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510(k) Data Aggregation

    K Number
    K233918
    Date Cleared
    2024-05-09

    (148 days)

    Product Code
    Regulation Number
    878.4370
    Panel
    Dental
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Yongqing Huaguan Dental Instruments Factory

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Dental Barrier and Sleeves are intended to be used as a disposable barrier for dental instruments and equipment. This device is non-sterile and intended for single patient use only.

    Device Description

    Dental Barrier and Sleeves consist of various sizes and shapes of polyethylene covers which are positioned on various small hand-held dental instruments such as hand pieces, curing lights, air/water syringes and similar hand instruments. In other forms, they are used to cover various devices such as dental chairs, dental instrument trays, x-ray heads, and others. The products are sold non-sterile, prepackaged, and are disposable, single use only.

    AI/ML Overview

    This document is a 510(k) premarket notification for a medical device called "Dental Barrier and Sleeves." It outlines the device's characteristics and compares them to a legally marketed predicate device to demonstrate substantial equivalence.

    Here's an analysis of the acceptance criteria and the study proving the device meets them, based on the provided text:

    Important Note: This submission is for a Class II medical device, "Dental Barrier and Sleeves," which are physical barriers (polyethylene covers) for dental instruments and equipment. The document does not describe an AI/Software as a Medical Device (SaMD) and therefore doesn't contain information related to AI model performance, expert consensus on image interpretation, or multi-reader multi-case studies. The performance criteria and studies described are for the physical properties and biocompatibility of the barrier sleeves themselves.


    Acceptance Criteria and Reported Device Performance

    The acceptance criteria are primarily based on demonstrating equivalence in physical properties and biocompatibility with the predicate device.

    1. Table of Acceptance Criteria and Reported Device Performance:
    Acceptance Criteria CategorySpecific Acceptance Criteria (Method)Reported Device Performance and Outcome
    Intended UseSame intended use as predicate deviceSame: "disposable barrier for dental instruments and equipment. This device is non-sterile and intended for single patient use only."
    ClassificationClass II (21 CFR 878.4370)Same: Class II (21 CFR 878.4370)
    Product CodePEMSame: PEM
    MaterialPolyethylene film (same composition as predicate or justified)Same: Polyethylene film (LLDPE 80%, LDPE 20%)
    Specifications & TolerancesFilm Thickness: 0.02-0.06mm, Tolerance:
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