K Number
K990219
Device Name
MODIFICATION OF MILLENNIUM
Date Cleared
1999-02-24

(33 days)

Product Code
Regulation Number
872.4120
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Class I - V cavity preparation Caries removal Hard tissue surface roughening or etching
Device Description
The Millennium™ hydrokinetic tissuc cutting system is a diverse instrument for Pine Millennium - Hydrokins. Millennium™ utilizes advanced laser and performing coverer. comologies to incise, excise and ablate intraoral soft and hard water alonitation totatively. An erbium, chromium, yttrium, scandium, gallium gamet (Er, Cr.YSGG) solid state laser provides optical energy to a user controlled distribution of atomized water droplets. As the water droplets absorb the optical energy hydrokinetic cutting effects result. The hydrokinetic process refers to the removal of tissues with high speed, atomized water particles. Strong absorption of laser energy by atomized water droplets results in an intense yet controlled water particle micro-expansion and acceleration. The resulting hydrokinetic forces induce mechanical separation of surface material, yielding quick and clean mechanical tissue removal. A flexible fiberoptic handpiece delivers the Millennium™s unique hydrokinetic tissue cutting technology. A visible light emitted from the handpiece distal end pinpoints the area of treatment. The optical power output and atomized water spray distribution may be adjusted to specific user requirements.
More Information

Not Found

Not Found

No
The description focuses on the physical mechanism of hydrokinetic cutting using a laser and water, with no mention of AI or ML for decision-making, image analysis, or control beyond user adjustments.

Yes
The device is described as a hydrokinetic tissue cutting system used for "incise, excise and ablate intraoral soft and hard water alonitation totatively," which are therapeutic actions. Its indicated uses, such as "cavity preparation" and "caries removal," directly involve treating medical conditions or altering the body's structure and function.

No

Explanation: The device is described as a "tissue cutting system" used for "cavity preparation," "caries removal," and "hard tissue surface roughening or etching." These are all therapeutic and preparatory procedures, not diagnostic ones.

No

The device description clearly details hardware components such as a laser, fiberoptic handpiece, and a system that utilizes atomized water droplets for cutting. This is not a software-only device.

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

Here's why:

  • Intended Use: The intended use is for Class I - V cavity preparation, caries removal, and hard tissue surface roughening or etching. These are all procedures performed directly on the patient's tissues within the mouth.
  • Device Description: The device is a laser system that uses hydrokinetic forces to cut tissue. This is a therapeutic and surgical function, not a diagnostic one.
  • Lack of Diagnostic Function: There is no mention of the device being used to analyze samples (like blood, urine, or tissue) outside of the body to provide diagnostic information about a patient's health or condition.

IVD devices are specifically designed to perform tests on samples taken from the human body to provide information for diagnosis, monitoring, or screening. This device's function is to physically alter tissue within the body.

N/A

Intended Use / Indications for Use

Class I - V cavity preparation
Caries removal
Hard tissue surface roughening or etching

Product codes (comma separated list FDA assigned to the subject device)

79 MXF

Device Description

The Millennium™ hydrokinetic tissuc cutting system is a diverse instrument for Pine Millennium - Hydrokins. Millennium™ utilizes advanced laser and performing coverer. comologies to incise, excise and ablate intraoral soft and hard water alonitation totatively. An erbium, chromium, yttrium, scandium, gallium gamet (Er, Cr.YSGG) solid state laser provides optical energy to a user controlled distribution of atomized water droplets. As the water droplets absorb the optical energy hydrokinetic cutting effects result.
The hydrokinetic process refers to the removal of tissues with high speed, atomized water particles. Strong absorption of laser energy by atomized water droplets results in an intense yet controlled water particle micro-expansion and acceleration. The resulting hydrokinetic forces induce mechanical separation of surface material, yielding quick and clean mechanical tissue removal.
A flexible fiberoptic handpiece delivers the Millennium™s unique hydrokinetic tissue cutting technology. A visible light emitted from the handpiece distal end pinpoints the area of treatment. The optical power output and atomized water spray distribution may be adjusted to specific user requirements.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

intraoral soft and hard

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)

in-vitro and in-vivo clinical trials on animals and humans.
Clinical evaluation in randomized, double-blinded trials.
Pulp temperature studies
Scanning Electron and Optical Microscopy.
Equivalent performance specifications.
Equivalent intended uses.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

Not Found

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 872.4120 Bone cutting instrument and accessories.

(a)
Identification. A bone cutting instrument and accessories is a metal device intended for use in reconstructive oral surgery to drill or cut into the upper or lower jaw and may be used to prepare bone to insert a wire, pin, or screw. The device includes the manual bone drill and wire driver, powered bone drill, rotary bone cutting handpiece, and AC-powered bone saw.(b)
Classification. Class II.

0

p.3

Image /page/0/Picture/4 description: The image shows a handwritten date, "2/24/99". The numbers are written in black ink on a white background. The handwriting is somewhat cursive, with the numbers slightly slanted.

990219

510(K) SUMMARY OF SAFETY AND EFFECTIVENESS INFORMATION

| REGULATORY

AUTHORITY:Safe Medical Devices Act of 1990, 21 CFR 807.92
COMPANY:BioLase Technology, Inc.
981 Calle Amanecer
San Clemente, California 92673
CONTACT:Mr. Andrew I. Kimmel
BioLase Technology, Inc.
981 Calle Amanecer
San Clemente, California 92673
(714) 361-1200 (714) 361-0204 Fax
TRADE NAME:MillenniumTM
COMMON NAME:Hydrokinetic tissue cutting system
CLASSIFICATION NAME:Hydrokinetic dental system
CLASSIFICATION CODE:79 MXF
EQUIVALENT DEVICES:
Dental handpieceDentsply
Dental handpieceStar Dental
Dental handpieceSiemens
Microetcher AbDanville Engineering, Inc.
KV-1Kreativ, Inc.

DEVICE DESCRIPTION:

The Millennium™ hydrokinetic tissuc cutting system is a diverse instrument for Pine Millennium - Hydrokins. Millennium™ utilizes advanced laser and performing coverer. comologies to incise, excise and ablate intraoral soft and hard water alonitation totatively. An erbium, chromium, yttrium, scandium, gallium gamet (Er, Cr.YSGG) solid state laser provides optical energy to a user controlled distribution of atomized water droplets. As the water droplets absorb the optical energy hydrokinetic cutting effects result.

1

The hydrokinetic process refers to the removal of tissues with high speed, atomized water particles. Strong absorption of laser energy by atomized water droplets results in an intense yet controlled water particle micro-expansion and acceleration. The resulting hydrokinetic forces induce mechanical separation of surface material, yielding quick and clean mechanical tissue removal.

A flexible fiberoptic handpiece delivers the Millennium™s unique hydrokinetic tissue cutting technology. A visible light emitted from the handpiece distal end pinpoints the area of treatment. The optical power output and atomized water spray distribution may be adjusted to specific user requirements.

INDICATIONS FOR USE:

Class I - V cavity preparation

Caries removal

Hard tissue surface roughening or etching

CAUTIONS AND CONTRAINDICATIONS:

All clinical procedures performed with Millennium™ must be subjected to the same clinical judgement and care as with traditional techniques. Patient risk must always be considered and fully understood before clinical treatment. The clinician must completely understand the patient's medical history prior to treatment. Exercise caution for general medical conditions that might contraindicate a local procedure. Such conditions may include allergy to local or topical anesthetics, heart disease, lung disease, bleeding disorders, sleep apnea or an immune system deficiency. Medical clearance from patient's physician is advisable when doubt exists regarding treatment.

SUBSTANTIAL EQUIVALENCE:

There are no unique applications, indications, materials or specifications presented herein. This Premarket Notification, reported results from multi-phase in-vitro and in-vivo clinical trials and Feature Comparison Table demonstrate that Millennium™ is substantially equivalent to the Dental handpiece in terms of safety and efficacy.

2

FEATURE COMPARISON TABLE
----------------------------
FEATUREMillennium ™Dental handpieceMicroetcher AbKV-1SE
Input Voltage:115/230 V~
50/60 HzN/AN/AN/AYES
Materials:Medical grade plastics, steel, stainless steel, aluminum, brass and electronic parts and componentsSameSameSameYES
Indications for Use:Caries removal, cavity preparation, surface roughening, incision, excision and ablation of soft tissuesCaries removal, cavity preparationCaries removal, cavity preparation, surface rougheningCaries removal, cavity preparation, surface rougheningYES
Cutting Mode:Mechanical, non-thermalSameSameSameYES
Cutting Medium:High speed water dropletsRotating burHigh speed aluminum oxideHigh speed aluminum oxideYES
Biocompatible
Cutting Medium?YesN/ANoNoYES
Spray Flow
Control?YesYesN/AN/AYES
Mode of
Operation:Non-contactContactNon-contactNon-contactYES
Manufacturer:BioLase Technology, IncDentsply
Laers Research
Midwest
Star Dental
SiemensDanville Engineering Inc.Kreativ Inc.YES

CONCLUSION:

Millennium™ is substantially equivalent to several available, established dental technologies. Safety and efficacy have been demonstrated through in-vitro, in-vivo and clinical trials on animals and humans. Technically, Millennium™ performs through the same mechanical mechanism as other technologies but has the benefit of using a biocompatible agent as its cutting medium. Evidence of equivalence has been demonstrated through:

  • Clinical evaluation in randomized, double-blinded trials .
  • . Pulp temperature studies
  • Scanning Electron and Optical Microscopy .
  • Equivalent performance specifications .
  • Promotional materials for equivalent systems ◆
  • . Equivalent intended uses
  • Feature comparison table .

3

Page 2 – Mr. Andrew I. Kimmel

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) 594-4595. 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,

Celia M. Witten, Ph.D., M.D. Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

Page 1 of 1

K990219 510(k) Number (if known):

Device Name:

Millennium™

Indications for Use:

Class I, II, III, IV and V cavity preparation

Caries removal

Hard tissue surface roughening or etching

Concurrence of CDRH, Office of Device Evaluation (ODE)
(Division Sign-Off
Division of General Restorative Devices
510(k) NumberK990219
Prescription Use (Per 21 CFR 801.109)X
--------------------------------------------------------------------------------

or

Over-The-Counter-Use_________________
-----------------------------------------