K Number
K990908
Device Name
MILLENNIUM
Manufacturer
Date Cleared
1999-05-27

(70 days)

Product Code
Regulation Number
872.4120
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
For use on adult and pediatric patients for the following: Class I, II, III, IV and V cavity preparation Caries removal Hard tissue surface roughening or etching Enameloplasty, excavation of pits and fissures for placement of sealants
Device Description
The Millennium™ hydrokinetic tissue cutting system is a diverse instrument for performing several dental applications. Millennium™ utilizes advanced laser and water atomization technologies to incise, excise and ablate intraoral soft and hard tissues safely and effectively. An erbium, chromium, yttrium, scandium, gallium garnet (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, vielding 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

Dental handpiece

K/DEN number: Not Found

No
The device description focuses on laser and water atomization technology for tissue cutting, with no mention of AI or ML. The "Mentions AI, DNN, or ML" section explicitly states "Not Found".

Yes.
The device description clearly states its purpose is to incise, excise, and ablate intraoral soft and hard tissues for a variety of dental applications, which positions it as a therapeutic device.

No.
The device description clearly states that it "incise, excise and ablate intraoral soft and hard tissues," indicating its function is for treatment/surgery rather than diagnosis. The "Intended Use" section also lists various cavity preparations, caries removal, and tissue roughening, all of which are treatment-oriented procedures.

No

The device description explicitly details hardware components such as a laser, water atomization technologies, a fiberoptic handpiece, and a visible light emitter, indicating it is a physical medical device, not software-only.

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

Here's why:

  • Intended Use: The intended use clearly describes procedures performed directly on the patient's tissues (cavity preparation, caries removal, tissue roughening, enameloplasty, excavation). These are therapeutic and surgical procedures, not diagnostic tests performed on samples taken from the body.
  • Device Description: The description details a system that uses laser and water to physically cut and remove tissue. This is a treatment modality, not a diagnostic tool that analyzes biological samples to provide information about a patient's health status.
  • Anatomical Site: The device is used intraorally, directly on the patient's tissues. IVDs typically analyze samples (blood, urine, tissue biopsies, etc.) in a laboratory setting.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device does not fit that description. It is a surgical/therapeutic device used for dental procedures.

N/A

Intended Use / Indications for Use

For use on adult and pediatric patients for the following:

Class I - V cavity preparation

Caries removal

Hard tissue surface roughening or etching

Enameloplasty, excavation of pits and fissures for placement of sealants

Product codes

MXF

Device Description

The Millennium™ hydrokinetic tissue cutting system is a diverse instrument for performing several dental applications. Millennium™ utilizes advanced laser and water atomization technologies to incise, excise and ablate intraoral soft and hard tissues safely and effectively. An erbium, chromium, yttrium, scandium, gallium garnet (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, vielding 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 tissues

Indicated Patient Age Range

adult and pediatric patients

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)

The 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.

Safety and efficacy have been demonstrated through in-vitro, in-vivo and clinical trials on animals and humans. 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

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

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

Dental handpiece, Dentsply, Star Dental, Siemens, Microetcher Ab, Danville Engineering, Inc., KV-1, Kreativ, Inc.

Predetermined Change Control Plan (PCCP) - All Relevant Information

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

MAY 2 7 1999

990908

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:Millennium™
COMMON NAME:Hydrokinetic tissue cutting system
CLASSIFICATION NAME:Hydrokinetic device
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 tissue cutting system is a diverse instrument for performing several dental applications. Millennium™ utilizes advanced laser and water atomization technologies to incise, excise and ablate intraoral soft and hard tissues safely and effectively. An erbium, chromium, yttrium, scandium, gallium garnet (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, vielding 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

Enameloplasty, excavation of pits and fissures for placement of sealants

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

MENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the top half of the circle. Inside the circle is an abstract image of an eagle.

Public Health Service

ood and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Book 1 2 Nint

Mr. Andrew I. Kimmel Vice President for Regulatory Affairs Biolase Technology, Inc. 981 Calle Amanecer San Clemente, California 92673

Re: K990908

Trade Name: Millennium Regulatory Class: II Product Code: MXF Dated: March 15, 1999 Received: March 18, 1999

Dear Mr. Kimmel:

This letter corrects our substantially equivalent letter of May 27, 1999 regarding the Indication for Use by adding the phrase, "For use on adult and pediatric patients."

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 legally marketed predicate 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 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 regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General (QS) regulation (21 CFR Part 820) and that, through periodic OS inspections. FDA will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, the Food and Drug Administration (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.

4

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. Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at their toll free number (800) 638-2041 or at (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,

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

5

Page 1 of 1

510(k) Number (if known): 990908

Device Name:

Millennium™

Indications for Use:

For use on adult and pediatric patients for the following:

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

Caries removal

Hard tissue surface roughening or etching

Enameloplasty, excavation of pits and fissures for placement of sealants

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use (Per 21 CFR 801.109)

or

Over-The-Counter-Use _

tsa

(Division Sign-Off)
Division of General Restorative Devices
510(k) Number L990908