1 is intended to convert pneumatic output from a dental treatment center to electrical energy to drive an electric micro motor and to operate electrically- driven dental handpieces.it is for use in general dental applications with use of a straight, right-angle, ISO E-type handpiece attachment of equal, gear-reducing, or gear-increasing speed. This system is designed for use by a trained professional in the field of general dentistry.

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

510(k) Summary K202075

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA and 21 CFR 872.6070, and there were no prior submissions for the subject device.

Submitter Information 1.

Sponsor: Foshan CICADA Dental Instrument Co, Ltd Address: B5-2F, Guangdong New Light Source Industrial Base, Nanhai District, Foshan, Guangdong, China Contact Person: Juan Liu Title: Deputy Manager Phone: +86-0757-85775667 E-mail: info@cicadadental.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 TianTai road, Science City, LuoGang District, GuangZhou City, China

Subject Device Information 2.

  • � Type of 510(k) submission: Traditional
  • � Classification Name: Dental Handpiece and Accessories
  • Trade Name: Dental Electric Motor �
  • Model: NL400-1 �
  • Review Panel: Dental �
  • Product Code: EBW �
  • Regulation Number: 21 CFR 872.4200 �
  • Regulation Class: 1 �

Predicate and Reference DevicesInformation 3.

Predicate Device

  • � Sponsor: Nakanishi, Inc.
  • Classification Name: Dental Handpiece and Accessories �
  • Trade Name: A-dec NLZ Electric Motor System �
  • 510(k) number: K163131
  • Review Panel: Dental �

4

  • � Product Code: EBW
  • Regulation Number: 21 CFR 872.4200 �
  • Regulation Class: 1 �

Reference Device

  • � Sponsor: HANDPIECE HEADQUARTERS.
  • Classification Name: Dental Handpiece and Accessories �
  • Trade Name: Maxima Electric System �
  • � 510(k) number: K180845
  • Review Panel: Dental �
  • � Product Code: EBW
  • Regulation Number: 21 CFR 872.4200 �
  • Requlation Class: 1 �

Device Description 4.

Dental Electric Motor NL400-1 is a system attached to dental treatment center to operate electrically driven low speed handpieces. It consists of the components Control Unit, Micromotor, Motor Cable, and AC Adaptor. The common gear ratio is 1:1, 16:1 and 1:5, the speed range is from 2000 to 40,000 rpm.

The Control Unit provides the operation panel to achieve different operation functions, such as turn on/off the motor, adjust the motor speed, select memory setting, choose the motor work ratio, and the motor rotate direction.

The Motor Cable is connected to the Control Unit and the Micromotor, and contains lead wires to power the motor and tubing to transmit air/water/spray provided and controlled by the dental treatment center.

The Micromotor is built in with a three-phase DC motor and an LED light, and contains air and water outlet, which can drive the electrically-driven handpiece with the set output parameters and transmits the air/water/spray and lights.

Indications for UseDental Electric Motor NL400-1 is intended to convert pneumatic output from a dental treatment center to electrical energy to drive an electric micro motor and to operate electrically- driven dental handpieces. It is for use in general dental applications with use of a straight, right-angle or contra-angle, ISO E-type handpiece attachment of equal, gear-reducing, or gear-increasing speed. This system is designed for use by a trained professional in the field of general dentistry.

Test Summary 5.

Dental Electric Motor has been evaluated the safety and performance by lab bench testing according to the following standards:

5

  • IEC 60601-1, Medical electrical equipment Part 1: General requirements for basic 区 safety and essential performance (IEC 60601-1:2005+ A12)
  • 区 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
  • ISO 14457, Dentistry Handpieces and motors, First edition 2012-09-15 区
  • Moderate level of software documentation and verification per the FDA Guidance ಸ Document for Software Contained in Medical Devices
  • Sterilization and cleaning validation per ISO 17665-1, and FDA Guidance 风 Document for Reprocessing of Medical Device
  • 区 ISO 10993-5:2009 Biological evaluation of medical devices — Part 5: Tests for in vitro cytotoxicity.
  • ISO 10993-10:2010 Biological evaluation of medical devices Part 10: Tests for 区 irritation and skin sensitization

Comparison to Predicate De vice 6.

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

| Elements of

ComparisonSubject DevicePredicate DeviceReference DeviceVerdict
ManufacturerFoshan CICADA Dental
Instrument Co, LtdNakanishi, Inc.Handpiece Headquarters -
HPR Inc--
Product NameDental Electric MotorA-dec NLZ Electric Motor
SystemMaxima Electric System--
510K numberTBDK163131K180845--
Classification NameDental Handpiece and
AccessoriesDental Handpiece and
AccessoriesDental Handpiece and
Accessories--
Regulation ClassClass IClass IClass I--
Product CodeEBWEBWEBW--
Regulation Number21 CFR 872.420021 CFR 872.420021 CFR 872.4200--
OTC & RxRxRxRx--
Indications for Use
Elements of
ComparisonSubject DevicePredicate DeviceReference DeviceVerdict
Indications for UseDental Electric Motor NL400-1
is intended to convert
pneumatic output from a
dental treatment center to
electrical energy to drive an
electric micro motor and to
operate electrically- driven
dental handpieces.it is for use
in general dental applications
with use of a straight, right-
angle or contra-angle, ISO E-
type handpiece attachment of
equal, gear-reducing, or gear-
increasing speed. This system
is designed for use by a
trained professional in the
field of general dentistryThe A-dec NLZ electric motor
system is comprised of a
control unit that drives a direct
current (DC) electric
micromotor that is activated by
means of a foot control. It is
intended for use in general
dental applications such as:
cutting a tooth for cavity
preparation, crow n preparation,
crow n finishing, inlay, filing,
polishing, prophylaxis and
endodontic treatment, with use
of a straight, right-angle or
contra-angle ISO E-type
handpiece attachment of equal,
gear-reducing, or gear-
increasing speed.The Maxima Electric System
is intended to convert
pneumatic output from a
dental treatment center to
electrical energy to drive an
electric micro motor and to
operate electrically- driven
dental handpieces. This
system is designed for use
by a trained professional in
the field of general dentistry.SE
Note 1
Device Design
Drive TypeElectronic-micromotorElectronic-micromotorElectric micromotorSE
Output voltage of
adapterDC 24VDC 24V36VSE
Mainly ComponentsControl unit, Motor, Motor
cable AdapterMotor controller, Electric
micromotor, Motor tubingMotor controller, Electric
micromotor, Motor tubing,
AdapterSE
Note2
DimensionsControl Unit:
L130×W120×H48mm
Motor cable: 92cm
Micromotor: L103×Φ15.7mm,
tubing length 1530mmMotor controller:
D78.5×W148.0×H43.0mm
Motor Length: 31 mm
Motor Diameter: Φ20.1(Front)
Ф22.1(Rear)
Motor tubing length:
NLZ CDAS: 1600mm
NLZ CDAL: 2080mm/SE
Note2
Coolant mechanismCoolant airCoolant air/SE
FunctionMotor start/stopMotor rotation/stop, speedSpeed control, TorqueSE
Elements of
ComparisonSubject DevicePredicate DeviceReference DeviceVerdict
Rotation speed settingsetting value, torque settingcontrol, Program MemoryNote3
Rotation direction settingvalue, and LED turning
Rotation ratio settingON/OFF, instructed rotation
Recorded rpm memoryspeed and torque, standard
mode and endo mode
Allow of Foot switch
to controlYESYESYESSE
Internal irrigationYes/YesSE
Composition of Materials
Motor exterior/InteriorStainless SteelTitaniumStainless SteelSE
Motor Cable/Air and
water channelSilicone rubber/PU Rubber-Silicone rubberSE
Comply
with ISO
10993-1
LightLEDLEDLEDSE
Technical Specifications
Range of rotation
speed2000-40000rpmstandard mode: 1,000-40,000
rpm
endo mode: 100-5,000 rpm100-40,000rpmSE
Note 3
Speed Ratio16:1, 1:1, 1:5/1:5, 1:1SE
Note3
Rotating directionForward and ReverseForward and Reverse/SE
Maximum Torque4.20 N*cm(Stall torque)4.00 N*cm(Stall torque)/SE
Note4
Torque Range1-3.0 N*cm0.30-3.00 N*cm3.0 N*cmSE
Note4
SterilizationSterilized by user (steam
sterilization)Sterilized by user (steam
sterilization)Sterilized by user (steam
sterilization)SE
Available Handpiece
typeE-type (ISO3964)E-type (ISO3964)E-type (ISO3964)SE
FDA-Recognized Standards
Electrical safety,
EMCIEC 60601-1
IEC 60601-1-2
ISO 14457IEC 60601-1
IEC 60601-1-2
ISO 14457IEC 60601-1
IEC 60601-1-2
ISO 14457SE

questions of safety or effectiveness.

6

Foshan CICADA Dental Instrument Co, Ltd Sponsor:

Dental Electric Motor, Model: NL400-1 Subject Device:

7

Foshan CICADA Dental Instrument Co, Ltd Sponsor:

Dental Electric Motor, Model: NL400-1 Subject Device:

8

Note 1

Although there is little difference for illustration about the indication for use, the description of the predicate device is more specified, yet their meanings are the same. This difference does not affect the safety and effectiveness.

Note 2

Although the subject device has a motor build-in a connecting tube, and the control unit of predicate device is contained within external delivery system, the design and functions of subject device are mainly equivalent to the predicate device and reference device. The differences do not affect the safety and effectiveness.

Note 3

Although the Speed and gear ratio of subject device are little different to the predicate devices, the subject device is compiled with ISO 14457. And the subject device provides 16:1 gear ratio to transfer the handpiece speed to lowest speed of 100 rpm. So the minor differences do not affect the safety and effectiveness

Note 4

Although the subject device has not provided torque control, the stall torque of electric mircomotor is similar to the predicate device, the differences do not affect the safety and effectiveness.

7. Summary for clinical test

Clinical performance is not deemed necessary.

8. Conclusion

The subject device Dental Electric Motor has all features of the predicate device and reference device for intended use. Thus, the subject device is substantially equivalent to the predicate device.

9. Summary Prepared Date

Mar 3, 2022