CORE*IT DUAL

K092572 · Spident Co., Ltd. · EBF · Aug 26, 2009 · Dental

Device Facts

• Record ID: K092572
• Device Name: CORE*IT DUAL
• Applicant: Spident Co., Ltd.
• Product Code: EBF · Dental
• Decision Date: Aug 26, 2009
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 872.3690
• Device Class: Class 2
• Attributes: Therapeutic, Pediatric, 3rd-Party Reviewed

Intended Use

The principal use for Core it Dual is as a core material either with adhesives or with pins or posts. Core it Dual can also be used for: Luting of abutments to dentures; Splinting of teeth in combination with wires, Kevlar or Ribbond-type materials; Repair material for provisionals; Bite registration material; Build up material for plastic bite rails (occlusal individualisation); Cement for pins and posts; Semipermanent restorative material (e.g., in childrens' teeth).

Device Story

Core it Dual is a dual-cured composite resin for dental core build-ups and restorative procedures. Used by dentists in clinical settings; applied as a core material with adhesives, pins, or posts. Material provides radiopacity and high compressive strength. Clinical utility includes luting, splinting, provisional repair, and bite registration. Benefits include structural support for teeth requiring restoration and versatility in various dental applications.

Clinical Evidence

Bench testing only. Performance validated through mechanical property testing including compressive strength, flexural strength, flow thickness, wear, polymerization shrinkage, and thermal expansion coefficient. Biocompatibility testing performed to ensure compliance with US regulations and ISO 4049 standards.

Technological Characteristics

Dual-cured composite resin; radiopaque; two shades (blue, yellow). Complies with ISO 4049. Mechanical properties include compressive and flexural strength. No electronic components or software.

Indications for Use

Indicated for use as a dental core build-up material, luting agent for denture abutments, splinting material, repair material for provisionals, bite registration, plastic bite rail build-up, cement for pins/posts, and semi-permanent restorative material for pediatric patients.

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

• LuxaCore/ LuxaCore Dual (KD12307)

Submission Summary (Full Text)

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# ag 2572

### SPIDENT Co., Ltd. 4312, 151B-6L, NamdosgKongDan, Inchesn, Korea 405-821 Tel: [phone] Fax : [phone]

## 510(k) Summary

This summary of 5 00(k) salety and effectiveness information is being submitted in accordance with requirements of 21 CFR Part 807.92(ci.

Date: July 22, 2009

1. Company and Correspondent making the submission

AUG 2 6 2009

| | Company |
|---------|----------------------------------------------------------|
| Name | SPIDENT Co., Ltd. |
| Address | #312, 151B-6L, NamdongKongDan,<br>Incheon, Korea 405-821 |
| Phone | [phone] |
| Fax | [phone] |
| Contact | I. S. Whang |

2. Device:

Proprietary Name - Core · it Dual Common Name - Core Build ep Resin Classification Name - Tooth shade resin material

- 3. Predicate Device:
LuxaCore/ LuxaCore Dual, KD12307

- 4. Classifications Names & Citations: EBF, 872.3690
- 5. Description:

The Core it Dual is a dual-cered composite resin designed for the fabrication of core build-ups & build-up fillings. It has the characteristics of good depth of polymerization, high compressive strength, and radiopaque. It has two shades (Blue, yellow).

The Core it Dual is similar to other commercially available products based on the intended use, the technology used, the claims, the material composition employed and performance characteristics. It is substantially cquivalent in design, function and intended use to the predicate devices.

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Image /page/1/Picture/0 description: The image shows a logo with the word "SPIDENT" inside a square. The letters are in a bold, sans-serif font and appear to be slightly distressed or textured. The square border around the word is also thick and has a similar distressed appearance, giving the logo a somewhat vintage or worn look.

## SPIDENT Co., Ltd.

#312, 151B-6L, NamstongRongDun, Incheon, Korea 405-821 Tel: [phone] Fax : [phone]

6. Indication for use:

The principal use for Core it Dual is as a core material cither with adhesives or with pins or posts. R

Core it Dual can also be used for:

· Luting of abutments to dentures

- · Splinting of teeth in combination with wires, Kevlar or Ribbond-type materials
- · Repair material for provisionals
- · Bite registration material.
- · Build up matcrial for plastic bite rails (occlusal individualisation).
- · Cement for pins and posts
- · Semipermanent restorative material (e.g., in childrens' tecth)

#### 7. Review:

The Core it Dual has the similar device characteristics as the predicate device, the Luxa Core Dual; intentied use, material, chemical composition, design and use concept are similar.

The Core it Dual has the similar mechanical properties as the predicate device; compressive strength, flexural strength, flow thickness, wear, polymerization shrinkage and thermal expansion coefficience.

The Core it Dual has been subjected to extensive safety, performance, and product validations prior to release. Safety tests including biocompatibility have been performed to ensure the devices comply with the US regulations and ISO 4049.

Based on the comparison of intended use and technical features, the Core it Dual is substantially equivalent to the predicate devices.

8. Conclusions:

In accordance with the Federal Food, Drug and Cosmetic Act, 21 CFR Part 807, FDA's "Guidance for the Preparation of Premarket notifications for Dental Composite" and based on the information provided in this premarket notification. SPIDENT Co., Ltd. concludes that the Core it Dual is safe and effective and substantially equivalent to predicate devices as described herein.

9. SPIDENT Co., Ltd. will update and include in this summary any other information deemed reasonably necessary by the FDA.

END

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Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is an abstract symbol resembling three stylized human figures or birds in flight, stacked on top of each other.

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

Spident Company, Limited C/O Mr. Marc M. Mouser Responsible Third Party Official Underwriters Laboratories, Incorporated Laboratory and Testing 2600 NW Lake Road Camas, Washington 98607-9526

Re: K092572

Trade/Device Name: Core it Dual Regulation Number: 21 CFR 872.3690 Regulation Name: Tooth Shade Resin Material Regulatory Class: II Product Code: EBF Dated: July 29, 2009 Received: August 21, 2009

Dear Mr. Mouser:

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.

AUG 2 6 2009

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 go to

http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. 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/Reporta Problem/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 Small Manufacturers, International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

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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510(k) Number K 092572

Device Name: Core it Dual

Indication for use:

The principal use for Core it Dual is as a core material either with adhesives or with pins or posts.

Corc+it Dual can also be used for:

Luting of abutments to dentures i

- Splinting of teeth in combination with wires, Kevlar or Ribbond-type materials 높
Repair material for provisionals

- Bite registration material.
- Build up material for plastic bite rails (occlusal individualisation).
- Cement for pins and posts
- Semipennanent restorative material (e.g., in childrens teeth)

Prescription Use AND/OR Over-The-Counter Use (Per 21CFR807 Subpart C) (Per 21CFR801 Subpart D)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

SPIDENT CO., LTD.

Ren Mely for MSR

(Division Sign-Off)
Division of Anesthesiology, General Hospital
Infection Control, Dental Devices

510(k) Number: K092572

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