K Number
K242934
Device Name
Bioceramic Root Canal Sealer and Repair Materials (i-MTA BP)
Date Cleared
2024-12-12

(78 days)

Product Code
Regulation Number
872.3820
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
i-MTA BP Bioceramic Root Canal Sealer and Repair Material is developed for permanent root canal sealer and repair and surgical applications. - Repair of Root Perforation - Repair of Root Resorption - Root End Filling - Apexification - Pulp Capping
Device Description
i-MTA BP Bioceramic Root Canal Sealer and Repair Materials is a ready-to-use premixed bioceramic paste developed for permanent root canal sealer and repair and surgical applications. i-MTA BP is an insoluble, radiopaque and aluminum-free material based on a calcium silicate composition, which requires the presence of water to set and harden. i-MTA BP does not shrink during setting and demonstrates excellent physical properties. i-MTA BP is packaged in a preloaded syringe.
More Information

No
The device description and performance studies focus on the material properties and biocompatibility of a bioceramic paste, with no mention of AI or ML.

Yes
The device is described as a "permanent root canal sealer and repair material" used for applications like "Repair of Root Perforation," "Repair of Root Resorption," and "Pulp Capping," which are therapeutic interventions.

No

This device is a root canal sealer and repair material, used for therapeutic and surgical applications, not for diagnosing conditions.

No

The device description clearly states it is a "ready-to-use premixed bioceramic paste" and is "packaged in a preloaded syringe," indicating it is a physical material and delivery system, 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 permanent root canal sealing and repair, and surgical applications within the tooth structure (root perforation, root resorption, root end filling, apexification, pulp capping). This is a therapeutic and restorative application, not a diagnostic one.
  • Device Description: The device is a material (bioceramic paste) used to fill and repair anatomical structures. It's not designed to analyze samples from the human body to provide diagnostic information.
  • Lack of Diagnostic Elements: There is no mention of analyzing biological samples (blood, urine, tissue, etc.) or providing information for the diagnosis of a disease or condition.
  • Performance Studies: The performance studies focus on the physical properties of the material (setting time, solubility, radio-opacity, etc.) and its biocompatibility when implanted or used within the tooth. These are relevant to a therapeutic device, not a diagnostic one.

IVD devices are specifically designed to examine specimens derived from the human body to provide information for diagnostic purposes. This device is a material used for treatment and repair within the tooth.

N/A

Intended Use / Indications for Use

i-MTA BP Bioceramic Root Canal Sealer and Repair Material is developed for permanent root canal sealer and repair and surgical applications.

  • Repair of Root Perforation
  • Repair of Root Resorption
  • Root End Filling
  • Apexification
  • Pulp Capping

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

KIF.

Device Description

i-MTA BP Bioceramic Root Canal Sealer and Repair Materials is a ready-to-use premixed bioceramic paste developed for permanent root canal sealer and repair and surgical applications. i-MTA BP is an insoluble, radiopaque and aluminum-free material based on a calcium silicate composition, which requires the presence of water to set and harden. i-MTA BP does not shrink during setting and demonstrates excellent physical properties. i-MTA BP is packaged in a preloaded syringe.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Root canal

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)

Performance testing has been carried out to demonstrate that this device meets the performance specifications for its intended use. The following tests were performed on the device: Setting time, Solubility, Radio-opacity, Composition, Content, Size change after curing, pH, Acid-soluble arsenic and lead contents, Heavy metal.
All tests showed compliance with requirements.

Biocompatibility testing was performed in accordance with the ISO 10993-1, ISO 7405 and FDA guidance document Use of International Standard ISO 10993-1, "Biological Evaluation of Medical Devices - Part 1: Evaluation and testing within a risk management process." Testing included: Cytotoxicity, Sensitization, Irritation, Acute Systemic Toxicity, TK Gene Mutation Test, Bacterial Reverse Mutation Test, Subchronic Systemic Toxicity, Implantation, Pulp Capping Testing, Endodontic Usage Test. All the results of biocompatibility testing demonstrate that the subject devices are complied with the biocompatibility requirements.

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.

K240365

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.

K092715

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

§ 872.3820 Root canal filling resin.

(a)
Identification. A root canal filling resin is a device composed of material, such as methylmethacrylate, intended for use during endodontic therapy to fill the root canal of a tooth.(b)
Classification. (1) Class II if chloroform is not used as an ingredient in the device.(2) Class III if chloroform is used as an ingredient in the device.
(c)
Date PMA or notice of completion of a PDP is required. A PMA or a notice of completion of a PDP is required to be filed with the Food and Drug Administration on or before December 26, 1996 for any root canal filling resin described in paragraph (b)(2) of this section that was in commercial distribution before May 28, 1976, or that has, on or before December 26, 1996 been found to be substantially equivalent to a root canal filling resin described in paragraph (b)(2) of this section that was in commercial distribution before May 28, 1976. Any other root canal filling resin shall have an approved PMA or a declared completed PDP in effect before being placed in commercial distribution.

0

Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo is in blue and includes the letters "FDA" in a square and the words "U.S. FOOD & DRUG ADMINISTRATION".

December 12, 2024

Longly Biotechnology (Wuhan) Co., Ltd. % Shirely Kong RA Beijing Xinranyicheng Medicine & Technology Co., Ltd. A-15B01, Langqin International Building, No.168, Guang'anmen Outer Street, Xicheng District Beijing, Beijing 100053 China

Re: K242934

Trade/Device Name: Bioceramic Root Canal Sealer and Repair Materials (i-MTA BP) Regulation Number: 21 CFR 872.3820 Regulation Name: Root Canal Filling Resin Regulatory Class: Class II Product Code: KIF. Dated: September 14, 2024 Received: September 25, 2024

Dear Shirely Kong:

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 (OS) 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.

All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rule"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-device-advicecomprehensive-regulatory-assistance/unique-device-identification-system-udi-system.

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 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-regulatory

2

assistance/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,

Image /page/2/Picture/3 description: The image contains the name "Bobak Shirmohammadi" stacked on top of each other. Below the name is the character string "-S". To the left of the name is a faded image of the letters "FDA".

For 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

510(k) Number (if known) K242934

Device Name

Bioceramic Root Canal Sealer and Repair Materials

Indications for Use (Describe)

i-MTA BP Bioceramic Root Canal Sealer and Repair Material is developed for permanent root canal sealer and repair and surgical applications.

  • Repair of Root Perforation
  • Repair of Root Resorption
  • Root End Filling
  • Apexification
  • Pulp Capping
Type of Use (Select one or both, as applicable)

|X Prescription Use (Part 21 CFR 801 Subpart D)

| | Over-The-Counter Use (21 CFR 801 Subpart C)

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4

510(k) Summary K242934

This summary of 510(k) substantial equivalence is being submitted in accordance with requirements of 21 CFR 807.92.

1.0 Submitter's Information

Name: Longly Biotechnology (wuhan) Co., Ltd Address: No.02 of 2nd Floor, Building A2-2, Optics Valley Biomedical Park, Gaoxin Avenue No.858, East Lake High-tech Development Zone, Wuhan, China Tel: +86 - 13907166169 Contact: Yan Liang (Registration manager) Email: longlyyanliang466@163.com Date of Preparation: Sep.8,2024

2.0 Device Information

Trade Name: Bioceramic Root Canal Sealer and Repair Materials Model: i-MTA BP Common Name: Root canal filling resin Classification Name: Resin, Root Canal Filling Device Panel: Dental Classification Regulation: 21 CFR 872.3820 Device Classification: Class II Product Code: KIF

3.0 Identification of Predicate Device and Reference Device

InformationPredicate DeviceReference Device
510(k) NumberK240365K092715
Device NameBioceramic Root Repair Material
(C-Root BP)IROOT BP PLUS
Common NameBioceramic Root Repair MaterialRoot Repair Material
Classification NameResin, Root Canal FillingResin, Root Canal Filling
Device PanelDentalDental
Classification Regulation21 CFR 872.382021 CFR 872.3820
Device ClassificationClass IIClass II
Product CodeKIFKIF
ManufacturerBeijing C-Root Dental Medical
Devices Co., LTD.Innovative BioCeramix, Inc.

4.0 Device Description

5

i-MTA BP Bioceramic Root Canal Sealer and Repair Materials is a ready-to-use premixed bioceramic paste developed for permanent root canal sealer and repair and surgical applications. i-MTA BP is an insoluble, radiopaque and aluminum-free material based on a calcium silicate composition, which requires the presence of water to set and harden. i-MTA BP does not shrink during setting and demonstrates excellent physical properties. i-MTA BP is packaged in a preloaded syringe.

5.0 Indication for Use

i-MTA BP Bioceramic Root Canal Sealer and Repair Material is developed for permanent root canal sealer and repair and surgical applications.

  • Repair of Root Perforation
  • Repair of Root Resorption
  • Root End Filling
  • Apexification
  • . Pulp Capping

6.0 Comparison of Product Properties with the Predicate Device

The subject device Bioceramic Root Canal Sealer and Repair Materials(i-MTA BP) met all design specifications as was Substantially Equivalent (SE) to the predicated device.

6

510(k) Summary

| Comparison

ItemsSubject DevicePredicate DeviceReference DeviceComparison
K NumberK242934K240365K092715--
Trade nameBioceramic Root Canal Sealer and Repair
MaterialsBioceramic Root Repair MaterialIROOT BP PLUS--
Modeli-MTA BPC-Root BPiRoot BP Plus--
Classification
nameResin, Root Canal FillingResin, Root Canal FillingResin, Root Canal FillingSame
Product codeKIFKIFKIFSame
ClassIIIIIISame
Intended
use/Indications
for Use• Root End Filling
• Repair of Root Perforation
• Repair of Root Resorption
• Apexification
• Pulp Capping• Repair of Root Perforation
• Repair of Root Resorption
• Root End Filling
• Apexification
• Pulp Capping• Repair of Root Perforation
• Repair of Root Resorption
• Root End Filling
• Apexification
• Pulp CappingSame
Targeted SiteRoot canalRoot canalRoot canalSame
Prescription
UseYesYesYesSame
Chemical
CompositionCalcium silicate, zirconium oxide, tantalum
pentoxide, calcium sulfate and filler agents.Zirconium oxide, strontium
silicate, calcium phosphates, calcium
hydroxide, tantalum oxide and filler
agents.Tricalcium silicate, dicalcium silicate,
zirconium oxide, tantalum pentoxide,
calcium sulfate and filler agents.Analysis 1
Performance
Standard
ConformanceStandards or other
guidelines/ referential
usedStandards or other
guidelines/ referential
usedStandards or other
guidelines/ referential
usedSame as
predicated
device
ISO 6876:2012ISO 6876:2012ISO 6876:2012
ISO 6876:2012ISO 6876:2012ISO 6876:2012
ISO 6876:2012ISO 6876:2012ISO 6876:2012
Technical SpecificationsTechnical RequirementsTechnical Requirements
Setting timeSetting timeSetting time
SolubilitySolubilitySolubility
Radio-opacityRadio-opacityRadio-opacity
CompositionAppearanceAppearance
Comparison
ItemsSubject DevicePredicate DeviceReference DeviceComparison
Technical Specifications
Technical
Specifications=ISO6876:2
001Technical RequirementsTechnical Requirements
Technical Specifications
Technical SpecificationsTechnical RequirementsTechnical Requirements
Technical Specifications
Dimension
changes after
settingDimension
changes after
setting
Content
Size change after
curing
pHpHpH
Acid-soluble
arsenic and lead
contents
Heavy metal
Duration of
ContactPermanent contact - contact exceeds 30dPermanent contact - contact exceeds 30dPermanent contact - contact exceeds 30dSame
BiocompatibilityComply with ISO 10993-1, ISO 7405 and
FDA GuidanceComply with ISO 10993-1, ISO 7405 and
FDA GuidanceComply with ISO 10993-1, ISO 7405 and
FDA GuidanceSame

7

510(k) Summary

8

Analysis

    1. The subject device Bioceramic Root Canal Sealer and Repair Materials(i-MTA BP) has the same intended use and comparable materials as the predicated device C-Root BP (K240365).
    1. The chemical composition of the subject device Bioceramic Root Canal Sealer and Repair Materials is different with the predicated device C-Root BP (K240365).

The subject device uses calcium silicates whereas the predicated device uses strontium silicate. Calcium silicates and strontium silicates are all belong to silicate. The subject device uses calcium sulfate whereas the predicated device uses calcium phosphates and calcium hydroxide. They are all belong to calcium salt. They all can be set and harden upon the moisture in the dentin. They all play the same role in each's formula. Also, Calcium silicates have better biocompatibility. The subject device Bioceramic Root Canal Sealer and Repair Materials(i-MTA BP) has the same formulation/ processing/ non-sterilization/ principal of setting/ final form after setting as the

reference device iRoot BP Plus (K092715), and no other chemical composition has been added. All the raw materials of the subject device are all used in the reference device (K092715). Biocompatibility testing of the subject device and the reference device (K092715) performed meet ISO 10993 biocompatibility and FDA guidance requirements.

    1. Also, the performance comparison testing including composition/appearance, setting time, size changes after curing, solubility, radiopacity, pH of 'Bioceramic Root Canal Sealer and Repair Materials' and C-Root BP provide the evidence that chemical and physical properties are substantially equivalent.

7.0 Summary of Testing

Performance Testing - Bench

Performance testing has been carried out to demonstrate that this device meets the performance specifications for its intended use. The following tests were performed on the device.

| Standards or other
guidelines/ referential
used | Performances | Requirements | Compliance
result |
|-------------------------------------------------------|----------------------------------------------|---------------------------------------------------------------------------------------------------|--------------------------------|
| ISO 6876:2012 | Setting time | 2h-6h | 2.5h |
| ISO 6876:2012 | Solubility | 3mm Al | > 3mm Al |
| Technical Specifications | Composition | The product composition should
not contain any visible foreign
objects to the naked eye. | Compliant with
requirements |
| Technical Specifications | Content | Not less than 93% of the indicated
loading capacity. | Compliant with
requirements |
| Technical
Specifications=ISO6876
:2001 | Size change
after curing |