TETRIC EVOFLOW BULK FILL

K150393 · Ivoclar Vivadent, AG · EBF · Jun 9, 2015 · Dental

Device Facts

• Record ID: K150393
• Device Name: TETRIC EVOFLOW BULK FILL
• Applicant: Ivoclar Vivadent, AG
• Product Code: EBF · Dental
• Decision Date: Jun 9, 2015
• Decision: SESE
• Submission Type: Abbreviated
• Regulation: 21 CFR 872.3690
• Device Class: Class 2
• Attributes: Therapeutic, Pediatric

Intended Use

– As initial layer / first increment in Class I and II composite restorations in permanent teeth - Restorations in deciduous teeth

Device Story

Tetric EvoFlow Bulk Fill is a flowable, light-curing, radiopaque dental composite used by dentists in clinical settings. It serves as an initial layer or first increment (up to 4 mm) in Class I and II restorations in permanent teeth and for restorations in deciduous teeth. The material is designed to be transparent enough for 4 mm depth polymerization while becoming sufficiently opaque during curing to mimic dentin and mask discolored tooth structure. The dentist applies the material into the prepared cavity, followed by light-curing. This flowable consistency facilitates easier application as a base layer compared to non-flowable composites. The output is a cured, tooth-colored restorative material that provides structural support and esthetic replacement for lost tooth structure, benefiting the patient by restoring tooth function and appearance.

Clinical Evidence

Bench testing only. Evaluated per ISO 4049:2009 (Type 1, Class 2 restorative) and ISO 10993-1:2009/EN ISO 7405:2008 for biocompatibility (cytotoxicity, mutagenicity). Properties tested include flexural strength, layer thickness/curing depth, sensitivity to ambient light, water sorption, solubility, radiopacity, transparency, flexural modulus, and Vickers hardness profile. Results confirmed performance equivalent to the predicate device.

Technological Characteristics

Flowable, light-curing, radiopaque composite resin. Tested per ISO 4049:2009. Features increased opacity during polymerization. Applied in increments up to 4 mm. Biocompatibility assessed per ISO 10993-1 and EN ISO 7405. No specific software or electronic components.

Indications for Use

Indicated for use as an initial layer/first increment in Class I and II composite restorations in permanent teeth and for restorations in deciduous teeth.

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.

Predicate Devices

• Tetric EvoCeram Bulk Fill (K111958)

Submission Summary (Full Text)

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Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

June 9, 2015

Ivoclar Vivadent AG c/o Ms. Donna Marie Hartnett Ivoclar Vivadent, INC 175 Pineview Drive Amherst. NY 14228

Re: K150393

Trade/Device Name: Tetric EvoFlow Bulk Fill Regulation Number: 21 CFR 872.3690 Regulation Name: Tooth Shade Resin Material Regulatory Class: II Product Code: EBF Dated: March 4, 2015 Received: March 10, 2015

Dear Ms. Hartnett:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to 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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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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm. Also, please note the regulation entitled. "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Tina
Kiang -S

for Erin I. Keith, M.S. Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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## Indications for Use

510(k) Number (if known)

K150393

Device Name TETRIC EVOFLOW BULK FILL

Indications for Use (Describe)

- As initial layer / first increment in Class I and II composite restorations in permanent teeth

- Restorations in deciduous teeth
Type of Use (Select one or both, as applicable)

> Prescription Use (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 801 Subpart C)

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# 510(K) SUMMARY

Tetric EvoFlow Bulk Fill

Rev. 3.6.15

Image /page/3/Picture/3 description: The image is a logo for Ivoclar Vivadent. The logo is blue and features the company name in a stylized font. Above the company name are green and blue dots and squares. Below the company name is the slogan "passion vision innovation" in a smaller font.

| Contact: | Donna Marie Hartnett, Ivoclar Vivadent, Inc.<br>175 Pineview Drive, Amherst, NY 14228 |
|----------------------|----------------------------------------------------------------------------------------------|
| Company: | Ivoclar Vivadent, AG<br>Bendererstrasse 2, Schaan<br>FL-9494, Liechtenstein<br>[phone] |
| Date Prepared: | June 3, 2015 |
| Proprietary Name: | Tetric EvoFlow Bulk Fill |
| Classification Name: | Material, Tooth Shade, Resin (872.3690)<br>(Classification Code EBF) |
| Predicate Device: | Tetric EvoCeram Bulk Fill (K111958) |

Device Description: Tetric EvoFlow® Bulk Fill is a flowable, light-curing radiopaque composite. As its opacity increases during polymerization, it is also suitable for discolored tooth structure. It is applied in increments of up to 4 mm as an initial layer in Class I and II restorations. Tetric EvoFlow Bulk Fill is intended for use as a dental filling material.

#### Intended Use:

– As initial layer / first increment in Class I and II composite restorations in permanent teeth

- Restorations in deciduous teeth

Comparison to Predicate: The predicate device to which Tetic EvoFlow Bulk Fill has been compared is Tetric EvoCeram Bulk Fill (K111958). For this application, Tetric EvoFlow Bulk Fill has been compared to its predicate with regard to chemical composition, physical properties, operating principles and indications for use. The comparison shows that Tetric EvoFlow Bulk Fill is substantially equivalent to the predicate device.

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# 510(K) SUMMARY Tetric EvoFlow Bulk Fill

Rev. 3.6.15

Image /page/4/Picture/2 description: The image shows the logo for Ivoclar Vivadent. The logo is composed of the company name in blue, with the first word, "Ivoclar," stacked on top of the second word, "Vivadent." Above the company name is a semi-circle of green and blue dots and squares. The dots are on the left side of the semi-circle and the squares are on the right side.

passion vision innovation

| Predicate - Tetric EvoCeram Bulk Fill<br>(K111958) | Subject Device |
|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Tetric EvoCeram Bulk Fill is a light-curing, radiopaque dental filling composite.<br>The special features are: | Tetric EvoFlow Bulk Fill is a flowable, light-curing radiopaque dental filling composite.<br>The special features are: |
| - It is applied in increments of up to 4 mm, saving the dentist time | - it is applied in increments of up to 4 mm, saving the dentist time<br>- that its opacity increases during polymerization. It is intended to be a dentin replacement and is also suitable for discolored tooth structure |
| Indications for Use | Indications for Use |
| - Restorations of deciduous teeth<br>- Restorations in the posterior region (Classes I and II)<br>- Class V restorations (cervical caries, root erosion, wedge-shaped defects)<br>- Extended fissure sealing in molars and premolars | - As initial layer / first increment in Class I and II composite restorations in permanent teeth<br>- Restorations in deciduous teeth<br>The indications are reduced because the material has been designed with an opacity similar to dentin. Flowables are often used by dentists as luting composites and this is excluded by the subject device. |
| Working principle<br>- Shade selection<br>- Isolation<br>- Cavity preparation<br>- Pulp protection / base<br>- Application of the matrix / interdental wedge<br>- Conditioning / application of the bonding agent<br>- Application of Tetric EvoCeram Bulk Fill in layers of maximum 4mm polymerizing each layer.<br>- Finishing / checking the occlusion / polishing | Working principle remains unchanged from predicate. The consistency has been changed to flowable for easy application as the first layer of a restoration. An optimization of the device makes it possible to have a materials which is transparent enough to be polymerized in 4mm layer but them sufficiently opaque to achieve the esthetics of dentin. |

Technological Characteristics and Testing Summary: FDA Guidance Document for Dental Composite Resin Devices dated October 26, 2005 was followed in connection with this application.

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Image /page/5/Picture/1 description: The image shows the logo for Ivoclar Vivadent, a dental company. The logo features the company name in two lines, with "Ivoclar" in a larger, bold, teal font above "Vivadent" in a similar font. Above the company name is a semi-circular arrangement of green and teal dots and squares. Below the company name is the company's slogan, "passion vision innovation" in a smaller, sans-serif font.

The device was evaluated for biocompatibility in accordance with ISO 10993-1:2009 and EN ISO 7405:2008. The device was tested for cytotoxicity and Mutagenicity. In addition, the photoinitiator was tested in a cytotoxicity assay in vitro. Biocompatibility was further assessed based on a comparison to the predicate device and review of the literature.

The device was tested in accordance with ISO 4049 Dentistry - Polymer-based restorative materials (ISO 4049:2009) as a Type 1, Class 2 restorative. The following properties were tested and compared to the predicate:

Flexural Strength Laver thickness/Curing Depth Sensitivity to ambient light Water Sorption Solubility Radiopacity Transparency Flexural Modulus

The specification criteria for sensitivity to light and radiopacity have been raised so that the product achieves more than required by ISO 4049. Transparency of the subject device is reduced because of its indication as a dentin replacement. A difference in flexural modulus was found and reflects the difference in consistency of the subject device from the predicate.

Both products are applied in a maximum layer thickness of 4 mm. The performance of the subject device compared to the predicate was also evaluated using the Vickers hardness profile and the results were equivalent.

Tetric EvoFlow Bulk Fill is a flowable version of the predicate device, Tetric EvoCeram Bulk Fill. The composition has been optimized to achieve the desired consistency and translucency. Overall the performance and biocompatibility are not significantly different.

CONCLUSION: In conclusion, Tetric EvoFlow Bulk Fill is substantially equivalent to the predicate device, Tetric EvoCeram Bulk Fill.