(46 days)
Dental impression material for automatic mixing and dispensing in a PENTAMIX® or PENTAMIX® 2 mixing device, resp .:
Impressions for inlay, onlay, crown, and bridge restorations
Functional impressions
Fixation impressions
Implant impressions
IMPREGUM® PENTA® DUOSOFT is classified as an impression material (21 C.F.R. § 872.3660) because it is a device intended to reproduce the structure of a patient's teeth.
This document is a 510(k) Pre-market Notification for a dental impression material called IMPREGUM® PENTA® DUOSOFT. It states that the device is substantially equivalent to a predicate device, PERMADYNE® PENTA®, and therefore, no new studies demonstrating performance against acceptance criteria were conducted or presented.
The basis for substantial equivalence is primarily that the new device uses the same materials and processes for manufacturing and packaging as the predicate device. Furthermore, all chemical components of the new device are either present in the predicate device or in other 510(k) cleared impression materials manufactured by ESPE.
Therefore, the following information cannot be extracted from the provided text as the application relies on substantial equivalence to a predicate device rather than new performance studies with specific acceptance criteria:
- A table of acceptance criteria and the reported device performance: Not applicable, as performance against new acceptance criteria was not presented.
- Sample size used for the test set and the data provenance: Not applicable.
- Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable.
- Adjudication method for the test set: Not applicable.
- If a multi-reader multi-case (MRMC) comparative effectiveness study was done, if so, what was the effect size of how much human readers improve with AI vs without AI assistance: Not applicable. This is a dental impression material, not an AI diagnostic device.
- If a standalone (i.e., algorithm only without human-in-the-loop performance) was done: Not applicable.
- The type of ground truth used: Not applicable.
- The sample size for the training set: Not applicable.
- How the ground truth for the training set was established: Not applicable.
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JAN 2 8 2000
510(k) SUMMARY OF SAFETY AND EFFECTIVENESS IV.
Submitter
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| Establishment Reqistration Number: 9611385 | |
| Contact:Regulatory Affairs | |
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| Name of Device | |
| Proprietary Name: | IMPREGUM® PENTA® H DUOSOFT |
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| Predicate Device | |
| PERMADYNE® PENTA® | |
| Description for the Premarket Notification |
IMPREGUM® PENTA® DUOSOFT is classified as an impression material (21 C.F.R. § 872.3660) because it is a device intended to reproduce the structure of a patient's teeth.
Special 510(k) IMPREGUM® PENTA® DUOSOFT
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- IMPREGUM® PENTA® DUOSOFT is manufactured and packaged using the same materials and processes
All chemical components of IMPREGUM® PENTA® DUOSOFT are already part of the predicate device PERMADYNE® PENTA® or are contained in other 510(k) cleared impression materials manufactured by ESPE. Therefore, we believe that additional biocompatibility testing is not required.
In summary the modified IMPREGUM® PENTA® DUOSOFT described in this submission is, in our opinion, substantially equivalent to the predicate device.
Image /page/1/Picture/3 description: The image shows the text "Special 510(k) IMPREGUM® PENTA® DUOSOFT" above a logo. The logo is a square with a tree inside of it, and the word "ESPE" is to the right of the square. The text and logo are all in black.
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Image /page/2/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 caduceus symbol, which is a staff with two snakes coiled around it. The text "DEPARTMENT FOR HEALTH & HUMAN SERVICES • USA" is arranged in a circular pattern around the caduceus symbol. The logo is simple and recognizable, and it is often used to represent the U.S. Department of Health & Human Services.
Public Health Service
JAN 2 8 2000
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
Dr. Andreas Petermann Manager, U.S. Regulatory Affairs ESPE Dental AG - ESPE Platz D-82229 Seefeld, Bavaria, Germany
Re : K994193 Imprequm® Penta® DuoSoft Trade Name: Requlatory Class: II Product Code: ELW Dated: December 10, 1999 Received: December 13, 1999
Dear Dr. 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, Drug, and Cosmetic Act (Act). You may, therefore, market the device, subject to the qeneral 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. 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
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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 asboirson 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,
Timothy A. Ulatowski
Director Division of Dental, Infection Control and General Hospital Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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Statement of Indications for Use D.
Device Name:
IMPREGUM® PENTA® H DUOSOFT IMPREGUM® PENTA® L DUOSOFT
Indications for use:
Dental impression material for automatic mixing and dispensing in a PENTAMIX® or PENTAMIX® 2 mixing device, resp .:
Impressions for inlay, onlay, crown, and bridge restorations
Functional impressions
Fixation impressions
Implant impressions
Susan Runner
(Division Sign-Off) ision of Dental, Infection Control · General Hospital Devices (k) Number 1994 9
Image /page/4/Picture/12 description: The image shows the text "Special 510(k) IMPREGUM® PENTA® DUOSOFT" in a bold, sans-serif font. Below this text is the logo for ESPE, which includes a stylized image of leaves within a square border. The text and logo are aligned to the left side of the image.
Prescription Use (Per 21 CFR 801.109)
Page 25 of 60
§ 872.3660 Impression material.
(a)
Identification. Impression material is a device composed of materials such as alginate or polysulfide intended to be placed on a preformed impression tray and used to reproduce the structure of a patient's teeth and gums. The device is intended to provide models for study and for production of restorative prosthetic devices, such as gold inlays and dentures.(b)
Classification. Class II (Special Controls).