K Number
K050750
Device Name
LC BRACKET ADHESIVE SYSTEM
Manufacturer
Date Cleared
2005-04-06

(14 days)

Product Code
Regulation Number
872.3750
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Bonding of orthodontic brackets to natural and artificial tooth surfaces
Device Description
The LC BRACKET ADHESIVE SYSTEM is a two-part lightcure system (adhesive and primer) used in conjunction with a tooth conditioner.
More Information

Not Found

No
The summary describes a lightcure adhesive system for bonding orthodontic brackets and does not mention any AI or ML components.

No
The device is described as an adhesive system for bonding orthodontic brackets, which is a structural component rather than a device intended for treating or diagnosing a medical condition.

No
The device is described as an adhesive system for bonding orthodontic brackets, indicating a therapeutic or restorative purpose rather than a diagnostic one.

No

The device description explicitly states it is a "two-part lightcure system (adhesive and primer)" which are physical components, 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 "Bonding of orthodontic brackets to natural and artificial tooth surfaces." This is a direct application to the patient's teeth for a therapeutic purpose (orthodontic treatment).
  • Device Description: The description details a system for bonding brackets, which is a physical process performed on the tooth surface.
  • Lack of IVD Characteristics: There is no mention of analyzing samples from the human body (like blood, urine, tissue, etc.) to provide information about a physiological state, health, disease, or congenital abnormality. IVDs are used in vitro (outside the body) for diagnostic purposes.

This device is clearly intended for a dental/orthodontic procedure performed directly on the patient, not for in vitro diagnostic testing.

N/A

Intended Use / Indications for Use

Bonding of orthodontic brackets to natural and artificial tooth surfaces

Product codes

DYH

Device Description

The LC BRACKET ADHESIVE SYSTEM is a two-part lightcure system (adhesive and primer) used in conjunction with a tooth conditioner.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

tooth surfaces

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)

K033703

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.3750 Bracket adhesive resin and tooth conditioner.

(a)
Identification. A bracket adhesive resin and tooth conditioner is a device composed of an adhesive compound, such as polymethylmethacrylate, intended to cement an orthodontic bracket to a tooth surface.(b)
Classification. Class II.

0

APR 6 2005

Ka50750

510(k) SUMMARY

DENTSPLY International Susquehanna Commerce Center West 221 West Philadelphia Street, Suite 60 York, PA 17405-0872

CONTACT:Helen Lewis
DATE PREPARED:March 18, 2005
TRADE OR PROPRIETARY NAME:LC BRACKET ADHESIVE SYSTEM
CLASSIFICATION NAME:Bracket adhesive resin and tooth conditioner (872.3750)
PREDICATE DEVICES:Ideal® 1 Orthodontic Bracket Adhesive (K033703)

DESCRIPTION OF DEVICE: The LC BRACKET ADHESIVE SYSTEM is a two-part lightcure system (adhesive and primer) used in conjunction with a tooth conditioner.

INTENDED USE: The LC BRACKET ADHESIVE SYSTEM is indicated for bonding of orthodontic brackets to natural and artificial tooth surfaces.

TECHNOLOGICAL CHARACTERISTICS: All of the components found in the LC BRACKET ADHESIVE SYSTEM have been used in legally marketed devices.

We believe that the prior use of the components of the LC BRACKET ADHESIVE SYSTEM in legally marketed devices and the similarity of the modified device to the marketed device support the safety and effectiveness of the LC BRACKET ADHESIVE SYSTEM for the intended uses.

1

Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract image of an eagle.

APR 6 2005 Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Ms. Helen Lewis Director, Corporate Compliance and Regulatory Affairs DENTSPLY International Susquehanna Commerce Center West 221 West Philadelphia Street, Suite 60 York, Pennsylvania 17405-0872

Re: K050750

Trade/Device Name: LC Bracket Adhesive System Regulation Number: 21 CFR 872.3750 Regulation Name: Bracket Adhesive Resin and Tooth Conditioner Regulatory Class: II Product Code: DYH Dated: March 18, 2005 Received: March 23, 2005

Dear Ms. 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.

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. Helen Lewis

Please be advised that FDA's issuance of a substantial equivalence determination does not mean r lease be advised that i Dr i seven that your device complies with other requirements of the Act or that I Dria inade a decemination and regulations and agencies. You must comply with CEP Posts of ally I cuclar statutes and regulares and limited to: registration and listing (21 CFR Part 807); all the Act 3 requirements, moractires, was acturements as set forth in the quality labeling (21 CFR Part 801); 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) I mis letter witi anow you to organization of substantial equivalence of your device to a legally premits to medicate 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 If you desire specific at (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small general information on your copyiblement Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrl/industry/support/index.html.

Sincerely yours,

Ching-S. Liu, Ph.D.

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

3

INDICATIONS FOR USE STATEMENT

11050750 510(K) Number (if known):

Device Name: LC BRACKET ADHESIVE SYSTEM

Indications for Use:

Bonding of orthodontic brackets to natural and artificial tooth surfaces

Prescription Use __ X (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use _ (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Susan Purr

ivision Sign-Off) vision of Anesthesiology, General Hospital, Intection Control, Dental Devices

KOSO 757 " 19('k) Number: _____________________________________________________________________________________________________________________________________________________________