SEAMFREE

K092539 · Apex Dental Materials, Inc. · EBF · Oct 1, 2009 · Dental

Device Facts

• Record ID: K092539
• Device Name: SEAMFREE
• Applicant: Apex Dental Materials, Inc.
• Product Code: EBF · Dental
• Decision Date: Oct 1, 2009
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 872.3690
• Device Class: Class 2

Indications for Use

Seamfree™ is intended to be used to lubricate restorative instruments and materials. It can be used in all dental restorations and with any methylmethacrylate based material.

Device Story

Seamfree™ is a methylmethacrylate-based resin lubricant; applied to dental instruments or restorative materials to reduce tackiness; facilitates faster, more consistent delivery and handling of dental composites; activated via free radical polymerization; used by dental professionals in clinical settings; improves restorative procedure efficiency.

Clinical Evidence

Bench testing only. Performance characteristics, including film thickness, were evaluated and compared to the predicate device to demonstrate substantial equivalence.

Technological Characteristics

Methylmethacrylate-based resin; free radical polymerization activation mechanism; liquid form factor; compatible with methylmethacrylate-based dental materials.

Indications for Use

Indicated for use as a lubricant for restorative instruments and materials in all dental restorations involving methylmethacrylate based materials.

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

• Bisco Sculpting Resin (K030585)

Reference Devices

• Ultradent Composite Wetting Resin

Submission Summary (Full Text)

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K092539

## 510 (K) Summary:

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| As Required by the Safe Medical Devices Act of 1990 | OCT - 1 2009 |
|--------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------|
| Apex Dental Materials, Inc.<br>330 Telser Road<br>Lake Zurich, IL 60047<br>Phone: [phone] | |
| 510 (K) Submission Date: | August 4th, 2009 |
| Contact Person: | Chris Kulton |
| Device Name:<br>Trade Name:<br>Common Name:<br>Classification Name: | SeamfreeTM<br>Material, Tooth Shade, Resin<br>Tooth Shade Resin Material, per 21 CFR parts 872.3690 |
| Classification:<br>Regulatory Class:<br>Product Code: | 2<br>EBF |

### IDENTIFICATION OF THE LEGALLY MARKETED PREDICATE DEVICE

Bisco Sculpting Resin (Bisco, Inc. K030585) is a wetting material designed to reduce tackiness of composite materials and make delivery of composite materials easier and more consistent. The material is applied directly to dental instruments or materials to achieve this goal. Bisco Sculpting Resin (Bisco, Inc. K030585) is a methylmethacrylate based composite material formulated to provide the user a method to ease the manipulation of restorative dental materials. Bisco Sculpting Resin is activated thru a free radical polymerization mechanism.

510K Submission for Seamfree™ Apex Dental Materials 330 Telser Road Lake Zurich, IL 60047

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## 510 K Summary (continued):

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### DESCRIPTION OF APPLICATION DEVICE

Seamfree™ is a methylmethacrylate based resin material used as a lubricant for dental instruments and composites. The elimination of "tackiness" from dental materials makes the delivery and handling of dental composite materials faster and more consistent. Seamfree™ is activated via free radical polymerization. Seamfree is compatible with all methylmethacrylate based materials.

### INTENDED USES OF APPLICÀNT DEVICE

ﻣﺴﺎ ﺑﺴﺘﺎ

Seamfree™ is intended to be used to lubricate restorative instruments and materials. It can be used in all dental restorations and with any methylmethacrylate based material.

510K Submission for Seamfree™ Apex Dental Materials 330 Telser Road Lake Zurich, IL 60047

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# 510 K Summary (continued):

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### PERFORMANCE CHARACTERISTICS and CONCEPTS

Seamfree™ has similar performance to the Bisco Sculpting Resin (510K number K030585, Bisco, Inc.). From the testing observations and analysis, including film thickness, we suggest that Seamfree™ is substantially equivalent to Bisco Sculpting Resin (510K number K030585, Bisco, Inc.). Along with this, we would suggest the individual components of Seamfree™ are long-time industry standards and are utilized in numerous dental composite products currently marketed in the United States (see Confidential Formulation Details on page 5).

Equivalent Product and Manufacturer

Corresponding 510(k) Numbers

Bisco Sculting Resin (Bisco, Inc.)

K030585

Ultradent Composite Wetting Resin (Ultradent Products Inc.)

510K Submission for SeamfreeTM Apex Dental Materials 330 Telser Road Lake Zurich, IL 60047

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

Mr. Chris Kulton Co-Owner Apex Dental Materials, Incorporated 330 Telser Road Lake Zurich, Illinois 60047

OCT - 1 2009

Re: K092539

Trade/Device Name: Seamfree™ Regulation Number: 21 CFR 872.3690 Regulation Name: Tooth Shade Resin Material Regulatory Class: II Product Code: EBF Dated: August 4. 2009 Received: August 19, 2009

Dear Mr. Kulton:

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 additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. În addition, FDA may publish further announcements concerning your device in the Federal Register.

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#### Page 2 - Mr. Kulton-

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 Center for Devices and Radiological Health's (CDRH's) Office of Compliance at [phone]. 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 contact the CDRH/Office of Surveillance and Biometrics/Division of Postmarket Surveillance at 240-276-3464. For more information regarding the reporting of adverse events, please go to http://www.fda.gov/cdrh/mdr/.

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.

for

Susan Runner, D.D.S., M.A. Acting 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

510(k) Number (if known): K029539

Device Name: Seamfree™ Indications for Use:

Seamfree" is intended to be used to lubricate restorative instruments and materials. It can be used in all dental restorations and with any methylmethacrylate based material.

Prescription Use × (21 CFR Part 801 Subpart D) AND/OR

Over-The-Counter Use (21 CFR Part 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Kain Ruby for HSR

Division Sign-Off) nvision of Anesthesiology, General Hospital ntection Control, Dental Devices

710(k) Number: K092539

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