K Number
K991687
Device Name
MODIFICATION TO LINER II: SOFT RELINE LIQUID
Manufacturer
Date Cleared
1999-10-07

(143 days)

Product Code
Regulation Number
872.3760
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Soft Reline is a visible light cure soft reline material for removable dentures. It is intended for short-term use of at least 30 days.
Device Description
Soft Reline is a visible light cure soft reline material for removable dentures.
More Information

Not Found

Not Found

No
The summary describes a dental material, not a software or imaging device, and explicitly states that AI/ML is "Not Found".

Yes.
The device is a "soft reline material for removable dentures," which implies it is used for the treatment or mitigation of a condition related to dentures, fitting the definition of a therapeutic device.

No
Explanation: The provided text describes "Soft Reline" as a material for removable dentures, intended for short-term use. It does not mention any function for diagnosing diseases or conditions.

No

The device description clearly states it is a "visible light cure soft reline material," which is a physical material, not software.

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

Here's why:

  • Intended Use: The intended use is for a "soft reline material for removable dentures." This is a material used on a medical device (a denture) and applied in the mouth of a patient.
  • Device Description: The description confirms it's a "soft reline material for removable dentures."
  • Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing samples from the human body (blood, urine, tissue, etc.).
    • Providing information about a physiological state, health, disease, or congenital abnormality.
    • Being used in a laboratory setting for diagnostic purposes.

IVDs are devices used in vitro (outside the body) to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device is used in vivo (in the body) as part of a dental prosthetic.

N/A

Intended Use / Indications for Use

Soft Reline is a visible light cure soft reline material for removable dentures. It is intended for short-term use of at least 30 days.

Product codes

EBI

Device Description

Not Found

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

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)

Not Found

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

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.3760 Denture relining, repairing, or rebasing resin.

(a)
Identification. A denture relining, repairing, or rebasing resin is a device composed of materials such as methylmethacrylate, intended to reline a denture surface that contacts tissue, to repair a fractured denture, or to form a new denture base. This device is not available for over-the-counter (OTC) use.(b)
Classification. Class II.

0

Image /page/0/Picture/1 description: The image is a black and white circular seal for the Department of Health & Human Services - USA. The seal features the department's stylized eagle logo in the center, with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the top half of the circle. The eagle is depicted with three stylized wing segments, giving it a sense of motion.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

7 1999 OCT

Daniel L. Menis, Ph.D. Manager Research and Corporate Development Harry J. Bosworth Company 7227 North Hamlin Avenue Skokie, Illinois 60076-3999

Re: K991687 Soft Reline Liquid Trade Name: Liner II: Requlatory Class: II Product Code: EBI Dated: September 24, 1999 Received: September 28, 1999

Dear Dr. Menis:

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 of the Act. The general controls provisions of the Act include requirements for annual reqistration, 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 Regulations, Title 21, Parts 800 to 895. ਬ substantially equivalent determination assumes compliance with the Good Manufacturing Practice for Medical Devices: General (GMP) regulation (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. Please note: this response to your premarket notification submission does not affect any

1

Page 2 - Dr. Menis

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 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,

cerely 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

2

Page _ 1 of _l __

510(k) Number: K991687

Device Name: LINER II: SOFT RELINE LIQUID

INDICATIONS FOR USE:

Soft Reline is a visible light cure soft reline material for removable dentures. It is intended for short-term use of at least 30 days.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use (Per 21 CFR 801.109)

OR

Over-the-Counter Use

(Optional Format 1-2-96)

Susan Runne

(Division Sign-Off) Division of Dental, Infection Control. and General Hospital De 510(k) Number .