K Number
K973257
Device Name
VERSAETCH
Manufacturer
Date Cleared
1997-11-17

(80 days)

Product Code
Regulation Number
872.3690
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Touth etchant And conditioners to took surface for Second's, then Rinse off 20 Proceed to Apply water. specific manda Agents As per INSTRUctions,
Device Description
Not Found
More Information

Not Found

Not Found

No
The provided text does not contain any keywords or descriptions related to AI or ML technology.

No
The device is described as an "etchant and conditioner," which prepares a surface. This suggests a preparatory or cosmetic function rather than treating or curing a disease or condition.

No
Explanation: The device is described as a tooth etchant and conditioner, which are used to prepare the tooth surface for further treatment. This is a pre-treatment or treatment-related function, not a diagnostic one.

No

The provided text is incomplete and appears to be a fragment related to dental procedures (etchant and conditioners). It lacks any description of a device, software, or its intended medical purpose, making it impossible to determine if it's a software-only medical device.

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

Here's why:

  • Intended Use: The intended use describes a process applied directly to a tooth surface ("Touth etchant And conditioners to took surface for Second's, then Rinse off 20 Proceed to Apply water. specific manda Agents As per INSTRUctions,"). This is a procedure performed in vivo (on a living organism), not in vitro (outside the body, typically on biological samples).
  • Lack of IVD Characteristics: IVDs are typically used to examine biological samples (like blood, urine, tissue) to diagnose, monitor, or screen for diseases or conditions. The description doesn't mention any such use or interaction with biological samples.

Therefore, based on the provided text, this device appears to be a dental product used for preparing a tooth surface, which is not the function of an IVD.

N/A

Intended Use / Indications for Use

Touth etchant And conditioners to took surface for Second's, then Rinse off 20 Proceed to Apply water. specific manda Agents As per INSTRUctions,

Product codes

EBF

Device Description

Not Found

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

Not Found

Key Metrics

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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/2 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized caduceus, which is a symbol often associated with medicine and healthcare. The words "DEPARTMENT OF HEALTH & HUM IN SERVICES USA" are arranged in a circular pattern around the caduceus.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. John Discko Executive Vice-President Centrix Incorporated 770 River Road Shelton, Connecticut 06484-5458

NOV 17 1997

K973257 Re : Trade Name: Versaetch Regulatory Class: II Product Code: EBF Dated: Auqust 25, 1997 August 29, 1997 Received:

Dear Mr. Discko:

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 of the Act. 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.

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 requlations affecting your device can be found in the Code of Federal Requlations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirement, as set forth in the Quality System Requlation (QS) for Medical Devices: General requlation (21 CFR Part 820) and that, through periodic (QS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP requlation may result in regulatory In addition, FDA may publish further announcements action. concerning your device in the Federal Reqister. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531

1

Page 2 - Mr. Discko

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 regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4618. 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.gov/cdrh/dsmamain.html".

Sincerely yours,

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

Enclosure

2

510(k) Number (if known):

Device Name: Versa Etch

Indications For Use:

Touth etchant And conditioners to took surface for Second's, then Rinse off 20 Proceed to Apply water. specific manda Agents As per INSTRUctions,

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Susan Ruppe

(Division Sign-Off) (Division Sign-on, Infection Control and General Hospital Q 510(k) Number

Prescription Use (Per 21 CFR 801.109) OR

Over-The-Counter Use

Page

(Optional Format 1-2-96)