K Number
K233885
Device Name
rainbow Paste Stain SE
Manufacturer
Date Cleared
2024-06-21

(196 days)

Product Code
Regulation Number
872.6660
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
rainbow Paste Stain SE is indicated for use as a veneering material for fixed prosthesis in crowns and bridges. This device is used in prosthetic dentistry by forming a porcelain veneer on to a ceramic substructure.
Device Description
rainbow™ Paste Stain SE is a dental veneering material in paste form used for color staining and glazing of the surfaces of restorations such as porcelain-fused zirconia, full-contoured zirconia, or lithium disilicate. The intended use of general porcelain is to make artificial teeth (dental prosthesis) more similar with natural teeth. The subject device is pre-mixed paste form, which can help dental technicians exclude mixing process of porcelain powder and liquid.
More Information

Not Found

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

No
The device is a dental veneering material used to enhance the aesthetic appearance of dental prostheses (artificial teeth), not to treat or cure a disease or condition.

No

The device is described as a "dental veneering material" used for color staining and glazing of dental restorations, and its purpose is to make "artificial teeth (dental prosthesis) more similar with natural teeth." It does not detect, diagnose, treat, or prevent any medical condition.

No

The device is a dental veneering material in paste form, which is a physical substance, 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 clearly stated as a "veneering material for fixed prosthesis in crowns and bridges" and "forming a porcelain veneer on to a ceramic substructure." This describes a material used in the mouth for dental restoration, not a test performed on a sample taken from the body to diagnose a condition.
  • Device Description: The description reinforces its use as a "dental veneering material in paste form used for color staining and glazing of the surfaces of restorations." This is a material used in the fabrication of dental prosthetics.
  • Lack of Diagnostic Purpose: There is no mention of the device being used to analyze a sample (blood, urine, tissue, etc.) or to provide information for the diagnosis, monitoring, or treatment of a disease or condition.
  • Performance Studies: The performance studies focus on material properties (Appearance, Weight, Uniformity, Chemical solubility, Flexural strength, etc.), which are relevant to the physical and chemical characteristics of a dental material, not the analytical performance of a diagnostic test.

IVD devices are specifically designed to be used in vitro (outside the body) to examine specimens derived from the human body to provide information for diagnostic purposes. This device is used in vivo (in the mouth) as a restorative material.

N/A

Intended Use / Indications for Use

rainbow Paste Stain SE is indicated for use as a veneering material for fixed prosthesis in crowns and bridges. This device is used in prosthetic dentistry by forming a porcelain veneer on to a ceramic substructure.

Product codes

EIH

Device Description

rainbowTM Paste Stain SE is a dental veneering material in paste form used for color staining and glazing of the surfaces of restorations such as porcelain-fused zirconia, full-contoured zirconia, or lithium disilicate.

The intended use of general porcelain is to make artificial teeth (dental prosthesis) more similar with natural teeth. The subject device is pre-mixed paste form, which can help dental technicians exclude mixing process of porcelain powder and liquid.

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

The proposed rainbowTM Paste Stain SE was evaluated using the following performance bench testing to confirm the performance characteristics:

No.ItemsCriteriaResultStandard
1AppearanceNo impurities and No specific changesNo impurities and No specific changesInternal Standard
2WeightStandard weight

§ 872.6660 Porcelain powder for clinical use.

(a)
Identification. Porcelain powder for clinical use is a device consisting of a mixture of kaolin, felspar, quartz, or other substances intended for use in the production of artificial teeth in fixed or removable dentures, of jacket crowns, facings, and veneers. The device is used in prosthetic dentistry by heating the powder mixture to a high temperature in an oven to produce a hard prosthesis with a glass-like finish.(b)
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 FDA logo is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

June 21, 2024

Genoss Co., Ltd. Hayoung Sung Official Correspondent 12F, 76, Changryong-daero 256beon-gil, Yeongtong-gu Suwon-si, Gyeonggi-do SOUTH KOREA

Re: K233885

Trade/Device Name: rainbow Paste Stain SE Regulation Number: 21 CFR 872.6660 Regulation Name: Porcelain Powder For Clinical Use Regulatory Class: Class II Product Code: EIH Dated: November 15, 2023 Received: December 8, 2023

Dear Hayoung Sung:

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 (the 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 available 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

Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30. Design controls; 21 CFR 820.90. Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

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 Part 803) for devices or postmarketing safety reporting (21 CFR Part 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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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).

2

Sincerely,

Michael E. Adjodha -S

Michael E. Adjodha, MChE, RAC, CQIA 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

3

Indications for Use

Submission Number (if known)

K233885

Device Name

rainbowTM Paste Stain SE

Indications for Use (Describe)

rainbow Paste Stain SE is indicated for use as a veneering material for fixed prosthesis in crowns and bridges. This device is used in prosthetic dentistry by forming a porcelain veneer on to a ceramic substructure.

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

4

Image /page/4/Picture/0 description: The image shows the word "GENOSS" in a stylized font. The letters "GENO" are in a dark green color, while the letters "SS" are in a lighter green color. The font is bold and sans-serif, with a slightly rounded appearance.

510(k) Summary - K233885

06/18/2024

1. Company

Submitter
NameGENOSS Co., Ltd.
AddressHead Office: 12F, 76, Changnyong-daero 256beon-gil, Yeongtong-gu,
Suwon-si, Gyeonggi-do, Republic of Korea
Manufacturing site: 1F 106, Jeongoksandan-ro, Seosin-myeon, Hwaseong-
si, Gyeonggi-do, Republic of Korea
Phone/Fax+82-70-7098-8920
Contact personHayoung Sung/ RA
hysung@genoss.com
Summary Date06/18/2024

2. Device Name

Proprietary name:rainbow™ Paste Stain SE
Regulation description:Porcelain Powder for clinical use
Classification name:Powder, Porcelain
Regulation Number:21 CFR 872.6660
Product Code:EIH

3. Predicate Device

4. Description

rainbow™ Paste Stain SE is a dental veneering material in paste form used for color staining and glazing of the surfaces of restorations such as porcelain-fused zirconia, full-contoured zirconia, or lithium disilicate.

The intended use of general porcelain is to make artificial teeth (dental prosthesis) more similar with natural teeth. The subject device is pre-mixed paste form, which can help dental technicians exclude mixing process of porcelain powder and liquid.

510(k) Summary

Page 1 of 4

5

Image /page/5/Picture/0 description: The image shows the word "GENOSS" in a stylized font. The first three letters, "GEN", are in a dark green color. The last three letters, "OSS", are in a lighter green color.

5. Indication for use

rainbow™ Paste Stain SE is indicated for use as a veneering material for fixed prosthesis in crowns and bridges. This device is used in prosthetic dentistry be forming a porcelain veneer on to a ceramic substructure.

6. Technological Characteristics

rainbow™ Paste Stain SE was compared with the predicate device 'rainbow™ Paste Stain' in clinical, technical, biological view. The characteristics that differed from the predicate device were performed by gap analysis, which confirmed equivalence with the predicate device. Technological characteristics of rainbow™ Paste Stain SE and rainbow™ Paste Stain Material are as following;

Device namerainbow™ Paste Stain SErainbow™ Paste Stain
ManufactureGenoss Co.,Ltd.Genoss Co., Ltd.
510(K) NumberK233885K151731
ClassificationClass IIClass II
Product codeEIHEIH
Indication for userainbow™ Paste Stain SE is indicated
for use as a veneering material for
fixed prosthesis in crowns and
bridges. This device is used in
prosthetic dentistry be forming a
porcelain veneer on to a ceramic
substructure.rainbow™ Paste Stain is
indicated for use as a veneering
material for fixed prosthesis in
crowns and bridges. This device
is used in prosthetic dentistry be
forming a porcelain veneer on to
a ceramic substructure.
FormPastePaste
UsePrescriptionPrescription
Type, Class of
dental ceramic of
ISO 6872Type I - Class IType I - Class I
TechnicalFlexural strength72.5 MPa79 MPa
Chemical solubility
(µg/cm²)31.324
Linear thermal
expansion
coefficient$(8.6±0.5) x 10^{-6}k^{-1}$$(9.5±0.5) x 10^{-6}k^{-1}$

6

| | Glass transition
temperature | 503.6°C | 476°C |
|------------|---------------------------------|---------------|---------------|
| Biological | Chemical Safety | Biocompatible | Biocompatible |
| | Sterilization | Non-sterile | Non-sterile |

7. Biocompatibility Data

Biocompatibility testing on the proposed rainbow™ Paste Stain SE has been completed. Requirements for biological evaluation of the proposed device were based on FDA recognized concensus standard of ISO10993, "Biological Evaluation of Medical Devices, Part 1: Evaluation and Testing." The biocompatibility test results show that the materials used in the design and manufacture of the components of the proposed device are non-toxic and non- sensitizing to biological bone and tissues with its intended use. The following biocompatibility tests were completed:

(P: Pass, F: Fail)

No.TestMethodAcceptance criteriaP/F
1CytotoxicityISO 10993-05None cytotoxicityP
2SensitizationISO 10993-10None sensitizationP
3Irritation or intracutaneous reactivityISO 10993-10None irritationP
4Systemic toxicity(acute)ISO 10993-11None systemic
toxicityP
5GenotoxicityISO 10993-03No ToxicityP
6Subchronic toxicityISO 10993-11No ToxicityP
7ImplantationISO 10993-06No ToxicityP
8Chronic toxicityISO 10993-11No ToxicityP
9CarcinogenicityISO 10993-03No ToxicityP

7

Image /page/7/Picture/0 description: The image shows the word "GENOSS" in a stylized font. The first four letters, "GENO," are a dark green color. The last two letters, "SS," are a lighter green color, creating a gradient effect. The font is bold and sans-serif.

8. Performance Data

The proposed rainbow™M Paste Stain SE was evaluated using the following performance bench testing to confirm the performance characteristics:

No.ItemsCriteriaResultStandard
1AppearanceNo impurities
and No specific changesNo impurities
and No specific changesInternal
Standard
2WeightStandard weight