K Number
K984041
Manufacturer
Date Cleared
1998-12-04

(21 days)

Product Code
Regulation Number
872.3690
Panel
Dental
Reference & Predicate Devices
N/A
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Quadrant Universal LC is a light curing dental composite filling material used in the adhesive restorative technique for the restoration of decayed teeth. Cavity preparation is performed according to the principles of adhesive dentistry, adopting the minimal invasive technique for maximal preservation of sound tooth tissue. Quadrant Universal LC is a composite for universal use: the restoration of both anterior and posterior teeth.

Device Description

Quadrant Universal LC is a light curing dental composite filling material.

AI/ML Overview

I am sorry, but the provided text does not contain information about the acceptance criteria or a study proving that a device meets those criteria. The document is a 510(k) clearance letter from the FDA for a dental composite filling material named "Quadrant Universal LC." It confirms that the device is substantially equivalent to a previously marketed device.

The document discusses:

  • The FDA's review of the 510(k) notification.
  • The substantial equivalence determination.
  • Regulatory classifications and requirements for the device.
  • Contact information for various FDA offices.
  • The device's indications for use.

It does not include details about:

  1. A table of acceptance criteria or reported device performance.
  2. Sample sizes or data provenance for a test set.
  3. Number or qualifications of experts for ground truth.
  4. Adjudication methods.
  5. MRMC comparative effectiveness studies.
  6. Standalone algorithm performance.
  7. Type of ground truth used.
  8. Sample size for a training set.
  9. How ground truth for a training set was established.

Therefore, I cannot answer your request based on the provided text.

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Image /page/0/Picture/1 description: The image shows the logo for the Department of Health. The logo features a stylized depiction of an eagle's head in profile, with three overlapping lines forming the head and beak. The words "DEPARTMENT of HEALTH" are arranged vertically along the left side of the logo.

Food and Drug Administration 9200 Corporate Boulevard

Rockville MD 20850

DEC 4 1998

Mr. Bernard van Duijn Manqing Technical Services Cavex Holland BV Harmenjansweg 19-21 P.O. Box 852 2003 RW Haarlem (Holland)

Re : K984041 Quadrant Universal LC Trade Name: Requlatory Class: II Product Code: EBF Dated: November 11, 1998 Received: November 13, 1998

Dear Mr. van Duijn:

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 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 Good Manufacturing Practice for Medical Devices: General (GMP) requlation (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 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 the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

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Page 2 - Mr. Van Duijn

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.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

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510 (k) NUMBER (IF KNOWN) :

DEVICE NAME: Quadrant Universal LC

INDICATIONS FOR USE:

"

Quadrant Universal LC is a light curing dental composite filling material used in the adhesive restorative technique for the restoration of decayed teeth. Cavity preparation is performed according to the principles of adhesive dentistry, adopting the minimal invasive technique for maximal preservation of sound tooth tissue.

Quadrant Universal LC is a composite for universal use: the restoration of both anterior and posterior teeth.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription UseOROver-The-Counter-Use
-----------------------------------------------

(Per 21 CFR 801.109)

(Division Sign-Off)Susan Brunner
------------------------------------

(Optional Format 1-2-96)

Division of Dental, Infection Control, and General Hospital Devices

510(k) NumberK984011
------------------------

§ 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.