GRANDIO FLOW

K033117 · Voco GmbH · EBF · Nov 25, 2003 · Dental

Device Facts

• Record ID: K033117
• Device Name: GRANDIO FLOW
• Applicant: Voco GmbH
• Product Code: EBF · Dental
• Decision Date: Nov 25, 2003
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 872.3690
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

Fillings of any minimally invasive cavity ● Fillings of small cavities and extended fissure sealing ● Block out undercuts ● Lining or coating cavities ● Class III-V fillings, including V-shaped defects and cervical caries ● Repair of fillings and veneers ● Luting of translucent prosthetic pieces, e.g., porcelain-only crowns ●

Device Story

Grandio Flow is a light-cured, radiopaque, flowable composite resin used by dental professionals in clinical settings. It serves as a restorative material for various dental applications, including cavity fillings, fissure sealing, and luting of translucent prosthetics. The material is applied directly into the cavity or onto the tooth surface and cured using a dental curing light. By providing a flowable consistency, it allows for precise placement in small or minimally invasive preparations, aiding in the restoration of tooth structure and the repair of existing dental work. It benefits patients by providing a durable, aesthetic, and functional solution for minor dental defects and prosthetic cementation.

Clinical Evidence

Bench testing only.

Technological Characteristics

Flowable, light-cured composite resin. Radiopaque. Classified as a tooth shade resin material under 21 CFR 872.3690. Product code EBF. Class II device.

Indications for Use

Indicated for dental patients requiring minimally invasive cavity fillings, small cavity/fissure sealing, undercut block-out, cavity lining/coating, Class III-V restorations, repair of existing fillings/veneers, and luting of translucent prosthetic pieces.

Regulatory Classification

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.

Submission Summary (Full Text)

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Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

NOV 25 2003

VOCO GmbH C/O Mr. Gerald W. Shipps Regulatory Affairs Consultant Cascades Device Consulting Associates 19379 Blue Lake Loop Bend, Oregon 97702

Re: K033117

Trade/Device Name: Grandio® Flow Regulation Number: 21 CFR 872.3690 Regulation Name: Tooth Shade Resin Material Regulatory Class: II Product Code: EBF Dated: September 29, 2003 Received: September 30, 2003

Dear Mr. Shipps:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate 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) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions 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 (PMA), 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 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

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Page 2 – Mr. Gerald W. Shipps

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding 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 regulation (21 CFR Part 801), please contact the Office of Compliance at [phone]. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at [phone]. Also, please note the regulation entitled. "Misbranding by reference to premarket notification" (21CFR Part 807.97) you may obtain. Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

Susan Surow

Chiu S. Lin, PhD Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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## Indications for Use Statement

14033117 510(k) Number:

Device Name: Grandio Flow

Indications for Use:

- Fillings of any minimally invasive cavity ●
- Fillings of small cavities and extended fissure sealing ●
- Block out undercuts ●
- Lining or coating cavities ●
- Class III-V fillings, including V-shaped defects and cervical caries ●
- Repair of fillings and veneers ●
- Luting of translucent prosthetic pieces, e.g., porcelain-only crowns ●

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use

OR

Over-The-Counter Use __________

Robert Betz DDS for Dr. Runner

510(k) Number. K033117