K Number
K231552
Device Name
Dia-Cem
Date Cleared
2023-07-28

(59 days)

Product Code
Regulation Number
872.3275
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
- Resin crowns, bridges, inlays and onlays - Glass Ceramic, Porcelain crowns, inlays and onlays(includes alumina and zirconia) - Metal crowns, bridges, inlays and onlays(includes porcelain-fused-to-metal and composite-to-metal) - Metal(prefabricated or cast) and fiber posts
Device Description
Dia-Cem is a radiopaque resin cement that can be used in self-cure or light-cure mode. It corresponds to type 2 and 3 of ISO 4049 and contains more than 60% of inorganic filler. Dia-Cem shows high bonding strength on various materials, yet excess material can be easily removed. 3 different shades are available: TR, A2, and A3O.
More Information

Not Found

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

No
This device is a dental resin cement used for bonding indirect restorations, not a therapeutic device designed to treat a disease or condition.

No
The device is described as a radiopaque resin cement used for bonding dental restorations. Its intended use and description clearly indicate it is a restorative material, not a device for diagnosing medical conditions.

No

The device description clearly states "Dia-Cem is a radiopaque resin cement," indicating it is a physical material, not software. The performance studies and key metrics also relate to the physical properties of a dental cement.

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

Here's why:

  • Intended Use: The intended use clearly states that the device is a resin cement for bonding various dental restorations (crowns, bridges, inlays, onlays, posts) to teeth. This is a direct application within the body (or on a part of the body, the tooth).
  • Device Description: The description confirms it's a radiopaque resin cement used for bonding.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or screening.

IVD devices are used outside the body to analyze samples taken from the body. This device is used on the body to bond dental materials.

N/A

Intended Use / Indications for Use

  • Resin crowns, bridges, inlays and onlays
  • Glass Ceramic, Porcelain crowns, inlays and onlays(includes alumina and zirconia)
  • Metal crowns, bridges, ing and onlays(includes porcelain-fused-to-metal and composite-to-metal)
  • Metal(prefabricated or cast) and fiber posts

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

EMA

Device Description

Dia-Cem is a radiopaque resin cement that can be used in self-cure or light-cure mode. It corresponds to type 2 and 3 of ISO 4049 and contains more than 60% of inorganic filler. Dia-Cem shows high bonding strength on various materials, yet excess material can be easily removed. 3 different shades are available: TR, A2, and A3O.
Dia-Cem is available in the following models and compositions:

  • Dia-Cem TR 9g syringe with various quantities of Automixing tip, Root canal tip, and Eco tip.
  • Dia-Cem A2 9g syringe with various quantities of Automixing tip, Root canal tip, and Eco tip.
  • Dia-Cem A3O 9g syringe with various quantities of Automixing tip, Root canal tip, and Eco tip.
  • Dia-Cem TR 3g + Eco tip 1ea
  • Dia-Cem A2 3g + Eco tip 1ea
  • Dia-Cem A3O 3g + Eco tip 1ea

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

Prescription / Hospital

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 and biological tests were conducted on the subject device: Dia-Cem according to the following standards:

  • ISO 4049:2019, Dentistry - Polymer - based restorative materials
  • ISO 29022:2013, Dentistry - Adhesion - Notched - edge shear bond strength test
  • ISO 7405:2018, Dentistry - Evaluation of biocompatibility of medical devices used in dentistry
  • ISO 10993-1:2018, Evaluation and testing within a risk management process
  • ISO 10993-3:2014, Tests for genotoxicity, carcinogenicity and reproductive toxicity
  • ISO 10993-5:2009, Tests for in vitro cytotoxicity
  • ISO 10993-10:2010, Tests for irritation and skin sensitization
  • ISO 10993-11:2017, Tests for systemic toxicity

Key results:

  • Working time: A homogeneous and thin film should be formed at 60 sec after the complete of mixing.
  • Flexural Strength: More than 50 MPa
  • Film Thickness: No greater than 50 µm
  • Shear bond strength: Equal or greater than 4 MPa
  • Biocompatibility: Biocompatible

The test results corresponded to the requirements of standards.

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

  • Working time: A homogeneous and thin film should be formed at 60 sec after the complete of mixing.
  • Flexural strength: More than 50 MPa
  • Film thickness: No greater than 50 µm
  • Shear bond strength: Equal or greater than 4 MPa

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.

K082449

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.

0

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.

July 28, 2023

Diadent Group International Kab Lee Quality Assurance Manager 16. Osongsaengmyeong 4-ro. Osong-eup, Heungdeok-gu Cheongju-si, Chungcheongbuk-do 28161 SOUTH KOREA

Re: K231552

Trade/Device Name: Dia-Cem Regulation Number: 21 CFR 872.3275 Regulation Name: Dental Cement Regulatory Class: Class II Product Code: EMA Dated: May 16, 2023 Received: May 30, 2023

Dear Kab Lee:

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.

1

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 801); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device 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 -S

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)

K231552

Device Name Dia-Cem

Indications for Use (Describe)

  • Resin crowns, bridges, inlays and onlays
  • Glass Ceramic, Porcelain crowns, inlays and onlays(includes alumina and zirconia)
  • Metal crowns, bridges, inlays and onlays(includes porcelain-fused-to-metal and composite-to-metal)
  • Metal(prefabricated or cast) and fiber posts
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

K231552

510(k) Summary

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

1. Application Information

Date PreparedMay 10, 2023
Company Name and AddressDiaDent Group International
16, Osongsaengmyeong 4-ro, Osong-eup, Heungdeok-gu,
Cheongju-si, Chungcheongbuk-do, 28161, Republic of Korea
Contact PersonKab Sun Lee
Quality Assurance Manager
Phone: +82-43-266-2315
FAX: +82-43-235-2315
Email: diadent32@diadent.co.kr

2. Device Information

Common NameDental Resin Cement
Trade NameDia-Cem
Classification NameCement, Dental (21 CFR 872.3275)
Product CodeEMA
Device ClassII

3. Primary Predicate Device

510(k) NumberK082449
ApplicantBISCO, Inc.
Device NameBisCem
Regulation Number21 CFR 872.3275
Product CodeEMA
Device ClassII

4. Device Description

Dia-Cem is a radiopaque resin cement that can be used in self-cure or light-cure mode. It corresponds to type 2 and 3 of ISO 4049 and contains more than 60% of inorganic filler. Dia-Cem shows high bonding strength on various materials, yet excess material can be easily removed. 3 different shades are available: TR, A2, and A3O.

No.Model NameComposition
1Dia-Cem TR 9gDia-Cem TR 9g syringe 1ea + Automixing tip 3ea +
Root canal tip 3ea + Eco tip 1ea
Dia-Cem TR 9g syringe 1ea + Automixing tip 5ea +
Root canal tip 5ea + Eco tip 1ea
Dia-Cem TR 9g syringe 1ea + Automixing tip 10ea +
Root canal tip 10ea + Eco tip 1ea
Dia-Cem TR 9g syringe 1ea + Automixing tip 10ea + Eco tip 1ea
Dia-Cem TR 9g syringe 1ea + Automixing tip 5ea + Eco tip 1ea

4

Dia-Cem TR 9g syringe 1ea + Automixing tip 3ea + Eco tip 1ea
2Dia-Cem A2 9gDia-Cem A2 9g syringe 1ea + Automixing tip 3ea +
Root canal tip 3ea + Eco tip 1ea
Dia-Cem A2 9g syringe 1ea + Automixing tip 5ea +
Root canal tip 5ea + Eco tip 1ea
Dia-Cem A2 9g syringe 1ea + Automixing tip 10ea +
Root canal tip 10ea + Eco tip 1ea
Dia-Cem A2 9g syringe 1ea + Automixing tip 10ea + Eco tip 1ea
Dia-Cem A2 9g syringe 1ea + Automixing tip 5ea + Eco tip 1ea
Dia-Cem A2 9g syringe 1ea + Automixing tip 3ea + Eco tip 1ea
3Dia-Cem A3O 9gDia-Cem A3O 9g syringe 1ea + Automixing tip 3ea +
Root canal tip 3ea + Eco tip 1ea
Dia-Cem A3O 9g syringe 1ea + Automixingtip 5ea +
Root canal tip 5ea + Eco tip 1ea
Dia-Cem A3O 9g syringe 1ea + Automixing tip 10ea +
Root canal tip 10ea + Eco tip 1ea
Dia-Cem A3O 9g syringe 1ea + Automixing tip 10ea + Eco tip 1ea
Dia-Cem A3O 9g syringe 1ea + Automixing tip 5ea + Eco tip 1ea
Dia-Cem A3O 9g syringe 1ea + Automixing tip 3ea + Eco tip 1ea
4Dia-Cem TR 3gDia-Cem TR 3g + Eco tip 1ea
5Dia-Cem A2 3gDia-Cem A2 3g + Eco tip 1ea
6Dia-Cem A3O 3gDia-Cem A30 3g + Eco tip 1ea

5. Indications for Use

  • Resin crowns, bridges, inlays and onlays

  • Glass Ceramic, Porcelain crowns, inlays and onlays(includes alumina and zirconia)

  • Metal crowns, bridges, inlays and onlays(includes porcelain-fused-to-metal and composite-to-metal)

  • Metal(prefabricated or cast) and fiber posts

6. Technological Characteristics

The subject device, Dia-Cem has similar characteristics to the primary predicate device, BisCem.

[Comparison table]

Subject DevicePredicate DeviceDiscuss
510(k) Number-K082449-
Product CodeEMAEMAEquivalent
Device ClassIIIIEquivalent
ManufacturerDiaDent Group
InternationalBisco, Inc.-
Device NameDia-CemBisCem-
Indications for Use-Resin crowns, bridges,
inlays and onlays
-Glass Ceramic, Porcelain
crowns, inlays and
onlays (includes alumina
and zirconia)
-Metal crowns, bridges,
inlays and onlays- Luting resin crowns,
bridges, inlays, onlays
and veneers
  • Luting porcelain inlays,
    onlays, crowns, and
    veneers (includes alumina
    and zirconia) | Equivalent |
    | | (includes porcelain-fused
    -to-metal and composite-
    to-metal)
    -Metal (prefabricated or
    cast) and fiber posts | - Luting metal crowns,
    bridges, inlay, and onlays
    including porcelain-
    fused-to-metal and
    composite-to-metal
    variteties
  • Luting metal or non-
    metal/fiber posts
  • Luting orthodontic
    appliances | |
    | Raw Materials | - Ethoxylated bisphenol
    A dimethacrylate
  • 10-Methacryloxy decyl
    dihydrogen phosphate
  • 2-Hydroxyethyl
    Methacrylate
  • Barium glass
  • (+/-)-Camphorquinone
  • 2, 6-di-tert-butyl-p-
    cresol
  • Pigments | - Bisphenol A
    diglycidylmethacrylate
  • Bis[2-(Methacryloyloxy)
    ethyl]Phosphate
  • 2-Hydroxyethyl
    Methacrylate
  • Bis(Glyceryl 1,3
    Dimethacrylate)
    Phosphate | * See the below
    table. |
    | Principle of
    operation | Dia-Cem is a radiopaque
    resin cement that can be
    used in self-cure or light-
    cure mode. When the
    light is irradiated, the
    polymerization is
    generated from the
    photoinitiator. Also, the
    polymerization is
    generated from the
    reaction which takes
    place by the peroxide
    initiator. | With its dual syringe
    system, BisCem can be
    self cured by simply
    mixing paste A and paste
    B or cured by light after
    mixing paste A and paste
    B. Using a mixing tip, the
    cement could be dispensed
    to the working area
    directly. | Equivalent |
    | Performance
    Standard
    Conformance | Conformed ISO 4049
    and ISO 29022 | Conformed ISO 4049 | Equivalent |
    | Physical and
    Mechanical
    properties
    • Working time | A homogeneous and
    thin film should be
    formed at 60 sec after
    the complete of
    mixing. | A homogeneous and thin
    film should be formed at
    60 sec after the complete
    of mixing. | Equivalent |
    | • Flexural strength | More than 50 MPa | More than 50 MPa | Equivalent |
    | • Film thickness | No greater than 50 µm | No greater than 50 µm | Equivalent |
    | • Shear bond
    strength | Equal or greater than
    4 MPa | Equal or greater than
    4 MPa | Equivalent |
    | Biocompatibility | Biocompatible | Biocompatible | Equivalent |
    | Use | Prescription / Hospital | Prescription / Hospital | Equivalent |
    | Period of use | Permanent | Permanent | Equivalent |
    | Sterility | Non-sterile | Non-sterile | Equivalent |
    | Shelf-life | 2 years | 2 years | Equivalent |

5

6

  • Difference table
Subject DevicePredicate DeviceDiscussion
- Ethoxylated bisphenol A
dimethacrylate
  • 10-Methacryloxy decyl
    dihydrogen phosphate
  • 2-Hydroxyethyl
    Methacrylate
  • Barium glass
  • (+/-)-Camphorquinone
  • 2, 6-di-tert-butyl-p-cresol
  • Pigments | - Bisphenol A
    diglycidylmethacrylate
  • Bis[2-(Methacryloyloxy)
    ethyl]Phosphate
  • 2-Hydroxyethyl Methacrylate
  • Bis(Glyceryl 1,3
    Dimethacrylate) Phosphate
  • Amorphous Silica
  • Aluminum oxide | The main raw material,
    Ethoxylated bisphenol A
    dimethacrylate of the subject
    device is similar to Bisphenol
    A diglycidylmethacrylate of
    the predicate device.
    Also, 2-hydroxyethyl
    methacrylate is contained in
    both subject device and
    predicate device
    Through the biocompatibility
    test results, the difference does
    not raise any issue of safety
    and effectiveness. |

7. Non-Clinical Performance Data

The performance and biological tests were conducted on the subject device: Dia-Cem according to the following standards.

ISO 4049:2019, Dentistry - Polymer - based restorative materials

ISO 29022:2013, Dentistry - Adhesion - Notched - edge shear bond strength test

ISO 7405:2018, Dentistry - Evaluation of biocompatibility of medical devices used in dentistry

ISO 10993-1:2018, Evaluation and testing within a risk management process

ISO 10993-3:2014, Tests for genotoxicity, carcinogenicity and reproductive toxicity

ISO 10993-5:2009, Tests for in vitro cytotoxicity

ISO 10993-10:2010, Tests for irritation and skin sensitization

ISO 10993-11:2017, Tests for systemic toxicity

The test results corresponded the requirements of standards. Therefore, the subject device is substantially equivalent in safety and effectiveness to the predicate device.

8. Clinical Performance Data

No clinical data was collected or provided to support substantial equivalence between the subject and predicate device.

9. Conclusions

Based on the above information and all data provided in this submission, the subject device is substantially equivalent to the legally marketed device identified in this submission.