510(k) Report

510(k) · Cleared

Cleared

NeoPEX™ Pre-Mixed Obturation Paste

K253909510(k) TraditionalCleared Sep 4, 2026270-day reviewClass II21 CFR 872.3820

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

NuSmile, Ltd. · KIF Resin, Root Canal Filling

Cleared on Sep 4, 2026 as substantially equivalent to K250710 (Enpuno Co., Ltd., 2025) after a 270-day review. Its family tree reaches back 10 generations to 1999.

Decided
Sep 4, 2026
Review
270 days
Class
Class II
Product code
KIF
Recalls
None
Predicates
1

Its longest line of descent runs back 10 generations to K990131 (1999). 32 ancestors in all, the oldest K852682 (1985). No later device cites it as a predicate yet.

  1. Root · 10 generations backK990131 Pro Osteon Implant 500R Resorbable Bone Graft SubstituteInterpore Cross Intl. · 1999
  2. 6 generations between
  3. 3 generations backK212983 Injectable Root Canal Bioceramic SealerBeijing C-Root Dental Medical Devices Co., Ltd. · 2021
  4. 2 generations backK240304 Injectable Root Canal Bioceramic Sealer (NR SP-0.5, NR SP-1, NR…Enpuno Biotechnology Co., Ltd. · 2024
  5. 1 generation backK250710 Injectable Root Canal Bioceramic Sealer (nRoot SP)Enpuno Co., Ltd. · 2025
  6. This deviceK253909 NeoPEX™ Pre-Mixed Obturation PasteNuSmile, Ltd. · 2026
Show all 10 generations
  1. Root · 10 generations backK990131 Pro Osteon Implant 500R Resorbable Bone Graft SubstituteInterpore Cross Intl. · 1999
  2. 9 generations backK020986 Mastergraft Resorbable CeramicMedtronic Sofamor Danek, Inc. · 2002
  3. 8 generations backK032268 MBCPBiomatlante · 2003
  4. 7 generations backK043005 Modification to MBCPBiomatlante · 2005
  5. 6 generations backK051885 MBCPBiomatlante · 2005
  6. 5 generations backK060732 MBCP GelBiomatlante · 2006
  7. 4 generations backK080917 Iroot SPInnovative Bioceramix, Inc. · 2008
  8. 3 generations backK212983 Injectable Root Canal Bioceramic SealerBeijing C-Root Dental Medical Devices Co., Ltd. · 2021
  9. 2 generations backK240304 Injectable Root Canal Bioceramic Sealer (NR SP-0.5, NR SP-1, NR…Enpuno Biotechnology Co., Ltd. · 2024
  10. 1 generation backK250710 Injectable Root Canal Bioceramic Sealer (nRoot SP)Enpuno Co., Ltd. · 2025
  11. This deviceK253909 NeoPEX™ Pre-Mixed Obturation PasteNuSmile, Ltd. · 2026
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−10K990131Pro Osteon Implant 500R Resorbable Bone Graft SubstituteInterpore Cross Intl.1999—
−9K020986Mastergraft Resorbable CeramicMedtronic Sofamor Danek, Inc.2002—
−8K032268MBCPBiomatlante2003—
−7K043005Modification to MBCPBiomatlante2005—
−6K051885MBCPBiomatlante2005—
−5K060732MBCP GelBiomatlante2006—
−4K080917Iroot SPInnovative Bioceramix, Inc.2008—
−3K212983Injectable Root Canal Bioceramic SealerBeijing C-Root Dental Medical Devices Co., Ltd.2021—
−2K240304Injectable Root Canal Bioceramic Sealer (NR SP-0.5, NR SP-1, NR SP-2, NR SP-3…Enpuno Biotechnology Co., Ltd.2024—
−1K250710Injectable Root Canal Bioceramic Sealer (nRoot SP)Enpuno Co., Ltd.2025—
0 (this device)K253909NeoPEX™ Pre-Mixed Obturation PasteNuSmile, Ltd.2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198510
198910
199310
199520
199620
199720
199810
199910
200020
200140
200440
200610
FIG. 1 — Lineage of K253909, 1999–2026Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in KIF? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new KIF device

  1. #1 K250710 Injectable Root Canal Bioceramic Sealer (nRoot…score 14.9 · 9 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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What was it cleared against? (1)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K250710Injectable Root Canal Bioceramic Sealer (nRoot SP)
Summary page 5
…Filling Material Classification Root Canal Filling Material 21 CFR 872.3820 Product Code: KIF, EJK Predicate Devices Primary Predicate • nRoot SP (K250710) Reference Predicate Devices • nRoot BP (K251465) • MTA2.3 Root & Pulp Materials (K181917) • UltraCal XS (K211905) Dev…
Enpuno Co., Ltd.2025—
†K251465Root canal repair materials (nRoot BP)Enpuno Biotechnology Co., Ltd.2025—
†K181917MTA2.3 MaterialsNuSmile, Ltd.2019—
†K211905UltraCal XSUltradent Products, Inc.2021—

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 27 years and passes through 8 companies; a new generation was cleared every 1.4 years on median.
  • None of the 32 ancestors has a recall.

How does its category compare?

All KIF devices

KIF Resin, Root Canal Filling: FDA decisions, review times, recalls and adverse event reports over 20 years. 2026, this device’s year, is highlighted.

FDA decisions per year · KIF

7in 2025

2007: 22008: 42009: 52010: 52012: 52013: 22014: 102015: 12016: 52017: 32018: 52019: 72020: 32021: 122022: 32023: 72024: 82025: 72026 (partial year): 7
2007high 12 (2021) · low 0 (2011)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KIF

90in 2025

2008: 31 days median2009: 94 days median2010: 75 days median2012: 172 days median2014: 220 days median2016: 212 days median2017: 211 days median2018: 147 days median2019: 252 days median2020: 239 days median2021: 89 days median2022: 152 days median2023: 59 days median2024: 96 days median2025: 90 days median2026 (partial year): 108 days median
2007high 252 (2019) · low 31 (2008)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · KIF

1in 2009

2009: 1
2007high 1 (2009) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · KIF

55in 2025

2008: 22009: 72010: 102011: 82012: 42013: 792014: 4212015: 152016: 52017: 52018: 132019: 62020: 32021: 92022: 102023: 72024: 102025: 55
2007high 421 (2014) · low 0 (2007)2025

MAUDE reports naming product code KIF, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
20072—00
200843102
200959417
2010575010
20110—08
2012517204
20132—079
2014102200421
20151—015
2016521205
2017321105
20185147013
2019725206
2020323903
2021128909
20223152010
202375907
2024896010
2025790055
202671080—

What is it indicated for?

Obturation and sealing of root canals following extirpation and pulpectomy

Vital Pulpotomy

Pulp capping

Repair of Root Resorption

Apexification and/or Perforations

Root canal filling for primary teeth

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K253909: NeoPEX™ Pre-Mixed Obturation Paste.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K253909

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Record history
  • FDA decision record loaded Oct 30, 2026
  • Summary read Oct 30, 2026 (extraction version 2d9447fa9ea4)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026