K Number
K990844
Device Name
STARDENTAL AXCS STERILE WATER SYSTEM
Manufacturer
Date Cleared
1999-05-28

(74 days)

Product Code
Regulation Number
872.6640
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Air Controlled Sterile Irrigation System is used intra-orally by trained dental professionals for delivery of sterile water for oral surgical procedures as a replacement irrigating solution to the dental operative unit's water supply, specifically for cooling a dental rotary instrument.
Device Description
The StarDental® Air Controlled Sterile Irrigation System is used intra-orally by trained dental professionals for delivery of sterile water for oral surgical procedures as a replacement irrigating solution to the dental operative unit's water supply, specifically for cooling a dental rotary instrument. The Air Controlled Sterile Irrigation System consists of a connector assembly and pinch valve assembly which can be autoclaved.
More Information

Steri Water System, AquaSept, Surgic II, Suprasson P Max, Suni

Not Found

No
The summary describes a mechanical irrigation system and does not mention any AI or ML components or functionalities.

No.
The device is used for cooling a dental rotary instrument during oral surgical procedures, which is a supportive function rather than a direct therapeutic intervention for a disease or condition.

No

The device is used for delivering sterile water to cool a dental rotary instrument during oral surgical procedures. It does not gather information about a patient's health condition, nor does it analyze data to identify a disease, condition, or risk.

No

The device description explicitly states it consists of a connector assembly and pinch valve assembly, which are hardware components.

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

Here's why:

  • Intended Use: The intended use is for delivering sterile water intra-orally for cooling a dental rotary instrument during oral surgical procedures. This is a direct application within the body (or on a surface within the body) for a therapeutic or procedural purpose.
  • IVD Definition: In vitro diagnostics (IVDs) are medical devices used to perform tests on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections. They are used outside the body (in vitro).
  • Device Description: The description confirms its use for delivering sterile water intra-orally, not for testing samples.

The device's function is to provide sterile irrigation during a dental procedure, which falls under the category of a surgical or procedural device, not an IVD.

N/A

Intended Use / Indications for Use

The StarDental® Air Controlled Sterile Irrigation System is used intra-orally by trained dental professionals for delivery of sterile water for oral surgical procedures as a replacement irrigating solution to the dental operative unit's water supply, specifically for cooling a dental rotary instrument.

Product codes

EIA

Device Description

The Air Controlled Sterile Irrigation System as submitted is substantially equivalent to SteriWater, AquaSept and Surgic II currently being marketed by Waggoner Dental Manufacturing, Lares and NSK and additionally substantially equivalent to Suprasson P Max and Suni currently being marketed by Satelec and other water delivery systems currently being marketed by Baxter and Abbott Labs. Materials used to manufacture the components are similar. Means of operation are similar, compressed air controls the pinch valve while electrical signal controls the solenoid valves. The main difference in design is that the Air Controlled Sterile Irrigation System consists of a connector assembly and pinch valve assembly which can be autoclaved as compared to a SteriWater which must be disassembled and autoclaved and also infusion pumps that utilize disposable components.

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

trained dental professionals

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): 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.

Steri Water System, AquaSept, Surgic II, Suprasson P Max, Suni

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

§ 872.6640 Dental operative unit and accessories.

(a)
Identification. A dental operative unit and accessories is an AC-powered device that is intended to supply power to and serve as a base for other dental devices, such as a dental handpiece, a dental operating light, an air or water syringe unit, and oral cavity evacuator, a suction operative unit, and other dental devices and accessories. The device may be attached to a dental chair.(b)
Classification. Class I (general controls). Except for dental operative unit, accessories are exempt from premarket notification procedures in subpart E of part 807 of this chapter subject to § 872.9.

0

KA90844

510(k) SUMMARY StarDental® Air Controlled Sterile Irrigation System

Company: StarDental®, Division of DentalEZ® Owner/operator number 2520265

Contact Person:

Frank Oellig Product Development Engineer StarDental®, Division of DentalEZ® 1816 Colonial Village Lane Lancaster, PA 17601 Phone: (717)-291-1161 Fax: (717)-291-9742

Device Trade Name:

StarDental® aXcs Sterile Water System

Common or Usual Name:

Dental Accessories

Predicate Devices:

Steri Water System, Lares, NSK, Satelec and other manufacturers of water delivery systems.

CONFIDENTIAL

Description/Intended Use:

The StarDental® Air Controlled Sterile Irrigation System is used intra-orally by trained dental professionals for delivery of sterile water for oral surgical procedures as a replacement irrigating solution to the dental operative unit's water supply, specifically for cooling a dental rotary instrument.

Substantial Equivalence:

The Air Controlled Sterile Irrigation System as submitted is substantially equivalent to SteriWater, AquaSept and Surgic II currently being marketed by Waggoner Dental Manufacturing, Lares and NSK and additionally substantially equivalent to Suprasson P Max and Suni currently being marketed by Satelec and other water delivery systems currently being marketed by Baxter and Abbott Labs. Materials used to manufacture the components are similar. Means of operation are similar, compressed air controls the pinch valve while electrical signal controls the solenoid valves. The main difference in design is that the Air Controlled Sterile Irrigation System consists of a connector assembly and pinch valve assembly which can be autoclaved as compared to a SteriWater which must be disassembled and autoclaved and also infusion pumps that utilize disposable components.

1

Image /page/1/Picture/1 description: The image is a black and white seal for the Department of Health & Human Services - USA. The seal is circular with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of three human profiles facing to the right, stacked on top of each other.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAY 28 1999

Mr. Frank Oellig Product Development Engineer StarDental®, Division of DentalEZ® 1816 Colonial Village Lane Lancaster, Pennsylvania 17601

Re: K990844 Trade Name: StarDental®, aXcs Sterile Water System Requlatory Class: I Product Code: EIA Dated: March 12, 1999 Received: March 15, 1999

Dear Mr. Frank Oellig:

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 regulations 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 regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register.

2

Page 2 - Mr. Frank Oellig

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.

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 leqally 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 ene regaracion onereida, "Mebblanding af Bother 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,

Patricia Cavenitfor

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

Enclosure

3

Statement of Intended Use

The Air Controlled Sterile Irrigation System is used by dental professionals for delivery of sterile water for oral surgical procedures, specifically for cooling a dental rotary instrument.

CONFIDENTIAL

Press . (Per 21 CFR 801.109)

! Prescription Use (Per 21 CFR 801.109)

Susan Burr

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