K Number
K152167
Device Name
BIJOU Orthodontic Ceramic Bracket
Date Cleared
2016-05-27

(297 days)

Product Code
Regulation Number
872.5470
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
BIJOU Orthodontic Ceramic bracket is indicated for orthodontic movement of natural teeth.
Device Description
Orthodontic Ceramic bracket, BIJOU is composed of single crystal alumina and consists of three parts: the first part is the slot for the orthodontic wire; the second part is a round groove that is to hold a wire with an elastic "O" ring; the third part is the base that adheres to the tooth surface. A colored marking on wing part of bracket indicates orientation for placement.
More Information

Not Found

No
The device description and performance studies focus on the physical properties and mechanical performance of an orthodontic bracket, with no mention of software, algorithms, or data processing that would indicate AI/ML.

Yes
The device is used for "orthodontic movement of natural teeth," which is a therapeutic purpose to correct dental alignment.

No

This device is an orthodontic bracket used for moving teeth, which is a therapeutic function, not a diagnostic one. Its description focuses on its physical components and how it adheres to teeth for treatment.

No

The device description clearly outlines a physical orthodontic bracket made of single crystal alumina with specific physical components (slot, groove, base). The performance studies also focus on physical properties and testing of the bracket itself. There is no mention of software as a component or the primary function of the device.

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

Here's why:

  • Intended Use: The intended use is "orthodontic movement of natural teeth." This is a mechanical action performed directly on the patient's teeth.
  • Device Description: The description details a physical bracket designed to be attached to teeth and interact with orthodontic wires.
  • Lack of IVD Characteristics: An IVD device is used to examine specimens (like blood, urine, tissue) taken from the human body to provide information for diagnosis, monitoring, or screening. This device does not perform any such analysis of biological specimens.

The information provided clearly describes a medical device used for a therapeutic purpose (moving teeth), not a diagnostic purpose involving in vitro testing.

N/A

Intended Use / Indications for Use

BIJOU Orthodontic Ceramic bracket is indicated for orthodontic movement of natural teeth.

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

NJM

Device Description

Orthodontic Ceramic bracket, BIJOU is composed of single crystal alumina and consists of three parts: the first part is the slot for the orthodontic wire; the second part is a round groove that is to hold a wire with an elastic "O" ring; the third part is the base that adheres to the tooth surface. A colored marking on wing part of bracket indicates orientation for placement.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

natural 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)

Non-clinical performance testing was conducted as follows: design characteristics based on and in accordance with ISO 27020:2010 Dentistry - Brackets and tubes for use in Orthodontics; adhesive strength and analysis of detached teeth surface were conducted in accordance with ISO 11405:2015, Dentistry -Testing of adhesion to tooth structure; in-house comparative performance testing was conducted for the submission device and the predicate device, including wire slot drag test, wire slot torque test, shear test, and bracket removal test. A risk analysis was conducted based on ISO 14971:2012 Medical devices -Application of risk management to medical devices
No clinical performance testing was performed on BIJOU, ceramic brackets.

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.

K073045

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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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized caduceus symbol, which is often associated with healthcare. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the caduceus symbol. The logo is black and white.

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

May 27, 2016

World Bio Tech Co., Ltd % Mr. Peter Chung Plus Global 300, Atwood Pittsburgh, Pennsylvania 15213

Re: K152167

Trade/Device Name: BIJOU Orthodontic Ceramic Bracket Regulation Number: 21 CFR 872.5470 Regulation Name: Orthodontic Plastic Bracket Regulatory Class: II Product Code: NJM Dated: April 8, 2016 Received: April 19, 2016

Dear Mr. Chung:

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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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 (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 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

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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 below.

510(k} Number (if known)

K152167

Device Name BIJOU Orthodontic Ceramic Bracket

Indications for Use (Describe)

BIJOU Orthodontic Ceramic bracket is indicated for orthodontic movement of natural teeth.

Type of Use (Select one or both, as applicable)

A Prescription Use (Part 21 CFR 801 Subpart D)

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

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 infonnation 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 infonnation. 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 Drug 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."

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Image /page/3/Picture/0 description: The image shows a logo for World Bio Tech (WBT). The logo consists of the letters "WBT" in a bold, sans-serif font, enclosed within two overlapping ovals. The text "WORLD BIO TECH" is written in a smaller font size below the ovals. The entire logo is in a dark blue color.

K152167 510(k) Summary

Submitter's Name:WORLD BIO TECH CO., LTD.
Submitter's Address:#302 BizCenter, SknTechnoPark, 124, Sagimakgol-ro,
Jungwon-gu, Seongnam-si, Gyeonggi-do, Korea
Submitter's Telephone:+82-31-776-2804
Submitter's Fax:+82-31-776-2805
Submitter's Contact:Jin-kyu Park
Date 510(k) summary prepared:April 8, 2016
Proprietary Name:BIJOU Orthodontic Ceramic Bracket
Common or Usual Name:Orthodontic Ceramic Bracket
Classification Name:Orthodontic plastic bracket
Regulation Number:21 CFR 872.5470
Review Panel:Dental
Product Code:NJM
Classification Code:II
Type of 510(k) submission:Traditional

Predicate Device: K073045 / PURE Sapphire / Ortho Technology, Inc.

Description of the Device

Orthodontic Ceramic bracket, BIJOU is composed of single crystal alumina and consists of three parts: the first part is the slot for the orthodontic wire; the second part is a round groove that is to hold a wire with an elastic "O" ring; the third part is the base that adheres to the tooth surface. A colored marking on wing part of bracket indicates orientation for placement.

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Image /page/4/Picture/0 description: The image shows a logo for World Bio Tech (WBT). The logo consists of two overlapping ovals, with the letters "WBT" in bold, blue font inside the inner oval. Below the ovals, the words "WORLD BIO TECH" are written in a smaller, blue font. The logo is simple and professional, and the use of blue suggests a sense of trust and reliability.

Indications for Use

BIJOU Orthodontic Ceramic bracket are indicated for orthodontic movement of natural teeth.

PURE Sapphire, (K073045), and BIJOU have similar technological characteristics:

WORLD BIO TECH CO., LTD.Ortho Technology, Inc.
510(k) NumberK152167K073045
Common/Generic NameOrthodontic Ceramic BracketSapphire Ceramic Bracket
Trade/Proprietary NameBIJOUPURE®
Intended useBIJOU Orthodontic Ceramic bracket are indicated for orthodontic movement of natural teeth.Sapphire Ceramic Brackets are indicated for the orthodontic movement of teeth. The devices are for Orthodontic Use Only, on the order of an Orthodontist.
Material composition of BracketAl2O3 (single crystal alumina)Al2O3 (single crystal alumina)
Material composition of colorants for bracket placement orientationYellow (C.I. Food Yellow 4), Blue (C. I. Acid Blue 9, disodium salt), Red (FD&C Red No.3), and Pink (Carmine B.C.)Not known
TranslucentYesYes
Bracket designStandard, Roth, MBT designs with and without hook, conforming to ISO 27020:2010 Dentistry – Brackets and tube for Use in OrthodonticsStandard, Roth, MBT designs with and without hook
Bracket In-out(mm)1.03 – 1.440.53 - 0.89
Bracket Torque(°)-7 to +17- 7 to +17
Available slot sizes0.018 / 0.022 inch0.018 / 0.022 inch
Orientation markingColored dot on external surfaceColored dot on external surface
Single useYesYes
Non-SterileYesYes

Substantial Equivalence Table 1: Substantial equivalence comparison

The indication for use on natural teeth stated in the submission indications for use statement, as well as the omission of the statement for orthodontic use only and on order of an orthodontist, do not change the intended use of the device as both the submission device and

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Image /page/5/Picture/0 description: The image shows a logo for World Bio Tech (WBT). The logo consists of the letters "WBT" in a bold, sans-serif font, colored in a dark blue. The letters are enclosed within a series of overlapping blue circles, creating a visual effect of orbits or rings. Below the circles and letters, the words "WORLD BIO TECH" are written in a smaller, less prominent font, also in blue.

the predicate device are prescription devices for use in orthodontic treatment. The available bracket designs are similar; the slight variation in design of the maxillary in-out ranges is within the acceptable range for ISO 27020. The material used for the preformed translucent block form shapes. While both the submission device and the predicate device are marked with a colorant for orientation during placement and the colorants for the submission device may be different from the predicate device, the submission includes biocompatibility testing. The overall design is identical as a translucent, twin bracket with identical wire slot size;.

Biocompatibility

Biocompatibility testing including cytotoxicity, sensitization, oral mucosal irritation was completed according to the following standards:

ISO 10993-1 Biological Evaluation of Medical Devices -Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process

ISO 10993-5 Biological Evaluation of Medical Devices - Part 5 Cytotoxicity

ISO 10993-10 Biological Evaluation of Medical Devices Part 10: Tests for irritation and skin sensitization

ISO 10993-12 Biological evaluation of medical devices -- Part 12: Sample preparation and reference materials

Non-clinical Performance Data

Non-clinical performance testing was conducted as follows: design characteristics based on and in accordance with ISO 27020:2010 Dentistry - Brackets and tubes for use in Orthodontics; adhesive strength and analysis of detached teeth surface were conducted in accordance with ISO 11405:2015, Dentistry -Testing of adhesion to tooth structure; in-house comparative performance testing was conducted for the submission device and the predicate device, including wire slot drag test, wire slot torque test, shear test, and bracket removal test. A risk analysis was conducted based on ISO 14971:2012 Medical devices -Application of risk management to medical devices

Clinical Data

No clinical performance testing was performed on BIJOU, ceramic brackets.

Conclusion

Based upon the chemical composition, design, indications for use, and results of non-clinical performance testing, we conclude that our device BIJOU is substantially equivalent to the predicate device.