(158 days)
K# 960548
Not Found
No
The description focuses on the physical components and material properties of a root canal filling system, with no mention of AI or ML.
No
The device is described as an obturation system for filling root canals, indicating it's used to seal and fill a void rather than actively treat a disease or condition.
No
Explanation: The device is described as an obturation system for filling root canals with cement, which is a therapeutic rather than a diagnostic function. It is used for permanent sealing of root canals, not for detecting or identifying diseases or conditions.
No
The device description explicitly lists physical components (spirals, cement gel, powder, measuring scoop) and bench testing was performed on these components. There is no mention of software as a component or function of the device.
Based on the provided information, this device is not an IVD (In Vitro Diagnostic).
Here's why:
- Intended Use: The intended use is "permanent sealing of root canals following established endodontic procedures." This describes a procedure performed on a patient's body (in vivo), not a test performed on a sample taken from a patient's body (in vitro).
- Device Description: The device is an "obturation system for filling straight and minimally curved canals." This further reinforces its use in a clinical procedure within the body.
- Lack of IVD Characteristics: There is no mention of analyzing samples (blood, urine, tissue, etc.), detecting substances, or providing diagnostic information based on laboratory testing.
Therefore, the Bi-Directional Spiral & Epoxy Root Canal Cement System is a medical device used in a clinical procedure, not an in vitro diagnostic device.
N/A
Intended Use / Indications for Use
The Bi-Directional Spiral & Epoxy Root Canal Cement System is indicated for permanent sealing of root canals following established endodontic procedures.
Product codes
KIF
Device Description
The subiect device is an obturation system for filling straight and minimally curved canals. The bi-directional spiral and epoxy root canal cement, combined with a single point technique, creates a seal equivalent to lateral condensation and thermoplastic gutta percha. Contained in the kit are the following:
4 - Color Coded to ISO Size 25 Bi-Directional Spirals (1-21 mm length and 3-25 mm length) 7.5 gm - Epoxy Root Canal Cement Gel 8.0 gm - Powder (Epoxy Root Canal Cement) 1 Measuring Scoop
Mentions image processing
Not Found
Mentions AI, DNN, or ML
Not Found
Input Imaging Modality
Not Found
Anatomical Site
Root canals
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
Bench Testing performed on the components (contained in the kit) of the Epoxy Root Canal Cement meet/exceed ADA Specification No.57 ISO 6876 (Dental Root Canal Filling Material) and (Endodontic Filling Materials) to include physical properties such as flow, film thickness, dimensional stability, solubility and disintegration. Bi-Directional Spiral (reverse spiral drill) dimensional inspections are checked against approved meeting all required specifications. Biocompatibility literature supplied with this 510(k) submission along with Material Safety Data Sheets, has shown that components contained in the Bi-Directional Spiral & Epoxy Root Canal Cement System, as well as in the predicate devices, do not raise any new safety/biocompatibility concerns.
Key Metrics
Not Found
Predicate Device(s)
K# 960548
Reference Device(s)
Not Found
Predetermined Change Control Plan (PCCP) - All Relevant Information
Not Found
§ 872.3820 Root canal filling resin.
(a)
Identification. A root canal filling resin is a device composed of material, such as methylmethacrylate, intended for use during endodontic therapy to fill the root canal of a tooth.(b)
Classification. (1) Class II if chloroform is not used as an ingredient in the device.(2) Class III if chloroform is used as an ingredient in the device.
(c)
Date PMA or notice of completion of a PDP is required. A PMA or a notice of completion of a PDP is required to be filed with the Food and Drug Administration on or before December 26, 1996 for any root canal filling resin described in paragraph (b)(2) of this section that was in commercial distribution before May 28, 1976, or that has, on or before December 26, 1996 been found to be substantially equivalent to a root canal filling resin described in paragraph (b)(2) of this section that was in commercial distribution before May 28, 1976. Any other root canal filling resin shall have an approved PMA or a declared completed PDP in effect before being placed in commercial distribution.
0
JAN 1 8 2000
510(K) SUMMARY
This summary of 5l0(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR §807.92.
The assigned 5l0(k) number is: _______________________________________________________________________________________________________________________________________________
1. Submitter's Identification:
MDS 119 West 57th Street Suite 700 New York, NY 10019
Date Summary Prepared: August 4, 1999
Contact: Dr. Barry Lee Musikant
2. Name of the Device:
Bi-Directional Spiral & Epoxy Root Canal Cement System
3. Predicate Device Information:
- AH-26® Root Canal Sealer (Pre-Amendment Device)
-
- AH® PLUS® Root Canal Sealer, K# 960548, Dentsply International, York, PA
4. Device Description:
The subiect device is an obturation system for filling straight and minimally curved canals. The bi-directional spiral and epoxy root canal cement, combined with a single point technique, creates a seal equivalent to lateral condensation and thermoplastic gutta percha. Contained in the kit are the following:
4 - Color Coded to ISO Size 25 Bi-Directional Spirals (1-21 mm length and 3-25 mm length) 7.5 gm - Epoxy Root Canal Cement Gel 8.0 gm - Powder (Epoxy Root Canal Cement) 1 Measuring Scoop
5. Intended Use:
The Bi-Directional Spiral & Epoxy Root Canal Cement System is indicated for permanent sealing of root canals following established endodontic procedures.
1
6. Comparison to Predicate Devices:
The Bi-Directional Spiral & Epoxy Root Canal Cement System and its predicates are all endodontic sealing cements containing two-component systems. The AH® PLUS® Root Canal Sealer is a two-paste system (Paste A is an epoxy resin paste and Paste B is amine-containing paste), whereas the AH-26® and subject device endodontic cements are based on a powder-liquid mix. All device' two-component systems react via an epoxide/amine reaction to cause setting, and thus used in conjunction with the same auxillary materials in the root canal (i.e., gutta percha points).
The subject device is a derivative of AH-26® (a well-know epoxy-resin cement that has been reported favorably in the dental literature for more than 45 years). The subject device is noneugenol-based (no incompatibility with subsequent resin restoration procedures). Both the AH-26® and subject device use silver as the primary radiopaquing agent and a bisphenol epoxy resin as the liquid/gel. The powder and liguid systems of both AH-26® and subject device filling cement allows the clinician to choose the viscosity of the material. The AH® PLUS® Root Canal Sealer and AH-26® Root Canal Sealer are compatable in setting time, flow, shrinkage and microleakage physical property values. The difference between the subject device and the AH-26® device is that subject device uses a bi-directional spiral technique that thoroughly coats the walls of the canal without letting any cement flow beyond the apex during the application process.
7. Discussion of Non-Clinical Tests Performed for Determination of Substantial Equivalence are as follows:
Bench Testing performed on the components (contained in the kit) of the Epoxy Root Canal Cement meet/exceed ADA Specification No.57 ISO 6876 (Dental Root Canal Filling Material) and (Endodontic Filling Materials) to include physical properties such as flow, film thickness, dimensional stability, solubility and disintegration. Bi-Directional Spiral (reverse spiral drill) dimensional inspections are checked against approved meeting all required specifications
8. Discussion of Clinical Tests Performed:
Biocompatibility literature supplied with this 510(k) submission along with Material Safety Data Sheets, has shown that components contained in the Bi-Directional Spiral & Epoxy Root Canal Cement System, as well as in the predicate devices, do not raise any new safety/biocompatibility concerns.
2
9. Conclusions:
The Bi-Directional Spiral & Epoxy Root Canal Cement System has the same intended use and similar technological characteristics as the predicate devices. Moreover, bench testing contained in this submission and clinical literature supplied demonstrate that any differencies in their technological charactertics do not raise any new questions as to safety or effectiveness. Thus, the Bi-Directional Spiral & Epoxy Root Canal Cement System is substantically equivalent to the predicate devices.
3
Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three stripes forming its wing, and a circular border with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the eagle. The logo is black and white.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
JAN 1 8 2000
MDS c/o Ms. Susan D. Goldstein-Falk Official Correspondent for MDS MDI Consultants, Inc. 55 Northern Boulevard, Suite 200 Great Neck, New York 11021
Re : K992727
The Bi-Directional Spiral & Epoxy Root Canal Trade Name: Cement System Requlatory Class: II Product Code: KIF Dated: Auqust 11, 1999 Received: August 13, 1999
Dear Ms. Goldstein-Falk:
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, Druq, 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
4
Page 2 - Ms. Goldstein-Falk
obligation you might have under sections 531 through 542 of exigation 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 debtired in your sia equivalence of your device to a legally marketed predicate device results in a classification for your marroos 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) 594-4692. 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 Arthor by reference to 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
5
Exhibit B
Page 1 of of 1 1
510(k) Number (if known): K992727
Device Name: The Bi-Directional Spiral & Epoxy Root Canal Cement System
Indications For Use:
The Bi-Directional Spiral & Epoxy Root Canal Cement System is indicated for permanent sealing of root canals following established endodontic procedures.
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use س (Per 21 CFR 801.109)
OR
Over-The-Counter Use (Optional Format 1-2-96)
Susan Rima
(Division Sign-Off) Division of Dental, Infection Control, and General Hospital D 5 1 O(k) Number _