K Number
K971575
Device Name
BENCHMARK-IV
Date Cleared
1997-06-04

(58 days)

Product Code
Regulation Number
872.3060
Panel
Dental
Reference & Predicate Devices
N/A
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

It is palladium free, rich gold colored, Type-IV extra hard alloy for Hard Inlays, Crowns, Fixed Bridgework. This High noble alloy offers strength, resilency and hardness for hard inlays and longspan bridges. It resists tarnish and discoloration and can be quenched (Soft ) and heat-treated ( Hardened ).It can be used for restorative works.

Device Description

Benchmark- IV is a palladium free, rich gold colored, Type-IV extra hard alloy.

AI/ML Overview

This document is a 510(k) clearance letter from the FDA for a dental alloy named "Benchmark-IV." It does not contain information about acceptance criteria or a study proving device performance in the context of an AI/medical device study.

Therefore, I cannot provide the requested information about acceptance criteria, study details, sample sizes, ground truth, expert qualifications, adjudication methods, or MRMC studies based on the provided text. The document is a regulatory approval notice, not a study report.

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Image /page/0/Picture/1 description: The image shows the seal of the U.S. Department of Health & Human Services. The seal is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of an eagle with its wings spread, which is a common symbol of the United States. The eagle is depicted in black and white.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUN - 4 1997

Mr. Tridib Dasgupta Director R&D and Q.C. J.F. Jelenko & Company, Incorporated 99 Business Park Drive Armonk, New York 10504 USA

RË : K971575 Benchmark-IV Trade Name: Requlatory Class: II Product Code: EJT Dated: April 3, 1997 Received: April 7, 1997

Dear Mr. Dasgupta:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). You may, therefore, market the device, subject to the general controls provisions The general controls provisions of the Act of the Act. include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Requlations, Title 21, Parts 800 to 895. ਸੀ substantially equivalent determination assumes compliance with the Good Manufacturing Practice for Medical Devices: General (GMP) regulation (21 CFR Part 820) and that, through periodic GMP inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP requlation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in Please note: this response to your the Federal Reqister.

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Page 2 - Mr. Dasgupta

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premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or requlations.

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market. If you desire specific advice for your device on our labeling requlation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4692. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041;or (301) 443-6597 or at its internet address "http://www.fda.gqv/cdrh/dsmamain.html".

Sincerely yours,

Timothy A. Ulatowski

Timothy A . Ulatowski Director Division of Dental, Infection Control, and General Hospital Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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DENTAL HEALTH PRODUCTS
ISO 900 REGISTERED

BUSINESS PARK DRIVE, ARMONK, NEW YORK 10504 USA(800) 431-1785
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12- 9-96; 9:40; 301 480 3002 => JELENKO_; #3 FDA/ODE/DDIGD 2/09/96 MON 09:45 FAX 301 480 3002003
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Page 1 of 1

K971575

510(k) Number (if known):not available.
Device Name:Benchmark- IV

Indications For Use:

ﺘﺎﺯﺍﺕ ﺍﻟﻤﺴﺎﻋﺪﺓ ﺍﻟﻤﺴﺎﺣﺔ ﺍﻟﻤﻮﺍﻗﻌﺔ ﺍﻟﻤﻮﺍﻗﻌﺔ ﺍﻟﻤﻮﺍﻗﻌﺔ ﺍﻟﻤﻮﺿﻮﻋﺎﺕ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤ
ﺘﻘﺪﻡ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺪﻳﻨﺔ ﻭﺍﻟﻘﺎﺑﻠﺔ ﺍﻟﻤﺴﺎﻋﺪ ﺍﻟﻤﻘﺎﻃﻌﺎﺕ ﺍﻟﻤﺴﺎﻋﺪﺓ ﺍﻟﻤﺴﺎﻋﺪﺓ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤ

It is palladium free, rich gold colored, Type-IV extra hard alloy for Hard Inlays, Crowns, Fixed Bridgework. This High noble alloy offers strength, resilency and hardness for hard inlays and longspan bridges. It resists tarnish and discoloration and can be quenched (Soft ) and heat-treated ( Hardened ).It can be used for restorative works.

Ri. H. Denger R..

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Dushemes

(Division Sign-Off) Division of Dental, Infection Control, and General Hospital Devices 510(k) Number

VES Prescription Use (Per 21 CFR 801.109)

OR

Over-The-Counter Use NO

§ 872.3060 Noble metal alloy.

(a)
Identification. A noble metal alloy is a device composed primarily of noble metals, such as gold, palladium, platinum, or silver, that is intended for use in the fabrication of cast or porcelain-fused-to-metal crown and bridge restorations.(b)
Classification. Class II (special controls). The special control for these devices is FDA's “Class II Special Controls Guidance Document: Dental Noble Metal Alloys.” The devices are exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 872.9. See § 872.1(e) for availability of guidance information.