(267 days)
Not Found
No
The description focuses on the physical device, light energy delivery, and software control of treatment time. There is no mention of AI or ML in the device description, intended use, or performance studies.
Yes
The device is intended for use during orthodontic treatment to facilitate minor anterior tooth movement and accelerate the rate of tooth movement by delivering light energy to the bone, which aligns with the definition of a therapeutic device.
No
The device description and intended use state that the OrthoPulse™ device is used to accelerate tooth movement during orthodontic treatment by delivering light energy, not to diagnose any condition.
No
The device description clearly states it is an "intra-oral appliance similar to a plastic sports mouth guard" with "Light-emitting diodes ("LEDs") are embedded into the mouth-guard on a flexible circuit" and an "integrated battery for power." This indicates significant hardware components beyond just software.
Based on the provided information, the OrthoPulse™ device is not an IVD (In Vitro Diagnostic).
Here's why:
- IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening.
- OrthoPulse Function: The OrthoPulse™ device is an intra-oral appliance that delivers light energy directly to the bone to accelerate tooth movement during orthodontic treatment. It interacts directly with the patient's body, not with specimens taken from the body.
- Intended Use: The intended use is to facilitate minor anterior tooth movement during orthodontic treatment, which is a physical process within the mouth, not a diagnostic test on a sample.
Therefore, the OrthoPulse™ device falls under the category of a therapeutic medical device, not an In Vitro Diagnostic device.
N/A
Intended Use / Indications for Use
The OrthoPulse™ device is intended for use during orthodontic treatment. It is used in conjunction with brackets and wires or aligners and helps facilitate minor anterior tooth movement.
Product codes
PLH
Device Description
The OrthoPulse'''' device is an intra-oral appliance similar to a plastic sports mouth guard that is intended for use during orthodontic treatment in conjunction with traditional orthodontic treatment with brackets and wires or aligners.
The device achieves its effect by delivering light energy to the bone, accelerating the rate of tooth movement. Light-emitting diodes ("LEDs") are embedded into the mouth-guard on a flexible circuit. Light is directed toward the alveolar surface to facilitate light treatment of the anterior arch segment during orthodontic tooth movement. The intra-oral appliance is designed to treat one arch (upper or lower), and is reversible by the patient to treat the other arch.
OrthoPulse is considered a low level light treatment device and produces light at levels 50-80 mW/cm for the patient. The device is designed to comply with the lamp safety standard (IEC 62471: 2006) and with the general medical device standard IEC 60601-1 3rd Ed.
OrthoPulse includes light with wavelengths in the 850nm range (near infrared) and the treatment protocol is based on a daily treatment session of 5 minutes per arch (maxilla or mandible). The treatment time (session duration) is controlled by the software, along with the number of treatments per day.
OrthoPulse includes an integrated battery for power. The battery is rechargeable via a wireless charging platform / storage case. The device provides a wireless connection to an optional iOS application to enable monitoring of patient compliance with the treatment regimen. No other cable or connection to external devices is required.
Mentions image processing
Not Found
Mentions AI, DNN, or ML
Not Found
Input Imaging Modality
Not Found
Anatomical Site
Anterior arch segment (maxilla or mandible)
Indicated Patient Age Range
Not Found
Intended User / Care Setting
Home use under a prescription
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)
The following tests have been performed to support the substantial equivalence of OrthoPulse™:
- . Optical Output Testing
- . Lifetime Verification Testing
- Testing to ensure that the device can withstand bite forces in the mouth
- Testing to ensure the device can accurately detect when it is in contact with tissue
- . Biocompatibility testing in accordance with ISO 10993-1, ISO 10993-5, ISO 10993-10
- . Electrical safety testing in accordance with IEC 60601-1
- . Electromagnetic compatibility testing per IEC 60601-1-2 (3rd ed., 2007 and CISPR 11:2010)
- . Testing to validate the cleaning instructions
- Software verification and validation .
Further, clinical testing of the device with orthodontic treatment demonstrated that the device may accelerate tooth movement and may decrease treatment time. Two primary clinical studies of the intra-oral OrthoPulse demonstrated device performance for its indicating that the device may accelerate orthodontic movement of teeth and may reduce the overall treatment time for the patient when used in conjunction with traditional orthodontic treatment with brackets and wires or aligners. In a cross-over study where subjects served as their own control, 21 subjects (mean age 34.9 years) who used OrthoPulse with aligners was evaluated. Eligibility criteria included requiring that the subjects have permanent dentition, mild to moderate crowding with no labiolingually displaced teeth, Class I or Class II by ½ cusp or less, good oral hygiene, and non-smoking. Subjects who were pregnant, enrolled in another study, had periodontally involved teeth, used bisphosphonates during the study, or had spaces between anterior teeth were excluded. Perimeter measurement analysis was used to evaluate each patient's rate of tooth movement during baseline and OrthoPulse™ periods in the mandibular arch. The degree of external apical root resorption was also investigated. Study subjects were followed from the start of aligner orthodontic treatment until 6 months. Results demonstrated statistically significantly faster tooth movement compared to baseline (p=0.024), achieving the primary effectiveness objective of the study. There were no serious adverse events, and no root resorption, gingival recession, or pathological tooth mobility was reported throughout the study.
OrthoPulse was also evaluated in conjunction with brackets and wires in a controlled study of 33 subjects (mean age 25.0 years). Matched controls (based on subjects' age, initial crowding, eligibility criteria) were retrospectively selected before any data analysis of the OrthoPulse subjects. Eligibility criteria included requiring that the subjects have permanent dentition, moderate to severe crowding (LII ≥ 3 mm) with no labiolingually displaced teeth, Class I or Class II by ½ cusp or less, non-extraction in both arches, good oral hygiene, and non-smoking. Subjects who were pregnant, enrolled in another study, had periodontally involved teeth, used bisphosphonates during the study, or had spaces between anterior teeth were excluded. There were no differences between groups in terms of gender, ethnicity, age, and initial crowding. The rate of tooth movement was measured using the change in Little's Irregularity Index measurements in both groups to evaluate OrthoPulse™ use with fixed orthodontic appliances. Root resorption was determined by use of panoramic dental X-rays collected before treatment and after 6 months of treatment. Results demonstrated that subjects treated with OrthoPulse showed a statistically significantly faster rate of tooth movement (p
§ 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
Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized symbol featuring three human profiles facing to the right, stacked on top of each other, representing the department's focus on health and human well-being.
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
July 24, 2015
Biolux Research Ltd. c/o Ms. Janice Hogan Hogan Lovells US LLP 1835 Market St., 29th Floor Philadelphia, Pennsylvania 19103
Re: K143120 Trade/Device Name: OrthoPulse™ Regulation Number: 21 CFR 872.5470 Regulation Name: Orthodontic Plastic Bracket Regulatory Class: II Product Code: PLH Dated: July 10, 2015 Received: July 10, 2015
Dear Ms. Hogan:
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.
1
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 devicerelated 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 contact the Division of Industry and Consumer Education 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. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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 Industry and Consumer Education 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,
Tina
Kiang -S
for Erin I. Keith, M.S. Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control, and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
2
DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration Indications for Use
Form Approved: OMB No. 0910-0120 Expiration Date: January 31, 2017 See PRA Statement on last page
510(k) Number (if known) K143120
Device Name
OrthoPulse™
Indications for Use (Describe)
The OrthoPulse™ device is intended for use during orthodontic treatment. It is used in conjunction with brackets and wires or aligners and helps facilitate minor anterior tooth movement.
Type of Use (Select one or both, as applicable)
& Prescription Use (Part 21 CFR 801 Subpart D) Subpart C)
_ Over-The-Counter Use (21 CFR 801
PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.
FOR FDA USE ONLY
Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)
This section applies only to requirements of the Paperwork Reduction Act of 1995.
DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.
The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:
Department of Health and Human Services Food and Druq Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov
"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number.
3
510(k) SUMMARY
Biolux Research Ltd.'s OrthoPulse™ Device
Submitter's Name, Address, Telephone Number, Contact Person and Date Prepared
Biolux Research Ltd. 825 Powell Street, Suite 220 Vancouver, BC V6A 1H7 Canada
Contact Person: Kevin Strange, President and CEO
Phone: 604-669-0674 Fax: 604-608-5558
Date Prepared: July 21, 2015
Name of Device and Name/Address of Sponsor
OrthoPulse™ Biolux Research Ltd. 825 Powell Street, Suite 220 Vancouver, BC V6A 1H7 Canada
Common or Usual Name
Orthodontic LED Accessory (PLH)
Classification Name/Classification
Orthodontic plastic bracket, 21 CFR 872.5470, Class II
Predicate Devices
OrthoAccel's Acceledent (K110661, K130643) This predicate has not been subject to a design-related recall.
4
Intended Use / Indications for Use
The OrthoPulse™ device is intended for use during orthodontic treatment. It is used in conjunction with brackets and wires or aligners and helps facilitate minor anterior tooth movement.
Device Description
The OrthoPulse'''' device is an intra-oral appliance similar to a plastic sports mouth guard that is intended for use during orthodontic treatment in conjunction with traditional orthodontic treatment with brackets and wires or aligners.
The device achieves its effect by delivering light energy to the bone, accelerating the rate of tooth movement. Light-emitting diodes ("LEDs") are embedded into the mouth-guard on a flexible circuit. Light is directed toward the alveolar surface to facilitate light treatment of the anterior arch segment during orthodontic tooth movement. The intra-oral appliance is designed to treat one arch (upper or lower), and is reversible by the patient to treat the other arch.
OrthoPulse is considered a low level light treatment device and produces light at levels 50-80 mW/cm for the patient. The device is designed to comply with the lamp safety standard (IEC 62471: 2006) and with the general medical device standard IEC 60601-1 3rd Ed.
OrthoPulse includes light with wavelengths in the 850nm range (near infrared) and the treatment protocol is based on a daily treatment session of 5 minutes per arch (maxilla or mandible). The treatment time (session duration) is controlled by the software, along with the number of treatments per day.
OrthoPulse includes an integrated battery for power. The battery is rechargeable via a wireless charging platform / storage case. The device provides a wireless connection to an optional iOS application to enable monitoring of patient compliance with the treatment regimen. No other cable or connection to external devices is required.
Technological Characteristics
OrthoPulse™ has very similar technological characteristics as the predicate device. Both devices are intraoral appliances intended for home use under a prescription, and both devices are comprised of portable, battery powered devices that are placed in the user's mouth at regular intervals. Although OrthoPulse uses light energy to accelerate tooth movement while the predicate uses mechanical vibration, both devices are designed to achieve the same therapeutic effect of achieving faster tooth movement. The devices are both comprised of equivalent components, including the mouthpiece, battery component, and software. The differences in technological characteristics compared to the predicate do not adversely impact performance, as demonstrated in bench and clinical testing. Therefore, OrthoPulse presents similar technological characteristics as it predicate device, in support of substantial equivalence.
5
Performance Data
The following tests have been performed to support the substantial equivalence of OrthoPulse™:
- . Optical Output Testing
- . Lifetime Verification Testing
- Testing to ensure that the device can withstand bite forces in the mouth
- Testing to ensure the device can accurately detect when it is in contact with tissue
- . Biocompatibility testing in accordance with ISO 10993-1, ISO 10993-5, ISO 10993-10
- . Electrical safety testing in accordance with IEC 60601-1
- . Electromagnetic compatibility testing per IEC 60601-1-2 (3rd ed., 2007 and CISPR 11:2010)
- . Testing to validate the cleaning instructions
- Software verification and validation .
Further, clinical testing of the device with orthodontic treatment demonstrated that the device may accelerate tooth movement and may decrease treatment time. Two primary clinical studies of the intra-oral OrthoPulse demonstrated device performance for its indicating that the device may accelerate orthodontic movement of teeth and may reduce the overall treatment time for the patient when used in conjunction with traditional orthodontic treatment with brackets and wires or aligners. In a cross-over study where subjects served as their own control, 21 subjects (mean age 34.9 years) who used OrthoPulse with aligners was evaluated. Eligibility criteria included requiring that the subjects have permanent dentition, mild to moderate crowding with no labiolingually displaced teeth, Class I or Class II by ½ cusp or less, good oral hygiene, and non-smoking. Subjects who were pregnant, enrolled in another study, had periodontally involved teeth, used bisphosphonates during the study, or had spaces between anterior teeth were excluded. Perimeter measurement analysis was used to evaluate each patient's rate of tooth movement during baseline and OrthoPulse™ periods in the mandibular arch. The degree of external apical root resorption was also investigated. Study subjects were followed from the start of aligner orthodontic treatment until 6 months. Results demonstrated statistically significantly faster tooth movement compared to baseline (p=0.024), achieving the primary effectiveness objective of the study. There were no serious adverse events, and no root resorption, gingival recession, or pathological tooth mobility was reported throughout the study.
OrthoPulse was also evaluated in conjunction with brackets and wires in a controlled study of 33 subjects (mean age 25.0 years). Matched controls (based on subjects' age, initial crowding, eligibility criteria) were retrospectively selected before any data analysis of the OrthoPulse subjects. Eligibility criteria included requiring that the subjects have permanent dentition, moderate to severe crowding (LII ≥ 3 mm) with no labiolingually displaced teeth, Class I or Class II by ½ cusp or less, non-extraction in both arches, good oral hygiene, and non-smoking. Subjects who were pregnant, enrolled in another study, had periodontally involved teeth, used bisphosphonates during the study, or had spaces between anterior teeth were excluded. There were no differences between groups in terms of gender, ethnicity, age, and initial crowding. The rate of tooth movement was measured using the change in Little's Irregularity Index measurements in both groups to evaluate OrthoPulse™ use with fixed orthodontic appliances. Root resorption was determined by use of panoramic dental X-rays collected before treatment and after 6 months of treatment. Results demonstrated that subjects treated with OrthoPulse
6
showed a statistically significantly faster rate of tooth movement (p