ULTRASONIC SCALER, VARIOS 560

K062731 · Nakanishi, Inc. · ELC · May 1, 2007 · Dental

Device Facts

• Record ID: K062731
• Device Name: ULTRASONIC SCALER, VARIOS 560
• Applicant: Nakanishi, Inc.
• Product Code: ELC · Dental
• Decision Date: May 1, 2007
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 872.4850
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

This device, Varios 560, an electric ultrasonic scaler, is intended for use with an appropriate tip for following use. - Scaling, Perio, Implant Maintenance, Endodontic, Retrograde Endo, Restorative (for Minimal Scameg, Forto, Inprintin Mailier, Balishing / Caries of Dentin), Prosthetics (Condensation / Loosening / Plugging)

Device Story

Varios 560 is an electric ultrasonic scaler used in dental clinics by dental professionals. Device converts electrical energy into ultrasonic vibrations delivered through specialized tips to perform scaling, periodontal, endodontic, and restorative procedures. Operator selects appropriate tip for specific clinical task. Output is mechanical vibration for removal of calculus, plaque, or dental materials. Device facilitates dental hygiene and restorative workflows; assists in maintenance of dental implants and endodontic treatment. Benefits include efficient removal of deposits and precise dental interventions.

Clinical Evidence

No clinical data provided; bench testing only.

Technological Characteristics

Electric ultrasonic scaler; operates via ultrasonic vibration of dental tips. Class II device (Product Code: ELC).

Indications for Use

Indicated for dental procedures including scaling, periodontal treatment, implant maintenance, endodontic procedures, retrograde endodontics, restorative dentistry (caries removal), and prosthetics (condensation/loosening/plugging). Intended for prescription use by dental professionals.

Regulatory Classification

Identification

An ultrasonic scaler is a device intended for use during dental cleaning and periodontal (gum) therapy to remove calculus deposits from teeth by application of an ultrasonic vibrating scaler tip to the teeth.

Submission Summary (Full Text)

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Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Norimasa Kaneko NAKANISHI, Incorporated 700 Shimohina Kanuma-Shi, Tochigi-Ken JAPAN 322-8666

MAY - 1 2007

Re: K062731

Trade/Device Name: Ultrasonic Scaler Various 560 Regulation Number: 872.4850 Regulation Name: Ultrasonic Scaler Regulatory Class: II Product Code: ELC Dated: April 20, 2007 Received: April 24, 2007

Dear Mr. Kaneko:

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. Kaneko

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 (QS) 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]. 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 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/industry/support/index.html.

Sincerely vours.

Chiu Lin, Ph.D.

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

| 510(k) Number (if known): | |
|---------------------------|------------|
| Device Name: | Varios 560 |

Indications For Use:

This device, Varios 560, an electric ultrasonic scaler, is intended for use with an appropriate tip for following use.

- Scaling, Perio, Implant Maintenance, Endodontic, Retrograde Endo, Restorative (for Minimal Scameg, Forto, Inprintin Mailier, Balishing / Caries of Dentin), Prosthetics (Condensation / Loosening / Plugging)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use
X
(Per 21 CFR 801.109)

Susan Rusme

in of Anesthesiology, General Hospital Juon Control. Dental Devices

C(k) Number :_

OR

4 - 1

Over-The-Counter Use _