K Number
K974906
Device Name
ONE COAT BOND DENTIN/ENAMEL ADHESIVE SYSTEM
Date Cleared
1998-03-24

(83 days)

Product Code
Regulation Number
872.3200
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Bonding adhesive restoration techniques. Direct filling technique: · Adhesive bonding of composite materials to natural enamel and dentine (coltene® SYNERGY, coltène® Brilliant Dentin/Enamel/Incisal). Indirect restorative techniques: · Adhesive bonding of ceramic and composite patterns with coltene® Duo Cement to natural enamel and dentine. Adhesive bonding of other dental materials: · composite materials to pretreated ceramics · composite material to composite material · composite material to pretreated metals · dentine sealing Sclerotic dentin: · Use 35 % phosphoric acid for 30 s (e.g. coltene® Etchant Gel S)
Device Description
Coltene® ONE COAT BOND is a light-cured, multipurpose, one-component adhesive agent for adhesive restoration techniques in dentistry. Coltène® ETCHANT 15 is a gel used for etching of dentine and enamel before the application of coltène® ONE COAT BOND.
More Information

Not Found

Not Found

No
The summary describes a dental adhesive and etching gel, with no mention of AI or ML capabilities, image processing, or data-driven performance metrics.

No.
The device is an adhesive agent used for bonding in dental restoration techniques, which is not a therapeutic function.

No
The device description and intended use indicate that it is a light-cured, multipurpose adhesive agent and etching gel used for bonding and restorative techniques, rather than for diagnosing medical conditions.

No

The device description clearly states it is a "light-cured, multipurpose, one-component adhesive agent" and a "gel used for etching," indicating it is a physical material, not software.

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

Here's why:

  • IVDs are used to examine specimens derived from the human body. The intended use and device description clearly state that this product is a dental adhesive used for bonding materials to natural enamel and dentine within the mouth. It is applied directly to the patient's teeth, not used to test a sample taken from the patient.
  • The intended use is for restorative dental procedures. The applications listed are all related to bonding dental materials during fillings and other restorative techniques. This is a therapeutic/restorative application, not a diagnostic one.

Therefore, this device falls under the category of a dental restorative material, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

Bonding adhesive restoration techniques.

Direct filling technique:

  • Adhesive bonding of composite materials to natural enamel and dentine (coltene® SYNERGY, coltène® Brilliant Dentin/Enamel/Incisal).

Indirect restorative techniques:

  • Adhesive bonding of ceramic and composite patterns with coltene® Duo Cement to natural enamel and dentine.

Adhesive bonding of other dental materials:

  • composite materials to pretreated ceramics
  • composite material to composite material
  • composite material to pretreated metals
  • dentine sealing

Sclerotic dentin:

  • Use 35 % phosphoric acid for 30 s (e.g. coltene® Etchant Gel S)

Contra-Indications
Allergy exist to any of the components of coltène® ONE COAT BOND and coltene® ETCHANT 15. If the site cannot be isolated after enamel etching and during application and curing of coltène® ONE COAT BOND. If oral hygiene is poor.

Product codes

KLE

Device Description

Coltene® ONE COAT BOND is a light-cured, multipurpose, one-component adhesive agent for adhesive restoration techniques in dentistry. Coltène® ETCHANT 15 is a gel used for etching of dentine and enamel before the application of coltène® ONE COAT BOND.

Composition
Coltène® ONE COAT BOND contains:
Hydroxyethyl methacrylate HEMA
Hydroxypropylmethacrylate
Glycerinedimethacrylate
Polyalkenoate methacrylized
Urethanedimethacrylate
Amorphe silicic acid

Coltène® ETCHANT 15 contains:
Water, phosphoric acid 15%, gel former

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

enamel and dentine

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)

Not Found

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.3200 Resin tooth bonding agent.

(a)
Identification. A resin tooth bonding agent is a device material, such as methylmethacrylate, intended to be painted on the interior of a prepared cavity of a tooth to improve retention of a restoration, such as a filling.(b)
Classification. Class II.

0

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized caduceus symbol, which is a staff with two snakes entwined around it. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the caduceus symbol.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAR 2 4 1998

Mr. H.J. Vogelstein Coltene/Whaledent, Incorporated 750 Corporate Drive Nahwah, New Jersey 07430

Re: K974906 One Coat Bond Dentin/Enamel Adhesive System Trade Name: Requlatory Class: II Product Code: KLE Dated: March 12, 1998 March 13, 1998 Received:

Dear Mr. Vogelstein:

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, Druq, 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 Regulations, Title 21, Parts 800 to 895. ਉੱ 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 regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of

1

Page 2 - Mr. Vogelstein

the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

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) 594-4692. 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.gov/cdrh/dsmamain.html".

Sincerely yours,

Timothy A. Ulatowski

Timot 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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Page 1 of 1

510(k) Number (if known): K974906

One Coat Bond Dentin/Enamel AdhesiveSystem Device Name: 510(k) Submission Indications For Use

Image /page/2/Picture/3 description: The image shows the logo for "coltène whaledent". The word "coltène" is in a bold, sans-serif font, with a dot over the "e". To the right of the word is a graphic of three diagonal lines. Below "coltène" is the word "whaledent", also in a bold, sans-serif font.

0 Cornarata Dris 10ne: 201-512-8000

Indications

Bonding adhesive restoration techniques.

Direct filling technique:

  • · Adhesive bonding of composite materials to natural enamel and dentine (coltene® SYNERGY, coltène® Brilliant Dentin/Enamel/Incisal).

Indirect restorative techniques:

  • · Adhesive bonding of ceramic and composite patterns with coltene® Duo Cement to natural enamel and dentine.

Adhesive bonding of other dental materials:

  • · composite materials to pretreated ceramics
  • · composite material to composite material
  • · composite material to pretreated metals
  • · dentine sealing

Sclerotic dentin:

  • · Use 35 % phosphoric acid for 30 s (e.g. coltene® Etchant Gel S)

Contra-Indications

Allergy exist to any of the components of coltène® ONE COAT BOND and coltene® ETCHANT 15. If the site cannot be isolated after enamel etching and during application and curing of coltène® ONE COAT BOND. If oral hygiene is poor.

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

Concu Tence of CDRH, Office of Device Evaluation (ODE)

Prescription Use (Per 21 CFR 801. (09)

OR

Over-The-Counter Use No

Definition

Coltene® ONE COAT BOND is a light-cured, multipurpose, one-component adhesive agent for adhesive restoration techniques in dentistry. Coltène® ETCHANT 15 is a gel used for etching of dentine and enamel before the application of coltène® ONE COAT BOND.

Composition

Coltène® ONE COAT BOND contains:

Hydroxyethyl methacrylate HEMA Hydroxypropylmethacrylate Glycerinedimethacrylate Polyalkenoate methacrylized Urethanedimethacrylate Amorphe silicic acid

Coltène® ETCHANT 15 contains:

Water, phosphoric acid 15%, gel former

Susan Runne

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