K Number
K994012
Device Name
TEMPOFIT, MODEL 02693
Date Cleared
2000-02-16

(82 days)

Product Code
Regulation Number
872.3770
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Material for making temporary crowns and bridges, self curing, fast setting, bis-acrylic-composite 2:1
Device Description
Not Found
More Information

Not Found

Not Found

No
The summary describes a material for temporary crowns and bridges, with no mention of AI, ML, image processing, or any other technology typically associated with AI/ML in medical devices.

No
Explanation: The device is a material for making temporary dental prosthetics. While it serves a dental purpose, it is a material for fabrication, not a device that directly provides therapy or treatment to a patient's condition.

No
The device description states it is "Material for making temporary crowns and bridges, self curing, fast setting, bis-acrylic-composite." This describes a material used for treatment or restoration, not for diagnosing a condition.

No

The intended use describes a material for making temporary crowns and bridges, which is a physical material, not software. The rest of the summary is "Not Found," providing no information to suggest it is a software-only device.

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

Here's why:

  • Intended Use: The intended use is "Material for making temporary crowns and bridges, self curing, fast setting, bis-acrylic-composite 2:1". This describes a material used in the mouth for dental restorations.
  • 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 provide information about a person's health.

The intended use of this device is for a dental procedure performed directly on a patient, not for testing samples outside the body.

N/A

Intended Use / Indications for Use

Material for making temporary crowns and bridges, self curing, fast setting, bis-acrylic-composite 2:1

Product codes

EBG

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): 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.

Not Found

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

§ 872.3770 Temporary crown and bridge resin.

(a)
Identification. A temporary crown and bridge resin is a device composed of a material, such as polymethylmethacrylate, intended to make a temporary prosthesis, such as a crown or bridge, for use until a permanent restoration is fabricated.(b)
Classification. Class II.

0

Image /page/0/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three curved lines representing its body and wings. The eagle is enclosed in a circle, and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is written around the top half of the circle.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

FEB 1 6 2000

Dentax Gmbh & Company, KG c/o Mr. Barry Hale C.Q.E. Dentax Gmbh & Company, KG 7707 E 201 terr Belton, Missouri 64012

Re : K994012 Trade Name: Tempofit, Model 02693 Requlatory Class: II Product Code: EBG Dated: November 23, 2000 November 26, 2000 Received:

Dear Mr. Hale:

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, qood manufacturing practice, labelinq, 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. ਸੇ 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

1

Page 2 - Mr. Hale

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 obitgation you may 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 deberined in four tial equivalence of your device to a legally marketed predicate device results in a classification for your markets productorermits 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 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
Director

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

Enclosure

2

Statement of Indications for Use

510(k) Number(If known): K994012

Device Name: tempofit®

Indications For Use: Material for making temporary crowns and bridges, self curing, fast setting, bis-acrylic-composite 2:1

Please do not write below this line 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 Devi 510(k) Number _

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