K Number
K202906
Device Name
EndoPilot2
Date Cleared
2021-04-13

(196 days)

Product Code
Regulation Number
872.4850
Panel
Dental
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The EndoPilot2 systems are dental devices which combine in a single control unit an endo motor to clean the root canal, a dental obturator to fill and pressurize, an electronic apex locator to locate the file tip in the rot canal and an ultrasonic-handpiece for root-canal cleaning and preparation.

The EndoPilot is intended solely for use by trained dental professional health care facilities on patients that need root-canal-treatment.

Device Description

The EndoPilot2 systems, including the models "comfort", "plus", "ultra plus" and the model variant under brand "CanalPro Jeni" (marketed by Distributor Coltène/Whaledent Inc. and identical for technical aspects to model EndoPilot² comfort) are standalone AC-powered dental control units with a touch display to which multiple hand-held dental handpieces for root canal preparation (Apex measurement, EndoMotor, Ultrasonic handpiece) and/or root-canal filling (DownPack, BackFill handpiece) can be connected.

These multifunctional devices are intended for use by professionals in the dental clinic use environment. Based on the modular concept of these EndoPilot2 systems different handpieces can be combined with the control unit and different device variants (systems) of the EndoPilot²exist. The key hand-held components like handpieces or endodontic tools of the EndoPilot² are medical devices commercially available by themselves and have separate FDA registration or clearance for marketing in the US.

AI/ML Overview

The provided document describes the EndoPilot2, a dental device, for which the manufacturer, Schlumbohm GmbH & Co. KG, sought 510(k) clearance from the FDA. The submission (K202906) claims substantial equivalence to predicate devices: EMS-200 and SUPRASSON P5 NEWTRON. The document details the non-clinical performance data used to support this claim.

Here's an analysis of the provided information concerning acceptance criteria and supporting studies:

1. Table of Acceptance Criteria and Reported Device Performance

The document does not present a formal table of "acceptance criteria" against which specific quantitative numerical performance metrics of the EndoPilot2 are directly compared. Instead, it describes various non-clinical performance tests conducted and states that the device "PASSED required testing" or "all requirements were met."

Therefore, I will extract the performance specifications and the stated outcome for the most relevant functional components where quantitative values are mentioned, and then for other types of tests, I will summarize the general pass/fail outcome.

Acceptance Criteria (Predicate Device Specification or Standard Requirement)Reported Device Performance (EndoPilot2)
Apex Locator Function (Based on Predicate EMS-200)
Accuracy of Apex Locating point < ±0.5 mmAccuracy of Apex Locating point < ±0.5 mm (Stated to be the Same as predicate)
Endodontic Motor Function (Based on Predicate EMS-200)
File Rotation Speed: 250-800 rpmFile Rotation Speed: 200-1000 rpm (considered "Similar," both are low speed ranges for dental motors)
Torque limit value: 0.6-5.0 NcmTorque limit value: 0.2-5.0 Ncm (considered "Similar")
Obturation Unit Function (Based on Predicate EMS-200)
Working temperature up to 300°C adjustable (DownPack)Working temperature up to 300°C adjustable (Identical to predicate)
Working temperature up to 200°C adjustable (BackFill)Working temperature up to 200°C adjustable (Identical to predicate)
Ultrasonic Unit Function (Based on Predicate SUPRASSON P5 NEWTRON)
Intermittent operation: 5 min/10 minIntermittent operation: 1 min/3 min (considered "Similar")
Vibration frequency: 27 to 33 kHzVibration frequency: 27 to 33 kHz (Stated to be the Same as predicate)
General Performance & Safety Standards
Biocompatibility (ISO 10993-1, 5, 10)PASSED
Electrical Safety (IEC 60601-1, IEC 80601-2-60)PASSED
Electromagnetic Compatibility (IEC 60601-1-2, IEC 61000-3/4 series)PASSED
Reprocessing Validation (FDA Guidance, cleaning & sterilization)PASSED
Coupling between handpieces and motors (ISO 3964, ISO 14457)all specifications dimensions, tolerances and the extraction force requirements were met
Software V&V (IEC 62304, FDA Cybersecurity Guidance)PASSED required testing (Moderate Level of Concern software, system compatibility, risk analysis, cybersecurity risks addressed)
Usability Engineering (IEC 62366-1)PASSED
Risk Management (EN ISO 14971)all requirements were met and risks reduced as far as possible.

2. Sample Size Used for the Test Set and the Data Provenance

The document does not specify a "test set" in the context of patient data or clinical images. The performance data presented are from non-clinical (bench) tests on the device itself, comparing its specifications and performance to established standards or predicate devices. No information is provided regarding the sample size of devices tested or any provenance related to patient data (country of origin, retrospective/prospective). This is typical for a 510(k) for a device like this, which relies on engineering and standards compliance rather than clinical study data.

3. Number of Experts Used to Establish the Ground Truth for the Test Set and the Qualifications of Those Experts

This question is not applicable to the provided information. No "test set" with ground truth established by experts (e.g., radiologists) is mentioned. The studies are non-clinical engineering and performance tests against defined technical specifications and standards.

4. Adjudication Method for the Test Set

This question is not applicable. There is no mention of an adjudication method as there were no expert assessments of a test set. The compliance was determined by technical testing and validation against standards.

5. If a Multi Reader Multi Case (MRMC) Comparative Effectiveness Study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

This question is not applicable. The EndoPilot2 is a physical dental device for root canal procedures, not an AI-powered diagnostic or assistive tool for human readers interpreting medical images. Therefore, an MRMC study and effects of AI assistance are outside the scope of this submission.

6. If a Standalone (i.e. algorithm only without human-in-the-loop performance) was done

This question is not applicable. The device is not an algorithm, but a physical system of integrated dental tools. The performance refers to the device's functional capabilities (e.g., motor speed, torque, temperature control, apex locator accuracy) and compliance with safety and design standards.

7. The Type of Ground Truth Used (expert consensus, pathology, outcomes data, etc.)

For the non-clinical performance tests, the "ground truth" or reference points were:

  • Predicate Device Specifications: The technical specifications (e.g., apex locator accuracy, motor speed ranges, obturation temperatures, ultrasonic frequency) of the legally marketed predicate devices (EMS-200 and SUPRASSON P5 NEWTRON).
  • International and National Standards: Recognized standards for medical device safety, biocompatibility, electromagnetic compatibility, reprocessing, software, usability, and risk management (e.g., ISO 10993, IEC 60601-1, IEC 62304, EN ISO 14971, ISO 3964, ISO 14457).

8. The Sample Size for the Training Set

This question is not applicable. The EndoPilot2 is a hardware device, not an AI model that requires a training set.

9. How the Ground Truth for the Training Set Was Established

This question is not applicable, as there is no training set for this type of device.

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Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services USA 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.

April 13, 2021

Schlumbohm GmbH & Co. KG % Oliver Eikenberg, PhD Senior Consultant QA/RA Emergo Global Consulting, LLC 2500 Bee Cave Road, Building 1, Suite 300 Austin, Texas 78746

Re: K202906

Trade/Device Name: EndoPilot2 Regulation Number: 21 CFR 872.4850 Regulation Name: Ultrasonic Scaler Regulatory Class: Class II Product Code: ELC, EKX, EKR, LQY Dated: March 2. 2021 Received: March 9, 2021

Dear Oliver Eikenberg:

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 mav. 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

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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,

Bobak Shirmohammadi -S

For Michael Adjodha 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

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Indications for Use

510(k) Number (if known) K202906

Device Name EndoPilot2

Indications for Use (Describe)

The EndoPilote systems are dental devices which combine in a single control unit an endo motor to clean the root canal, a dental obturator to fill and pressurize, an electronic apex locator to locate the file tip in the rot canal and an ultrasonic-handpiece for root-canal cleaning and preparation.

The EndoPilot is intended solely for use by trained dental professional health care facilities on patients that need root-canal-treatment.

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)

X Prescription Use (Part 21 CFR 801 Subpart D)

] Over-The-Counter Use (21 CFR 801 Subpart C)

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510(k) Summary

K202906

EndoPilot2

1. Submission Sponsor

Schlumbohm GmbH & Co. KG Klein Floyen 8-10 D-24616 Brokstedt, Schleswig-Holstein , GERMANY Phone: +49-(0)4324-8929-0 Contact: Gerald Schlumbohm , Managing Director E-mail: gs@schlumbohm.de

2. Submission Correspondent

Emergo Global Consulting, LLC 2500 Bee Cave Road Building 1, Suite 300 Austin, TX 78746 Office Phone: (512) 327-9997 Email: LST.AUS.ProjectManagement@ul.com Contact: Oliver Eikenberg, PhD Title: Senior Consultant, Quality & Regulatory Affairs

3. Date Prepared

April 12, 2021

4. Device Identification

Trade/Proprietary Name: EndoPilot2

Common/Usual Name:Dental hand instrument
Classification Name:Ultrasonic Scaler
Regulation Number:21 CFR 872.4850
Product Code:ELC Ultrasonic scalerEKX direct drive, AC-powered handpieceEKR endodontic plugger, root canalLQY root apex locator (unclassified),
Class:Class II
Classification Panel:Dental

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5. Legally Marketed Predicate Device(s)

For the Endodontic unit systems (applicable to all EndoPilot²model variants): Primary Predicate

Device name: EMS-200 510(k) number: K153285 Manufacturer: Meta Systems Co., Ltd., Korea

For the Ultrasonic Unit (applicable only to EndoPilot²model variant "ultra" and " ultra plus"): Reference Device

Device name: SUPRASSON P5 NEWTRON 510(k) number: K050895 Manufacturer: SATELEC-ACTEON Group

6. Indication for Use Statement

The EndoPilot² systems are dental devices which combine in a single control unit an endo motor to clean the root canal, a dental obturator to fill and pressurize, an electronic apex locator to locate the file tip in the root canal and an ultrasonic-handpiece for root-canal cleaning and preparation.

The EndoPilot² is intended solely for use by trained dental professionals in professional health care facilities on patients that need root-canal-treatment.

7. Device Description

The EndoPilot2 systems, including the models "comfort", "plus", "ultra plus" and the model variant under brand "CanalPro Jeni" (marketed by Distributor Coltène/Whaledent Inc. and identical for technical aspects to model EndoPilot² comfort) are standalone AC-powered dental control units with a touch display to which multiple hand-held dental handpieces for root canal preparation (Apex measurement, EndoMotor, Ultrasonic handpiece) and/or root-canal filling (DownPack, BackFill handpiece) can be connected.

These multifunctional devices are intended for use by professionals in the dental clinic use environment. Based on the modular concept of these EndoPilot2 systems different handpieces can be combined with the control unit and different device variants (systems) of the EndoPilot²exist. The key hand-held components like handpieces or endodontic tools of the EndoPilot² are medical devices commercially available by themselves and have separate FDA registration or clearance for marketing in the US.

8. Substantial Equivalence Discussion

The following tables compare the EndoPilot2 to the predicate devices EMS-200 and SUPRASSON P5 NEWTRON with respect to indications for use, principles of operation, technological characteristics, components, and performance, and forms the basis for the determination of substantial equivalence. The subject device does not raise any new questions of safety or effectiveness as compared to the predicate devices.

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Table 5A – Comparison of Characteristics between Subject Device and Predicate Device EMS-200

AttributeSUBJECT DEVICEPREDICATE DEVICE /510(k) HOLDER (K153285)DeviceComparison
ManufacturerSchlumbohm GmbH & Co. KGMeta Systems Co., Ltd.
Trade NameEndoPilot2EMS-200
Regulation Number872.4200 Dental Handpiece and AccessoriesSame
Regulation NameEKX, direct drive, ac-powered handpiece
Product Codes872.4565 Dental hand instrumentEKR, endodontic plugger, root canalLQY, root apex locator (unclassified)872.4850 Ultrasonic scalerELC Ultrasonic scalerNASee secondpredicate inTable 5B
Indications for UseThe EndoPilot2 systems are dental deviceswhich combine in a single control unit anendo motor to clean the root canal, adental obturator to fill and pressurize, anelectronic apex locator to assist theoperator to locate the file tip in the rootcanal and an ultrasonic-handpiece for root-canal cleaning and preparation.The EndoPilot2 is intended solely for useby trained dental professionals inprofessional health care facilities onpatients that need root-canal-treatment.The EMS-200 is a dental devicewhich combines in a single LCDunit an endo motor which ablatesthe tooth to expand the rootcanal, a dental obturator to filland pressurize various shapedpackaging elements and anelectronic apex locator whichassists the operator the locationof the front tip in the root canal,for use by trained dentalprofessionals.SimilarThe difference inindications foruse result out ofthe differentdesign andmodules usedfor both devices.The intendeduse is the same.
Professional UseDental professionalsSame
Location of UseDental practiceSame
Mode of ActionEndo-Motor: ablates the tooth to clean the root canal (rotating endo-files)Obturation Unit: to fill and pressurize various shaped packing elements(Warming up by a resistance-wire)Apex locator: to ensure the location of the front tip in root canal throughchanges of electric resistance value into one unit (Electrical impedance)Display: displayed through a single touch screenSame
AC/DCPowersupplyAC: 100-240 V, 50/60 HzDC: 12 V, 1.5 AAC: 100-240 V, 50/60 HzDC: 12 V, 5.0 ASimilarSmall DCdifference resultsout of the lowerpowerconsumption forEndoPilot2systempower adapters
Battery OperatedYes, Li-Ion battery, 7.2 V,power output 48 WhnoDifferentBattery tested forIEC 62133 andanUN 38.3 Test
AttributeSUBJECT DEVICEPREDICATE DEVICE /510(k) HOLDER (K153285)K202906DeviceComparison
ManufacturerSchlumbohm GmbH & Co. KGMeta Systems Co., Ltd.
Trade NameEndoPilot2EMS-200
Componentsforsystems1) Control unit with display panel (touchscreen), 5 connecting sockets, a microSDslot, power supply and wireless foot switch2) Apex cable set (Lip-clip, Cap for Lip-clip,Cable for file clamp, File clamp, Retainerfor apex cable, measuring cable)3) Contra-angle for apex measurement4) Endodontic Motor with apex measuringcontact5) DownPack (D-Pack) handpiece with LEDindicator6) BackFill handpiece (K042828)7) Ultrasonic handpiece, UltrasonicModule (K050895)1) Control unit with display panel(touch screen), 4 connectingsockets, power supply2) Electronic apex locator andaccessories (lip holder, cableassembly and 2 kinds of fileholder).3) Contra-angle for apexmeasurement4) Endodontic-motor Handpiecewith apex measuring contact5) Obturation Unit (K031664)6) BackFill handpiece included inObturation Unit (see 5)7) NASimilarThesmalldifferencesindesign do notraisenewquestionsofsubstantialequivalence
Processing(reuse of componentssterilized by user)To be reprocessed in the dental practice before re-use.SimilarManuals includereprocessinginstructionbased on ISO17664/17665-1
Electrical SafetyIEC 60601-1IEC 60601-1Same
Protection type andlevel against electricshockClass II equipment, Type BF applied partClass I equipment, Type B appliedpartSimilarEquivalenttechnology isused,
ElectromagneticCompatibilityElectric Safety TestsIEC 60601-1-2IEC 61000-3 seriesIEC 61000-4 series (2,3,4,5,6,8,11)IEC 80601-2-60IEC 60601-1-2IEC 61000-4 series (2,3,4,5,6,8,11)Similar
Technological comparison of System Component Functions
Control Unit and display, Apex cable set and foot switch
DisplayDeviceFunctionLCD Touchscreen for display of workingcomponentsLCD Touchscreen for display ofworking components, standSimilar
FunctionalSpecificationAll main function can be selected directly at the start screenThe device switches off after a longer period of non-operationSame
AccessoryFoot switch FunctionSingle wireless footswitch or optionalTwin wireless foot switchNA, Function is started by pressinga switch by fingerDifferentThe foot switchprovides
Wirelessconnection/Bluetooth2.402-2.480 GHz, TX Power: +7 dBmNAdifferentmethod to startthe device
AttributeSUBJECT DEVICEPREDICATE DEVICE /510(k) HOLDER (K153285)K202906DeviceComparison
ManufacturerSchlumbohm GmbH & Co. KGMeta Systems Co., Ltd.
Trade NameEndoPilot2EMS-200
Apex locator (Apex cable set)
FunctionApex location of the front tip (of the endo-file) in the root canal throughchanges of electric resistance valueSame
Apex locatorElectronic apex locator (Schlumbohm)Electronic apex locatorSame
Apex cable setcomponents(material)Lip clip (Stainless-Steel)cap for lip-clip plug socket (POM-C)58 mm 2mmLip holder (Stainless steel)64 mm 2 mmSimilarSame materialused for maincomponentssmall differencein design doesnot impactthe device
File clamp (USP Plastic Class VI),cable for file clamp (TPR Plastic Class VI)Length 65 mm , Diameter 12 mmMeasuring cable (PVC), 1.5 m twin cableRetainer for apex cable (Stainless steel)(rest at the device)File holder B (Silicone rubber &PBT),With cableLength 68 mm , Diameter 9.5 mmProbe cord (PVC), 1.8 m twin cableNo retainer
FunctionalSpecificationAccuracy ofApex Locating point < ±0.5 mmAccuracy ofApex Locating point < ±0.5 mmSame
Contra angle
Functionholds the "drill bit" and/or endodontic files used in endodontic procedurese.g. root canal preparationSame
FunctionalSpecificationø20 x 94 mm, Weight 52.0gTorque range: Max. 5 Ncm +/- 10%(Gear ratio: 1:1)ø16.7 x 63 mm, Weight 34.8gTorque range: 0.6 ~ 6.4 NcmContra Angle: ACL (B) - 42EP (Gear16:1 )Similar
Mode of Operation:Forward and reverseSame
MaterialHard chrome plated brassHard chrome plated aluminumStainless steelSimilar
Accessories(Endo Files)Database with preset values forparameters for selected Endodontic Filesfrom File-manufacturersDatabase for parameters forselected Endodontic FilesSimilar
AttributeSUBJECT DEVICEPREDICATE DEVICE /510(k) HOLDER (K153285)K202906Device Comparison
ManufacturerSchlumbohm GmbH & Co. KGMeta Systems Co., Ltd.
Trade NameEndoPilot2EMS-200
Endodontic motor
FunctionMicro motor (dental handpiece) provides power for contra angle to be usedtogether in standard endodontic procedures (root canal preparation)Same
FunctionalSpecificationø21 x L 107 mmWeight 132 g (including wire)File Rotation Speed : 200-1000 rpmTorque limit value : 0.2-5.0 NcmGear ratio 1: 1 (contra angle)Auto-reverse modeAuto-stop modeSpeed ControlTorque controlø20 x L 108 mmWeight 106 g (including wire)File Rotation Speed : 250-800 rpmTorque limit value : 0.6-5.0 NcmGear ratio 16: 1 (contra angle)Auto-reverse modeAuto-stop modeSpeed ControlTorque controlSimilarBoth rotation speed are low speed ranges for dental motors
MaterialStainless steelPlastic, aluminum, stainless steelSimilar
Obturation Unit Back (DownPack, BackFill handpiece, Gutta Percha)
Functionfill and pressurize various shaped packing elements (Gutta percha)Same
Reference to FDA-cleared componentK042828,Obtura Heated Gutta Percha System,by YOUNG OS LLCK031664 Endodontic ObturationUnit by Sybron EndoSimilar
FunctionalSpecificationManual DownPack handpieceø14 x L 130.5 mm, weight 72 gWorking temperature up to 300°C adjustableElectronic DownPack handpieceø27 x L 212 mm, weight 200 gWorking temperature up to 300 °C adjustableSimilarThe difference in use (manual, electronic) is verified in the respective 510(k),Design is similar, working temperature is identical.
Pack tip/heating tip (E & Q Master; elements free), FDA-registered by MetaBiomedPack tip (5 sizes)
Manual BackFill handpiece(K042828)ø Heating Unit 12.5 mm x 150.5 mm x21.5 mm, Weight: 63gWorking temperature up to 200 °C, adjustableBackFill NeedlesDiameter: 20 gauge, 23 gauge, 25 gaugeworking length 25.5 mmElectronic BackFill handpiece(K031664)Ø 20 x L 153 mm,weight 104 gWorking temperature up to 200°C, adjustableBackFill NeedleDiameter:23 gauge and 25 gaugeworking length 25 mm
SUBJECT DEVICEPREDICATE DEVICE /510(k) HOLDER (K050895)DeviceComparison
ManufacturerSchlumbohm GmbH & Co. KGSATELEC-ACTEON GROUP
Trade NameEndoPilot2SUPRASSON P5 NEWTRON
Product CodesELC Ultrasonic scalerSame
RegulationNumberand Regulation Name872.4850 Ultrasonic ScalerSame
Indications for UseThe EndoPilot2 systems are a dentaldevices which combine in a singlecontrol unit an endo motor to cleanthe root canal, a dental obturatorto fill and pressurize, an electronicapex locator to assist the operatorto locate the file tip in the rootcanal and an ultrasonic-handpiecefor root-canal cleaning andpreparation.The EndoPilot2 is intended solelyfor use by trained dentalprofessionals in professional healthcare facilities on patients that needroot-canal-treatment.The SUPRASSON P5 NEWTRON is amulti-purpose piezoelectric ultrasonicgenerator: it is an upgraded generationof the SUPRASSON P5 BoosterPiezoelectric Ultrasonic ScalingGenerators from SATELEC whichreceived 510(k) clearance for dentalapplications (K961158) on May 23,1996, including the technology of theSP NEWTRON module which received510(k) clearance fordentalapplications(K033764) on March 1, 2004.The SUPRASSON P5 NEWTRONmaintains all the functions and the keycomponents of the SUPRASSON P5Booster and SP NEWTRON Module; it isa stand-alone device manufactured bySATELEC, all with the samecomponents and materials used in themanufacture of the originalSUPRASSON P5 Booster and SPNEWTRON module.The intended use, technicalperformance, and clinical indicationsare equivalent to those of theirpredicate devices, the SUPRASSON P5Booster (K961158) and SP NEWTRONModule (K033764).The SUPRASSON P5 NEWTRONconsists of three main components:the ultrasonic handpiece instrument,the control panel case, and thefootswitch.SimilarThe difference inintended useresult out of thedifferent designand modulesused for bothdevices.The SUPRASSONP5 NEWTRON is astandalonedevice while theultrasonicmodule in theEndoPilot2 isconnectedthrough thecontrol unit.
SUBJECT DEVICEPREDICATE DEVICE /510(k) HOLDER (K050895)K202906DeviceComparison
ManufacturerSchlumbohm GmbH & Co. KGSATELEC-ACTEON GROUP
Trade NameEndoPilot²SUPRASSON P5 NEWTRON
ComponentsControl-Unit:EndoPilot² unit with integratedultrasonic module with connectingsocket.(the ultrasonic module is identical toSUPRASSON SP NEWTRON-module)Ultrasonic handpiece:Handpiece (SUPRASSON SP NEWTRON)Universal wrench for ultrasonic tipsUltrasonic handpiece cableTwin wireless foot switch (Singlefootswitch or optional Twin-type)Control-UnitSUPRASSON P5 NEWTRONUltrasonic handpiece:Handpiece (SUPRASSON SP NEWTRON)Universal wrench for ultrasonic tipsUltrasonic handpiece cableFootswitch with cordSingle footswitchSimilarThe sameultrasonic moduleis used. Thedifference in useof the ultrasonicmodule result outof the connectionto the EndoPilot²system
Intermittent operation1 min/3 min (endodontic treatment)5 min/10 min (endodontictreatment)Similar
Vibration frequency27 to 33 kHz27 to 33 kHzSame
ActivationBy footswitch, ON/OFF buttonSame
Cleaning, disinfection,sterilizationISO 17664ISO 17665-1ISO 17665-1ISO 17665-2SimilarState of the artreprocessingstandards are met
AC/DC Power supplyAC: 100-240 V, 50/60 HzDC: 12 V, 1.5 AAC: 110 V or 220/230 V, 50/60 HzSimilaronly minordifference indesign; testingshows no newquestions raised.
WirelessConnectionFootswitch4.1 BluetoothNADifferentState of the artBluetoothstandardsdemonstratingcompliance.
Electrical SafetyIEC 60601-1IEC 60601-1Same
ElectromagneticCompatibility (EC)IEC 60601-1-2IEC 61000-3 seriesIEC 61000-4 series (2,3,4,5,6,8,11)IEC 60601-1-2(no further information available)SimilarAdditionaltestingdemonstratecompliance to EC

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Table 5B – Comparison of Main Characteristics between Subject Device and Predicate Device SUPRASSON P5 NEWTRON (this Ultrasonic Unit is only included in EndoPilot² variants "ultra" and "ultra plus")

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9. Non-Clinical Performance Data

To demonstrate the performance of EndoPilot²and to show substantial equivalence to the predicate device, Schlumbohm GmbH & Co. KG completed a number of non-clinical performance tests. Results confirm that the design inputs, function and performance specifications for the device are met. The EndoPilot® systems passed the testing in accordance with internal requirements, national standards, and international standards shown below, supporting its performance, and its substantial equivalence to the predicate device.

  • . Biocompatibility evaluation per ISO 10993-1 assessed the risk for biocompatibility testing for cytotoxicity, sensitization and irritation to ISO 10993-5, 10; PASSED
  • . Electrical safety testing per IEC 60601-1 and IEC 80601-2-60, PASSED required testing
  • Electromagnetic Compatibility testing per IEC 60601-1-2 and IEC 61000-3-2, IEC 61000-3-3, IEC 61000-. 4-2, IEC 61000-4-3, IEC 61000-4-4, IEC 61000-4-5, IEC 61000-4-6, IEC 61000-4-11, PASSED required testing
  • . Reprocessing validation (cleaning and sterilization) per the FDA Guidance Document "Reprocessing Medical Devices in Health Care Settings: Validation Methods and Labeling."
  • . Coupling between handpieces and motors connected to dental units follows ISO 3964 and ISO 14457; all specifications dimensions, tolerances and the extraction force requirements were met
  • . Software verification and validation testing has been completed on a functional level for a Moderate Level of Concern software including system compatibility testing, risk analysis per IEC 62304 and FDA Guidance "Content of Premarket Submissions for Management of Cybersecurity in Medical Devices, Guidance for Industry and Food and Drug Administration Staff" to address possible hazards, mitigations, and design considerations pertaining to intentional and unintentional cybersecurity risks associated with the device, , PASSED required testing
  • Usability engineering testing per IEC 62366-1, PASSED
  • Risk Management per EN ISO 14971, all requirements were met and risks reduced as far as possible.

10. Statement of Substantial Equivalence

The EndoPilot² systems have the same indications for use as the predicate devices EMS-200 and SUPRASSON P5 NEWTRON. Any minor differences in the technological characteristics of the subject device when compared to the predicate devices have been successfully evaluated through appropriate performance testing which demonstrates that the subject device, when compared to the predicate device, does not raise any new questions of substantial equivalence. The EndoPilot'systems have been determined to be substantially equivalent to predicate devices EMS-200 and SUPRASSON P5 NEWTRON.

§ 872.4850 Ultrasonic scaler.

(a)
Identification. An ultrasonic scaler is a device intended for use during dental cleaning and periodontal (gum) therapy to remove calculus deposits from teeth by application of an ultrasonic vibrating scaler tip to the teeth.(b)
Classification. Class II.