K Number
K214118
Device Name
Riva Cem Automix
Manufacturer
Date Cleared
2022-08-30

(243 days)

Product Code
Regulation Number
872.3275
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Permanent cementation of: - 1) Porcelain fused to metal (PFM) to crowns and bridges - 2) Prefabricated/cast posts - 3) Metals to crowns, bridges, inlays & onlays, orthodontic appliances & posts - 4) Ceramics (high strength)* to crowns & bridges, inlays & onlays - *E.g. Zirconia, Lithium Disilicate, - 5) Ceramics (low strength)* to inlays - *E.g. Feldspathic porcelains, Glass ceramics
Device Description
Riva Cem Automix™ is a radiopaque, fluoride releasing, resin modified glass ionomer luting cement. Riva Cem Automix™ is intended for the cementation of crowns, bridges, inlays, posts (fibre-reinforced), and orthodontic appliances. Riva Cem Automix™ consists of a base paste and a catalyst paste packaged in the automix delivery system for direct delivery in consistent mix ratios. Riva Cem Automix™ is available in a universal light-yellow shade in a double barrel syringe. The automix tip offers convenience over traditional hand mixed systems. The product provides both self-cure and tack cure mechanisms which makes it versatile for the cementation of different restorative systems.
More Information

Not Found

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

No.
This device is a dental cement intended for the permanent cementation of various dental restorations, not for treating diseases or conditions.

No

Riva Cem Automix™ is a luting cement described for permanent cementation of dental restorations, not for diagnosing conditions. Its intended use is to physically attach materials, not to assess or identify diseases or conditions.

No

The device description clearly states it is a "resin modified glass ionomer luting cement" and describes its physical form (paste, syringe, automix tip) and chemical properties, indicating it is a physical material, not software.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is for the permanent cementation of various dental restorations (crowns, bridges, posts, etc.) to tooth structure. This is a therapeutic/restorative application, not a diagnostic one.
  • Device Description: The device is a dental luting cement, which is a material used to bond dental prosthetics to teeth. This aligns with a therapeutic/restorative purpose.
  • Lack of Diagnostic Function: There is no mention of the device being used to diagnose a disease, condition, or state of health. It does not analyze samples from the human body (like blood, urine, or tissue) to provide diagnostic information.
  • Bench Testing: The bench testing focuses on physical properties relevant to a dental cement (working time, setting time, bond strength, etc.), not diagnostic performance metrics.
  • Biocompatibility Testing: Biocompatibility testing is standard for medical devices that come into contact with the body, regardless of whether they are diagnostic or therapeutic.

In summary, the device's function is to physically bond dental restorations, which is a therapeutic/restorative action, not a diagnostic one.

N/A

Intended Use / Indications for Use

Permanent cementation of:

    1. Porcelain fused to metal (PFM) to crowns and bridges
    1. Prefabricated/cast posts
    1. Metals to crowns, bridges, inlays & onlays, orthodontic appliances & posts
    1. Ceramics (high strength)* to crowns & bridges, inlays & onlays
  • *E.g. Zirconia, Lithium Disilicate,
    1. Ceramics (low strength)* to inlays
  • *E.g. Feldspathic porcelains, Glass ceramics

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

EMA

Device Description

Riva Cem Automix™ is a radiopaque, fluoride releasing, resin modified glass ionomer luting cement.

Riva Cem Automix™ is intended for the cementation of crowns, bridges, inlays, posts (fibre-reinforced), and orthodontic appliances.

Riva Cem Automix™ consists of a base paste and a catalyst paste packaged in the automix delivery system for direct delivery in consistent mix ratios. Riva Cem Automix™ is available in a universal light-yellow shade in a double barrel syringe. The automix tip offers convenience over traditional hand mixed systems.

The product provides both self-cure and tack cure mechanisms which makes it versatile for the cementation of different restorative systems.

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

Not Found

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)

Bench testing

The following in-vitro bench tests were performed on Riva Cem Automix™ as per ISO 9917-2 2017 - "Dental water-based cements - Part 2: Resin-modified cements" (Section 5), ISO 29022 - "Dentistry - Adhesive - Notched-edge sheer bond strength test", ISO/TS 11405 -"Dentistry - Testing of adhesion to tooth structure" and an in-house method to verify physical properties and performance in support of substantial equivalence:

  • Working time
  • . Setting time
  • . Film thickness
  • . Flexural strength
  • . Radio-opacity
  • . Shear Bond strength
  • Fluoride release

The performance of Riva Cem Automix™ satisfactorily met the requirements of the nonclinical bench testing conducted to support substantial equivalence.

Biocompatibility testing

Biocompatibility testing was conducted according to ISO 10993-1 - Biological evaluation of medical devices – Part 1: Evaluation and testing within a risk management process, and ISO 7405- Dentistry - Evaluation of biocompatibility of medical devices used in dentistry.

The results of the biocompatibility testing and composition analysis conducted relating to the subject device Riva Cem Automix™ support its substantial equivalence.

Clinical Performance Data

No data from human clinical studies has been included to support the substantial equivalence of Riva Cem Automix™.

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.

K111185, K182854

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

§ 872.3275 Dental cement.

(a)
Zinc oxide-eugenol —(1)Identification. Zinc oxide-eugenol is a device composed of zinc oxide-eugenol intended to serve as a temporary tooth filling or as a base cement to affix a temporary tooth filling, to affix dental devices such as crowns or bridges, or to be applied to a tooth to protect the tooth pulp.(2)
Classification. Class I (general controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 872.9.(b)
Dental cement other than zinc oxide-eugenol —(1)Identification. Dental cement other than zinc oxide-eugenol is a device composed of various materials other than zinc oxide-eugenol intended to serve as a temporary tooth filling or as a base cement to affix a temporary tooth filling, to affix dental devices such as crowns or bridges, or to be applied to a tooth to protect the tooth pulp.(2)
Classification. Class II.

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August 30, 2022

SDI Limited Antonella Kotefski Regulatory Affairs Manager 3-15 Brunsdon Street Bayswater, Victoria 3153 AUSTRALIA

Re: K214118

Trade/Device Name: Riva Cem Automix Regulation Number: 21 CFR 872.3275 Regulation Name: Dental Cement Regulatory Class: Class II Product Code: EMA Dated: July 29, 2022 Received: August 3, 2022

Dear Antonella Kotefski:

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,

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) K214118

Device Name Riva Cem Automix

Indications for Use ( Describe )
Permanent cementation of:
    1. Porcelain fused to metal (PFM) to crowns and bridges
    1. Prefabricated/cast posts
    1. Metals to crowns, bridges, inlays & onlays, orthodontic appliances & posts
    1. Ceramics (high strength)* to crowns & bridges, inlays & onlays
  • *E.g. Zirconia, Lithium Disilicate,
    1. Ceramics (low strength)* to inlays
  • *E.g. Feldspathic porcelains, Glass ceramics
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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1. Submitter Information

| Submitter: | SDI Limited
3-15 Brunsdon Street
Bayswater, Victoria 3153
Australia |
|-----------------|------------------------------------------------------------------------------|
| Contact Person: | Quynh Jewell |
| Position: | Regulatory Affairs Manager |
| Phone: | +61 3 8727 7111 |
| Email: | Quynh.Jewell@sdi.com.au |

24 August 2022 Date Prepared:

2. Device Details

Proprietary Name:Riva Cem Automix™
Common Name:Dental Cement, Resin Modified Glass Ionomer
Regulation Name:Dental Cement
Regulation Number:21 CFR 872.3275
Product Code:EMA
Regulatory Class:II

Predicate Device 3.

Permanent cementation for the following:

Primary Predicate Device510(k) Device NumberCompany Name
RelyX Luting Plus™K1111853M ESPE
Secondary Predicate Device510(k) Device NumberCompany Name
FujiCEM™ 2K182854GC Corporation

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Device Description 4.

Riva Cem Automix™ is a radiopaque, fluoride releasing, resin modified glass ionomer luting cement.

Riva Cem Automix™ is intended for the cementation of crowns, bridges, inlays, posts (fibre-reinforced), and orthodontic appliances.

Riva Cem Automix™ consists of a base paste and a catalyst paste packaged in the automix delivery system for direct delivery in consistent mix ratios. Riva Cem Automix™ is available in a universal light-yellow shade in a double barrel syringe. The automix tip offers convenience over traditional hand mixed systems.

The product provides both self-cure and tack cure mechanisms which makes it versatile for the cementation of different restorative systems.

5. Indications of Use

Permanent cementation of:

Indicated MaterialType of Restoration
Porcelain fused to metal (PFM)Crowns & bridges
Prefabricated/castPosts
MetalsCrown, bridges, inlays & onlays, orthodontic appliances
& posts
Ceramics (high strength)1Crowns & bridges, inlays & onlays
Ceramics (low strength)2Inlays

1 High strength ceramics, e.g. Zirconia, Lithium Disilicate.

2 Low strength ceramics, e.g. Feldspathic Porcelains, Glass Ceramics.

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Comparison of Technological Characteristics with the Predicate 6. Device

Luting cements, including resin modified glass ionomer cements, are widely used to cement crowns. Luting cements provide the mechanical interlock between the crown and the other types of restorative materials indicated, and the tooth structure.

Riva Cem Automix™ is identical to predicate devices RelyX™ Luting Plus Automix and FujiCEM™ 2 in terms of technology and delivery.

Two mechanisms provide the bonding between the cement and the tooth structure or restorative material through self-curing and light-curing.

Self-curing the luting cement occurs by an acid-base reaction between the two pastes, as well as polymerisation of the methacrylic polymer.

Light curing also provides the chemical reaction of the two pastes by the photoinitiators in the formulation, enhancing the reaction between the cement and the restorative material.

Substantial Equivalence

Information provided in this 510(k) submission shows that Riva Cem Automix™ is substantially equivalent to the predicate devices 3M ESPE RelyX™ Luting Plus Automix (K111185) and GC FujiCEM™ 2 Luting Cement (K182854). A comparison of the devices is provided below in Table 1.

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Establishment Registration No: 3004140838

510(k) NOTIFICATION (Traditional): Riva Cem Automix – Summary – July 2022 - K214118

Table 1 Comparison of Riva Cem Automix™ with the Primary Predicate and Secondary Predicate Devices

Submitter DevicePrimary Predicate DeviceSecondary Predicate DeviceDifferences
Proprietary
NameRiva Cem AutomixTM
(K214118)RelyXTM Luting Plus Automix
(K111185)FujiCEMTM 2
(K182854)Name
Regulation No.21 CFR 872.327521 CFR 872.327521 CFR 872.3275None
Product CodeEMAEMAEMANone
Regulatory
ClassIIIIIINone
Rx / OTCRxRxRxNone
Regulation
NameDental cementDental cementDental cementNone
Product
CategoryResin Modified Glass Ionomer Luting
CementResin Modified Glass Ionomer Luting
CementResin Modified Glass Ionomer Luting
CementNone
Intended UseDental Luting CementDental Luting CementDental Luting CementNone
ApplicationPaste-pastePaste-pastePaste-pasteNone
CuringSelf-cure, tack cureSelf-cure, tack cureSelf-cureAll are similar.
Riva Cem
AutomixTM and
RelyXTM Luting
Plus have optional
tack cure.
Curing
ChemistryAcid-base and polymerisation
reactionsAcid-base and polymerisation
reactionsAcid-base and polymerisation
reactionsNone
Indications for
Use (IFU)Permanent cementation of:
  • Porcelain fused to metal (PFM) to
    crowns and bridges
  • Prefabricated/cast posts
  • Metals to crowns, bridges, inlays &
    onlays, orthodontic appliances &
    posts | 510k indications:
    This device is intended for use as a
    dental cement.
    RelyX Luting Plus Automix (Lexus-2)
    is indicated for Luting:
  • Luting porcelain fused to metal
    crowns and bridges to tooth | FujiCEM 2 is indicated for:
  • Cementation of metal-based inlays,
    onlays, crowns and bridges
  • Cementation of resin inlays, onlays,
    crowns and bridges
  • Cementation of all ceramic inlays
  • Cementation of high strength (e.g. | Similar - different
    wording. See
    below for
    comparison of each
    indication. |
    | | Submitter Device | Primary Predicate Device | Secondary Predicate Device | Differences |
    | Proprietary
    Name | Riva Cem AutomixTM
    (K214118) | RelyXTM Luting Plus Automix
    (K111185) | FujiCEMTM 2
    (K182854) | Name |
    | | - Ceramics (high strength)* to
    crowns & bridges, inlays & onlays
    *E.g. Zirconia, Lithium Disilicate,
  • Ceramics (low strength)* to inlays
    *E.g. Feldspathic porcelains, Glass
    ceramics | structure, amalgam, composite or
    glass ionomer core build ups;
  • Luting metal inlays, onlays or
    crowns;
  • Luting pre-fabricated and cast post
    cementation;
  • Luting orthodontic appliances;
  • Luting crowns made with all-
    alumina or all zirconia cores such as
    Procera All Ceram | zirconia based, lithium disilicate)
    ceramic onlays, crowns and bridges
  • Cementation of metal, ceramic and
    fiber posts | |
    | Comparison of
    IFU | Porcelain fused to metal (PMF) to
    crowns and bridges | 510k indications:
    Luting porcelain fused to metal
    crowns and bridges to tooth
    structure, amalgam, composite or
    glass ionomer core build ups; | Cementation of metal-based inlays,
    onlays, crowns and bridges | None (PFM and
    metal-based are
    the same regarding
    cementation as
    both consist of
    metal). |
    | | Prefabricated/cast posts | N/A | Cementation of resin inlays, onlays,
    crowns and bridges
    Cementation of metal, ceramic and
    fiber posts | None (except for
    RelyXTM Luting
    Plus which it is not
    indicated) |
    | | Metals to crowns, bridges, inlays &
    onlays, orthodontic appliances &
    posts | 510k indications:
    Luting metal inlays, onlays or
    crowns,
    Luting orthodontic appliances,
    Luting prefabricated and cast post
    cementation | Cementation of metal-based inlays,
    onlays, crowns and bridges | None |
    | | Ceramics (high strength)* to crowns
    & bridges, inlays & onlays
    E.g. Zirconia, Lithium Disilicate | 510k indications:
    Luting crowns made with all-alumina
    or all zirconia cores such as Procera | Cementation of high strength (e.g.
    based, lithium disilicate) ceramic
    onlays, crowns and bridges | None |
    | | Submitter Device | Primary Predicate Device | Secondary Predicate Device | Differences |
    | Proprietary
    Name | Riva Cem AutomixTM
    (K214118) | RelyXTM Luting Plus Automix
    (K111185) | FujiCEMTM 2
    (K182854) | Name |
    | | | All Ceram | | |
    | | Ceramics (low strength)
    - Inlays
    *E.g. Feldspathic porcelains, Glass
    ceramics | N/A | Cementation of all ceramic inlays | None (except for
    RelyXTM Luting
    Plus which it is not
    indicated) |
    | Light Curing
    Specification
    Comparison | The parameters for tack curing are:
  1. Use a light curing device
    Wavelength: 440-480 nmIntensity: 1500 mW/cm2
    [+5% / - 15%]
  2. Apply for 5 seconds per surface | The parameters for tack curing are:
  3. Use a light curing device:
    Wavelength: 430-480 nmIntensity: 1470 mW/cm2
    [-10% / +20%]
  4. Apply for 5 seconds per surface. | N/A | Minor differences |
    | Contra-
    indications | 1. Pulp capping
  5. Product may cause skin irritations
    to some people. In such cases,
    discontinue use and seek medical
    attention. Any persons having known
    resin allergies should immediately
    discontinue use | This product contains substances
    that may cause an allergic reaction
    by skin contact in certain individuals.
    Avoid use of the product in patients
    with known acrylate allergies. | 1. Pulp capping.
  6. Avoid use of this product in
    patients with known allergies to glass
    ionomer cement, methacrylate
    monomer or methacrylate polymer | None (except for
    RelyXTM Luting
    Plus which
    contraindication for
    pulp capping is not
    specified) |
    | Technological
    Characteristics
    & Mode of
    Action | A two-component paste/paste
    system based on:
    1.An acid-base reaction between
    fluoroalumino-silicate glass in and
    polyacrylic acid copolymer.
  7. Polymerization of methacrylate
    monomers is through chemical cure
    or light cure.
  8. Photoinitiator system: • Tack-
    curing for excess removal | A two-component paste/paste
    system.
    Glass Ionomer Tooth bonding
    properties based on
  9. An acid-base reaction between
    fluoroalumino-silicate glass and
    methacrylated polycarboxylic acid;
  10. A free radical polymerization of
    the methacrylated copolymer and
    ethylenically unsaturated
    monomers/agents, through chemical | A two-component paste/paste
    system.
    The device is set by acid-base
    reaction and polymerization after
    mixing 2 pastes.
  11. Acid-base reaction occurs
    between fluoroaluminosilicate glass
    in Paste A and polyacrylic acid in
    Paste B.
  12. Polymerization of methacrylate
    monomers is through chemical cure. | None. Devices are
    paste/paste
    systems which form
    an acid-base
    reaction and
    polymerisation of
    methacrylate
    component.
    Riva Cem
    AutomixTM and
    RelyXTM Luting
    Plus offer a tack |
    | | Submitter Device | Primary Predicate Device | Secondary Predicate Device | Differences |
    | Proprietary
    Name | Riva Cem Automix™
    (K214118) | RelyX™ Luting Plus Automix
    (K111185) | FujiCEM™ 2
    (K182854) | Name |
    | | The 2 pastes are delivered in a
    consistent manner through an
    Automix syringe delivery system. | cure or light cure;
  13. Photoinitiator system with
    camphorquinone (CPQ) and 4-
    (dimethylamino)- phenethyl alcohol
    (DMAPE): • Tack-curing for excess
    removal
    The 2 pastes are delivered in a
    consistent manner through an
    automix delivery system | | cure and contain
    photoinitiators. |

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SDI Limited

Establishment Registration No: 3004140838

510(k) NOTIFICATION (Traditional): Riva Cem Automix – Summary – July 2022 -K214118

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Image /page/8/Picture/0 description: The image shows a black square with the letters "SDI" in white. The letters are stacked on top of each other, with "S" on top, "D" in the middle, and "I" on the bottom. The font is a simple, sans-serif typeface. The overall impression is clean and modern.

SDI Limited

Establishment Registration No: 3004140838

510(k) NOTIFICATION (Traditional): Riva Cem Automix – Summary – July 2022 - K214118

9

Image /page/9/Picture/0 description: The image shows a black square with the letters "SDI" in white. The letters are in a simple, sans-serif font and are stacked horizontally. The background is a solid black color, providing a strong contrast to the white letters.

SDI Limited

Establishment Registration No: 3004140838

510(k) NOTIFICATION (Traditional): Riva Cem Automix – Summary – July 2022 - K214118

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Image /page/10/Picture/0 description: The image shows the letters "SDI" in a black square, followed by the letter "S" in a larger font. The letters are all in white. The letters "SDI" are stacked on top of each other, with the "S" on top, the "D" in the middle, and the "I" on the bottom. The black square is slightly offset to the left of the letter "S".

Performance Data 7.

The following performance data were provided in support of the substantial equivalence determination.

Bench testing

The following in-vitro bench tests were performed on Riva Cem Automix™ as per ISO 9917-2 2017 - "Dental water-based cements - Part 2: Resin-modified cements" (Section 5), ISO 29022 - "Dentistry - Adhesive - Notched-edge sheer bond strength test", ISO/TS 11405 -"Dentistry - Testing of adhesion to tooth structure" and an in-house method to verify physical properties and performance in support of substantial equivalence:

  • Working time
  • . Setting time
  • . Film thickness
  • . Flexural strength
  • . Radio-opacity
  • . Shear Bond strength
  • Fluoride release

The performance of Riva Cem Automix™ satisfactorily met the requirements of the nonclinical bench testing conducted to support substantial equivalence.

Biocompatibility testing

Biocompatibility testing was conducted according to ISO 10993-1 - Biological evaluation of medical devices – Part 1: Evaluation and testing within a risk management process, and ISO 7405- Dentistry - Evaluation of biocompatibility of medical devices used in dentistry.

The results of the biocompatibility testing and composition analysis conducted relating to the subject device Riva Cem Automix™ support its substantial equivalence.

Clinical Performance Data

No data from human clinical studies has been included to support the substantial equivalence of Riva Cem Automix™.

Electrical safety and electromagnetic compatibility (EMC)

This section does not apply.

Software verification and validation testing

This section does not apply.

11

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Mechanical and acoustic testing

This section does not apply.

Animal studies

This section does not apply.

Clinical studies

No data from human clinical studies has been included to support the substantial equivalence of Riva Cem Automix™ .

Conclusion Regarding Substantial Equivalence 8.

Riva Cem AutomixTM has the same intended use, incorporates the same fundamental technology, and has similar indications for use as the primary predicate RelyX Luting Plus and secondary predicate FujiCEM 2. Test data to verify physical properties and the performance of Riva Cem AutomixTM has been provided including working time, setting time, film thickness, flexural strength and radio-opacity on various substrates. The results of the testing, combined with the design and intended use comparison with both predicate devices, RelyX Luting Plus and FujiCEM 2, support substantial equivalence.