K Number
K052370
Device Name
CP BRACKET SYSTEM
Date Cleared
2005-11-01

(63 days)

Product Code
Regulation Number
872.5470
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The CP Bracket System is indicated for orthodontic movement of teeth.
Device Description
The CP Brackets are ceramic orthodontic brackets will be used for a complete orthodontic treatment. The brackets are single-use devices.
More Information

Not Found

No
The summary describes a physical orthodontic bracket and does not mention any software, algorithms, or data processing that would indicate the use of AI/ML. The "Mentions AI, DNN, or ML" field is explicitly marked as "Not Found".

No.
The device is used for orthodontic movement of teeth, which is a structural correction rather than a therapeutic treatment for a disease or condition.

No
The device is described as an orthodontic bracket system used for the movement of teeth, which is a treatment modality, not a diagnostic one.

No

The device description explicitly states that the device is ceramic orthodontic brackets, which are physical hardware components.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is "for orthodontic movement of teeth." This is a therapeutic purpose, directly treating a condition (malocclusion) by physically moving teeth.
  • Device Description: The device is described as "ceramic orthodontic brackets." These are physical devices applied to the teeth.
  • Lack of Diagnostic Function: There is no mention of the device being used to diagnose a condition, analyze samples (like blood, urine, or tissue), or provide information about a patient's health status based on in vitro testing.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device does not fit that description.

N/A

Intended Use / Indications for Use

The CP Brackets are indicated for orthodontic movement of teeth.

Product codes

DYW

Device Description

The CP Brackets are ceramic orthodontic brackets will be used for a complete orthodontic treatment. The brackets are single-use devices.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

teeth

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

Approximately 20,000 units of this bracket have been sold in Japan since 2003. Only four complaints were received which, upon investigation, were caused by the user failing to follow the adhesive manufacturer's instructions.

Key Metrics

Not Found

Predicate Device(s)

K042178

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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

NOV - 1 2005 510(k) SUMMARY

Ko 5 2370

DENTSPLY International World Headquarters Susquehanna Commerce Center 221 West Philadelphia Street York, PA 17405-0872

CONTACT: Helen Lewis August 25, 2005 DATE PREPARED: TRADE OR PROPRIETARY NAME: CP Bracket System Orthodontic bracket (872.5470) CLASSIFICATION NAME: PREDICATE DEVICES: Orthodontic Ceramic Brackets (K042178)

DEVICE DESCRIPTION: The CP Brackets are ceramic orthodontic brackets will be used for a complete orthodontic treatment. The brackets are single-use devices.

INTENDED USE: The CP Brackets are indicated for orthodontic movement of teeth.

TECHNOLOGICAL CHARACTERISTICS: All of the components found in the CP Brackets have been used in DENTSPLY's legally marketed devices.

Biocompatibility testing was completed and the results support the device. A table of the results is included in this submission.

Approximately 20,000 units of this bracket have been sold in Japan since 2003. Only four complaints were received which, upon investigation, were caused by the user failing to follow the adhesive manufacturer's instructions.

We believe that the prior use of the components of the CP Brackets in legally marketed devices, the performance data provided, and the biocompatibility data provided support the safety and effectiveness of the CP Bracket System for the intended uses.

1

Predicate Device Information:

Predicate Device 510(k) FDA Substantial Equivalence Letter and Indications for Use Page

Predicate Device Tradename

Mystique® Brackets

2

Image /page/2/Picture/1 description: The image is a seal for the Department of Health and Human Services. The seal is circular and contains the words "DEPARTMENT OF HEALTH AND HUMAN SERVICES . USA" around the top half of the circle. The bottom half of the circle contains a stylized image of an eagle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Ms. Helen Lewis Director of Corporate Compliance & Regulatory Affairs Dentsply International Susquehanna Commerce Center 221 West Philadelphia Street York, Pennsylvania 17404-0872

Re: K052370

Trade/Device Name: CP Bracket System Regulation Number: 21 CFR 872.5470 Regulation Name: Orthodontic Plastic Bracket Regulatory Class: II Product Code: DYW Dated: August 25, 2005 Received: August 30, 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.

NOV - 1 2005

3

Page 2 - Ms. Lewis

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 (240) 276-0115. 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 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/industrv/support/index.html.

Sincerely yours.

Syutie y. Michai Oms.

Chiu Lin, Ph.D. Director Division of Anesthesiology, General Hospital Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

INDICATIONS FOR USE STATEMENT

(As Required by 21 CFR 807.87(e)

10523 510(K) Number (if known)

CP Bracket System Device Name:

Indications for Use:

The CP Bracket System is indicated for orthodontic movement of teeth.

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

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

an... I

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Susan Rumm
(Division Sign-Off)

Division of Anesthesiology, General Hospital, Infection Control, Dental Devices

510(k) Number: K052374