K Number
K992909
Device Name
HYTAC
Manufacturer
Date Cleared
1999-11-24

(86 days)

Product Code
Regulation Number
872.3690
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Primary tooth fillings Class I, III, and V fillings Wedge-shaped defects Class II semipermanent fillings
Device Description
HYTAC® is classified as a tooth shade resin material (21 C.F.R. § 872.3690) because it is a device composed of methacrylates intended to restore carious lesions or structural defects in teeth.
More Information

Not Found

Not Found

No
The summary describes a dental filling material and does not mention any AI or ML capabilities.

No.
The device is a tooth filling material intended to restore structural defects in teeth, which is not considered a therapeutic function.

No

The device description indicates it is a tooth shade resin material for restoring carious lesions or structural defects in teeth, which is a restorative function, not a diagnostic one.

No

The device description clearly states it is a "tooth shade resin material" composed of methacrylates, 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 filling teeth, which is a direct treatment/restoration of a physical structure within the body.
  • Device Description: The device is described as a tooth shade resin material intended to restore carious lesions or structural defects in teeth. This aligns with a dental restorative material, not a diagnostic test performed on samples outside the body.
  • Lack of IVD Characteristics: There is no mention of analyzing samples (like blood, urine, tissue), detecting biomarkers, or providing diagnostic information about a patient's health status.

IVD devices are used to examine specimens derived from the human body to provide information for the diagnosis, prevention, or treatment of a disease or condition. This device's function is to physically repair teeth.

N/A

Intended Use / Indications for Use

Primary tooth fillings Class I, III, and V fillings Wedge-shaped defects Class II semipermanent fillings

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

EBF

Device Description

HYTAC® is classified as a tooth shade resin material (21 C.F.R. § 872.3690) because it is a device composed of methacrylates intended to restore carious lesions or structural defects in teeth.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

teeth

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): 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.

HYTAC® by ESPE, Dyract® AP by DENTSPLY

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

§ 872.3690 Tooth shade resin material.

(a)
Identification. Tooth shade resin material is a device composed of materials such as bisphenol-A glycidyl methacrylate (Bis-GMA) intended to restore carious lesions or structural defects in teeth.(b)
Classification. Class II.

0

510(K) SUMMARY OF SAFETY AND EFFECTIVENESS

Submitter

II.

Name:ESPE Dental AG
Street:ESPE Platz
ZIP-Code, City:D-82229 Seefeld
Federal State:Bavaria
Country:Germany
Establishment Registration Number:9611385
Contact:Dr. Andreas Petermann, Manager of U.S.
Regulatory Affairs
Phone:011-49-8152-700 1395
Fax:011-49-8152-700 1869
E-mail:Andreas_Petermann@ESPE.de
Date:August 27, 1999
Name of Device
Proprietary Name:HYTAC®
Classification Name:Tooth shade resin material
Common Name:Compomer filling material
Predicate Device

HYTAC® by ESPE................................................................................................................................................................

Dyract® AP by DENTSPLY........................................................................................................................................................

Description for the Premarket Notification

HYTAC® is classified as a tooth shade resin material (21 C.F.R. § 872.3690) because it is a device composed of methacrylates intended to restore carious lesions or structural defects in teeth.

Image /page/0/Picture/8 description: The image shows the text "510(k) HyTAC®" above the word "ESPE". To the left of the word ESPE is a logo that appears to be a tree. The registered trademark symbol is located to the right of the word HyTAC.

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On September 11, 1996 HYTAC® was 510(k)-cleared by the FDA. Because at that time no further clinical evidence was available, the range of indications was strictly limited to none-occlusal loaded fillings. Therefore, the information for use contained a contraindication phrase "HYTAC® is not indicated […] for long-term fillings in the permanent dentition exposed to occlusal loading".

However, good clinical experience, laboratory test data and comparison to DYRACT® AP by a study make it now possible in our point of view to expand the range of indications to occlusal loaded fillings, too. The above mentioned contraindication phrase will therefore be deleted in the Instructions for Use. The range of indications for HYTAC® will be expanded on permanent class I fillings and semipermanent class II fillings. The phrase "semipermanent" has to be understood as a period of up to two years.

Due to the 510(k) Memorandum #K97-1, released on January 10, 1997, "Deciding when to submit a 510(k) for a change to an existing device", deletion of a contraindication on one hand and expanding the range of indications on the other hand requires the submission of a new 510(k).

While the composition of HYTAC® remains still the same, in this 510(k) submission only the differences to the old submission are cited. Therefore, no chemical and toxicological data is contained to reduce unnecessary paperwork.

Image /page/1/Picture/4 description: The image shows the logo for 510(k) HYTAC ESPE. The logo is black and white and features the text "510(k) HYTAC" in a smaller font above the text "ESPE" in a larger font. There is a registered trademark symbol next to HYTAC. To the left of ESPE is a logo of a tree.

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Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" around the perimeter. Inside the circle is an abstract image of an eagle or bird-like figure, represented by three curved lines.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

NOV 2 4 1999

Dr. Andreas Petermann Manager, U.S. Regulatory Affairs ESPE Dental AG ESPE Platz D-82229 Seefeld, Bavaria

K992909 Re : Hytac® Trade Name: Regulatory Class: II Product Code: EBF August 27, 1999 Dated: Received: August 30, 1999

Dear Dr. Andreas Petermann:

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 Regulations, 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 requlatory 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

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Page 2 - Dr. Petermann

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 asboing 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 ene rogaracion charion" (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,

Timothy A. Ulatowski

Directbr Division of Dental, Infection Control and General Hospital Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

STATEMENT OF INDICATIONS FOR USE

(As Required by 21 C.F.R. § 801.109)

510(k) Number:

Device Name:

HYTAC®

Indications for use:

Primary tooth fillings Class I, III, and V fillings Wedge-shaped defects Class II semipermanent fillings

Prescription use: 17

Susan Runo

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

Over-the counter use □