K Number
K110796
Device Name
SIMPLICLEAR RECTANGULAR ORTHODONTIC WIRE
Date Cleared
2011-03-31

(9 days)

Product Code
Regulation Number
872.5470
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
An orthodontic archwire used to provide force to the teeth to effect movement in orthodontic treatment.
Device Description
The SimpliClear Rectangular Orthodontic Wire is a translucent archwire comprised of glass fibers, a polymer composite resin, and a polymer coating. The embedded glass fibers function as the reinforcement, providing the necessary force to straighten teeth. The translucent polymer composite resin serves as the matrix, binding together the individual glass fibers. The outer coating, made of a USP Class VI polycrystalline and amorphous linear polymer, increases the abrasion resistance properties of the wire.
More Information

Not Found

No
The description focuses on the material composition and mechanical properties of a physical orthodontic wire, with no mention of software, algorithms, or data processing that would indicate AI/ML.

Yes
The device is an orthodontic archwire used to provide force to the teeth to effect movement, which is a therapeutic action.

No

The device description and intended use clearly state that it is an orthodontic archwire used to apply force for teeth movement, which is a treatment modality, not a diagnostic one.

No

The device description clearly states it is a physical orthodontic archwire made of glass fibers, polymer composite resin, and a polymer coating, which are hardware components.

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

Here's why:

  • Intended Use: The intended use is to "provide force to the teeth to effect movement in orthodontic treatment." This describes a physical intervention on the body, not a test performed on a sample taken from the body.
  • Device Description: The description details the physical components of an orthodontic archwire, which is a mechanical device used within the mouth.
  • Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing samples (blood, urine, tissue, etc.)
    • Detecting or measuring substances in samples
    • Providing information for diagnosis, monitoring, or screening of diseases or conditions based on sample analysis.

This device is clearly a medical device used for orthodontic treatment, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The SimpliClear Rectangular Orthodontic Wire is indicated for use as an orthodontic archwire to provide force to the teeth to effect movement in orthodontic treatment.

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

DYW, DZC

Device Description

The SimpliClear Rectangular Orthodontic Wire is a translucent archwire comprised of glass fibers, a polymer composite resin, and a polymer coating. The embedded glass fibers function as the reinforcement, providing the necessary force to straighten teeth. The translucent polymer composite resin serves as the matrix, binding together the individual glass fibers. The outer coating, made of a USP Class VI polycrystalline and amorphous linear polymer, increases the abrasion resistance properties of the wire.

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

Performance Testing:
Elastic Modulus: A measurement of an object or substance's tendency to be deformed elastically (i.e., non-permanently) when a force is applied to it. The elastic modulus of an object is defined as the slope of its stress-strain curve in the elastic deformation region. Tested per ASTM D3916-02.
Key Results: At similar wire dimensions, the elastic modulus of the SimpliClear Rectangular Orthodontic Wire is greater than the range established by the Ormco Rectangular Orthodontic Wire made of NiTi and beta-Ti and that of the BioMers Translucent Orthodontic Wire. However, as the Elastic Modulus refers to a material's ability to undergo elastic deformation, in other words the ability of the archwire to deform under an applied load and recover to its original state when the load is removed, the higher values from the SimpliClear Rectangular Orthodontic Wire do not raise safety or effectiveness issues as compared to the predicate devices.

Tensile Strength: The maximum stress that a material can withstand while being stretched or pulled. Tested per ASTM D3916-02.
Key Results: At similar wire dimensions, the tensile strength of the SimpliClear Rectangular Orthodontic Wire is within the range established by the Ormco Rectangular Orthodontic Wire made of NiTi and beta-Ti and that of the BioMers Translucent Orthodontic Wire.

Flexural Strength: Defined as a material's ability to resist deformation under load. Tested per ASTM D790-03.
Key Results: At similar wire dimensions, the flexural strength of the SimpliClear Rectangular Orthodontic Wire is within the range established by the Ormco Rectangular Orthodontic Wire made of NiTi and beta-Ti.

Flexural Modulus: The ratio of stress to strain in flexural deformation, or the tendency for a material to bend. Tested per ASTM D790-03.
Key Results: At similar wire dimensions, the flexural modulus of the SimpliClear Rectangular Orthodontic Wire is within the range established by the Ormco Rectangular Orthodontic Wire made of NiTi and beta-Ti.

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.

K081143

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.

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510(k) Summary (per 21 CFR 807.92)

MAR 3 1 2001

I. Applicant BioMers Products, LLC 18912 North Creek Parkway, Suite 210 Bothell, WA 98011, USA

George Aliphtiras, Vice President of Business Contact Person: Development Tel: (425) 487-3000 Fax: (425) 487-3813 Email: george(@biomersbraces.com

6 January 2011 Date Prepared:

II. Device Name

Proprietary Name:SimpliClear Rectangular Orthodontic Wire
Common/ Usual Name:Orthodontic wire
Classification Name:Orthodontic plastic bracket
Regulation Number:872.5470
Product Codes:DYW, DZC
Classification:II
Classification Panel:Dental

III. Intended Use of the Device

The SimpliClear Rectangular Orthodontic Wire is indicated for use as an orthodontic archwire to provide force to the teeth to effect movement in orthodontic treatment.

IV. Description of the Device

The SimpliClear Rectangular Orthodontic Wire is a translucent archwire comprised of glass fibers, a polymer composite resin, and a polymer coating. The embedded glass fibers function as the reinforcement, providing the necessary force to straighten teeth. The translucent polymer composite resin serves as the matrix, binding together the individual glass fibers. The outer coating, made of a USP Class VI polycrystalline and amorphous linear polymer, increases the abrasion resistance properties of the wire.

Comparison to Predicate Device(s) V.

The SimpliClear Rectangular Orthodontic Wire is substantially equivalent in terms of composition to the BioMers Translucent Orthodontic Wire, and substantially equivalent in terms of mechanical properties to the Ormco Nickel Titanium, beta-Titanium and stainless steel rectangular wires. The

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BioMers Translucent Orthodontic Wire was cleared by the FDA on May 2, 2008 under 510(k) K081143. The Ormco wires are exempt from 510(k) filings. .

BioMers Products LLCBioMers Products LLCOrmco Corp.
Product NameSimpliClear Rectangular
Orthodontic WireBioMers Translucent
Orthodontic WireNickel Titanium (NiTi),
beta-Titanium (beta-Ti)
and Stainless Steel (SS)
Rectangular Orthodontic
Wire
510(k) NumberNot assignedK081143Exempt
Intended UseAn orthodontic archwire
used to provide force to
the teeth to effect
movement in orthodontic
treatment.An orthodontic arch wire
used to provide force to the
teeth to effect movement in
the early (leveling and
aligning) stage of
orthodontic treatment.Orthodontic arch wire
Material
CompositionGlass fibers with a
polymer composite resin,
and a polymer coating
(same as K081143)Glass fibers with a polymer
composite resin, and a
polymer coatingNickel Titanium, beta-
Titanium and Stainless
Steel
BiocompatibilityMeets the applicable
requirements of ISO10993Meets the applicable
requirements of ISO10993Meets the applicable
requirements of ISO10993
Performance Testing
Elastic Modulus
A measurement of an
object or substance's
tendency to be
deformed elastically
(i.e., non-permanently)
when a force is applied
to it. The elastic
modulus of an object is
defined as the slope of
its stress-strain curve in
the elastic deformation
region. Tested per
ASTM D3916-02.At similar wire dimensions, the elastic modulus of the SimpliClear Rectangular
Orthodontic Wire is greater than the range established by the Ormco Rectangular
Orthodontic Wire made of NiTi and beta-Ti and that of the BioMers Translucent
Orthodontic Wire. However, as the Elastic Modulus refers to a material's ability to
undergo elastic deformation, in other words the ability of the archwire to deform under
an applied load and recover to its original state when the load is removed, the higher:
values from the SimpliClear Rectangular Orthodontic Wire do not raise safety or
effectiveness issues as compared to the predicate devices.
Tensile Strength
The maximum stress
that a material can
withstand while being
stretched or pulled.
Tested per ASTM
D3916-02.At similar wire dimensions, the tensile strength of the SimpliClear Rectangular
Orthodontic Wire is within the range established by the Ormco Rectangular Orthodontic
Wire made of NiTi and beta-Ti and that of the BioMers Translucent Orthodontic Wire.
Flexural Strength
Defined as a material's
ability to resist
deformation under
load. Tested per ASTM
D790-03.At similar wire dimensions, the flexural strength of the SimpliClear Rectangular
Orthodontic Wire is within the range established by the Ormco Rectangular Orthodontic
Wire made of NiTi and beta-Ti.
BioMers Products LLCBioMers Products LLCOrmco Corp.
Product NameSimpliClear Rectangular
Orthodontic WireBioMers Translucent
Orthodontic WireNickel Titanium (NiTi),
beta-Titanium (beta-Ti)
and Stainless Steel (SS)
Rectangular Orthodontic
Wire
Flexural Modulus
The ratio of stress to
strain in flexural
deformation, or the
tendency for a material
to bend. Tested per
ASTM D790-03At similar wire dimensions, the flexural modulus of the SimpliClear Rectangular
Orthodontic Wire is within the range established by the Ormco Rectangular Orthodontic
Wire made of NiTi and beta-Ti.

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VI. Conclusion

There are no known substantial differences in terms of composition and mechanical properties between the SimpliClear Rectangular Orthodontic Wire defined in this 510(k) submission and the BioMers Translucent Orthodontic Wire, and the Ormco Rectangular Wire composed of Nickel Titanium, beta-Titanium, and stainless steel, respectively. The intended uses are comparable and any differences in technological characteristics do not raise issues of safety and effectiveness. Therefore, the SimpliClear Rectangular Orthodontic Wire is substantially equivalent to BioMers Translucent Orthodontic Wire and the Ormoo Rectangular Wire.

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Image /page/3/Picture/1 description: The image shows the logo for the Department of Health & Human Services USA. The logo features a stylized eagle with three stripes forming its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular pattern around the eagle.

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

Biomers Products, LLC C/O Mr. William Sammons Responsible Third Party Official Intertek Testing Services 2307 East Aurora Road, Unit B7 Twinsburg, Ohio 44087

MAR 3 1 201

Re: K110796

Trade/Device Name: SimpliClear Rectangular Orthodontic Wire Regulation Number: 21 CFR 872.5470 Regulation Name: Orthodontic Plastic Bracket Regulatory Class: II Product Code: DYW, DZC Dated: March 16, 2011 Received: March 22, 2011

Dear Mr. Sammons:

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- Mr. Sammons

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 (OS) 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/Resourcesfor You/Industry/default.htm.

Sincerely yours.

hm for

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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4. Indication for Use Statement

510(k) Number (if known): 长\ ○ ヲタレ

Device Name:

SimpliClear Rectangular Orthodontic Wire

Indications for Use:

An orthodontic archwire used to provide force to the teeth to effect movement in orthodontic treatment.

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)

(Division Sign-Off)Page 1 of ___
Division of Anesthesiology, General Hospital
Infection Control, Dental Devices
510(k) Number:K110796