K Number
K214071
Device Name
Hexa-Temp
Manufacturer
Date Cleared
2022-03-10

(73 days)

Product Code
Regulation Number
872.3770
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Self-curing temporary crown resin that is used temporarily before repairing a permanent restoration
Device Description
Hexa-Temp is temporary crown and bridge resin that is used temporarily before repairing a permanent restoration. It can be self-cured resin. Filler size ranges from 0.7 to 1.2 µm, resulting in good radio-opacity and high flexural strength. Various shades of TW, A1, A2, A3, B1, C2, AO3 and BL for esthetic crown are provided. Hexa-Temp contains about 38% inorganic filler. Inorganic filler has a size of 16nm ~ 3.22µm.
More Information

Not Found

No
The device description and performance studies focus on the material properties and mechanical performance of a dental resin, with no mention of AI or ML.

No
This device is a temporary dental material, not a therapeutic device. It is used to temporarily restore teeth before a permanent restoration.

No

This device is described as a self-curing temporary crown resin for temporary use before permanent restoration. Its function is to provide a temporary dental prosthetic, not to identify or diagnose a disease or condition. The performance metrics listed are related to material properties (e.g., strength, color, shrinkage), not diagnostic accuracy.

No

The device description clearly states it is a "temporary crown and bridge resin," which is a physical material, not software. The performance studies also focus on material properties like strength, solubility, and color, further indicating it is a physical device.

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

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening.
  • Device Description and Intended Use: The description clearly states that Hexa-Temp is a "self-curing temporary crown resin that is used temporarily before repairing a permanent restoration." This is a material used in the mouth, directly on the tooth, for a restorative purpose. It is not used to analyze a specimen from the body.
  • Anatomical Site: The anatomical site is "Tooth," which is a part of the body, not a specimen taken from the body for analysis.

The information provided describes a dental material used for temporary restorations, which falls under the category of medical devices, but not specifically In Vitro Diagnostic devices.

N/A

Intended Use / Indications for Use

Self-curing temporary crown resin that is used temporarily before repairing a permanent restoration

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

EBG

Device Description

Hexa-Temp is temporary crown and bridge resin that is used temporarily before repairing a permanent restoration. It can be self-cured resin. Filler size ranges from 0.7 to 1.2 µm, resulting in good radio-opacity and high flexural strength. Various shades of TW, A1, A2, A3, B1, C2, AO3 and BL for esthetic crown are provided. Hexa-Temp contains about 38% inorganic filler. Inorganic filler has a size of 16nm ~ 3.22µm.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Tooth

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Dentist

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)

The performance test was conducted to prove the substantially equivalence of the subject device, and the standards applied to the performance test are as follows.

  • ISO 10477:2018, Dentistry Polymer-based crown and veneering materials.
    Biocompatibility tests and biological safety evaluation were performed and the results proved that the subject device is at least as biocompatible and biologically safe as the predicate device.
    The standards applied are as follows.
  • ISO 10993-1:2018, Biological evaluation of medical devices Part 1: Evaluation and testing within a risk management process
  • ISO 10993-3:2014, Biological evaluation of medical devices Part 3: Tests for genotoxicity, carcinogenicity and reproductive toxicity
  • ISO 10993-5:2009, Biological evaluation of medical devices Part 5: Tests for in vitro cytotoxicity
  • ISO 10993-6:2016, Biological evaluation of medical devices Part 6: Tests for local effects after implantation
  • ISO 10993-10:2010, Biological evaluation of medical devices. Tests for irritation and skin sensitization
  • ISO 10993-11:2017, Biological evaluation of medical devices Part 11: Tests for systemic toxicity
  • ISO 10993-18:2020, Biological evaluation of medical devices Part 18: Chemical characterization of medical device materials within a risk management process
  • ISO 7405:2018, Dentistry Evaluation of biocompatibility of medical devices used in dentistry

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

•Water sorption (µg/mm³): 24.89
•Solubility (µg/mm³): 3.85
•Color and color consistency: There is Color consistency and Color stability.
•Polymerization Temperature: Did not exceed 45°C
•Polymerization Shrinkage (%): 2.63
•Compressive Strength (MPa): 330.38
•Flexural Strength (MPa): 69.93
•Surface finish: It's smooth and glossy.

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.

K040769

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

§ 872.3770 Temporary crown and bridge resin.

(a)
Identification. A temporary crown and bridge resin is a device composed of a material, such as polymethylmethacrylate, intended to make a temporary prosthesis, such as a crown or bridge, for use until a permanent restoration is fabricated.(b)
Classification. Class II.

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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 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 10, 2022

Spident Co., Ltd. J.M. Ahn President 203 & 312, Korea Industrial Complex, 722 Gojan-Dong, Namdong-Gu, Incheon 405-821 Korea, South

Re: K214071

Trade/Device Name: Hexa-Temp Regulation Number: 21 CFR 872.3770 Regulation Name: Temporary Crown And Bridge Resin Regulatory Class: Class II Product Code: EBG Dated: December 21, 2021 Received: December 27, 2021

Dear J.M. Ahn:

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

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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,

For 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

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Indications for Use

510(k) Number (if known) K214071

Device Name Hexa-Temp

Indications for Use (Describe)

Self-curing temporary crown resin that is used temporarily before repairing a permanent restoration

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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Image /page/3/Picture/0 description: The image shows the logo for SPIDENT. The logo is green and features the word "SPIDENT" in a sans-serif font. The letters are all capitalized and are a bright green color. The logo is enclosed in a green box that is open on the top and left sides.

SPIDENT CO., LTD.

203 & 312, Korea Industrial Complex, 722, Gojan-Dong, Namdong-Gu, Incheon, Korea 405-821 Tel: +82-32-821-0071 Fax : +82-32-821-0074

Section 5. 510(k) Summary

K214071

This summary of 510(k) safety and effectiveness information is being submitted in accordance with requirements of 21 CFR Part 807.92(c).

Date: December 21, 2021

    1. Company and Correspondent making the submission: Company Name : SPIDENT CO., LTD. Address : 203 & 312, Korea Industrial Complex, 722, Gojan-Dong, Namdong-Gu, Incheon, Korea, 405-821 Tel : +82-32-821-0071 Fax : + 82-32-821-0074 Company Contact : J.M. Ahn / President

2. Device Name and Classification

Proprietary Name : Hexa-Temp Common name : Temporary crown and bridge resin Classification name : Temporary crown and bridge resin [CFR 872.3770] Product code : EBG Class : II

3. Predicate Devices (Legally Marketed Devices)

The predicate devices for Hexa-Temp is :

  • · STRUCTUR 2 SC, VOCO GMBH, K040769

4. Description:

Hexa-Temp is temporary crown and bridge resin that is used temporarily before repairing a permanent restoration. It can be self-cured resin. Filler size ranges from 0.7 to 1.2 µm, resulting in good radio-opacity and high flexural strength. Various shades of TW, A1, A2, A3, B1, C2, AO3 and BL for esthetic crown are provided. Hexa-Temp contains about 38% inorganic filler. Inorganic filler has a size of 16nm ~ 3.22µm.

5. Indications for Use

Self-curing temporary crown resin that is used temporarily before repairing a permanent restoration

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Image /page/4/Picture/0 description: The image is a logo for SPIDENT. The logo is green and features the word "SPIDENT" in a sans-serif font. The word is enclosed in a square with a break in the upper left corner. The logo is simple and modern.

6. Performance Testing - Bench

The performance test was conducted to prove the substantially equivalence of the subject device, and the standards applied to the performance test are as follows.

  • · ISO 10477:2018, Dentistry Polymer-based crown and veneering materials.

7. Biocompatibility

Biocompatibility tests and biological safety evaluation were performed and the results proved that the subject device is at least as biocompatible and biologically safe as the predicate device.

The standards applied are as follows.

  • · ISO 10993-1:2018, Biological evaluation of medical devices Part 1: Evaluation and testing within a risk management process
  • · ISO 10993-3:2014, Biological evaluation of medical devices Part 3: Tests for genotoxicity, carcinogenicity and reproductive toxicity
  • · ISO 10993-5:2009, Biological evaluation of medical devices Part 5: Tests for in vitro cytotoxicity
  • · ISO 10993-6:2016, Biological evaluation of medical devices Part 6: Tests for local effects after implantation
  • · ISO 10993-10:2010, Biological evaluation of medical devices. Tests for irritation and skin sensitization
  • · ISO 10993-11:2017, Biological evaluation of medical devices Part 11: Tests for systemic toxicity
  • · ISO 10993-18:2020, Biological evaluation of medical devices Part 18: Chemical characterization of medical device materials within a risk management process
  • · ISO 7405:2018, Dentistry Evaluation of biocompatibility of medical devices used in dentistry
Product NameHexa-TempStructur 2 SC
510(k)N/AK040769
ManufacturerSPIDENT CO., LTD.VOCO GMBH
Product
descriptionHexa-Temp is temporary crown and
bridge resin that is used temporarily
before repairing a permanent
restoration. It can be self-cured
resin. Filler size ranges from 0.7 to
1.2 µm, resulting in good radio-
opacity and high flexural strength.
Various shades of TW, A1, A2, A3,
B1, C2, AO3 and BL for esthetic
crown are provided. Hexa-Temp
contains about 38% inorganic filler.
Inorganic filler has a size of 16nm
~ 3.22µm.Structur 2 SC is a fluorescent self-
curing paste-paste system for the
production of temporary crowns,
bridges, inlays and onlays. Structur
2 SC consists of base paste and
catalyst paste.
Chemical
composition of
ResinMethacrylate matrix(Bis-GMA,
TEGDMA)Methacrylates, amines, terpenes,
benzoyl peroxide and BHT
Indications for useSelf-curing temporary crown resin
that is used temporarily before
repairing a permanent restorationStructur 2SC is indicated for the
fabrication of temporary crowns,
bridges, inlays and onlays.
Principle of
operationSelf-curedSelf-cured
Mechanical
Properties
•Water sorption
(µg/mm³)24.8914.59
•Solubility
(µg/mm³)3.853.15
•Color and color
consistencyThere is Color consistency and
Color stability.There is Color consistency and
Color stability.
•Polymerization
TemperatureDid not exceed 45°CDid not exceed 45°C
•Polymerization
Shrinkage (%)2.632.50
•Compressive
Strength
(MPa)330.38294.82
•Flexural Strength
(MPa)69.9386.42
•Surface finishIt's smooth and glossy.It's smooth and glossy.
Standard
conformedISO 10477ISO 10477
BiocompatibilityYesYes
Application AreaToothTooth
Target PopulationDental patientDental patient
Intended
OperatorDentistDentist
Storage condition2-27°C4-23°C
ShadeTW, A1, A2, A3, B1, C2, AO3 and
BLA1, A2, A3, A3.5, B1, B3, C2 and
BL

8. Substantial Equivalence Discussion

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Image /page/5/Picture/0 description: The image shows the logo for Spident. The logo is green and features the word "SPIDENT" in a sans-serif font. The letters are enclosed in a square border that is open at the top and bottom. The logo is simple and modern.

SPIDENT CO., LTD.

203 & 312, Korea Industrial Complex, 722, Gojan-Dong, Namdong-Gu, Incheon, Korea 405-821 Tel: +82-32-821-0071 Fax : +82-32-821-0074

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Image /page/6/Picture/0 description: The image shows the word "SPIDENT" in green font. The word is partially enclosed in a green square. The square is open on the top and left sides, and the word is positioned inside the square.

SPIDENT CO., LTD.

203 & 312, Korea Industrial Complex, 722, Gojan-Dong, Namdong-Gu, Incheon, Korea 405-821 Tel: +82-32-821-0071 Fax : +82-32-821-0074

9. Similarities and Differences with Marketed Devices:

The subject device, Hexa-Temp and the predicate device, Structur 2 SC was compared as above. Both products have the similar product description as a temporary crown and bridge resin.

In case of composition, two products contain slightly different raw materials, but the subject device and the predicate device show the same performance as methacrylic monomer and inhibitor, initiator, pigment, filler. Filler information of predicate device is unknown, but it will be similar as the general characteristics of the temporary crown and bridge resin.

Indication for use of the two products are almost same and both products can be used as self-cure.

As the mechanical properties, clinically important items of the temporary crown resin were selected: Water sorption, Solubility, Color and Color stability, Polymerization temperature, Polymerization shrinkage, Compressive strength, and Flexural strength. Among them,

Water sorption, Solubility, Color and Color stability, and Flexural strength belong to ISO 10477 items.

The performance results of the two products are not the same, but both products meet the requirements of ISO 10477 and it can be seen that the main clinical performance is comparable or superior.

For this reason, despite difference in material, both the subject device and the equivalent device have no problem in terms of the clinical performance.

Biocompatibility, Application Area, Target Population, Intended Operator of both products are the same.

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Image /page/7/Picture/0 description: The image shows the logo for SPIDENT. The logo is green and features the word "SPIDENT" in a sans-serif font. The letters are enclosed in a square with a break in the upper left corner. The logo is simple and modern.

SPIDENT CO., LTD. 203 & 312, Korea Industrial Complex, 722, Gojan-Dong, Namdong-Gu, Incheon, Korea 405-821 Tel: +82-32-821-0071 Fax : +82-32-821-0074

In case of Storage condition and Shade, there is a slight difference but performance and biocompatibility test showed that these differences would not raise any new questions of safety and effectiveness. Therefore, Hexa-Temp is substantially equivalent with predicate device, Structur 2 SC, and at least as safe and effective as the predicate device.

10. Conclusion

Based on a comparison of subject device, Hexa-Temp (SPIDENT CO., LTD) and predicate device, Structur 2 SC (VOCO GMBH), it is confirmed that the subject device is substantially equivalent to predicate device.