MIDWEST RDH Freedom Cordless Prophy System with SmartMode Technology
Applicant
Dentsply Sirona
Product Code
EKX · Dental
Decision Date
Sep 27, 2016
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 872.4200
Device Class
Class 1
Attributes
Therapeutic
Indications for Use
The MIDWEST® RDH Freedom® Cordless Prophy System with SmartMode™ is a high-performance cordless prophylaxis handpiece with an optional wireless foot pedal for use with NUPRO Freedom® disposable prophy angles in a hygiene operatory to perform cleaning and polishing procedures on teeth.
Device Story
Cordless prophylaxis handpiece for dental cleaning/polishing; consists of electric motor-driven inner module, outer sheath, charging base, and optional wireless foot pedal. Input: user-applied force on disposable prophy angle (DPA) or foot pedal displacement. Operation: SmartMode™ technology adjusts motor speed/torque based on DPA force; alternatively, Bluetooth Low Energy (BLE) wireless foot pedal controls speed. Output: rotational motion of DPA. Used in dental hygiene operatory by dental clinicians. Output allows clinicians to perform prophylaxis; benefits include cordless mobility and ergonomic control. Device includes LED status indicators for mode, battery, and synchronization. Must be used with Disposa-Shield® barrier.
Clinical Evidence
Bench testing only. No clinical human trials. Performance verified via internal test methods covering wireless functionality, SmartMode™ performance, battery life, speed/torque, and ingress protection. Human factors validation conducted using dental typodonts by registered dental hygienists to simulate clinical use and confirm mitigation of potential tissue damage risks.
Technological Characteristics
Materials: Aluminum outer sheath with stainless steel tip; plastic housings for inner module, charging base, and foot pedal. Energy: 3.7V Lithium Ion battery. Connectivity: Bluetooth Low Energy (BLE). Sterilization: Steam autoclavable outer sheath (135°C). Control: SmartMode™ (force-sensing) or wireless foot pedal. Standards: AAMI ANSI ES 60601-1, IEC 60601-1-2.
Indications for Use
Indicated for dental clinicians to perform cleaning and polishing procedures on teeth in a hygiene operatory setting using disposable prophy angles.
Regulatory Classification
Identification
A dental handpiece and accessories is an AC-powered, water-powered, air-powered, or belt-driven, hand-held device that may include a foot controller for regulation of speed and direction of rotation or a contra-angle attachment for difficult to reach areas intended to prepare dental cavities for restorations, such as fillings, and for cleaning teeth.
Disposa-Shield Disposable Barrier for Midwest RDH Freedom with SmartMode Technology Inner Module (K160232)
Submission Summary (Full Text)
{0}------------------------------------------------
Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized depiction of an eagle with three lines representing its wings and head. The text "HUMAN SERVICES-USA" is arranged in a circular fashion around the top of the logo, and the word "DEPARTMENT" is at the bottom.
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
September 27, 2016
Dentsply Sirona Helen Lewis Director, Corporate Regulatory Affairs 221 West Philadelphia Street Suite 60 York, Pennsylvania 17404
Re: K160825
Trade/Device Name: MIDWEST® RDH Freedom® Cordless Prophy System With SmartMode™ Technology Regulation Number: 21 CFR 872.4200 Regulation Name: Dental Handpiece And Accessories Regulatory Class: Class I Product Code: EKX Dated: August 29, 2016 Received: August 30, 2016
Dear Helen Lewis:
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.
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
{1}------------------------------------------------
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 (800) 638-2041 or (301) 796-7100 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 (800) 638-2041 or (301) 796-7100 or at its Internet address
http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.
Sincerely yours,
# Michael D. Ryan -S
for Tina Kiang, Ph.D.
Acting Director Division of Anesthesiology, General Hospital. Respiratory. Infection Control, and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
{2}------------------------------------------------
## Indications for Use
510(k) Number (if known)
Device Name
MIDWEST® RDH Freedom® Cordless Prophy System with SmartMode™ Technology
Indications for Use (Describe)
The MIDWEST® RDH Freedom® Cordless Prophy System with SmartMode™ is a high-performance cordless prophylaxis handpiece with an optional wireless foot pedal for use with NUPRO Freedom® disposable prophy angles in a hygiene operatory to perform cleaning and polishing procedures on teeth.
| Type of Use (Select one or both, as applicable) | |
|-------------------------------------------------------------------------------------------------|--|
| <label><input checked="" type="checkbox"/> Prescription Use (Part 21 CFR 801 Subpart D)</label> | |
| <label><input type="checkbox"/> Over-The-Counter Use (21 CFR 801 Subpart C)</label> | |
#### CONTINUE ON A SEPARATE PAGE IF NEEDED.
This section applies only to requirements of the Paperwork Reduction Act of 1995.
#### *DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.*
The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:
> Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov
"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."
{3}------------------------------------------------
Dentsply Sirona 221 West Philadelphia Street Suite 60 York, PA 17404
Image /page/3/Picture/1 description: The image shows the logo for Dentsply Sirona. The logo consists of a stylized leaf-like shape on the left, followed by the text "Dentsply" on the top line and "Sirona" on the bottom line. The text and the leaf are in a gray color.
## 510(k) SUMMARY
#### for
MIDWEST® RDH Freedom® Cordless Prophy System with SmartMode™ Technology
#### Submitter Information:
Dentsply Sirona 221 West Philadelphia Street Suite 60 York, PA 17401
| Contact Person: | Helen Lewis |
|-------------------|--------------|
| Telephone Number: | 717-487-1332 |
| Fax Number: | 717-849-4343 |
Date Prepared: 16 September 2016
## Device Name:
| • Proprietary Name: | MIDWEST® RDH Freedom® Cordless Prophy<br>System with SmartMode™ Technology |
|------------------------|----------------------------------------------------------------------------|
| • Classification Name: | Dental Handpiece and Accessories |
| • Common Name: | Prophy System |
| • CFR Number: | 21 CFR 872.4200 |
| • Device Class: | I |
| • Product Code: | EKX |
## Predicate Device:
| Predicate Device Name | 510(k) | Company Name |
|------------------------------------------|---------|-----------------------------|
| MIDWEST® RDH Freedom® Cordless<br>System | K110753 | DENTSPLY International Inc. |
## Description of Device:
The proposed device, MIDWEST® RDH Freedom® Cordless Prophy System with SmartMode™ Technology, is a cordless handpiece which is intended for use by a dental clinician during dental cleaning and polishing procedures.
The proposed device, MIDWEST® RDH Freedom® Cordless Prophy System with SmartMode™ Technology, is comprised of an electric motor-driven prophylaxis cordless handpiece (consisting of an inner module and outer sheath), a direct current (DC) powered charging base for cordless handpiece, cradle for cordless handpiece, direct current (DC) power supply and cord, and uses proprietary disposable prophy angles (DPAs). The proposed device, MIDWEST® RDH Freedom® Cordless Prophy System
{4}------------------------------------------------
with SmartMode™ Technology, uses a USB mini connector to provide battery charging power to the charging base for the cordless handpiece and operates using Bluetooth low energy (BLE) wireless radio frequency. An optional wireless foot pedal is sold separately.
Accessories include single use, proprietary NUPRO Freedom® disposable prophy angles [(cleared under premarket notification K030603 in April, 2003 by Pac-Dent International, Inc. as ProAngle™ Disposable Prophy Angle (manufactured by Pac-Dent International, Inc.) and under premarket notification K954802 in November, 1995 by DENTSPLY International as Rite-Angle Disposable Prophy Angles (manufactured by Angstrom Manufacturing, Inc.)] which are sold separately and available in a 90 degree angle and contra angle with multiple cup options: firm cup, soft cup, spiral cup, pedo (pediatric) cup, pointed tip and tapered brush. An optional wireless foot pedal (cleared under premarket notification K110753 in June, 2011 as MIDWEST RDH Freedom Cordless System) is sold separately.
The proposed device, MIDWEST® RDH Freedom® Cordless Prophy System with SmartMode™ Technology, must be used with a Disposa-Shield® disposable barrier (cleared as Class II under premarket notification K160232 in June 2016 as Disposa-Shield Disposable Barrier for Midwest RDH Freedom with SmartMode Technology Inner Module), which is sold separately.
An FDA-Cleared lubricant can be used to lubricate the outer sheath nose of the proposed device, MIDWEST® RDH Freedom® Cordless Prophy System with SmartModeTM Technology, only if the DPA does not spin freely. A coupler prevents lubricant from contacting the cordless handpiece inner module. If lubricant is applied, the outer sheath must be sterilized prior to use.
The cordless handpiece can be operated in SmartMode™ mode without using the optional wireless foot pedal (K110753). SmartMode™ Technology allows the output speed and torque of the cordless handpiece to be controlled by the amount of force the user applies from the disposable prophylaxis angle (DPA) (K030603; K954802) to the tooth without the use of the optional wireless foot pedal (K110753).
The cordless handpiece can also be operated by using the optional wireless foot pedal (K110753) and the amount of vertical displacement corresponds to the output speed of the cordless handpiece supplied to the DPA (K030603; K954802). The optional wireless foot pedal (K110753) operates using Bluetooth low energy (BLE) communication. Engaging the optional wireless foot pedal (K110753) activates the Bluetooth low energy (BLE) mode of both the cordless handpiece and the optional wireless foot pedal (K110753), and will override the SmartMode™ mode for operation of the cordless handpiece.
## Indications for Use:
The Midwest® RDH Freedom® Cordless Prophy System with SmartMode™ Technology is a high-performance cordless prophylaxis handpiece with an optional wireless foot pedal for use with NUPRO Freedom® disposable prophy angles in a hygiene operatory to perform cleaning and polishing procedures on teeth.
{5}------------------------------------------------
#### Identification of Risk Analysis Method
Risk analysis was performed on the MidWest® RDH Freedom® Cordless Prophy System with SmartMode™ Technology utilizing an FMEA process based on ISO 14971:2007 (Corrected 2007-10-01). The results of the risk analysis performed on the MidWest® RDH Freedom® Cordless Prophy System with SmartMode™ Technology concluded that all device design controls and process controls will be able to mitigate known potential failures and effects. In addition, performance testing, electrical safety and electromagnetic compatibility testing were performed to mitigate other potential risks. New biocompatibility testing was not required as the materials, manufacturing methods, and sterilization for the outer sheath are the same as the predicate device, MidWest® RDH Freedom® Cordless System (K110753). An FDA-cleared lubricant can be used to lubricate the outer sheath nose of the proposed device, MIDWEST® RDH Freedom Cordless Prophy System with SmartMode™ Technology, only if the DPA does not spin freely. A coupler prevents lubricant from contacting the cordless handpiece inner module. If lubricant is applied, the outer sheath must be sterilized prior to use.
| Substantial Equivalence: |
|--------------------------|
|--------------------------|
| Substantial Equivalence: | | | |
|------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| ELEMENT | PROPOSED DEVICE:<br>MIDWEST® RDH<br>FREEDOM®<br>CORDLESS PROPHY<br>SYSTEM WITH<br>SMARTMODETM<br>TECHNOLOGY | PREDICATE<br>DEVICE:<br>MIDWEST® RDH<br>FREEDOM™<br>CORDLESS SYSTEM | DIFFERENCES<br>WITH<br>PREDICATE<br>DEVICE |
| 510(k) | K160825 | K110753 | N/A |
| Indications for<br>Use | The Midwest® RDH<br>Freedom® Cordless<br>Prophy System with<br>SmartMode™ Technology<br>is a high-performance<br>cordless prophylaxis<br>handpiece with an optional<br>wireless foot pedal for use<br>with NUPRO Freedom®<br>disposable prophy angles<br>in a hygiene operatory to<br>perform cleaning and<br>polishing procedures on<br>teeth. | The Midwest® RDH<br>Freedom™ Cordless<br>System is a high-<br>performance cordless<br>prophylaxis handpiece<br>with a wireless foot<br>pedal for use with<br>Freedom® disposable<br>prophylaxis angles in a<br>hygiene operatory to<br>perform cleaning and<br>polishing procedures on<br>teeth. | The wireless foot<br>pedal is an option<br>rather than a<br>requirement for<br>operation of the<br>cordless handpiece<br>for the proposed<br>device. Use of<br>SmartMode™<br>provides the same<br>level of operation<br>and does not have a<br>negative effect on<br>the performance of<br>the device when<br>used as labeled. |
| Accessories | NUPRO Freedom®<br>Disposable Prophy Angles<br>Removable, autoclavable<br>outer sheath | NUPRO Freedom®<br>Disposable Prophy<br>Angles<br>Removable, autoclavable<br>outer sheath | None<br>Elimination of<br>aesthetic color ring<br>and pins for |
| ELEMENT | PROPOSED DEVICE:<br>MIDWEST® RDH<br>FREEDOM®<br>CORDLESS PROPHY<br>SYSTEM WITH<br>SMARTMODE™<br>TECHNOLOGY | PREDICATE<br>DEVICE:<br>MIDWEST® RDH<br>FREEDOM™<br>CORDLESS SYSTEM | DIFFERENCES<br>WITH<br>PREDICATE<br>DEVICE |
| | Power supply and cord –<br>AC/DC wall plug adapter | Power supply and cord–<br>AC/DC wall plug<br>adapter | cordless handpiece<br>inner module does<br>not impact<br>substantial<br>equivalence. |
| | Cradle for cordless<br>handpiece | Cradle for cordless<br>handpiece | None |
| | Optional wireless foot<br>pedal | Required wireless foot<br>pedal | User has the choice<br>to use the optional<br>wireless foot pedal<br>for proposed device<br>but is required to<br>use the predicate<br>device foot pedal. |
| Material<br>Composition | Outer Sheath –<br>Aluminum with<br>stainless steel tip Cordless Handpiece<br>Inner Module Housing<br>– Plastic Charging Base for<br>Cordless Handpiece<br>Housing – Plastic Cradle for Cordless<br>Handpiece – Plastic Foot Pedal Housing –<br>Plastic | Outer Sheath –<br>Aluminum with<br>stainless steel tip Cordless Handpiece<br>Inner Module<br>Housing - Plastic Charging Base for<br>Cordless Handpiece<br>Housing - Plastic Cradle for Cordless<br>Handpiece - Plastic Foot Pedal Housing -<br>Plastic | None |
| Cordless<br>Handpiece<br>Control | The cordless handpiece can<br>be controlled without a<br>foot pedal via<br>SmartMode™ Technology,<br>or with an optional<br>wireless foot pedal. | The cordless handpiece<br>is controlled exclusively<br>by the required wireless<br>foot pedal. | The wireless foot<br>pedal is an option<br>rather than a<br>requirement for<br>operation of the<br>cordless handpiece<br>for the proposed<br>device. Use of<br>SmartMode™<br>provides the same<br>level of operation. |
| ELEMENT | PROPOSED DEVICE:<br>MIDWEST® RDH<br>FREEDOM®<br>CORDLESS PROPHY<br>SYSTEM WITH<br>SMARTMODETM<br>TECHNOLOGY | PREDICATE<br>DEVICE:<br>MIDWEST® RDH<br>FREEDOMTM<br>CORDLESS SYSTEM | DIFFERENCES<br>WITH<br>PREDICATE<br>DEVICE |
| SmartMode™<br>Technology | This device has<br>SmartMode™ Technology.<br>The output speed and<br>torque of the cordless<br>handpiece are controlled<br>by the amount of force the<br>user applies from the DPA<br>to the tooth, without the<br>use of the optional wireless<br>foot pedal. | This device does not<br>have SmartMode™<br>Technology. The output<br>speed and torque of the<br>cordless handpiece are<br>controlled by the amount<br>of force applied to the<br>required wireless foot<br>pedal. | Addition of<br>SmartMode™<br>feature allows the<br>user to conduct<br>procedures without<br>use of the wireless<br>foot pedal, provides<br>the same level of<br>operation and does<br>not have a negative<br>effect on the<br>performance of the<br>device when used<br>as labeled. |
| Cordless<br>Handpiece<br>Bluetooth<br>Wireless<br>Technology<br>Capabilities | The cordless handpiece has<br>Bluetooth low energy<br>(BLE) wireless technology<br>capabilities when used<br>with the optional wireless<br>foot pedal. | The cordless handpiece<br>has Zigbee wireless<br>technology capabilities<br>when used with the<br>required wireless foot<br>pedal | Similar wireless<br>technology which<br>results in the same<br>level of operation. |
| Cordless<br>Handpiece<br>Maximum<br>Speed; | Optional Wireless Foot<br>Pedal no load<br>$3400\pm300$ rpm | Required Wireless Foot<br>Pedal no load<br>$3300\pm300$ rpm | When used with the<br>optional wireless<br>foot pedal at no<br>load, the cordless<br>handpiece of the<br>proposed device<br>provides equivalent<br>speed compared to<br>the handpiece speed<br>at no load of the<br>predicate device<br>which uses the<br>required wireless<br>foot pedal. |
| Maximum<br>Torque using<br>Foot Pedal | $9$ mNm maximum load<br>$3000\pm10%$ rpm | $10$ mNm maximum load<br>$3000\pm10%$ rpm | |
| Cordless<br>Handpiece<br>Maximum | $9$ mNm maximum load<br>$3000\pm10%$ rpm | SmartMode™<br>technology is not<br>offered. | Addition of<br>SmartMode™<br>technology allows |
| ELEMENT | PROPOSED DEVICE:<br>MIDWEST® RDH<br>FREEDOM®<br>CORDLESS PROPHY<br>SYSTEM WITH<br>SMARTMODETM<br>TECHNOLOGY | PREDICATE<br>DEVICE:<br>MIDWEST® RDH<br>FREEDOM™<br>CORDLESS SYSTEM | DIFFERENCES<br>WITH<br>PREDICATE<br>DEVICE |
| Speed;<br>Maximum<br>Torque using<br>SmartMode™<br>(without Foot<br>Pedal) | | | the user to perform<br>cleaning procedures<br>without the use of a<br>wireless foot pedal. |
| Cordless<br>Handpiece<br>Interface | The cordless handpiece has<br>a user pushbutton that<br>controls mode selection:<br>SmartMode™ or Foot<br>Pedal Use | The handpiece has one<br>user interface: Foot<br>Pedal Use. | Addition of mode<br>control and ability<br>to make a selection<br>on the cordless<br>handpiece allows<br>the user to see the<br>current mode and to<br>change modes. |
| Cordless<br>Handpiece<br>On/Off Switch | The cordless handpiece has<br>a user pushbutton that<br>controls power on/off. | The cordless handpiece<br>does not have a power<br>on/off control. | The proposed<br>device has a user<br>pushbutton on the<br>cordless handpiece<br>that controls power<br>on/off and offers<br>the user direct<br>control of the<br>power status. |
| Cordless<br>Handpiece<br>Power Light | The indicator "on" light is<br>illuminated when the<br>power is on. | The indicator "on" light<br>is illuminated when the<br>power is on. | None |
| Cordless<br>Handpiece<br>Visual Status<br>Indicators | A range of steady and<br>blinking LED indicator<br>lights on the cordless<br>handpiece display the<br>handpiece status | A range of steady and<br>blinking LED indicator<br>lights on the cordless<br>handpiece display the<br>handpiece status | The increased<br>number of indicator<br>colors on the<br>proposed device |
| | Mode Status:<br>• Standby = Green<br>• SmartMode™<br>Operation = Purple<br>• Foot Mode Operation =<br>Blue<br>• Internal Temperature of<br>55°C or above =<br>Orange | Mode Status:<br>• Standby = Green<br>• Internal Temperature<br>of 55°C or above =<br>Orange | provides more<br>information to user<br>regarding mode<br>status, charging<br>status, level of<br>charge,<br>synchronization<br>status, and over-<br>temperature |
| ELEMENT | PROPOSED DEVICE:<br>MIDWEST® RDH<br>FREEDOM®<br>CORDLESS PROPHY<br>SYSTEM WITH<br>SMARTMODETM<br>TECHNOLOGY | PREDICATE<br>DEVICE:<br>MIDWEST® RDH<br>FREEDOMTM<br>CORDLESS SYSTEM | DIFFERENCES<br>WITH<br>PREDICATE<br>DEVICE |
| | Battery State of Charge:<br>• Level of Charge =<br>Green<br>• Needs to be Charged =<br>Orange | Battery State of Charge:<br>• Level of Charge =<br>Green<br>• Needs to be Charge =<br>Orange | condition. |
| | Synchronization Status:<br>• Ready = Blue<br>• Success = Green<br>• Unsuccessful = Orange | Synchronization Status:<br>• Positioned Properly in<br>charging base = Green<br>• Ready = Scrolling<br>Green and Orange<br>• Successful = Green<br>• Unsuccessful =<br>Orange | |
| Cordless<br>Handpiece<br>Visual Alarm | Cordless handpiece Mode<br>indicator shows Orange<br>when internal printed<br>circuit board (PCB)<br>temperature is above<br>normal. Operator should<br>refrain from using the<br>handpiece for several<br>minutes. The light will turn<br>off when the temperature<br>returns to normal. | Cordless handpiece LED<br>indicator light shows<br>Orange when internal<br>PCB temperature is<br>above normal. Operator<br>should refrain from<br>using the handpiece for<br>several minutes. The<br>light will turn off when<br>the temperature returns<br>to normal. | None |
| Cordless<br>Handpiece<br>Power | The cordless handpiece can<br>be turned on and off<br>manually. | The cordless handpiece<br>does not have an on/off<br>button. The cordless<br>handpiece will not<br>activate when the<br>required wireless foot<br>pedal is more than 30<br>degrees from horizontal. | The addition of an<br>on/off button on the<br>proposed device<br>allows the user to<br>have control over<br>power status of the<br>cordless handpiece. |
| ELEMENT | PROPOSED DEVICE:<br>MIDWEST® RDH<br>FREEDOM®<br>CORDLESS PROPHY<br>SYSTEM WITH<br>SMARTMODE™<br>TECHNOLOGY | PREDICATE<br>DEVICE:<br>MIDWEST® RDH<br>FREEDOM™<br>CORDLESS SYSTEM | DIFFERENCES<br>WITH<br>PREDICATE<br>DEVICE |
| | When not in the charging<br>base for cordless<br>handpiece, the cordless<br>handpiece enters a low<br>current mode after 1<br>minute of inactivity. The<br>cordless handpiece<br>"wakes-up" when the<br>On/Off/Mode button on the<br>cordless handpiece is<br>depressed or automatically<br>when it is picked up. | When not in the<br>charging base for<br>cordless handpiece, the<br>cordless handpiece will<br>enter a low current<br>(sleep) mode 1 within 1<br>minute of inactivity.<br>"Wake-up" occurs by<br>moving the handpiece by<br>45 degrees in any axis. | Actions to initiate<br>"wake-up" of the<br>devices differ<br>slightly but result in<br>the same operation<br>and do not affect<br>substantial<br>equivalence. |
| | When not in the charging<br>base for cordless<br>handpiece, the cordless<br>handpiece enters a "Sleep"<br>mode after 24 hours of<br>inactivity. The cordless<br>handpiece "wakes-up"<br>when the On/Off/Mode<br>button on the cordless<br>handpiece is depressed, or<br>when placed in the<br>charging base for the<br>cordless handpiece. | When not in the<br>charging base for<br>cordless handpiece, the<br>cordless handpiece<br>enters a lower current<br>(sleep) mode 2 within a<br>time period of inactivity<br>after 7 days but not more<br>than 14 days of<br>inactivity. "Wake-up"<br>occurs by placing the<br>handpiece on the charger<br>for 5 seconds to enter<br>normal operating mode. | The proposed<br>handpiece enters a<br>lower current state<br>after 1 day rather<br>than 7 days for the<br>predicate. This<br>permits the battery<br>saving operation to<br>initiate more<br>quickly. Actions to<br>initiate "wake-up"<br>of the devices differ<br>slightly but result in<br>the same operation<br>and do not affect<br>substantial<br>equivalence. |
| Cordless<br>Handpiece<br>Battery<br>Recharging<br>Capability | The 3.7 volt Lithium Ion<br>handpiece battery is<br>recharged by placing the<br>cordless handpiece in the<br>included charging base for<br>the cordless handpiece. | The 3.7 volt Lithium Ion<br>handpiece battery is<br>recharged by placing the<br>cordless handpiece in the<br>included charging base<br>for the cordless<br>handpiece. | None |
| Cordless<br>Handpiece<br>Power<br>Connector | A 5 volt power supply and<br>cord provides battery<br>charging power through a<br>USB mini connector to the<br>charging base for the | A 5 volt power supply<br>and cord provides<br>battery charging power<br>through a barrel<br>connector to the | The proposed<br>device provides<br>power through a<br>USB mini<br>connector rather |
| ELEMENT | PROPOSED DEVICE:<br>MIDWEST® RDH<br>FREEDOM®<br>CORDLESS PROPHY<br>SYSTEM WITH<br>SMARTMODE™<br>TECHNOLOGY | PREDICATE<br>DEVICE:<br>MIDWEST® RDH<br>FREEDOM™<br>CORDLESS SYSTEM | DIFFERENCES<br>WITH<br>PREDICATE<br>DEVICE |
| | cordless handpiece. | charging base for the<br>cordless handpiece. | than a barrel<br>connector |
| Handpiece<br>Battery Power | The handpiece battery has<br>sufficient power to<br>complete a day's worth of<br>hygiene procedures on a<br>single charge (average of<br>10 procedures of an<br>average 3 minutes each, or<br>30 minutes total). | The handpiece battery<br>has sufficient power to<br>complete a day's worth<br>of hygiene procedures on<br>a single charge (average<br>of 10 procedures of an<br>average 3 minutes each.<br>or 30 minutes total). | None |
| Handpiece<br>Battery Quick<br>Charge | The handpiece battery<br>permits the system to have<br>the capability of<br>completing one typical 3<br>minute cleaning procedure<br>after only fifteen minutes<br>of charging. | The handpiece batt…
Predicate graph will load when search results are available.
Embedding visualization will load when search results are available.
PDF viewer will load when search results are available.
Loading panels...
Select an item from Submissions
Click any panel, subpart, regulation, product code, or device to see details here.
Section Matches
Results will appear here.
Product Code Matches
Results will appear here.
Special Control Matches
Results will appear here.
Loading collections...
Loading
My Alerts
You will receive email notifications based on the filters and frequency you set for each alert.
Sort by:
Create Alert
Search Filters
Agent Token
Create a read-only bearer token for Claude, ChatGPT, or other agents that can call HTTP APIs.
Copy this now. It will not be shown again.
Connected apps
Apps you authorized through browser sign-in. Disconnecting revokes their access immediately.
Learn the FDA Browser
Two short videos show you everything — or skip straight to the written tutorial if you'd rather read. You can reopen this any time from the Tutorial button in the top bar.
Part 1 — Search, results, and everyday workflows 16 min
Part 2 — Embeddings: the galaxy map 3 min
1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
Where do you find a device's intended use without opening the PDF?
Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.