K-numberK251869
Device nameDisposable Prophy Angle (3399-60, 3399-090, 3399-105)
ApplicantPremium Plus (Dongguan) Limited
Product codeEGS
Device classClass I
Decision dateSep 15, 2025
DecisionSubstantially Equivalent
Regulation872.4200
AI Summary extracted from FDA summary PDF · never regenerated
Intended use

The Disposable Prophy Angle is a dental rotational device consisting of a prophy cup, plastic body, gear, and shaft that attaches to a low-speed dental handpiece. It is used by professional dentists and dental hygienists for polishing and cleaning tooth surfaces and is intended for single use and disposal after each patient.

Technological characteristics

The subject device has the same indications for use, target uses, design, operation speed, operation principle, and materials as the predicate device. Both are single-use, non-cytotoxic, non-sensitizing, and non-irritating devices with only minor differences that do not constitute new intended uses or raise different safety and effectiveness issues.

Test standards cited

ANSI/ADA Specification No. 85, Part 1 Disposable Prophy Angle was used for non-clinical testing to establish substantial equivalence to the predicate device.

Substantial equivalence argument

The proposed device is substantially equivalent to the predicate Premium Plus Disposable Prophy Angle (K100854) because it shares identical indications for use, design, operation principle, and materials. Non-clinical testing demonstrated the subject device is as safe, effective, and performs as well as or better than the predicate device, with only minor differences that do not affect safety or effectiveness.

Extracted by AI from the official FDA summary PDF →
Source

View the full FDA submission: accessdata.fda.gov

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