ALERT

K974131 · Jeneric/Pentron, Inc. · EBF · Dec 17, 1997 · Dental

Device Facts

• Record ID: K974131
• Device Name: ALERT
• Applicant: Jeneric/Pentron, Inc.
• Product Code: EBF · Dental
• Decision Date: Dec 17, 1997
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 872.3690
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

Tooth colored posterior restorative material For usage in a similar situation that would be applicable to an amalgam restoration.

Device Story

ALERT is a tooth-colored posterior restorative material intended for use by dental professionals in clinical settings. It serves as a direct alternative to traditional amalgam restorations for posterior teeth. The device is applied by a dentist to restore tooth structure; it functions as a restorative filling material. It provides a cosmetic, tooth-colored aesthetic benefit compared to metallic amalgam while maintaining the functional requirements for posterior restorations.

Clinical Evidence

No clinical data provided; substantial equivalence determination based on 510(k) regulatory review.

Technological Characteristics

Tooth-colored restorative material for posterior applications. Physical and chemical properties are consistent with dental restorative materials intended to replace amalgam.

Indications for Use

Indicated for use as a tooth-colored posterior restorative material in clinical situations where an amalgam restoration would be applicable.

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.

Submission Summary (Full Text)

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DEC 17 1997

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Murray Gamberg Quality Systems Director Jeneric®/Pentron®, Incorporated 53 North Plains Industrial Road Wallinford, Connecticut 06492-0724

K974131 Re : Alert Trade Name: Requlatory Class: II Product Code: EBF October 30, 1997 Dated: Received: November 3, 1997

Dear Mr. Gamberg:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). "You may, therefore, market the device, subject to the general controls provisions The general controls provisions of the Act 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 (Premarket Approval), it may be subject to such additional controls. Existing major requlations affecting your device can be found in the Code of Federal Requlations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirement, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic (QS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531

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Page 2 - Mr. Gamberg

through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or requlations.

This letter will allow you to begin marketing your device as described in your 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 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at [phone]. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number [phone] or [phone] or at its internet address "http://www.fda.qov/cdrh/dsmamain.html".

Sincerely yours,

Timothy A. Ulatowski

ula Director Division of Dental, Infection Control and General Hospital Devices Office of Device Evaluation Center for Devices and Radioloqical Health

Enclosure

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510(k) Number (if known): K974131

Device Name: ALERT

Indications For Use:

Tooth colored posterior restorative material

For usage in a similar situation that would be applicable to an amalgam restoration.

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

Sutten

Concurrence of CDRH, Office of Device Evaluation (ODE) OR Over-the-Counter Use

(Per 21 CFR 801.109) · · · · · · · · · ·

**Over-the-Counter Use**

(Optional Format 1-2-96)