K Number
K240823
Device Name
els extra low shrinkage® composite & els extra low shrinkage® flow
Manufacturer
Date Cleared
2024-06-27

(93 days)

Product Code
Regulation Number
872.3690
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
els extra low shrinkage® composite & els extra low shrinkage® flow are restorative materials intended for the reconstruction or correction of natural dentition. els extra low shrinkage® composite is indicated for: - Restoration of class I, II, III, IV and V cavities on anterior and posterior teeth - Indirect anterior and posterior restorations including inlays, onlays and veneers - Aesthetic corrections of interdental spaces, enamel hypoplasia, discolorations - Splinting els extra low shrinkage® flow is indicated for: - Restorations with minimally invasive preparation technique - Restorations of small cavities and extended fissure sealing - Alternate restorations for undercut cavities - Restorations of class III V including wedged shaped defects and cervical caries - Repair of fillings, veneers and methacrylate-based temporary restorations - First layer of fillings for Class I and II - Interlocking of loosened teeth - Adhesive attachment of indirect composite and ceramic restorations
Device Description
els extra low shrinkage® composite is classified as a Type 1, Class 2, Group 1 & 2 Polymerbased restorative material according to ISO 4049:2009 - Dentistry - Polymer-based restorative materials. els extra low shrinkage® flow is classified as Type 2, Class 2, Group 1 Polymer-based restorative material according to ISO 4049:2009 – Dentistry – Polymer-based restorative materials. els extra low shrinkage® composite & els extra low shrinkage® flow are light-cured methacrylate-based resins that are intended to fill and restore small to large defects or carious lesions in teeth. els extra low shrinkage® composite & els extra low shrinkage® flow are light cured radiopaque microhybrid composites with extremely low shrinkage stress.
More Information

No
The summary describes a traditional dental restorative material and does not mention any AI or ML components or functionalities.

Yes
The device is a restorative material used for reconstructing or correcting natural dentition, which aligns with the definition of a therapeutic device designed to treat or alleviate a condition.

No

The device is described as a restorative material intended for the reconstruction or correction of natural dentition, not for diagnosing conditions.

No

The device description explicitly states that the devices are "light-cured methacrylate-based resins" and "light cured radiopaque microhybrid composites," which are physical materials, not software.

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

Here's why:

  • Intended Use: The intended use is for the "reconstruction or correction of natural dentition" and "restoration of cavities." This describes a therapeutic or restorative purpose, not a diagnostic one.
  • Device Description: The device is described as a "restorative material," "light-cured methacrylate-based resins that are intended to fill and restore small to large defects or carious lesions in teeth." This further reinforces its role in treating or repairing teeth.
  • Lack of Diagnostic Function: There is no mention of the device being used to test samples from the human body (like blood, urine, or tissue) to provide information about a disease or condition.
  • Anatomical Site: The anatomical site is "Natural dentition," which is the target for restoration, not for obtaining diagnostic samples.

IVD devices are specifically designed to perform tests in vitro (outside the body) on samples from the human body to provide diagnostic information. This device is used in vivo (within the body) for restorative purposes.

N/A

Intended Use / Indications for Use

els extra low shrinkage® composite & els extra low shrinkage® flow are restorative materials intended for the reconstruction or correction of natural dentition.

els extra low shrinkage® composite is indicated for:

  • Restoration of class I, II, III, IV and V cavities on anterior and posterior teeth
  • Indirect anterior and posterior restorations including inlays, onlays and veneers
  • Aesthetic corrections of interdental spaces, enamel hypoplasia, discolorations
  • Splinting

els extra low shrinkage® flow is indicated for:

  • Restorations with minimally invasive preparation technique
  • Restorations of small cavities and extended fissure sealing
  • Alternate restorations for undercut cavities
  • Restorations of class III V including wedged shaped defects and cervical caries
  • Repair of fillings, veneers and methacrylate-based temporary restorations
  • First layer of fillings for Class I and II
  • Interlocking of loosened teeth
  • Adhesive attachment of indirect composite and ceramic restorations

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

EBF

Device Description

els extra low shrinkage® composite is classified as a Type 1, Class 2, Group 1 & 2 Polymerbased restorative material according to ISO 4049:2009 - Dentistry - Polymer-based restorative materials.

els extra low shrinkage® flow is classified as Type 2, Class 2, Group 1 Polymer-based restorative material according to ISO 4049:2009 – Dentistry – Polymer-based restorative materials.

els extra low shrinkage® composite & els extra low shrinkage® flow are light-cured methacrylate-based resins that are intended to fill and restore small to large defects or carious lesions in teeth.

Material Composition: els extra low shrinkage® composite & els extra low shrinkage® flow are composed of methacrylate-based resins, dental glass-filler, photo initiators and pigments.

Technological Characteristics: els extra low shrinkage® composite & els extra low shrinkage® flow are light cured radiopaque microhybrid composites with extremely low shrinkage stress.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

natural dentition, teeth

Indicated Patient Age Range

The patient population includes with permanent dentition needing restoration.

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)

Non-Clinical Performance Testing: els extra low shrinkage® composite & els extra low shrinkage® flow were tested and met the applicable requirements of the following ISO standard ISO 4049:2009 - Dentistry -Polymer-based restorative materials. Bench test results allowed us to conclude that els extra low shrinkage® composite & els extra low shrinkage® flow meet their intended uses.

Biocompatibility: els extra low shrinkage® composite & els extra low shrinkage® flow meet the biocompatibility requirements of the following standards:

  • ISO 10993-1:2018 – Biological Evaluation of Medical Devices – Part 1: Evaluation and Testing Within a Risk Management Process
  • ISO 7405:2018 Dentistry – Evaluation of Biocompatibility of Medical Devices Used in Dentistry

Clinical Performance Data: The performance of methacrylate-based polymer resins in the clinical environment has been well established. No human clinical testing was performed to support the substantial equivalence of els extra low shrinkage® composite & els extra low shrinkage® flow.

Summary of Performance Studies results are in tables, refer to document for details.

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.

K213339

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.

K190597, K191385, K091635

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

§ 872.3690 Tooth shade resin material.

(a)
Identification. Tooth shade resin material is a device composed of materials such as bisphenol-A glycidyl methacrylate (Bis-GMA) intended to restore carious lesions or structural defects in teeth.(b)
Classification. Class II.

0

Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food & 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.

June 27, 2024

Saremco Dental AG % Nevine Erian Regulatory Consultant BOC Consulting, LLC 24341 Barbados Dr. Dana Point, California 92629-92629

Re: K240823

Trade/Device Name: els extra low shrinkage® composite & els extra low shrinkage® flow Regulation Number: 21 CFR 872.3690 Regulation Name: Tooth Shade Resin Material Regulatory Class: Class II Product Code: EBF Dated: March 21, 2024 Received: March 26, 2024

Dear Nevine Erian:

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.

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"

1

(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 OS 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).

Sincerely.

Bobak Shirmohammadi -S

For Michael E. Adjodha, M.ChE., RAC, COIA Assistant Director DHT1B: Division of Dental and ENT Devices OHT1: Office of Ophthalmic, Anesthesia,

2

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)

K240823

Device Name

els extra low shrinkage® composite & els extra low shrinkage® flow

Indications for Use (Describe)

els extra low shrinkage® composite & els extra low shrinkage® flow are restorative materials intended for the reconstruction or correction of natural dentition.

els extra low shrinkage® composite is indicated for:

  • D Restoration of class I, II, III, IV and V cavities on anterior and posterior teeth
  • [ Indirect anterior and posterior restorations including inlays, onlays and veneers
  • [ Aesthetic corrections of interdental spaces, enamel hypoplasia, discolorations
  • 0 Splinting

els extra low shrinkage® flow is indicated for:

  • [ Restorations with minimally invasive preparation technique
  • [ Restorations of small cavities and extended fissure sealing
  • [ Alternate restorations for undercut cavities
  • [ Restorations of class III V including wedged shaped defects and cervical caries
  • □ Repair of fillings, veneers and methacrylate-based temporary restorations
  • □ First layer of fillings for Class I and II
  • I Interlocking of loosened teeth
  • [ Adhesive attachment of indirect composite and ceramic restorations

Type of Use (Select one or both, as applicable)

Prescription Use (Part 21 CFR 801 Subpart D)

ver-The-Counter Use (21 CFR 801 Subpart C)

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4

K240823 – 510(k) Summary

| Submitter | Saremco Dental AG
Gewerbestrasse 4
CH-9445 Rebstein, Switzerland
Establishment Reg. No. 3008582054 |
|-----------|------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact | Dr. Christoph Evers
Head of R&D
Phone +41 71 775 80 90
Fax +41 71 775 80 99
E-Mail christoph.evers@saremco.ch |

Official CorrespondentNevine Erian
Regulatory Consultant
BQC Consulting, LLC
24341 Barbados Dr.
Dana Point, CA 92629
Phone (949) 370-7155
Fax (949) 240-8829
E-mail nevine@bqcconsulting.com

Date Prepared June 24, 2024

| Trade/Device Names | els extra low shrinkage® composite
els extra low shrinkage® flow |
|--------------------------------------------|---------------------------------------------------------------------|
| Common Name | Tooth Shade Resin Material |
| Classification Name &
Regulation Number | Tooth Shade Resin Material - 21 CFR 872.3690 |
| Product Code | EBF |

Predicate Devices

DENU Composite Resin (HDI, Inc.) – K213339 – Primary Predicate

Brilliant EverGlow Flow (Coltene/Whaledent AG) – K190597 – Reference Device

Brilliant Componeer (Coltene/Whaledent AG) – K191385 – Reference Device

Venus Diamond flow (Heraeus Kulzer GmbH) – K091635 – Reference Device

5

Device Description

els extra low shrinkage® composite is classified as a Type 1, Class 2, Group 1 & 2 Polymerbased restorative material according to ISO 4049:2009 - Dentistry - Polymer-based restorative materials.

els extra low shrinkage® flow is classified as Type 2, Class 2, Group 1 Polymer-based restorative material according to ISO 4049:2009 – Dentistry – Polymer-based restorative materials.

Statement of Intended Use

els extra low shrinkage® composite & els extra low shrinkage® flow are light-cured methacrylate-based resins that are intended to fill and restore small to large defects or carious lesions in teeth. The patient population includes with permanent dentition needing restoration.

Statement of Indication for Use

els extra low shrinkage® composite & els extra low shrinkage® flow are restorative materials intended for the reconstruction or correction of natural dentition.

els extra low shrinkage® composite is indicated for:

  • Restoration of class I, II, III, IV and V cavities on anterior and posterior teeth
  • . Indirect anterior and posterior restorations including inlays, onlays and veneers
  • Aesthetic corrections of interdental spaces, enamel hypoplasia, discolorations
  • 트 Splinting

els extra low shrinkage® flow is indicated for:

  • 트 Restorations with minimally invasive preparation technique
  • 트 Restorations of small cavities and extended fissure sealing
  • 트 Alternate restorations for undercut cavities
  • . Restorations of class III - V including wedged shaped defects and cervical caries
  • 트 Repair of fillings, veneers and methacrylate-based temporary restorations
  • 트 First layer of fillings for Class I and II
  • 트 Interlocking of loosened teeth
  • Adhesive attachment of indirect composite and ceramic restorations

Material Composition

els extra low shrinkage® composite & els extra low shrinkage® flow are composed of methacrylate-based resins, dental glass-filler, photo initiators and pigments.

Technological Characteristics

els extra low shrinkage® composite & els extra low shrinkage® flow are light cured radiopaque microhybrid composites with extremely low shrinkage stress.

6

Non-Clinical Performance Testing

els extra low shrinkage® composite & els extra low shrinkage® flow were tested and met the applicable requirements of the following ISO standard ISO 4049:2009 - Dentistry -Polymer-based restorative materials

Bench test results allowed us to conclude that els extra low shrinkage® composite & els extra low shrinkage® flow meet their intended uses.

Biocompatibility

els extra low shrinkage® composite & els extra low shrinkage® flow meet the biocompatibility requirements of the following standards:

  • l ISO 10993-1:2018 – Biological Evaluation of Medical Devices – Part 1: Evaluation and Testing Within a Risk Management Process
  • -ISO 7405:2018 Dentistry – Evaluation of Biocompatibility of Medical Devices Used in Dentistry

Clinical Performance Data

The performance of methacrylate-based polymer resins in the clinical environment has been well established. No human clinical testing was performed to support the substantial equivalence of els extra low shrinkage® composite & els extra low shrinkage® flow.

Substantial Equivalence

The technical characteristics of els extra low shrinkage® composite & els extra low shrinkage® flow are substantially equivalent to the predicate devices.

Material

els extra low shrinkage® composite & els extra low shrinkage® flow are resin-based materials as the predicate devices.

Physical Properties

els extra low shrinkage® composite & els extra low shrinkage® flow have similar physical properties as the predicate devices.

Comparison of saremco els extra low shrinkage® composite (els composite for short) to Predicate Devices

7

8

| Attribute | els composite | DENU Composite
Resin | Brilliant
Componeer | Rationale for Difference |
|----------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Indications | els extra low
shrinkage®
composite is a
restorative
material intended
for the
reconstruction or
correction of
natural dentition.

  • Restoration of
    class I, II, III, IV
    and V cavities on
    anterior and
    posterior teeth
  • Indirect anterior
    and posterior
    restorations
    including inlays,
    onlays and
    veneers
  • Aesthetic
    corrections of
    interdental
    spaces, enamel
    hypoplasia,
    discolorations
  • Splinting | DENU Composite
    Resin is indicated
    for use in:
  • Direct anterior
    and posterior
    restorations
  • Core buildup
  • Splinting
  • Indirect anterior
    and posterior
    restorations
    including inlays,
    onlays and
    veneers | Clinical indications
  • Restoration of
    caries defects
  • Reconstruction
    of lost tooth
    substance due to
    attrition,
    abrasion, erosion
  • Restoration of
    tooth fractures
  • Correction of
    anatomical
    malformation
    Cosmetic
    indications
  • Optimisation of
    old composite
    restorations
  • Extending
    incisors
  • Correction of
    malpositioned
    teeth
  • Cosmetic
    corrections for
    tooth
    discolouration or
    incorrect shading
  • Closure of
    diastema | The verbiage describing the indications
    for Use of els composite and the
    predicate, DENU Composite resin, is
    slightly different. The wording used by
    the primary predicate (namely: "Direct
    anterior and posterior restorations")
    describes a much broader field in
    comparison to "Restoration of class I, II,
    III, IV and V cavities on anterior and
    posterior teeth". The indications
    "Indirect anterior and posterior
    restorations including inlays, onlays and
    veneers" and "Splinting" are equal on
    both sides.
    The formulations describing the
    indications for the use of els composite
    and the predicate "Brilliant Componeer"
    are different. The wording of the
    predicate (namely: "
  • Restoration of caries defects
  • Reconstruction of lost tooth substance
    due to attrition, abrasion, erosion
  • Restoration of tooth fractures
  • Correction of anatomical
    malformation") also describes a much
    broader range compared to the
    indications of the els composite
    "Restoration of class I, II, III, IV and V
    cavities on anterior and posterior
    teeth", "Indirect anterior and posterior
    restorations including inlays, onlays and
    veneers" and "Splinting".
    The other indications of the predicate
    device "Brilliant Componeer" in
    comparison to the proposed els
    composite hybrid list the esthetic
    corrections: (Cosmetic indications
  • Optimization of old composite
    restorations
  • Extending incisors
  • Correction of mal-positioned teeth
  • Cosmetic corrections for tooth
    discoloration or incorrect shading
  • Closure of diastema"),
    whereby a much broader range of
    esthetic corrections is also mentioned |
    | Attribute | els composite | DENU Composite
    Resin | Brilliant
    Componeer | Rationale for
    Difference |
    | Physical Properties | | | | |
    | Physical State | Uncured resin
    paste | Uncured resin
    paste | Polymerized
    prefabricated
    hybrid composite
    enamel shell | After light curing,
    els composite and
    Denu Composite
    Resin perform the
    same as Brilliant
    Componeer |
    | Material Color | Various shades | Various shades | Various shades | Shade differences
    do not affect device
    performance |
    | Packaging | Prefilled syringes
    & tips | Prefilled syringes | Preformed shells
    in box | Packaging
    differences do not
    impact cured
    device performance |
    | Compressive
    Strength | Avg. = 289.8 MPa | 187.4 MPa | 285 MPa | Though different
    compressive
    strength values, in
    subject and
    predicate devices,
    higher strength of
    els composite does
    not affect
    substantial
    equivalence. |
    | Surface Hardness | Avg. = 76
    Vicker's Hardness | 43.86 KHN | Unknown | Surface hardness
    values are not
    comparable due to
    lack of available
    data. Vicker's
    Hardness is a
    typical standard for
    composites. |
    | Performance Testing | ISO 4049 | ISO 4049 | ISO 4049 | |
    | Flexural Strength | Avg. = 116.3 MPa | 135.74 MPa | 125.4 MPa | Though different
    values, subject and
    predicate devices
    meet same ISO
    4049 performance
    requirements |
    | Attribute | els composite | DENU Composite
    Resin | Brilliant
    Componeer | Rationale for
    Difference |
    | Water Sorption | Avg. =14.7 µg/mm3 | 18.48 µg/mm3 | 18.2 µg/mm3 | Though different
    values, subject and
    predicate devices
    meet same ISO
    4049 performance
    requirements |
    | Solubility | Avg. = 0.8 µg/mm3 | 0.82 µg/mm3 | 0.3 µg/mm3 | Though different
    values, subject and
    predicate devices
    meet same ISO
    4049 performance
    requirements |
    | Depth of Cure | ≥ 1.5 mm | ≥ 1.5 mm | ≥ 1.5 mm | - |
    | Radiopacity | Avg. = 2.8 mm Al | 3.2 mm Al | 3.2 mm Al | Though different
    values, subject and
    predicate devices
    meet same ISO
    4049 performance
    requirements |
    | Material
    Comparison | | | | |
    | Chemical
    Characterization | Methacrylate-based
    resins, dental glass-
    filler, photo
    initiators
    and pigments. | Methacrylate-
    based resins,
    dental glass-filler,
    photo initiators
    and pigments. | Methacrylate-
    based resins,
    dental glass-filler,
    photo initiators
    and pigments. | |
    | Technical Attributes | | | | |
    | Product Code(s) | EBF | EBF, EBC & EJK | EBF | Subject device has
    less indications
    than predicates |
    | Fabrication Method | Light Cured | Light Cured | Light Cured | After light curing,
    els composite and
    Denu Composite
    Resin perform the
    same as Brilliant
    Componeer |
    | Curing Wavelength | 400 - 500 nm | 400 - 500 nm | Unknown | - |
    | Polymerization
    Method | UV Curing Light | UV Curing Light | UV Curing Light | - |
    | Sterile | No | No | No | - |
    | Rx or OTC | Rx | Rx | Rx | - |
    | Attribute | Els flow | BRILLIANT
    EverGlow Flow | Venus Diamond flow | Rationale for Differnce |
    | Indi-
    cation | els extra low
    shrinkage® flow is
    a restorative
    material intended
    | BRILLIANT EverGlow
    Flow Universal and
    Translucent shades
    are suitable for:
  • Direct class V
    fillings (cervical
    caries, root erosion,
    wedge-shaped
    defects)
  • Fillings in the
    anterior tooth
    region (Class III and
    IV)
  • Small fillings of all
    cavity classes (not
    occlusion-bearing)
  • Blocking out of
    undercuts
  • Adhesive luting of
    indirect composite
    and ceramic
    restorations in as far
    as accuracy of fit
    and light
    permeability are
    given
  • Repairs of direct
    and indirect
    composite
    restorations
  • Preventive resin
    restorations
  • Cavity lining
    BRILLIANT EverGlow
    Flow opaque shade
    is also suitable for:
  • Aesthetic
    corrections (e.g.
    deviations in
    chroma)
  • Masking of dark
    areas | - Enlarged fissure
    sealing
  • Cavity lining - as the
    first layer for
    Class I and II cavities
  • Class V fillings
  • Minimally invasive
    Class I and II fillings in
    areas not subjected
    to masticatory forces
  • Minimally invasive
    Class III fillings
  • Small repairs of
    direct and indirect
    restorations
    combined with a
    suitable bonding
    agent
  • Interlocking of
    loosened teeth | The formulations describing
    the indications for the use of
    els-Flow and the predicate
    "Brilliant Everglow flow" are
    very similar. Only the
    indication "blocking of
    loosened teeth" is not
    mentioned. Although not
    explicitly mentioned, all
    indications describe "fillings
    with minimally invasive
    preparation technique", which
    also covers this indication of els
    flow.
    The formulations describing
    the indications for the use of
    els Flow and the "Venus
    Diamond flow" predicate are
    also very similar. However, the
    indications "Replacement
    fillings in cavities with
    undercuts" and "Adhesive
    cementation of indirect
    composite or ceramic
    restorations" are missing here,
    but these are covered by the
    "Brilliant Everglow flow"
    predicate. |
    | Attribute | els flow | BRILLIANT
    EverGlow Flow | Venus Diamond
    flow | Rationale for Difference |
    | Physical
    Properties | | | | |
    | Physical State | Uncured resin paste | Uncured resin paste | Uncured resin paste | - |
    | Material Type | Polymer resin
    composite | Polymer resin
    composite | Polymer resin
    composite | - |
    | Material Color | Various shades | Various shades | Various shades | Shade differences do not
    affect device performance |
    | Packaging | Prefilled syringes | Prefilled syringes | Prefilled syringes | - |
    | Compressive
    Strength | Avg. = 225.1 MPa | 415 MPa | 332 MPa | Though different
    compressive strength
    values, in subject and
    predicate devices, els flow
    is only used for small
    cavities, which do not
    require higher compressive
    strength |
    | Surface
    Hardness | Avg. = 55
    Vicker's Hardness | Unknown | Unknown | No available data to
    compare with |
    | Performance
    Testing | ISO 4049 | ISO 4049 | ISO 4049 | - |
    | Flexural
    Strength | Avg. = 116.5 MPa | 96 MPa | 117 MPa | Though different values,
    subject and predicate
    devices meet same ISO
    4049 performance
    requirements |
    | Water
    Sorption | Avg. = 19.0 µg/mm³ | 23 µg/mm³ | ≤40 µg/mm³ | Though different values,
    subject and predicate
    devices meet same ISO
    4049 performance
    requirements |
    | Solubility | Avg. = 1.5 µg/mm³ | 2.0 µg/mm³ | ≤ 7.5 µg/mm³ | Though different values,
    subject and predicate
    devices meet same ISO
    4049 performance
    requirements |
    | Depth of Cure | ≥ 1.5 mm | ≥ 1.5 mm | ≥ 1.5 mm | - |
    | Radiopacity | Avg. = 1.3 mm Al | 2.2 mm Al | 3.1 mm Al | Though different values,
    subject and predicate
    devices meet same ISO
    4049 performance
    requirements |
    | Attribute | els flow | BRILLIANT
    EverGlow Flow | Venus Diamond
    flow | Rationale for Difference |
    | Material
    Comparison | | | | |
    | Chemical
    Characterizatio
    n | Methacrylate-based
    resins, dental glass-
    filler, photo
    initiators
    and pigments. | Methacrylate-based
    resins, dental glass-
    filler, photo
    initiators
    and pigments. | Methacrylate-based
    resins, dental glass-
    filler, photo
    initiators
    and pigments. | |
    | Technical
    Attributes | | | | |
    | Product
    Code(s) | EBF | EBF | EBF, EBC & LBH | Subject device has less
    indications than Venus
    Diamond flow |
    | Fabrication
    Method | Light Cured | Light Cured | Light Cured | |
    | Curing
    Wavelength | 400 - 500 nm | 430 - 490 nm | 450 - 480 nm | Subject device curing
    wavelength is comparable
    to predicates |
    | Polymerization
    Method | UV Curing Light | UV Curing Light | UV Curing Light | |
    | Sterile | No | No | No | |
    | Rx or OTC | Rx | Rx | Rx | |

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Comparison of saremco els extra low shrinkage® flow (els flow for short) to Predicate Devices

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Differences between els extra low shrinkage® composite & els extra low shrinkage® flow and Predicate Devices

The differences in the physical properties and chemical compositions between els extra low shrinkage® composite & els extra low shrinkage® flow and the predicate devices do not impact the substantial equivalence, as the finished clinical product is a custom-fitted biocompatible restoration regardless of the material variation.

Conclusion

Information provided in this application demonstrates that els extra low shrinkage® composite & els extra low shrinkage® flow are substantially equivalent to the predicate devices. els extra low shrinkage® composite & els extra low shrinkage® flow share the

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same indications for use, similar material composition, similar physical properties and technological characteristics as the predicate devices.