DCI Edge Dental Chair with Operative Unit

K151987 · Dci · KLC · Jun 1, 2016 · Dental

Device Facts

• Record ID: K151987
• Device Name: DCI Edge Dental Chair with Operative Unit
• Applicant: Dci
• Product Code: KLC · Dental
• Decision Date: Jun 1, 2016
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 872.6250
• Device Class: Class 1
• Attributes: Pediatric

Intended Use

The DCI Edge Dental Chair with operative unit is a device intended to position the patient in such a manner to provide to the dental practitioner visual and manual access to the oral cavity. This device should provide for the ergonomic necessities of most patients, both adults and children, throughout its range of movement. The device shall also be the means of supporting delivery systems for the purpose of standard dental procedures.

Device Story

Dental chair with integrated operative unit; includes adjustable headrest, backrest, seat height, and armrests. Operative unit features floor box, dental light, cuspidor, cup filler, control panel, foot control, 3-way syringe, and saliva ejector. Used in dental clinics by dentists, technicians, and assistants. Device provides patient positioning for oral cavity access and supports delivery systems. Software controls chair movement (up/down, recline/upright) via pre-programmed settings activated by push-button. Movement is slow, limited by sensors and mechanical hard stops to ensure patient safety. Healthcare providers use the chair to facilitate ergonomic access during standard dental procedures.

Clinical Evidence

Bench testing only. Compliance with ISO 14971 (risk management), ISO 10993-1 (biocompatibility), ANSI/AAMI ES60601-1 (electrical safety), IEC 60601-1-2 (EMC), IEC 62366 (usability), and IEC 80601-2-60 (dental equipment safety).

Technological Characteristics

Materials: metal structural support, sheet metal, plastic covers. Energy: electrical (chair movement). Connectivity: standalone. Software: pre-programmed control for chair positioning. Safety: sensors and mechanical hard stops. Standards: ISO 14971, ISO 10993-1, ANSI/AAMI ES60601-1, IEC 60601-1-2, IEC 62366, IEC 80601-2-60.

Indications for Use

Indicated for positioning adult and pediatric patients to provide dental practitioners visual and manual access to the oral cavity and to support delivery systems for standard dental procedures.

Regulatory Classification

Identification

A dental chair and accessories is a device, usually AC-powered, in which a patient sits. The device is intended to properly position a patient to perform dental procedures. A dental operative unit may be attached.

Predicate Devices

• Foshion Chair Mounted Dental Unit (K071353)

Reference Devices

• DCI Dental Unit (K944271)

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 1, 2016

DCI % Mr. Robert Bellingham Quality & Regulatory Manager 305 N. Springbrook Rd. Newberg, Oregon 97132

Re: K151987

Trade/Device Name: DCI Edge Dental Chair with Operative Unit Regulation Number: 21 CFR 872.6250 Regulation Name: Dental Chair and Accessories Regulatory Class: I Product Code: KLC, EIA Dated: May 2, 2016 Received: May 2, 2016

Dear Mr. Bellingham:

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 devicerelated adverse events) (21 CFR 803); 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.

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/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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,

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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) K151987

Device Name

DCI Edge Dental Chair with operative unit

### Indications for Use (Describe)

The DCI Edge Dental Chair with operative unit is a device intended to position the patient in such a manner to provide to the dental practitioner visual and manual access to the oral cavity. This device should provide for the ergonomic necessities of most patients, both adults and children, throughout its range of movement. The device shall also be the means of supporting delivery systems for the purpose of standard dental procedures.

Type of Use (Select one or both, as applicable)

| <span style="font-family: sans-serif;">☑</span> Prescription Use (Part 21 CFR 801 Subpart D) | <span style="font-family: sans-serif;">☐</span> Over-The-Counter Use (21 CFR 801 Subpart C) |
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305 N. Springbrook Road, Newberg, Oregon, USA 97132

## K151987 510(k) Summary DCI Edge Dental Chair with Operative Unit

#### 1 Sponsor

Dental Components Inc. 305 N. Springbrook Road Newberg, Oregon 97128 Telephone: [phone] Date Prepared: May 31, 2016

#### 2 Device Name

Proprietary Names: DCI Edge Dental Chair with Operative Unit Common/Usual Name: Chair, Dental with Operative Unit Classification: Chair, dental, with operative unit Regulation Number: 21 CFR 872.6250 Class: 1 Product Code: KLC Secondary Product Code: EIA Establishment Registration Number: 3029780

#### 3 Predicate Device

Foshion Chair Mounted Dental Unit (K071353)

#### 4 Intended Use

The DCI Edge Dental Chair with operative unit is a device intended to position the patient in such a manner to provide to the dental practitioner visual and manual access to the oral cavity. This device should provide for the ergonomic necessities of most patients, both adults and children, throughout its range of movement. The device shall also be the means of supporting delivery systems for the purpose of standard dental procedures.

#### 5 Device Description and Function

The DCI Edge Chair with Operative Unit is a dental chair with an operative unit attached. There are three main parts to the proposed device: a dental chair, dental light and dental chair has adjustable headrest, backrest, seat height and armrests. The dental chair unit consists of a floor box to which are attached a number of operative units: lights, cuspidor, cup filling device, control panel, and foot control. The instrument panel also includes a 3-way syringe and salvia ejector.

#### Level of Concern 6

The software was determined to be of a moderate level of concern. The software controls the movement of the dental chair, and it is preprogrammed and activated by the push of a button. The chair then moves slowly up and down, and the backrest moved slowly from an upright or a reclined position. The movement is very slow and the movement is limited by a stop sensor and mechanical hard stop. There are sensors and hard stops to prevent the chair from going beyond its pre-programmed range.

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#### 7 Technological Characteristics Summary

The technological characteristics between the predicate and proposed device are similar physically and technically. While the wording of the Indications for Use differs, both the subject and predicate devices share the same intended use, as well as equivalent material composition, fundamental scientific technology, principles of operation, and basic design. The predicate device does offer several accessories as standard, such as x-ray viewer and dental handpiece. The DCI Edge chair does not offer these as standard. However, the intended use and the fundamental scientific technology are still the same. The x-ray viewer and dental handpieces are available from other companies as aftermarket devices.

| PARAMETER | DCI EDGE CHAIR<br>W/OPERATIVE UNIT<br>(K151987) | DCI DENTAL UNIT<br>(K944271) | FOSHION DENTAL<br>CHAIR W/OPERATIVE UNIT (K071353) |
|--------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Intended Use | The DCI Edge Dental Chair<br>with operative unit is a device<br>intended to position the patient<br>in such a manner to provide<br>to the dental practitioner<br>visual and manual access<br>to the oral cavity. This device<br>should provide for the ergonomic<br>necessities of most patients, both<br>adults and children, throughout<br>its range of movement. The<br>device shall also be the means<br>of supporting delivery systems<br>for the purpose of standard<br>dental procedures. | The DCI Dental Unit is<br>intended to supply power<br>and serve as a base for<br>dental devices and accessories.<br>The product includes a dental<br>unit, 3-way syringe and air<br>foot control. The unit is<br>intended for use in the<br>dental office or clinic and is<br>used by trained dentists<br>and/or technicians and<br>assistants. It can be attached<br>to a chair or stand alone. | The Foshion Chair Mounted<br>Dental Unit is intended to<br>supply power and serve as a<br>base for dental devices and<br>accessories. The product<br>includes a dental chair,<br>operating light x-ray viewer,<br>control panel, low and high<br>speed turbine handpieces,<br>3- way syringe and air foot<br>control. The unit is intended<br>for use in the dental office<br>or clinic and is used by<br>trained dentists and/or<br>dental technicians and<br>assistants. |
| Features | | | |
| Seat and backrest<br>positioning | Pre-programmed settings. | N/A | Pre-programmed settings. |
| Multiple Handpiece<br>Automatic Control<br>System | Three handpiece controls are<br>standard, up to five handpieces<br>optional. Handpieces are not<br>sold with the unit. | Three handpiece controls are<br>standard, up to five<br>handpieces optional.<br>Handpieces are not sold with<br>the unit. | Three handpiece controls<br>are standard, up to five<br>handpiece optional. Unit is<br>sold with handpieces. |
| Water Control System<br>for Handpieces and<br>Syringes | Non-retracting water system for<br>handpieces and syringes.<br>Retracting available with check-<br>valve. | Non-retracting water system<br>for handpieces and syringes.<br>Retracting available with<br>check-valve. | Non-retracting water<br>system for handpieces and<br>syringes. Retracting<br>available with check-valve. |
| 3-Way Syringe | 3-Way syringe with quick<br>disconnect tip and<br>autoclavable tips standard. | 3-Way syringe with quick<br>disconnect tip and<br>autoclavable tips standard. | 3-Way syringe with quick<br>disconnect tip and<br>autoclavable tips<br>standard. |
| Instrument Holders | Multiple position holder. | Multiple position | Multiple position holder. |
| | | holder. | |
| Assistant Holders | Multiple position holder. | Multiple position | Multiple position holder. |
| | | holder. | |
| Gravity Drain Cuspidor | Cuspidor available. | Cuspidor available. | Cuspidor available. |
| Mounting | Chair and cart. | Chair and cart. | Chair and cart. |
| Vacuum System | HVE and saliva | HVE and saliva ejectors | HVE and saliva ejectors |
| | ejectors available. | available. | available. |
| Foot Control | Standard. | Standard. | Standard. |
| Utility Box with Air and | Standard. | Optional w/Chair | Standard. |
| Water Shut-off, | | | |
| Regulators and Filters | | | |
| Control Pad for | Standard | Optional w/Chair | Standard |
| Chair Movement | | | |
| and Light | | | |
| Heated Water Supply | Available. | Optional w/Chair | Available. |
| Dental Light | Available. | Available | Available. |
| Turbines | Can be added. | Can be added | Standard |
| Upholstery | Standard | Standard if ordered | Standard |
| | | w/Chair | |
| Arm Rest | Standard | Standard if ordered | Standard |
| | | w/Chair | |
| Materials | | | |
| Construction | Metal structural support, | Metal structural support, | Metal structural support, |
| | sheet metal, plastic | sheet metal plastic | sheet metal, plastic covers. |
| | covers. Details contain in | covers. | |
| | product manual. | | |

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## 305 N. Springbrook Road, Newberg, Oregon, USA 97132

#### 8 Non Clinical Testing

The DCI Edge Dental Chair with Operative Unit complies with the following performance standards:

- ISO 14971 Second Edition 2007-03-01 Medical devices Application of risk management to medical devices.
- · AAMI ANSI ISO 10993-1:209/(R) 2013 Biological evaluation of medical devices-Part1: Evaluation and testing within a risk management process.
- ANSI/AAMI ES60601-1:2005/(R)2012 Issued: 2012/01/17 Medical Electrical Equipment—Part 1: General requirements for basic safety and essential performance with C1:2009 (R)2012 and A2:2010/(R)2012
- · ISO 60601-1-2:2007 Medical electrical equipment –Part1-2: General requirements for basic safety and essential performance - Collateral standard: Electromagnetic compatibility-Requirements and test.
- · IEC 62366 Edition 1.1 Medical devices-Application of usability engineering to medical devices.
- · IEC 80601-2-60:2012 Medical electrical equipment Part 2-60: Particular requirements for basic safety and essential performance of dental equipment.

#### 9 Conclusion

DCI, ITL has demonstrated that, for the purposes of FDA's regulation of medical devices, the DCI Edge Dental Chair with Operative Unit is substantially equivalent to the predicate devices in intended use, material composition, fundamental scientific technology, principles of operation, and basic design.