K Number
K072830
Device Name
RM BOND, MODEL J032
Date Cleared
2007-12-04

(62 days)

Product Code
Regulation Number
872.3750
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
RM Bond Adhesive product is indicated for orthodontic applications using an indirect bonding treatment technique.
Device Description
The subject device is a light-cured resin adhesive in a methacrylate-based formulation; the light curing feature provides the clinician appropriate flexibility for bracket placement working-time considerations. Product is supplied as refills in a variety of delivery systems; multi-use bottle or syringe as well as a single dose delivery system.
More Information

Not Found

No
The summary describes a light-cured resin adhesive for orthodontic bonding, with no mention of AI, ML, image processing, or data-driven performance metrics typically associated with AI/ML devices.

No.
The device is an adhesive used for orthodontic applications, which is a structural component and not intended for treating or alleviating a disease or condition.

No
Explanation: The device is an adhesive used for orthodontic applications (bonding brackets to teeth). Its purpose is to facilitate treatment, not to diagnose a condition.

No

The device description clearly states it is a light-cured resin adhesive, which is a physical material, 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 for "orthodontic applications using an indirect bonding treatment technique." This describes a procedure performed directly on the patient's teeth, not a test performed on a sample taken from the body.
  • Device Description: The device is a "light-cured resin adhesive." This is a material used for bonding, not for analyzing biological samples.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (like blood, urine, tissue, etc.) or providing diagnostic information based on such analysis.

IVD devices are specifically designed to be used in vitro (outside the body) 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

RM Bond Adhesive product is indicated for orthodontic applications using an indirect bonding treatment technique.

Product codes

DYH, EBF

Device Description

The subject device is a light-cured resin adhesive in a methacrylate-based formulation; the light curing feature provides the clinician appropriate flexibility for bracket placement working-time considerations. Product is supplied as refills in a variety of delivery systems; multi-use bottle or syringe as well as a single dose delivery system.

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

Clinician

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)

A review for safety and effectiveness was performed and found not to have been affected.

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

Not Found

Predicate Device(s)

K020394

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

K072830

Image /page/0/Picture/1 description: The image shows the logo for Pentron Clinical Technologies, LLC. The logo features the company name in a simple, sans-serif font, with "Pentron" on the top line and "Clinical" on the second line. Below that, in a smaller font, is "Technologies, LLC." To the left of the company name is a graphic of horizontal lines that are different lengths.

6.0 510(K) SUMMARY

DEC 0 4 2007

Pentron Clinical Technologies, LLC. 68 North Plains Industrial Road Wallingford, CT 06492 Tel: 203-265-7397 Fax: 203-284-4986 Contact: Greg Moreau

==============================================================================================================================================================================

Trade Name: Common Name: Classification Name:

RM Bond Adhesive Bracket Adhesive Adhesive, Bracket & Tooth Conditioner, Resin, 21CFR 872.3275, DYH

RM Bond Adhesive product performs the same intended function as its predicate device, APC Plus Adhesive (reference K020394), for orthodontic appliance applications. Both devices are intended for indirect bonding of appliance materials to teeth in order to facilitate orthodontic treatment.

==============================================================================================================================================================================

The subject device is a light-cured resin adhesive in a methacrylate-based formulation; the light curing feature provides the clinician appropriate flexibility for bracket placement working-time considerations.

Product is supplied as refills in a variety of delivery systems; multi-use bottle or syringe as well as a single dose delivery system.

A review for safety and effectiveness was performed and found not to have been affected.

1

Image /page/1/Picture/1 description: The image shows the seal of the Department of Health and Human Services (HHS). The seal features the department's name in a circular arrangement around a symbol. The symbol consists of a stylized caduceus, which is a staff with two snakes entwined around it, and a single vertical line to the right of the caduceus.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

DEC 0 4 2007

Mr. Greg Moreau Director, Quality Systems Pentron Clinical Technologies, LLC 68-70 North Plains Industrial Road Wallingford, Connecticut 06492

Re: K072830

Trade/Device Name: RM Bond Adhesive Regulation Number: 21 CFR 872.3750 Regulation Name: Bracket Adhesive Resin and Tooth Conditioner Regulatory Class: II Product Code: DYH, EBF Dated: September 28, 2007 Received: October 3, 2007

Dear Mr. Moreau:

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- Mr. Moreau

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/industry/support/index.html.

Sincerely yours,

Sayle Y. M, chane DMD

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

3

5.0 INDICATION FOR USE STATEMENT

510(k) NUMBER (IF KNOWN): K072830

DEVICE NAME: RM Bond Adhesive

INDICATION FOR USE:

RM Bond Adhesive product is indicated for orthodontic applications using an indirect bonding treatment technique.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use
(Per 21 CFR 801.109)
OR
Over-The-Counter-Use
(Optional Format 1-2-96)

Suan Purser

cl, Dental Davic
K072030

510(k) Submission for RM Bond Adhesive