K Number
K050730
Device Name
MODIFICATION TO ORTHODONTIC COMPOSITE BRACKET SYSTEM
Date Cleared
2005-03-31

(10 days)

Product Code
Regulation Number
872.5470
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Orthodontic Composite Bracket System is a self-ligating, orthodontic bracket unquely The Orthodonite Composite Dracter By Midhesive Paste and Adhesive Primer. This system is a bondable device for fixed attached orthodontics.
Device Description
Orthodontic Composite Bracket System
More Information

Not Found

Not Found

No
The summary describes a physical orthodontic bracket system and does not mention any software, algorithms, or AI/ML terms.

No
The device description states "fixed attached orthodontics," which are typically used to correct dental alignment, but it doesn't indicate it provides any therapy or treatment for disease or medical conditions.

No
The device is described as an "Orthodontic Composite Bracket System" and a "bondable device for fixed attached orthodontics," which are therapeutic devices used for treatment rather than diagnosis. Its intended use does not involve detecting, monitoring, or predicting disease.

No

The device description explicitly states it is a "Orthodontic Composite Bracket System" which includes physical components like brackets, adhesive paste, and primer, indicating it is a hardware device, not software-only.

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

Here's why:

  • Intended Use: The intended use clearly states it's for "fixed attached orthodontics" and is a "bondable device." This describes a device used on the patient's body for a therapeutic purpose (orthodontic treatment).
  • Device Description: The description "Orthodontic Composite Bracket System" further reinforces its nature as a physical device used in the mouth.
  • Lack of IVD Characteristics: There is no mention of analyzing samples from the human body (like blood, urine, tissue), detecting diseases or conditions, or providing information for diagnosis.

IVD devices are specifically designed to perform tests on samples taken from the body to provide diagnostic information. This device is a therapeutic device used on the body.

N/A

Intended Use / Indications for Use

The Orthodontic Composite Bracket System is a self-ligating, orthodontic bracket uniquely designed for use with an Adhesive Paste and Adhesive Primer. This system is a bondable device for fixed attached orthodontics.

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

DYW, DYH

Device Description

The Orthodontic Composite Bracket System is a self-ligating, orthodontic bracket uniquely designed for use with an Adhesive Paste and Adhesive Primer. This system is a bondable device for fixed attached orthodontics.

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.

Not Found

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

§ 872.5470 Orthodontic plastic bracket.

(a)
Identification. An orthodontic plastic bracket is a plastic device intended to be bonded to a tooth to apply pressure to a tooth from a flexible orthodontic wire to alter its position.(b)
Classification. Class II.

0

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is circular and contains the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of an eagle or bird-like figure, composed of three curved lines.

MAR 3 1 2005

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Ms. Tammy Lavery Regulatory Affairs Senior Manager Ultradent Products, Incorporated 505 West 10200 South South Jordan, Utah 84095

Re: K050730

K050730
Trade/Device Name: Orthodontic Composite Bracket System Regulation Number: 21 CFR 872.5470 Regulation Name: Orthodontic Plastic Bracket Regulatory Class: II Product Codes: DYW and DYH Dated: March 16, 2005 Received: March 21, 2005

Dear Ms. Lavery:

We have reviewed your Section 510(k) premarket notification of intent to market the device We have reviewed your Section 510(x) pic.harket is substantially equivalent (for the indications for referenced above and have determined the devices marketed in interstate commerce
use stated in the enclosure) to legally market of nealines marketed in interstate on to devic use stated in the enclosure) to legally hian keep preading Device Amendments, or to devices that prior to May 28, 1976, the enactilient date of the Median of the Federal Food, Drug, and Cosmetic
have been reclassified in accordance with the provisions of the Features (PM have been reclassified in accordance with the provisions of the Act. The Act. The may,
Act (Act) that do not require approval of a premarket approval application of the gener Act (Act) that do not require approval or a promazions provisions of the Act. The general
therefore, market the device, subject to the general contrologistican, listing of de therefore, market the device, subject to the general one ple registration, listing of devices, good
controls provisions of the Act include requirements for annual registerati controls provisions of the Act mende requirements for and adulteration.
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 If your device is classified (See above) into Child Crass affecting your device can be
may be subject to such additional controls. The 21 p. on addition FDA may publish may be subject to such additions, Title 21, Parts 800 to 898. In addition, FDA may publish
found in the Code of Federal Regulations, Title 21, Parts 800 to 898 may publish found in the Code of Federal resgments your device in the Federal Register.

1

Page 2 -- Ms. Tammy Lavery

Please be advised that FDA's issuance of a substantial equivalence determination does not mean Please be advised that FDA's issualice of a substance complies with requirements of the Act or
that FDA has made a determination that your devel cases of our must comply with that FDA has made a defermination that your ac-hoo other Federal semies. You must comply with
any Federal statutes and regulations administered by other Federal series (21 C any Federal statutes and regulations administered by other registration and listing (21 CFR Part 807);
all the Act's requirements, including, but not limited to registration all the Act's requirements, including, but not innite att as set forth in the quality
labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the labeling (21 CFR Part 801); good manufacturing production of the electronic product radiation
systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic pro systems (QS) regulation (21 CF (CF (CF (CFR 1000-1050.

This letter will allow you to begin marketing your device as described in your Section 510(k) This letter will allow you to begin marketing your article as walness of your device to a legally
premarket notification. The FDA finding of substantial equipalised this per premarket notification. The FDA midnig of substantial of the results in the spermits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please
r the regulation and 11, 2011 and 11:55 at the regulation entitled If you desire specific advice for your active of the Also, please note the regulation entitled, a contact the Office of Compliance at (210) 210 of 10.197 Part 807.97). You may obtain other
"Misbranding by reference to premarket notification" (21 CFR Part Bir in of Small "Misbranding by relerchec to premailer tional of the Act from the Division of Small
general information on your responsibilities under the Act from the 1900 6 general information of your responsibilities and its toll-free number (800) 638-2041 or Manufacturers, Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Chiu S. Lin, PhD

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

Enclosure

2

510(k) Number (if known): Modification (Unknown)

K050730

Device Name: Orthodontic Composite Bracket System

Indications for Use:

The Orthodontic Composite Bracket System is a self-ligating, orthodontic bracket unquely The Orthodonite Composite Dracter By Midhesive Paste and Adhesive Primer. This system is a bondable device for fixed attached orthodontics.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Per 21 CFR 801.109 Over-The-Counter Use ાર Prescription Use (Optional Format 1-2-96) . Asson Sign-Off) · ision of Anesthesiclogy, General Hospital, Claction Control, Dental Devices "(k) Number: