K Number
K982915
Device Name
SCI-PHARM DFV VARNISH
Date Cleared
1999-02-12

(177 days)

Product Code
Regulation Number
872.3260
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
For use as a varnish on sensitive teeth over exposed dentin and under temporary restoratives and cements.
Device Description
The varnish has the consistency of a viscous liquid. When applied in a thin layer over tooth dentin, the solvent (ethyl alcohol and water) evaporates within a few minutes, leaving a film of Colophony resin in which Sodium Fluoride is suspended, which adheres well to the tooth structure.
More Information

K/DEN number: Not Found

Not Found

No
The description focuses on the chemical composition and physical properties of a dental varnish, with no mention of AI or ML.

No
The device is described as a varnish for sensitive teeth, exposed dentin, and under temporary restoratives, with ingredients like Colophony resin and Sodium Fluoride. Its function is to coat and adhere to tooth structure, providing protection rather than directly treating a disease or health condition as a therapeutic device would. Its intended use is more preventative or palliative.

No.
Explanation: The device is described as a varnish for treating sensitive teeth and exposed dentin, not for identifying or diagnosing a condition. Its function is to provide a protective film and deliver fluoride.

No

The device is a varnish, which is a physical substance applied to teeth, not a software program.

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

Here's why:

  • Intended Use: The intended use is "For use as a varnish on sensitive teeth over exposed dentin and under temporary restoratives and cements." This describes a topical application to the tooth structure for therapeutic purposes (reducing sensitivity).
  • Device Description: The description details a varnish applied to the tooth surface, where a solvent evaporates leaving a film. This is a physical application to the body.
  • Lack of Diagnostic Function: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or screening.

IVD devices are specifically designed to perform tests on samples taken from the body to provide diagnostic information. This device is applied to the body for a therapeutic effect.

N/A

Intended Use / Indications for Use

For use as a varnish on sensitive teeth over exposed dentin and under temporary restoratives and cements.

Product codes

IBH

Device Description

The varnish has the consistency of a viscous liquid. When applied in a thin layer over tooth dentin, the solvent (ethyl alcohol and water) evaporates within a few minutes, leaving a film of Colophony resin in which Sodium Fluoride is suspended, which adheres well to the tooth structure.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

teeth, dentin

Indicated Patient Age Range

Not Found

Intended User / Care Setting

FOR PROFESSIONAL USE ONLY

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)

Duraphat, Durafluor

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.3260 Cavity varnish.

(a)
Identification. Cavity varnish is a device that consists of a compound intended to coat a prepared cavity of a tooth before insertion of restorative materials. The device is intended to prevent penetration of restorative materials, such as amalgam, into the dentinal tissue.(b)
Classification. Class II (special controls). The device, when it is an external cleaning solution, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 872.9.

0

Image /page/0/Picture/0 description: The image shows a logo with the text "SCI-PHARM" in bold, black letters. To the left of the text is a black silhouette of two beakers. Above the text is a handwritten date, "2/12/99". To the right of the text is a black mortar and pestle.

SCIENTIFIC PHARMACEUTICALS, INC.

3221 Producer Way • Pomona, California USA 91768 PHONE: (909) 595-9922 • Outside California (800) 634-3047 • FAX: (909) 595-0331 E-MAIL: scipharm@msn.com · WEBSITE: http://www.scipharm.com

.chemistry working for medicine and dentistry

Image /page/0/Picture/4 description: The image shows the text "K982915" at the top, followed by the text "510(k) SUMMARY" in bold and underlined. The text appears to be part of a document or form. The text is black and the background is white.

  • Dr. Jan A. Orlowski (1) Submitted by: Scientific Pharmaceuticals, Inc. 3221 Producer Way Pomona, California 91768 phone: 909-595-9922
    Date Prepared: August 18, 1998

  • (2) Device Trade Name: Sci-Pham DFV Vamish Dental Varnish Device Common Name: Device Classification Name: Cavity Vamish

  • Sci-Pharm DFV Vamish is substantially equivalent to Duraphat by Colgate-Palmolive and (3) Durafluor by PharmaScience (as shown in the table in Point 4 below).

(4) Chemical Composition

IngredientSci-Pharm DFV VarnishColgate Duraphat
Ethyl Alcohol71.25%75%
Colophony20%20%
Sodium Fluoride5%5%
Water3.75%