K Number
K101676
Device Name
CLEARARCH
Manufacturer
Date Cleared
2010-09-13

(90 days)

Product Code
Regulation Number
872.5470
Panel
Dental
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The ClearArch is indicated for use as an orthodontic archwire to aid in the movement of patient teeth during orthodontic treatment. ClearArch is intended for patients seeking esthetic orthodontic treatment; these are primarily patients being treated with ceramic or polycarbonate braces.

Device Description

ClearArch is a polymer-based orthodontic archwire for maxillary and mandibular arches. The wire material 1) is more aesthetic than conventional metal wires, 2) can take different shapes, including round, rectangular and square cross-sections, 3) can be bent like TMA and 4) delivers orthodontic forces similar to nickel titanium archwires. This archwire is intended to be used during the first two phases of orthodontic treatment. Its stiffness and strength are similar to the properties of metal orthodontic archwires in order to aid in efficient tooth movement during orthodontic treatment. Therefore, orthodontists can use an esthetic archwire in lieu of a less esthetic metal version without compromising treatment mechanics.

AI/ML Overview

The provided document is a 510(k) summary for the ClearArch orthodontic wire. It focuses on demonstrating substantial equivalence to a predicate device rather than describing a study with a test set, ground truth, or expert involvement in the way AI/ML device studies typically do. Therefore, many of the requested categories are not applicable or cannot be extracted from this type of regulatory submission.

Here's an analysis based on the available information:

1. A table of acceptance criteria and the reported device performance

The document does not explicitly state "acceptance criteria" in the traditional sense of a clinical or performance study with defined thresholds for sensitivity, specificity, accuracy, etc. Instead, it describes characteristics that were evaluated for substantial equivalence.

Characteristic EvaluatedReported Device Performance (ClearArch)Comparative Performance to Predicate (BioMers Translucent Orthodontic Wire)
Flexural StrengthEvaluated (details not provided)Similar
Tensile StrengthEvaluated (details not provided)Similar
FrictionEvaluated (details not provided)Similar
Water AbsorptionEvaluated (details not provided)Similar
ElongationEvaluated (details not provided)Similar
BiocompatibilityStudies completedDemonstrates material is safe for intended use
Clinical Performance(Inferred from bench testing)Substantially equivalent
StiffnessSimilar to metal orthodontic archwiresN/A (compared to metal wires, not specifically predicate for this metric)
StrengthSimilar to metal orthodontic archwiresN/A (compared to metal wires, not specifically predicate for this metric)

Study that proves the device meets the acceptance criteria:

The "study" described is a bench testing comparing the ClearArch device to a predicate device (BioMers Translucent Orthodontic Wire) and biocompatibility studies. The purpose of these tests was to demonstrate substantial equivalence for regulatory approval, not to meet specific performance acceptance criteria for a novel clinical outcome in the way an AI/ML device would.

2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

This information is not provided in the document. The studies were bench tests, so "sample size" would refer to the number of wire samples tested, not patient data. Data provenance (country of origin, retrospective/prospective) is not applicable to bench testing of material properties.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

This information is not applicable to this type of device and study. The "ground truth" for material properties like flexural strength, tensile strength, friction, water absorption, and elongation is established by calibrated laboratory equipment and standardized testing methods, not by expert consensus.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

This information is not applicable. Adjudication methods are typically used in clinical studies where human interpretation of data is required to establish ground truth or resolve discrepancies. Bench testing results are typically quantitative and objective.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

No, a multi-reader multi-case (MRMC) comparative effectiveness study was not done. This type of study is relevant for diagnostic devices (especially imaging) where human readers interpret medical images, and is not applicable to an orthodontic archwire.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

No, this is not applicable. The ClearArch is a physical medical device (an orthodontic archwire), not an algorithm or software requiring performance evaluation in a standalone mode.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

The "ground truth" for the bench testing was based on objective measurements derived from standardized material testing methods and laboratory equipment. For biocompatibility, the ground truth would be established through pre-defined toxicological and biological endpoints according to relevant standards (e.g., ISO 10993).

8. The sample size for the training set

This is not applicable. There is no "training set" for a physical medical device like an orthodontic archwire. Training sets are used in the development of AI/ML algorithms.

9. How the ground truth for the training set was established

This is not applicable as there is no training set mentioned or implied for this device.

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K10/676

SYBRON DENTAL SPECIALTIES

Section III - 510(k) Summary of Safety and Effectiveness

Submitter:

SEP 1 8 2010

· Sybron Dental Specialties, Inc. 1717 W. Collins Avenue Orange, California 92867 (714) 516-7602 - Phone (714) 516-7488 - Facsimile Wendy Garman - Contact Person

Date Summary Prepared: June 2010

Device Name:

  • Trade Name ClearArch .
  • Common Name Orthodontic Wire ●
  • � Classification Name - Orthodontic Appliance and Accessories, per 21 CFR § 872.5410

Devices for Which Substantial Equivalence is Claimed:

BioMers Products, LLC, BioMers Translucent Orthodontic Wire .

Device Description:

ClearArch is a polymer-based orthodontic archwire for maxillary and mandibular arches. The wire material 1) is more aesthetic than conventional metal wires, 2) can take different shapes, including round, rectangular and square cross-sections, 3) can be bent like TMA and 4) delivers orthodontic forces similar to nickel titanium archwires. This archwire is intended to be used during the first two phases of orthodontic treatment. Its stiffness and strength are similar to the properties of metal orthodontic archwires in order to aid in efficient tooth movement during orthodontic treatment. Therefore, orthodontists can use an esthetic archwire in lieu of a less esthetic metal version without compromising treatment mechanics.

Intended Use of the Device:

The ClearArch is indicated for use as an orthodontic archwire to aid in the movement of patient teeth during orthodontic treatment. ClearArch is intended for patients seeking esthetic orthodontic treatment; these are primarily patients being treated with ceramic or polycarbonate braces.

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Substantial Equivalence:

The ClearArch wire is substantially equivalent to one other legally marketed device in the United States. ClearArch functions in a manner similar to and is intended for the same use as the BioMers Translucent Orthodontic Wire which is currently being marketed by BioMers Products LLC. The ClearArch wire differs from the predicate device only in composition, in that, the ClearArch wire is polymer-based while the BioMers Translucent Orthodontic Wire, also polymer-based (BIS-EMA and TEGDMA), has additional glass fibers. Biocompatibility studies have been completed, which demonstrates that the material used to produce ClearArch is safe for its intended use.

The 510(k) submission also includes data from bench testing used to evaluate the performance characteristics of ClearArch compared to the predicate device, BioMers Translucent Orthodontic Wire. The characteristics evaluated include flexural strength, tensile strength, friction, water absorption and elongation of standardized comparative samples.

Based upon the biocompatibility tests and bench testing, the clinical performance of ClearArch is substantially equivalent to the predicate device.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of two main elements: the department's name encircling the symbol. The symbol is a stylized representation of an eagle or bird-like figure with three curved lines forming its body and wings. The text reads "DEPARTMENT OF HEALTH & HUMAN SERVICES USA".

Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

Ms. Wendy Garman Director. Regulatory Affairs Sybron Dental Specialties. Incorporated 1717 West Collins Avenue Orange, California 92867

Re: K101676

Trade/Device Name: ClearArch Regulation Number: 21 CFR 872.5470 Regulation Name: Orthodontic Plastic Bracket Regulatory Class: II Product Codes: DYW Dated: June 14, 2010 Received: June 15, 2010

SEP 1 3 2010

Dear Ms. Garman:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

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

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Page 2 - Ms. Garman

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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to

http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Susan

Anthony D. Watson, B.S., M.S., M.B.A. Director

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

Enclosure

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Indications for Use

510(k) Number (if known):

K101676

Device Name: ClearArch

SEP 1 3 2010

Indications For Use:

i

The ClearArch is indicated for use as an orthodontic archwire to aid in the movement of patient teeth during orthodontic treatment. ClearArch is intended for patients seeking esthetic orthodontic treatment; these are primarily patients being treated with ceramic or polycarbonate braces.

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

Over-The-Counter Use _ (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Susan (Division Sign-Off)
Division of Anesthesiology, General Hospital Infection Control, Dental Devices
1 510(k) Number:K101676
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§ 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.