K Number
K031070
Device Name
CARBON FIBER BRIDGE, MODEL 28757
Manufacturer
Date Cleared
2003-07-03

(90 days)

Product Code
Regulation Number
872.3760
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Carbon Fiber Bridge is indicated for use as a denture base material providing reinforcement of prosthetic reconstructions in the treatment of fully or partially edentulous patients in order to restore the patient's chewing function.
Device Description
The Carbon Fiber Bridge provides an alternative to traditional gold/metal framework in the creation of denture bases. The Carbon Fiber Bridge is sold in the form of a kit and uses carbon fibers infused with a 2-part polymer, which when hardened together becomes the denture frame. The kit contains a carbon fiber tube, the 2-part polymer resin, titanium retention gloves and mask, and instructions for use. The shape of the carbon fiber bridge is formed using a model of the patient's jaw. Laboratory cylinders and perforating tips are placed in the model. Using a mounting tool, the carbon fiber tube is placed over the perforating tips, piercing the tube and spreading the carbon fibers. Titanium retention wires are then placed in proposed teeth locations, and the framework is polymenzed by heat. After polymenzation, the carbon fiber tube and retention wires are trimmed. The carbon fiber frame is then painted, using standard laboratory materials, to a preferred color as desired by the laboratory and the prosthetic teeth are attached with common dental acrylic materials wrapped around the framework. The finished prosthetic reconstruction is then ready to be placed in the patient's jaw using existing techniques in the placement of endosseous implants and dentures.
More Information

Not Found

No
The description focuses on the material composition and fabrication process of a denture framework, with no mention of AI or ML technologies.

Yes.
The device is used to restore a patient's chewing function, which is a therapeutic purpose.

No
The device is described as a denture base material that provides reinforcement for prosthetic reconstructions to restore chewing function, not to diagnose a condition.

No

The device is a physical kit containing materials (carbon fiber tube, polymer resin, titanium retention wires) used to construct a physical denture framework. It is not software.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is to provide reinforcement for prosthetic reconstructions (dentures) to restore chewing function in patients. This is a therapeutic or restorative purpose, not a diagnostic one.
  • Device Description: The device is a material used to create a structural framework for a denture. It is fabricated in a laboratory based on a model of the patient's jaw. This process is about creating a physical prosthesis for the patient.
  • Lack of Diagnostic Function: There is no mention of the device being used to test a sample from the human body (blood, urine, tissue, etc.) to provide information about a disease, condition, or state of health.

IVD devices are specifically designed to be used in vitro (outside the body) to examine specimens derived from the human body for the purpose of providing information for diagnosis, monitoring, or screening. This device does not fit that description.

N/A

Intended Use / Indications for Use

The Carbon Fiber Bridge is indicated for use as a denture base material providing reinforcement of prosthetic reconstructions in the treatment of fully or partially edentulous patients in order to restore the patient's chewing function.

Product codes (comma separated list FDA assigned to the subject device)

EBI

Device Description

The Carbon Fiber Bridge provides an alternative to traditional gold/metal framework in the creation of denture bases. The Carbon Fiber Bridge is sold in the form of a kit and uses carbon fibers infused with a 2-part polymer, which when hardened together becomes the denture frame. The kit contains a carbon fiber tube, the 2-part polymer resin, titanium retention gloves and mask, and instructions for use.
The shape of the carbon fiber bridge is formed using a model of the patient's jaw. Laboratory cylinders and perforating tips are placed in the model. Using a mounting tool, the carbon fiber tube is placed over the perforating tips, piercing the tube and spreading the carbon fibers. Titanium retention wires are then placed in proposed teeth locations, and the framework is polymenzed by heat. After polymenzation, the carbon fiber tube and retention wires are trimmed. The carbon fiber frame is then painted, using standard laboratory materials, to a preferred color as desired by the laboratory and the prosthetic teeth are attached with common dental acrylic materials wrapped around the framework.
The finished prosthetic reconstruction is then ready to be placed in the patient's jaw using existing techniques in the placement of endosseous implants and dentures.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Not Found

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

Ribbond - Triaxial (K013881), Everstick™ (K011788), Stick™ (K003333)

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 872.3760 Denture relining, repairing, or rebasing resin.

(a)
Identification. A denture relining, repairing, or rebasing resin is a device composed of materials such as methylmethacrylate, intended to reline a denture surface that contacts tissue, to repair a fractured denture, or to form a new denture base. This device is not available for over-the-counter (OTC) use.(b)
Classification. Class II.

0

(03)070

510(k) Summary of Safety and Effectiveness 1.4

Submitted by:Elizabeth J. Mason, Sr. Regulatory Affairs Specialist
Address:Nobel Biocare USA Inc.
22715 Savi Ranch Parkway
Yorba Linda, CA 92887
Telephone:(714) 282-4800, ext. 7830
Facsimile:(714) 998-9348
Date of Submission:April 2, 2003
Classification Name:Denture Relining, Repairing, or Rebasing Resin (21 CFR 872.3760)
Trade or Proprietary
or Model Name:Carbon Fiber Bridge
Legally Marketed Device(s):Ribbond - Triaxial (K013881)
Everstick™ (K011788)
Stick™ (K003333)

Device Description:

The Carbon Fiber Bridge provides an alternative to traditional gold/metal framework in the creation of denture bases. The Carbon Fiber Bridge is sold in the form of a kit and uses carbon fibers infused with a 2-part polymer, which when hardened together becomes the denture frame. The kit contains a carbon fiber tube, the 2-part polymer resin, titanium retention gloves and mask, and instructions for use.

The shape of the carbon fiber bridge is formed using a model of the patient's jaw. Laboratory cylinders and perforating tips are placed in the model. Using a mounting tool, the carbon fiber tube is placed over the perforating tips, piercing the tube and spreading the carbon fibers. Titanium retention wires are then placed in proposed teeth locations, and the framework is polymenzed by heat. After polymenzation, the carbon fiber tube and retention wires are trimmed. The carbon fiber frame is then painted, using standard laboratory materials, to a preferred color as desired by the laboratory and the prosthetic teeth are attached with common dental acrylic materials wrapped around the framework.

The finished prosthetic reconstruction is then ready to be placed in the patient's jaw using existing techniques in the placement of endosseous implants and dentures.

Indications for Use:

The Carbon Fiber Bridge is indicated for use as a denture base material providing reinforcement of prosthetic reconstructions in the treatment of fully or partially edentulous patients in order to restore the patient's chewing function.

Nobel Biocare USA, Inc. Traditional 510(k) Notification Carbon Fiber Bridge April 2003

1

Image /page/1/Picture/1 description: The image shows the seal of the Department of Health and Human Services (HHS). The seal is circular and features the HHS logo in the center, which consists of a stylized caduceus with three lines representing the three branches of government. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" are arranged around the perimeter of the circle.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Ms. Elizabeth J. Mason Sr. Regulatory Affairs Specialist

Nobel Biocare USA. Incorporated 22715 Savi Ranch Parkway Yorba Linda, California 92887

Re: K031070

Trade/Device Name: Carbon Fiber Bridge Regulation Number: 21 CFR 872.3760 Regulation Name: Denture Relining, Repairing, or Rebasing Resin Regulatory Class: II Product Codes: EBI Dated: April 02, 2003 Received: April 30, 2003

3 2003

JUL

Dear Ms. Mason:

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.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such 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.

2

Page 2 - Ms. Elizabeth J. Mason

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); 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.

This letter will allow you to begin marketing your device as described in your Section 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), please contact the Office of Compliance at (301) 594-4613. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97) you may obtain. Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

Suser Runre

Susan Runner, DDS, MA Interim Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

3

1.3 Statement of Indications for Use

Page 1 of 1

510(k) number (if known):

KGi3ic7c

Device Name: Carbon Fiber Bridge

Indications for Use:

The Carbon Fiber Bridge is indicated for use as a denture base material providing reinforcement of prosthetic reconstructions in the treatment of fully or partially edentulous patients in order to restore the patient's chewing function.

(Please do not write below this line - Continue on another page if needed.)

… – – – – – – – – – – – – – – – – --------------------------------Concurrence of CDRH, Office of Device Evaluation (ODE)

(Optional Format 3-10-98)

Kee Mulry for NSR

(Division Sign-Off) ivision of Anesthesiology, General H Infection Control, Dental D

510(k) Number: K031070

Nobel Biocare USA, Inc. Traditional 510(k) Notification Carbon Fiber Bridge April 2003

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